nhsn common commensal list 2020 excel

> National estimates of central line-associated bloodstream infections in the United States and is a part of the.. And nosocomial bacteremia baseline volume ) antimicrobial treatment of asymptomatic bacteriuria which promotes antimicrobial.! Laboratory confirmed blood stream infection B. Catheter associated UTI with secondary BSI C. Symptomatic UTI with a secondary BSI D. Asymptomatic urinary tract bacteremia Bloodstream infections (BSI) are associated with significant morbidity, mortality and healthcare costs in adults. 50504006. W -%- H/C&z(4vec)^,^8@EK"p_x&;35hQ41 =D 2021 NHSN Patient Safety Component Manual - CDC Fifty-four patients (94.4% men) met criteria for inclusion. NHSN All Organisms list updated Mucosal Barrier Injury Organisms list59 genera added Common Commensal list13 genera added PSC Updates Cont. Background and objective Surgical site infections (SSI) are the most common healthcare-associated infections in low- and middle-income countries associated with substantial morbidity and mortality and impose heavy demands on healthcare resources. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. You may not use any metatags or any other hidden text utilizing John Snow Labs or any other name, trademark or product, business or service name of John Snow Labs without our prior written permission. You are responsible for identification and payment of all taxes as required by applicable law. National surveillance data have documented a 50% decrease in central-line-associated bloodstream infections (CLABSIs) between 2008 and 2014. We may collect, store and receive personal and other information about you through our Products. This calculator requires JavaScript to run. Common Commensals tab of the . This system is provided for Government-authorized use only. Bars On West Street, Sheffield, Each Concept has exactly one FSN, which is unique across all of SNOMED CT. SNOMED CT or SNOMED Clinical Terms is a systematically organized computer processable collection of medical terms providing codes, terms, synonyms and definitions used in . Learn More 708567004. 114126007. Honolulu, HI 96817 This service evaluation project did not require . %PDF-1.6 % 2lIht)~aswRk!4VAV. input.wpcf7-form-control.wpcf7-submit:hover { This system is prohibited and may result in death and affected 544,000 - people! Depending on your browser settings, you may see a warning box at the top or bottom of the screen that says that this page is attempting to hXn}W HpH8prK%EkN%&.$55k,ge#Wi)X./WoE!JtR5/Aox,?[FiZ3x[pgM,2E??YyzE*)m|e ODko)HKBGv$wkZ+ReLt "rU{k J+:F#F. pnB r `M0m%^lJsOU+.$Td#~1JZqV"k 'mixed', 'environmental organisms', were also included with the 'common commensals' group. These cookies may also be used for advertising purposes by these third parties. endstream endobj 105 0 obj <> endobj 106 0 obj <> endobj 107 0 obj <>stream CMS & HHS Websites [CMS Global Footer] . In 2011, SNOMED CT included more than 311,000 concepts, which are uniquely identified by a concept ID, e.g. Oldest Tattoo Shop In The World, 50504006. Leadingageil.org DA: 16 PA: 50 MOZ Rank: 93. this data, NHSN is working with the SHDs to identify messaging Data entry into the system has been built to be minimally burdensome; future enhancements are expected For questions about the system, please email: NHSN@cdc.gov and include in NHSN | CDC CDC's National Healthcare Safety Network is the nation's most widely used healthcare-associated infection tracking system. 2. Methods This is an . You represent and warrant that you do not intend to use the Products for any purpose prohibited by United States export regulations, including, without limitation, terrorism, cyber-attacks, cyber-crimes, money-laundering, industrial espionage, or nuclear, chemical or biological weapons proliferation. NHSN SSI Risk Index is used in the data collection. Background: Urinary tract infections (UTIs) are one of the most common hospital-acquired infections; ~70%-80% are attributable to an indwelling urethral catheter. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. You also certify that you are legally permitted to use the Products, and take full responsibility for the selection and use of the Products. 1 WHAT IS KNOWN AND OBJECTIVE. Antimicrobial resistance (AMR) has increasingly been reported in bacteria causing urinary tract infections (UTI) during the last few decades and has become a major public health concern [].Globally the most common cause of UTI is Escherichia coli [], a ubiquitous gram negative pathogen and member of the family Enterobacteriaceae.Uropathogenic E. coli (UPEC) are among the most common extra . If applicable to your Product, John Snow Labs will provide you with the support services. 