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1.
Rev Esc Enferm USP ; 55: e20210023, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34477198

RESUMO

OBJECTIVE: Analyze the exposure of nursing workers to workloads present in university hospitals located in southern Brazil. METHOD: Cross-sectional quantitative study performed with 361 nursing workers from two University Hospitals between November 2019 and February 2020. An instrument addressing sociodemographic and occupational variables was used together with the previously validated Workloads in Nursing Activities Scale. The distribution of frequencies, measures of location, and variability were identified, and analysis of variance and the Tukey test were performed. RESULTS: The construct that obtained the highest mean was F3 - Biological Loads (3.00), revealing that nursing workers are very intensively exposed to biological loads. Workloads were significantly different between the work units - physiological (p = 0.001), biological (p = 0.007), psychological (p = 0.042), mechanical (p = 0.014), chemical (p = 0.001), and physical (p = 0.001). CONCLUSION: The workers identified that exposure to workloads varies in intensity, showing aspects of the work performed in health institutions that either aggravate or mitigate workloads through the activities performed by nursing workers.


Assuntos
Recursos Humanos de Enfermagem , Carga de Trabalho , Brasil , Estudos Transversais , Hospitais Universitários , Humanos
2.
J Wound Ostomy Continence Nurs ; 48(5): 435-439, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495935

RESUMO

PURPOSE: The aims of this study were to determine if there was a change in medical unit nursing staffs' knowledge about lower urinary tract symptoms following an education presentation and whether the education session met their learning needs. DESIGN: Single-group, before-after study. SUBJECTS AND SETTING: The study sample comprised 21 licensed nurses and 16 health care aides from 3 medical units in a tertiary care hospital in western Canada. METHODS: Participants completed pre- and post-true/false questionnaires developed for the project to assess lower urinary tract symptom knowledge, and a questionnaire to determine whether the education session met staff learning needs. RESULTS: Knowledge was moderate on the pretest in both groups, with licensed nurses showing a significant improvement after the education intervention. Health care aides did not have a significant change in knowledge; they persisted in their belief that incontinence is a normal change of aging. CONCLUSIONS: Health care aides need targeted education and enhanced care processes to shift their knowledge and thinking about continence.


Assuntos
Recursos Humanos de Enfermagem , Incontinência Urinária , Idoso , Atitude do Pessoal de Saúde , Canadá , Humanos , Inquéritos e Questionários
3.
Nurs Open ; 8(3): 1005-1022, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482649

RESUMO

AIM: To provide a systematic review of the literature from 1997 to 2017 on nursing-sensitive indicators. DESIGN: A qualitative design with a deductive approach was used. DATA SOURCES: Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature. REVIEW METHODS: Quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. RESULTS: A total of 3,633 articles were identified, and thirty-nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing-sensitive indicators. CONCLUSION: This review provides a comprehensive list of nursing-sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing-sensitive indicators. IMPACT: This review provides evidence-based results that health organizations can benefit from nursing care quality.


Assuntos
Cuidados de Enfermagem , Pesquisa em Enfermagem , Recursos Humanos de Enfermagem , Estudos Transversais , Humanos , MEDLINE
4.
BMC Geriatr ; 21(1): 456, 2021 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-34372794

RESUMO

BACKGROUND: Nursing home residents are typically older adults with high levels of chronic illness and impairment. As such, they are particularly susceptible to severe complications and mortality from COVID-19. Since all nursing home residents are at increased risk, nursing home care staff need to know what residents would want to happen should they become infected with COVID-19. This study aims to develop and evaluate advance care planning (ACP) COVID-centric online training and information resources for nursing home staff and family members of residents, to improve care at the end of life during a COVID-19 outbreak. Based on the findings we will develop implementation guidelines for nursing homes to ensure wider impact and application during the pandemic and beyond. METHODS: The content of the training and information resources will be based on a rapid review of literature and guidance on ACP in the context of COVID-19 and consultation with the study expert reference group. An integrated communications company will then work alongside the research team to design the online training and information resources. To evaluate the resources, we will employ a multiple case study design where a nursing home (defined as an institutional setting in which nursing care is provided to older adults on-site 24 h a day) will be the unit of analysis or 'case'. The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework will guide the evaluation of implementation of the training and information resources. We will recruit and interview staff and family members from between 6 and 9 nursing homes across Northern Ireland, England and Scotland and gather quantitative data from a feedback survey included in the training and information resources. DISCUSSION: The Necessary Discussions study is very timely given the challenging experiences of nursing homes, their staff, residents and their family members during the COVID-19 pandemic. It meets a key need and addresses an important gap in research and practice. The training and information resources will be 'COVID-centric', but they will also have a longstanding relevance for future ACP practice in UK care homes. TRIAL REGISTRATION: ISRCTN registry ( ID 18003630 ) on 19.05.21.


