NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.

NUR 513 Topic 6 DQ 1

Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Identify the criteria you would use to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria?

Re: Topic 6 DQ 1

My evidenced-based project idea focuses on implementing a community education program that focuses on prevention in regard to stroke risk factors. When implementing any new program, it’s imperative to gather evidence and analyze how it can improve patient outcomes, health policies, service and programs as evidence allows for increased accountability (DeNisco & Barker, 2016). When gathering evidence for any project it’s important to understand different types of research and the different levels of evidence (Glasofer &Townsend, 2019).

Evidence strength is dictated by three key characteristics, quality, quantity and consistency (Glasofer &Townsend, 2019). When selecting research for any topic it should be quality research that has results that are valid and not influenced by biases or occur by chance (art). Quantity can be evaluated by identified the number of studies on said topic, the size and population of the studies and the impact of the treatments (Glasofer &Townsend, 2019). Consistency is when results that are similar are found across a few different studies (Glasofer &Townsend, 2019).

When selecting research for my topic I would typically select research topics that are considered level on in the hierarchy of evidence. These are RCT, systematic review of an RCT and metanalysis if an RCT (Glasofer &Townsend, 2019). Under this topic I would likely consider including a mixture of quantitative and qualitative research. When working with prevention practices its important to understand how behavior plays a role in changing health practices and that why it’s important to analyze qualitative research in addition to quantitative.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.  Reference

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Glasofer, A., & Townsend, A. B. (2019). Determining the level of evidence. Nursing Critical Care, 14(6), 22–25. https://doi.org/10.1097/01.ccn.0000580120.03118.1d

RESPOND  HERE (150 WORDS, 2 REFERENCES)

This is insightful Meagan, the implementation of the new research program requires collection and analysis of evidence to improve patient outcomes as well as increased accountability. Understanding different forms of research and levels of evidence are critical in enhancing the validity, reliability, and applicability of the research and evidence-based practice processes. When selecting the research process, it is necessary to consider the level of evidence. Levels of evidence, sometimes called the hierarchy of evidence, are always assigned to the studies on the basis of methodological quality of their validity, design, as well as applicability to patient care (Glasofer & Townsend, 2021).

A combination of qualitative and quantitative research processes is always required to enhance the research processes’ effective outcomes. Quantitative research designs require adherence to the data collection and analysis processes. The quantitative approaches are necessary for ensuring the establishment of valid, reliable, as well as applicability of the research outcomes (Bansal et al., 2018). To select a viable research study process, it is necessary for the researcher to consider the hierarchy or level of evidence.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.  References

Bansal, P., Smith, W. K., & Vaara, E. (2018). New ways of seeing through qualitative research. https://doi.org/10.5465/amj.2018.4004

Glasofer, A., & Townsend, A. B. (2021). Determining the level of evidence: experimental research appraisal. Nursing2021, 51(1), 60-63. https://journals.lww.com/nursing/Abstract/2021/01000/Determining_the_level_of_evidence__Experimental.15.aspx

Re: Topic 6 DQ 1

My idea from Topic 5 DQ 1 was workplace violence (WPV), and my initial topic was much too broad. Before finding the best current evidence, I need to identify a specific clinical problem to best search for an answerable question (DeNisco & Barker, 2016). Using the PICOT template: population, intervention, comparison, outcome, and time, will help create that searchable question.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 513 Topic 6 DQ 1 

Population: Healthcare Workers

Intervention: Education and Training

Comparison: Workplace Violence

Outcome: Prevent or Minimize

Time: 1-year Period

The next step is searching. I recommend a good starting point in PubMed, mostly because articles are specific to nursing and many are free to access. My organization allows access to the commonly used databases such as the Cochran Library, CINAHL, Medline and is a benefit to avoid paying fees for full review articles.  GCU library also offers students access to these same resources.

After obtaining multiple sources of evidence, critical appraisal or grading evidence is next, from the strongest to weakest evidence (DeNisco & Barker, 2016). The gold standard and strongest evidence is a meta-analysis of randomized controlled trials or clinical guidelines based on systematic reviews. Evidence sources may include qualitative or quantitative studies, reviews or clinical expertise, or patient preferences and values. The need is to quickly determine whether it is valid evidence and applicable to practice. Critical appraisal tools exist and ask specific questions based on the methodology or design of the study you are evaluating. Besides validity and usefulness, other criteria to assess include when last updated, clinical context and environment, and patient values and preference. One of my personal favorites, UpToDate, uses a graded approach, 1A being strongest whereas, 2C means a weak recommendation to use an intervention based on both quality of the evidence and patient preference.