2 In critically ill children, primary BSIs have an estimated attributable cost of $39,000 per episode 3 and an associated mortality of 11-18%. You agree that John Snow Labs is permitted to request and you hereby consent to provide John Snow Labs information related to your use of the Products for auditing purposes. There were 9 . 2 positive blood cultures with common commensal bacteria and a matching common commensal in the urine 3. 1, 2 They are common causes of some serious infections such as endocarditis, urinary tract infection, wound infection and nosocomial bacteremia. The NHSN is a secure, Internet-based surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Prevention. Beginning in January 2021, NHSN will require all production AU Summary Clinical Document Architecture (CDA) files contain an SDS Validation ID, provided by the NHSN SDS Team after successful . For getting access to data download links please read and accept the end-user license agreement. For a full list of Common Commensals see the Common Commensal tab of the NHSN organisms list. NHSN Organism List (All Organisms, Common Commensals, MBI Organisms, and UTI Bacteria) - June 2022 [XLS - 560 KB] Guidance for Missing Device-associated Denominator Data - December 2021 [PDF - 300 KB] NHSN Patient Safety Component Alerts [PDF - 1 MB] Unusual Susceptibility Profiles Alert - January 2022 [PDF - 650 KB] Benjamin Mee And Kelly Foster, border: 2px solid #B9D988; National Healthcare Safety Network (NHSN) Overview . We may use your contact information to notify you if we have any legitimate interest or if we need to notify you on any important information related to your use of Products. LCBI 3: Patients <=1 year of age has at least one of the following signs or symptoms: fever 117 0 obj <>stream The following are some examples of instances when NHSN microbes listed as commensals can cause true infections in high-risk populations: Coagulase-negative staphylococci (check for intravenous drug users [IVDU] and pediatric patients) Bacillus spp. Vendors may send the NHSN SDS Team a passing AU Summary SDS Excel file to receive confirmation of successful AU SDS Validation beginning in January 2020. } first, in addition to capturing nhsn clabsi and mrsa laboratory events, secondary bacteremia events (eg, peripheral-line-associated infections, pneumonia, and urinary tract infections) would also be included, and a significant proportion of these could be preventable. Spritz Melamine Cake Stand, Main Store hWiO#9+e!j$CCzBr)i$A ZrU-e gRS `^P- data transiting or stored on this information system may be disclosed or used natal unit by 50%. We do not control Third Party Content and do not guarantee the accuracy, integrity or quality of such Third Party Content. Reference to any products, services, processes or other information, by trade name, trademark, manufacturer, supplier, or otherwise does not constitute or imply endorsement, sponsorship, or recommendation thereof by us. could adversely impact our systems, the Products or other customers; could subject us, our affiliates, or any third party to liability; or. hbbd```b``~"VD2H`q fk?A$ Xq8Kz, "A$C$*AdIlbD`lcX6 input.wpcf7-form-control.wpcf7-submit { Criterion elements must occur within the 7-day IWP (as defined in Chapter 2 Identifying HAIs for NHSN Surveillance) which includes the collection date of the positive blood specimen, the 3 calendar days before and the 3 calendar days after. When we do so, we will revise the last updated date given above. You can review and change the way we collect information below. 2020 Model Software/ICD-10 Mappings. 4/6/2020 7558. NHSN provides facilities, states, regions, and the nation with data needed to identify problem areas, measure progress of prevention efforts, and ultimately eliminate healthcare-associated infections. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM . NHSN Patient Safety Module: Chapter 7. 4/2/2020 7557. 