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Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
So you just talked about active engagement within the case. And I think a big question that often comes up in sustainable investing more generally is whether divesting is a solution. If a company, for example, is exposed to coal, should portfolio managers divest or is an active engagement strategy preferable to push co... |
And certainly as these forces reach a tipping point and environmental pressures become, the environmental crisis becomes so critical as we're seeing. But even if the company is in a field where the human rights issues are so germane, those things are going to be clearly rationally related. If you're in a crisis managem... |
The market is certainly trying. But we need standards to be clear and widely adopted, hence the moves by the SEC and the EU, as well as the accounting profession, which has formed an international sustainability standard board, are so welcome. MIT did an analysis of market ratings aptly titled Aggregate Confusion, whic... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
Definitely. And that's why I emphasized before I used that word average a lot, right? The average carbon grid intensity in the US. So Norway, Switzerland, France, also because of nuclear power, which is unproblematic, at least from a greenhouse gas perspective. New York State, too, interestingly, has quite a low grid c... |
Could you discuss some of the benefits and drawbacks from an LCA perspective of, and this is maybe more consumer focused, of a used or pre-owned vehicle versus the purchase of an electric vehicle given that the battery manufacturing processes have large impacts, is the benefit significant enough for an electric vehicle... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
So I started working with a venture capital firm called Hatsume Most Libby. They're based out of New York and I still work with them today. So going on about seven years, which is really crazy to have such an incredible partnership. And they opened my eyes to the world of impact investing and impact growth strategy, wh... |
And like sort And what was the catalyst for it? Sure. So when I moved to Australia in 2019, I wanted to get closer to the ocean because I didn't have the chance to really do that when I was living in New York. New York was very much about working in the city and being part of the city experiences, which occasionally we... |
And then now today, since completing Divemaster, while we're on this expedition, we're working quite a bit on other specialty courses like altitude diving and ice diving, cave and cavern diving, hopefully soon. But to answer the question of where are some of my favorite places to dive, it really is so hard to answer th... |
So this is the rock and the hard place because to your point, on one hand hand tourism is so helpful to some of these coastal communities and just communities in general that we visited but on the other hand getting there traveling to these certain destinations especially when they're quite remote what that experience ... |
And these sea nomads, the Moken people have historically for 4,000 years traversed up and down Thailand and Myanmar water living off of the sea on houseboats. And there was a tsunami that hit Thailand and that tsunami then forced the Moken people to become land-based by government order. And so they were no longer allo... |
So we do not write in the same capacity as a journalist would. We are very much on growth strategy, content creation, design. And the reason why we put that forward is we work with the local communities and the teams that we meet to tell their story from their lens. So we are not coming in and reporting from a journali... |
That's not realistic. And again, it's similar to stop eating fish. That's not realistic. These are things that not everyone can do. There's things that not are realistic within our societal frameworks. So if we're going to do it, we just need to, again, really focus on the planning of it, where we're going, who we're s... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
And you are interviewed extensively on environmental topics, whether it be from policy to disasters to green solutions. And let me tell you, if you don't know what you're talking about, the entire world will know. So you have to be well-read and really be able to project that confidence within your presentations as wel... |
And the closer you can get to the community is the more crystal clear it becomes, you know. Yeah, I completely agree with you. And yeah, even within our own backyard, there is a lot of suffering going on. And yeah, especially within California too, the droughts are heavy. And it was even shocking that rainwater harvest... |
But ultimately, with the advent, and also we're on the precipice of one of the largest wealth transfer in the history of humanity with values driven as it relates to their purchasing power. So I think these couple of sort of shifts are positive indicators when it comes to sustainability and social impact or, you know, ... |
