note book hanyar
TRANSCRIPT
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ANALISA PROSES INTERAKSI (API)
DENGAN DIAGNOSA HALUSINASI
Nama Mahasiswa : Maria Ulfah, S.K!
Tm!a"#$a%"& : Nilam
I'isial Kli' :
I'"ra%si :
T&&a' Km&'i%asi :
Km&'i%asi Km&'i%asi N' A'alisa *r!&sa" !a+a A'alisa *r!&sa" !a+a
r-al r-al Kli' Prawa"
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asi'al
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Maria Ulfah, S.Kep
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Maria Ulfah, S.Kep
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Azhar.
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, S.Kep
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. I PENGKAJIAN
. A.Biodata Klien
. Nama :
. Umur :
. Jenis Kelamin :
. Agama :
. Suku / Bangsa :
. Pendidikan :
. Pekerjaan :
. Status perkainan :
. Alamat :
. !gl. "asuk #S :
. !gl. Pengkajian :
. #uangan diraat :
. No. #"K :
. $iagnosa "edis :
.
. B. Biodata Penanggung Jaa%
. Nama :
. Umur :
. Jenis Kelamin :
. &u%ungan dengan klien :
. :
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.
. II. #I'A(A! PEN(AKI!
. A.Kelu)an Utama
.
.
.
.
. B#ia*at Pen*akit Sekarang
.
.
.
.
. +.#ia*at Pen*akit $a)ulu
.
.
.
.
. $.#ia*at Pen*akit Keluarga
.
.
.
. III. PE"E#IKSAAN ,ISIK
. - Keadaan Umum
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. Kulit
.
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. Kepala dan 0e)er
.
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. 1 "ata dan pengli)atan
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. 2 &idung dan Pen3iuman
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. 4. "ulut dan Gigi
.
.
.
.
. 5. !elinga dan Pendengaran
.
.
.
.
. 6 $ada7 Perna8asan dan Sirkulasi
.
.
.
.
. 9 A%domen
.
.
.
.
. - #e3tum dan Genitalia
.
.
.
.
. -- Ektremitas atas dan %aa)
.
.
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. I;. Ke%utu)an ,isik7 Psikososial dan Spiritual
. a. Akti8itas dan Istira)at
.
.
.
.
.
.
. %. Personal &igiene
.
.
.
.
.
. 3.Nutrisi
.
.
.
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.
.
.
. d Eliminasi
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. e. Seksual
.
.
. 8. Psikososial
.
.
.
. g. Spiritual
.
.
. E. PE"E#IKSAAN PENUNJANG
. !gl.
. Pemeriksaan &asil Nilai #ujukan Satuan
. SG/?
. SGP! = 12 >/?
.
Ginjal. Ureum - = 2 mg/d0 "odi8 =
. +reatinin 75 = -1 mg/d0 ja88e
. &ematologi
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. &emoglo%in --. = -4. g/d0 +olori
. 0ekosit 1. = -72 Imped
. Eritrosit 1. = 4.2 Imped
. &ematokrit . = 11. @ol Anal*
. !rom%osit -2 = 12 Imped
. #$' = +; --.2 = -2.5 Anal*
. MCV, MCH, MCHC
. "+; 6. = 95. ? Anal*
. "+& 5. = . pg Anal*
. "+&+ . = 6. Anal*
. &itung Jenis
. Baso8i . = -
. Basino8il -. = .
. Gran 2. = 5. impeda
. 0im8osit 2. = 1. impeda
. "onosit . = 9.
. Baso8il C D -
. Basino8il C D
. Gran C .2 = 5. impeda
. 0im8osit C -.2 = 1. impeda
. "onosit C . = -.
