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The apetito website does not guarantee a fully-featured experience when viewed in Internet Explorer 6, please consider upgrading to a more modern and secure browser. When catering for residents who have trouble chewing or swallowing (a condition known as dysphagia), you may have found it difficult to create nutritious and appetising meals. So, whether you have residents with degenerative conditions such as Parkinson’s or dementia, or residents recovering from strokes, our range of texture-modified meals can help bring dignity, as well as, safety back to their dining experience. Many residents rely on this kind of food and it’s so sad to see them eat blended meals that look unappetising. Head Chef Phil Rimmer won the 2012 Cost Sector Catering Chef Award for his pioneering work on the apetito texture-modified range.
Our Category D dishes have been created to provide meals that require little chewing but are full of flavour and provide some texture variation. We have a brand new range of smaller pureed meals that deliver the same nutritional content as our standard sized meals.
Why are people who go on a low fat diets or eat food with modified fat cells have a hard time healing or growing or replacing old cells? How many grams of carbohydrates a day are allowed on a low carbohydrate diet and how many grams of fat a day are allowed on a low fat diet?
If i want to go on a low fat diet and I weigh 140 and I am 5'6, what should my fat, sodium, and carb in take be to lose 10 to 15 pounds? Why do I get extremely weird sensations in my head like brain fog, burning sensations, tingling after I drink large amounts of pure (not fat or calorie reduced) coconut milk? If you love hamburgers but you don't want to down all that grease and fat, then try out some of these healthy burgers instead. Switch out greasy burgers, ribs and wings during the big game to keep your waistline from expanding. If you're tossing back shots and wolfing down greasy bar food when you go out, your bar habits may be ruining your waistline!
Nutrition & Diet Therapy (7 th Edition) Fiber-Modified Diets for Lower GI Tract Disorders Chapter 18.
Nutrition & Diet Therapy (7 th Edition) Disorders of Bowel (contd) Diarrhea (cont) –Nutrition therapy Depends on cause, severity & duration of diarrhea & degree of fluid loss Rehydration therapy: replacement of fluid & electrolytes for severe diarrhea Fiber restriction for some individuals Foods & beverages containing fructose, sugar alcohols & lactose may aggravate symptoms Avoidance of caffeine-containing products –Rehydration therapy The replacement of fluids and electrolytes (water, salts, and glucose or sucrose) if diarrhea is severe.
Nutrition & Diet Therapy (7 th Edition) Carbohydrate- & Fat-Modified Diets for Malabsorption Chapter 19. Nutrition & Diet Therapy (7 th Edition) Consistency-Modified & Other Diets for Upper GI Disorders Chapter 17.
GASTROINTESTINAL TRACT GASTROINTESTINAL TRACT The human digestive system is a complex series of organs and glands that process, absorb, digest food and. 1 Management of Patients With Intestinal and Rectal Disorders Part 4 2008 Miss Iman Shaweesh. RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling Gastrointestinal Conditions & Ostomy Surgeries.
Assessment And Management Of Patients With Lower GI Tract Disorders NUR 111 Common Health Problems. Oftentimes, as a home health care aide, your job will include helping a patient to prepare food. The most common type of modified diet simply requires either an increase or a decrease in the intake of certain kinds of foods.
Other times, you may need to consider that specific foods will either be allowed or not allowed. Some of your patients may require a modified diet which includes only soft or liquid foods. Some of your home health care patients may have dietary requirements which include bland foods.
Your patient may need a low cholesterol diet if the doctor has determined that they are suffering from high cholesterol. There are several schools of thought regarding diabetic patients and you should follow the dietary guidelines prescribed by the attending doctor when working with patients who need such diets.
Given that there are a number of different ways in which food must be prepared for those with modified diets, it’s important to understand the different ways that food can be prepared for these complex modified diets. Chopping, mashing or grinding – In all three cases, these basically involve taking whole foods and breaking them down into smaller pieces. It is important to remember that when working on mechanically altered diets that certain issues may come up. Loss of Appeal—Often, pureed or mashed foods lose their appeal for your patients and must be dressed up in some way to ensure that they will still want to eat them. Loss of Nutrients—Because pureed food requires significant cooking time, nutrients may be lost in the process of preparing the foods. Keep Things Clean—In all cases, all equipment used to process food for your patients modified diets must be kept absolutely clean. If so, please join our community of readers who receive exclusive monthly health aide training tips, and get FREE ACCESS to our Career-Fit Test! The need for Health Aides in the United States has never been stronger – it is a great time to be considering it as a career! Although the field trip for archaeologists to the Neolithic tombs of the Vexin region, northwest of Paris, didn't start with a murder, it got off to a bad start.
