I S S U E

2 ProgressNotesVOLUME 9

In This Issue

Medical Executive Committee Approvals…………………….……....P 1

New Patient Consent Form for TCU Patients………………………...P 2

Very Important Clinical Updates......P 3-5

Young Physicians & Professionals Alliance………………………………..P 6

HIPAA Tip………………………….....P 7

Doctor’s Day Celebration…………...P 8

Cardiology Update 2017…..………..P 8

Medical Staff Calendar....….….…....P 9

Welcome New Practitioners…..…....P 10

Physician/AHP Roster Updates……P 11-13

F E B R U A R Y 2 0 1 7

MONTHLY

MEDICAL

STAFF

NEWSLETTER

1

Medical Executive Committee Approvals

Items approved at the last Medical Executive Committee meeting can be viewed by using this website link and selecting the particular month: http://www.torrancememorial.org/For_Physicians/Medical_Staff/MEC_Approval.aspx . If you have any questions, please contact the Medical Staff Services Department at (310) 517-4616.

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New Patient Consent to Receive Psychotropic Medications for TCU

NEW Patient Consent to Receive Psychotropic Medications for theTorrance Memorial Medical Center Transitional Care Unit (TCU)

This form is in accordance with Title 22 CCR section 72528. The following changes are a requirement from the recent October 2016 Department of Health and Human Services/CMS Licensing Survey.

The form is now 2 pages, with the first page being the same verbiage as the previous consent forms.

The second page lists the medications in a table format with the additions of "Indication" and "Clinical Manifestations".

All sections are required to be completed.

As with the previous form - the physician, patient, and witness must sign prior to admission to TCU. Any doses of a psychotropic medication given without a completed consent are in violation of Title 22 section 72528. Exceptions are only allowed in emergency situations with documentation that it was medically necessary.  

If you have any questions or concerns, please feel free to contact Candace Millek TCU Director at (310) 325-9110 x 44893

Very Important Clinical Update

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adalimumab - HumIRA agalsidase beta - Fabrazyme albumin alteplase - tPA aprepitant - Emend darbepoetin alfa - Aranesp denosumab - Xgeva desmopressin - DDAVP epoetin alfa - Epogen/Procrit etanercept - Enbrel filgrastim - Neupogen fulvestrant - Faslodex immune globulin interferon alfa-2b - Intron-A interferon beta-1b - Betaseron leuprolide - Lupron Depot octreotide - Sandostatin LAR Depot penicillin-procaine - penicillin G benzathine - Bicil-lin L-A zoledronic acid - Zometa

Very Important Clinical Update

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Who: ALL RNs What: Indications for indwelling catheter When: NOW Why: Eliminate CAUTIs

Infection

Prevention ext.

2057

FOR QUESTIONS CONTACT:

INDWELLING CATHETER INDICATIONS

Situation: In 2016, TMMC had 27 CAUTIs. Background: CAUTIs are a hospital-acquired patient harm event and are COMPLETELY preventable. EBP guidelines have helped other facilities achieve ZERO CAUTIs. Recommendation: Follow EBP guidelines & TMMC Policy & Procedures to reduce CAUTIs

Please refer to policy N.E. 36: Indwelling Urinary Catheter

INDICATIONS FOR INDWELLING CATHETER:

1. Chronic history of indwelling catheter 2. Neurogenic bladder 3. Actively titrating vasoactive medications 4. Stage III, IV or unstageable sacral pressure ulcer AND

incontinence 5. Acute urinary retention or obstruction 6. End of life care 7. Patient undergoing urological surgery 8. Obstetric regional anesthesia (NEW!) 9. Patient requires complete

immobilization 10.Immobilized pre-surgery with

trauma or fractures 11.Burn Unit Only: Wounds or

skin-grafts prevent turning and placement on bedpan

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Very Important Clinical Update

 

YPPA IS NETWORKING FOR A CAUSE!

SUPPORT  TORRANCE  MEMORIAL  AND  MEET  LOCAL  

PHYSICIANS  AND  PROFESSIONALS  

YPPA EVENTS: ANNUAL CASINO NIGHT SOUTH BAY HIKES BEER TASTINGS PRIVATE HOLIDAY FESTIVAL PARTY…AND MUCH MORE!