. ES# . =-2. mm/jam
. Natrium -2 = -14
. Kalium 71 = 271
. +lorida 92 = -
. Biliru%in $irek . = .1 mg/d0 modi8 j
. Biliru%in Inderek . = .4 mg/d0 modi8 j
. &asil P! 9.9 = -.2 $etik
. &asil AP!! . = 5. $etik
ri%u/>0
juta/>0
ri%u/>0
ri%u/>0
ri%u/>0
ri%u/>0
ri%u/>0
ri%u/>0
mm /0
mm /0
mm /0
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Azhar. A, S.Kep
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Azhar. A, S.Kep
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Azhar. A, S.Kep
"etode
%er)elot
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etri3
n3e
n3e
r 3al3ulates
n3e
r 3al3ulates
r 3al3ulates
r 3al3ulates
r 3al3ulates
n3e
n3e
n3e
n3e
nd gra88
nd gra88
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ANALISA DATA
Nama Kli' : R&a'
Umur : N. RM
N HARI #TGL DATA ETIOLOGI
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:
:
PRO*LEM
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REN/ANA ASUHAN KEPE
Nama Kli' :
Um&r :
Ta'al N. D0 K!rawa"a'T&&a' Kri"ria Hasil
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RA$ATAN
R&a' :
N. RM :
Pr'1a'aa'
I'"r2'si Rasi'al
Azhar. A, S.Kep
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N. HARI#TGL DIAGNOSA
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/ATATAN KEPERA$ATAN
IMPLEMENTASI
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EALUASI
Azhar. A, S.Kep
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/ATATAN PERKEM*ANGAN
Nama Kli' : R&a' :
Umur : N. RM :
N. HARI#TGL DIAGNOSA SOAP
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Azha
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PARA3
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r. A, S.Kep
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KUMPULAN LAPORAN PRAKTEK PRO3ESI NERS
STAGE KEPERA$ATAN 4I$A
RS4 SAM*ANG LIHUMPri+ 56 4&li s#+ 57 A&s"&s 589
Olh :
MARIA UL3AH, S.K!
NPM : 989;7 *
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SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADI=AH *AN4A
PROGRAM S9 KEPERA$ATAN TAHAP PRO3ESI NERS
*AN4ARMASIN, 589
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MASIN
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JURNAL DAN ANALISIS JURNAL
DI RUANG KEMUNING (THT)
RSUD ULIN BANJARMASIN
Tah&' 5899
$&la' Mla'i , 3rr>a' Sf>a'
Di a'alisis lh :
A?HAR AKHMAD, S.K!
9988@ *.S9
BR
ANJA MASINB
RANJA MAS
IN
SEKO
LAHTING
GIILMU KESEHATANMUHAM
MAD
IYAH
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SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADI=AH *AN4ARM
PROGRAM S9 KEPERA$ATAN TAHAP PRO3ESI NERS
*AN4ARMASIN, 589
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SIN
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LEM*AR PERSETU4UAN
9
5
7
6
@
;
B
98
99
*a'armasi', S!"m-r 589
La!ra' Pra%"% Tahaf Prfsi Nrs S"as K!rawa"a' M+i%al *+ah, +i
HAS*ULAH, S.K! NPM 9988; *a' "r+iri +ari :
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a'
Or"h!+i *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a'
I*S#OK *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a'
*+ah Um&m *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a' +i
+a' Or"h!+i *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a' +i
*LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a'
4a'"&' *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a'S>araf *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a' +i
*LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a'
PD$ *LUD RS Uli' *a'armasi'.
La!ra' P'+ah&l&a', La!ra' Kas&s, 4&r'al +a' Rs&m K!rawa"a' +i
*LUD RS Uli' *a'armasi'.
La!ra' As&ha' K!rawa"a' Uia' Pra%"% +i R&a' 4a'"&' *LU
*a'armasi'.
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/li'i1al Ta1hr (/T
E= NOORHASANAH, S.
NIK.
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.
&s&' lh
+i R&a'
+i R&a'
+i R&a'
li *+ah
&a' Par&
+i R&a'
+i R&a'
&a' PDP
+i R&a'
&a' THT
RS Uli'
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!., Ns
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LEM*AR PERSETU4UAN
*a'armasi',
/li'i1al Ta1hr (/T) /li'i1al I's"r&%"&r (/I)
SOLIKIN, S.K!. Ns, M.K!. S!.KM* H. RISTA$A *S$
NIK. 86. 88. 885 NIP. 9B6B959 9B;;95 9 887
La!ra' Pra%"% "aha! Prfsi Nrs S"as K!rawa"a' Gr'"i% +i $isma Kam
Trs'a $r+ha *&+i Sah"ra Mar"a!&ra a"as 'ama : I'+rai+, S.K! NPM: 9988B5
"r+iri +ari La!ra' P'+ah&l&a', As&ha' K!rawa"a', Rs&m K!rawa"a'
A1ara P'>&l&ha' Klm!% "lah +is"&&i lh !m-im-i'.