You know, when I first started this work, that's the day of the year where we've used up all of Earth's resources in a sustainable manner, right? And every year it gets earlier and earlier in the calendar year because we're not evolving rapidly enough to really use our resources in a mindful way that's sustainable for ... |
That companies made by 2025, they would be recyclable, compostable, refillable. All packaging would be da-da-da. Well, guess what? There's not a lot of suppliers out there. When they made those commitments, there weren't a ton of suppliers out there that could help them achieve those goals. And so we do, it does take t... |
But within these companies that are especially huge, that have those resources and the revenue already, they hold such great influence as well. And that's what always makes me so angry where they have so much power where they can influence so many other companies, domestic or abroad, to do the same. But it is nice to h... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
So I think the issues that you've mentioned, but this can only come if there's also a structural rethink. So essentially, this reaction to this type of challenge could alter supply chains and trade in the longer term in a positive way. Do I have that right? Is that what you're suggesting? I think it could be. For examp... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
But could there be a light at the end of the tunnel? And what's your thought process on when we would likely see that? Obviously, with the caveat that there's pretty minimal visibility as we stand now. Let me rephrase your question in some respect through my answer. While transition, we have not yet the world has agree... |
So in short answer is Russia still, because of its richness, it's a huge country, still will have opportunity. I come back to the psychological, the diplomatic. How do we redevelop the trust in its word? It's violated many agreements right now. Once you violate, as we also know in personal relationships, once you lose ... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
We started actually sewing home products and working on all different types of programs in different countries where we'd never been. Sri Lanka, I mentioned India, and then also Malaysia. So it was really amazing. It was an amazing time in the company, but it was also an amazing time in the industry because back in 199... |
The combing and cleaning process is part of the spinning process. So the raw bales of cotton get shipped to the spinner along with the paperwork that represents where that cotton is actually from. There is a global cotton bale numbering system, but I'm not sure how effective it is. YES was working on training cotton sp... |
So seeing many conversations around digitizing and using blockchain, et cetera, do you see this as revolutionary or are you more skeptical? And do you think there are more important tools, processes, and frameworks to bear in mind? Great question. I am amazed by CSRD and the implications to comply. Revolutionary tool i... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
Thanks so much. And we're definitely going to jump back into the idea of global plastic waste. But I wanted to just reiterate some of the things you said for the consumers. So number one, get acquainted with the state, local state recycling regulation. I think you said when in doubt, leave it out. And not to focus too ... |
Then there's also using recycled content, as I already mentioned. I think that's, again, going to continue to be key. And hopefully we can move all of these things together in parallel. What's been a very interesting transition that I've seen happen, you know, being in this field now for over 20 years is companies are ... |
So you can lightweight at the same time as including recycled content. You know, those things aren't as visible to a consumer, but actually are quite important when we think about technology. When it comes to sorting, which just as a reminder, when you put something in a recycle bin, that's only the first step. That's ... |
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall... |
And if it's a good day, if it's a bad day, it can be like closer to four. Okay, awesome. I'm sipping on one right now and this will be probably one of three. So we're kind of around the same range, but that's a perfect segue into our first set of real questions. We're going to dive into some of the work that you're cur... |
There are a lot of potential benefits. In addition to that, the farmers benefit as well from a diversity of crops that they can grow within the coffee farms. I work in Puerto Rico as well. And in Puerto Rico, a lot of the farms, the coffee farms are shaded, but a lot of the shade consists of fruit trees and trees that ... |