Inquiry and asking the best clinical question in a PICOT format is critical to searching and finding the best evidence. Appraising the evidence and integrating this with patient values and preferences is necessary to make evidence-based-practice decisions within nursing.  My Cochrane Library search resulted in very low-to low-quality evidence, with the common databases searched and seven studies being included. There is limited evidence that some interventions might reduce aggression toward healthcare workers (Spelten et al., 2020).  April is National WPV Month and a great place to start to recognize that more research is needed. I recognize I need more experience in this process too.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.  References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: essential knowledge for the profession. Jones & Bartlett Learning.

Spelten E;Thomas B;O’Meara PF;Maguire BJ;FitzGerald D;Begg SJ; (2020, April 29). Organizational interventions for preventing and minimizing aggression directed towards healthcare workers by patients and patient advocates. The Cochrane database of systematic reviews. https://pubmed.ncbi.nlm.nih.gov/32352565/.

RESPOND TO BARBARA HERE

This is insightful, Barbara, consideration of the PICOT question is necessary for undertaking different research processes (Abbade et al., 2016). Also, it is always necessary to identify the ideal sources of information such as databases that may be applied in supporting the research process. Most of the databases contain essential forms of information that may be applied in addressing various aspects of the project. CINAHL, Cochran Library, and Medline are some of the databases that can be applied to review some of the best sources of information that can be used to authenticate the information required in the research processes.

The quality of research processes often depends on the levels of evidence (Glasofer & Townsend, 2019). The level of evidence is always assigned to the studies on the basis of methodological quality of their validity, design, as well as applicability to patient care. To better develop a quality, reliable, valid, and applicable research process, sticking to the PICOT question is necessary. In other words, different researchers need to consider the PICOT question in ensuring the achievement of quality outcomes.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article. References

Abbade, L. P., Wang, M., Sriganesh, K., Mbuagbaw, L., & Thabane, L. (2016). Framing of research question using the PICOT format in randomised controlled trials of venous ulcer disease: a protocol for a systematic survey of the literature. BMJ open, 6(11). https://bmjopen.bmj.com/content/6/11/e013175.short

Glasofer, A., & Townsend, A. B. (2019). Determining the level of evidence. Nursing Critical Care, 14(6), 22–25. https://doi.org/10.1097/01.ccn.0000580120.03118.1d

GINA

Re: Topic 6 DQ 1

My evidence-based practice would be centered around the utilization of new technologies by bedside nurses. I would do a literature review of peer-reviewed studies to further investigate this issue. Then I would develop a framework and intervention with said technology that could be both quantitatively and qualitatively measured. Both quantitative and qualitative data would be important because it would be necessary to study the numerical data regarding technology use, and it would also be important to know both nurse and patient responses to interventions, which could be gathered through surveys, questionnaires, and interviews. When researching, data would have to be recent, within the last five years, peer-reviewed, with adequate sample sizes. DeNisco and Barker say it best, “Not all evidence is created equal, and there is a need to use the best available evidence,” (2016, p.465).

Peer-reviewed research is essential, because it helps maintain the quality of the research. Critical appraisals of research by other academic minds can both validate, provide transparency, ensure professionalism, academic integrity and ethically conducted research (Kelly, et al., 2014). Additionally, research should be recent. Just like the rest of the world, data ages and isn’t always applicable as people, the world, the population, and societies adapt and change. You want sources that reflect the newest and most up to date research available. And finally, data in research can be easily statistically manipulated, so sample sizes matter. If a sample size is too small, it often holds less statistical significance and cannot often be used to generalize to a population.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article. References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Kelly, J., Sadeghieh, T., & Adeli, K. (2014). Peer review in scientific publications: Benefits, critiques, and a survival guide. EJIFCC, 25(3), 227–243. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975196/

RESPOND  HERE

This is insightful, Gina; in general, the application of technology is on the rise, which calls for increased research processes to enhance the understanding of different ways to integrate technological approaches in the research processes (Spelten et al., 2020). The utilization of technology by the bedside nurses is critical in ensuring quality treatment outcomes and patient safety. Usually, the integration of technology in the healthcare processes reduces the errors associated with general care. The literature review is essential in the study processes because it enhances the understanding of past research outcomes that may be applied in addressing some of the research processes’ aspects. In the research process, it is also necessary to consider qualitative and quantitative research approaches to enhance the achievement of valid, reliable, and applicable research processes (Bansal et al., 2018). While undertaking a literature review, it is necessary for the researcher to consider different databases that have authentic, reliable, and applicable sources of information that can be utilized in identifying the required information.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article. References

Spelten E;Thomas B;O’Meara PF;Maguire BJ;FitzGerald D;Begg SJ; (2020, April 29). Organizational interventions for preventing and minimizing aggression directed towards healthcare workers by patients and patient advocates. The Cochrane database of systematic reviews. https://pubmed.ncbi.nlm.nih.gov/32352565/.

