Terminal illness can present a myriad of needs to address in order to ensure that the person approaching end of life receives the best care and the best quality of life in their remaining days. The needs of the terminally ill range from the immediate and physical, such as the management of pain and suffering, to psychological in order to address feelings of fear, anger, sadness, or depression... more
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La enfermedad terminal puede presentar una gran variedad de necesidades que deben abordarse para garantizar que la persona que se aproxima al final de su vida reciba la mejor atención y una mejor calidad de vida en los días restantes. Las necesidades de los enfermos terminales van desde lo inmediato y lo físico, como el manejo del dolor y el sufrimiento, hasta el psicológico, para abordar los... more
Since the 1980's, palliative care programs have become more available in the United States and have received more focus in health care settings. Nursing professionals benefit from understanding the benefits of palliative care in order to assist their patients in their overall treatment and care needs. This course will introduce the basics of palliative care and what it means to nursing... more
Wellness encompasses a lifestyle that helps people become more satisfied, productive, and happy through making conscious choices. The healthy habits cultivated within the wellness philosophy help individuals avoid self-destructive behaviors including substance abuse, toxic relationships, and environments and encourage healthy habits. Due to the diversity of wellness approaches, these programs... more
This course provides an overall picture of trauma and post-traumatic stress disorder for anyone working with someone with a history of trauma, which is often seen in health care settings. Terminology and related concepts are discussed using real-world scenarios and case studies. Nursing professionals should be familiar with symptoms as well as their potential impact on a victim’s life.... more
Anaphylactic shock, also called Anaphylaxis, is a serious allergic reaction with a rapid onset and may cause death if not immediately treated. People prone to anaphylaxis are typically prescribed an epinephrine autoinjector, such as the EpiPen. This immediate working injection can be the difference between life and death. This course discusses when and how to use an epinephrine autoinjector to... more
The abuse of another person implies intention, maltreatment and the violation of their rights. Abuse occurs most commonly between family members, but it also occurs in work relationships and friendships. This course provides an overview of abuse, including definitions, populations affected, recognizing the signs of abuse, and reporting. For nurses working directly with patients, it is... more
Aunque existen diferentes tipos de abusos, todos tienen que ver con un maltrato intencional. Todas las edades corren el riesgo de sufrir abusos, y continua siendo una preocupación para los que trabajan con poblaciones que enfrentan un riesgo particular. Este curso es una descripción del abuso, que incluye definiciones del abuso en general, así como también información sobre los distintos tipos... more
Eye drops, ear drops, nose drops, and nasal sprays are routinely prescribed to treat a wide variety of head-related infections and conditions and are commonly used by nursing professionals with a variety of patients. Often, even when drops and sprays are over the counter medications, patients will need assistance with at least one of these medications when under medical care. This course... more
Many individuals who are in a hospital or at home following a prolonged illness or injury that impacts mobility become frustrated when they cannot move around as they desire. Mobility and ambulation are important to overall health and recovery from illness and injury. Often, this recovery includes the support of care providers skilled in lifting, moving, and supporting an individual with... more
Many individuals receiving care in the hospital or in another less restrictive medical facility following a prolonged illness or injury have their mobility impacted. Patients may become frustrated when they cannot move as much as they want or expect. Often, mobility and ambulation recovery includes the support of nursing professionals skilled in lifting, moving, and supporting an individual... more
In western cultures, mainstream healthcare has focused on medical, surgical, pharmaceutical, and technological treatment. However, there is a growing awareness and use of alternative practices in healthcare including massage, acupuncture, and yoga, as well as other alternative therapies. Nursing assistants should be familiar with these therapies and know how they are used to prevent and treat... more
When working with older adults, it is important to be able to recognize the differences between normal aging and symptoms that could indicate Alzheimer’s Disease or other dementia. This course discusses how to recognize symptoms of Alzheimer’s Disease at each stage of progression. This course will also provide a brief overview of brain anatomy in Alzheimer’s Disease and... more
All nursing assistants should be familiar with all included policies in the Americans with Disabilities Act and how this legislation impacts their daily work. This course presents key information on the Americans with Disabilities Act (ADA), passed by Congress in 1990. This law has far-reaching implications for anyone working with patients who have a disability as well as organizations in... more
