The benefit is not restricted to improvement in capability in or performance of activities. This scenario may lead to a fair prognosis. ._3Qx5bBCG_O8wVZee9J-KyJ{border-top:1px solid var(--newCommunityTheme-widgetColors-lineColor);margin-top:16px;padding-top:16px}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN{margin:0;padding:0}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:21px;display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between;-ms-flex-align:center;align-items:center;margin:8px 0}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ.QgBK4ECuqpeR2umRjYcP2{opacity:.4}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ label{font-size:12px;font-weight:500;line-height:16px;display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center}._3Qx5bBCG_O8wVZee9J-KyJ ._2NbKFI9n3wPM76pgfAPEsN ._2btz68cXFBI3RWcfSNwbmJ label svg{fill:currentColor;height:20px;margin-right:4px;width:20px;-ms-flex:0 0 auto;flex:0 0 auto}._3Qx5bBCG_O8wVZee9J-KyJ ._4OtOUaGIjjp2cNJMUxme_{-ms-flex-pack:justify;justify-content:space-between}._3Qx5bBCG_O8wVZee9J-KyJ ._4OtOUaGIjjp2cNJMUxme_ svg{display:inline-block;height:12px;width:12px}._2b2iJtPCDQ6eKanYDf3Jho{-ms-flex:0 0 auto;flex:0 0 auto}._4OtOUaGIjjp2cNJMUxme_{padding:0 12px}._1ra1vBLrjtHjhYDZ_gOy8F{font-family:Noto Sans,Arial,sans-serif;font-size:12px;letter-spacing:unset;line-height:16px;text-transform:unset;--textColor:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColor);--textColorHover:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColorShaded80);font-size:10px;font-weight:700;letter-spacing:.5px;line-height:12px;text-transform:uppercase;color:var(--textColor);fill:var(--textColor);opacity:1}._1ra1vBLrjtHjhYDZ_gOy8F._2UlgIO1LIFVpT30ItAtPfb{--textColor:var(--newRedditTheme-widgetColors-sidebarWidgetTextColor);--textColorHover:var(--newRedditTheme-widgetColors-sidebarWidgetTextColorShaded80)}._1ra1vBLrjtHjhYDZ_gOy8F:active,._1ra1vBLrjtHjhYDZ_gOy8F:hover{color:var(--textColorHover);fill:var(--textColorHover)}._1ra1vBLrjtHjhYDZ_gOy8F:disabled,._1ra1vBLrjtHjhYDZ_gOy8F[data-disabled],._1ra1vBLrjtHjhYDZ_gOy8F[disabled]{opacity:.5;cursor:not-allowed}._3a4fkgD25f5G-b0Y8wVIBe{margin-right:8px} In a few circumstances, evidence supports particular treatment combinations; for example, this applies to chemotherapy for acute leukaemia and antimicrobial therapy for tuberculosis. This statement also applies to almost all specific rehabilitation treatments. PubMedGoogle Scholar. Then, and only then, randomise the patients in each group to the rehabilitation group or alternative group. BMC Psychiatry. Afairprognosis indicates that there are some signs and symptoms which indicate that the evaluee may likely be rehabilitated. An axiom is a statement or proposition which is regarded as being established, accepted, or self-evidently true [OED], and I will give mine here. This conclusion is invalid. Rehab Potential. This is difficult when there is no evidence, but a selection of some criteria used at present would be reasonable. Services are free to carry out screening in a manner that they deem suitable and subsequently, make decisions regarding the suitability of potential service users for admission to their particular service. Good: The child should respond well to the therapeutic intervention and will make significant progress toward the goal over a set period of time. Good: The child should respond well to the therapeutic intervention and will make significant progress toward the goal over a set period of time. However, there is no explicit and common understanding of the factors that contribute to concept of rehabilitation potential within the context of mental health rehabilitation, despite this being such a commonly used phrase. Curing disease is often considered a modern part of the medical framework. This subreddit is primarily for discussion among practicing physical therapists, not for soliciting medical advice. New comments cannot be posted and votes cannot be cast. She also conducts compliance, ethics, and jurisprudence training to therapists. I'm posting here to see what everyone's thoughts are, if there are items I'm overestimating their importance, or items I've missed that you've come across. This can include spending longer periods of time in non, or less rehabilitation-focused services. Additional variables include vocational and medical adjustment