Search results for 'Evidence-based medicine' (try it on Scholar)

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  1. Maya J. Goldenberg (2012). Innovating Medical Knowledge: Undestanding Evidence-Based Medicine as a Socio-Medical Phenomenon. In Nikolaos Sitaras (ed.), Evidence-Based Medicine: Closer to Patients or Scientists? InTech Open Science.score: 810.0
    Because few would object to evidence-based medicine’s (EBM) principal task of basing medical decisionmaking on the most judicious and up-to-date evidence, the debate over this prolific movement may seem puzzling. Who, one may ask, could be against evidence (Carr-Hill, 2006)? Yet this question belies the sophistication of the evidence-based movement. This chapter presents the evidence-based approach as a socio-medical phenomenon and seeks to explain and negotiate the points of disagreement between supporters and detractors. This is done (...)
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  2. Hillel D. Braude (2009). Clinical Intuition Versus Statistics: Different Modes of Tacit Knowledge in Clinical Epidemiology and Evidence-Based Medicine. Theoretical Medicine and Bioethics 30 (3):181-198.score: 729.0
    Despite its phenomenal success since its inception in the early nineteen-nineties, the evidence-based medicine movement has not succeeded in shaking off an epistemological critique derived from the experiential or tacit dimensions of clinical reasoning about particular individuals. This critique claims that the evidence-based medicine model does not take account of tacit knowing as developed by the philosopher Michael Polanyi. However, the epistemology of evidence-based medicine is premised on the elimination of the tacit dimension from (...)
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  3. A. la Caze (2009). Evidence-Based Medicine Must Be .. Journal of Medicine and Philosophy 34 (5):509-527.score: 729.0
    Proponents of evidence-based medicine (EBM) provide the “hierarchy of evidence” as a criterion for judging the reliability of therapeutic decisions. EBM's hierarchy places randomized interventional studies (and systematic reviews of such studies) higher in the hierarchy than observational studies, unsystematic clinical experience, and basic science. Recent philosophical work has questioned whether EBM's special emphasis on evidence from randomized interventional studies can be justified. Following the critical literature, and in particular the work of John Worrall, I agree that many (...)
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  4. Mona Gupta (2007). Does Evidence-Based Medicine Apply to Psychiatry? Theoretical Medicine and Bioethics 28 (2):103.score: 729.0
    Evidence-based psychiatry (EBP) has arisen through the application of evidence-based medicine (EBM) to psychiatry. However, there may be aspects of psychiatric disorders and treatments that do not conform well to the assumptions of EBM. This paper reviews the ongoing debate about evidence-based psychiatry and investigates the applicability, to psychiatry, of two basic methodological features of EBM: prognostic homogeneity of clinical trial groups and quantification of trial outcomes. This paper argues that EBM may not be the best (...)
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  5. Malcolm Parker (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy 5 (3):273-280.score: 729.0
    The relationship between evidence-based medicine (EBM) and clinical judgement is the subject of conceptual and practical dispute. For example, EBM and clinical guidelines are seen to increasingly dominate medical decision-making at the expense of other, human elements, and to threaten the art of medicine. Clinical wisdom always remains open to question. We want to know why particular beliefs are held, and the epistemological status of claims based in wisdom or experience. The paper critically appraises a number of (...)
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  6. Rui Nunes (2003). Evidence-Based Medicine: A New Tool for Resource Allocation? Medicine, Health Care and Philosophy 6 (3):297-301.score: 729.0
    Evidence-Based Medicine (EBM) is defined as the conscious, and judicious use of current best evidence in making decisions about the care of individual patients. The greater the level of evidence the greater the grade of recommendation. This pioneering explicit concept of EBM is embedded in a particular view of medical practice namely the singular nature of the patient-physician relation and the commitment of the latter towards a specific goal: the treatment and the well being of his or her (...)