Assuntos
Planejamento Antecipado de Cuidados , COVID-19 , Recursos Humanos de Enfermagem , Idoso , Família , Humanos , Casas de Saúde , Pandemias , SARS-CoV-2
5.
NASN Sch Nurse ; 36(5): 292-299, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34340585

RESUMO

The COVID-19 pandemic altered traditional education models and school nursing practice during the 2020-2021 school year. As schools plan to reopen for the 2021-2022 school year, school nurses must arm themselves with the most recent evidence-based knowledge and tools to promote the health and safety of the school community. Schools will need to continue infection control measures and strategies to support the social emotional needs of students and staff to promote a safe and healthy learning environment on return to school. Partnered with local health departments, school nurses are vital to mitigation measures such as on-site viral testing and vaccination. A successful school year depends on strong nursing leadership.


Assuntos
COVID-19/prevenção & controle , COVID-19/psicologia , Recursos Humanos de Enfermagem/psicologia , Pandemias/prevenção & controle , Guias de Prática Clínica como Assunto , Prevenção Primária/normas , Serviços de Enfermagem Escolar/normas , Adolescente , Adulto , Atitude do Pessoal de Saúde , COVID-19/epidemiologia , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Estados Unidos/epidemiologia , Vacinação
6.
Rev Esc Enferm USP ; 55: e00547, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34460896

RESUMO

OBJECTIVE: To compare the nursing workload using the Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS) instruments in children admitted to a Pediatric Intensive Care Unit in a university hospital. METHOD: A prospective cohort study performed in a Pediatric Intensive Care Unit, with a sample formed of all children hospitalized during the study period. Nursing workload was evaluated using the TISS-28, NEMS and NAS instruments, and further divided into two groups: Group 1 forming a category of basic activities items and Group 2 forming a category of other support and intervention activities. RESULTS: The sample consisted of 490 Pediatric Intensive Care Unit admissions, totaling 4617 observations. NAS presented the best estimate of total working hours. TISS-28 and NEMS showed better agreement and the results showed strong correlations between NAS and TISS-28 and between NEMS and TISS-28. In Group 1 (basic activities), NAS(1) and TISS-28(1) showed moderate correlation, in Group 2 (specialized activities) the three instruments showed strong correlations. CONCLUSION: NAS stood out in the evaluation of nursing workload and showed good correlation and agreement with the TISS-28.


Assuntos
Recursos Humanos de Enfermagem , Carga de Trabalho , Criança , Hospitais Universitários , Humanos , Unidades de Terapia Intensiva Pediátrica , Estudos Prospectivos
7.
Am J Nurs ; 121(9): 64-65, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34438435

RESUMO

Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times. This month's article, from the September 1910 issue, is a tribute to Florence Nightingale after her August 1910 death at age 90. It's likely that this was a "stop the presses" moment in the early years of AJN, with staff rushing to ensure that the news appeared in the first issue following her death. The writer of this brief commentary-more a eulogy than an obituary-stresses that Nightingale was not a one-dimensional angelic figure. She was a reformer: "The first thinker and writer of her times on hygiene, on hospital and training-school administration, on private and hospital nursing methods, and on the care of the sick poor in their own homes." In the October issue that year, AJN continued its tribute to Nightingale with detailed descriptions of the funeral procession, the many floral tributes from around the world, and the memorial service at St. Paul's Cathedral in London that was open to the public.


Assuntos
Pessoas Famosas , Recursos Humanos de Enfermagem/história , Feminino , Rituais Fúnebres/história , História do Século XIX , História do Século XX , Humanos , Londres , Cuidados de Enfermagem , Recursos Humanos de Enfermagem no Hospital/história
8.
Hu Li Za Zhi ; 68(4): 72-80, 2021 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34337705