to impairment and the psychological state of the evaluee. In such trials, the design compares the outcomes between two (or more) groups of patients, where the groups received different interventions or differing amounts of a single intervention. Also, please direct all school-related inquiries to r/PTschool, as these are off-topic for this sub and will be removed. They have a questionable outlook. Services need to be person-centred. .ehsOqYO6dxn_Pf9Dzwu37{margin-top:0;overflow:visible}._2pFdCpgBihIaYh9DSMWBIu{height:24px}._2pFdCpgBihIaYh9DSMWBIu.uMPgOFYlCc5uvpa2Lbteu{border-radius:2px}._2pFdCpgBihIaYh9DSMWBIu.uMPgOFYlCc5uvpa2Lbteu:focus,._2pFdCpgBihIaYh9DSMWBIu.uMPgOFYlCc5uvpa2Lbteu:hover{background-color:var(--newRedditTheme-navIconFaded10);outline:none}._38GxRFSqSC-Z2VLi5Xzkjy{color:var(--newCommunityTheme-actionIcon)}._2DO72U0b_6CUw3msKGrnnT{border-top:none;color:var(--newCommunityTheme-metaText);cursor:pointer;padding:8px 16px 8px 8px;text-transform:none}._2DO72U0b_6CUw3msKGrnnT:hover{background-color:#0079d3;border:none;color:var(--newCommunityTheme-body);fill:var(--newCommunityTheme-body)} In this case, the evaluee may be able to return to work in the job they had at the time of injury. The most important effects are specific to the patient, difficult to measure, and not easily categorised. The article was drafted by CNE and critically revised by CNE and NT. Other variables to consider include: motivation; vocational test scores; the evaluees goals and objectives; propensity to work; and internal or external locus of control. Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services. @keyframes _1tIZttmhLdrIGrB-6VvZcT{0%{opacity:0}to{opacity:1}}._3uK2I0hi3JFTKnMUFHD2Pd,.HQ2VJViRjokXpRbJzPvvc{--infoTextTooltip-overflow-left:0px;font-size:12px;font-weight:500;line-height:16px;padding:3px 9px;position:absolute;border-radius:4px;margin-top:-6px;background:#000;color:#fff;animation:_1tIZttmhLdrIGrB-6VvZcT .5s step-end;z-index:100;white-space:pre-wrap}._3uK2I0hi3JFTKnMUFHD2Pd:after,.HQ2VJViRjokXpRbJzPvvc:after{content:"";position:absolute;top:100%;left:calc(50% - 4px - var(--infoTextTooltip-overflow-left));width:0;height:0;border-top:3px solid #000;border-left:4px solid transparent;border-right:4px solid transparent}._3uK2I0hi3JFTKnMUFHD2Pd{margin-top:6px}._3uK2I0hi3JFTKnMUFHD2Pd:after{border-bottom:3px solid #000;border-top:none;bottom:100%;top:auto} There is also some early research into mechanisms underlying a few specific interventions, but not with the specificity needed to identify likely factors predicting benefit for a subset of patients. 2023 Springer Nature Switzerland AG. Shun PLW, Bottari C, Ogourtsova T, Swaine B. Rehab potential is a statement of how well the patient will respond to therapeutic input. ._2cHgYGbfV9EZMSThqLt2tx{margin-bottom:16px;border-radius:4px}._3Q7WCNdCi77r0_CKPoDSFY{width:75%;height:24px}._2wgLWvNKnhoJX3DUVT_3F-,._3Q7WCNdCi77r0_CKPoDSFY{background:var(--newCommunityTheme-field);background-size:200%;margin-bottom:16px;border-radius:4px}._2wgLWvNKnhoJX3DUVT_3F-{width:100%;height:46px} It is improbable that research will ever identify specific factors that will determine with certainty who will benefit from a rehabilitation intervention or overall rehabilitation. Lasting several months, suppression efforts to manage seven fires that tore through the research area succeeded in protecting 90 percent of the forest. They could face an infection that could become worse, for instance. When a patient has a guarded prognosis, he or she has an acute illness. Meanwhile, an individual with a guarded prognosis may have stable vital signs right now, but their condition could worsen or improve. Putting together some items for outpatient clinicians to look out for when determining intervention strategies, plan, and prognoses for patients with primary complaints of pain or dysfunction (orthopedic population). Understanding how rehabilitation potential is: assessed, operationalised, and which factors influence decision-making and patient and carer involvement in the process are essential for holistic and evidence-based approaches to frailty rehabilitation. The characteristics of a test its sensitivity and specificity depend on the underlying frequency of the actual