Medical CDM : Certified Dietary Manager Exam Dumps

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Exam Number : CDM
Exam Name : Certified Dietary Manager
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CDM Exam Format | CDM Course Contents | CDM Course Outline | CDM Exam Syllabus | CDM Exam Objectives

- Management of Foodservice

- Sanitation & Food Safety

- Nutrition & Medical Nutrition Therapy

- Human Resource Management

- Career Skills

- Utilize the systems approach to procure, produce, and serve food to all customers.

- Provide a safe and sanitary environment for employees.

- Utilize appropriate supervisory management techniques.

- Provide appropriate quality nutritional care for the client.

- Meet all licensing and regulatory agency standards.

- Utilize business, marketing, and public relation skills to improve foodservice and nutrition to peers, patients, and community.

- Constantly strive for improved performance as a Dietary Manager.

- Participate in the professional activities of the Association of Nutrition & Foodservice Professionals.

Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

 Access data, references, patient education materials, consumer and other information from credible sources.

 Perform nutrition screening and identify clients or patients to be referred to a registered dietitian nutritionist.

 Evaluate information to determine if it is consistent with accepted scientific evidence. Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

 Participate in quality improvement and customer satisfaction activities to improve delivery of nutrition services.

 Modify recipes and menus for acceptability and affordability that accommodate the cultural diversity and health status of various populations, groups and individuals.

Interpersonal Behavioral and Social Skills

The ability to show cultural competence in interactions with clients, colleagues and staff.

 Demonstrate an understanding of cultural competence/sensitivity.

 Show cultural competence in interactions with clients, colleagues and staff.

 Implement interventions to effect change and enhance wellness in diverse individuals and groups.

Oral and Written Communication 1. The ability to listen to and understand information and ideas presented through spoken words and sentences.

2. The ability to communicate information and ideas in

 Prepare and deliver sound food and nutrition presentations to a target audience.

 Provide nutrition and lifestyle education to well populations.

 Promote health improvement, food safety, wellness and disease speaking so others will understand.

3. The ability to read and understand information and ideas presented in writing.

4. The ability to communicate information and ideas in writing so others will understand. prevention for the general population.

 Develop nutrition education materials for disease prevention and health improvement that are culturally and age appropriate and designed for the educational level of the audience.

Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Physical activities Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.

 Demonstrate sufficient upperbody strength and manual dexterity to operate and clean household and institutional equipment required for food preparation and food.

 Travel to clinical sites and have mobility within and around the sites.

Activities may involve standing, sitting, stooping and be in hot and cold facilities.

 Demonstrate the ability to exert maximum muscle force to lift, push, pull, or carry objects such as food supplies, small equipment and delivery of meals.

 Sensing

 Visual

 Hearing

 Taste

 Smell

1. The ability to see details at close range (within a few feet of the observer).

2. The ability to taste and smell to determine acceptability of foods and supplements.

3. The ability to hear spoken words.

 Demonstrate sufficient vision, smell and taste to evaluate the appearance, aroma, and flavor of food.

 Demonstrate sufficient vision to observe compliance with food sanitation and safety codes.

Professional Attributes Practicing professional skills required in entry-level positions.

 Attend scheduled classes, labs and supervised practices and be present for examination and testing. Be prepared for class.

 Maintain professional demeanor in class and during supervised practice.

 Maintain personal hygiene and dress code policies.

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Are Sleep Consultants A Scam?

© Provided by Romper

A mom gives her 8-month-old baby a warm bath, towels him dry, and wriggles him into soft pajamas. As instructed, she reads him a story, lays him down in his crib, steps into the hall and pulls the door closed. She heads downstairs where her husband and their sleep consultant wait. The strange woman’s presence at this hour, and the fact that she was paid $2,600 to be there, might be jarring to previous generations, who learned all they knew about babies and sleep from their families.

For three days, the sleep consultant observes the family, each time for up to 12 hours. She watches how they handle meals with the baby — solids and breastfeeding — and calmly guides the couple through nap times and a soothing bedtime routine. After her sit-ins, she makes herself available to the parents via text at all hours. Whenever her baby wakes up screaming, the mom taps a frantic message to the coach asking what to do, feeling like whatever she chooses, it will be wrong. (Trust me.)

