International journal of palliative nursing最新文献

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Difficulties and challenges encountered by trained medical workers when delivering palliative care to patients with cancer: a qualitative study. 训练有素的医务工作者在为癌症患者提供姑息治疗时遇到的困难和挑战:一项定性研究。
International journal of palliative nursing Pub Date : 2026-04-02 Epub Date: 2026-04-14 DOI: 10.12968/ijpn.2023.0054
Xiayang Ren, Min Yang, Ning Li, Mingyu Sheng, Ping Sun, Xue Dong
{"title":"Difficulties and challenges encountered by trained medical workers when delivering palliative care to patients with cancer: a qualitative study.","authors":"Xiayang Ren, Min Yang, Ning Li, Mingyu Sheng, Ping Sun, Xue Dong","doi":"10.12968/ijpn.2023.0054","DOIUrl":"https://doi.org/10.12968/ijpn.2023.0054","url":null,"abstract":"<p><strong>Background: </strong>Palliative care is increasingly valued by the government, healthcare workers and the public in China.</p><p><strong>Aim: </strong>To explore the challenges trained medical workers encounter when delivering palliative care to patients with cancer in China.</p><p><strong>Methods: </strong>Semi-structured interviews were administered to 15 physicians and nurses, and Colaizzi's method was used for data analysis, synthesis and induction.</p><p><strong>Findings: </strong>Three themes and seven subthemes were identified: (1) Lack of comprehensive support (department leaders' low enthusiasm, palliative care team shortage and insufficient funds), (2) Staff's perceived self-deficiency (including poor patient communication skills and insufficient time and energy), and (3) Pressure from patients' family members (family members requesting that the patient remain unaware and making treatment decisions on the patient's behalf).</p><p><strong>Conclusion: </strong>There are still challenges to overcome in the implementation process of palliative care, which is still in the development stage in China. The Chinese government is actively promoting relevant policies and regulations about palliative care and must work towards strengthening institutional improvement, legal protection, team building and public propaganda in the future.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 4","pages":"160-168"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A mixed-methods systematic review of interventions for parents during and after neonatal end of life in the neonatal intensive care unit. 在新生儿重症监护病房中新生儿生命结束期间和之后父母干预的混合方法系统综述。
International journal of palliative nursing Pub Date : 2026-04-02 Epub Date: 2026-04-14 DOI: 10.12968/ijpn.2025.0016
Ingrid Boutros, Diane Tapp, Vincent Couture, Elsy Maroun, Carol-Ann Hyland-Carignan
{"title":"A mixed-methods systematic review of interventions for parents during and after neonatal end of life in the neonatal intensive care unit.","authors":"Ingrid Boutros, Diane Tapp, Vincent Couture, Elsy Maroun, Carol-Ann Hyland-Carignan","doi":"10.12968/ijpn.2025.0016","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0016","url":null,"abstract":"<p><strong>Background: </strong>Parents of newborns at the end of life or after death require support to cope with the situation.</p><p><strong>Aim: </strong>This mixed-methods systematic review analyses various interventions designed to support parents in the neonatal intensive care unit.</p><p><strong>Method: </strong>A systematic search was conducted in June 2023 in EBSCO (CINAHL), Medline (PubMed), Embase and PsycINFO (Ovid) with citation tracking. Two authors independently screened studies and extracted data.</p><p><strong>Findings: </strong>Of 6909 articles assessed, 175 were evaluated and nine studies were included. Tailored interventions like photography, medical summaries and bereavement support significantly improved parents' experiences and coping. However, small sample sizes and methodological differences limit generalisability. Further research is needed to refine these interventions.</p><p><strong>Conclusion: </strong>The interventions reviewed provided significant benefits for parents, highlighting the importance of tailored support strategies in the neonatal intensive care unit.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 4","pages":"194-206"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dementia. 痴呆。
International journal of palliative nursing Pub Date : 2026-04-02 Epub Date: 2026-04-14 DOI: 10.12968/ijpn.2026.0042
Laura Glenny
{"title":"Dementia.","authors":"Laura Glenny","doi":"10.12968/ijpn.2026.0042","DOIUrl":"https://doi.org/10.12968/ijpn.2026.0042","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 4","pages":"159"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What effect does spiritual wellbeing have on parents of a baby with incurable heart disease? A qualitative study. 精神健康对患有无法治愈的心脏病的婴儿的父母有什么影响?定性研究。