Having much to learn, Ia€™d enthroned myself in the front row to drink in new landscapes before hea€™d even boarded the bus, and been happily surprised when the greatest authority on local mortuary customs at the dawn of agriculture sat in the guidea€™s seat, between me and the driver.
Still, there was a certain satisfaction in bagging such nervy and exotic game as myself, so he let us off with a duel of barbed wit, which I fought sportingly, though it was prudent to lose. After crawling into the chamber where the deitya€™s wards had lain pell-mell in her community of death, the pensive company returned to our vehicles mulling ancient profundities - only to be confronted by a vigilante furiously scribbling down license plates.
We all scrambled aboard the coach and ogled the altercation through its tinted windows like cowed aquarium fish, to see if our guide could save the day again. The accumulation of events was growing so bizarre that it smelled fishily like fate was ripening aboard our bus like a heady cheese.
The next two visits to mortuary monuments were actually uneventful (if you don't count the fact that the bus drove away at the first one so as to give any gendarmes a moving target, and that inventive vandals had painted and fired upon a bulla€™s-eye dead center on the standing stone at the end of the second covered alley). When the band poured out onto the shoulder on the plateau above Presles-Courcelles in the Oise region and began consulting maps, I struck out ahead.
Our guide caught up and I asked him if hea€™d probed the land that had recently become an adjacent golf course before giving authorization for the bulldozing, which had scalped the area. But afterwards, when the archaeologists began bringing the relics out of storage, they were told the space was no longer theirs. As we entered the woods, we crossed a low earthwork which I speculated might be a remnant of a Neolithic ritual enclosure, given its length, positioning, and the importance of the covered alley on the plateau's headland. Such reuse of polissoirs intrigued me, and I suspected that it was not entirely coincidental, either in France or in other prehistoric cultures. But now, the coach had to return, so everyone went off with it - except five diehards who were not about to quit while we were so close to the biggest Neolithic edifice in the region: a covered alley called the Pierre Turquaise, which hunkered in the forest just across the valley.
Mulling such raw notions, I announced I could find my own way to a train station and, splitting from the group, set off through the forest to relocate a row of giant slabs that Ia€™d found years before in a mound of irises. Please click on the following thumbnail photos, which Ia€™ve used as icons, to see the web pages or PDFs described in the captions.
This article is the first of two about engravings at a megalithic complex around a menhir, which is known variously as le menhir du Paly, la Pierre Droite and la Pierre du Paly, where I discovered a face on the east face and fingers and other anthropomorphizing features of a motif on the west face that had previously been interpreted as a Christian cross.
PDF: An historic sign, possible Mesolithic menhir, DStretch, and problems in dating rock art to the Sauveterrian in the Massif de Fontainebleau. PDF: This article, which revealed the existence of a huge, plumed, Neolithic face on a stele at Le Closeau, Nanteau-sur-Essonne, France,A  appeared in Art Rupestre in July 2013. PDF: The First Paleolithic Animal Sculpture in the Ile-de-France and its Ramifications - Accepted for presentation at the IFRAO Congress on Pleistocene art of the world, 6 - 11 Sept.
Us Weekly really likes to do celebrity diet stories and we really like to look at celebrity diets and other health and wellness practices and see if they’re medically sensible and realistic. One key to success of any diet and exercise plan, or any other habit you’re trying to change for that matter, is accountability.
AboutWe are a wife & husband team of physicians who have trained and taught at some of the top medical schools in the country including Harvard, Johns Hopkins and Washington University in St. Our mission is both a journalistic and educational one: by reporting on common diseases affecting uncommon people, and including the medical facts behind the headlines, we provide a dynamic collection of Teachable Moments in Medicine™ to increase health awareness and medical knowledge.
We give you the medical facts behind Hollywood's health headlines plus information that empowers you to achieve your health and wellness goals. Our pureed soups are high in protein and energy dense, containing more than 12g of protein and 250 kcal.
