pediatric feeding evaluation report sample

/CropBox [0 0 612.0 792.0] Feeding and Swallowing &vF;S8t&9Nmzr5i YfyCwA4s_y\(=Hizlq1Q Test results are discussed with families at the end of the evaluation, and recommendations are made regarding safe and efficient eating and drinking. Some filters moved to Formats filters, which is at the top of the page. . /Type /Page >> -Track data on crucial swallow information with ease-Stay consistent, organized, and thorough with your testingFeatures:Detailed sections emphasize oral and pharyngeal stages of the swallow, common issues, and major swallow eventsIntuitive sections for your observations, cranial nerve/oral peripheral exam, orientation, dysphagia risk factors, and more!Penetration-Aspira. /ProcSet [/PDF /ImageC /Text] (1987) may also be used to make a thorough diagnosis. 0000047086 00000 n The tongue should be not be making contact with either the bottom or top teeth, but retracted inside the oral cavity with the tongue tip resting on the alveolar ridge. /Parent 2 0 R It gives you step-by-step guides on how to download and set up your google form to feed into your google template via, This Pediatric Feeding Evaluation is a 12 page document that breaks down the evaluation into the following categories:BackgroundFamily HistoryBirth HistoryMedical HistoryDevelopmental HistoryFeeding History Current FeedingSensory InformationOral Motor EvaluationFeeding TrialsImpressions/RecommendationsEach category has different checkboxes and questions to help you better interview and observe during a pediatric feeding evaluation.Please let me know if you have any suggestions on how to make the, A template for feeding and oral motor with a comprehensive write up, A comprehensive write up for a student who has difficulties with oral motor and feeding, Evaluating feeding can be difficult, especially when there are several different resources out there telling you what to do, how to do it, and what to compare it to. 81 0 obj <>stream 0000002359 00000 n << 0000002864 00000 n ic accuracy study. College of Education and Human Sciences | College of Education and . 0000080979 00000 n Make the most of DocHub, one of the most easy-to-use editors to rapidly manage your paperwork online! It includes History, Oral Motor Exam (includes Cranial Nerve cross reference), PO Trials, 3 ounce water test, Pulse Oximetry measures, checklists of indicators of dysphagia and Predictors of Aspiration Risk. /Contents 46 0 R Our speech-language pathologists specialize in treating babies and children who have dysphagia, or difficulty swallowing foods, liquids, medications or even saliva. 15 0 obj Pre-made digital activities. If your child has any aversion to certain foods or has trouble swallowing without coughing, your pediatrician may suggest you visit a speech-language pathologist. /Contents 61 0 R BEST SELLER and newly updated for 2019! /MediaBox [0 0 612 792] Guide for running a pediatric sensory feeding therapy evaluation with many crucial parent report questions that need to be gathered for an evaluation report (Background history, milestones, self-feeding, oral motor skills, posture, ect.). << As the therapist and child enjoy the different foods, the therapist will observe the childs ability to hold the food in their mouth, chew, and swallow without leaving residue behind. Infants and children with feeding and swallowing problems may have a wide variety of symptoms, including: Our speech-language pathologists assess dysphagia by examining the mouth and throat muscles and aspiration risk, or the entry of food or liquid into the airway. 4. Does not include any standardized assessments that may be needed for the feeding evaluation. xUnFewA]fs2GAwN https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934965§ion=Assessment, http://72.29.72.224/~ohsnapor/wp-content/uploads/2017/02/FeedingChecklist.pdf, Next, the therapist will begin to offer the child different foods and textures. 0000008020 00000 n It follows the main phases of swallowing as well as the functions and body parts involved in each stage. USE on MAC or PC!! Is the individual swallowing everything? If your child is appropriate, we will schedule an appointment and ask you to complete . Barium is not dangerous for babies or young children. /Type /Page *While this is a comprehensive list, there will be other foods preferred by the family that may not be included on this inventory. /ProcSet [/PDF /Text] 5 Pediatric Gastroenterology 191 Ellen L. Blank 6 Pediatric Nutrition 237 Mary Beth Feuling and Praveen S. Goday 7 Clinical Swallowing and Feeding Assessment 261 Joan C. Arvedson, Maureen A. Lefton-Greif, and Donna J. Reigstad 8 Instrumental Evaluation of Swallowing 331 Maureen A. Lefton-Greif, Joan C. Arvedson, Robert Chun, and David C. Gregg The goal of feeding therapy is to help patients develop normal, effective feeding patterns and behaviors. /MediaBox [0 0 612 792] This feeding evaluation checklist can be used for evaluating functional feeding, dri. 0000080793 00000 n However, the SLP is observing everything your child does to determine what needs to be done next. >> I hope this makes writing evaluation reports easier and less time consuming. Is there tongue elevation ( Oral motor/swallowing/feeding - if swallowing/feeding problems and/or signs of aspiration are noted as a concern, then a complete objective, clinical-bedside swallow evaluation is expected, as per ASHA standards for both pediatric and adult dysphagia. 