International journal of palliative nursing Pub Date : 2026-04-02 Epub Date: 2026-04-14 DOI: 10.12968/ijpn.2024.0032
Maryam Ahmadipour, Mehdi Ahmadinejad, Zahra Ebrahimi Rigi, Parvin Mangolian Shahrbabaki
{"title":"What effect does spiritual wellbeing have on parents of a baby with incurable heart disease? A qualitative study.","authors":"Maryam Ahmadipour, Mehdi Ahmadinejad, Zahra Ebrahimi Rigi, Parvin Mangolian Shahrbabaki","doi":"10.12968/ijpn.2024.0032","DOIUrl":"https://doi.org/10.12968/ijpn.2024.0032","url":null,"abstract":"<p><strong>Background: </strong>Birthing a baby with an incurable heart condition can be very stressful for the parents. Healthcare providers should find practical solutions to support these parents and assist them in managing the situation.</p><p><strong>Aim: </strong>To explore how Iranian parents use spiritual wellbeing to cope with a baby with incurable heart disease.</p><p><strong>Methods: </strong>A conventional content analysis approach was used in this qualitative study. A total of 32 semi-structured individual interviews with the parents of babies with incurable heart diseases from a university hospital in Kerman. The participants were selected by purposive sampling from April to May 2020. The Guba and Lincoln criteria were applied to verify the data's trustworthiness, and conventional content analysis was used for data analysis.</p><p><strong>Results: </strong>Following the analysis of the data from parents' experiences, the main category emerged as 'spiritual wellbeing' with three subcategories: 'spiritual beliefs', 'hope for the future' and 'spiritual happiness'.</p><p><strong>Conclusion: </strong>This study highlights spiritual wellbeing as a central factor in how parents cope with the profound challenges of caring for a baby with incurable heart disease. Spiritual beliefs, hope for the future and spiritual happiness collectively enabled parents to find meaning, maintain resilience and reduce psychological distress. The findings also underscore a critical gap in clinical practice, particularly the lack of mental and spiritual support from healthcare professionals. Integrating evidence-based spiritual care into nursing practice can enhance parents' coping mechanisms and support them through such deeply challenging experiences.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 4","pages":"184-193"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disclosure of diagnosis and prognosis of end-stage renal disease: perspectives of nurses. 终末期肾病的诊断和预后披露:护士的观点。
International journal of palliative nursing Pub Date : 2026-04-02 Epub Date: 2026-04-14 DOI: 10.12968/ijpn.2025.0077
Margaret Gborgryang, Gloria Achempim-Ansong, Sulleh Gbande
{"title":"Disclosure of diagnosis and prognosis of end-stage renal disease: perspectives of nurses.","authors":"Margaret Gborgryang, Gloria Achempim-Ansong, Sulleh Gbande","doi":"10.12968/ijpn.2025.0077","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0077","url":null,"abstract":"<p><strong>Background: </strong>End-stage renal disease presents complex ethical and communication challenges for healthcare professionals, particularly in low-resource settings where nurses play a central role in supporting patients.</p><p><strong>Aims: </strong>To explore the perspectives of nurses on the disclosure of diagnosis and prognosis of end-stage renal disease in a Ghanaian teaching hospital.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted among 15 nurses at Tamale Teaching Hospital using semi-structured interviews. Data were analysed thematically using conventional content analysis.</p><p><strong>Findings: </strong>Three main themes emerged: ethical and professional responsibilities, communication practices, and challenges and systemic influences. Nurses reported how they faced dilemmas caring for patients, balancing honesty with not wanting to worry patients, conflicts between patient autonomy and family wishes, inadequate training and cultural stigma.</p><p><strong>Conclusions: </strong>Nurses play a pivotal, yet unsupported, role, in end-stage renal disease disclosure. Context-specific training and ethical frameworks are needed to empower nurses in navigating these complex interactions effectively.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 4","pages":"169-176"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of spirituality among nursing home staff caring for residents with advanced dementia: a qualitative descriptive study. 护理人员在照顾晚期失智症患者中的灵性作用:一项定性描述性研究。
International journal of palliative nursing Pub Date : 2026-04-02 Epub Date: 2026-04-14 DOI: 10.12968/ijpn.2023.0035
Anita Hendrix Rogers, Ashley Roach, Ruth Palan Lopez