Baby sleep, or the lack of it, has spawned a desperate market of parents who spend $325 million per year on products that claim to help infants sleep better, deeper, or longer. With that kind of money on the table, and a health care industry that is stretched thin, it’s no surprise a new type of wellness entrepreneur — the sleep consultant — has popped up to fill in the gap. Sleep consultants are now part of many new parents’ experiences (and expenses). But who exactly are the people we’re letting into our babies’ circadian rhythms, and what are they really qualified to be doing there?

Dr. Craig Canapari, M.D., board-certified pediatric sleep specialist and director of the Yale Pediatric Sleep Center, finished his training in 2007 and says sleep consultants weren’t on anyone’s radar then. He attributes their recent rise into the collective consciousness of parents to two things: social media, and a very real, unmet need for exhausted new parents. Sleep has always been a necessity, of course, but the isolated way we parent today, with both parents working and fewer grandparents nearby, makes it harder to come by.

“Nationwide, there just aren’t enough pediatric sleep doctors,” Canapari says. “Pediatricians do not get a lot of training in sleep medicine. I probably had one hour, in my four years of medical school, on sleep medicine. I’m not even exaggerating here. As parents who don’t have a village anymore, and we’re all working and we have all of life’s challenges on our shoulders in addition to parenting, we need sleep.”

Sleep providers’ wait lists are long — Canapari says his new patients usually wait four to five months before being seen. For parents desperate enough to turn to a sleep psychologist for help, that’s a lifetime (and for the infant, it is their lifetime). “That’s not acceptable, right, if your life is falling apart?” he says.

Sleep consultants, on the other hand, can help families much sooner (and in doing so, they enable children with medical sleep issues, like obstructive sleep apnea, to move up the waitlist for a physician faster).

When you’re a parent running on little sleep, just having someone listen to all the nuances of trying to put your baby down for naps and bedtimes can feel invaluable. It all sounds like a happy little ecosystem that results in well-rested families, until you start picking at the edges.

Sleep consulting, in a way, has always existed within the advice from our mothers, grandmothers, and friends. It’s hard to discern exactly when it sprang up as an industry.

Arielle Greenleaf is a certified sleep consultant and co-founder and chief coaching officer of Restfully. She was certified in 2016 (though she is the first to admit it’s a shaky qualification) after using a sleep consultant herself in 2015. She’s aware of other consultants who practiced as early as 2008 or 2009, but says in recent years, the industry has “just kind of exploded,” with new consultants being certified every day.

Sleep consultant certifications are not government-issued or conferred by a recognized medical body. They’re granted by small businesses, mostly online courses, written by other sleep consultants.

“I always say my dog could create a certification program and people could go through it and become certified pediatric sleep consultants.”

“It's kind of like life coaching, right?” says Greenleaf. “You can Google life coaching, and you can go on there, and it can be like, ‘Oh, this [course] is accredited by some random place that no one’s ever heard of.’ But you go through the program, and then you’re a life coach. You can make a career out of it. [Sleep consulting] is the same thing, and it shouldn’t be because we’re dealing with children.” Having hired one myself, I know how it bolsters your confidence to see “certified sleep consultant” behind the name of the person you’ve chosen to help your family. It’s formatted just like other health care providers’ credentials: So-and-so, speech-language pathologist, RN, or whatever else. It’s meant to convey expertise, but it’s mostly a prop.

When Greenleaf was certified, there weren’t as many options for sleep consulting certification programs as there are today. Her choices were a $10,000 certification earned over one weekend in Jupiter, Florida, or another $6,000 option. She was certified through an online course that cost $1,500, but hesitated to name it because “it’s so poorly done.” Greenleaf completed her own certification in 10 days “with very little thought required,” while underscoring that certification should take much longer. “I always say my dog could create a certification program and people could go through it and become certified pediatric sleep consultants,” she says. The training isn’t uniform from one program to the next, nor are the programs required to cover child development or signs of medical sleep problems. Some programs do include modules on those very topics, but Greenleaf says they’re not always based in scientific literature or written by those with medical expertise. What online schools do offer are MLM-sounding promises, emphasizing that sleep consulting will let them work from anywhere, and help them finally achieve the perfect work-life balance.