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  7. Glen I. Spielmans & Peter I. Parry (2010). From Evidence-Based Medicine to Marketing-Based Medicine: Evidence From Internal Industry Documents. [REVIEW] Journal of Bioethical Inquiry 7 (1):13-29.score: 720.0
    While much excitement has been generated surrounding evidence-based medicine, internal documents from the pharmaceutical industry suggest that the publicly available evidence base may not accurately represent the underlying data regarding its products. The industry and its associated medical communication firms state that publications in the medical literature primarily serve marketing interests. Suppression and spinning of negative data and ghostwriting have emerged as tools to help manage medical journal publications to best suit product sales, while disease mongering and market (...)
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  8. Miriam Solomon (2011). Just a Paradigm: Evidence-Based Medicine in Epistemological Context. [REVIEW] European Journal for Philosophy of Science 1 (3):451-466.score: 720.0
    Evidence-Based Medicine (EBM) developed from the work of clinical epidemiologists at McMaster University and Oxford University in the 1970s and 1980s and self-consciously presented itself as a "new paradigm" called "evidence-based medicine" in the early 1990s. The techniques of the randomized controlled trial, systematic review and meta-analysis have produced an extensive and powerful body of research. They have also generated a critical literature that raises general concerns about its methods. This paper is a systematic review of (...)
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  9. Alexander Mebius (forthcoming). Corroborating Evidence-Based Medicine. Journal of Evaluation in Clinical Practice:n/a-n/a.score: 720.0
    Proponents of evidence-based medicine (EBM) have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence available. This paper attempts to shift the focus of the debate by arguing that clinical reasoning involves a patchwork of evidential approaches and that (...)
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  10. Adam La Caze (2008). Evidence-Based Medicine Can't Be…. Social Epistemology 22 (4):353 – 370.score: 720.0
    Evidence-based medicine (EBM) puts forward a hierarchy of evidence for informing therapeutic decisions. An unambiguous interpretation of how to apply EBM's hierarchy has not been provided in the clinical literature. However, as much as an interpretation is provided proponents suggest a categorical interpretation. The categorical interpretation holds that all the results of randomised trials always trump evidence from lower down the hierarchy when it comes to informing therapeutic decisions. Most of the critical replies to EBM react to this (...)
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  11. Jeremy Howick (2011). The Philosophy of Evidence-Based Medicine. Wiley-Blackwell, Bmj Books.score: 720.0
    The philosophy of evidence-based medicine -- What is EBM? -- What is good evidence for a clinical decision? -- Ruling out plausible rival hypotheses and confounding factors : a method -- Resolving the paradox of effectiveness : when do observational studies offer the same degree of evidential support as randomized trials? -- Questioning double blinding as a universal methodological virtue of clinical trials : resolving the Philip's paradox -- Placebo controls : problematic and misleading baseline measures of effectiveness (...)
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  12. Adam la Caze (2011). The Role of Basic Science in Evidence-Based Medicine. Biology and Philosophy 26 (1):81-98.score: 720.0
    Proponents of Evidence-based medicine (EBM) do not provide a clear role for basic science in therapeutic decision making. Of what they do say about basic science, most of it is negative. Basic science resides on the lower tiers of EBM's hierarchy of evidence. Therapeutic decisions, according to proponents of EBM, should be informed by evidence from randomised studies (and systematic reviews of randomised studies) rather than basic science. A framework of models explicates the links between the mechanisms of (...)
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  13. Piersante Sestini (2010). Epistemology and Ethics of Evidence-Based Medicine: Putting Goal-Setting in the Right Place. Journal of Evaluation in Clinical Practice 16 (2):301-305.score: 720.0
    While evidence-based medicine (EBM) is often accused on relying on a paradigm of 'absolute truth', it is in fact highly consistent with Karl Popper's criterion of demarcation through falsification. Even more relevant, the first three steps of the EBM process are closely patterned on Popper's evolutionary approach of objective knowledge: (1) recognition of a problem; (2) generation of solutions; and (3) selection of the best solution. This places the step 1 of the EBM process (building an answerable question) (...)