{"title":"The role of spirituality among nursing home staff caring for residents with advanced dementia: a qualitative descriptive study.","authors":"Anita Hendrix Rogers, Ashley Roach, Ruth Palan Lopez","doi":"10.12968/ijpn.2023.0035","DOIUrl":"https://doi.org/10.12968/ijpn.2023.0035","url":null,"abstract":"<p><strong>Background: </strong>Experts recommend that people with advanced dementia receive palliative care focused on comfort and quality of life and including spiritual care. While expected to provide this care, the role of spirituality in the work of staff is not known.</p><p><strong>Aims: </strong>To explore the role of spirituality in the work of nursing home staff caring for residents with advanced dementia.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted using interview data generated from by a parent study, Assessment of Disparities and Variation for Alzheimer's Disease Nursing Home Care at End of Life (ADVANCE) and analysed using thematic analysis.</p><p><strong>Findings: </strong>Four themes described how staff perceived spirituality to influence their work to comfort, guide, protect and make meaning.</p><p><strong>Conclusions: </strong>Understanding the role of spirituality in caring for nursing home residents with advanced dementia could help identify strategies that help staff draw on their spiritual resources.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 4","pages":"177-183"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Compassion in nursing. 护理的同情心。
International journal of palliative nursing Pub Date : 2026-03-02 Epub Date: 2026-03-20 DOI: 10.12968/ijpn.2026.0023
Insaf Altun
{"title":"Compassion in nursing.","authors":"Insaf Altun","doi":"10.12968/ijpn.2026.0023","DOIUrl":"https://doi.org/10.12968/ijpn.2026.0023","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 3","pages":"107-108"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dignity therapy as a nursing intervention to address spiritual needs in palliative care: a narrative review. 尊严治疗作为一种护理干预,以解决姑息治疗的精神需求:叙述回顾。
International journal of palliative nursing Pub Date : 2026-03-02 Epub Date: 2026-03-20 DOI: 10.12968/ijpn.2025.0036
Asia Streparola, Chiara Provasoli, Simone Cosmai, Gloria Maria Modena, Daniela Cattani, Alessandra Dacomi, Cristina Chiari, Sarah Scollo, Stefano Mancin, Mauro Parozzi, Diego Lopane, Beatrice Mazzoleni
{"title":"Dignity therapy as a nursing intervention to address spiritual needs in palliative care: a narrative review.","authors":"Asia Streparola, Chiara Provasoli, Simone Cosmai, Gloria Maria Modena, Daniela Cattani, Alessandra Dacomi, Cristina Chiari, Sarah Scollo, Stefano Mancin, Mauro Parozzi, Diego Lopane, Beatrice Mazzoleni","doi":"10.12968/ijpn.2025.0036","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0036","url":null,"abstract":"<p><strong>Background: </strong>Palliative care focuses not only on physical symptoms, but also addresses the psychological, social and spiritual dimensions of the individual. Spiritual care-understood as the search for meaning, purpose, and peace-is often neglected in clinical practice. Dignity therapy is a brief, individualised psychotherapeutic intervention designed to preserve dignity and respond to existential and spiritual needs at the end of life.</p><p><strong>Aim: </strong>To narratively examine the reported outcomes and feasibility of dignity therapy as a nursing intervention to address spiritual needs in patients receiving palliative care.</p><p><strong>Methods: </strong>A narrative literature review was conducted by searching PubMed, CINAHL, Embase and Scopus databases. Inclusion and exclusion criteria were applied, and eight relevant studies were selected. The clinical question was developed using the Population- Situation methodology.</p><p><strong>Results: </strong>The included studies suggest that dignity therapy significantly contributes to maintaining patients' dignity, enhancing spiritual wellbeing, and promoting meaning and purpose. Positive effects were also reported in relation to quality of life, anxiety and depression, usefulness of the intervention, social and family support, fear and sense of pride. However, some findings were inconclusive, and several authors highlight the need for specific training to deliver DT effectively in nursing practice.</p><p><strong>Conclusion: </strong>Dignity therapy represents a promising intervention in palliative nursing care to support the spiritual dimension of patients at the end of life. Further research is needed to validate its outcomes, particularly when delivered by nurses, and to establish conditions that enable its integration into routine care.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 3","pages":"124-134"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of palliative care education on nursing students' attitudes toward end-of-life care: a pre-post analysis. 临终关怀教育对护生临终关怀态度的影响:前后分析。
International journal of palliative nursing Pub Date : 2026-03-02 Epub Date: 2026-03-20 DOI: 10.12968/ijpn.2025.0048