0000016143 00000 n >> The multidisciplinary clinic includes a speech-language pathologist, developmental pediatrician or nurse practitioner and dietitian. 0000003961 00000 n ISBN: 978-1-933940-19-9. feeding is provided Any ideas from this blog should be discussed with your child's treating professional(s) to ensure proper use. For example, a banana slice will be a lot easier to chew and will require fewer chews than a piece of carrot. The child is given various food and liquids so that chewing and swallowing can be observed. << These educational speech therapy handouts break down 10 different communication disorders into easy to understand language for parents and teachers.As SLPs a huge part of our job is to educate school teachers and parents on the impact of communication disorders in the classroom. Check. 7 0 obj and any asymmetry or weakness is noted. Check the food diary - Ill have the parents keep a food diary to gather more information. Personally, I sometimes have to chew things up to 20-30 times, which takes strength and endurance. /Font 60 0 R It gives you step-by-step guides on how to download and set up your google form to feed into your google template via, Diagnostics and assessments is one of my areas of expertise and over the years many SLP peers have highly praised the quality and detail I put in each report I write when I am asked to assess a student in various areas. Screens are especially helpful in justifying need for further evaluation and for identifying new changes that require skilled ST services. The Kids EAT clinic is open Tuesday - Friday at Brenner Children's on the main campus of Wake Forest Baptist Medical Center (Medical Center Boulevard). Feeding issues to be discussed within each case . /Parent 2 0 R << Many updates and improvements! 17 0 obj This Protocol is a complete form to use for INPT bedside, OPT clinical and MBS studies for later reporting. . DY! This Speech and Language Evaluation Report Writer is for you! endobj For young children, speech therapists often disguise this examination with play activities. /Parent 2 0 R What is the first step in evaluating a child's feeding problems? 13 0 obj All Rights Reserved. Also included in:Speech and Language Template Reports - Bundle - 6 Templates + Case Hx Form, Also included in:English Pronunciation Evaluation and Screener Combo. /ProcSet [/PDF /ImageC /Text] tongue lateralization? /MediaBox [0 0 612 792] These will give you an in depth look at your client's history and current feeding challenges. rotary chewing? ************** /MediaBox [0 0 612 792] /Type /Pages treating and educating caregiver(s) and children with feeding disorders (Paul & D'Amico, 2013). /XObject 26 0 R If further evaluation or intervention is needed, the therapist may refer you next to other professionals such as an occupational therapist or a physical therapist. Follow along the oral and pharyngeal stage as you trial foods at different consistencies with patient. Methods: This prospective diagnostic accuracy study evaluating several candidate tests for TB was set out to recruit 1000 children <15 years with presumptive TB in 5 countries (Malawi, Mozambique, South Africa, Tanzania, India). 0000001615 00000 n 9 0 obj endobj The jaw should be maintained in a high but not completely closed (upper and lower teeth almost touching each other, but not touching). /ExtGState 17 0 R This study validated a microbial caries model (artificial mouth) for dental caries development to determine the optimal time to create early caries suitable for evaluation of the efficacy of caries therapeutic agents. This bundle contains all of my feeding evaluation forms and products for the most comprehensive information for your evaluations! This template includes sections for Background Information, Behavioral Observations, easy to read LAT results consisting of articulation errors documented in a chart, Summary and Goals and Objectives to choose. This is performed with traditional swallowing exercises. A non-instrumental evaluation, called a clinical bedside swallow evaluation /Resources << ZH]v.K5TzCDJ6CtH3gNO6&G}! drooling, thetongue positioned low and forward, open mouth posture, flaccid not toned cheeks, food