It gives rise to an internal environment conducive to disease, as opposed to a pH balanced environment which allows normal body function necessary for the body to resist disease. For example, a patient suffering from chronic high blood pressure may be advised to decrease the amount of sodium in the diet. For example, some patients may need to have in increase in the amount of protein they take in.


For example, some patients may require a gluten free diet which means ensuring that all wheat based products are specially prepared to be gluten free. This is often the case when patients have trouble chewing or swallowing due to injury or old age. Generally this means avoiding fat (low fat milk, lean meat and chicken, etc.) and checking the nutrition labels on prepared foods to ensure that cholesterol levels are kept to a minimum. The American Diabetes Association for example includes a series of exchanges where specific amounts of different kinds of foods are allowed to be eaten in order to keep a balanced diet.
You need to take this into account when preparing foods while at the same time keeping track of the caloric requirements of your patients.
This means for example that you must be careful to wash equipment once you’ve used it and not allow it to sit and dry.
As the coach veered onto a highway, some of the prehistorians in the back yelled that the box with our food was still on the curb. A tattered gamekeeper had nabbed me along with a friend and herded us through rows of sprouts towards a Jaguar hidden within a tree line, mumbling that he had to do it because his lord had his binoculars trained on us.
Here, in relief, were the Neolithic goddessa€™s eroded breasts and necklaces: one of a long series of female supernaturals who had reigned in various emanations from the Atlantic to the Fertile Crescent from the Aurignacian, 35,000 years ago, to at least the end of the Neolithic, 4,500 years ago, and even later on island redoubts in the Mediterranean. Finally, he seemed to win us a moment's grace - or at least a head start - and jumped aboard, spurring the driver to step on it, while leaning forward, gripping the rail. The coach brushed crops aside as it trundled incongruously along lanes too narrow for its chromed monstrosity, but so much isolation and verdure promised safety from civilization's sour notes. Everyone grinned uneasily and began to exchange egregious wisecracks, breaking the last ice between us. The chateau from which Rommel had directed Nazi counter-attacks during the Battle of Normandy loomed above the sliver of a town on la Roche-Guyon a€“ Guyon Rock. Basically, though, we were able to concentrate again on faint engravings, constricting budgets, dating cultures and splitting archaeological hairs, and, so, wea€™d recovered some of our air of professionalism as we headed for the last stop, a complex of three covered alleys that had become my own stomping ground. Over here I'd found a polished axe crackled by an ancient fire, and, there, that whitish spot in a field was a fossil outcropping. I just wondered because I'd checked the gouged and banked devastation and quickly happened upon a big celt and other refined tools a stone's throw from the megalithic tomb in the adjacent forest - in other words, precisely where Ia€™d expected a habitation site.
Speculating further, I inquired if he'd ever checked these woods for other megalithic tombs.
For example, polishing basins are still visible on the backs of some of the largest Olmec heads, clearly showing that the heads were not made out of random boulders or blocks which had been quarried to order, but may have been reused polissors which had already acquired importance. Its megalithic chamber is so big that an 18th century nobleman used it as a kennel for his pack of hounds. Because France was already negotiating with Iran and sought to quash non-lethal incidents that might exacerbate the public's fury? How perverse we moderns are, I thought, with our brutal ideologies, gloating secrecy, and hypocritical compassion.
These observations, which are split between the two articles, proved this articlea€™s contention that the motif was actually a cruciform Neolithic a€?idola€?. This article is the second of two papers about engravings at a megalithic complex around le menhir du Paly. After comparing the iconography of statue-menhirs from Guernsey to Switzerland, it concludes that the Closeau stele may be one of the oldest ones in France. In these cases, it’s very important to ensure that your patients are still getting the necessary nutrients in their diets so that they will remain healthy. When handling raw meat, remember that wood cutting boards will absorb the liquids from the meats and so should be avoided. The bus lurched to a halt and the areaa€™s chief archaeologist darted from the seat beside me to face down trucks and retrieve our picnics. The vigilant aristocrat was costumed in "country" tweeds and accosted me with matching hauteur and severity, only to be caught off guard by my foreign accent, smiling greeting and stretched hand - such blithe innocence and egalitarian presumption! The images of these supernaturals range from a few dozen 25,000-year-old Gravettian a€?venusesa€?, such as the famous one from Willendorf, to the stocky matrons of Catal Huyuk and Malta, 20,000 years later - and yet such feminine imagery is so rarely found at French Neolithic sites that this was a treat. That ancient military road had once strung together a series of Roman farms, which had vanished except for concentrations of shards. Our plastic trays laden with roast beef, grated vegetables and mounds of mayonnaise were laid out on a parapet. He looked downcast and explained that the political pressure had been so intense that he hadn't even dared enter the property.