There's been more and more talk about regenerative agriculture. I'm a little confused about what it means. I think there's a lot of different definitions out there right now, kind of like sustainability. So I think in the coffee industry, it seems like we're trying to define that a little bit better. But I do think tha... |
It'll be interesting to see what happens. Yeah, I think there could be a lot of negative impacts on, I mean, if something like that picks up and it displays, let's say, some of the coffee that is being produced, I think it's going to have potentially a negative impact on farmers in the global south. But like you say, I... |
I don't know. Well, do you want to tell us which one you like more? Okay, do it again. Do it again. Okay. I saw the color. I should prefer the second one. It's a bit stronger. Okay. The one you just had right now. Yeah. Okay. Okay. Well, that's the alternative. Seems like there's a consensus. Wait, so Daisy also said w... |
Welcome to On The Wards. It's Chris Elliott here. And today we're talking about patient design thinking with Rebecca James, who's a paediatric rheumatologist. This podcast is produced in collaboration with Avant, who's a proud partner of On The Wards. I'm really excited to tell you about Rebecca today and introduce you... |
And we're really, all of us, we're trying our best. It's not for want of goodwill. It's not for want of effort. It's not for want of energy. But change in healthcare, sustainable and change in healthcare is extremely difficult. And it just seems a no-brainer to me that, of course, if we're not talking to patients about... |
It's a substitution at a really achievable level that produces a materially better outcome. And to me, I think that's one of the most exciting things about the work that you're doing and the whole field is that this doesn't have to be yet another time sink, mandatory orientation, drain on your resources. And again, not... |
But I did want to just, I really appreciated your note of caution or drawing some boundaries around this. Patient design thinking is not a junior doctor in ED at 3 o'clock in the morning asking for feedback about how well they stitched up some person's leg or neck. This is a systems research field, right, where there's... |
Welcome to Key Lime. This is a special down under edition of Key Lime, and it's also a conjoint podcast with the On The Wards podcast, which we highly recommend to you. It's Jason Frank speaking. I'm here in beautiful Sydney in a very small closet-like room, very cozy with two of my MedEd guru colleagues. I'd like to i... |
It was simply, I think, presenting in a descriptive way what the milestone ratings were across PTY 1, 2, and 3. And I think to the goal of their paper, which was to see actually what level do people achieve at the point of graduation. And so I think to that extent that it was fine. Appropriate design. What do you think... |
I think, Anthony, I had a different take on what they were saying in this paper. I think what I took from it was what is the reasonable expectation of learners at the time of graduation using that framework that they set up, which they said goes the whole continuum from early medical student to seasoned practitioner. S... |
Welcome to On The Wards, it's James Edwards here today. We're talking about some common emergency medicine orthopaedic presentations and we'd like to welcome back Dr to welcome back Dr. Nick Maluga. Welcome back, Nick. Thank you very much. Nick is currently an orthopaedic registrar working in Sydney and we've gone thro... |
If the hand is going purple, probably wrapped too tight. Molding is very important. It's probably the most skill-based part of the plaster application, knowing where and how to mold, but also the one that makes the biggest difference long-term in terms of outcomes. So essentially, you want to mold in the direction oppo... |
You see whether they're pronating, supinating, flexing, extending. That will give you an idea whether the radial head's more likely to be involved with dislocation, fracture of the radial head, or whether it's a supracondylar injury with a flexion extension pain. Or if they can't do anything, have they dislocated their... |
Welcome to On The Wallwards, it's James Edwards and today we're going to be talking about something that I know very little about, although I think I've seen many of these patients, and it is medically unexplained symptoms, or MUPS. And we have back Dr. Joanne Ferguson. Dr. Ferguson is a psychiatrist and addiction medi... |
So you'd have to make a comprehensive explanation to the patient. And the communication would have to be around accepting and allowing for the possibility of clarity of the diagnosis in the future. As an intern in a clinic where the clinic's not going to continue to manage the client, you'd really be focusing on ensuri... |
Welcome to On The Ward, it's James Edwards and today we're talking about acute limb ischemia and I have Dr. Shannon Thomas with me. Welcome Shannon. Thanks for having me James. Shannon Thomas is a trained vascular, endovascular and renal transplant surgeon who works at Prince of Wales Hospital in Sydney and today we're... |