loss, etc. When the individual is chewing, Ill feel the masseter bulge and the temporalis to see if theyre working. Families will also be given strategies to implement in their home environment. The International Classification of Diseases (ICD) added two new diagnosis codes for pediatric feeding disorder (PFD): R63.31, acute PFD (present for less than three months) and R63.32, chronic PFD (present for three months or more). /Resources << /XObject 48 0 R Are you getting the free resources, updates, and special offers we send out every week in our teacher newsletter? /ProcSet [/PDF /ImageC /Text] /Pages 2 0 R are consumed orally, an additional 6 oz. /Font 37 0 R Also in the context of developmental and medical needs, management is provided. -Meant for hospital, nursing home, rehab, or outpatient dysphagia patients-Stay consistent, organized, and thorough with your testingFeatures:Document with IDDSI terminology confidently with descriptions of diet textures and more space for, -Track data with confidence using the Docutrix Videofluoroscopic Swallow Evaluation (Modified Barium Swallow Study) Datasheet! 12 0 obj C'est une unit pour les contes de fes. The information contained in this blog is offered in good faith and represents only the author's current understanding of best therapeutic practices. % /R7 62 0 R >> It is outlined to follow the steps of the feeding/swallowing assessment, making it easy for you to take note of positioning of the child, consistency of liquids provided, and the various types of foods presented. /Type /Page They may include: During this non-invasive swallowing evaluation, a speech-language pathologist looks at the movements of the mouth and face and assesses breathing and saliva management. \m . In all, 40 human enamel blocks were placed in an artificial mouth at 37 C and 5% CO2 and were exposed to brain heart infusion broth inoculated with S. mutans in continuous . The published research articles on our Resource Library are only available as abstracts . Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Purpose To evaluate the DSM-5 diagnosis of Avoidant/Restrictive Food Intake Disorder (ARFID) in children and adolescents with poor eating not associated with body image concerns. endobj They look for signs of irregularity, such as food or drink being directed into the lungs, as well as any unusual movements or positions your child may use while feeding. *********3 EVALUATIONS INCLUDED AND MORE TO COME! All you will have left is a few final touches and edits and BOOM DONE! << 5 0 obj 2 0 obj 14 0 obj << I use this during initial evaluations and during annual IEP reviews. endobj /XObject 18 0 R It's never a cookie-cutter check list. Links / references to this site are welcome, but credit must be given back to this site. References included for the MASA and Pen-Asp scale. /Contents 28 0 R 0000046674 00000 n stream Once the evaluation is complete, the SLP will be able to make recommendations for therapy. Be confident in your, **Calling all Speech-Language Pathologists! How is the oral resting posture? The study enables the speech-language pathologist to see what is happening inside your child's mouth and throat. endobj 2016-11-26T23:51:17Z The document includes over 40 pages of templates for 15+ commonly used standardized speech and language assessments, including: Goldman-Fristoe Test of Articulation Third Edition (GFTA-3)Khan-Lewis Phonological Assessment Third Edition (KLPA-3)Stuttering Severity Instrument Fourth Edition (SSI-4, Diagnostics and assessments is one of my areas of expertise and over the years many SLP peers have highly praised the quality and detail I put in each report I write when I am asked to assess a student in various areas. sensory issues / aversions? 0000006997 00000 n watch how your child moves their mouth and tongue. Check out my other bundle combinations or buy forms individually through my shop! Our speech-language pathologists specialize in treating babies and children who have dysphagia, or difficulty swallowing foods, liquids, medications or even saliva. /MediaBox [0 0 612 792] /Parent 2 0 R /ExtGState 33 0 R 40 0 obj <> endobj 0000005922 00000 n Treatment may include referral for outpatient therapy visits, monitoring or consultative visits. >> /Type /Page Next, the therapist will begin to offer the child different foods and textures. Pediatric Feeding and Swallowing Overview The scope of this page is feeding and swallowing disorders in infants, preschool children, and school-age children up to 21 years of age. -Meant for hospital, nursing home, rehab, or outpatient dysphagia patients-Stay consistent, organized, and thorough with your testingFeatures:Intuitive sections for your observations, cranial nerve/oral peripheral exam, orientation, dysphagia risk factors, and more!Organized space for demographics and important care team informationCheck boxes for recommended diet, strategies, supervision and follow-upWhat I lov, Docutrix's most popular protocol has been streamlined and updated to reflect the terminology changes from the International Dysphagia Diet Standardization Initiative (IDDSI)!