Dr. Melisa Moore, Ph.D., is a pediatric sleep psychologist at Children’s Hospital of Philadelphia. She says the average sleep psychologist has seven to eight years of clinical training and, in her case, has passed special board exams in behavioral sleep medicine. There’s nothing wrong with having a sleep coach, she says, that is if you’re in “a very straightforward situation with a healthy baby that responds exactly like you would expect them to.” But the lack of standardized training for consultants can lead to a few issues. Without knowing the latest science and theory behind infant sleep, Moore worries consultants may not be able to tailor their advice to an individual baby’s needs. Coaches can wind up prescribing the same plan to all babies based solely on their age, and parents can feel beholden to it, creating a new source of anxiety should they be even a few minutes late laying their child down for a nap.

But her second concern is the one that unsettles her most. “Sleep is an early marker for some medical concerns, developmental concerns, [and] medical sleep disorders. And I think if you don’t have a serious grounding in that, things can be missed. That really is a big deal.”

Without thorough medical education, Moore doesn’t know how a consultant would distinguish between when sleep training is hard just because it’s hard or because the baby has an underlying medical condition preventing them from sleeping like they should. Most sleep consultants’ websites say they were inspired to join the profession after dealing with their own babies sleeping poorly, an experience Moore says can make a great and empathetic coach, but not an expert.

When a family brings a baby to Moore, she assesses them for sleep issues that fall into one of three categories:

  • Medical sleep problems like obstructive sleep apnea, restless legs syndrome, or insomnia.
  • Behavioral sleep problems like negative sleep associations (needing a bottle to fall asleep or a parent in the room). This is where sleep consultants “should and can” help families, Moore says.
  • Other conditions that can impact sleep, like reflux, eczema, or autism. This group is the one Moore worries about. Missing the sleep-related signs of these conditions can and does cause delays in getting care for them, in her experience.
  • Both Moore and Greenleaf point to the lack of sleep consultancy oversight as a problem in the nascent industry that needs to be addressed. It’s the missing piece that would legitimize the profession, perhaps enough to encourage doctors and hospitals to partner with sleep consultants and for their services to one day be covered by insurance. Why? Because it has worked before for doulas and lactation consultants.

    The letters behind a lactation consultant’s name, IBCLC, denote that they’ve taken and passed an exam through the International Board of Lactation Consultant Examiners (IBCLE). The IBCLE is the official organization dedicated to credentialing lactation consultants and ensuring they receive a standardized, evidence-based education. It was founded in response to the need for standardization in the profession after more and more parents sought breastfeeding support between the 1970s and 1980s. It also provides ethical oversight for IBCLCs and can take disciplinary action against their certified lactation consultants if necessary. Similarly, doulas have DONA International, the world’s largest doula certifying organization. While there are other doula certification programs, DONA’s is considered the gold standard, offering conferences and continuing education opportunities and overseeing its graduates’ professional behavior after they receive their certification. For sleep psychologists, there’s the Board of Behavioral Sleep Medicine. Their diplomates (Moore is one) have to renew their certifications every five years, which requires that they complete academic research, attend educational seminars, or take classes and earn credits.

    Sleep consultants offer advice on infant sleep, a key aspect of babies’ health, but have none of this same oversight. Getting all sleep consultant training programs to standardize their coursework would require an authoritative body to regulate the countless online and in-person programs around the world (or for one to become preeminent and basically invalidate all the others, like DONA). Ideally, sleep consultants would also need to complete continuing education to remain certified, to ensure their medical knowledge, and the advice they pass on to vulnerable parents, is current.

    There are organizations trying, like the Association of Professional Sleep Consultants and the International Association of Child Sleep Consultants, which hold members to a code of ethics and offer continuing education. However, joining them is completely voluntary, and they don’t have formal complaints processes to investigate members available online.

    “It’s problematic that there isn’t a general oversight,” Moore says. “I think the field of lactation consulting, the doulas, they all emerged similarly, but they have these bodies of oversight. Each of these sleep consultant training programs is different. There needs to be consistent guidelines about what training you need to have before you even become a sleep coach or a sleep consultant.”

