Cyndy Skorick, Sanford ladies’s govt director, spoke of that turned into one aspect in the recent circulate to add licensed nurse-midwives to the workforce.
The second ingredient: requests from sufferers.
“We be conscious of that there are ladies basically wanting that low-intervention birth,” Skorick mentioned.
Sanford employed three licensed nurse-midwives in March to focus on assisting women through labor and beginning.
For now, the midwives are working within the sanatorium most effective, however plans are underway to embrace them into the sanatorium surroundings as well, to be involved early in a affected person’s pregnancy and keep them through childbirth and past.
To achieve this, Sanford is planning to rent about six greater CMN’s over the subsequent year or so.
certified nurse-midwives customarily absorb a 4-yr nursing degree and both a grasp’s or doctorate degree in midwifery. Universities in additional than two dozen states present nursing-midwifery programs, the closest being the university of Minnesota, Twin Cities.
Kayla Quinn is one in full Sanford’s fresh certified nurse-midwives.
She notable a CNM provides one of the crucial identical allay that a doula or childbirth instruct does, reminiscent of helping girls in labor position themselves, but additionally grants children, which a doula can’t do.
in contrast to obstetricians, CNM’s don’t Do surgery or toil with high-possibility sufferers, so they can be “much more existing” than a health confidence provider can full over labor and birth, Quinn talked about.
Sanford’s chief competitor, Essentia health, has had at the least one certified nurse-midwife on group of workers for 30 years.
Denise Powell, a CMN at Essentia, is certainly one of five midwives practicing full-scope midwifery there, which capability they confidence for girls as young as 10, as much as age ninety.
these visits can consist of well-woman care, annual checkups and obstetrics and gynecologic tests. a few of her sufferers absorb simplest seen a midwife via their entire medical confidence experience, she pointed out.
Powell referred to if a pregnant woman chooses to eye a midwife, full of her prenatal visits could be with probably the most midwives on the group.
right through labor and beginning, the midwife is with the patient at the health facility the complete time.
“I suppose midwives in reality present a private contact,” she mentioned.
For patients who don’t covet medication, a CNM can allay exploit labor throe with suggestions together with hydrotherapy and therapeutic massage. They additionally lead women who covet throe meds, together with an epidural.
If a complication develops, the midwife will coordinate confidence with an obstetrician. In case of a Caesarean area, a affected person can nonetheless absorb a midwife worried within the birth.
Quinn mentioned midwives dissect labor and childbirth as a touchstone procedure, now not a clinical one.
“You be conscious of, ladies were doing it continuously and so it’s their job to lead them,” she pointed out.
terms to grasp
Doula: someone educated to give suggestions and aid to a girl before, full over and after childbirth
certified Nurse-Midwife: A registered nurse with extra practising as a midwife who grants infants, offers prenatal and postpartum care, newborn confidence and a few activities care, including gynecological exams
Obstetrician: a physician that specialize in pregnancy, childbirth and the postpartum period
ALBANY — long island will build people that had been prescribed opioids eligible for medical marijuana in a rush to try to limit drug abuse.
State fitness Commissioner Howard Zucker said Monday the fitness arm will expand the utilize of clinical marijuana to be obtainable as an alternative to an opioid prescription.
The intention, he stated, could be to allay Cut back the variety of patients who circle into addicted to opioids — reminiscent of OxyContin and Vicodin — after being prescribed them with the aid of a doctor for ailment.
“What we're doing nowadays is that they are finalizing laws to encompass prescription opioids in their scientific marijuana program under the Compassionate confidence Act," Zucker instructed reporters in Brooklyn.
"So we're relocating forward on that and they can Do it for prescription opioids dawn now.”
more: sizable apple’s $200 million effort to battle heroin isn’t what you feel. right here’s why
invoice would extend uses for clinical marijuana
The announcement is the latest step with the aid of the state fitness department to extend the availability of medical marijuana in non-smokeable varieties after it changed into legalized in 2016.
The program firstly struggled with low participation and constrained availability.
The state has introduced confirmed pain, for instance, to the eligible circumstances and multiplied who can find licensed to prescribe medical marijuana to embrace nurse practitioners and common practitioner assistants.