Bansal, P., Smith, W. K., & Vaara, E. (2018). New ways of seeing through qualitative research. https://doi.org/10.5465/amj.2018.4004

The evidence-based project idea I described in Topic 5 DQ 1 was reducing patient readmission rates via care management. The scholarly nursing research that would best support further investigation of this issue would be quantitative.  Data related to “fee-for-service” readmission rates versus “pay-for-performance” readmission rates would be a good base data set to further investigate this issue. I selected the 2018 article: “The hospital readmissions reduction program: learning from failure of a healthcare policy” from the European journal of heart failure (Gupta & Fonarow, 2018).”

The criteria I would use from the CRAAP test to evaluate the appropriateness of the research includes: currency (timeliness of the information), relevance (how well does the information relate to the research topic), authority (what is the sources of the information), accuracy (reliability and correctness of content), and purpose (why does the information exist). In the article selected, the 5 criteria of the CRAAP test relate to the selected article. The article was written in 2018 making it less than 5 years old, and appropriately current.

The information contained in the article is relevant because it is related to hospital readmission reduction programs and associated concerns. The journal in which the article is contained is a recognized professional journal with evidence-based, peer reviewed content. This supports the authority of the journal. The article contents have been peer reviewed for accuracy, and methods of analysis are described thoroughly. The purpose of the article is to provide insight into benefits, and concerns, that can arise with hospital readmission reduction programs. It is important to select research that meets these criteria because they provide guidelines for ensuring high quality data is included when investigating existing research and basing further investigation on the merit of that information.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.  References

Gupta, A., & Fonarow, G. C. (2018). The hospital readmissions reduction program: learning from failure of a healthcare policy. European journal of heart failure, 20(8), 1169–1174. https://doi.org/10.1002/ejhf.1212

New Jersey Institute of Technology. (2022). How to evaluate information sources: CRAAP test. https://researchguides.njit.edu/evaluate/CRAAP

The evidence-based practice project idea that I described in Topic 5 DQ 1 is that public health nurses needed to be and still need to be more visible during the pandemic. Based on my initial idea, I would start with peer-reviewed resources such as articles and nursing journals written by public health experts during the initial phases of the pandemic to gather a real-time perspective of the public health nurse at the time as well as what actions they may have implemented that I am not aware of as a member of the general public. I selected an article found on The Commonwealth Fund website.

Per the website The Commonwealth Fund provides financial resources to promote independent research, on public health and to improve access, quality, and efficiency in healthcare (The Commonwealth Fund, n.d.). The specific article that I chose to assess using the CRAAP test is titled “A Strong Public Health System Depends on Making the Invisible Visible,” written in 2022 by Shanoor Seervai, M.P.P. The article has functioning links, is current and in date to my topic. The article provides relevant insight and answers to my question regarding what roles public health experts in certain parts of the country played and programs that they organized in response to the pandemic.

Unfortunately, the article focuses heavily on the medical doctor interviewed, it mentions the public health workforce but does not specifically discuss the role of the public health nurses. Ms. Seervai obtained a Master of Public Policy from Harvard Kennedy School, and her qualifications are easily verified via an internet search where there are multiple articles written by her on the topic of public health on multiple websites both scholarly and non-scholarly. Both her telephone number and email address are available. The accuracy of the information provided in the article is verifiable by doing an independent search for the organizations, people and or events mentioned in the article such as the New York City Public Health Corps. I was unaware that this program existed and was pleased to learn about it from this article.

The article’s purpose is to inform. It looks backwards to how the public health system in America responded to the pandemic and seeks to learn from that experience to create a stronger public health system. I do feel that both the author and the medical doctor interviewed for the article do express a small amount of opinion but mainly focus on their experience and expertise on the topic. Although this is an article that passes most elements of the CRAAP test, I would use this article in addition to scholarly peer-reviewed journal articles to eliminate all personal bias and or potential financial influence.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article. References:

Seervai, S. (2022). A strong public health system depends on making the invisible visible. (2022). The Commonwealth Fund. https://www.commonwealthfund.org/publications/podcast/2022/jun/strong-public-health-system-depends-on-making-invisible-visible

The Commonwealth Fund. (n.d.). https://www.commonwealthfund.org/

The evidence-based practice project idea that I had the idea of doing research on is a major problem in healthcare in general is infection control but specifically central-line associated bloodstream infections (CLABSI). According to the Arizona Department of Health Services CLABSI’s are the most serious of all healthcare-associated infections- causing thousands of deaths each year and about $700M in added costs and 25% of people that get them die from them (2022).