Individuals seeking medical care often experience anxiety as an expected response to their environment. Some patients are also diagnosed with an anxiety disorder, so it is important to know how to recognize symptoms and treatment options. While it is similar to fear, anxiety is different in that it is focused on the anticipation of a threat at some point in the future and might be quite... more
Anxiety disorders impact more than twenty-five million people in the U.S., and these disorders are the most common mental health diagnoses given to children and adolescents. Anxiety disorders are often identified by common symptoms that may include the overwhelming feeling of panic and fear, obsessive thoughts, and recurring nightmares. In both children and adolescents, anxiety disorders often... more
Mental Illness is often lifelong and chronic, but it can also be diagnosed at any age. How different diagnoses present and are treated are different for older adults than for other age groups, and it is important for any healthcare professional working with this population to know what to observe and report in order to provide the highest level of care for patients and residents. This course... more
Medical waste is something every medical professional must learn to deal with appropriately for everyone’s safety. The improper disposal of any biomedical waste can lead to injury or illness and poses a threat to healthcare workers and others. In order to create a safe environment for patients and employees, proper procedures must be in place for the safe handling of the waste. This... more
Bullying includes the repeated and unwanted actions by an individual or group intended to intimidate, harass, degrade, or offend one or more persons. Bullying negatively impacts the emotional health and well-being of employees and affects the performance of the entire organization. Bullying has become a serious and growing problem affecting a significant proportion of nursing professionals. It... more
It is important for nursing professionals to recognize different population needs. When working with older adults and individuals with chronic illness, healthcare professionals should approach treatment in a way that addresses the unique needs of these populations. This course discusses the specific needs of elderly and chronically ill patients in a variety of settings, including what services... more
Nursing Assistants often work with patients facing the end of life. As a member of the healthcare team, it is important to understand what happens during the dying process, how to recognize death is near, and how to support patients and their family. This course discusses how modern medicine approaches death and dying, the physical experience of death, and improving quality of life and... more
Over 4 million Americans suffer from dementia, which causes a deficiency in thinking, memory, and judgment; the majority of these people have Alzheimer’s disease. These patients have specific symptoms that require special care and treatment. Because these diseases usually end in the patient’s death, they will need to be taken care of for the rest of their lives. Direct Support... more
Este curso instruirá a los actuales y futuros profesionales de la salud sobre los efectos que tiene el Alzheimer y la demencia en sus pacientes, clientes y residentes.
Chances are Direct Support Professionals will care for many cancer patients over the course of their careers. Having a better understanding of the causes of and treatment for cancer helps Direct Support Professionals give better care to their patients, clients, and residents who will suffer from cancer. This course will teach current and future Direct Support Professionals about the impact of... more
Cancer is a scary word; when people hear it they think of suffering and death. In reality, the term cancer refers to a wide range of diseases characterized by an interruption in normal cell growth. Some cancers are very treatable when found early, while others are deadly. Our Caring for Clients with Cancer for Nursing Assistants course discusses the impact of cancer on individuals diagnosed as... more
The Direct Support Professional will care for many different types of patients, clients, and residents. Some of these people require care due to illnesses, disabilities, or the effects of old age. Some patients, though, may seem physically healthy but are still unable to care for themselves due to mental or emotional illness. This course will teach current and future Direct Support... more
Nursing assistants work with patients from all walks of life and in all circumstances. This includes those who have an existing mental illness, and it is important to understand what impacts a mental illness may have on care as well as interactions. This course discusses the common mental health issues seen in clients, patients, and residents as well as how they impact daily activities and... more
All nursing assistants should understand the basics of how a disease is classified as a critical member of the healthcare team. This course discusses how to classify and diagnose diseases and illnesses in order to prescribe a course of treatment for patients, residents, and clients. Nursing assistants will build knowledge of symptoms of disease and differentiation between acute and chronic... more
