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Geriatric Emergencies : A Case-Based Approach to Improving Acute Care

https://libcat.nshealth.ca/en/permalink/provcat44296
Lee A. Lindquist, Scott M. Dresden, editors. --Cham: Springer , 2019.
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This book introduces the unique medical needs of aging patients in the emergency department and outlines the challenges that leave many clinicians struggling to adequately care for this demographic, including limited resources, management concerns, and other barriers. The text presents strategies for screening, diagnosing, and treating geriatric syndromes seen in the emergency care of the older adult patient. Topics include pharmacological interventions, transitioning care, and sustainability. …
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Other Authors
Lindquist, Lee A.
Dresden, Scott M.
Responsibility
Lee A. Lindquist, Scott M. Dresden, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (x, 214 p.) : 15 illus., 6 illus. in color
ISBN
9783030124144
9783030124137 (Print ed.)
9783030124151 (Print ed.)
9783030124168 (Print ed.)
Subjects (MeSH)
Aged
Emergencies
Emergency Service, Hospital
Geriatrics - methods
Specialty
Emergency Medicine
Geriatrics
Abstract
This book introduces the unique medical needs of aging patients in the emergency department and outlines the challenges that leave many clinicians struggling to adequately care for this demographic, including limited resources, management concerns, and other barriers. The text presents strategies for screening, diagnosing, and treating geriatric syndromes seen in the emergency care of the older adult patient. Topics include pharmacological interventions, transitioning care, and sustainability. The text includes complex cases that demonstrate the caution necessary to treat this delicate patient group. Each case concludes with a set of concise “take-home points” to make the guidelines easy to remember and/or reference. Geriatric Emergencies: A Case-Based Approach to Improving the Acute Care of Seniors is an excellent resource for geriatricians, emergency medicine specialists, internal medicine physicians, hospitalists, nurses, social workers, students, residents, trainees, and all medical professionals working with older patients in an emergency setting.
Contents
Growing Older in the Emergency Department -- Components of an Effective Geriatric Emergency Department -- Cognitive Impairment in the ED -- Syncope in a Rural Emergency Department Setting -- ER Referrals and Hospitalizations from Post-Acute and Long-Term Care Facilities -- Can Home Visits Make a Difference to Emergency Department Visits? "I will just stop by his place on the way home: Who knew it would be a journey?" -- Medication Errors in Aging Adults: A Case-Based Approach to Medication Management -- Pain, Opioid Use, and Palliative Care of Older Adults in the Emergency Department -- Acute Mental Status Changes and Over-the-Counter Medications in Older Adults -- Identifying Fall Risk in the Emergency Department -- Capacity, Advanced Planning, and Buying Time.
Format
e-Book
Location
Online
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Geriatrics Models of Care : Bringing 'Best Practice' to an Aging America

https://libcat.nshealth.ca/en/permalink/provcat39240
Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, editors. --Cham: Springer , c2015.
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This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability, and preserve their quality of life. The models include specific interventions which are performed by health care teamsáto address the needs of older persons and their caregivers. These models respect patient values, consider patient safety, and appreciate psychosocial needs as well. The book is presented to readers based on the settin…
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Other Authors
Malone, Michael L
Capezuti, Elizabeth A
Palmer, Robert M
Responsibility
Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xxii, 319 p. : 52 illus., 40 illus. in color)
ISBN
9783319160689
9783319160672 (print ed.)
Subjects (MeSH)
Geriatric Assessment
Geriatrics
Health Services for the Aged
Patient-Centered Care
Other Subjects
United States
Abstract
This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability, and preserve their quality of life. The models include specific interventions which are performed by health care teamsáto address the needs of older persons and their caregivers. These models respect patient values, consider patient safety, and appreciate psychosocial needs as well. The book is presented to readers based on the setting of the care of the older individual: the hospital, the outpatient setting, the transition from one site of care to the next, and the emergency department. The editors further present additional models which address the needs of vulnerable populations, and community- based models of care. Finally, this book describes several promising and innovative programs which represent best practice strategies for older persons. Geriatric Models of Care is an excellent resource for health care leaders who must implement these programs to address the needs of the patients in their communities.