The type of scholarly nursing research that I think would be required for further investigation on this issue is quantitative and peer-reviewed methods. The article that I selected related to my topic of CLABSI prevention is Quantitative Results of a National Intervention to Prevent Central Line–Associated Bloodstream Infection. It is important to perform a CRAAP test and make sure that the research I select meets the criteria because It will lead to more accurate research on my end as well as improve relevance. This test considers currency, relevance, authority, accuracy, and purpose when evaluating articles (New Jersey Institute of Technology, 2022).

Using the New Jersey Institute of Technology Library CRAAP test, I will evaluate the appropriateness of the research. When it comes to currency this source was published in late 2019 and I feel like the information is very timely. This article is very relevant to my research question and meets my needs. The CDC funded the study as well as the national STRIVE team that followed out the research. The authors were a group of doctors as well as nurses with master’s in public health degree and the study is in the Annals of Internal Medicine Journal.

When it comes to accuracy all of the authors involved in the research have participated in a number of other reputable research studies. I would also argue that when CDC funs a study there are many different guidelines or accuracy. The purpose of this article is for information and to figure out ways to solve a problem. The intended audience would be healthcare workers and administrators looking for better ways to improve their hospitals CLABSI rates. There is no bias present in this article and the article does show different viewpoints.

NUR 513 Topic 6 DQ 1:Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article. References

Humble, W (2022, February 23). Hospital bloodstream infection rates go online. AZ Dept. of Health Services Director’s Blog. https://directorsblog.health.azdhs.gov/hospital-bloodstream-infection-rates-go-online/

New Jersey Institute of Technology. (2022, September 8). How to evaluate information sources: CRAAP test. https://researchguides.njit.edu/evaluate/CRAAP

Patel, P. K., Greene, M. T., Jones, K., Rolle, A. J., Ratz, D., Snyder, A., Saint, S., & Chopra, V. (2019, October 1). Quantitative Results of a National Intervention to Prevent Central Line–Associated Bloodstream Infection. Annals of Internal Medicine, 171(7_Supplement), S23. https://doi.org/10.7326/m18-3533

During my research, I examined the efficacy of pre-procedure communications between surgical coordinators and pre-op nurses with patients undergoing procedures under anesthesia. I discovered that patients frequently fail to recall pre-procedure instructions, which can hurt their post-procedure recovery and increase anxiety levels leading up to surgery. After reviewing several articles and studies, it has been shown that incorporating videos can be an effective tool for educating patients and improving information retention. However, the effectiveness of pre-procedure education varies based on factors such as age, gender, race, ethnicity, and literacy level of the patient. A recent article from JAMA Otolaryngology-Head and Neck Surgery discusses the use of animated videos as part of a trial to evaluate their effectiveness in educating patients before surgery (Turkdogan et al., 2021). Although the study primarily focused on head and neck surgery patients, I believe that the results could be applied to patients undergoing various types of surgical procedures.

The study mentioned has passed the CRAAP test, indicating that it is a credible source of information. The study, published in 2021, suggests that using videos as a patient education platform can be an effective way to promote patient safety. The findings of this study could be useful for patients who are undergoing different types of surgical procedures as it highlights the importance of patient education in ensuring their safety. Educating patients about the various surgical procedures is imperative for their well-being. This can improve patient contentment and intervention efficacy, overcoming the drawbacks of conventional pre-surgical consultation techniques. The authors of this scholarly article, Turkdogan, Roy, and Chartier, are associated with the Department of Otolaryngology-Head & Neck Surgery at McGill.

The author of the article has listed their credentials, including their affiliation with respected institutions such as the McGill University Health Centre and the Jewish General Hospital in Montreal, Quebec, Canada. This demonstrates their expertise in the field of otolaryngology-head and neck surgery and nursing. Additionally, the article has been published in the peer-reviewed JAMA Internal Medicine journal, which further adds to its credibility. The primary aim of this research is to investigate whether the incorporation of multimedia tools, such as animated videos, in educating pre-surgical patients would result in improved outcomes and facilitate better recovery. The study aims to explore alternative methods of patient education and assess the potential benefits of multimedia tools in enhancing patient understanding, engagement, and satisfaction with the surgical process.

Turkdogan, S., Roy, C. F., Chartier, G., Payne, R. J., Mlynarek, A., Forest, V.-I., & Hier, M. P. (2022). Effect of Perioperative Patient Education via Animated Videos in Patients Undergoing Head and Neck Surgery. JAMA Otolaryngology– Head & Neck Surgery, 148(2), 173–173. https://doi.org/10.1001/jamaoto.2021.3765

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