Early enteral feeding in critically ill patients is also associated with decreased disease severity, reduced complications, and shortened length of stay. Risks associated with enteral feeding include aspiration, diarrhea, vomiting, hyponatremia, and hyperglycemia. This article reviews current knowledge on enteral feeding and addresses correct ...In critically ill patients, the implementation of intermittent enteral feeding was associated with higher incidence of diarrhea and distension, longer length of ICU stay, but lower occurrence of constipation. Nevertheless, the absence of sufficient high-quality randomized controlled clinical trials …Initiation of enteral feeding The medical team are responsible for initiating enteral feeding. The following steps must happen prior to commencing enteral feeding: 1. Nutrition assessment by Dietitian When providing enteral nutrition support to a patient it is important to assess their nutrition status.Enteral nutrition is a method of artificial nutritional sup-port commonly used in patients in the hospital or com-munity setting. Diarrhea can occur in 2-95% of patients, the wide range resulting from differences in the patient populations and the definition of diarrhea adopted [1].4. Explain the steps involved in providing an intermittent enteral feeding. Suggested Fundamentals Learning Activity: Enteral Feeding 1. Prepare the formula and a 60 - mL syringe 2. Remove the plunger from the syringe 3. Hold the tubing above the instillation site 4. Open the stopcock on the tubing, and insert the barrel of the syringe with the end up 5.Assess the patient for tolerance of the feeding. Slow infusion as necessary. Do not allow air to enter the tube when refilling the syringe. After formula is administered, flush the NG tube with 30 mL of water. If a patient is unable to tolerate the feeding, slow or stop the infusion. Document and report the intolerance.This may include a continuous gravity feeding that is manually controlled with a feeding bag and a roller clamp to help control the rate; and intermittent gravity feeding where 200-300 mL are delivered over 30-60 minutes every 4-6 hours; and, a bolus feeding where a specific volume of feeding is infusing via bag or a syringe rapidly over ...Enteral tube feeding is generally indicated when patients cannot maintain adequate oral intake to meet their energy and metabolic needs. It can be initiated as preventative therapy, as in patients with presurgical head and neck cancer, or as treatment, as in cases of malnutrition. A patient's GI tract must be functional and accessible to ...Read the amount in the syringe. Inject the contents back into the feeding tube (It contains important electrolytes and nutrients). Use the syringe to rinse the feeding tube with 30 ml of water. If the gastric residual is more than 200 ml, delay the feeding. Wait 30 - 60 minutes and do the residual check again.9. Enteral tube feeding in hospital and the community 110. 9.1. Introduction 110 9.2. General Indications for Enteral Tube Feeding110 9.3. Recommendations for clinical practice 111 9.4. Enteral tube feeding versus standard care 111 9.5. Recommendations for clinical practice 115 9.6. Enteral tube feeding routes of access 115 9.7.Intermittent enteral feeding (IEF) could induce a temporary increase in gastric acidity and decrease the risk of VAP. We studied the influence of IEF (18 h/d) and CEF (24 h/d) on gastric and oropharyngeal colonization. Sixty patients were randomized to receive either IEF or CEF, and continuous intragastric pH monitoring was performed in 50 ...Tube feeding can be administered using gravity to provide a bolus feeding or via a pump to provide continuous or intermittent feeding. Feedings via a pump are set up in mL/hr, with the rate prescribed by the health care provider. See Figure \(\PageIndex{7}\) [19] for an image of an enteral tube feeding pump and the associated tubing. Note that ...1 Set up the feeding pump using the pump's directions and give the feeding as instructed. 2 Flush the feeding tube with 3 to 5 mL of water every 4 hours during the day. Do this by pushing the water through the tube with a syringe. 