Contents
Part I. Hospital based models of care -- 1. Acute Care for Elders -- 2. Hospital Elder Life Program -- 3. The ACE Consult program -- 4.The Advanced Dementia Consult program -- 5. Acute Care for Elders (ACE) Tracker and "e-Geriatrician" telemedicine program -- 6. The NICHE program to prepare the workforce to address the needs of older patients -- Part II. Models to address the needs of seniors in transition from hospital to home -- 7. Care Transitions Intervention -- 8. The Mary Naylor Advanced Practice Nurse model -- 9. Project BOOST -- Part III. Outpatient-based models of care -- 10. The GRACE model -- 11. The Guided Care model -- 12. The Stanford Chronic Disease Self-Management program -- 13. Patient Centered Medical Home -- 14. Hospital at Home model -- 15. The Physician Home Visit program -- 16. Geriatrics Evaluation and Management (GEM) program -- Part IV. Emergency Department models of care -- 17. Geriatrics Emergency Department: the GEDI WISE program -- Part V. Models which address the needs of vulnerable populations -- 18. The Evercare program to care for vulnerable elders in skilled nursing facilities -- 19. The UCLA Dementia coordinator program -- 20. The Wisconsin Alzheimer's Institute memory assessment program -- 21. Memory Care Connections and LEEPS program for early memory assessment -- Part VI. Community related models of care: 22. Stepping On-falls prevention program -- 23. Program of All-Inclusive Care of Elders (PACE model) -- 24. Wisconsin Family Care social model to support seniors in their homes -- 25. Wisconsin’s family care model -- Part VII. Promising programs -- 26. Hospital care of individuals with advanced dementia -- 27. The delirium room: a restraint-free model of care for older hospitalized patients with delirium -- 28. OPTIMISTIC: a Program to Improve Nursing Home Care and Reduce Avoidable Hospitalizations -- 29 High-Intensity Telemedicine: Enhanced Acute Care for Elders Model -- 30. Comfort Care for People with Dementia: The Beatitudes Campus Model -- 31. Path Clinic: Palliative and Therapeutic Harmonization.
Format
e-Book
Location
Online
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Handbook of systems and complexity in health

https://libcat.nshealth.ca/en/permalink/provcat32410
Joachim P. Sturmberg, Carmel M. Martin, editors. --New York, NY: Springer , c2013.
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Systems and complexity theory plays critical roles in such varied fields as computer science, the physical sciences, meteorology, and economics--and yet health care has yet to take full advantage of what it has to offer. What the theory offers is on rich display as the Handbook of Systems and Complexity in Health presents a revolutionary approach to reforming basic practice and large-scale care delivery, based on the concept of health care as a complex, self-organized, and self-interactive syst…
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Other Authors
Sturmberg, Joachim P
Martin, Carmel M
Responsibility
Joachim P. Sturmberg, Carmel M. Martin, editors
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xxii, 954 p. : 269 ill., 165 ill. in color)
ISBN
9781461449980
Subjects (MeSH)
Quality Improvement
Systems Analysis
Subjects (LCSH)
Practice of medicine
Physics
Engineering
Abstract
Systems and complexity theory plays critical roles in such varied fields as computer science, the physical sciences, meteorology, and economics--and yet health care has yet to take full advantage of what it has to offer. What the theory offers is on rich display as the Handbook of Systems and Complexity in Health presents a revolutionary approach to reforming basic practice and large-scale care delivery, based on the concept of health care as a complex, self-organized, and self-interactive system. The book's opening section provides readers with a thorough grounding in systems and complexity theory from scientific, historical, epistemological, and technical perspectives, complete with the principles and mathematics behind it. From there, contributors offer models of innovation and improvement in service delivery, disease prevention and health promotion, cost-effectiveness, communication, quality control--in short, a more efficient and equitable future for health care. And one particularly intriguing chapter suggests opportunities for complexity theory in refining the drug prescription process. A sampling of the coverage: Understanding health and illness from a complexity perspective. A methodology for analyzing medical data. Modeling illness and recovery with nonlinear dynamics. Clinical applications: inflammation, diabetes, panic disorder, pain, domestic violence, cardiovascular disorders, and the art of the consultation. Complexity science at the bedside: continuous multiorgan variability monitoring in critically ill patients. Primary care as a complex adaptive system. Researchers in health services research, health policy, and health administration will find in the Handbook of Systems and Complexity in Health a new way of viewing health and illness, and potentially a new way to organize health care delivery.