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4&li 589.
a Ssial
*a'
a' Sa"&a'
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LEMBAR PERSETUJUAN
Nama : A?HAR AKHMAD, S.K!
NPM : 9988@ *
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a', 4&r'al
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RESUME PRAKTEK NSTASE KEPERA$ATAN MEDI
STIKES MUHAMMADI=AH *AN
PROGRAM PRO3ESI NE
Nama Mahasiswa : A?HAR. A., S.K!
NPM : 9988@ *.S9
R&a' : Saraf (Sr&'i)
*LUD RS Uli' *a'armasi'
NURSING ASSESMENT
I. I+'"i"as Kli'
Nama Kli' :
Um&r :
Dia'sa M+is :
Ta'al P'%aia' :
II. DATA 3OKUS
F Kl&ha' U"ama
F I's!%si
F Pal!asi
F Pr%&si
F A&s%&l"asi
BR
ANJA MASINB
RANJA MAS
IN
SEKO
LAH
TINGGI
ILMUKESEHATANMUH
AMMAD
IYAH
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III. Da"a Tam-aha'
I. A'alisa Da"a
DATA PRO*LEM
. R'1a'a As&ha' K!rawa"a'
F Dia'sa
F T&&a'
F Kr"ria Hasil
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F I'"r2'si
Im!lm'"asi +a' E2al&asi
N Im!lm'"asi
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RS AL *EDAH
4ARMASIN
S *
Paraf Pm-im-i'
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Azhar. A, S.Kep
ETIOLOGI
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E2al&asi
Azhar. A, S.Kep
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RESUME PRAKTEK NSTASE KEPERA$ATAN MEDI
STIKES MUHAMMADI=AH *AN
PROGRAM PRO3ESI NE
Nama Mahasiswa : A?HAR AKHMAD, S.K!
NPM : 9988@ *
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III. A'alisa Da"a
DATA ETIOLOGI
I. R'1a'a As&ha' K!rawa"a'
F Dia'sa K!rawa"a'
F T&&a'
F Kr"ria Hasil
F I'"r2'si
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F Im!lm'"asi
F E2al&asi
S :
O :
A :
P :
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RS AL *EDAH
4ARMASIN
S *
Paraf Pm-im-i'
/I
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PRO*LEM
Azhar. A, S.Kep
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Azhar. A, S.Kep
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RESUME PRAKTEK NSTASE KEPERA$ATAN MEDI
STIKES MUHAMMADI=AH *AN
PROGRAM PRO3ESI NE
Nama Mahasiswa : DINA SUSANA, S.K!