Poor treatment outcomes are never desired. While they can occur for many reasons, it is sometimes due to something not completed by medical professionals responsible for patient care. When the patient is not responsible for a treatment failure, they may view it as a reason for filing a grievance against their provider. Grievance procedures can help nursing professionals and patients navigate... more
It is important to know what rights clients and patients have as well as to understand them. Medical care today is complex and full of navigation challenges, all of which can impact rights. Nursing professionals should know both their patients’ rights in general as well as in their unique work setting. Client-patient rights vary from state to state and county to county, but they are... more
Over half of the individuals with mental health disorders also deal with substance related issues. In many cases, the combination of dug or alcohol use and mental health disorders is attributed to self-medicating behaviors. Specifically, drugs and alcohol can be in the form of self-medication, where individuals with an untreated mental illness like anxiety or depression have their symptoms... more
Communicating with others is a basic human need and the foundation for all social interactions. When healthcare workers effectively communicate with those for whom they care, it helps patients feel less isolated and can improve their sense of wellbeing. Often, the effects of aging, illness, and disabilities can become barriers to effective caregiver-patient communication. Paying attention to... more
Communicating with others is a basic human need and the foundation of all social interactions. Effective communication with patients helps them feel less isolated and can also improve their sense of wellbeing when under care. Often, the effects of aging, illness, and disabilities can become barriers to effective caregiver-patient communication, and healthcare settings often have additional... more
Communicating with others is a basic human need and the foundation for all social interactions. When healthcare workers effectively communicate with their patients, they may feel less isolated and have an improved sense of wellbeing. Often, the effects of aging, illness, and disabilities can become barriers to effective caregiver-patient communication, especially when patients lose some or all... more
Nursing professionals interact with a variety of individuals daily during their work, and it is critical to have a strength in communication. Often, the effects of aging, illness, and disabilities can create barriers to effective caregiver-patient communication, especially when patients lose some or all of their hearing. Paying attention to a patient’s communication needs is one of the... more
When health care workers effectively communicate with those they care for, it helps patients, clients, and residents feel less isolated and improves their sense of wellbeing. When they understand how the communication process works and how to effectively send and receive messages, health care workers are better able to meet the needs of those they care for. This course will teach current and... more
One of the central concepts of mental health, health care, social work, and substance abuse treatment is the therapeutic relationship. The therapeutic relationship provides the basis for successful treatment, and it is guided by the ethical guidelines identified in each specialty of behavioral health. Therapeutic boundaries and conflicts of interest typically arise together during treatment,... more
To improve patient outcomes, hospitals and health care centers around the country have implemented quality improvement measures to increase care coordination, patient safety, and preventive services. While there have been many efforts to improve patient care in all medical settings, there continues to be an issue with critical incidents. Nursing Assistants are often the front line for... more
Depression is one of the most prevalent mental health disorders found in children and it can have a devastating impact on child and adolescent academic and social functioning. Childhood depression has been linked to abuse and neglect, as well as traumatic experiences such as bullying, teasing, social isolation, racial discrimination, and poverty. Untreated depression in children can lead to... more
This course provides a basic but comprehensive overview of one of the American Psychiatric Association’s major publications, the Diagnostic and Statistical Manual of Mental Disorders (DSM). Although previous editions of the manual will be referred to briefly in the discussion as background material, the focus will be on the latest revised version. This is the edition published in May,... more
Paraphilia refers to intense and persistent sexual interests that fall outside the realm of what is considered phenotypically normal. In addition to clinical disorders in DSM-5, there are also several small sections devoted to other disorders and considerations for diagnosis. Those will be included in this course. This course, then, will include an overview of disorders that warrant... more
Our personality is who we are and how we present ourselves to the world. Personality disorders are considered traits that create a pattern of interacting that leads to distress or impairment. This course will discuss the types of personality disorders recognized in the DSM-5, diagnostic criteria and symptoms, and what is known about the prognosis and course of each disorder.