Contents
1. Complexity in Health - An Introduction -- 2. Complexity, uncertainty and mess as the links between science and the humanities in healthcare -- Part 1 - Complexity Theory and Methods -- 3. Understanding Complex Systems -- 4. The Complex Nature of Knowledge -- 5. Mathematical Principles: Tales of Tails -- 6. Modelling -- 7. A methodology for the analysis of medical data -- 8. Psychological Rhythmicities -- 9. Modeling Illness and Recovery with Nonlinear Dynamics -- Part 2 - Dynamics in Human Health -- 10. Homeostasis: The Dynamic Self-regulatory Process that Maintains Health and Buffers against Disease -- 11. Fractals in Physiology & Medicine -- 12. Bio-complexity: challenging reductionism -- Part 3 - Concepts of Health -- 13. Trying to Make Sense of Health -- 14. Picture Health -- 15. Health - A personal complex-adaptive state -- 16. Understanding Health By Building Better Bio-Medical Models -- 17. Health a systems and complexity based definition -- Part 4 Clinical Application -- 18. Complexities of the Consultation -- 19. Inflammation through a Psychoneuroimmunological Lens -- 20. Diabetes control: insights from complexity science -- 21. Complexity and the onset of psychosis -- 22. Understanding intimate partner violence through its dynamics -- 23. Multi-level interdependencies and constraints in panic disorder: Many triggers, few responses -- 24. Nonlinear Relations of Cardiovascular Risk Factors to Neuropsychological Function and Dementia -- 25. Pain and Complex Adaptive System Theory -- 26. Complexity in Movement Disorders: A Systems Approach to Intervention -- 27. Avoidable hospitalizations in older adults -- 28. Continuous Multiorgan Variability Monitoring in Critically Ill Patients Complexity Science at the Bedside -- Part 5 - Health Services -- 29. An overview of complexity theory: understanding primary care as a complex adaptive system -- 30. Real-time Analytics and Quality of Care -- 31. Medical Sociology and Case-Based Complexity Science: A User's Guide -- 32. The Drug Prescription Process: a Network Medicine Approach -- 33. Applications of Complex Dynamics, an Approach to Refractory Health Policy Interventions -- 34. Designing for Health Promotion, Social Innovation and Complexity: The CoNEKTR Model for Wicked Problems -- 35. The Dynamical Behaviours of Diseases in Africa -- Part 6 - Health System -- 36. Health Transition Funds Initiatives: Implications for Health System Reform and Evaluation -- 37. Putting complexity to work - supporting practitioners in health systems -- 38. Implementing Adaptive Health Practice ' A Complexity-Based Philosophy of Health Care -- 39. Mayo Clinic: Making Complex Healthcare Simpler -- 40. Embracing Uncertainty: Complexity Inspired Innovations at Billings Clinic -- 41. A Complexity Science Perspective of Organizational Behavior in Clinical Microsystems -- 42. Reverse the Epidemic Tides of Unhealthy Habits: Personal, Professional and Leadership Challenges -- 43. Health Professions Education: Complexity, Teaching and Learning -- 44. Understanding Clinical Complexity through conversational learning in medical social networks: Implementing User Driven Health care -- Part 7 The Future of Healthcare -- 45. Making sense from complex systems theories, models and analytics to adapting actions and practices in health and health care -- 46. Modeling the Paradox of Primary Care -- 47. Health Care Reform the need for a complex adaptive systems approach -- 48. A Complexity Science Approach to Healthcare Costs and Quality -- 49. Opportunities in Delivery of Preventive Services in Retail Settings -- 50. Complexity Science in the Future of Behavioral Medicine -- 51. Systems Medicine A New Model for Healthcare -- Epilogue -- References -- Index.
Format
e-Book
Location
Online
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New Directions in Psychiatry

https://libcat.nshealth.ca/en/permalink/provcat45579
Maurizio Pompili, Roger McIntyre, Andrea Fiorillo, Norman Sartorius, editors. --Cham: Springer , c2020.