Diego Lopane, Alessandra Dacomi, Daniela Cattani, Chiara Provasoli, Chiara Coldani, Giuseppina Tomaiuolo, Simone Cosmai, Gloria Modena, Alice Maria Santagostino, Stefano Mancin, Emanuela Morenghi, Giuliano Anastasi, Mauro Parozzi, Beatrice Mazzoleni
{"title":"Impact of palliative care education on nursing students' attitudes toward end-of-life care: a pre-post analysis.","authors":"Diego Lopane, Alessandra Dacomi, Daniela Cattani, Chiara Provasoli, Chiara Coldani, Giuseppina Tomaiuolo, Simone Cosmai, Gloria Modena, Alice Maria Santagostino, Stefano Mancin, Emanuela Morenghi, Giuliano Anastasi, Mauro Parozzi, Beatrice Mazzoleni","doi":"10.12968/ijpn.2025.0048","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0048","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the impact of a palliative care educational intervention on nursing students' attitudes toward end-of-life (EOL) care, using the Frommelt Attitude Toward Care of the Dying Scale (FATCOD-B).</p><p><strong>Methods: </strong>A pre-post design was employed and 52 third-year nursing students enrolled in the study and 39 completed the post-intervention assessment. Attitudinal changes of nursing students were measured before and after a palliative care module was taken. Data were analysed using descriptive statistics and paired student's t-tests. Additional subgroup analyses were conducted based on age, gender and prior palliative care experience.</p><p><strong>Results: </strong>The overall increase in FATCOD-B scores was not statistically significant (p=0.705). However, students aged 28-35 showed a significant improvement in attitudes (p=0.014), suggesting that emotional maturity enhances receptiveness to palliative care education. Prior experience in palliative care was also associated with more positive attitudes post-intervention, though results were not statistically significant.</p><p><strong>Conclusion: </strong>While the educational intervention led to modest improvements in attitudes toward EOL care, particularly among older students, the findings highlight the need for personalised, sustained and reflective training approaches. Tailoring education to students' developmental stages and incorporating experiential learning can better prepare nursing students for the emotional challenges of EOL care. These insights have significant implications for the development of more effective palliative care curricula in nursing education.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 3","pages":"146-154"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing Jordanian nursing students' attitudes toward caring for terminally ill patients. 影响约旦护生临终关怀态度的因素。
International journal of palliative nursing Pub Date : 2026-03-02 Epub Date: 2026-03-20 DOI: 10.12968/ijpn.2024.0041
Nour Ismail Hasan Muslih, Omymah Zain Alddin Al-Rajabi, Ghada Mohammad Abu-Shosha, Islam Ali Oweidat, Abdulqadir J Nashwan
{"title":"Factors influencing Jordanian nursing students' attitudes toward caring for terminally ill patients.","authors":"Nour Ismail Hasan Muslih, Omymah Zain Alddin Al-Rajabi, Ghada Mohammad Abu-Shosha, Islam Ali Oweidat, Abdulqadir J Nashwan","doi":"10.12968/ijpn.2024.0041","DOIUrl":"https://doi.org/10.12968/ijpn.2024.0041","url":null,"abstract":"<p><strong>Background: </strong>Providing care for terminally ill patients is demanding and many nursing students are insufficiently prepared to care for terminally ill patients.</p><p><strong>Objectives: </strong>This study aimed to explore nursing students' attitudes toward caring for terminally ill patients at universities in Jordan and identify the factors influencing these attitudes.</p><p><strong>Methods: </strong>A quantitative, descriptive cross-sectional design was used. A multistage random sampling method was employed to recruit 500 nursing students from five governmental universities in Jordan. A structured questionnaire consisting of two parts, including a demographic information sheet and the Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B), was used to collect the data.</p><p><strong>Results: </strong>The majority of nursing students expressed unfavourable opinions about end-of-life care. No significant relationships were found between students' sociodemographic variables and attitudes toward end-of-life care, except for age and academic year (F=2.5, <i>P</i>=0.006).</p><p><strong>Conclusion: </strong>Nursing students observe adverse perceptions regarding the care of terminally ill patients. Nurse educators need to make extensive efforts to understand students' perspectives on this topic. Integrating palliative educational courses into the nursing curriculum should improve students' attitudes toward end-of-life care.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 3","pages":"136-144"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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