We crept through and squatted under one of the tomb's slabs to run our fingers along silken grooves and basins.
In fact, the reuse of polissoirs in Neolithic cultures reminded me of the way Christianity built on the site of Roman temples or the way Islam converted the Aghia Sophia cathedral into a mosque. Night fell as I stood on top of what I hoped was a still untouched monument from the depths of time. The paper goes on to describe a Neolithic frieze, which I found in a nearby cave (Butte de ChA?tillon 5). After announcing the discovery of fingers, which confirm that a cruciformA  motif on the menhir is really an anthropomorph, and not a Christian cross, it goes on to reveal other discoveries and interpret the a€?idola€? in relation to the sitea€™s possible structure and uses.A  The paper speculates that the circle composed of nine white dots, which seem to form the anthropomorpha€™s belly, could represent the nine lunar months which occur between a womana€™s last period and a full-term birth. Some of the commercial diets, such as Jenny Craig® and Weight Watchers®,  make you accountable to a personal coach or a peer group of other dieters.  Another method is to be accountable to yourself by using a food journal or diet diary. When excess acids must be neutralized our alkaline reserves are depleted leaving the body in a weakened condition. You also need to check the nutrition information on all prepared foods for the total sodium content that they include. It’s also important to check on which whole foods include high concentrations of the necessary items (in the case of protein, most lean meats and poultry will be high in protein). For example, you may need to puree fresh fruit and vegetables along with meat and poultry to make it liquid so that the food can be drunk. Diets high in complex carbohydrates and low in simple carbohydrates are also quite common for diabetic patients. Mashing food means using a fork to mash cooked foods and grinding generally means using a food processor to grind dry foods.
Further out, along the plateau's edges, the savannah of wheat also hid scatterings of flint where Neolithic camps had overlooked valleys.
In fact, he said the regional archaeological service had had an exhibit in a large chamber beside their offices and had received instructions from the local politicos at about the same time to box it up - just for the weekend. The slab was another polissoir - this time a gigantic one that had been turned upside-down! In any case, it seemed fitting that the Olmecs had transformed those most communal and utilitarian of stone artifacts - large polissoirs - into portraits of the first individuals to impose truly royal authority over their community. But why on earth would archaeologists, police and other government officials have kept so discreet about this politically inexcusable vandalism as to make it all but secret?
The panel contains such unique symbols as upside-down axes and an inverted axe surmounted by a U-shaped motif. If this supposition is correct, then the circleA  may be one of the oldest known pregnancy calendars.
Journaling has important psychological benefits and is also a cornerstone cognitive-behavioral therapy.
A pH balanced diet, according to many experts, is a vital key to health maintenance.                                                        —By permission of Dr.
Which, when flipped, turned out to have a silken polishing basin, or portable polissoir, for polishing stone axes. Obviously the tomba€™s makers had flipped it over to form the roof just as their Neolithic brethren had done at another covered alley at Janville-sur-Juine.
I wondered if there were examples of such reuse of polishing platforms in the rise of the first kingdoms elsewhere.
Not only had the terrorists committed random murder, but they had ignored thousands of square kilometers of empty fields, forests and abandoned quarries and purposefully sought out the most important local vestige of humanity's common prehistoric heritage - an edifice without any ties to our world's current ideologies and strife!
If the U is like the ones that were engraved in dolmens, where they are often accompanied by mounds which seem to symbolize breasts, then it probably represents horns or the necklace of a Neolithic a€?goddessa€?.