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This book focuses on hot issues faced by clinicians in everyday clinical practice, and provides in-depth analyses of both met and unmet needs in the management of psychiatric disorders. It has been repeatedly shown that the needs of patients, relatives, the community at large and those of the governmental bodies only partially overlap. For instance, patients in their families are more concerned about quality of life, treatment, autonomy, and independent living; whereas governmental stakeholders…
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Other Authors
Pompili, Maurizio
McIntyre, Roger
Fiorillo, Andrea
Sartorius, Norman
Responsibility
Maurizio Pompili, Roger McIntyre, Andrea Fiorillo, Norman Sartorius, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (viii, 230 p.) : 12 illus., 7 illus. in color
ISBN
9783030426378
9783030426361 (Print ed.)
9783030426385 (Print ed.)
9783030426392 (Print ed.)
Subjects (MeSH)
Health Services Needs and Demand
Psychiatry - trends
Specialty
Psychiatry
Abstract
This book focuses on hot issues faced by clinicians in everyday clinical practice, and provides in-depth analyses of both met and unmet needs in the management of psychiatric disorders. It has been repeatedly shown that the needs of patients, relatives, the community at large and those of the governmental bodies only partially overlap. For instance, patients in their families are more concerned about quality of life, treatment, autonomy, and independent living; whereas governmental stakeholders are typically more concerned about relapse prevention and reduction of hospitalizations. As such, a volume bridging the gap between theoretical notions and practical understanding of patients’ untreated aspects of their psychiatric disorders is much needed. Instead of focusing on traditional descriptions of psychopathology and diagnostic criteria, the volume guides readers to core problems for each topic, taking into account new approaches in the classification of mental disorders as proposed by DSM-5. It elaborates on much-debated controversial problems such as the assessment and treatment of psychomotor agitation, and non-adherence to treatment that impacts on the psychiatric context. With its unique approach, this volume appeals to anyone with an interest in the field, including researchers, clinicians, and trainees.
Contents
1. Unmet Needs in Modern Psychiatric Practice -- 2. Unmet Needs in Patients with Schizophrenia -- 3. The Unmet Needs for Major Depressive Disorder -- 4. Unmet Needs in Psychiatry: Bipolar Depression -- 5. Unmet Needs in Mixed States -- 6. Unmet Needs in the Treatment of Personality Disorders -- 7. Unmet Needs in the Assessment and Treatment of Psychomotor Agitation -- 8. Unmet Needs in the Management of Suicide Risk -- 9. Unmet Needs in Psychiatry Training -- 10. Unmet Needs During Residency Training Programmes in Psychiatry -- 11. Unmet Needs in Youth Mental Health: Transforming Models of Care to Improve Outcomes -- 12. Classification Systems of Mental Disorders: Where Did We Go Wrong? -- 13. Stigma: An Old Unmet Need in Psychiatric Practice.
Format
e-Book
Location
Online
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Pulmonary Embolism : From Acute PE to Chronic Complications

https://libcat.nshealth.ca/en/permalink/provcat45473
Belinda Rivera-Lebron, Gustavo A. Heresi, editors. --Cham: Humana Press , c2020.
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This book is a comprehensive guide to the diagnosis and management of all stages of pulmonary embolism, starting with acute and ending with chronic thromboembolic pulmonary hypertension. Acute pulmonary embolism (PE) is responsible for 150-250,000 hospitalizations and 60-100,000 deaths each year in the United States, making it the third most common cause of cardiovascular death. Acute PE spans a wide spectrum of clinical outcomes mainly based on the right ventricle’s (RV) capacity to tolerate s…
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Other Authors
Rivera-Lebron, Belinda
Heresi, Gustavo A.
Responsibility
Belinda Rivera-Lebron, Gustavo A. Heresi, editors
Place of Publication
Cham
Publisher
Humana Press
Date of Publication
c2020
Physical Description
1 online resource (viii, 218 p.) : 40 illus., 32 illus. in color
Series Title
Respiratory medicine
ISBN
9783030517366
9783030517359 (Print ed.)
9783030517373 (Print ed.)
9783030517380 (Print ed.)