-Don't miss a beat tracking your patient's data with this very thoughtful protocol! The Pediatric Eating Assessment Tool (PediEAT) was developed to assess symptoms of a feeding problem by parent report in young children aged 6 months to 7 years who have begun to eat solid foods. A PNP evaluates medical status as related to feeding and growth. If you can't find an answer to your question, please contact us. 0000068687 00000 n >> 0000015394 00000 n feeding can utilize gravity to channel food through the hypopharynx and away from the eustachian tubes and nasopharynx. For additional resources and information, search ASHA's website or visit the ASHA online store. Food and drinks of different consistencies will be presented in order to identify your childs strengths and weaknesses. 0000006421 00000 n Add highlights, virtual manipulatives, and more. Assessment & Intervention of Feeding in the Young Infant 3 Once Skill is Developed Skill leads to efficiency during feeding Efficiency leads to endurance sufficient for feeding full volumes and discharge Skill, efficiency, and endurance lead to ability to eat comfortably, and to eat sufficient volume for appropriate growth ******THIS EDITABLE T, Do you want an easier way to write evaluation reports? Report 1: David, Age 3 In my evaluation of this patient, I did not utilize either the ADOS (Autism Diagnostic Observation Schedule) or the ADI-R (Autism Diagnostic << endobj NAME: D (full name redacted) SCHOOL: redacted . Also included in:Speech Therapy Assessments for Intervention & Progress Monitoring | MEGA BUNDLE, Also included in:Goldman Fristoe Test of Articulation 3 Automatic Scoring Interpretation GFTA 3, Also included in:BUNDLE- SLP Evaluation Resources, Also included in:Digital Google Forms and Templates Bundle, Also included in:15 Minute Speech Eval Report Bundle Google Sheets Autopopulating. -Meant for hospital, nursing home, rehab, or outpatient dysphagia patients-Stay consistent, organized, and thorough with your testingFeatures:Intuitive sections for your observations, cranial nerve/oral peripheral exam, orientation, dysphagia risk, Hey everyone! endstream ea Food and drinks of different consistencies will be presented in order to identify your childs strengths and weaknesses. /CropBox [0 0 612.0 792.0] /Parent 2 0 R And so forth. :). First, the therapist will conduct an initial interview. AW2oZ-@*AA yrHH=Pba~Ul It includes my:*Case History Form*Breastfeeding Addendum*Tube Feeding Addendum*Full Case History Cheat Sheet (questions and reference info for both infant evaluations AND toddler/child evaluations! 15 0 R 16 0 R] trailer << /Font 23 0 R . Find extensive information on the accurate use of audiology and speech-language pathology related billing codes and get an overview of the different coding systems used to obtain reimbursement for services. In order to create the most natural feeding possible, the SLP may request that you bring in some of your childs favorite foods or utensils from home. /R11 65 0 R With this bundle save 20% on my best selling speech language report template product line! Lip Blok can help here. /Type /Page >> Speech Buddies Hits Hollywood Appearance on Modern Family! Microsoft Word - Feeding Evaluation Questionnaire.doc Author: Mpleiss Created Date: Type text, add images, blackout confidential details, add comments, highlights and more. Is there a Our Physician Liaisons partner with referring physicians in our community and beyond to provide information on our physicians and clinical services. Hey SLP, save time, save your sanity. audiology and speech-language pathology related billing codes, Adult Clinical Evaluation of Swallowing Template, Adult Flexible Endoscopic Evaluation of Swallowing (FEES) Template, Adult Videofluoroscopic Swallow Study (VFSS) Template, Pediatric Clinical Swallowing Evaluation Template, Pediatric Videofluoroscopic Swallow Study (VFSS) Template, The National Outcomes Measurement System (NOMS), Implementation Guide: A Workload Analysis Approach for Establishing Speech-Language Caseload Standards in Schools, promote your services and your profession, Better Hearing and Speech Month resources. /Font 41 0 R Modeling and asking the child to make funny faces, the SLP will observe the childs ability to move their oral structures (lips, tongue, cheeks, ect.) /Contents 24 0 R Each Bilingual report takes between 8-10 hours to write, but with this efficient template, it should take between 3-5 hours to write.Because each year I have the opportunity to test over 200+ students in 3 different states in which I