RESUMO

BACKGROUND & PROBLEM: The provision by nurses of effective swallowing assessments and eating safety guidance improves eating safety in the elderly. The authors of this study found that elderly clients experienced a high proportion of aspiration pneumonia after choking episodes and that the rate of implementation of eating safety guidance among these clients by nursing staff was only 64.6%. The problems identified included a lack of education and training related to eating safety for the elderly, inconsistent health education methods, oral health education only, lack of unified health education content, and lack of proper health education guidance aids. PURPOSE: To raise the rate of implementing eating safety guidance among the elderly from 64.6% to 90.0%. RESOLUTION: The project included promoting an eating safety guidance workflow for the elderly using cross-team collaboration, using human body models and food models, promoting oral healthcare and oral exercises, using multilingual instructional leaflets and videos on eating safety and hygiene education, promoting a treasure hunting activity to the elderly related to eating safely using a food texture selection chart, and implementing a workshop on simulated eating safety scenarios. RESULTS: After project implementation, the eating safety guidance implementation rate increased from 64.6% to 92.1%, demonstrating that the intervention measures achieved remarkable results. CONCLUSIONS: Formulating care procedures and cooperating across teams to draft concrete and feasible improvement measures effectively increased the rate of eating safety guidance implementation for elderly clients by nursing staff.


Assuntos
Recursos Humanos de Enfermagem , Pneumonia Aspirativa , Idoso , Atenção à Saúde , Exercício Físico , Humanos
10.
Health Aff (Millwood) ; 40(8): 1261-1269, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34260313

RESUMO

Staff in skilled nursing facilities (SNFs) are essential health care workers, yet they can also be a source of COVID-19 transmission. We used detailed staffing data to examine the relationship between a novel measure of staff size (that is, the number of unique employees working daily), conventional measures of staffing quality, and COVID-19 outcomes among SNFs in the United States without confirmed COVID-19 cases by June 2020. By the end of September 2020, sample SNFs in the lowest quartile of staff size had 6.2 resident cases and 0.9 deaths per 100 beds, compared with 11.9 resident cases and 2.1 deaths per 100 beds among facilities in the highest quartile. Staff size, including staff members not involved in resident care, was strongly associated with SNFs' COVID-19 outcomes, even after facility size was accounted for. Conventional staffing quality measures, including direct care staff-to-resident ratios and skill mix, were not significant predictors of COVID-19 cases or deaths. Reducing the number of unique staff members without decreasing direct care hours, such as by relying on full-time rather than part-time staff, could help prevent outbreaks.


Assuntos
COVID-19 , Recursos Humanos de Enfermagem , Humanos , Casas de Saúde , SARS-CoV-2 , Instituições de Cuidados Especializados de Enfermagem , Estados Unidos
11.
Artigo em Inglês | MEDLINE | ID: mdl-34299849

RESUMO

PURPOSE: The purpose of this study was to investigate what opinions and perceptions people have about nursing and the role of nursing staff in nursing homes (NHs) on Social Networking Service (SNS) by analyzing large-scale data through social big-data analysis. METHODS: This study investigated changes in perception related to nursing and nursing staff in NHs during the COVID-19 pandemic era using target channels (blogs, cafes, Instagram, communities, Twitter, etc.). Data were collected on the channel from 12 September 2019 to 11 September 2020, 6 months before and after 12 March 2020 when the COVID-19 pandemic was declared. Selected keywords included "nursing," "nurse," and "nursing staff," and included words were "long-term care settings," "geriatric hospital," and "nursing home." Text mining, opinion mining, and social network analysis were conducted. RESULTS: After the COVID-19 pandemic, the frequency of keywords increased about 1.5 times compared to before. In March 2020 when the COVID-19 pandemic was declared, the negative phrase "be infected" ranked number one, resulting in a sharp 8% rise in the percentage of negative words in that month. The related words that have risen in rank significantly, or were newly ranked in the Top 30 after the pandemic, were related with COVID-19. CONCLUSION: The public began to realize the role of nursing staff in the prevention and management of mass infection in NHs and the importance of nursing staff after the pandemic. Further studies should examine the perceptions of those who have received nursing services and include a wide range of foreign channels.


Assuntos
COVID-19 , Recursos Humanos de Enfermagem , Idoso , Humanos , Assistência de Longa Duração , Pandemias/prevenção & controle , Percepção , SARS-CoV-2 , Rede Social
12.
Artigo em Inglês | MEDLINE | ID: mdl-34281022

RESUMO

This study aimed to explore the relationship between musculoskeletal disorders and the work performance of nursing staff. This cross-sectional study used the Checklist for Musculoskeletal Disorders (MSDs), the Nordic Musculoskeletal Questionnaire (NMQ), and the Work Ability Index to survey the prevalence of MSDs, as well as to determine the impact of MSDs on 117 nursing staff working in an emergency department, an intensive care unit, and general wards. The findings indicate that the nursing staff were exposed to a workplace environment with a high risk of MSDs. Nursing staff in the emergency department were at a particularly high risk of MSDs in their upper and lower limbs, while those working in the intensive care unit had a particularly high risk of injuries caused by manual material handling. Analyzing the relationship between MSD risk factors and NMQ scores showed a 6 times, 3.25 times, and 2.28 times increase in MSD conditions with a high workload compared to a low workload in the hand and wrist, the lower back or waist, and the knee, respectively. Medium and high workloads were found to increase the risk of MSD, which in turn affected the work ability of the nurses.