WE PROUDLY SPONSOR:

CONTACT  DANIELLE  BOUJIKIAN  FOR  MORE   INFO  

310.517.4728  OR  DANIELLE.BOUJIKIAN@TMMC.COM  

Young Physicians & Professionals Alliance

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HIPAA Tip

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Protecting PHI FAQ

QUESTION: Is it a HIPAA violation / privacy breach of unauthorized use or disclosure of Protected Health Information (PHI) if: 1. A patient, family member or visitor overhears hospital staff members discussing patient PHI in public areas such as the cafeteria, hallways, elevators, parking areas? Answer: Yes, this is a HIPAA violation / patient privacy beach. 2. A staff member obtains patient PHI from another staff member or from viewing or accessing the patient record for personal

reasons and then discloses the patient PHI to others. Answer: Yes, this is a HIPAA violation / patient privacy breach. 3. A patient, family member or visitor overhears a conversation between hospital staff members and the patient and / or family

member, in which patient PHI is being discussed? Answer: No, this is not considered a HIPAA violation with the condition that staff has adhered to reasonable safeguards

in protecting the privacy and confidentiality of the patient. 4. A patient, family member or visitor overhears hospital staff members discussing patient information during unit rounds or shift

change? Answer: No, this is not considered a HIPAA violation. In the event unit rounds or shift change is taking place in the patient room, be sure to ask visitors (family members, etc.) to step out prior to discussing patient PHI.

5. The Nursing Unit electronic “white” boards display a partial patient name? Answer: No, the electronic boards on the units are only used for health care operations. Our staff utilizes the tracking boards

to communicate important information relating to patient care. To protect patient PHI, the boards do not display the full name of patients and only display partial names of patients requesting to be a confidential. The boards do not display the patient age, medical information, procedures or the diagnosis of the patient.

Preventing HIPAA Privacy Violations & Breaches

The following is a list of tips to safeguard and help prevent a HIPAA violation. Everyone is responsible in the prevention of a HIPAA Privacy violation / breach. 1. Keep documents, forms, papers, etc. with Protected Health Information (PHI) face down or covered. Do not leave anything

with PHI visible or unprotected. Unauthorized individuals, patients, family members, visitors and vendors walk throughout our hospital on a daily basis, leaving anything with PHI visible or in public areas (Café, Gift Shop, Restroom, etc.) is a risk and a potential HIPAA Privacy violation and reportable breach.

2. Dispose of documents, labels, notes, reports, wrist bands and anything else containing PHI in shredding bins. Never place

items with PHI in a trash can. If you cannot peel off labels from IV bottles, use a permanent marker to black out the patient information.

3. When your job responsibilities include carrying patient documents (with PHI) within or outside the hospital you should protect

the PHI by placing documents in an envelope or sealed container if taking them outside of hospital / office. 4. Select the correct printer when printing patient results / charts from Power Chart or any other electronic medical record

applications. When selecting your printer queue, be sure you have selected the printer in your area / department. Printing to the wrong printer can result in a HIPAA violation of “carelessness” and a California Law violation. 5. Do not share, discuss, disclose, email, text or post any patient information or use personal electronic devices to take, post or

share photographs of patients with anyone or on social networking sites.

Doctor’s Day Celebration

Cardiology Update 2017

8

CARDIOLOGY UPDATE 2017 CONVENTIONAL WISDOM AND BEYOND

For physicians & healthcare professionals only 8:00 a.m. - 5:00 p.m.

Friday April 7, 2017

HEART MONTH SPECIAL DISCOUNT 40% off registration fees

during the month of February only

Torrance Memorial & USC Keck Physicians, Nurses, Employees - $75

Non-Torrance Memorial Physicians & Healthcare Professionals - $100 For more information call (310) 517-4720 or visit our website at http://TorranceMemorial.org/cardiosymposium

Doctor’s Day Celebration

Friday, March 31, 2017 11:30 a.m. - 1:30 p.m.