    If sleep consultants could organize behind one authority, Canapari and Greenleaf feel it would be one big step toward getting sleep coaching covered by insurance, the same way lactation consultants are. Currently, Greenleaf says, some health savings and flexible spending accounts can be used for sleep consultant services if you provide the proper documentation. Most parents pay out of pocket.

    “There’s a hell of an equity layer because these services aren’t free and they’re not covered by insurance, right?” Canapari says. “I don’t know how the industry starts policing itself because there are a bunch of bodies, but none of them really have any authority. I think the real problem is what is probably driving success in the world of sleep consultants is more the Instagram algorithm than perhaps real measures of quality.”

    For parents in distress, it feels like getting answers immediately. Just open the PDF and begin your new, well-rested life.

    Instagram and TikTok are where sleep consultants thrive and draw in many of their customers. When the algorithm learns you’re pregnant, you’ll be fed their posts on five sleep habits to start when you get home from the hospital and a full breakdown of wake windows (a concept Canapari traced the origins of only to discover it was invented by sleep consultants but is not based on any scientific literature). Coaches on social media offer free PDFs on all aspects of sleep training, and of course, paid courses for more in-depth information.

    “Parents want answers, right? And if someone’s going to be like, ‘I have a system. This is going to answer your problems,’ well, they’re going to get a lot of traction, and they’re potentially going to make a lot of money. But it’s not necessarily based on science,” says Canapari.

    Instagram-sold, downloadable programs (and bundles, e-books, et cetera) have a special draw — they’re lower in cost compared to working with a sleep consultant one on one, and for parents in distress, it feels like getting answers immediately. Just open the PDF and begin your new, well-rested life. But Greenleaf has one piece of advice for parents who want to purchase any sleep coaching programs like this: don’t. Or do but keep your expectations low.

    “Go into it remembering that your baby is an individual and any sort of templated advice or generic age-based advice may not work. And that if it doesn’t work, it doesn’t mean that there’s something wrong with you or your baby; it just means that they don’t fall within a specific norm that that particular course is calling normal,” she says, noting the many “Taking Cara Babies dropouts” who come to her distraught.

    All of the experts Romper spoke with agree that sleep consultants can absolutely help parents who think their child’s sleep issues are behavioral. You just need to put in a little effort to sniff out a good one. When you’re interviewing sleep consultants, Canapari, Greenleaf, and Moore recommend:

  • Working with a consultant who confirms that you’ve talked to your pediatrician about your baby’s sleep issues, and done so recently. This can help rule out underlying medical conditions causing your child’s sleep disturbances, and your sleep consultant should know your child’s weight is normal before wanting to cut out any overnight feedings.
  • Choosing a consultant who offers a money-back guarantee. Canapari says, “You really should give people their money back if this doesn’t work.”
  • Finding a consultant who aligns with your parenting philosophy. For example, are you OK with crying it out or not?
  • Avoiding any coaches whose recommendations aren’t in line with the American Academy of Pediatrics’ safe sleep guidelines.
  • Discussing your individual goals and concerns with the sleep consultant, and gut-checking with yourself that you feel heard and understood.
  • It’s also OK to quit on your sleep consultant if their program isn’t working. “If you don’t turn that corner in a reasonable time and you feel like you’re a bad parent, you need to stop and take a fresh look,” says Dr. Suzanne Beck, M.D., medical director of the Children’s Hospital of Philadelphia’s Sleep Center. “If you feel that you’re not making progress or you feel like the plan’s getting a little contorted or you’re too locked in, then I think it’s time to take a step away.”

    If you’ve already worked with a sleep consultant and your baby is still having difficulty sleeping, you might need help from a specialist. If your baby is snoring, didn’t respond well to sleep coaching, or has developmental concerns along with poor sleep, Moore recommends taking them to a sleep psychologist.

    In most cases, Moore notes, these providers are covered by insurance.