3 Change the feeding bag every 24 hours and add no more than 8 hours of formula in the bag at a time. Feeding tubeWhen administering enteral nutrition, there are two options: continuous feeding and intermittent feeding. Continuous feeding is when nutrition is delivered down the line via pump. Intermittent feeding is delivered via gravity, pump, or bolus feeding with a syringe. Note that when increasing the feeding rate, do this slowly until the ordered ...In practice, pump-assisted continuous feeding is generally acceptable for critically ill patients to prevent EN-related complications, however, a limited number of studies have been conducted to support this practice and additional randomized controlled studies comparing intermittent with bolus feeding are required. There are several methods of enteral nutrition (EN) administration, including ...A unified clinical definition of feeding intolerance (FI) is urged for better management of enteral nutrition (EN) in critically ill patients. We aimed to identify optimum clinical FI definitions based on reported evidence. We searched clinical studies comparing FI with non-FI with a clear definition, summarized the evidence by random-effect meta-analyses, and rated the certainty of evidence ...Explain the steps involved in providing an intermittent enteral feeding. Step 1: Perform hand hygiene, step 2: ID patient, step 3: check allergies Step 4: verify orders by MD checking: formula type, route, frequency, patient, dose Step 5: PREPARE FEEDING CONTAINER TO ADMINISTER FORMULA: verify correct formula, check exp. Date, formula needs to ...Consider enteral tube nutrition for patients who have a functioning gastrointestinal tract but cannot ingest enough nutrients orally because they are unable or unwilling to take oral feedings. If tube feeding is expected to last > 4 to 6 weeks, consider a gastrostomy or jejunostomy tube, placed endoscopically, surgically, or radiologically.Steps for giving a bolus or syringe feeding. Position yourself comfortably for the feeding. Whenever possible, sit upright. If this is not possible, make sure your head is elevated …Aug 21, 2023 · In this updated meta-analysis of 13 RCTs, we found that intermittent enteral feeding in critically ill patients was associated with high occurrence of feeding intolerance, including diarrhea and distension. However, there is a higher risk of constipation associated with continuous enteral feeding. Call the doctor immediately. If the G-tube is newly placed, and you have not yet been seen in the pediatric gastroenterology (GI) clinic, call pediatric surgery 916-734-7844. After 5 p.m. or on weekends or holidays, call the Hospital Operator at 916-734-2011 and ask for the on-call pediatric surgery to be paged.5 When the feeding is complete, flush the tube with at least 30 to 60 mL of warm water. Steps for a gravity bag feeding: 1 Position yourself comfortably for the feeding. When possible, sit upright. If this is not possible, make sure your head is elevated on the bed during the feeding. 2 Flush the tube with 30 to 60 mL of warm water.A. Limit the time the formula hangs to 8 hr. B. Flush the tube every 8 hr. C. Deliver the formula at a brisk rate. D. Allow the feeding bag to empty before refilling it., A client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social isolation.2. Explain the procedure to the client. Providing the right information may result in the client’s cooperation and understanding. 3. Always check the position of the client. Make sure that the position of the client with a tube feeding remains with the head of bed elevated at least 30 to 40 degrees. Never feed the client with supine position.Comparator: Intermittent enteral feeding. Types of outcomes. Studies must include at least one of the following primary outcomes: Primary outcome: 1.-Patient's nutritional status. 2.-Digestive tolerance. 3.-Bronchoaspiration. The following secondary outcomes, will also be considered: 1. Start day and duration of enteral feeding. 2.Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a continuous enteral tube feeding to a client. The nurse should take which of the following actions to prevent a complication of the tube feeding?, What position is best to prevent aspiration during enteral tube feeding?, A nurse is inserting a nasogastric tube for a client and asks the client ...The transition from parenteral to enteral nutrition often begins with minimal enteral feeding or trophic feeding (≤24 mL/kg/d), then changes to progressive feeding (increments of feeding volumes usually by 10–35 mL/kg/d each day), and concludes with full enteral feeding (≥120–150 mL/kg/d) 11 – 14 ( Fig. 2 ). Fig. 2.Purpose of review . In clinical management of acutely ill adults and children, continuous enteral feeding (CEF), being considered the most tolerable approach, in comparison to other temporal patterns of nutrient administration (i.e. intermittent, cyclic and bolus), is the most frequently applied method.Tube (or gavage) feeding is a way to give your child nutrition or medicine directly into their stomach. These feedings can be given as a bolus or continuous feedings. To do this, a tube is placed through your child's nose or mouth and into the stomach. A tube in the nose is a. nasogastric[nay-zow-GAS-trick]or NG tube.The principal investigator randomized the patients into two groups; one to receive enteral nutrition via an intermittent feeding formula 9 times/day with 2-hour interval and 8 hours fasting period ...Enteral access can be obtained by passing a feeding tube through the nose (nasogastric and nasojejunal) and mouth (orogastric) at the bedside. It can also be achieved by surgically implanting a feeding tube into the gut, such as a feeding gastrostomy (stomach) or a feeding jejunostomy (jejunum).Enteral tubes are tubes placed in the gastrointestinal tract. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. Stomach decompression is commonly used after surgery …More commonly, however, intermittent EN is used as a strategy to promote oral intake in those that are transitioning to a diet. Nocturnal intermittent feedings are often utilized in these cases; holding EN during waking hours helps promote hunger, while providing EN at night ensures that the patient still receives adequate nutrition.A. Limit the time the formula hangs to 8 hr. B. Flush the tube every 8 hr. C. Deliver the formula at a brisk rate. D. Allow the feeding bag to empty before refilling it., A client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social isolation.This web page contains flashcards for NCLEX RN review practice questions on various topics, including fundamentals of nursing. One of the questions asks to explain the steps involved in providing an intermittent enteral feeding, which is answered with a list of steps and a formula. Answered by ProfessorCranePerson504. 1. Explain the steps involved in providing an intermittent enteral feeding. Hand hygiene should be practiced. Identify the patient (name and birth date) Examine your allergies. Orders should be double-checked by MD using the following criteria: *formula type. *route. *regularity... the intermittent enteral feeding group and continuous enteral feeding group in terms of diarrhea (44.9% versus 44.0%; p > 0.999). Moreover, the incidence of gastrointestinal intol-Learn about the different types of enteral tubes, how they are placed, and how to administer feedings or medications through them. See illustrations, examples, and tips for assessing tube placement and preventing complications.There are several methods of enteral nutrition (EN) administration, including continuous, cyclic, intermittent, and bolus techniques, which can be used either alone or in combination. Continuous feeding involves hourly administration of EN over 24 hours assisted by a feeding pump; cyclic feeding inv …18-May-2020 ... Tube feeding nursing calculations practice problems that include dilution, total volume, and time for administration.Amazon's in-app TikTok-like shopping feed is now available to all customers in the United States, according to the company's website. Amazon’s in-app TikTok-like shopping feed is n...Study with Quizlet and memorize flashcards containing terms like To prevent a common complication of continuous enteral tube feedings, a nurse should, A nurse inserting a nasogastric tube asks the pt to flex her head toward her check after the tube passes through the nasopharynx. The action facilitates proper insertion of the tube by, To prevent aspiration during the administration of an ...Tube feeding (enteral nutrition) uses a feeding tube to supply nutrients and fluids to your body if you can’t safely chew or swallow. Feeding tubes are soft, flexible plastic tubes through which liquid nutrition travels through your gastrointestinal (GI) tract. Healthcare providers also sometimes administer medicines through feeding tubes.When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration? 1. Elevate the head of the bed between 30 and 45 degrees. 2. Decrease flow rate at night. 3. Check for residual daily. 4. Irrigate regularly with warm tap water.Feeding Tube Skills: Mouth and Skin Care, Feeding, Giving Medication, and Tube Replacement 14 Surgical Patient Education Methods of Feeding. f There are several different ways to feed through the gastrostomy tube. The delivery and feeding method will be determined by your health care provider. Feeding Delivery Methods and Devices. Feeding through aLubricate the end of the tube using a single water-based lubricant sachet. Gently insert the NGT into the nostril and advance along the floor of the nasopharynx to the oropharynx. Encourage the client to swallow, if able, to assist movement of the tube into the oesophagus. Advance the tube to the measured length.C) obtaining an abdominal XR. To prevent a common complication of continuous enteral tube feedings, a nurse should. A) limit the time the formula hangs to 4 hours. B) chill the formula prior to administration. C) deliver the formula ta abrisk rate. D) Allow the feeding bag to empty before reflling.I vividly remember providing a G-tube feeding in my very early days as a nursing student, forgetting to clamp the G-tube off, and it leaking all over the bed. So not only did my patient, unfortunately, lose his feeding, but there was much cleaning and linen changing that had to