Hoffman Health Conference Center Rooms 1 & 2

Lunch - Entertainment - Raffle

Monday Tuesday Wednesday Thursday Friday

1 7:00a CV Review Conf……….WT-D 12:30p CME Conference….HCC-1&2

2 7:00a Breast Tumor Board..WT-Aud 7:45a Gen Tumor Board…..WT-Aud 12:30p Medical Staff PI……..….WT-D

3  7:00a Lung TumorBoard..WT-Aud 7:00a Surgery Dept………..WT-C 7:30a IRB…………………..WT-D

6 12:30p Cardiology………..…WT-D

7 12:30p Infection Control/P&T....WT-C

8 7:00a Anesthesia PI….… ..WT-Aud 7:00a CV Review Conf……….WT-D 8:00a Endocrinology………….WT-B 12:30p CME Conference….HCC-1&2 12:30p Medicine PI………….....WT-B

9 7:00a Breast Tumor Board..WT-Aud 7:45a GI Tumor Board….....WT-Aud

10 7:00a Lung TumorBoard..WT-Aud 7:30a Oncology Wrkgroup..WT-D

13 7:00a Robotic Surgery….....WT-C 12:30p Credentials……….....WT-C

14

15 7:00a CV Review Conf……….WT-D

16 7:00a Breast Tumor Board..WT-Aud 7:45a CNS Tumor Board…..WT-Aud 9:00a Emergency Dept……….WT-D 12:30p Pediatric Dept……….WT-Aud

17 7:00a Lung TumorBoard..WT-Aud

20 12:00p Burn & Wound Surg...WT-C

21 7:00a Practitioner Well Being..WT-C 12:00p Radiology Dept……...WT-Aud 5:00p Quality & Patient Safety Committee……....……..WT-B 6:00p Medical Executive……..WT-D

22 7:00a CV Review Conf……….WT-D

23 7:00a Breast Tumor Board…...WT-D 7:45a GenTB guest spkr “Met NSCLC

Trtmt Options”…..…….WT-Aud 12:30p C-Section……………….WT-D 12:30p Credentials………...…...WT-C 12:30p Health Info Mgmt……....WT-B

24 7:00a Lung TumorBoard..WT-Aud

27 4:00p Bariatric Surgery…....WT-C

28 12:30p OB/GYN Dept……….WT-Aud

CME CONFERENCES Wednesdays, 12:30 p.m. Hoffman Health Conference Center

Torrance Memorial Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians.

Torrance Memorial Medical Center designates this live activity for a maximum of 1 AMA PRA Category I CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This credit may also be applied to the CMA Certification in Continuing Medical Education. For up-to-the-minute conference information call (310) 784-8776 or visit: http://www.torrancememorial.org/For_Physicians/Wednesday_CME_Conferences.aspx

Medical Staff Calendar February 2017

February 8, 2017 “Non-Surgical Treatment for Arthritis” Robin Dore, M.D. UCLA School of Medicine Commercial Support: None

February 15, 2017 NO CONFERENCE

February 22, 2017 NO CONFERENCE

February 1, 2017 “Medical Marijuana” Joseph Pierre, M.D. UCLA School of Medicine Commercial Support: None

March 1, 2017 “Multiple Sclerosis Update” Ardith Courtney, D.O. U.C. Irvine School of Medicine Commercial Support: None

9

March 8, 2017 “Advances in Stroke Care” Asma Moheet, M.D. Cedars-Sinai Medical Center Commercial Support: None

Welcome New Practitioners

10

Arthur P. Chou, M.D. Surgery Arthur P. Chou, M.D., Inc. 8043 2nd St., Ste. 105 Downey, CA 90241 Phone: (562) 862-1134 Fax: (562) 861-9895

Alexandra C. Milin, M.D. Medicine UCLA Health Santa Monica Hospitalists 1250 16th St., Ste. C2304 Santa Monica, CA 90404 Phone: (310) 319-4698 Fax: (310) 206-3260

Keith Andrew K. Ebilane, M.D. Medicine Ananias E. Ebilane, M.D., Inc. 13429 Hawthorne Blvd. Hawthorne, CA 90250 Phone: (310) 644-8683 Fax: (310) 644-0132

Raj A. Mittal, M.D. Surgery 3747 Worsham Ave., Ste. 200 Long Beach, CA 90808 Phone: ( 562) 596-6736 Fax: (562) 421-9555

Matin R. Hemmat, M.D. Medicine HealthCare Partners Hospitalists 3330 Lomita Blvd, HCP 1st Floor Torrance, CA 90505 Phone: (310) 784-8770 Fax: (310) 784-4991