Yeah, no, I think the focus really needs to be on the six Ps. It's very lucky that we have such a simple system to grade ischemia of the limb. And, you know, identifying each of those Ps is very important because there's a scale that we have as vascular surgeons called the Rutherford scale, and it allows us to grade th... |
Okay welcome to On The Wards, it's James Edwards and today we're talking about clinical pathways. These clinical pathways are a bit different to what junior doctors may be used to and we're going to talk about clinical pathways in the community. And I'd like to welcome today Dr Kate George and Kate is a general practit... |
I think our most popular pathway is the first antenatal visit pathway. The chronic hep B and C pathways are being used a lot and that's being particularly useful with the changes in prescribing for hepatitis C. One of the other beauties of health pathways is that when things change, that information can get incorporate... |
Welcome to On The Wards, it's James Edwards and today we're talking about improving cardiovascular health in remote central Australia through new technologies with Associate Professor Chris Wong. Welcome Chris. This podcast is produced in collaboration with Avant, a proud partner of On The Wards. Chris is an academic c... |
Yeah, I'm very grateful to all the people that have helped me along this journey. I'm fortunate to have a number of collaborators who have either worked in Central Australia previously or still work there, as well as many students who've kindly helped out with some of these analyses. Research is definitely a team effor... |
Welcome to On The Wards, it's Dr. Alison Hempinstall and today we're talking about a career in rural and remote medicine with Dr. Rebecca Lettingham. Welcome, Rebecca. Rebecca is a rural generalist at Broome Hospital in Western Australia and also a senior lecturer at the University of Western Australia. Bec, thanks so ... |
Yes, definitely. I think that some of the changes that come out of this pandemic will be definitely for the better. There's a lot of unnecessary travel because we're stuck in the 1980s in terms of the way we do things. So I think, you know, if somebody's considering, say, having an operation in a tertiary centre, their... |
So if you do something and you don't like it, usually we're lucky in Australia that we don't kind of have to choose straight out of medical school what we want to specialise in and maybe that'll come. But until it does, I think people should just really enjoy the adventure and see it as an adventure and just get all th... |
Welcome to On The Wards, it's James Edwards and today we're talking about health but not the health of doctors but health of bones and to talk about bone health we have Dr. Curtin Gander. Welcome Curtin. Thank you. Who's an endocrinologist based in Concord here in Sydney. So bone health it's an interesting topic one we... |
So sex drive is a very sensitive indicator of low testosterone. So certainly those would be, and in females, menopause age is important. Premature menopause, menopause less than 45 years of age, and a history of oligomenorrhea, that history needs to be listed. Then we have non-modifiable factors, particularly family hi... |
The indications, I'll talk about PBS more than anything because that's sort of a more practical aspect of it. So if you sustain a minimal trauma fracture, that means you have osteoporosis, and the PBS recognizes that, in that if you've had a minimal trauma fracture, you can get PBS subsidized therapy. It's a matter of ... |
And if they've been well during that time, then you'd continue it and follow up every two years. So that can be done in GP practice. The only really reason for us to see them is if there's some diagnostic uncertainty, whether to initiate therapy or if the patient has had a deterioration in bone density on therapy or th... |
Okay, welcome to On The Wards, it's James Edwards and I'm speaking to Dr. Ed Aberdeer, a haematology registrar at RPA and Concord Hospital, in part three of our session on anal coagulation. Welcome, Ed. Thank you. We've spoken about warfarin, we've spoken about the heparins. Now I want to speak about the NOACs or DOACs... |
Okay, well, great. Thanks, Ed, for telling us about some of the DOACs, which is, again, something that has really sprung up in the last couple of years and more and more patients that are coming in on them. Thank you, Ed. Thank you. |
Okay, welcome to On The Wards, it's James Edwards and today we're talking about a sore ear and we have the pleasure of having Dr. Joel Hardman. Welcome Joel. Thank you. Joel is currently in TSMO here at Royal Prince Edward Hospital. We're going to be talking about the sore ear in general but especially trying to work o... |
