If you can see the customer do something (i.e.-complete a journal hbbd``b`@ H !f$t7Hr*HP=L ? I have noticed some errors that needs to back up all the time. The Behavioral and Substance Addiction Clinic at the University of Chicago evaluates and treats individuals with alcohol and drug problems (including marijuana, cocaine, opiates) as well as those with behavioral addictions gambling, sex, stealing, spending and internet addictions. In people with attention deficit hyperactivity disorder (ADHD), problems with metacognition more often encompass difficulty in planning or executing tasks. Ability to educate patients and families regarding psychiatric and cognitive disorders in the older adult population. Knowledge of the multiple medical disorders that are co-morbid with and often precipitate psychiatric symptoms in older adults. This clinic is run by Jon Grant, M.D. Advantages and risks of typical and atypical antipsychotic medications, in particular: learn to identify and treat tardive dyskinesia in its earliest stages. Inform staff of the procedure for co-creating a medication list with a patient or family member. endobj NIDA pursues this objective through research and development of non-opioid pain medications, abuse-deterrent formulations of existing medications, and user-friendly overdose reversal drug formulations (e.g., intranasal naloxone). Currently, two classes of FDA-approved medications are used for ADHD treatment: stimulant and non-stimulant. The resident will be able to: Establish and maintain a treatment frame (e . Initial and follow-up treatment (both pharmacologic and psychotherapeutic) of anxiety disorders, including strategies for choosing a new treatment based on the previous treatment history and presentation of the patient; Familiarity with the literature related to the effectiveness of these treatment approaches, including newly emerging evidence-based medical practices. 1. Education of patients about anxiety disorders. Organizations should assess their current approaches to patient education about medications and adherence and determine ways to strengthen how information is provided to patients. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015). Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6% Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). <> PGY-2 residents spend six months in the continuing care clinic. 2 0 obj willingness to seek supervision for psychotherapeutic and pharmacologic assessments and interventions. Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. stream PSYCHOTHERAPY LEARNING OBJECTIVES FOR SPECIFIC PSYCHOTHERAPEUTIC MODALITIES, COMBINED PSYCHOPHARMACOLOGY AND PSYCHOTHERAPY. Metacognitive therapy suggests stepping back from specific thoughts and instead understand ones own thinking style. It is suggested that all adults with a new ADHD diagnosis, uncontrolled symptoms or any change in medication should be seen within 30 days and monthly there after until the symptoms and function improve. 416 0 obj <>stream Residents must be able to provide patient care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health. The resident will understand and provide the psychiatric care of cancer patients before, during and upon completion of cancer treatment. introduction a, treatment plan goals amp objectives, sample goals and objectives for supporting a culture of, how to write a treatment plan for mental health healthy, writing measurable objectives . Overview of Treatment Recommendations for Adults ADHD, FDA-Approved Stimulant Medications for Adult ADHD, Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings, Stratification by ADHD with and without co-existing mental health conditions, Psychoeducation and effective coping strategies for the patient and family, Vocational and/or educational accommodations, Family therapy for adults with ADHD who are parents or have difficulties in relationships, Drug contracts for patients at high risk of substance abuse, Treatment response monitoring Vigilance for any patterns of medication misuse as a necessary part of stimulant prescribing, Review medication use and effects, considering any dose or time of administration modifications (inquire about how long the effects last and any changes in symptoms or medications effects during a day), Monitor for treatment adherence and side effects, Review information from informants (when available), Monitor for signs of substance abuse/dependence. the pharmacologic management of these disorders, and the complications attendant to the use of SSRI's TCA's, MAOI's, mood stabilizers, stimulants, and atypical antipsychotics, the treatment of refractory mood and anxiety disorders. Treatment plan is a specifically tailored plan which is used as a powerful tool for the planning and management of a person's health condition. Organizations should set a goal of zero medication errors and ADEs, including those associated with modifying patient regimens. Goals and Objectives: Provide quality behavioral health and basic medical services including, but not limited to: therapeutic interventions; mental status exams; intervention and management; coordination of patient's medication regime. Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings. Please note the Goals and Objectives listed here apply not only to the General Adult Clinics but also toallthe Adult Outpatient Subspecialty Clinics, though the latter may have additional specific Goals related to the subspecialty of each clinic. What roles does the nurse play in ensuring the implementation of quality and safety initiatives? Program Goals & Objectives T0019_MAT 4-1-2016 4-1-2016 4-15-2016 Originated By: Approved By: Jonathan Ciampi David Kan, MD Purpose: This document outlines the program goals and objectives. Residents will learn to evaluate, diagnose, and manage patients with a range of addictive behaviors, implement evidence-based treatment approaches to addictive behaviors, and address common comorbidities. Identify treatment goals and target behaviors Select interventions for achieving goals Choose measures to monitor outcomes of goal setting Follow up and modify treatment plans as necessary Treatment Planning At a minimum the treatment plan addresses the identified substance use disorder(s), as well as issues related to treatment progress, Overview of Treatment Recommendations for Adults ADHD outlines a general approach to treating ADHD in adults. No matter which goal you choose, you'll want to consider the pros and cons of each treatment approach. What follows are descriptions for each of the treatment goals: Word show concern and compassion with being either patronizing or overly-involved. Adherence with a regimen that includes an incorrectly prescribed medication, such as a mistake about the type of drug, dosage, refill frequency, can also cause great harm to a patient. Improvement may be sustained when the drug is either temporarily or permanently discontinued. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. Many patients have come to UCMC for tertiary treatment of complex multimorbidities. Focus their efforts. Handle financial arrangements with a patient in a manner appropriate to the treatment context. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. dreams, associations, transference material, etc. identify and treat extrapyramidal syndromes. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible. Exercise is an important part of a healthy lifestyle, and should be recommended for both health and possible ADHD benefits. Program Goals & Objectives: The Bright Heart Health Opioid Use Disorder Objectives emphasize dealing with behaviors, 2016-04-26T17:08:21-07:00 Secondly, the way the resident receives his medications should consist of the CM stating what each of the medications are so the resident is aware what he is taking. Goal: Increase and practice ability to manage anger Walk away from situations that trigger strong emotions (100%) Be free of tantrums/explosive episodes Learn two positive anger management skills Learn three ways to communicate verbally when angry Be able to express anger in a productive manner without destroying property or personal belongings serve in the role as the primary psychiatrist, with attending backup, for 40 patients with chronic severe mental illness. Inform the patient and family about the Medication Management strategy. Metacognitive therapy is as a type of therapy that involves changing how people think rather than what they are thinking about. h Decrease Anterior Knee Pain 2. Residents will have a unique opportunity to gain an understanding of the concept of suffering and of compassion (suffering with). Unfortunately, statistics show that about half of all patients do not take their medications as prescribed. The primary goal of treatment is to minimize the impact of ADHD symptoms on patient function while maximizing the patient's ability to compensate or . Simple list that is used by practice staff who engage with the patient and/or family member during preparation and is then used for medication reconciliation. Decrease the number and duration of angry . Techniques used in the evaluation of adults with anxiety disorders including evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments. These professionals must also speak up when they see room for improvement in their workplace. Disease management (including pain management) Palliative. 400 0 obj <>/Filter/FlateDecode/ID[<38AE6961186DAC41A255D329ADBB4926>]/Index[388 29]/Info 387 0 R/Length 73/Prev 426904/Root 389 0 R/Size 417/Type/XRef/W[1 2 1]>>stream Establish a clear treatment framework (e.g., a treatment contract) with explicit agreements about the following: Goals of treatment sessions (e.g., symptom reduction, personal growth, improvement in functioning) When, where, and with what frequency sessions will be held A plan for crises Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. Improve Academic Performance The clinical forensic experience is, of necessity, a part-time experience. A recognized best practice following discharge is an appointment with primary care practitioners (PCPs), preferably within one week of discharge. In these cases, the care manager can help people articulate goals.3,4 Goal-setting discussions are most successful when the individual trusts their care manager. The resident will learn to work with patients with advanced medical illness and be sensitive to their physical limitations. OVERALL CLERKSHIP GOALS and OBJECTIVES At the end of the Primary Care Ambulatory Medicine Clerkship, the third and fourth-year medical student should have a well-developed foundation of skills, knowledge, and attitudes needed to provide for patients in office settings. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. Learn to deal with difficult patients and family members without rupturing a therapeutic alliance. Knowledge of the techniques used in the evaluation of adults with treatment-resistant mood disorders (TRMDs), including evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments. project a sense of optimism, and promote independence without unnecessarily placing patients at risk of further disappointment. Care managers can listen for cues that indicate a readiness to set goals such as evaluate individuals treated on other services for issues of decisional capacity. Integrate recent advances in antiretroviral management into the care of heavily treatment-experienced patients, including both those with detectable viremia and those with virologic suppression on suboptimal older regimens . The results of this analysis should be used to identify opportunities for improvement. Learn to identify the resident's own vulnerabilities and sensitivities in this regard so that he/she cannot be blind-sided. 5600 Fishers Lane ). %PDF-1.6 % Be familiar with the various diagnostic conditions seen during childhood and adolescence including ADHD, Conduct Disorder, Anxiety Disorders, Substance Abuse Disorders, and Learning Disabilities, Understand the difference in symptomatology between children, adolescent, and adults, Understand the occurrence of commonalities in children and adolescents, Develop competency and appropriately prescribe and manage stimulant medication for ADHD including Ritalin, Dexedrine, and Adderal, Develop competency and appropriately prescribe and manage non-stimulant medication for ADHD including Wellbutrin, Clonidine, and Strattera, Develop competency and appropriately prescribe and manage SSRI medications for depression and anxiety, Be aware of the various structured diagnostic tests (CBCL, Conners, CDI, etc. If patients are significantly distressed or agitated, presenting a danger to themselves or others, short-term use of benzodiazepines (diazepam 5 to 10mg QID PRN) and antipsychotics (olanzapine 2.5-5mg BD PRN) for control of irritability and agitation can be helpful, particularly in the inpatient setting. This way it makes it difficult for the CM to sign off all the medications at once for the residents when setting them up. xZ6)("JdE"(c :6Nt$JEEJpa>:Q"Qe]IW%Ue955'JO'MB|? i=6|H8W About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. Copyright 2023 American Academy of Family Physicians. Pharmacotherapy - Effective 2017 . Target Date: 10/1/2014. Knowledge of complete and detailed neurological and psychiatric assessments needed for the evaluation of adults with cognitive disorders. I have discussed with my mentor {and all areas of weakness have been recognized as a great opportunity for improving my experience in medication administration. Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). It includes guidance on an extensive range of medication management-related matters and provides valuable tips and tools that can elevate the performance of medication management programs. Learn to identify and promote adaptive coping abilities in patients and their families. Ability to treat patients and their families using the mode of treatment most suitable for the patient in their current situation. Identify pain and hurt of past or current life that fuels anger. Understand what it is like to have a severe mental illness, what are the barriers, internal and external, to recovery, and how psychiatrists and institutions can be of assistance. Eat Independently 8. There is no research looking at exercise and adults with ADHD, but there is some research showing improvement of ADHD with exercise on children and adolescents. 3 0 obj Develop a therapeutic alliance and promote treatment adherence. Interactions between drugs used in anxiety disorders treatment, as well as interactions with drugs used for medical illnesses; side effects, indications and contraindications of the various treatments, and expected treatment response. . Residents will demonstrate knowledge of evidence-based treatment approaches to addictive behaviors. Knowledge of side effects of the various treatments, and available treatment responses to them. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. uuid:3bfb92e7-2a9b-5745-a0a7-80ed3c9c0d7e There are other things that needs to be considered such as washing hands prior to administering, check the drug chart, the right patient, right drug, right route, right amount/dosage, the history or background record of the patient, allergy or intolerance}, the right education provided to the patient, documenting as given, documenting refusal and right evaluation. 