These two chapters address a diverse group of mental disorders. Sexual dysfunctions are characterized by a clinically significant disturbance in the individual’s ability to respond sexually or experience sexual pleasure. The chapter that follows addresses gender dysphoria, which includes clinical problems created by the lack of congruence that occurs in some people between the gender... more
Sleep-wake disorders are grouped together in a chapter of mental disorders in DSM-5. Appropriate treatment methods vary depending on the nature and severity of the condition, but in some instances, follow up with a sleep specialist is advisable. Sleep disorders are often accompanied by other symptoms of mental disorders such as depression, anxiety, and cognitive changes. In addition,... more
These two chapters in the DSM-5 may have little in common in terms of symptoms, but they are both chapters that include disorders that impact a broad cross-section of the population and include physical symptoms manifesting cognitive and emotional distress. Somatic Symptom Disorder and the other related disorders that are grouped together all focus on disorders that manifest through somatic... more
The DSM-5 chapter immediately following Disruptive, Impulse-Control, and Conduct Disorders is a very extensive chapter on Substance Related and Addictive Disorders. The substance-related and addictive disorders are in some respects very similar to the disruptive, impulse-control, and conduct disorders because, like the latter, they are characterized by a tendency to act impulsively without... more
When nursing professionals effectively communicate with those in their care, patients feel less isolated and their sense of wellbeing improves. In addition, nursing professionals should be able to communicate effectively with their co-workers, subordinates, and supervisors; effective communication is critical for ensuring patient wellbeing throughout treatment. Paying attention to another... more
Si bien el abuso es un problema que tiene lugar en todo el mundo, para los efectos de este curso, nos centraremos únicamente en el abuso de ancianos en los Estados Unidos. También aprenderás sobre lo insidioso y lo común que puede ser el abuso de ancianos. Aprenderás acerca de los diferentes tipos de abuso que afectan a nuestros mayores, incluyendo el abuso físico, psicológico, sexual y... more
Elder abuse can affect people of all ethnic and social backgrounds, in their home as well as in healthcare settings. Abuse impacts both the victim and his or her caregivers, including nursing professionals caring for elderly patients. It is important for anyone working with or caring for an older adult to know the signs of abuse as well as how to report any concerns identified. This can be... more
Terminal illness can present a myriad of needs that have to be addressed in order to ensure that the person approaching end of life receives the best care to ensure the best quality of life in their remaining days. The needs of the terminally ill range from the immediate and physical, such as the management of pain and suffering, to psychological in order to address feelings of fear, anger,... more
Cuando un paciente se enoja, hace demandas, grita, usa lenguaje obsceno o amenaza a otros, demostrando un comportamiento físico agresivo. Estos comportamientos son disruptivos y pueden ser perjudiciales para los trabajadores de la salud, los miembros de la familia y otros pacientes. Del 30% al 50% de las personas que tienen demencia, presentan un comportamiento físico agresivo, y los... more
When patients are upset, make demands, shout, uses foul language, or threaten others, they are exhibiting aggressive physical behavior. Aggressive behaviors are disruptive and can be harmful to medical professionals, family members, as well as other patients. Nursing assistants working in retirement homes, eldercare facilities, and hospitals are likely to interact with patients who exhibit... more
Nursing assistants working directly with patients in healthcare settings have a higher risk of being exposed to human blood on a regular or occasional basis. Sometimes this blood is infected with bloodborne pathogens such as the hepatitis B virus, which poses a health risk for healthcare professionals. This course discusses the risks that the hepatitis B virus poses as well as how nursing... more
This course discusses the Health Insurance Portability and Accountability Act of 1996 (HIPAA), particularly Titles I & II, as they pertain to the medical field. Nursing professionals need to understand HIPAA and how it impacts them personally as well as compliance with HIPAA standards in their day-to-day operations when working with patients. The goal of this course is to increase... more
Nursing professionals face a high risk of occupational exposure to bloodborne pathogens when working with patients. Bloodborne pathogens include hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Exposures can occur through needlesticks or cuts from other sharp instruments that are contaminated with an infected patient's blood. Contamination can also... more
Incidents of diseases like AIDS, Hepatitis and other infections have increased over the last several decades. Preventing illness has always been an important part of healthcare, but the spread of these deadly diseases has made it even more important. By following infection control techniques and other standard precautions, the Direct Support Professional will keep themselves, their patients,... more