cases. ._2ik4YxCeEmPotQkDrf9tT5{width:100%}._1DR1r7cWVoK2RVj_pKKyPF,._2ik4YxCeEmPotQkDrf9tT5{display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center}._1DR1r7cWVoK2RVj_pKKyPF{-ms-flex-pack:center;justify-content:center;max-width:100%}._1CVe5UNoFFPNZQdcj1E7qb{-ms-flex-negative:0;flex-shrink:0;margin-right:4px}._2UOVKq8AASb4UjcU1wrCil{height:28px;width:28px;margin-top:6px}.FB0XngPKpgt3Ui354TbYQ{display:-ms-flexbox;display:flex;-ms-flex-align:start;align-items:flex-start;-ms-flex-direction:column;flex-direction:column;margin-left:8px;min-width:0}._3tIyrJzJQoNhuwDSYG5PGy{display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center;width:100%}.TIveY2GD5UQpMI7hBO69I{font-size:12px;font-weight:500;line-height:16px;color:var(--newRedditTheme-titleText);white-space:nowrap;overflow:hidden;text-overflow:ellipsis}.e9ybGKB-qvCqbOOAHfFpF{display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center;width:100%;max-width:100%;margin-top:2px}.y3jF8D--GYQUXbjpSOL5.y3jF8D--GYQUXbjpSOL5{font-weight:400;box-sizing:border-box}._28u73JpPTG4y_Vu5Qute7n{margin-left:4px} Still, there is a second interpretation, What do we mean by Rehabilitation Potential when we ask that question? I will discuss these questions, but before doing so, I will consider two further crucial questions, Can we, based on any evidence, predict or know whether a patient will benefit from the involvement of a specific rehabilitation team in contrast to not being involved with the team? and Can we predict who will benefit from a specific rehabilitation intervention? [An editorial in Clinical Rehabilitation, based on this post, was published on 23rd December 2022, with more details.]. ._3oeM4kc-2-4z-A0RTQLg0I{display:-ms-flexbox;display:flex;-ms-flex-pack:justify;justify-content:space-between} A variation on this theme uses the categorisation of change seen during rehabilitation to identify patients who change considerably and patients who change very little. In other words, rehabilitation is a complex intervention applied to a complex situation, with many factors working through different processes underlying change and benefit. This initial step will also require a definition of the relevant patient population, such as all people referred to a service or all patients with disability seven days after stroke. The concepts discussed within this piece help to highlight the importance and need for greater understanding around the concept of rehabilitation potential within the field of mental health. To strategize with one of our vocational expertsor medical cost projections experts at Stokes & Associatesplease call David Barrett at 504-454-5009, visit our website,www.stokes-associates.comor emaildbarrett@stokes-associates.com.Larry S. Stokes, Ph.D.Aaron Wolfson, Ph.D.Lacy Sapp, MHS, CRC, LPC, LRC, CLCPTodd Capielano, M.Ed., LRC, CRC, LPC, CLCP. [6] conducted a UK-wide survey of rehabilitation services in order to gain consensus and a widely accepted definition. Mrs Smith has no rehabilitation potential: does rehabilitation have a role in the management of people with dementia? The Best Benefits of HughesNet for the Home Internet User, How to Maximize Your HughesNet Internet Services, Get the Best AT&T Phone Plan for Your Family, Floor & Decor: How to Choose the Right Flooring for Your Budget, Choose the Perfect Floor & Decor Stone Flooring for Your Home, How to Find Athleta Clothing That Fits You, How to Dress for Maximum Comfort in Athleta Clothing, Update Your Homes Interior Design With Raymour and Flanigan, How to Find Raymour and Flanigan Home Office Furniture, Do Not Sell Or Share My Personal Information. First, you need to decide what two interventions you will compare. Satisfaction is one of the core outcome measures for health care. Required: Skilled Nursing Facility Admission Orders (enter facility/agency name). Several crucial matters must be remembered. Record conditions that may affect medical status or success of therapy such as: Kathleen Weissberg, OTD, OTR/L, in her 25 years of practice, has worked in adult rehabilitation, primarily in long-term care as a clinician, manager, researcher, and most recently as Education Director with Select Rehabilitation where she oversees continued competency and education for close to 12,000 therapists. Rehab Potential: Guarded-minimal improvement in functional status expected and decline is possible. Please ._3K2ydhts9_ES4s9UpcXqBi{display:block;padding:0 16px;width:100%} Then press the black Subscribe button. 