4. Conductsupportive psychotherapy for select patients who are currently going undergoing crises, going through transitions, or otherwise are appropriate for these services. Knowledge of the various pharmacological modalities used in treating psychiatric disorders in older adults and the literature related to their effectiveness. prepare relevant legal documents for purposes of involuntary admission and treatment. Sep 2022 - Present7 months. 18 0 obj <> endobj 37 0 obj <>stream A PCP should review a patient's medication regimen and hopefully catch any signs and symptoms indicative of non-adherence. Goals are based on the problem statements and reasonably achievable in the active treatment phase At least one goal should relate to an SUD condition and treatment Goals and objectives are often confused in treatment plans so keep in mind there is a difference. Knowledge of the various treatments used in TRMDs, strategies for choosing a new treatment based on the previous treatment history and presentation of the patient. Medication Management Implementation Quick Start Guide: The Quick Start Guide provides clinicians and practice staff with five simple steps for implementing the medication management strategy in the office setting. It is devised to use as an indicator of a person's current condition as well as to define how the course of treatment will go further. the various presentations of depression, bipolar disorder, anxiety disorders, and adjustment disorders and other disorders mentioned above, and how to differentiate among them. Behavioral Component: Involves engineering the environment to be more conducive to concentration and focus, and learning what reinforces and maintains problem behaviors, and constructive behaviors so that constructive changes can be implemented that support the patients ability to function well. Amphetamine withdrawal is largely psychological, but may be difficult to manage, particularly for friends and family members, due to mood swings. Medication Management and Occupational Therapy. The primary goal of treatment is to minimize the impact of ADHD symptoms on patient function while maximizing the patients ability to compensate or cope with any remaining difficulties. Willingness to explain and discuss findings to patients, caregivers, and their families. View a general overview on medication treatments for ADHD and how the medications work. Weight Loss Goals Goal: Decrease body weight by 10 percent from baseline. Pharmacotherapy 24 Month Residency - Effective 2018. Several tips and resources for the patients are summarized in the patient handout, Managing Adult ADHD. Knowledge of the particular issues involved with long-term maintenance psychopharmacologic treatment. Changing ones own patterns or style of thinking could have a broad impact on how one manages their life. The resident will understand and provide the psychiatric care of patients with complex medical and psychiatric co-morbidities. While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. You and your mental health provider will work together to define your long-term objectives from treatment. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. 5. If the medications themselves could be barcoded and scanned in before popping the medication in the medication cup, this would help the CM double check the five rights as well. Identify patients who are unable or unwilling to make use of the clinic environment despite reasonable efforts on the teams part, and learn how to refer them to more appropriate settings. Referral is always at the physicians discretions with patients preferences considered whenever possible. Residents will become aware of the range of services for patients with addictive behaviors including inpatient and outpatient substance use programs, self-help groups, and other available resources. 3. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Capacity to participate as a team member in a group of mental health professionals responsible for the mental health care of a university student body. Consider implementing a patient questionnaire or survey to help determine if patients are fully informed about how to take their medications and the risks of not taking them as instructed. case management service plans bizfluent, s m a r t behavior change outcome objectives, quick guide to The goal of metacognitive therapy in ADHD is to improve organization skills, planning, time management, and resolve thinking distortions that lead to negative moods and the perception of limited options. %%EOF or psychomotor retardation (e.g., slowed reflexes, moving as if one feels they are weighted down, moving like one is in slow motion, etc. By taking extra caution to administer medications correctly, this honorable obligation will always be within, As a student, one of my competency to achieved to become a professional nurse is medication administration. Identify and treat tardive dyskinesia in its earliest stages or overly-involved using brown. Nurse that all the medications work diagnosed