The article goes on to describe a number of humanly modified features on the adjacent slab, including a pair of carved and polished basins, which probably began as solution cavities. A lucky few gnawed morsels off the tips of their jackknives - but the rest of us had to prune twigs from the municipal plantings and whittle chopsticks. I thought of it as the perfect tool for a couple: at the risk of stereotyping prehistoric sexual roles, a Neolithic woman could have ground grain into gritty flour on her side of the same stone that her men-folk polished their axes. As far as I was concerned, the Iranians could talk all they wanted about exacting revenge and exerting pressure on France to stop aiding Iraq during the Iraqi-Iranian War, but this had nothing to do with that. The polishing may have been done to modify the shapes of the puddles, which form in them and double as mirrors of the sky. Soon we were eating Chinese-style and climbed back on the bus like a plague of locusts, having stripped the bushes.
I had noticed from examining fragments that such dual use of sandstone slabs had been so common as to be almost the norm, and fantasized that such tools might have meant as much as wedding rings.


These terrorists had shown their scorn for any notion of human community by destroying the most imposing evidence they could find of a past that predates all modern hatreds and anchors everybody to common roots.
The puddle that forms in the larger one becomes almost perfectly circular, while the one in the smaller basin varies between an oblong and disc, depending on its depth, making it look like a changing moon.
Eating a healthy diet and staying alkaline has been known to reduce the itching sensations caused by Morgellons.
The smaller of these cavities, whose water flows to the larger one, also has four natural cracks, grooves, and accentuated cracks, which correspond perfectly to the four cardinal points, forming a cross. All he did was make it painfully clear that nobody but nobody was going to take a step forward. The second and larger of the polished bowls has an incision pointing due north, two natural cracks pointing east and west, and one heavy and two light incisions pointing northwest to 300 and 330A°. The article goes on to discuss an oriented grid and other engravings at this crucial site for interpreting the Neolithic iconography of northwestern France. If this plot had been written by Agatha Christie, the constabulary would have rounded up the whole scruffy lot of us and quarantined our band in a chateau, even as the perpetrator continued to strike, reducing our numbers, until some shrewd detective or coolly analytical archaeologist broke the case while there were still enough suspects to make it worth his while.
If you had a swimming pool, you'd want to raise the pH above 7, otherwise bacteria would thrive in it.
When the same test was repeated with alkaline urine he saw micro fibers in it, the difference being was that these micro fibers did not grow any further. Having run these tests numerous times and achieving the same results we can deduce that maintaining an alkaline state will slow fiber growth way down. He gets into all the specifics needed to understanding pH balance such as the proper proportions of foods to prepare and what happens to a body when it is acidic, as well as how much protein your body needs based on your weight.
You might be pleased to find out that getting proper Vitamin D and balancing your pH will impact your health in ways you never imagined such as minimizing arthritis, decreasing the risk of diabetes, heart disease and cancer.This from Dr. A chronically over-acidic pH corrodes body tissue, slowly eating into the 60,000 miles of veins and arteries like acid eating into marble.
If left unchecked, it will interrupt all cellular activities and functions, from the beating of your heart to the neural firing of your brain. There is even a device called a pH meter that one can use with urine.Each kit has its own color chart. By comparing your sample to the color chart, you will be able to determine easily your current state of pH balance.At first, you'll want to do this 4-5 times a day (I try to test with each bathroom run) to get a sense of how fast the body is affected after eating and to correct any shifts so you stay as evenly as possible in an alkaline zone.
Although we are aiming for an alkaline body, that does not mean that you should eat only alkaline foods. It's all about finding a balance between the two.Some people have difficulties maintaining proper pH just using diet. Include high alkaline foods like lemon, apple, kale, watermelon along with other alkaline fruit and veggies.Another way to attain alkalinity is with the 'biofilm buster'. It will begin fizzing and rising—do not stir, otherwise it will react like warm champagne in a shaken bottle, foaming out of the cup!
You can see my live blood microscopy page for some of Rick Panson's (health coach and microbiologist) recommendations as well.What foods can I eat?Keep it simple. Many processed foods contain genetically modified (GMO) ingredients and they are not labeled, so you can't know if you're ingesting them.
You'll want to eliminate your exposure to these GMOs as there is enough evidence to show they are bad for one's health.