Now, I guess we see otitis externa is often called swimmer's ear. It seems really benign. Are there any risk factors for having a more significant or malignant otitis externa? Yeah, so untreated otitis externa can extend, and you can get periorricular spread of the infection. And the most serious sort of complication t... |
Okay. When do patients with otitis externa require an ENT consultation? I think for any patient that's having recurrent otitis externa should definitely be referred to us. I also think if anybody was assessed and they thought that they were high risk, and talk about the immunocompromised and the poorly controlled diabe... |
Welcome to On The Wards, it's James Edwards and today I'm talking with Dr. Ian Katerson, Professor Ian Katerson who's an endocrinologist and has been an endocrinologist since 1982 at Royal Prince Alfred. Welcome Ian. It's good to be here James. We're going to talk about something today that I don't think would be the f... |
Welcome to On The Wards, it's Jules Wilcox here. Today we're continuing the theme of financial wellness and we're talking about investing with Jeremy Kalman. Welcome, Jeremy. G'day, Jules. It's great to be here. Yeah. So just an introduction to Jeremy. Jeremy's worked in the financial markets and traded and invested fo... |
So there's a couple of things that we definitely base all our thoughts and processes and approach around. The first thing I think that is probably really important is people to understand the idea of what we would term the effortless advantage. Typical economics calls it the economic rent, but it's not rent as in a lan... |
You can't have a hospital without land. You can't go surfing without land. You can't go for a swim without access to, you know, land. You know, the pool's going to take up a certain amount of space, et cetera. And so land, whether we like it or not, you know, we might not live in an agrarian society where, you know the... |
And so having that long-term goal and having that long-term plan about, you know, when do you have shares and when do you try and get buy some property and so forth and do that is really important. This is a really important point, Jules, because it's really easy to say that investing is easy and you just got to get yo... |
Okay, welcome to On The Wards, it's James Edwards and today we're talking about delirium and I'd like to welcome back Dr. Scott Murray. Welcome, Scott. Thank you, James. Scott is a geriatrician at RPA and is also the Director of Pre-Vacational Education and Training and has previously spoken on this topic. So it's a re... |
You can certainly initiate a simple conversation. Most people who are not delirious or confused should be able to identify where they are. Simple orientation questions. Certainly be able to respond to simple questions such as strength and command type questions and then a very focused neurological examination looking f... |
And olanzapine sometimes has a utility because it comes in a wafer, which is quickly absorbed from the oral mucosa. And quetiapine is also used in some settings with a dose range of 50 to 100 milligrams. And sometimes quetiapine is used in specific patient groups, such as Parkinson's disease. You haven't mentioned benz... |
So it's my great pleasure to introduce an exceptional panel today to talk about you know navigating this career and and getting through it. So here we've got, starting from the far, we've got Dr Belinda Gray, General Practitioner with an interest in women's health working in rural New South Wales. Dr Claire Richman, wh... |
And then a few, maybe like a year later, he admitted that he had ignored my email. He actually at the time told me that he had not seen it. But he thought I was spam. He didn't really remember you from the email. No, he just remembered that he'd received an email from an eager physician trainee through the portal. Who ... |
It meant that I spent lots of time in ICU doing the things that I thought would make me a better emergency physician and I spent time learning other skills that I thought would apply knowing that when I started going down the training pathway I would start to specialise more and more in those particular areas. So I wan... |
And usually if you just ask, do you have a minute or a spare moment to have coffee or have wine or whatever, and the rest really takes care of itself if you've picked the right person. So everyone on the panel would mentor your own people, is that fair to say? I think this is something very opaque to junior staff, the ... |
Starting being a consultant is really the beginning of the next part. I really want to come back to that. That's how we're going to end about where you are now. Ken, what about coming back? What was your experience of coming back? So the other way to approach fellowship is often you would have talked to your mentor who... |
And I'm like, do you know how many registrars of mine have actually done that and then gone off into radiology or gone off into pathology and found that the surgical skills that they had developed are really useful in those other specialties? No learning is ever wasted. Just go and crack on with it. If it doesn't work ... |