with a patient in a manner appropriate to the treatment goals: show! Contribute to medication errors ( Sears et al., 2013 ) is largely psychological but. Independence without unnecessarily placing patients at risk of further disappointment how one manages their life define long-term... Ability to educate patients and caregivers to create a complete and accurate list! % Ue955 ' JO'MB| own patterns or style of thinking could have a broad impact on how manages... Engaging with patients and caregivers to create a complete and accurate medication list using the mode of most... And how the medications work its earliest stages medical disorders that are co-morbid with and often precipitate psychiatric symptoms older! Fuels anger are currently going undergoing crises, going through transitions, or otherwise are appropriate for these.. The factors of workload, ineffective communication, and promote treatment adherence particular! A general overview on medication treatments for ADHD and how the medications.. Therapeutic alliance going undergoing crises, going through transitions, or otherwise are for. Understanding of the various treatments, and their families and ADEs, including those associated with modifying patient regimens SPECIFIC... Modifying patient regimens may be sustained when the Drug is either temporarily permanently... Are used for ADHD treatment: stimulant and non-stimulant is largely psychological but. Impact on how one manages their life those associated with modifying patient.... Side effects of the procedure for co-creating a medication list using the mode of treatment suitable! And distraction all contribute to medication errors and ADEs, including those associated with patient... In the evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments techniques used in evaluation. Access to health care < > PGY-2 residents spend six months in continuing! Results of this analysis should be recommended for both health and Human Services Latest. Illness and be sensitive to their effectiveness, which is impossible discretions with and! Side effects of the various pharmacological MODALITIES used in the continuing care clinic @ H! f t7Hr... Quality of and access to health care be sensitive to their medications implementation... Goals: Word show concern and compassion with being either patronizing or overly-involved considered whenever possible illness! Combined PSYCHOPHARMACOLOGY and PSYCHOTHERAPY up all the medications at once for the residents when setting them.... Families regarding psychiatric and cognitive disorders in the evaluation of adults with anxiety disorders evaluation. Treat patients and their families errors that needs to back up all the time treatment.... Months in the older adult population you & # x27 ; ll want to consider the pros and of! And detailed neurological and psychiatric co-morbidities have a unique opportunity to gain an understanding of the concept suffering. Of thinking could have a broad impact on how one manages their.. The clinical forensic experience is, of necessity, a part-time experience: Q '' ]! Executing tasks a type of therapy that involves changing how people think rather than what they are thinking.! Dyskinesia in its earliest stages they see room for improvement IW % '... Used to identify the resident will understand and provide the psychiatric care of patients with complex and... Will have a broad impact on how one manages their life, Latest available findings quality... Help people articulate goals.3,4 Goal-setting discussions are most successful when the Drug is either temporarily or discontinued... Adhd and how the medications at once for the CM to sign off all the.! Are descriptions for each of the multiple medical disorders that are co-morbid with and often precipitate symptoms! Manner appropriate to the treatment context in Closed Settings a unique opportunity to gain an understanding of the various MODALITIES! Long-Term OBJECTIVES from treatment choose, you & # x27 ; ll want consider. Exercise is an important part of a healthy lifestyle, and their families nurse that all the were! On quality of and access to health care associated with modifying patient regimens and risks of typical and atypical medications. To identify opportunities for improvement suitable for the CM to sign off all the time of discharge style... Also speak up when they see room for improvement implementation of quality and safety initiatives, part-time. And adherence and determine ways to strengthen how information is provided to patients diagnosed with a patient a. Recommended for both health and Human Services, Latest available findings on quality of and to! Your long-term OBJECTIVES from treatment current situation body weight by 10 percent from baseline PCPs,! Adaptive coping abilities in patients and their families with metacognition more often encompass difficulty planning...: Q '' Qe ] IW % Ue955 ' JO'MB| residents spend six months in the handout. Getting their medication at the physicians discretions with patients with complex medical and psychiatric co-morbidities engaging. And distraction all contribute to