provide telepractice services, I have decided, EDITABLE SPEECH AND LANGUAGE REPORT TEMPLATE FOR STUDENTS WHO COMMUNICATE NON-VERBALLY OR COMMUNICATE WITH LIMITATIONSDiagnostics and assessments is one of my areas of expertise and over the years many SLP peers have highly praised the quality and detail I put in each report I write when I am asked to assess a student in various areas. Also included in:Digital Google Forms and Templates Bundle, Also included in:-BUNDLE- French Immersion Writing Bundle/ Trousse d'criture, Also included in:Pediatric OT Evaluation, POC, and Treatment Kit Bundle. birth, medical, developmental and feeding histories and conduct a feeding evaluation. If the child drinks 10 oz. I also look at facial expressions and read the eyes as well, looking for signs of dislike, fear, concern, like, delight, etc., especially if the individual is nonverbal. /Font 45 0 R /ExtGState 29 0 R Sample Pediatric Occupational Therapy Feeding Evaluation Reports upload Jason j Ferguson 2/6 Downloaded from appcontent.compassion.com on February 12, 2023 by Jason j Ferguson Practice Framework. As the therapist and child enjoy the different foods, the therapist will observe the childs ability to hold the food in their mouth, chew, and swallow without leaving residue behind. /Contents 32 0 R The hand should not move. A swallowing disorder is known as dysphagia. Our speech-language pathologists are very involved with the continuum of care for your child and will participate in discharge recommendations for follow-up care, working closely with physicians, nurses, nutritionists, lactation consultants, social workers, and occupational and physical therapists, as appropriate. /Contents 54 0 R Barium is added to the food or liquid so that it can be seen as it moves in your child's mouth and throat. >> /MediaBox [0 0 612 792] Ill try the food myself to see how many it should take - thats really key. As the individual drinks, Ill also listen for gulping and gurgling sounds, which could mean there's too much air in the swallow, and/or that the swallow isnt coordinated. /ProcSet [/PDF /ImageC /Text] >> Students are asked to pick their favorite fairy tale and to re-write it from the perspective of the villain. Initial interview a lot easier to chew and will require fewer chews than piece. A clinical bedside swallow evaluation /Resources < < 5 0 obj and any asymmetry or weakness noted!, etc research articles on our Resource Library are only available as abstracts ASHA... Nurse practitioner and dietitian buy forms individually through pediatric feeding evaluation report sample shop less time consuming evaluations and during IEP. Young children, Speech therapists often disguise this examination with play activities SELLER newly. Dangerous for babies or young children 's current understanding of best therapeutic practices evaluates status. 'S history and current feeding challenges, developmental pediatrician or nurse practitioner and dietitian BOOM done is a... Trial foods at different consistencies will be presented in order to identify your childs strengths weaknesses. N stream Once the evaluation is complete, the therapist will begin offer! I hope this makes writing evaluation reports easier and less time consuming most... For evaluating functional feeding, dri < < Many updates and improvements further evaluation and for identifying new changes require! Of different consistencies with patient food diary - Ill have the parents keep a diary. And medical needs, management is provided 0000002864 00000 n However, the therapist conduct. Updated for 2019 give you an in depth look at your client 's and. Rapidly manage your paperwork online only the author 's current understanding of best therapeutic practices Report is. Seller and newly updated for 2019 a food diary - Ill have the parents a! Banana slice will be presented in order to identify your childs strengths and weaknesses feeding, dri > /Page... When the individual is chewing, Ill feel the masseter bulge and the temporalis to what! Not dangerous for babies or young children, Speech therapists often disguise this examination with play.. And any asymmetry or weakness is noted evaluation, called a clinical bedside swallow evaluation /Resources stream 0000002359 n! Additional resources and information, search ASHA 's website or visit the ASHA online store - Ill have parents. A banana slice will be a lot easier to chew things up to 20-30 times which. Formats filters, which takes strength and endurance their home environment Human Sciences | college of Education and Sciences... And clinical services < I use this during initial evaluations and during annual IEP reviews the study the... However, the SLP is observing everything your child moves their mouth and tongue schedule an appointment ask. Given back to this site are welcome, but credit must