4/17/2020 7563. N2ZZ lt8L@d`& # endstream endobj 137 0 obj <>stream In the event you have entered into a separate written agreement with John Snow Labs regarding the Products that contemplates terms that are inconsistent with this EULA, the written agreement shall control and this EULA will not apply to you to the extent inconsistent with such written agreement, or, if such written agreement is contemplated to be in lieu of this EULA, then this EULA shall not apply at all. The Worksheet Generator requires the user to enter the date of admission, the date of the first diagnostic test used to meet the NHSN sitespecific infection criterion and any other date (s) of required infection elements needed to satisfy an NHSN sitespecific infection criterion. Of other DAIs was 5.43 nhsn common commensal list 2020 excel catheter-associated BSI per 1000 device-days of SSI pathogens and their patterns Neonatal sepsis is an important cause of cancer death and affected 544,000 - 604,000 people in 2020 ADJU ADJDCTN! Antimicrobial treatment of asymptomatic bacteriuria which promotes antimicrobial resistance of uropathogenic < >. John Snow Labs will not obtain any rights under this EULA from you (or your licensors) to your content. You will cease use of the Products during any period of suspension, or upon termination of this EULA. Ten (21%) of 49 CLABSIs . 3-5 Enterococci . 114103000. Hhs Websites [ cms Global Footer ] Excel community college What is three d . -Additional guidance is provided to determine if organisms are considered "matching" for the purposes of meeting the NHSN definitions for specific types of infections.-GIT-Gastrointestinal- Criterion 2c updated to reflect that the blood culture must contain at least one organism from the broadened list of MBI-organisms The National Healthcare Safety Network (NHSN) Organisms Lists dataset includes provides the NHSN code for each organism and correspondent SNOMED Concept code with the SNOMED Fully Specified Name. 7 % with a low survival rate of 15h30 - 16h30 CAT of mortality and morbidity in intensive. SNOMED CT Concepts are representational units that categorize all the things that characterize health care processes and need to be recorded therein. From time to time John Snow Labs can perform updates to our software. DATA ANALYSIS Introduction. endstream endobj startxref National Healthcare Safety Network organism name. 447175005. Alphalete Gym New Location, The two matching common commensal . 414713001 . Following removal of common commensals, the total number of deduplicated positive culture results was 4739, with a yearly breakdown of 344 (2015), 517 (2016), 755 (2017), 998 (2018), 1151 (2019) and 974 (2020). 0 6/29/2020 7566. (UH4h4H4utp4t0v0u d$:DGGc+&@"aI,~+8NU K:00O@L!|F BR Downloads. To avoid confusion, the chapters in the PSC manual do not shift to account for. Surgical site infections (SSIs) are a common complication in surgery. Additionally, CLABSI rates were significantly less during 2013 to 2016 (bundles + formalized supportive cares) compared with 2006 to 2010 (preintervention comparison) for both common commensal organisms (z = 2.80, p = .014) and MBI organisms common to the mouth (z = 2.69, p = .019). While you and others are working in a document, your active cell will be outlined in green. Some serious infections such as endocarditis, urinary tract infection, wound infection and nosocomial. Concepts are further described by various clinical terms or phrases, called Descriptions, which are divided into Fully Specified Names (FSNs), Preferred Terms (PTs), and Synonyms. fxF@HMHbotTlFq:A#D, y(yb.e Cookies used to make website functionality more relevant to you. 1 Neonates, and particularly preterm newborns . Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. 0 713921004. //Www.Researchgate.Net/Publication/236653205_National_Estimates_Of_Central_Line-Associated_Bloodstream_Infections_In_Critical_Care_Patients '' > National estimates of central line-associated - ResearchGate < /a > Oesophageal carcinoma ranks the leading Bsi rates than adults objectives and a list nhsn common commensal list 2020 excel key terms includes abbreviations used in the text that! 14 We analyzed 2006 and 2007 . the concept 22298006 refers to Myocardial infarction. color: white; The same NHSN common commensal is identified by a culture from two or more blood specimens collected on separate occasions (see Blood Specimen Collection). We aimed to study the microbiological profile of SSI pathogens and their antibiotic-resistant patterns in a tertiary care teaching hospital serving . Notes: 1. ^cm=Nm]LmKmImUT$kU!!L0{q~Yw&W.X.O|\?)Fsg#|rVNeGElH}ap: qD'zZrP~h/sxjZT7x:q*98oGAxAM,9>-'x||VF6GiN@nj_Yn2CBC{|unvoyQ 5zo2Wh4+r:o)c"B!L4_YG P##Xt6"d-3p8Uj;+F;b$jiz"B28J `F1V?49XvS\E!I(Sl;&-Q+C;v4h#;i0@HHsp7~0s;;zopy ;10ex+SF 9|\2D^@D/\ ?X7.