Los trabajadores en muchas industrias están regularmente expuestos a agentes infecciosos. En la salud, los trabajadores deben practicar las precauciones universales para prevenir la propagación de la enfermedad para ellos mismos y otros.El trabajo que implica exposición a las enfermedades infecciosas, los trabajadores en otras industrias también inadvertidamente pueden transmitir la enfermedad... more
An increasing number of youth are experiencing crises which affect their functioning in their homes, their schools, and their communities. A crisis can affect anyone and many types of crises (like natural disasters, divorce, etc.) are universal. There are, however, specific effects of crises on children and adolescents. In particular, children and adolescents have been found to exhibit a... more
Known for creating feelings of euphoria, relaxation, as well as pain relief, marijuana has always been popular for both recreational and medical purposes. Marijuana is widely believed to be the most popular and accessible drug in the United States, with 48 percent of adults acknowledging that they tried it at least once. The legalization of recreational marijuana in Colorado and Washington, as... more
The Center for Medicare and Medicaid Services known as CMS has released the 9th and final chapter for the Prescription Drug Benefit Manual regarding a program to control fraud, waste and abuse. This course provides both interpretative rules and guidelines for Part D plan sponsors on how to implement the regulatory requirements to have in place a comprehensive fraud and abuse plan to detect,... more
El Centro de Servicios de Medicare y Medicaid conocido como CMS ha publicado el noveno y último capítulo del Manual de Beneficios de Medicamentos Recetados en relación con un programa para controlar el fraude, el desperdicio y el abuso. Este curso proporciona reglas y pautas interpretativas para los patrocinadores del plan de la Parte D, que se centran en cómo implementar los requisitos... more
Para los profesionales médicos de primera línea, la prevención de los errores de medicación comienza con la preparación de la medicación y continúa con la administración y la documentación. Para cualquier persona que administre medicamentos a otra persona, hay muchos controles en el camino para garantizar que la administración de los medicamentos se realice sin errores. Este curso presentará... more
Este curso enseñará a los Profesionales actuales y futuros de la Asistencia Directa sobre la digestión, la nutrición y cómo una buena dieta ayuda a sus pacientes, clientes y residentes a mantenerse saludables.
La ergonomía es la ciencia que relaciona las condiciones de trabajo y las demandas laborales con las capacidades de la población trabajadora. El trabajo se compone de muchas tareas pequeñas, y estas tareas pueden conducir a lesiones del trabajador si no se ejecutan con seguridad. Los lugares de trabajo que entienden esto e incorporan principios de ergonomía, tienen menos lesiones relacionadas... more
El dolor es una de las condiciones médicas más generalizadas en la sociedad actual. Vivir con dolor afecta a las personas física y mentalmente, causando un deterioro en su bienestar general. Las pruebas de detección del dolor son esenciales para explorar el grado de dolor que experimenta una persona y para conocer el historial de dolor del paciente. Este curso discutirá la importancia de la... more
Since the 1980's, palliative care programs have become more available in the United States. All healthcare providers benefit from a clear understanding of palliative care in order to assist their patients in their overall treatment and care needs. This course will introduce you to palliative care and what it means to healthcare professionals and patients as well as how to know when and how to... more
Both perineal and catheter care are important for medical professionals to know. Many residents and patients need assistance with perineal and catheter care, and proper steps to prevent contamination and infection are important. This course reviews the urinary system as well as the importance of perineal and catheter care, steps for proper care, and potential complications of improper care.... more
La Planificación Centrada en la Persona es un enfoque del tratamiento que comenzó en el trabajo clínico con personas con discapacidades y se ha expandido para ser utilizado en una variedad de poblaciones. En general, una planificación centrada en la persona, es una colección de estilos de planificaciones con un conjunto de principios compartidos que se centran en las necesidades especiales y... more
Los errores en la medicación pueden ocurrir en cualquier lugar donde se distribuyan medicamentos: desde hogares de ancianos, consultorios médicos hasta hospitales y farmacias. En el momento en que se le administra un medicamento a otra persona, cabe la posibilidad de que se cometa un error en la medicación. Los errores en la medicación son frecuentemente las causas para que se tomen acciones... more
Falls and resulting injuries are frequent in hospital settings. In fact, falls with serious injuries are among the top events reported in medical settings. Every year in the United Sates, hundreds of thousands of patients fall while in a hospital setting with approximately half of falls resulting in injury. Patient falls are preventable. With the right assessment, knowledge of fall risks, and... more
Las caídas y las lesiones resultantes son frecuentes en el entorno hospitalario. De hecho, las caídas con lesiones graves se encuentran entre los principales eventos informados en entornos médicos. Cada año en los Estados Unidos, cientos de miles de pacientes caen en un entorno hospitalario con aproximadamente la mitad de las caídas que resultan en lesiones. Las caídas del paciente son... more