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  14. Rakesh Biswas, Shashikiran Umakanth, Joachim Strumberg, Carmel M. Martin, Manjunath Hande & Jagbir S. Nagra (2007). The Process of Evidence-Based Medicine and the Search for Meaning. Journal of Evaluation in Clinical Practice 13 (4):529-532.score: 720.0
    BACKGROUND AND RATIONALE: Evidence based medicine is the present backbone of rational and objective, modern medical problem solving and is a meeting ground for quantitative and qualitative researchers alike as it culminates into applying the fruits of clinical research to the individual patient. A systematic enquiry into the evolving paradigms in EBM is a need of the hour. AIMS AND METHODS: A qualitative enquiry examining the impact of different methodologies in EBM and their role in generating meaning interpretable at (...)
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  15. Leen De Vreese (2011). Evidence-Based Medicine and Progress in the Medical Sciences. Journal of Evaluation in Clinical Practice 17 (5):852-856.score: 720.0
    The question what scientific progress means for a particular domain such as medicine seems importantly different from the question what scientific progress is in general. While the latter question received ample treatment in the philosophical literature, the former question is hardly discussed. I argue that it is nonetheless important to think about this question in view of the methodological choices we make. I raise specific questions that should be tackled regarding scientific progress in the medical sciences and demonstrate their (...)
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  16. Deborah Dysart-Gale (2008). Lost in Translation: Bibliotherapy and Evidence-Based Medicine. [REVIEW] Journal of Medical Humanities 29 (1):33-43.score: 720.0
    Evidence-based medicine’s (EBM) quantitative methodologies reflect medical science’s long-standing mistrust of the imprecision and subjectivity of ordinary descriptive language. However, EBM’s attempts to replace subjectivity with precise empirical methods are problematic when clinicians must negotiate between scientific medicine and patients’ experience. This problem is evident in the case of bibliotherapy (patient reading as treatment modality), a practice widespread despite its reliance on anecdotal evidence. While EBM purports to replace such flawed practice with reliable evidence-based methods, this (...)
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  17. S. Buetow (2002). Beyond Evidence-Based Medicine: Bridge-Building a Medicine of Meaning. Journal of Evaluation in Clinical Practice 8 (2):103-108.score: 720.0
    Contesting that a debate on evidence-based health care has taken place, this article charts three paths to the future: continuing avoidance of debate by proponents of evidence-based medicine (EBM); conflict, which the EBM movement courts and critics have espoused, and dialogue. The last portal allows for integration, which would end the disagreement between EBM and its critics and make a debate unnecessary. In search of integration, I sketch a bridge whose construction requires not compromise but a win- (...)
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  18. Wendy A. Rogers (2002). Is There a Tension Between Doctors' Duty of Care and Evidence-Based Medicine? Health Care Analysis 10 (3):277-287.score: 717.0
    The interaction between evidence-based medicineand doctors' duty of care to patients iscomplex. One the one hand, there is surely anobligation to take account of the bestavailable evidence when offering health care topatients. On the other hand, it is equallyimportant to be aware of important shortcomingsin the processes and practices ofevidence-based medicine. There are tensionsbetween the population focus of evidence-basedmedicine and the duties that doctors have toindividual patients. Implementingevidence-based medicine may have unpredictableconsequences upon the overall quality of healthcare. (...)
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  19. Rein Vos, Rob Houtepen & Klasien Horstman (2002). Evidence-Based Medicine and Power Shifts in Health Care Systems. Health Care Analysis 10 (3):319-328.score: 717.0
    It is important and urgent to question therelationship between evidence-based medicineand power shifts in health care systems.Although definitions of EBM are phrased as ascientific approach to medicine, EBM is anormative concept: it aims to improve medicineand health care. Both proponents and opponentsuse a normative concept. More particularly,they provide particular views on positions,responsibilities, possibilities, norms andrelationships between professionals, patientgroups, governments and other parties in healthcare and society. From this perspective, wewant to analyse the role of EBM in modernwestern societies. (...)