occur. So just make sure your lines are closed.Explain the steps involved in providing an intermittent enteral feeding. Suggested Fundamentals Learning Activity: Enteral Feeding The first step in enteral feedings is performing hand hygiene, next Identify the patient with at least two identifiers.After feed is finished, flush your feeding tube with warm water. Follow steps 4-11 on page 15 and 16 for flushing feeding tube. 14. Disconnect the tip from your feeding tube and replace the cap at the end of the feeding tube. Go to cleaning up on Page 23.Objective assessments for patients with enteral tubes include assessing skin integrity, tube placement, gastrointestinal function, and for signs of complications: Assess the tube insertion site daily for signs of pressure injury and skin breakdown. Cleanse and protect the area as indicated. Assess tube placement every four hours and prior to ...Enteral tubes are tubes placed in the gastrointestinal tract. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. Stomach decompression is commonly used after surgery …The results of this preliminary study indicate that utilization of an intermittent 16-h enteral feeding reg imen in mechanically ventilated patients previously receiving continuous enteral nutrition is not associated with a decrease in gastric pH or a clearing of gastric microbial growth. Although most patients (11/13) had positive cultures on ...Initiation of enteral feeding The medical team are responsible for initiating enteral feeding. The following steps must happen prior to commencing enteral feeding: 1. Nutrition assessment by Dietitian When providing enteral nutrition support to a patient it is important to assess their nutrition status.Enteral feeding, the provision of liquid nutrients into the gastrointestinal tract, is an important component of pediatric care. For the infant or child with a functioning or even a partially-functioning GI tract, the use of the enteral route provides a safe and efficient means of delivering nutrition at a time of life when requirements are extremely high.INTRODUCTION. Enteral nutrition is defined as providing nutrients via the gastrointestinal tract. Although the term technically refers to nutrition given either by mouth or through a feeding tube, in common usage, the term usually refers to tube feeding and includes feeding via nasogastric tube, gastrostomy tube, gastro-jejunostomy tube, or ...Enteral feeding may be considered as a management strategy in response to concerns regarding feeding safety, adequacy, and efficiency. Children who are enterally fed should receive oral stimulation and/or oral feeding when safe to do so with the support of the healthcare team. Decisions about enteral feeding route will be made by the physician ...iveness and safety of the 2 ways of nutrition infusion are controversial clinically. Therefore, this meta-analysis further evaluated the effect of intermittent feeding versus continuous feeding on enteral nutrition tolerance in critically ill patients. Methods: Cochrane Library, PubMed, Web of Science, EMbase, China Biology Medicine disc (CBM), China Science …Abstract. Enteral tubes are frequently used in critically ill patients for feeding and gastric decompression. Many of the nursing guidelines to facilitate the care of patients with enteral tubes have not been based on current research, but on ritual and opinion. Using a computerised literature search and an evidence-based classification system ...Keep patients sitting upright at 30 to 45° during tube feeding and for 1 to 2 hours afterward to minimize incidence of nosocomial aspiration pneumonia and to allow gravity to help propel the food. Check patients periodically for complications of tube feedings (eg, tube-related, formula-related, aspiration). Enteral Tube Nutrition - Etiology ...Study with Quizlet and memorize flashcards containing terms like To prevent a common complication of continuous enteral tube feedings, a nurse should, A nurse inserting a nasogastric tube asks the pt to flex her head toward her check after the tube passes through the nasopharynx. The action facilitates proper insertion of the tube by, To prevent aspiration during the administration of an ...Enteral feeding is only for people whose stomach and intestines work as usual. This is because the feeds still go through the digestive system. You can't have enteral feeding if you have: a blockage in the bowel. severe diarrhoea or sickness. When you might need it. You might need enteral feeding when: you have swallowing problems. you have a ...The Correct Answer is A. The correct answer is Choice A - Measure the client's gastric residual before each feeding. Choice A rationale: The nurse's first action in caring for a client receiving intermittent enteral feedings should be to measure the client's gastric residual before