    Arielle Greenleaf, certified sleep consultant and co-founder and chief coaching officer of Restfully

    Dr. Craig Canapari, M.D., board-certified pediatric sleep specialist, director of the Yale Pediatric Sleep Center, and author of It’s Never Too Late To Sleep Train

    Dr. Melisa Moore, Ph.D., pediatric sleep psychologist at Children’s Hospital of Philadelphia

    Dr. Suzanne Beck, M.D., board-certified pulmonologist and medical director of the Children’s Hospital of Philadelphia’s Sleep Center

    Weightlifting To Gain Muscle Mass: What To Know

    There are several forms of weightlifting used to gain muscle mass. For many people, straight sets are the most familiar and simplest kind of weight training.

    Straight Sets

    This approach involves lifting weights for a specific number of repetitions with a minute or two of rest in between sets.

  • For muscle hypertrophy, the general guideline is to use moderate to heavy weights with fewer repetitions per set (8 to 12 reps, for example).
  • Lifting lighter weights for a higher number of reps (12 to 15 per set, for example) can increase muscle endurance and definition.
  • Recent research shows combining both approaches may be most effective for achieving both muscular strength and hypertrophy.
  • To do straight sets, choose a weight that allows you to complete the desired number of repetitions in each set with proper form but also pushes you close to muscle failure by the end of the second or third set. It should be difficult to reach those last reps, but you shouldn’t have to sacrifice correct technique to do so. If you can’t lift the weight without momentum or leverage, you may have “maxed out” the muscle, in which case you can rest, recover and try again for the last few reps another day.

    If straight sets aren’t producing the gains you’re hoping for, consider the additional variations below. To avoid injury, only try these more advanced techniques once you’ve established some baseline strength and feel comfortable maintaining proper form.

    Pyramid Sets

    Pyramid sets are a series of weightlifting sets in which you start with low weight and high reps and increase the weight while lowering the number of reps in each set. For example, you might do four sets—12, 10, 8 and 6 reps, respectively—while increasing the weight by 5 or 10 pounds with each set.

    Compound Sets

    In compound sets, you work the same muscle group with multiple exercises and little to no rest in between. For example, you might alternate sets of bench presses and chest flies without rest, using an appropriate weight to stay in that 8- to 12-repetition range.


    Supersets are similar to compound sets, but they can include different muscle groups. In this case, you might do pushups followed by rows, working the chest and then the upper back without rest in between. You can also cycle through three (or more) exercises targeting the chest, back, shoulder, biceps or triceps. The same can be done for core or lower body workouts, or you can mix them together to create a total body workout.

    Families share what travel with neurodiverse kids looks like — and why routine and rest are key

    Experts and parents share how to help neurodiverse kids feel more comfortable while traveling. (Image: Getty; illustration by Aida Amer for Yahoo)

    Traveling with kids can be a life-changing, joyful experience; it can also be hugely stressful at the best of times. And when a child has ADHD, sensory sensitivities or other qualities that fall under the neurodiverse umbrella, the challenges mount even more.

    Ahead, parents of neurodiverse kids share what travel looks like for their families, while experts offer advice for moving about the world as smoothly, and stress-free, as possible.

    Relying on routines and careful planning

    Spontaneity is not in the cards for many families of neurodiverse kids, since many thrive on routine and can be particular about things like food. “My top priorities are routine, rest and aligning travel with interests,” says Emily W. King, a child psychologist and parent who has a weekly newsletter about raising neurodivergent kids. In a recent post about how to travel with neurodiverse kids, she advises parents to "let go of the idea in your head of whatever you think vacationing with your family should look like” and start with the familiar when it comes to travel.

    “We avoid destinations that will be overly crowded or overly stimulating," says Katherine Martinelli, a Connecticut mom of two who has a child that is "confirmed neurodivergent." When they travel somewhere that can be exciting, like Legoland, they "build in downtime" that can be spent resting or watching TV back at the hotel. They'll also book a hotel affiliated with the theme park to gain early entry and beat the crowds; by the time lunchtime hits and the park fills up, the family is ready to leave. Keeping a consistent breakfast and dinner routine when traveling has been helpful.

    Preparation is key for Martinelli, whose children are 6 and 8. Her family, she says, tries to "preview as much as possible by talking about what to expect and looking at pictures and videos online." Each day she also makes “a general plan for the day ahead” and makes certain that "everyone is happy with the plan." Experience has taught her to prepare for things not going as planned. "We also talk about how we never know what will happen and try to make back-up plans," she says.