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  20. Donna Dickenson & Paolo Vineis (2002). Evidence-Based Medicine and Quality of Care. Health Care Analysis 10 (3):243-259.score: 672.0
    In this paper we set out to examine thearguments for and against the claim thatEvidence-Based Medicine (EBM) will improve thequality of care. In particular, we examine thefollowing issues.
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  21. Nikola Biller-Andorno, Reidar K. Lie & Ruud Ter Meulen (2002). Evidence-Based Medicine as an Instrument for Rational Health Policy. Health Care Analysis 10 (3):261-275.score: 639.0
    This article tries to present a broad view on the values and ethicalissues that are at stake in efforts to rationalize health policy on thebasis of economic evaluations (like cost-effectiveness analysis) andrandomly controlled clinical trials. Though such a rationalization isgenerally seen as an objective and `value free' process, moral valuesoften play a hidden role, not only in the production of `evidence', butalso in the way this evidence is used in policy making. For example, thedefinition of effectiveness of medical treatment or (...)
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  22. Abhaya V. Kulkarni (2005). The Challenges of Evidence-Based Medicine: A Philosophical Perspective. Medicine, Health Care and Philosophy 8 (2):255-260.score: 639.0
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  23. Thea P. M. Vliet Vlieland (2002). Managing Chronic Disease: Evidence-Based Medicine or Patient Centred Medicine? [REVIEW] Health Care Analysis 10 (3):289-298.score: 630.0
    Chronic diseases are recognized as a leadingcause of mortality, morbidity, health careutilization and cost. A constant tailoring ofcare to the actual needs of individualpatients, complexity and long duration are thedistinguishing features of chronic diseasemanagement.
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  24. Andrew Georgiou (2002). Data, Information and Knowledge: The Health Informatics Model and its Role in Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 8 (2):127-130.score: 630.0
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  25. M. Gupta (2004). Reconsidering Rationality and Ethics in the Evidence‐Based Medicine Debate: A Reply to Commentators. Journal of Evaluation in Clinical Practice 10 (2):143-146.score: 630.0
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  26. Jon C. Tilburt (2008). Evidence‐Based Medicine Beyond the Bedside: Keeping an Eye on Context. Journal of Evaluation in Clinical Practice 14 (5):721-725.score: 630.0
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  27. Andrew Miles & Michael Loughlin (2011). Models in the Balance: Evidence‐Based Medicine Versus Evidence‐Informed Individualized Care. Journal of Evaluation in Clinical Practice 17 (4):531-536.score: 630.0
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  28. Cecilia Nardini, Marco Annoni & Giuseppe Schiavone (2012). Mechanistic Understanding in Clinical Practice: Complementing Evidence‐Based Medicine with Personalized Medicine. Journal of Evaluation in Clinical Practice 18 (5):1000-1005.score: 630.0
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  29. Anders Strand & Veli‐Pekka Parkkinen (2013). Causal Knowledge in Evidence‐Based Medicine. In Reply to Kerry Et Al.'S Causation and Evidence‐Based Practice: An Ontological Review. Journal of Evaluation in Clinical Practice:n/a-n/a.score: 630.0
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  30. Stephen Buetow, Ross Upshur, Andrew Miles & Michael Loughlin (2006). Taking Stock of Evidence‐Based Medicine: Opportunities for its Continuing Evolution. Journal of Evaluation in Clinical Practice 12 (4):399-404.score: 630.0
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  31. Cathy Charles, Amiram Gafni & Emily Freeman (2011). The Evidence‐Based Medicine Model of Clinical Practice: Scientific Teaching or Belief‐Based Preaching? Journal of Evaluation in Clinical Practice 17 (4):597-605.score: 630.0
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  32. Helen Crowther, Wendy Lipworth & Ian Kerridge (2011). Evidence‐Based Medicine and Epistemological Imperialism: Narrowing the Divide Between Evidence and Illness. Journal of Evaluation in Clinical Practice 17 (5):868-872.score: 630.0