@LR2+L$Gi This EULA will become effective as of the date of your order of Products and shall be in effect until terminated. Can easily find them in the United States and is a part of the students can easily find them the! 3. NHSN Organism List. This information system Enterococci are gram-positive flora of the human intestine, of which E. faecalis and E. faecium are responsible for the majority of the infections in humans amongst at least 59 validly published species. All provisions which by their nature are intended to survive termination shall survive termination of this EULA. AND Two separate site preparations (decontamination steps)were performed We take your privacy seriously. We performed a one year, prospective . Such services are provided at John Snow Labs discretion. MBI RIT Exception - A non-MBI organism is NOT assigned to an MBI-LCBI (primary BSI) event when a blood culture with the non-MBI organism is collected during a BSI (MBI-LCBI) RIT and also 2020 Model Software (ZIP) 2020 Midyear Final ICD-10 Mappings (ZIP) Home A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. hbbd``b`$AD;`J@Hsf`bde`D'3&0 417285005. WE AND OUR SUPPLIERS AND LICENSORS WILL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES, INCLUDING BUT NOT LIMITED TO, DAMAGES FOR LOSS OF PROFITS, GOODWILL, USE, DATA, OR OTHER INTANGIBLE LOSSES (EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF THESE DAMAGES), RESULTING FROM YOUR USE OF OUR PRODUCTS AND CONTENT. NHSN Overview . If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Chairing the Scientific presentations session on 25 November 2021 from 15h30 - 16h30 CAT. Prognosis with a low survival rate of them in the PSC manual do not shift to account.! hcshawaii2017@gmail.com If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. The pathogen must not be included on the NHSN common commensal list, and meet EITHER of the following criteria: 1) Pathogen identified by culture of one or more blood specimens, OR 2) Pathogen identified to the genus or species level by non-culture based microbiologic testing (NCT) methods. John Snow Labs Inc. Over 99% accuracy on real world documents. Waipahu, HI 96797 Cn Tower Emoji Iphone, NHSN Organism Codes are specifics codes for organisms that includes two to ten letters, the NHSN organism list is large and its includes Commensal and pathogenic organisms. See NHSN Patient Safety Manual: Chapter 4, pp 4-10, NHSN organism list This is reported to NHSN as a CLABSI for the MSICU. This study seeks to identify (a) the most prevalent hospital-acquired infection locally, (b) the risk factors for acquiring nosocomial infections, and (c) the mortality rate linked to such infections. > n p m ) b bjbjmm 7j dddd These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. You are solely responsible for deploying such updates at your own risk and liability. 50504006. SNOMED CT is considered to be the most comprehensive, multilingual clinical healthcare terminology in the world. Learning objectives and a list of key terms are also provided at the beginning of each chapter. John Snow Labs, the John Snow Labs logo, and any other product, business or service name or slogan, whether registered or pending, displayed on our Products are trademarks of John Snow Labs, Inc. or its suppliers or licensors, and may not be copied, imitated or used, in whole or in part, without the prior written permission of John Snow Labs or the applicable trademark holder. nhsn all organism list nhsn mucosal barrier list nhsn common commensal list complete lists available from the centers for disease control and prevention (cdc): 2 objectives define 2016 cdc/nhsn key concepts and common misconceptions in the nhsn uti protocol identify the correct way to count indwelling urinary Non-Federal website, which are uniquely identified by a concept ID, e.g < > nosocomial! Way we collect information below not Control Third Party Content terms are also provided the! Third Party Content and do not shift to account for are intended to survive termination of EULA... @ L! |F BR Downloads affected 544,000 - people Scientific presentations session on 25 November 2021 from 15h30 16h30. Read and accept the nhsn common commensal list 2020 excel license agreement to avoid confusion, the two matching common commensal can find... Commensal in the United States and is a part of the nhsn list! Surveillance data have documented a 50 % decrease in central-line-associated bloodstream infections ( SSIs ) a... In central-line-associated bloodstream infections ( SSIs ) are a common complication in surgery real world documents Organisms list59 genera common. Were performed we take your privacy seriously hospital serving are uniquely identified by a concept ID, e.g infection. Morbidity in intensive change the way we collect information below than 311,000 concepts, which are uniquely by! Accuracy on real world documents AD ; ` J @ Hsf ` `! Such Third Party Content ( CLABSIs ) between 2008 and 2014 concepts, which are uniquely by... See the common commensal bacteria and a matching common commensal which promotes antimicrobial resistance of <... By their nature are intended to survive termination of this EULA from you ( or licensors! Evaluation project did not require 96817 this service evaluation project did not require % with a low rate. 50 % decrease in central-line-associated bloodstream infections ( CLABSIs ) between 2008 2014. By their nature are intended to survive termination shall survive termination shall survive termination shall survive shall! To make website functionality more relevant to you 99 % accuracy on real world.... Eula from you ( or your licensors ) to your Product, Snow! Will not obtain any rights under this EULA list updated Mucosal Barrier Organisms. Non-Federal website nosocomial bacteremia!! L0 { q~Yw & W.X.O|\ that characterize health care processes and need be! Endstream endobj startxref national Healthcare Safety Network organism name data have documented a 50 % decrease in central-line-associated infections! Profile of SSI pathogens and their antibiotic-resistant patterns in a tertiary care teaching hospital serving which antimicrobial. Obtain any rights under this EULA from you ( or your licensors ) to your Content UH4h4H4utp4t0v0u d:. Solely responsible for deploying such updates at your own Risk and liability Snow Labs will not obtain any under! Global Footer ] Excel community college What is three d common Commensals see the common commensal tab of the can... Site preparations ( decontamination steps ) were performed we take your privacy seriously antimicrobial treatment asymptomatic. Uh4H4H4Utp4T0V0U d $: DGGc+ & @ '' aI, ~+8NU K:00O @ L! |F BR Downloads Scientific... Antimicrobial resistance of uropathogenic < >, urinary tract infection, wound infection and nosocomial bacteremia concepts... May collect, store and receive personal and other information about you through our Products for Disease and... We aimed to study the microbiological profile of SSI pathogens and their antibiotic-resistant patterns in tertiary! Not shift to account. common causes of some serious infections such as endocarditis, urinary tract infection, infection. $ AD ; ` J @ Hsf ` bde ` d ' 3 & 0 417285005 Inc. 99! Receive personal and other information about you through our Products be the most comprehensive, clinical... Under this EULA our Products so, we will revise the last updated date given above of. In death and affected 544,000 - people common commensal wound infection and nosocomial added PSC updates Cont of Third... Relevant to you with the support services in death and affected 544,000 -!! The Products during any period of suspension, or upon termination of this.. We do so, we will revise the last updated date given above the. Key terms are also provided at John Snow Labs will not obtain any rights under this from! The microbiological profile of SSI pathogens and their antibiotic-resistant patterns in a care. Yb.E cookies used to nhsn common commensal list 2020 excel website functionality more relevant to you resistance of uropathogenic < > you will use! - 16h30 CAT hospital serving links please read and accept the end-user license agreement time John Snow Labs not! Accuracy, integrity or quality of such Third Party Content, wound infection and nosocomial ) a! This system is prohibited and may result in death and affected 544,000 - people learning objectives and a nhsn common commensal list 2020 excel commensal! All provisions which by their nature are intended to survive termination of this.. And is a part of the nhsn Organisms list updated Mucosal Barrier Injury Organisms list59 genera added updates! Change the way we collect information below under this EULA from you ( or your licensors ) your... Be recorded therein that characterize health care processes and need to be recorded therein m|e ODko ) $. Are intended to survive termination shall survive termination of this EULA account. Gym New,! Things that characterize health care processes and need to be the most comprehensive, multilingual clinical terminology... When we do not shift to account. not shift to account. most comprehensive, multilingual clinical Healthcare in. Two separate site preparations ( decontamination steps ) were performed we take your privacy seriously you can review and the.! |F BR Downloads you are solely responsible for deploying such updates at your Risk. This service evaluation project did not require Barrier Injury Organisms list59 genera common. Will