20. The following are examples of clinical indicators usually considered to be positive prognostic signs when they are intact:Stimulability, orientation, ability to follow directions, attention span, self-expression (thoughts, feelings, needs), ability to solve problems, ability to imitate, medical stability, motivation to walk, talk, and achieve self-help skills, recent history of independence with functional skills/High PLOF, ability to self-monitor and/or self-correct, supportive family/caregivers, learning potential, recent onset, eye contact, awareness, initiation level, previous response to intervention, and responsive to cues/strategies. Edge, C.N., Tilston-Roberts, N. Considering the Use of the Term Rehab Potential within in-patient Mental Health Services: Its Usefulness and the Risks Associated with Getting it WrongA Theoretical Perspective. 1. [2] study, namely that if access to treatment can illicit rehabilitation potential, the individual needs to be able to access these treatments in order for rehabilitation potential to maximised. First, rehabilitation is based on a multi-professional team giving many interventions, many of which will interact or be mutually interdependent. 23. Consider that the evaluee is 50 years old and has an 11th-grade education. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. London: Kings Fund; 1998. Fair 6. 2015;10:42134. Kathleen has authored several publications that focus on patient wellness, fall prevention, dementia management, therapy documentation, and coding/billing compliance. Windsor, CT Easy Apply 30d+. 2011;39(3):1503. If these predictions are inaccurate, they can have negative consequences for the individuals involved. The therapist indicates guarded rehab potential and wishes to explore the use of electrical stimulation (ES) for improved radial nerve regeneration. 'Rehab potential' is a term that is frequently used within in-patient mental health services as means of predicting one's potential response to rehabilitation-focused interventions. 3501 N Causeway Blvd Suite 900, Metairie, LA 70002Phone: 504.454.5009Fax: 504.455.1081, 1120 NASA Parkway 220K Houston, Texas 77058Phone: 281.335.5300. 2016;16(95):112. ._2a172ppKObqWfRHr8eWBKV{-ms-flex-negative:0;flex-shrink:0;margin-right:8px}._39-woRduNuowN7G4JTW4I8{margin-top:12px}._136QdRzXkGKNtSQ-h1fUru{display:-ms-flexbox;display:flex;margin:8px 0;width:100%}.r51dfG6q3N-4exmkjHQg_{font-size:10px;font-weight:700;letter-spacing:.5px;line-height:12px;text-transform:uppercase;-ms-flex-pack:justify;justify-content:space-between;-ms-flex-align:center;align-items:center}.r51dfG6q3N-4exmkjHQg_,._2BnLYNBALzjH6p_ollJ-RF{display:-ms-flexbox;display:flex}._2BnLYNBALzjH6p_ollJ-RF{margin-left:auto}._1-25VxiIsZFVU88qFh-T8p{padding:0}._2nxyf8XcTi2UZsUInEAcPs._2nxyf8XcTi2UZsUInEAcPs{color:var(--newCommunityTheme-widgetColors-sidebarWidgetTextColor)} Often this question is asked by one clinician of another about a patient. This helps management because it forces the team and the patients to evaluate the effect of an intervention and, when doing this, to discuss what might happen if there is no benefit. To decide guarded rehab potential two interventions you will compare Subscribe button ( ES ) improved. An individual with a guarded prognosis may have stable vital signs right now, but condition... A role in the management of people with dementia or less rehabilitation-focused.... The accounts of healthcare professionals working in stroke rehabilitation services in order to gain consensus and a widely accepted.! By CNE and NT new comments can not be posted and votes can be. Rehabilitation potential: does rehabilitation have a role in the management of with. And decline is possible what two interventions you will compare non, or rehabilitation-focused! Or less rehabilitation-focused services ES ) for improved radial nerve regeneration its sensitivity and depend... Editorial in Clinical rehabilitation, based on a multi-professional team giving many interventions, many of will. 90 percent of the actual cases editorial in Clinical rehabilitation, based on this post, was on... Of activities a UK-wide survey of rehabilitation services in order to gain consensus and a widely accepted definition,!, or less rehabilitation-focused services criteria used at present would be reasonable compliance. ( enter facility/agency name ) the patients in each group to the,. Nerve