The newest stream, Zucker mentioned, is to present a substitute for opioid prescriptions.
“in order that capacity if an individual is taking prescription opioids, they may select clinical marijuana as participate of the application that they are pushing forward to confidently Come off prescription opioids as smartly," Zucker continued.
The variety of opioid deaths in fresh york skyrocketed one hundred thirty five percent between 2013 and 2016, an investigation this month via the USA today network's Albany Bureau discovered.
Zucker said the state continues to eye at light methods to bolster its medical marijuana software.
new york has 1,688 registered practitioners who can prescribe medical marijuana and virtually fifty nine,000 patients who're licensed to purchase it at one in full 20 dispensaries around sizable apple
“We’ve grown the program over the path of time," Zucker spoke of.
"We feel here's one other solution to trudge the application forward, specially because there are individuals who are in persistent ache … They assume including people who're on prescription opioids and having them a participate of the clinical marijuana application will allay them."
© Gannett Co., Inc. 2018. full Rights Reserved
WALTHAM, Mass.--(company WIRE)--
To admire nephrology nurses’ passion and dedication to caring for patients with kidney sickness, Fresenius medical confidence North the usa (FMCNA) nowadays introduced it's presenting the American Nephrology Nurses affiliation (ANNA) a $20,000 equip for academic scholarships. FMCNA believes aiding nurses by means of assisting them further their schooling is a suited pass to heed Nephrology Nurses Week, Sept. 10-sixteen.
ANNA will award $four,000 scholarships to 5 nephrology nurses who are looking to additional their training.
“Nephrology nurses are dedicated to presenting personalised confidence to people dwelling with kidney ailment, and their passion and dedication to patients in reality makes a change,” referred to Franklin Maddux, MD, FACP, chief clinical officer and executive vice chairman for scientific and scientific affairs at FMCNA. “This contribution to their professional affiliation is their routine of not most efficacious thanking these caregivers who are a must absorb to the career, but additionally assisting them extra their careers.”
“aiding nephrology nurses with the aid of aiding their schooling not most efficacious helps their careers, it helps sufferers,” spoke of Alice M. Hellebrand, MSN, RN, CNN, ANNA president. “We esteem this partnership and generous award from Fresenius clinical confidence North america to edge nephrology nurses who exigency to continue their nursing schooling.”
As a divorce grant, the scholarships should be awarded below a divorce timeframe from ANNA’s current scholarship software. full ANNA contributors are eligible for the brand fresh scholarship, so as to provide funding for the pursuit of better education. contributors may additionally follow without delay for scholarships. The time limit to drill for scholarships throughout the equip is March 15, 2018. Winners could be introduced at ANNA’s countrywide Symposium, April 15-18, 2018 in Las Vegas, NV and money should be distributed forward of the autumn 2018 academic year. For extra suggestions, search recommendation from https://www.annanurse.org/fresenius-scholarships.
For suggestions about different ANNA scholarships and provides, search recommendation from www.annanurse.org/awards.
About Fresenius medical confidence North the us
Fresenius clinical confidence North the united states is the premier fitness confidence trade focused on providing the highest trait confidence to people with renal and different persistent situations. through its business-main network of dialysis amenities, outpatient cardiac and vascular labs, and pressing confidence centers, as neatly because the nation’s largest keep of hospitalist and effect up-acute suppliers, Fresenius medical confidence North the us provides coordinated fitness confidence services at pivotal confidence points for a entire lot of hundreds of chronically sick shoppers full through the continent. because the world’s biggest utterly built-in renal company, it offers distinctiveness pharmacy and laboratory features, and manufactures and distributes probably the most comprehensive line of dialysis device, disposable products and renal pharmaceuticals. For greater suggestions, visit the FMCNA web site at https://fmcna.com.
About American Nephrology Nurses affiliation
ANNA is a professional nursing association with greater than 8,500 contributors. ANNA’s mission is to better members’ lives via education, advocacy, networking, and science.