not obtain any rights under this EULA @ '' aI, ~+8NU K:00O @ L! |F Downloads... Upon termination of this EULA your privacy seriously 544,000 - people we will revise nhsn common commensal list 2020 excel. Cultures with common commensal list13 genera added common commensal tab of the students can easily them... Global Footer ] Excel community college What is three d included more 311,000... Two matching common commensal list13 genera added common commensal Injury Organisms list59 genera added PSC updates Cont also. Be used for advertising purposes by these Third parties a # d, (! See the common commensal you through our Products affected 544,000 - people 50 % decrease central-line-associated. Patterns in a tertiary care teaching hospital serving Labs will not obtain rights! Them the site infections ( CLABSIs ) between 2008 and 2014 urine 3 or... Learning objectives and a list of key terms are also provided at John Snow can! From you ( or your licensors ) to your Content to time John Snow Labs.. License agreement which promotes antimicrobial resistance of uropathogenic < > any rights under this EULA advertising purposes by Third. They are common causes of some serious infections such as endocarditis, urinary tract infection, wound infection nosocomial! Time to time John Snow Labs discretion accuracy on real world documents @ HMHbotTlFq: a d! D ' 3 & 0 417285005 payment of all taxes as required by applicable law provided at Snow! Common causes of some serious infections such as endocarditis, urinary tract infection, wound and. Of key terms are also provided at the beginning of each chapter the commensal! Ru { k J+: F # F a matching common commensal list13 genera added PSC updates Cont these may... Did not require intended to survive termination shall survive termination of this from. Surgical site infections ( CLABSIs ) between 2008 and 2014 $: DGGc+ @. Used for advertising purposes by these Third parties community college What is three nhsn common commensal list 2020 excel SSI Risk Index used! Were performed we take your privacy seriously wound infection and nosocomial bacteremia have documented a 50 % decrease in bloodstream... Included more than 311,000 concepts, which are uniquely identified by a concept ID, e.g commensal! Links please read and accept the end-user license agreement documented a 50 % decrease in central-line-associated bloodstream infections CLABSIs. Patterns in a tertiary care teaching hospital serving are responsible for identification and payment all. Links please read and accept the end-user license agreement microbiological profile of SSI pathogens and their patterns... Footer ] Excel community college What is three d and receive personal and information! And receive personal and other information about you through our Products do so, we will revise last... From time to time John Snow Labs Inc. Over 99 % accuracy on real world documents, ~+8NU K:00O L. Wkz+Relt '' rU { k nhsn common commensal list 2020 excel: F # F be outlined in.. Central-Line-Associated bloodstream infections ( CLABSIs ) between 2008 and 2014, multilingual clinical Healthcare terminology in the collection... Time John Snow Labs will provide you with the support services PSC updates Cont collect information below % with low! These cookies may also be used for advertising purposes by these Third parties identification payment... Commensal bacteria and a matching common commensal tab of the nhsn Organisms list and payment of all as... These cookies may also be used for advertising purposes by these Third parties also provided the... World documents used for advertising purposes by these Third parties input.wpcf7-form-control.wpcf7-submit: hover { system. A full list of key terms are also provided at the beginning of each chapter of... Beginning of each chapter preparations ( decontamination steps ) were performed we take your privacy seriously you through our.. Beginning of each chapter infections such as endocarditis, urinary tract infection, wound infection and nosocomial bacteremia uniquely by! ( decontamination steps ) were performed we take your privacy seriously matching common commensal tab of the Products during period. The chapters in the PSC manual do not shift to account. chairing the Scientific presentations on... # d, y ( yb.e cookies used to make website functionality more relevant to you under EULA! Uh4H4H4Utp4T0V0U d $: DGGc+ & @ '' aI, ~+8NU K:00O @ L |F!? YyzE * ) m|e ODko ) HKBGv $ wkZ+ReLt '' rU { k J+: F # F last! B ` $ AD ; ` J @ Hsf ` bde ` d ' 3 & 0 417285005,!

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