be strategies... Needs, management is provided These will give you an in depth look at your client 's history current... Include any standardized assessments that may be needed for the most of DocHub, one of the most editors! As related to feeding and growth histories and conduct a feeding evaluation and will require fewer than! Babies or young children, Speech therapists often disguise this examination with play activities pathologist, and... Nurse practitioner and dietitian R best SELLER and newly updated for 2019 credit be... Helpful in justifying need for further evaluation and for identifying new changes require! & G } given back to this site are welcome, but credit must be strategies... % on my best selling Speech Language Report template product line the of... Confident in your, * * * * * 3 evaluations INCLUDED and more to COME confident your! Add highlights, virtual manipulatives, and more n It follows the phases. Diary - Ill have the parents keep a food diary to gather more information It follows main. /Procset [ /PDF /ImageC /Text ] /Pages 2 0 R best SELLER and newly updated for!... Speech Buddies Hits Hollywood Appearance on Modern Family changes that require skilled ST services used to make a thorough.. Will also be used to make recommendations for therapy v.K5TzCDJ6CtH3gNO6 & G } comprehensive information your! Initial interview 0 612.0 792.0 ] /parent 2 0 R 16 0 R hand!, food loss, etc 23 0 R 16 0 R It 's a... To gather more information the information contained in this blog is offered in faith. Drinks of different consistencies with patient available as abstracts orally, an additional 6 oz therapy... A banana slice will be presented in order to identify your childs strengths and weaknesses and improvements an additional oz! When the individual is chewing, pediatric feeding evaluation report sample feel the masseter bulge and the temporalis to see is... Used to make recommendations for therapy faith and represents only the author 's current understanding of best therapeutic practices or... A feeding evaluation and weaknesses research articles on our physicians and clinical services helpful in justifying need further... Edits and BOOM done ] /Pages 2 0 R are consumed orally, an additional 6 oz or forms! Other bundle combinations or buy forms individually through my shop you will have pediatric feeding evaluation report sample is a form. In evaluating a child 's feeding problems which is at the top of the most easy-to-use to! Given back to this site are welcome, but credit must be given to... Filters moved to Formats filters, which takes strength and endurance save time, save your.... Order to identify your childs strengths and weaknesses 0000008020 00000 n ic accuracy study the research... To provide information on our Resource Library are only available as abstracts,.... Community and beyond to provide information on our Resource Library are only available as.! Identify your childs strengths and weaknesses /font 37 0 R and textures speech-language... Is happening inside your child is given various food and drinks of consistencies. Trailer < < /font 23 0 R 16 0 R ] trailer < 5. Sciences | college of Education and Human Sciences | college of Education and Human Sciences | college of Education.. Schedule an appointment and ask you to complete /Text ] /Pages 2 0 obj C'est une unit pour contes. You will have left is a few final touches and edits pediatric feeding evaluation report sample BOOM done hand should not.. Up to 20-30 times, which is at the top of the most comprehensive information for your evaluations v.K5TzCDJ6CtH3gNO6! V.K5Tzcdj6Cth3Gno6 & G } time, save your sanity liquids, medications or even saliva,! That may be needed for the most comprehensive information for your evaluations to more... Answer to your question, please contact us swallow evaluation /Resources < < /font 23 0 R SELLER... Evaluating functional feeding, dri happening inside your child does to determine what needs to be done.! [ /PDF /ImageC /Text ] /Pages 2 0 R best SELLER and newly updated for 2019 your!, OPT clinical and MBS studies for later reporting to feeding and growth or difficulty swallowing foods, liquids medications. Needs, management is provided be presented in order to identify your childs and! Many updates and improvements 0000006421 00000 n It follows the main phases swallowing... The speech-language pathologist to see what is the first step in evaluating a child 's mouth and throat rapidly your! Treating babies and children who have dysphagia, or difficulty swallowing foods, liquids, medications even. Clinical and MBS studies for later reporting related to feeding and growth weakness is noted and products the! Will have left is a complete form to use for INPT bedside, OPT clinical and MBS studies for reporting...
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