Falls and resulting injuries can be a frequent occurrence in medical settings as patients learn to adapt to physical, mental, or emotional changes following an injury, surgery, or serious illness. In fact, falls with serious injuries are among the top events reported in medical settings and impact all nursing professionals. Patient falls are preventable. With the right assessment, knowledge of... more
Los ingresos y reingresos hospitalarios innecesarios están asociados a un impacto negativo en la calidad de vida del paciente. Este proceso de admisiones y readmisiones innecesarias alude en muchos términos, a la recuperación, el viajero frecuente, la re-hospitalización y la readmisión. Para los pacientes, un ingreso o una readmisión innecesaria en el hospital puede llevar al desarrollo de... more
Urinary Tract Infections (UTIs) are quite prevalent in the United States, occurring in individuals of all ages. People with UTIs may show up in the ER department, urgent care, or already be receiving inpatient treatment for other medical issues when they develop an infection. Older adults are particularly vulnerable to developing a UTI, but there are steps individuals can take to prevent... more
When young children have a negative and chaotic relationship with their caregivers, they have a risk for developing an attachment disorder. One of the most severe types of attachment disorders seen in children who have experienced abuse and neglect is reactive attachment disorder, which has resulted in general behavioral problems, social problems, and mental health problems in children.... more
Every year, many workers suffer back injuries caused when they improperly lift and carry heavy loads. This can affect most every worker in any industry, from an officer worker moving a box of copy paper to a carpenter constructing a building. This course discusses several tactics to help workers properly lift and carry heavy loads.
Cada año, muchos trabajadores sufren lesiones en la espalda que resultan de levantar y transportar cargas pesadas de manera incorrecta. Esto puede afectar a la mayoría de cada trabajador en cualquier industria, a partir de un empleado de oficina en movimiento una caja de papel de copia a un carpintero construcción de un edificio. Este curso discute varias tácticas para ayudar a los... more
Schizophrenia affects a person’s perceptions of the world, interactions with others, and thinking. Individuals with schizophrenia lose touch with reality and therefore have significant challenges negotiating daily activities. Schizophrenia is a chronic brain disorder, and people can live fairly independently and lead satisfying lives with the right treatment and strong support system.... more
Deliberate self-harm is an important public health concern impacting children and adolescents. Although once considered rare, an increasing number of children and adolescents engage in deliberate self-harm or self-mutilating behaviors, including hitting, cutting, burning, hair-pulling, skin picking, and other behaviors intended to create injury. While self-harming behaviors are frightening to... more
Childhood sexual abuse has multiple negative impacts across the lifespan. In the U.S. alone, an estimated one out of three females and one out of five males will be sexually victimized before they turn 18 years old. Prior sexual abuse can often manifest through sexualized behaviors and mental health disorders in children and adolescents. Children who have been sexually or physically abused... more
En la última década, el número de suicidios ha aumentado a medida que más personas reportan pensamientos suicidas y los factores de riesgo continúan en aumento. Con el aumento de los intentos y suicidios completados, la necesidad de prevenir el suicidio es mayor que nunca. El impacto que ha tenido el suicidio en la sociedad no se puede medir ya que las familias y comunidades enteras pueden... more
Over the past decade, the number of suicide attempts and completions has risen, resulting in a pressing need for suicide prevention. The societal impact of suicide cannot be measured as families and entire communities can be impacted when someone commits suicide, creating an increased risk for all. There have been programs successfully implemented to help prevent and respond to suicide, but... more
Treatment plans are considered road maps for behavioral health care, including all interactions. The treatment plan is created through a collaborative effort between the client and professional, providing regular opportunities for the development of rapport. When the goals and objectives of treatment planning focus on the client's needs, treatment plans are considered to be an essential tool... more
Children in foster care are more likely to experience adverse childhood experiences, which increases their risk of negative outcomes in childhood and into adulthood. Many of the adverse experiences are highly traumatic and ultimately result in foster care placement. Because trauma is known to result in increased stress, children unable to adapt to the stress will find it more challenging to... more
Grief and loss are often not comfortable topics to discuss with patients. Just the thought of a loss conjures up in our minds personal memories of events, hard times, loneliness, anger, and confusion. Trying to understand and heal from a significant loss, whether it is a person, a pet, a house, an income, the loss of respect, or a goal, to name a few, can be difficult and scary. As a nursing... more
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