each feeding. Gastric residual volume helps assess the client's ...Enumerate and explain the steps involved in providing an intermittent enteral feeding. health. Explain the steps involved in providing an intermittent enteral feeding? health. Name the four categories of enteral formulas? (Select all that apply.) a. Enteral macronutrient b. Elemental/semi-elementalenteral feedings on 9 or 10 separate days. These feedings. (Ensure) were administered in combinations of 3 volumes (250, 350, and 500 ml) and of 2 rates (30 and 85 ml/min). The effect. on gastric motility was monitored by an open-tipped catheter. Nine of the subjects also received 750 ml administered at 30. Tube feeding can be administered using gravity to provide a bolus feeding or via a pump to provide continuous or intermittent feeding. Feedings via a pump are set up in mL/hr, with the rate prescribed by the health care provider. See Figure 17.7 [19] for an image of an enteral tube feeding pump and the associated tubing. Note that tubing used ... Enteral feeds help maximize nutrition for patients in a variety of health care settings. It is estimated that 345,000 people in America receive nutrients from tube feedings. Alarmingly, 60% of patients who receive nutrients through a tube will develop a risk for aspiration pneumonia. Multidisciplinary teams decide on a patient’s nutritional ...Enteral nutrition (EN) provides critical macro and micronutrients to individuals who cannot maintain sufficient oral intake to meet their nutritional needs. EN is most commonly required for neurological conditions that impair swallow function, such as stroke, amytrophic lateral sclerosis, and Parkinson's disease. An inability to swallow due to mechanical ventilation and altered mental status ...Enteral tube feeding is generally indicated when patients cannot maintain adequate oral intake to meet their energy and metabolic needs. It can be initiated as preventative therapy, as in patients with presurgical head and neck cancer, or as treatment, as in cases of malnutrition. A patient's GI tract must be functional and accessible to ...Aug 31, 2022 · 3E. A nurse observes a new nurse graduate exit a client’s room who has a confirmed diagnosis of Clostridium difficile. The newly nurse graduate uses alcohol-bases cleanser to perform hand hygiene and enters another clients room. Enteral feeding is a commonly used form of nutritional supplementation for patients with intestinal failure, both in hospitals and in the community. This article concentrates on the basic principles of enteral feeding, including the physiological effects of feeding into the intestinal tract. It covers the indications for enteral feeding, the ...Explain the steps involved in providing an intermittent enteral feeding 2. Provide three (3) possible manifest. Answered over 90d ago. 100 % ... Explain t. Answered over 90d ago. Q W F A nurse is performing a health screening for a client. Which of the following findings should indicate to the nurseExplain the steps involved in providing an intermittent enteral feeding. Enteral feeding is administered via a feeding pump in less than a 24-h time period Steps : Identify the client using 2 identifiers Elevate the head of the bed 30-45 degrees validate the tube placement Flush the tube with 30mL of warm water Administer the prescribed feeding ...INTRODUCTION. Enteral nutrition is defined as providing nutrients via the gastrointestinal tract. Although the term technically refers to nutrition given either by mouth or through a feeding tube, in common usage, the term usually refers to tube feeding and includes feeding via nasogastric tube, gastrostomy tube, gastro-jejunostomy tube, or ...Enteral Feeding/Total Parenteral Nutrition. a nurse is discussing the use of a low-profile gastrostomy device with the parent of a child who is receiving an enteral feeding. which of the following is an appropriate statement by the nurse? 1. "the device can be uncomfortable for children". 2. "checking residual is much easier with this device". 3.Enteral tubes are tubes placed in the gastrointestinal tract. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. Stomach decompression is commonly used after surgery …In general, enteral nutrition is preferred to parenteral nutrition as it is more physiological, simpler, cheaper and less complicated. However even nasogastric feeding needs care and the more complex types of enteral nutrition such as gastrostomy and jejunostomy need significant interventions. It is therefore important that any institution ...Most participants received enteral nutrition via naso-gastric tube (59.1%), followed by gastrostomy (15.2%), intermittent oro-oesophageal tube feeding [24] (14.8%), or a combination of methods (11 ...4. 5. 6. 1. remove screw on cap and attach administration set with drip chamber and tubing. 