    “Whenever possible we also try to come up with strategies ahead of time for if the kids are feeling overwhelmed," Martinelli adds. "It could be a specific place they can retreat to, a signal to give us, or even just sitting in the shade and looking at my phone for a few minutes.” Some theme parks, such as the certified autism center Sesame Street Place, have designated calm spaces, sometimes called "low sensory zones," or sensory guides, but even finding a secluded corner can do the trick sometimes. Parents often compile lists of low sensory zones for busy locations like Disney parks.

    Strategic packing is also vital. Occupational therapist Caitlin Sanschagrin, who owns Bright SpOT Pediatric Therapy, suggests bringing along sensory items such as “noise-canceling headphones, a weighted blanket or lap pad, fidget toys or a favorite sensory toy,” plus chewy snacks or mouth tools. Christina Adams, an author and autism advocate, suggests that parents research ahead of time to find local sources, if any, for the food items their child might require. "For kids on special diets, plan ahead and pack their basics like gluten-free mixes, candies, supplements and such so you can rely on a supply if not available locally. It’s worth the extra luggage charge," she says.

    Setting systems in place

    If flying, there are several programs and systems in place to help families who need assistance in the airport. TSA Cares helps people with disabilities, medical conditions or other special circumstances get through security with minimal disruption. Families can also request additional accommodations in advance, such as priority boarding, a seat with extra legroom or a special meal.

    Wings for Autism and Wings for All help families practice travel by walking them through every step of the process beyond the actual flying. Many airports around the world also offer sensory rooms in their terminals. These spaces have low, adjustable lighting and comfy seats, and are free from the sounds of flight announcements.

    Adams also suggests that parents speak to their child's doctors for any recommendations regarding travel that will suit their child's specific needs. Many experts and parents also have tips and hacks that have worked for them on their travels with neurodiverse kids. In addition to relaxation, mindfulness and breathing techniques, Sanschagrin suggests encouraging a child to move around, even while in transit. “You can also ask the flight attendant if there is a designated area on the plane where your child can move around safely,” she says.

    Creating a social story

    Several experts and parents suggest creating a “social story,” which are usually personalized, handmade drawings, comic strips or little books which feature the child or a favorite creature as the protagonist who has to deal with a situation. A social story will typically walk a child through what the situation (like a flight or long car ride) will entail and model appropriate reactions to different scenarios that might occur. According to Adams, guiding a child through a social story can help them "get used to the idea and have some feelings of safety on the trip and at the destination."

    "The first time my son was going to fly on a plane, I wrote a social story for him," shares Brooklyn-based mom Beth Arky. "We read it a few times before and again during the flight. I started writing them whenever he was going to encounter a new experience. It made it less mysterious and scary for him to have some idea of what would happen.”

    An occupational therapist can help craft a social story. Sanschagrin recommends creating a visual schedule which “can help children with ADHD or autism understand what is happening next and reduce anxiety related to transitions.” A visual schedule for an airplane trip would consist of “the security process, the flight schedule, including when they need to board the plane, when the flight takes off and when they will arrive at their destination,” she says.

    Making the most of it — and learning to let go

    It's important for parents don’t forget to try to enjoy their vacation, too. “Try to get an approved sitter from the hotel or a family member at home to watch the child so you can get a break — otherwise it’s a lot of child focus and not much adult fun,” suggests Adams. While finding a trusted caretaker can be hard with neurodiverse kids, many vacation locales have highly trained staff.

    For Martinelli, enjoying the time away means managing her expectations and making peace with the fact that, despite her best efforts, not everything will go according to plan. "Lowering demands is key," she says, adding that if her kid can, and will, only eat chicken fingers and fries for the entire length of the trip, so be it. She's also learned to "quit while we're ahead."

    “An important mindset shift for me has been to know when to leave instead of trying to do and see everything or get our money's worth,” she says.

    And the disruptions caused by travel could potentially benefit some children who are typically attached to routines.

    "Many highly anxious and rigid children I have worked with over the years make great strides with new foods and flexibility on vacation because they are out of their deeply rigid routine of home," says King.

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