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  33. Simon C. Kitto, Jennifer C. Peller, Elmer V. Villanueva, Russell L. Gruen & Julian A. Smith (2011). Rural Surgeons' Attitudes Towards and Usage of Evidence‐Based Medicine in Rural Surgical Practice. Journal of Evaluation in Clinical Practice 17 (4):678-683.score: 630.0
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  34. Tippawan Liabsuetrakul, Thanitha Sirirak, Sathana Boonyapipat & Panumad Pornsawat (2013). Effect of Continuous Education for Evidence‐Based Medicine Practice on Knowledge, Attitudes and Skills of Medical Students. Journal of Evaluation in Clinical Practice 19 (4):607-611.score: 630.0
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  35. Joaquim S. Couto Md (1998). Evidence‐Based Medicine: A Kuhnian Perspective of a Transvestite Non‐Theory. Journal of Evaluation in Clinical Practice 4 (4):267-275.score: 630.0
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  36. Robin Nunn (2008). Evidence‐Based Medicine and Limits to the Literature Search. Journal of Evaluation in Clinical Practice 14 (5):672-678.score: 630.0
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  37. Eyal Shahar (1997). A Popperian Perspective of the Term 'Evidence‐Based Medicine'. Journal of Evaluation in Clinical Practice 3 (2):109-116.score: 630.0
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  38. Ka‐Wai Tam, Lung‐Wen Tsai, Chien‐Chih Wu, Po‐Li Wei, Chou‐Fu Wei & Soul‐Chin Chen (2011). Using Vote Cards to Encourage Active Participation and to Improve Critical Appraisal Skills in Evidence‐Based Medicine Journal Clubs. Journal of Evaluation in Clinical Practice 17 (4):827-831.score: 630.0
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  39. R. Paul Thompson (2010). Causality, Mathematical Models and Statistical Association: Dismantling Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 16 (2):267-275.score: 630.0
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  40. Paul Aveyard (1997). Evidence‐Based Medicine and Public Health. Journal of Evaluation in Clinical Practice 3 (2):139-144.score: 630.0
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  41. Wolfgang A. Blank, Thorsten Meyer, Antonius Schneider & Klaus Linde (2011). Most Like It but Some Don't – Attitudes of Vocational Trainees in General Practice Towards Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 17 (4):615-620.score: 630.0
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  42. Pascal Borry, Paul Schotsmans & Kris Dierickx (2006). Evidence‐Based Medicine and its Role in Ethical Decision‐Making. Journal of Evaluation in Clinical Practice 12 (3):306-311.score: 630.0
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  43. Benjamin Djulbegovic, Lou Morris & Gary H. Lyman (2000). Evidentiary Challenges to Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 6 (2):99-109.score: 630.0
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  44. William A. Ghali & Peter M. Sargious (2002). The Evolving Paradigm of Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 8 (2):109-112.score: 630.0
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  45. Rishi K. Goyal, Rita Charon, Helen‐Maria Lekas, Mindy T. Fullilove, Michael J. Devlin, Louise Falzon & Peter C. Wyer (2008). 'A Local Habitation and a Name': How Narrative Evidence‐Based Medicine Transforms the Translational Research Paradigm. Journal of Evaluation in Clinical Practice 14 (5):732-741.score: 630.0
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  46. Michael L. Green (2000). Evidence‐Based Medicine Training in Graduate Medical Education: Past, Present and Future. Journal of Evaluation in Clinical Practice 6 (2):121-138.score: 630.0
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  47. J. R. Hampton (1997). Evidence‐Based Medicine, Practice Variations and Clinical Freedom. Journal of Evaluation in Clinical Practice 3 (2):123-131.score: 630.0
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  48. Milos Jenicek (2006). The Hard Art of Soft Science: Evidence‐Based Medicine, Reasoned Medicine or Both? Journal of Evaluation in Clinical Practice 12 (4):410-419.score: 630.0
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  49. Yun‐Chieh Lu & Ying‐Chun Li (2013). How Doctors Practice Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 19 (1):44-49.score: 630.0
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  50. Cheryl J. Misak (2010). Narrative Evidence and Evidence‐Based Medicine. Journal of Evaluation in Clinical Practice 16 (2):392-397.score: 630.0
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