NPM : 99895B *a' +i rasa%a' saa" !'%aia'
F L%
F 3l
F M2
F Da"a Tam-aha'
BR
ANJA MASINB
RANJA MAS
IN
SEKO
LAH
TINGGI
ILMUKESEHATANMUH
AMMAD
IYAH
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III. A'alisa Da"a
DATA MASALAH
I. R'1a'a As&ha' K!rawa"a'
F Dia'sa K!rawa"a'
F T&&a'
F Kr"ria Hasil
F I'"r2'si
F Im!lm'"asi
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F E2al&asi
S :
O :
A :
P :
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RS AL *EDAH
4ARMASIN
S *
Paraf Pm-im-i'
/I
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ETIOLOGI
Azhar. A, S.Kep
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Azhar. A, S.Kep
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RESUME PRAKTEK NSTASE KEPERA$ATAN GA$A
STIKES MUHAMMADI=AH *AN
PROGRAM PRO3ESI NE
Nama Mahasiswa :
NPM :
R&a' :
NURSING ASSESMENT
I. I+'"i"as Kli'
Nama Kli' :
Um&r :
Dia'sa M+is :
Ta'al Mas&% :
Ta'al P'%aia' :
Kl&ha' U"ama
Riwa>a" P'>a%i" S%ara'
II. Pmri%saa' 3isi%
I's!%si :
v Airway
BR
ANJA MASINB
RANJA MAS
IN
SEKO
LAH
TINGGI
ILMUKESEHATANMUH
AMMAD
IYAH
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A&s%&l"asi :
Pr%&si :
Pal!asi :
Da"a P'%aia' N>ri
v Breathing
v Circulation
v Disability
v Exposure
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Da"a Tam-aha'
III. A'alisa +a"a
DATA ETIOLOGI
DS:
DO:
I. R'1a'a As&ha' K!rawa"a'
v Diagnosa
v Tujuan
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. Im!lm'"asi C E2al&asi
N Im!lm'"asi
v Kretria Hasil
v Intervensi
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RS T DARURAT
4ARMASIN
S *
Paraf Pm-im-i'
/I
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Azhar. A, S.Kep
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PRO*LEM
Azhar. A, S.Kep
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E2al&asi
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Azhar. A, S.Kep
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PEMERINTAH PROVINSI KALIMANTAN SELATAN
RUMAH SAKIT UMUM DAERAH ULIN
INSTALASI BEDAH SENTRAL
Jl. A. Yani No. 43 Telp (0511) 252180 ext.5212
BANJARMASIN
LAPORAN KEGIATAN MAHASIS$A
Nama MHS : MUSLIANI, S.K! NPM : 99885; *
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*a'armasi', A&s"&s 589.
M'"ah&i,
/I I*S Mahasiswa,
MAH=UDI, S.K!,. Ns MUSLIANI, S.K
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TT MHS
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LEM*AR PERSETU4UAN
Prram S9 K!rawa"a' Taha! Prfsi Nrs
S%lah Ti'i Ilm& Ksha"a' M&hamma+i>ah *a'armasi'
*a'armasi', 5 A&s"&s 589.
/li'i1al Ta1hr (/T) /li'i1al I's"r&%"&r (/I)
E= NOORHASANAH, S.K!., Ns MAH=UDI, S.K!., Ns
NIK. NIP.
Smi'ar &r'al i'i a%a' +i!rs'"asi%a' hari sa-"& "a'al A&s"&s 589 +i R&a'
I's"alasi *+ah S'"ral RSUD Uli' *a'armasi'
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SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADI=AH *AN4AR
PROGRAM S9 KEPERA$ATAN TAHAP PRO3ESI NERS
NILAI SEMINAR 4U4RNAL
Klm!% : Klm!% 6
A'"a : Nrhasa'ah, S.K!
Has-&lah, S.K!
M&slia'i, S.K!
Hari#Ta'al : Sa-"&, A&s"&s 589
Tm!a" : R&a' Pr1'fr'1 I*S
Ma"ri : Ka+ar Im'l&-&li' A s%r"ri !a+a !'+ri"a "'sili"is %r'i% s-l&m +a' s"
"'sil%"mi
N As!% >a' +i 'ilai*-" Nilai Mahasiswa
Nilai 9 5 7
9 Prsia!a' Tm!a" 6
5 Prsia!a' m+ia +a' a&+i 2is&al 6
M'>am!ai%a' "&&a' !%% smi'ar 6
7 Klasa' +alam m'>am!ai%a' ma"ri 58
6 K"!a"a' wa%"& 6
@ Kmam!&a' -%rasama %lm!% 98
Kmam!&a' mmahami !r"a'>aa' 98; K"!a"a' m'awa- !r"a'>aa' 58
B Kmam!&a' m'+r' +is%&si s1ara a%"if 98
98 Kmam!&a' m'>im!&l%a' hasil smi'ar 98
4&mlah Nilai 988
K"ra'a':
9 *a"as Nilai l&l&s ra"a
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*a'armasi', A&s"&s 589.
( )
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ASIN
lah
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