Assuntos
Doenças Musculoesqueléticas , Recursos Humanos de Enfermagem no Hospital , Recursos Humanos de Enfermagem , Doenças Profissionais , Desempenho Profissional , Estudos Transversais , Hospitais , Humanos , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários
13.
Artigo em Inglês | MEDLINE | ID: mdl-34206179

RESUMO

In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). All nurses and healthcare assistants working in the SICUs during June 2020 were included in the study. Burnout was assessed via the Maslach Burnout Inventory questionnaire. One hundred and five (84%) SICU staff participated in the study. The prevalence of high burnout for nurses and healthcare assistants was 61.9% for emotional exhaustion, 47.6% for depersonalization and 34.3% for personal accomplishment. Depersonalization was significantly more frequent in younger nurses (p = 0.009). Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.


Assuntos
Esgotamento Profissional , COVID-19 , Recursos Humanos de Enfermagem no Hospital , Recursos Humanos de Enfermagem , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico , Estudos Transversais , Europa (Continente) , Humanos , Unidades de Terapia Intensiva , Itália/epidemiologia , Pandemias , Prevalência , SARS-CoV-2 , Inquéritos e Questionários , Centros de Atenção Terciária
14.
Nurs Educ Perspect ; 42(5): 310-314, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34225315

RESUMO

AIM: The aim of this study was to examine the mentoring experiences of male faculty in nursing programs. BACKGROUND: Recruiting and retaining male nursing faculty is important to achieve a workforce that reflects the diversity of society. Mentoring is one way to help recruit and retain male nursing faculty. METHOD: Ten male nursing faculty in academia comprised the sample for this qualitative, descriptive study. RESULTS: Reflection on the mentoring male nursing faculty received for career and psychosocial development revealed the following themes: early supporters, figuring it out, making connections, paying it forward, and the role of gender. Facilitators and barriers to mentoring experiences are described. CONCLUSION: Results of this study may be used to support investment in mentoring programs to recruit and retain male nursing faculty in academia and promote a diverse nursing workforce.


Assuntos
Tutoria , Recursos Humanos de Enfermagem , Docentes de Enfermagem , Humanos , Masculino , Mentores , Salários e Benefícios
15.
Front Public Health ; 9: 667821, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34277539

RESUMO

The media increasingly speak of a care crisis. Systematic support is needed to prepare nursing apprentices for the high demands of their profession and to reduce the number of nurses who finally quit. Particularly in stressful jobs like nursing, humor as a coping strategy can have a beneficial effect on perceived stress and overall work enjoyment. In this study, we used a humor intervention among nursing staff in training and evaluated its effects on humor, stress, work enjoyment, the meaningfulness of work, and flow experience. The sample consists of 104 nurses in training. The intervention group received a 3-h humor intervention, while the control group received no intervention. Positive and negative affect were measured immediately before and after the intervention. Humor was measured before the intervention (t0) and again 6 months later (t1); at t1, we again measured humor and also stress, work meaningfulness, work enjoyment, and flow experience. Our analyses showed a beneficial change in positive and negative affect right after the intervention. By means of repeated measures ANOVA we could further confirm an effect of the intervention on reported humor 6 months later. Humor mediated positive effects of the humor intervention on perceived meaningfulness of work, work enjoyment, and on the frequency of flow at work. Also, we found a significant negative relationship between humor and stress measured at t1. The results of this study confirm the effectiveness of humor interventions in promoting humor, and, through this, the meaningfulness of work, work enjoyment, and the frequency of flow experience. Implications of the use of humor interventions in the nursing profession are discussed.