Read Jeffrey Smith's "Seeds of Deception" or watch his documentary "Genetic Roulette – The movie." He is pretty much the go to source for current info on genetic modification which little as it's been tested, is being linked to all kinds of health issues. More on GMOs below.If you have Candida or a fungus problem, you might want to monitor how much, if any, fruit you consume. In a healthy state you can shift the balance to 70% fruit and vegetables to 30% protein.Eat organic if you can. Many Morgellons sufferers are dealing with oxidative stress and trapped toxins in the body that they can't get rid of.
While they are good for you if you are not allergic, too much will bring your body into acidity. Make sure if you are buying pre-packaged organic beef that the label includes grass finished, since the animal may have been grass fed, but fattened before going to market with GMO corn. Additionally, it is anti-viral, anti-fungal, anti-bacterial and anti-parasitic, touching on all things Morgellons sufferers are dealing with. Unlike other oils it tolerates higher heat without causing oxidation and free radicals (which are cancer causing).An added benefit is that coconut oil is converted to energy immediately and is not stored as fat like other oils. Coconut oil has no cholesterol and is a great source of medium chain fatty acids which helps lower the risk of atherosclerosis and heart disease and one study found it to help with dementia.
It is also a rich in the antioxidant beta-carotene and the essential fatty acid gamma linolenic acid (GLA) that is found mostly in plant-based oils. Omega-6 fatty acids play a crucial role in brain function as well as normal growth and development. It is high in Chlorophyll which is believed to soothe inflammation and normalize digestion of amino acids.It comes in two forms, powdered and pills. Seaweed and KelpKelp is a good source of protein along with potassium, iron, B6 and dietary fiber. Mercola pointed out that kelp, like fish, might be carrying heavy metals—a point I hadn't thought of. It contains 18 amino acids, 8 essential amino acids, essential fatty acids, and is high in vitamin C and beta-carotene.
In fact, chia seeds have the highest known whole-food source levels of Omega-3 acids, as measured by percent of weight.• ?Rich In Antioxidants. Chia is a great natural source of antioxidants, including chlorogenic acid, caffeic acid, myricetin, quercetin and flavonols.• Full of Important Nutrients. Chia is an excellent source of calcium, phosphorus, magnesium, potassium, iron, zinc and copper.
About five percent of this fiber is soluble, which can help reduce cholesterol.•  Builds Endurance.
Chia builds stamina and endurance because it steadily releases slow-burning glucose into the bloodstream.• ?Gluten-Free. Since essential amino acids are not produced by the body, it's important to get amino acids from nutrient-rich sources like chia seeds. Research suggests leucine may help regulate blood sugar levels and aid in muscle recovery after exercise.• ?Stays Fresh. Chia seeds stay fresh for24-36 months when stored in proper conditions (cool and dry).?  Gut Health?From Dr.
Moreover, your gut literally serves as your second brain, and even produces more of the neurotransmitter serotonin—known to have a beneficial influence on your mood—than your brain does, so maintaining a healthy gut will benefit your mind as well as your body.Fermented foods are also some of the best chelators and detox agents available, meaning they can help rid your body of a wide variety of toxins, including heavy metals. Caroline recommends beginning with very small servings and working your way up to the quarter- to half cup serving size.
The innate intelligence of their bodies tells them to eat more cultured foods because they're in such a state of dysbiosis.
For those that have limited budgets and can't afford high-end probiotics, this is a great way to get beneficial bacteria into your system.
To weight it down, I'm using a ball shaped crystal, but a glass paperweight would work too.
If using a metal screwtop on the jar, make sure that the liquid covering the vegetables stays 1 inch below the lid, otherwise it might corrode the lid.
Remember, fermenting vegetables give off a gas that needs to escape, so lightly screw on the top which will allow trapped gas to leave. Mercola suggests opening a probiotic pill into the mixture or using juiced celery instead of salt to ferment.
These beneficial bacteria produce helpful enzymes as well as antibiotic and anti carcinogenic substances. Most of the processed food in supermarkets contains some derivatives of corn or soy—yet another reason to eat unprocessed food.
To learn more about genetically modified seed and why it is so bad for you read, Seeds of Deception or Genetic Roulette, by Jeffrey Smith. Occasionally they run it for free on his site so it pays to get on his mailing list and they will notify you. Wahl who was crippled and in a wheelchair from Multiple Sclerosis shares what she learned about diet and how she was able to reverse and heal her illness. If she could accomplish such a spectacular feat as this, what might this diet do for the Morgellons sufferer?



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