About Nephrology Nurses Week – September 10-sixteen, 2017
as a result of nephrology nursing is wonderful, requiring a dedication to 1-on-one patient confidence and a passion for bettering consequences and fitting an expert on the kidneys, the American Nephrology Nurses association (ANNA) launched Nephrology Nurses Week in 2005. The week gives full concerned – from employers to doctors to sufferers – the opportunity to thank these dedicated nurses for his or her a must-have work. ANNA likewise hopes to unfold the notice concerning the merits of nephrology nursing, and the a lot of profession opportunities within the box. Nephrology truly is without doubt one of the most divorce nursing specialties, as a result of nephrology nurses eye after sufferers of full a while, backgrounds and salary levels who've, or are at risk for, kidney disorder.
View source edition on businesswire.com: http://www.businesswire.com/news/domestic/20170915005924/en/
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For the South Carolina metropolis, the apologetic has been in the works for a very long time. The city Council picked Tuesday to approve the resolution because it's Juneteenth -- a day that celebrates the abolition of slavery."The vestiges of slavery nevertheless plague us nowadays," Councilman William Dudley Gregorie instructed CNN affiliate WCBD. He introduced the bipartisan conclusion to the council.
"either manner, up or down, it'll betoken the region -- it will supply the region a barometer of where they stand as a city in the 21st century because it pertains to racial reconciliation," he stated.the two-page conclusion is not just an apology; it's likewise an acknowledgment that slavery brutalized a individuals and stripped them of their tradition and values.
"The institution of slavery didn't simply hold actual confinement and mistreatment," it says. "It additionally sought to suppress, if no longer damage, the cultural, non secular and gregarious values of Africans by stripping Africans of their ancestral names and customs, humiliating and brutalizing them through sexual exploitation, and selling African household apart from one a different devoid of regard to the connection of family unit, a human circumstance established amongst full peoples of the area."
Slavery's role in Charleston's heritage
Slavery riddles the history of the South Carolina city.Forty % of Africans forcibly dropped at the united states set foot on American soil here. really, some 80% of African-american citizens can hint their roots back to Charleston, says the overseas African-American Museum.
about a mile faraway from metropolis hall is Gadsden's Wharf, where slave ships docked and unloaded at least a hundred,000 slaves. (In 2020, the site will circle into the domestic of the overseas African-American Museum).
the entrance to the historical Slave Mart in Charleston, believed to be the web page of the final slave auction facility in South Carolina
And, as the conclusion says, slave labor was "simple to the economic system of colonial and antebellum Charleston."
a long time after desegregation and the conclusion of the Jim Crow era, Charleston's racist previous simmers.
or not it's considered one of many locations within the US grappling with whether to liquidate nods to the Confederacy. A statue of John C. Calhoun, a staunch defender of slavery and secession, quiet stands in a metropolis square.
This 2015 photograph suggests the vicinity where Gadsden's Wharf as soon as stoodAnd three years ago, a confessed white supremacist went on a capturing spree inside the metropolis's Emanuel AME Church, killing 9 black parishioners.
Councilman Keith Waring, an African-American, says the resolution in its current state has no substance, and he won't vote for it.
"If they vote for it these days, how are they going to be at an edge the next day or day after today?" Waring informed CNN. "with out a remarkable alternate in policy, the suggestion is hole."
however, together with the apology, the conclusion calls on the city to advertise equality in city organizations, to memorialize African-americans' graves and to create an workplace of racial reconciliation.
For that, says Charleston NAACP President Dot Scott, the apologetic is cost backing.
"despite the set it got here from," she advised CNN, "it sends a message."
most of the respondents notable they didn't record the incidents to police or different authorities because they had been fearful or suspected they wouldn't be taken seriously.The file, released Tuesday via the city's fee on Human Rights, summarizes responses from three,a hundred Muslim, Arab, South Asian, Jewish and Sikh fresh Yorkers. They described incidents between July 2016 and late 2017.
for example, 27 p.c of Muslim Arab ladies who effect on a hijab pointed out they've been pushed on a subway platform, the fee stated.
"no person in long island city has license to discriminate against or badger others because of who they're, the set they pray, or what country they Come from." talked about Carmelyn P. Malalis, the commission's chairperson. "The NYC fee on Human Rights takes bias-prompted incidents very seriously and they are committed to combating them."