Assuntos
Recursos Humanos de Enfermagem , Prazer , Adaptação Psicológica , Emoções , Humanos
16.
Res Gerontol Nurs ; 14(4): 180-190, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34288785

RESUMO

The current study investigated the psychological well-being and coping mechanisms of care home staff during the coronavirus disease 2019 (COVID-19) lockdown. Among 147 staff members, 21.8%, 24.5%, and 12.9% reported depression, anxiety, and stress, respectively. The results of structural equation modeling showed that self-efficacy and coping strategies had direct effects on psychological well-being. In the paths from self-perceived caregiving to psychological well-being, self-efficacy and positive coping strategies played mediating roles independently and together, and social support played a mediating role together with coping strategies. Care home staff's psychological well-being was undermined during the COVID-19 lockdown. Interventions aimed at improving staff's self-efficacy, adoption of positive coping strategies, and avoidance of negative coping strategies or considerations of social support along with coping strategies are suggested to decrease exhibited symptoms of depression, anxiety, and stress. [Research in Gerontological Nursing, 14(4), 180-190.].


Assuntos
Adaptação Psicológica , Saúde Mental/estatística & dados numéricos , Recursos Humanos de Enfermagem/psicologia , Distanciamento Físico , Estresse Psicológico/psicologia , Idoso , COVID-19/psicologia , Feminino , Humanos , Análise de Classes Latentes , Masculino , Autoeficácia , Apoio Social
17.
Washington, D.C.; OPAS; 2021-07-13. (OPAS/HSS/HR/21-0010).
em Português | PAHO-IRIS | ID: phr-54504

RESUMO

O infográfico apresenta de forma sucinta a situação da enfermagem. Os dados são apresentados sobre a situação numérica de todos os países da Região das Américas, dados sobre a percentagem do sexo masculino e feminino e dados sobre a percentagem dos enfermeiros em relação à força de trabalho em saúde. Os dados foram extraídos do relatório da OMS intitulado O Estado da Enfermagem no Mundo, publicado em 2020. Este infográfico será usado para apresentar dados a países, governos, ministérios da saúde, universidades, profissionais, estudantes e outras partes interessadas.


Assuntos
Enfermagem , Recursos Humanos de Enfermagem , Pessoal de Saúde , Recursos Humanos , Sistemas de Saúde
18.
Rev Bras Enferm ; 74(suppl 3): e20200408, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34076196

RESUMO

OBJECTIVE: To identify the nursing staff's difficulties in providing care in psychosocial rehabilitation to CAPS users. METHODS: Qualitative study based on constructionism. Sixteen members of the CAPS nursing staff participated in the study in the city of Rio de Janeiro. The data collected in the interviews and observations were organized in Nvivo software and analyzed based on thematic content. RESULTS: The difficulties identified were: the territorial violence that imposes a silence to the actions of CAPS, low user education as a barrier to protagonism, impaired family adhesion, the technical-conceptual discomfort of nursing in acting in the crisis and material and human of CAPS dismantlement. FINAL CONSIDERATIONS: The challenges consist of overcoming staff exhaustion; however, they do not prevent nursing from betting on the possibility of protagonist care. Therefore, such care is dimensioned by the clinical-political-ethical relation in constant negotiation with the territory.


Assuntos
Cuidados de Enfermagem , Recursos Humanos de Enfermagem , Reabilitação Psiquiátrica , Brasil , Humanos , Pesquisa Qualitativa
19.
Geriatr Nurs ; 42(4): 887-893, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34091119

RESUMO

BACKGROUND: First-line nursing staff are responsible for protecting residents, the most vulnerable population, from COVID-19 infections. They are at a high risk of being infected with COVID-19 and experience high levels of psychological distress. AIMS: To explore the challenges and coping strategies perceived by nursing staff during the COVID-19 pandemic in China. METHODS: In April,2020, we conducted a qualitative study using in-depth semi-structured interviews with nursing staff. Participants were selected from seven nursing homes in three cities in Hunan Province, China. RESULTS: A total of 21 nursing staff participated in the study, including seven nurse managers, seven registered nurses and seven nursing assistants. Three main themes were identified. Different groups encountered different sources of stress and adopted various coping strategies to fulfil their responsibilities. CONCLUSIONS: Nursing home staff were underprepared for dealing with COVID-19-related challenges. Educational programs to improve the ability to deal with COVID-19 prevention and control are needed.


Assuntos
Adaptação Psicológica , Esgotamento Profissional/psicologia , COVID-19/enfermagem , COVID-19/psicologia , Casas de Saúde/organização & administração , Recursos Humanos de Enfermagem/psicologia , Estresse Psicológico , COVID-19/epidemiologia , China , Feminino , Humanos , Entrevistas como Assunto , Pandemias , Percepção , Pesquisa Qualitativa , SARS-CoV-2
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