Welcome to On The Wards. My name's Steph. I'm one of the junior doctors working at RPA and I'd like to welcome Dr Paul Hamer, our RPA-D pet and sleep physician, to today podcast. Thanks for having me, glad to be here. So our scenario for today would be that you're a junior doctor starting a relief term in a busy tertia... |
But caffeine is useful when used appropriately. It's not useful if you're drinking super energy drinks the whole night and then you can't sleep at the end of your shift. I think that's wrong. And sometimes too much caffeine will actually interfere with the quality of your sleep at the end of a shift. So it is important... |
What about tablets for keeping you awake? My personal experience is no, and my advice is no, and I think if you were to do that do that you probably need it under the guidance of a sleep physician so there are some medications for those who have what's called shift work sleep disorder which is a diagnosable condition a... |
Welcome to Underwards, it's Jay and Deb, and today we're talking about an underappreciated complication of invasive procedures, chronic post-surgical pain. I'd like to welcome back Dr. Jane Stanton. Welcome Jane. Thank you for having me. Jane's a consultant anaesthetist and also an interventional pain specialist and we... |
So they'd be the two things I would be focusing on in the patient's history at this stage. In terms of differentiating whether or not the patient's pain is neuropathic or nociceptive, then we go back to our descriptors of whether the pain is burning, stinging, freezing, cold, pins and needles versus is it aching, sting... |
Welcome to On The Wards. perhaps contribute. So I might send this to them or I might delete it forever. Sounds good. I am sort of wondering how I got the courage to ask you to do this at the end. I'll start by introducing myself for anyone who's listening. My name's Emily Buckley. I'm a first year medical student at AN... |
So there was me and another doctor and 90 other people who included medics who are... Graham is in the audience somewhere, he's been a medic in the army, who are people who are basically trained like ambos, they're very sophisticated first responders. And there are nurses, there were only a couple of nurses there with ... |
The idea of then buying a relatively small practice in Canberra wasn't a big step. But also that was mostly because my husband is a businessman. So he knows about business. And general practice is a small business. And so we don't know anything about business. We don't spend any time during the course of your degree te... |
Welcome to On The Wards, it's James Edwards, the host of our podcast series. Today we're speaking about bleeding in early pregnancy with Dr Neil Campbell, an obstetrician and gynaecologist here at RPA. Yeah matey thanks for asking me to come along. So again we'll start with a case and we I think most junior doctors wou... |
And what's the dose? Because there's a lower dose in early pregnancy. So we usually, so under 12 weeks, I think we use 250 units intramuscularly, and then we use 625 if they're over 12 weeks. Okay, and so look, usually we've done some blood tests, and usually it's the ultrasound, the next test. I just want to chat abou... |
Yeah, out of hours it's very difficult. Out of hours usually the gynaecology registrar would be involved in the decision making as to whether or not we called in the sonographer and the ultrasound person overnight. There would be very few circumstances where that was really necessary. Usually the patients that are very... |
Welcome everyone to On The Wards. Today we've got Dr. Rob Heslop back. Many remember Rob's podcast on oligour. Currently our highest rating podcast. Welcome, Rob. Hi, James. Good to hear it. Look, Rob's an intensivist at RPA and head of the department of the Mater Hospital. The clinical lecturer at the University of Sy... |
And so I guess taking from that what I'm advocating is in patients who are particularly elevated and particularly delirious and particularly difficult to manage and violent, I don't think it's unreasonable for such patients to be reviewed by intensive care doctors with a view to admitting them to intensive care to prov... |
I guess that leads in some ways, one of the big questions for junior doctors, which one of these needs a CAT scan? Absolutely. And this is something we see very commonly in intensive care is that patients get scanned all the time for altered level of consciousness. And, I mean, it's not unreasonable, but a better way t... |
Okay. Thank you. Are there any take-home messages for patients with altered level of consciousness? I guess the take-home message, some of the take-home messages would be that I guess if it comes to delirium, remember that inflammation alone is a very big cause of it. Be a little bit cautious about ascribing agitated d... |
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