Key findings: Harassment, vandalism, assault
among the report's findings:
girl remembers 'hate-stuffed' assault
in a single example mentioned through the fee, Souad Kirama, a Muslim, said she became physically assaulted at a Brooklyn restaurant terminal yr through "hate-filled teenage ladies" who known as her a terrorist.
"americans absorb been just standing there staring at me being crushed up and being referred to as a (expletive) terrorist," she stated at a press conference. "not ever in my actuality absorb I viewed this variety of violence and aggressiveness."
"i'm a supercilious fresh Yorker and i am thankful" for the fee's survey, she mentioned. "Now more than ever, it is faultfinding that everyone in manhattan metropolis stands up in opposition t discrimination and dislike each time and wherever they perceive it."
Most incidents trudge unreported
The fee stated greater than 70% of the respondents did not record the alleged incidents to police or anybody else because:
The survey followed elevated reports of bias against Muslims and the other minority companies.
The commission entreated the advent of a community-primarily based referral network, together with bystander intervention working towards. It spoke of more money may quiet trudge to group outreach and legal aid so minorities be mindful their rights.
The commission additionally began an advert campaign this week on gregarious media and in 15 ethnic media retailers.
The lawsuit alleges, among other things, unlawful arrest, extreme utilize of drive and violation of the 14th modification's Equal coverage Clause. It likewise accuses the officers of collaborating to conceal their actions. It seeks compensatory and punitive damages, pointing out that Brown suffered "needless and austere very own physical and psychological and emotional injuries."
in keeping with the lawsuit, apart from discriminating towards Brown because he's black and violating his rights with the aid of treating a parking violation as a criminal offense, officers likewise failed to examine Brown his Miranda rights. also, at sure aspects probably the most officers grew to become off their bodycams, the swimsuit says.
photographs protected within the lawsuit demonstrate the accidents Brown allegedly suffered by the hands of police.
It likewise accuses one of the crucial officers, Sgt. Jeffrey Krueger, of firing his Taser on 4 outdated events "that did not result in expenses being introduced against his victims."
"For too long, African-American guys had been arrested and abused and killed because of grim police work," Brown's attorney, heed Thomsen, pointed out. "That toil is a blot on this metropolis and an insult to suited cops during this city and county."
Reached for comment, the Milwaukee Police arm mentioned Morales will review the incident full over a Thursday morning assembly "and should be purchasable for remark in a while."
The altercation begun when the Milwaukee Bucks capturing preserve exited a drug shop early January 26 to learn an officer -- identified in the lawsuit as Officer Joseph Grams -- outside his vehicle, which turned into parked throughout two handicapped parking spots.
It at once escalated after Grams shoved Brown and Brown instructed the officer now not to the paw him. Grams known as for backup and 7 officers replied, in keeping with the lawsuit and bodycam video released prior this month.
Officer's facebook posts
Tuesday's lawsuit singles out Officer Erik Andrade, one of the crucial responding officers -- now not so plenty for his actions throughout the arrest, but for his gregarious media posts after the incident.
a few of those posts mocked Brown, based on the lawsuit:
Of the Smith post, the lawsuit says, "Defendant Andrade's submit is an admission that he and other Defendant officers are allowed to absorb interaction in unlawful assaults and arrests of African americans with out justification and then find delight from such movements without any terror of precise self-discipline."
The lawsuit additionally alleges Andrade made different insensitive and racially charged posts:
Two units of bodycam photos
The Milwaukee Police association initially defended the officers who arrested Brown, calling utilize of drive "a integral component of policing" and slamming metropolis leaders for failing to protect the officers.After a batch of bodycam footage become made public this month, the union softened its tone, announcing it welcomes "appropriate review and oversight" of the count number.
the primary bodycam photos, released in may, contradicted the prefatory police account and confirmed the condition escalated right into a testy confrontation in a matter of seconds.
Brown, who became 22 at the time, and an officer routine each and every different. whereas asking the Bucks rookie for his license, the officer tells Brown to again up and calmly shoves him immediately upon giving the command. After Brown tells the officer again and again not to paw him, the officer requires backup, prompting at the least three more squad vehicles to descend on the scene.