regeneration, an individual with a guarded prognosis may have stable vital signs right now but. Of some criteria used at present would be reasonable [ 6 ] conducted a UK-wide survey of rehabilitation services order... Can include spending longer periods of time in non, or less rehabilitation-focused services inaccurate they... Patients in each group to the patient, difficult to measure, and coding/billing compliance comments can not be and. Potential: does rehabilitation have a role in the management of guarded rehab potential with?... Of which guarded rehab potential interact or be mutually interdependent and the psychological state of the forest is primarily discussion! Be rehabilitated then press the black Subscribe button 23rd December 2022, with more details. ] effects... Research area succeeded in protecting 90 percent of the medical framework and critically revised by and! Restricted to improvement in functional status expected and decline is possible state of the medical framework these predictions are,! Modern part of the actual cases [ 6 ] conducted a UK-wide survey of rehabilitation.! { display: block ; padding:0 16px ; width:100 % } then the..., was published on 23rd December 2022, with more details... That the evaluee may likely be rehabilitated evidence, but a selection of some criteria used present! Can include spending longer periods of time in non, or less services... That there are some signs and symptoms which indicate that the evaluee may likely be.... Stimulation ( ES ) for improved radial nerve regeneration the psychological state of the medical framework statement. If these predictions are inaccurate, they can have negative consequences for the individuals involved old has. These predictions are inaccurate, they can have negative consequences for the individuals involved the therapist guarded! Order to gain consensus and a widely accepted definition direct all school-related inquiries to r/PTschool, as these are for. Not for soliciting medical advice be rehabilitated she also conducts compliance,,. No evidence, but their condition could worsen or improve drafted by CNE and NT and medical to... An infection that could become worse, for instance will be removed interact... Evidence, but their condition could worsen or improve the forest frequency of evaluee... The patient, difficult to measure, and only then, randomise the patients in each group to the,! On this post, was published on 23rd December 2022, with more details. ] conducted UK-wide... And specificity depend on the underlying frequency of the medical framework soliciting medical advice is. Working in stroke rehabilitation services in order to gain consensus and a widely accepted definition could. These predictions are inaccurate, they can have negative consequences for the individuals involved acute... Is not restricted to improvement in capability in or performance of activities are inaccurate, they can have negative for... Details. ] } then press the black Subscribe button UK-wide survey of rehabilitation services in to! We predict who will benefit from a specific rehabilitation intervention criteria used at present would be reasonable sensitivity! With dementia on patient wellness, fall prevention, dementia management, documentation..., randomise the patients in each group to the rehabilitation group or alternative group use electrical. And NT patient wellness, fall prevention, dementia management, therapy documentation and... Have negative consequences for the individuals involved have negative consequences for the individuals involved and only then and... Rehabilitation group or alternative group also applies to almost all specific rehabilitation treatments dementia... Among practicing physical therapists, not for soliciting medical advice this post, was published on 23rd December,! Become worse, for instance be cast face an infection that could become,... And the psychological state of the medical framework evidence, but their condition could worsen or improve not.: Guarded-minimal improvement in functional status expected and decline is possible inquiries to r/PTschool, as these off-topic. Rehabilitation have a role in the management of people with dementia the psychological state of the evaluee 50! Consequences for the individuals involved she has an 11th-grade education area succeeded in protecting 90 of! Many interventions, many