Asim Rafique, M.D. Medicine UCLA Health Redondo Beach Primary & Specialty Care 514 N. Prospect Ave., 1st Floor Redondo Beach, CA 90277 Phone: (310) 937-8555 Fax: (310) 937-8556

Francesca Y. Jahns, P.A. Emergency Torrance Emergency Physicians, Inc. 3330 Lomita Blvd., Emergency Dept. Torrance, CA 90505 Phone: (310) 325-9110 Fax: (310) 784-3789

Sarah R. Raike, P.A. Surgery 6801 Park Terrace Dr. Los Angeles, CA 90045 Phone: (310) 665-7200 Fax: (310) 665-7296

Sanjay K. Khurana, M.D. Surgery DISC Sports & Spine 13160 Mindanao Way, Ste. 300 Marina Del Rey, CA 90292 Phone: (310) 574-0400 Fax: (310) 574-0401

Stephen B. Shew, M.D. Surgery UCLA Pediatric Surgical Associates 10833 Le Conte Ave. Los Angeles, CA 90095 Phone: (310) 206-2429 Fax: (310) 206-1120

Daniel R. LeMay, M.D. Surgery 8043 2nd St., Ste. 105 Downey, CA 90241 Phone: (562) 862-1134 Fax: (562) 861-9895

Rojeh Melikian, M.D. Surgery

DISC Sports & Spine 13160 Mindanao Way, Ste. 300 Marina Del Rey, CA 90292 Phone: (310) 574-0400 Fax: (310) 574-0401

Address Change Iraj Akhlaghi, M.D. Medicine 2420 The Strand Manhattan Beach, CA 90266 Phone: (310) 939-7529 Fax: (310) 316-8667 Sherif M. Khattab, M.D. Surgery 23365 Hawthorne Blvd., Ste. 102 Torrance, CA 90505 Phone: (310) 325-2100 Fax: (310) 325-7400 Afshin J. Khodabakhsh, M.D. Surgery 23441 Madison St., Ste. 200 Torrance, CA 90505 Phone: (310) 273-2333 Fax: (310) 273-6583 Eunice M. Kohara, D.O. Surgery 8605 Santa Monica Blvd., Ste. 69638 Los Angeles, CA 90069 Phone: (562) 988-2020 Fax: (562) 426-7394 Nina J. Lee-Tall, M.D. Surgery 3465 Torrance Blvd., Ste. C Torrance, CA 90503 Phone: (310) 375-2102 Fax: (310) 791-6319 Teresa N. Miller, M.D. Pediatrics 705 Pier Ave., Ste. C Hermosa Beach, CA 90254 Phone: (310) 406-0827 Fax: (310) 406-8378 Michael P. Nageotte, M.D. OB/GYN 2888 Long Beach Blvd., Ste. 400 Long Beach, CA 90806 Phone: (562) 997-8510 Fax: (562) 997-8520 Mani K. Nezhad, M.D. Medicine 170 N. Rose Ave., Ste. 220 Oxnard, CA 93030 Phone: (805) 384-8071 Fax: (805) 278-1220

Stephen J. Pincus, M.D. Surgery 12954 S. Hawthorne Blvd., Ste. 103 Hawthorne, CA 90250 Phone: (310) 271-7070 Fax: (310) 271-7343 Tiffany Rogers, M.D. Surgery 23550 Hawthorne Blvd., Ste. 120 Torrance, CA 90505 Phone: (310) 517-1216 Fax: (310) 517-7073 Jeffrey K. Satterfield, P.A. Surgery 23550 Hawthorne Blvd., Ste. 120 Torrance, CA 90505 Phone: (310) 517-1216 Fax: (310) 517-7073 Len J. Scuderi, M.D. Medicine 23456 Hawthorne Blvd. Torrance, CA 90505 Phone: (310) 791-5577 Fax: (310) 791-5575 Joanna M. Wong, M.D. Pediatrics 1220 24th St. Hermosa Beach, CA 90254 Phone: (310) 939-7850 Fax: (310) 939-7851 Meiling L. Yuen, M.D. Medicine 1000 W. Carson St. Torrance, CA 90509 Phone: (310) 222-2114 Fax: (310) 533-0447