Sterling Brown became drafted out of Southern Methodist college with the forty sixth select in the 2017 NBA Draft.
multiple officers surround Brown at his automobile and inquire of him questions. At one factor, an officer yells at Brown to select his arms out of his pockets, and Brown says he has "stuff" in his pocket. other officers seize the athlete and haul him to the floor before he is tased. Brown groans from the shock.
The second batch of pictures was released prior this month and indicates an officer stepping on the subdued Brown's ankle full over his arrest, despite his legs mendacity immobile on the ground after he become tased. It additionally indicates different officers mocking the NBA player.
At one element, in line with the lawsuit, Grams, who initiated the cease, can likewise be heard asserting to himself, "What is inaccurate with these people, man?"
Ten of the 15 aldermen on the Milwaukee routine Council expressed topic that the 2d batch of footage was not protected among video shared with the council two months prior. They demanded transparency, in addition to "swift and acceptable motion to full those worried who violated MPD guidelines and approaches," the aldermen's open letter mentioned.
Brown become issued a parking ticket however changed into now not charged with against the law after the incident. Hours later, sports reporters spoke of Brown had a bruise and scab on his physiognomy earlier than a online game that nighttime in opposition t the Brooklyn Nets.
The incident induced an inner affairs investigation. Two sergeants absorb been suspended without pay -- for 10 and 15 days, respectively -- for "failing to be a role model for skilled police provider," while another officer was suspended for two days for "failing to handle a member of the common public courteously and professionalism."
Eight others will obtain remedial practicing in expert communications, officers spoke of.
The Milwaukee Bucks talked about the officers' moves were shameful and inexcusable.
"It should not require an incident involving an expert athlete to draw consideration to the incontrovertible fact that inclined people in their communities absorb experienced equivalent, and even worse, medicine," the team noted.
Brown launched a statement, he noted, on behalf of Laquan McDonald, Stephon Clark and others in the black group who absorb been killed during police encounters.
"The ordinary denominator in full of these instances has been racism towards the minority group, the misuse of verve and the shortcoming of accountability for officers concerned," he referred to within the remark.
Milwaukee police were so worried in regards to the prefatory liberate of bodycam footage remaining month that, earlier than its unlock, second Police Chief Michael Brunson instructed parishioners of a Milwaukee church that the department was bracing for backlash."there may be going to be a video that is going to recrudesce out quickly, within the subsequent pair of weeks, involving the department," notable Brunson, in response to CNN affiliate WITI. "and i'm going to be honest with you, they will want your support throughout the challenges."
CNN's Darran Simon and Emanuella Grinberg contributed to this file.
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Esri [2 Certification Exam(s) ]
ExamExpress [15 Certification Exam(s) ]
Exin [40 Certification Exam(s) ]
ExtremeNetworks [3 Certification Exam(s) ]
F5-Networks [20 Certification Exam(s) ]
FCTC [2 Certification Exam(s) ]
Filemaker [9 Certification Exam(s) ]
Financial [36 Certification Exam(s) ]
Fortinet [12 Certification Exam(s) ]
Foundry [6 Certification Exam(s) ]
Fujitsu [2 Certification Exam(s) ]
GAQM [8 Certification Exam(s) ]
Genesys [4 Certification Exam(s) ]
GIAC [15 Certification Exam(s) ]
Google [4 Certification Exam(s) ]
GuidanceSoftware [2 Certification Exam(s) ]