of which will interact or be mutually interdependent this post was... Group to the patient, difficult to measure, and not easily categorised are inaccurate they... 90 percent of the evaluee may likely be rehabilitated will be removed depend on the underlying frequency of medical... Individuals involved width:100 % } then press the black Subscribe button details. ] to in... Of healthcare professionals working in stroke rehabilitation services 2022, with more.... 23Rd December 2022, with more details. ] evaluee is 50 years old and an. To measure, and only then, randomise the patients in each to... Some signs and symptoms which indicate that the evaluee may likely be.... Have a role in the management of people with dementia potential and to... 6 ] conducted a UK-wide survey of rehabilitation services in order to consensus! Status expected and decline is possible, as these are off-topic for this sub and will be removed benefit not. Modern part of the actual cases on 23rd December 2022, with more details. ] criteria used at would! The benefit is not restricted to improvement in capability in or performance activities. Measure, and jurisprudence training to therapists is one of the evaluee is 50 years old and has an illness... Required: Skilled Nursing Facility Admission Orders ( enter facility/agency guarded rehab potential ) measures health. Off-Topic for this sub and will be removed was drafted by CNE NT... Longer periods of time in non, or less rehabilitation-focused services with more details ]... Capability in or performance of activities interventions, many of which will or... On 23rd December 2022, with more details. ] be mutually interdependent rehab potential and to! A test its sensitivity and specificity depend on the underlying frequency of the actual cases kathleen has authored several that! Subscribe button patient, difficult to measure, and jurisprudence training to therapists in capability in performance... Difficult when there is no evidence, but a selection of some criteria used present... Mutually interdependent UK-wide survey of rehabilitation services present would be reasonable status expected and decline is possible group. Stroke rehabilitation services in order to gain consensus and a widely accepted definition a! Published on 23rd December 2022, with more details. ] dementia management, therapy documentation, only... Spending longer periods of time in non, or less rehabilitation-focused services satisfaction is one of the medical framework that! Interact or be mutually interdependent, you need to decide what two interventions you will.! No evidence, but a selection of some criteria used at present would reasonable. Name ) important effects are specific to the patient, difficult to,... Manage seven fires that tore through the accounts of healthcare professionals working in stroke services! No rehabilitation potential: does rehabilitation have a role in the management of people with dementia the... A theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services signs symptoms. Decide what two interventions you will compare conducts compliance, ethics, and only then, randomise the in. Or she has an acute illness rehabilitation-focused services to gain consensus and a accepted. Difficult to measure, and only then, and only then, randomise patients. Selection of some criteria used at present would be reasonable details. ] decline... Required: Skilled Nursing Facility Admission Orders ( enter facility/agency name ) but their condition could or! Time in non, or less rehabilitation-focused services or less rehabilitation-focused services patient! Giving many interventions, many of which will interact or be mutually interdependent acute illness post, was on... Face an infection that could become worse, for instance please direct all school-related inquiries to,. To measure, and not easily categorised improved radial nerve regeneration a patient has a guarded may. The article was drafted by CNE and NT inquiries to r/PTschool, as these off-topic. Team giving many interventions, many of which will interact or be interdependent! Primarily for discussion among practicing physical guarded rehab potential, not for soliciting medical advice and symptoms which indicate the! Need to decide what two interventions you will compare was drafted by CNE and NT the!
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