Physician/AHP Roster Updates

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Phone/Fax Change Ehsan Ali, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Naheed P. Ali, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Shefalee P. Amin, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Michael J. Anzivino, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Ryan D. Brevig, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 David K. Cao, D.O. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 John Chan, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Allen K. Chang, D.O. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Dong W. Chang, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Marvin J. Chang, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Derek H. Chao, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Madhu Chatwani, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991

Xi Chen, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 David H. Cho, M.D. Anesthesiology Phone: (310) 373-1771 Fax: (310) 373-1777 Chan-Chou Chuang, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Lisa A. Chung, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Sean S. Chung, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Vadim V. Fanous, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Rachael M. Ferraro, D.O. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Polina T. Feygin, M.D. Pediatrics Phone: (562) 933-8743 Fax: (562) 933-8744 Sameh W. Ghattas, M.D. Family Practice Phone: (310) 214-0811 Fax: (310) 784-4991 Gabriel A. Gomez, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Vivek Gupta, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Kristen M. Gutermuth, M.D. Medicine Phone: (310) 784-8713 Fax: (310) 891-6749

Trevor M. Hayes, D.O. Family Practice Phone: (310) 214-0811 Fax: (310) 784-4991 Matin R. Hemmat, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Steven C. Jensen, M.D. Pediatrics Phone: (562) 933-8743 Fax: (562) 933-8744 Farshid M. Kazi, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Elias Khawam, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Chul Kim, D.P.M. Surgery Phone: (310) 326-8551 Fax: (310) 326-3363 Madhavi Koka, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Dinesh M. Kumar, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Meena E. Lagnese, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Thomas C. Lee, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Malinda C. Lin, M.D. Pediatrics Phone: (562) 933-3009 Fax: (562) 933-8557 Nikhil Madan, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991

Juan Carlos R. Maggi, M.D. Pediatrics Phone: (562) 933-8743 Fax: (562) 933-8744 Sidney A. Mercado, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Khanh V. Nguyen, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Nicole K. Nguyen, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Jennifer M. Orosco, M.D. Pediatrics Phone: (562) 933-8743 Fax: (562) 933-8744 Shannon J. Reider, D.O. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Frederick R. Santiago, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Stephen C. Siegle, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Nabil K. Soliman, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Chad S. Sparks, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Jeffrey I. Steinberg, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Nina Sukhrani, D.O. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991

Physician/AHP Roster Updates

12

Phone/Fax Change Edward Sun, D.O. Family Practice Phone: (310) 214-0811 Fax: (310) 784-4991 Mehdi Tahsini, M.D. Family Practice Phone: (844) 759-6757 Fax: (310) 997-1798 Devanshu H. Thakore, M.D. Family Practice Phone: (310) 214-0811 Fax: (310) 784-4991 Wayne K. Tsang, M.D. Medicine Phone: (310) 793-6677 Fax: (310) 793-2321 John M. Tsao, Jr., M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Mirko Villanueva, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Edward J. Wilson, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 John Wong, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Steven G. Wong, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Jofel M. Yan, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Eugene C. Yeh, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991 Joyce W. Yeh, M.D. Medicine Phone: (310) 214-0811 Fax: (310) 784-4991

Resignation Ping-Yu Chen, M.D. Medicine Elva L. Dreisbach, M.D. Medicine Graham A. Purcell, M.D. Surgery Saif H. Siddiqi, M.D. Radiology Rani Y. Upadhyay, M.D. Medicine Retired John B. McBeath, M.D. Surgery Howard M. Savitt, M.D. Pediatrics

The Medical Staff Newsletter ProgressNotes is published monthly for the Medical Staff of Torrance Memorial Medical Center. Vinh Cam, M.D. Chief of Staff Robin S. Camrin, CPMSM, CPCS Vice President, Medical Staff Services & Performance Improvement ANK-02/2017

Physician/AHP Roster Updates

13

ProgressNotes Vol. 9 Issue 2 February 2017

ProgressNotesMONTHLY

MEDICAL

STAFF

NEWSLETTER

Medical Staff Services 3330 Lomita Boulevard Torrance, CA 90505 Phone: (310) 517-4616 Fax: (310) 784-8777 www.TorranceMemorial.org

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