2.close the clamp on the tubing. 3. hang container on intravenous pole about 30cm above tubes insertion point. 4. squeeze drop chamber to fill it to 1/3 to 1/2 of its capacity. 5. open tubing clamp, run formula through tubing, reclamp tube (let air out)The strategy of intermittent enteral feeding, theoretically, may provide physiological and metabolic benefits over continuous enteral feeding, such as the improvement of protein synthesis ...workers, volunteers, and students involved in enteral feedings. Physical Facility All enteral feedings must be prepared in a specific location that encourages the use of aseptic technique and ensures the delivery of safe enteral feedings. A handwashing facility must be in close proximity to the enteral feeding preparation area.
To determine how much of the length of a nasoenteric tube to insert, a nurse should measure the distance from the tip of the pt's nose to the earlobe and from the earlobe to the. Umbilicus. Xiphoid process. Manubrium plus 10-20 cm more. Xiphoid process plus 20-30 cm more. Study with Quizlet and memorize flashcards containing terms like A nurse .... Watertown weather radar
Administering Enteral Nutrition. INSTRUCTIONS: Use the following checklist to evaluate competency in completing this skill. Select Satisfactory (S) or Unsatisfactory (U) for each step and provide comments as needed. *Document the relevant information (amount of insulin, injection site, and client assessment) in the client’s medical record.Oral care should be completed at least twice a day, morning and night. With the trach care they should also moisten their lips as needed but at least twice a day. This is necessary because the normal airflow is disrupted which leads to reduced oral secretions. Explain the steps involved in providing an intermittent enteral feeding.Enteral tubes are tubes placed in the gastrointestinal tract for stomach decompression, as well as an alternate route for feeding and/or medication administration. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. Stomach decompression is commonly used after surgery or trauma to …Purpose of review . In clinical management of acutely ill adults and children, continuous enteral feeding (CEF), being considered the most tolerable approach, in comparison to other temporal patterns of nutrient administration (i.e. intermittent, cyclic and bolus), is the most frequently applied method.Takeaways: Acute aspiration of tube feeding can result in a respiratory emergency. Know the signs and symptoms of tube feeding aspiration: increased blood pressure, heart rate, and respiratory rate; decreased oxygen saturation; and new onset audible rhonchi and wheezes. RACHEL JECKER*, age 28, was admitted to the intensive care unit (ICU) 3 ...Nutritional support is provided to pediatric patients under two possible conditions [ 6, 7 ]. The first is to supply <60% to 80% of the nutritional requirements for >10 days, or >4 to 6 hours per day of total feeding time for children with disabilities. In the case of insufficient oral intake, nutritional support should be initiated within 5 ...The pooled data showed that intermittent feeding could significantly increase the occurrence of feeding intolerance during enteral nutrition compared with continuous feeding in critically ill adults (risk ratio = 1.64, 95% confidence interval = 1.23 to 2.18, P < 0.001, I 2 = 0%) (Fig. 2A). Diarrhea. Thirteen studies enrolling 991 patientsThe most common method of enteral feeding delivery for children is an enteral feeding pump, which controls delivery. Feedings may be intermittent, also …Flush the tube with 30 mL of sterile water before the feeding. Answer and Explanation. The Correct Answer is D. A. Cleanse the top of the can of formula with an alcohol wipe: Explanation: It's not necessary to cleanse the top of the can of formula with an alcohol wipe. Instead, the focus should be on maintaining the cleanliness of the equipment ...Facebook is rolling out new ways for users to customize their feed, the social network announced on Wednesday. Facebook is rolling out new ways for users to customize their feed, t...21-Feb-2024 ... What is tube feeding (enteral nutrition)? ... Tube feeding (enteral nutrition) uses a feeding tube to supply nutrients and fluids to your body if ...Steps to administering formula via a syringe: Flush tube with 30 - 50 ml of water. Disinfect the top of the formula can prior to opening. Remover plunger from syringe. Pinch the feeding tube prior to inserting the syringe into the port. Pour formula into the syringe, allowing it to drain by gravity until prescribe amount is administered.prevent complications commonly associated with enteral feeding. ... Intermittent feeding Method of feeding where a large volume of ... Tube feeding. Providing a ....
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