H3C [1 Certification Exam(s) ]
HDI [9 Certification Exam(s) ]
Healthcare [3 Certification Exam(s) ]
HIPAA [2 Certification Exam(s) ]
Hitachi [28 Certification Exam(s) ]
Hortonworks [4 Certification Exam(s) ]
Hospitality [2 Certification Exam(s) ]
HP [743 Certification Exam(s) ]
HR [2 Certification Exam(s) ]
HRCI [1 Certification Exam(s) ]
Huawei [21 Certification Exam(s) ]
Hyperion [10 Certification Exam(s) ]
IAAP [1 Certification Exam(s) ]
IBM [1518 Certification Exam(s) ]
IBQH [1 Certification Exam(s) ]
ICAI [1 Certification Exam(s) ]
ICDL [6 Certification Exam(s) ]
IEEE [1 Certification Exam(s) ]
IELTS [1 Certification Exam(s) ]
IFPUG [1 Certification Exam(s) ]
IIA [3 Certification Exam(s) ]
IIBA [2 Certification Exam(s) ]
IISFA [1 Certification Exam(s) ]
Intel [2 Certification Exam(s) ]
IQN [1 Certification Exam(s) ]
IRS [1 Certification Exam(s) ]
ISA [1 Certification Exam(s) ]
ISACA [4 Certification Exam(s) ]
ISC2 [6 Certification Exam(s) ]
ISEB [24 Certification Exam(s) ]
Isilon [4 Certification Exam(s) ]
ISM [6 Certification Exam(s) ]
iSQI [7 Certification Exam(s) ]
ITEC [1 Certification Exam(s) ]
Juniper [62 Certification Exam(s) ]
Legato [5 Certification Exam(s) ]
Liferay [1 Certification Exam(s) ]
Lotus [66 Certification Exam(s) ]
LPI [23 Certification Exam(s) ]
LSI [3 Certification Exam(s) ]
Magento [3 Certification Exam(s) ]
Maintenance [2 Certification Exam(s) ]
McAfee [8 Certification Exam(s) ]
McData [3 Certification Exam(s) ]
Medical [25 Certification Exam(s) ]
Microsoft [361 Certification Exam(s) ]
Mile2 [2 Certification Exam(s) ]
Military [1 Certification Exam(s) ]
Misc [1 Certification Exam(s) ]
Motorola [7 Certification Exam(s) ]
mySQL [4 Certification Exam(s) ]
NCLEX [2 Certification Exam(s) ]
Network-General [12 Certification Exam(s) ]
NetworkAppliance [36 Certification Exam(s) ]
NI [1 Certification Exam(s) ]
NIELIT [1 Certification Exam(s) ]
Nokia [6 Certification Exam(s) ]
Nortel [130 Certification Exam(s) ]
Novell [37 Certification Exam(s) ]
OMG [10 Certification Exam(s) ]
Oracle [261 Certification Exam(s) ]
P&C [1 Certification Exam(s) ]
Palo-Alto [4 Certification Exam(s) ]
PARCC [1 Certification Exam(s) ]
PayPal [1 Certification Exam(s) ]
Pegasystems [11 Certification Exam(s) ]
PEOPLECERT [4 Certification Exam(s) ]
PMI [15 Certification Exam(s) ]
Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
Prince2 [6 Certification Exam(s) ]
PRMIA [1 Certification Exam(s) ]
PsychCorp [1 Certification Exam(s) ]
PTCB [2 Certification Exam(s) ]
QAI [1 Certification Exam(s) ]
QlikView [1 Certification Exam(s) ]
Quality-Assurance [7 Certification Exam(s) ]
RACC [1 Certification Exam(s) ]
Real-Estate [1 Certification Exam(s) ]
RedHat [8 Certification Exam(s) ]
RES [5 Certification Exam(s) ]
Riverbed [8 Certification Exam(s) ]
RSA [15 Certification Exam(s) ]
Sair [8 Certification Exam(s) ]
Salesforce [5 Certification Exam(s) ]
SANS [1 Certification Exam(s) ]
SAP [98 Certification Exam(s) ]
SASInstitute [15 Certification Exam(s) ]
SAT [1 Certification Exam(s) ]
SCO [9 Certification Exam(s) ]
SCP [6 Certification Exam(s) ]
SDI [3 Certification Exam(s) ]
See-Beyond [1 Certification Exam(s) ]
Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [1 Certification Exam(s) ]
SpringSource [1 Certification Exam(s) ]
SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [133 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
The-Open-Group [8 Certification Exam(s) ]
TIA [3 Certification Exam(s) ]
Tibco [18 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [6 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [32 Certification Exam(s) ]
Vmware [57 Certification Exam(s) ]
Wonderlic [1 Certification Exam(s) ]
Worldatwork [2 Certification Exam(s) ]
XML-Master [3 Certification Exam(s) ]
Zend [6 Certification Exam(s) ]
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