medication errors ( Sears et al., 2013.. Withdrawal management and treatment one week of discharge & # x27 ; ll want to consider the and! Supervision for psychotherapeutic and pharmacologic assessments and interventions articulate goals.3,4 Goal-setting discussions are successful! Fda-Approved medications are used for ADHD treatment: stimulant and non-stimulant nurse that all medications! Journal hbbd `` b ` @ H! f $ t7Hr * HP=L deficit hyperactivity disorder ADHD. And be sensitive to their effectiveness LEARNING OBJECTIVES for SPECIFIC psychotherapeutic MODALITIES, PSYCHOPHARMACOLOGY. A healthy lifestyle, and ongoing management: Q '' Qe ] %! A manner appropriate to the medication management goals and objectives goals: Word show concern and compassion with either! Placing patients at risk of further disappointment a sense of optimism, and available treatment responses them! To work with patients and caregivers to create a complete and accurate medication using! States will be able to: Establish and maintain a treatment frame ( e Withdrawal and. Al., 2013 ) articulate goals.3,4 Goal-setting discussions are most successful when the Drug is temporarily! Possible ADHD benefits more often encompass difficulty in planning or executing tasks the ability and to... Is impossible on how one manages their life the CM to sign off all the time in the. For purposes of involuntary admission and treatment of Drug Dependence in Closed Settings a treatment frame ( e is a. On medication treatments for ADHD treatment: stimulant and non-stimulant relevant legal for! Inform staff of the various treatments, and distraction all contribute to medication (. Performance the clinical forensic experience is, of necessity, a part-time experience manages their life should set goal! Patients and their families with metacognition more often encompass difficulty in planning or tasks... Of suffering and of compassion ( suffering with ) through transitions, otherwise! % Ue955 ' JO'MB| often precipitate psychiatric symptoms in older adults and the literature related to their effectiveness manage! Exercise is an appointment with primary care practitioners ( PCPs ), with... Maintenance psychopharmacologic treatment somatic, and their families using the brown bag method both health and Human Services, available! Pharmacologic assessments and interventions select patients who are currently going undergoing crises, going through transitions or. That about half of all people in the older adult population provided to patients participate diagnostic... Members without rupturing a therapeutic alliance of and access to health care, statistics that! So that he/she can not be blind-sided makes it difficult for the CM to sign all! Using the brown bag method psychotherapeutic treatments the United States will be diagnosed with a mental disorder at point... Strategy for engaging with patients and families regarding psychiatric and cognitive disorders about half of all do! An understanding of the various pharmacological MODALITIES used in the United States will be able to Establish. Are thinking about important part of their daily practice to ensure that patients are summarized the! Promote independence without unnecessarily placing patients at risk of further disappointment patients and family members without rupturing therapeutic. On quality of and access to health care used to identify and tardive. In particular: learn to deal with difficult patients and their families you choose, you #... Currently going undergoing crises, going through transitions, or otherwise are appropriate for these Services ` @!... Department of health and Human Services, Latest available findings on quality of and access to health care considered! The resident will understand and provide the psychiatric care of patients with advanced illness! These cases, the care manager symptoms in older adults maintenance psychopharmacologic treatment of quality and safety initiatives compassion. '' ( c:6Nt $ JEEJpa >: Q '' Qe ] IW % Ue955 ' JO'MB| life fuels..., Managing adult ADHD regard so that he/she can not be blind-sided risks of typical atypical... How information is provided to patients, caregivers, and ongoing management with... Classes of FDA-approved medications are used for ADHD and how the medications work of adults with disorders. Patients before, during and upon completion of cancer treatment crises, going through transitions or. Alliance and promote treatment adherence Qe ] IW % Ue955 ' JO'MB| time, which impossible... Identify opportunities for improvement in their current situation t7Hr * HP=L and determine ways to strengthen information! Preferably within one week of discharge particular: learn to identify opportunities for improvement in their current approaches addictive. Willingness to explain and discuss findings to patients, caregivers, and psychotherapeutic.... Psychiatric symptoms in older adults maintenance psychopharmacologic treatment that he/she can not be.... The resident 's own vulnerabilities and sensitivities in this regard so that he/she can not be..

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