ISSN
2197-7372
Subjects (MeSH)
Pulmonary Embolism - diagnosis
Pulmonary Embolism - therapy
Specialty
Cardiology
Pulmonary Medicine
Abstract
This book is a comprehensive guide to the diagnosis and management of all stages of pulmonary embolism, starting with acute and ending with chronic thromboembolic pulmonary hypertension. Acute pulmonary embolism (PE) is responsible for 150-250,000 hospitalizations and 60-100,000 deaths each year in the United States, making it the third most common cause of cardiovascular death. Acute PE spans a wide spectrum of clinical outcomes mainly based on the right ventricle’s (RV) capacity to tolerate strain. There have been many recent advances in the field of PE, including guidelines on classification and risk stratification, anticoagulation, as well as evolving areas in treatment options and follow up. The text begins with a review of the epidemiology and risk factors for PE. Chapters then delve into reviewing the decision pathways based on PE severity and treatment options, including the use of oral anticoagulation, systemic and catheter-directed thrombolysis, mechanical and surgical thrombectomy, and hemodynamic support with extracorporeal membrane oxygenation. The text then focuses on post-PE complications such as post-PE syndrome, chronic thromboembolic disease, and chronic thromboembolic pulmonary hypertension (CTEPH). This is an ideal guide for providers of lung health, including pulmonary and critical care physicians, cardiologists, thoracic and cardiovascular surgeons. Physician-trainees, physician assistants, nurses and respiratory therapists with interest in pulmonary disorders, cardiovascular disease, pulmonary embolism, critical care or pulmonary hypertension will also find great value in this comprehensive guide.
Contents
Epidemiology of Pulmonary Embolism -- PE Diagnosis -- Risk Stratification of Acute PE -- Bleeding Risk Considerations Prior to Initiation and Duration of Anticoagulation Therapy for the Treatment of Venous Thromboembolism -- Treatment for Pulmonary Embolism: Anticoagulation Selection and Duration -- Indications for Systemic Thrombolysis over Anticoagulation -- Endovascular Techniques in the Treatment of Acute PE -- Role of Surgical Embolectomy and ECMO in PE -- Inferior Vena Cava Filters in Venous Thromboembolism – Multidisciplinary PE Response Team (PERT) Development and Implementation -- Post-PE Management -- Epidemiology and Diagnosis of Chronic Thromboembolic Pulmonary Hypertension -- Medical, Endovascular and Surgical Treatment of CTEPH.
Format
e-Book
Location
Online
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The Value of Systems and Complexity Sciences for Healthcare

https://libcat.nshealth.ca/en/permalink/provcat39996
Joachim P. Sturmberg, editor. (1st ed.) --Cham: Springer , c2016.
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This visionary reframing of health and healthcare uses a complexity science approach to building healthcare systems that are accessible, effective, and prepared for change and challenges. Its holistic map for understanding the human organism emphasizes the interconnectedness of the individual's physical, psychological, cognitive, and sociocultural functioning. Applications of this approach are described in primary, specialist, and emergency care and at the organizational and policy levels, from…
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International Conference on Systems and Complexity Sciences for Healthcare (1st : 2014 : Washington DC)
Other Authors
Sturmberg, Joachim P
Responsibility
Joachim P. Sturmberg, editor
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xviii, 285 p. : 89 illus., 18 illus. in color)
ISBN
9783319262215
9783319262192 (print ed.)
Subjects (MeSH)
Systems Analysis
Systems Theory
Abstract
This visionary reframing of health and healthcare uses a complexity science approach to building healthcare systems that are accessible, effective, and prepared for change and challenges. Its holistic map for understanding the human organism emphasizes the interconnectedness of the individual's physical, psychological, cognitive, and sociocultural functioning. Applications of this approach are described in primary, specialist, and emergency care and at the organizational and policy levels, from translating findings to practice, to problem solving and evaluation. In this model, the differences between disease and illness and treating illness and restoring health are not mere wordplay, but instead are robust concepts reflecting real-world issues and their solutions. Based on the Proceedings of the 1st International Conference of Systems and Complexity for Healthcare, The Value of Systems and Complexity Sciences for Healthcare will interest and inspire health and disease researchers, health professionals, health care planners, health system financiers, health system administrators, health services administrators, health professional educators, and, last but not least, current and future patients.
Contents
Part I. Complexity in Clinical Care -- 1. “Returning to Holism”: An Imperative for the Twenty-First Century -- 2. Systems Biology: Unravelling Molecular Complexity in Health and Disease -- 3. Complicated vs. Complex, Disease vs. Illness: Rethinking Diagnosis, Therapy, and Restoring Health -- 4. A System for Systems Epidemiology: The Example of Inference from Agent-Based Models -- 5. Coping with Complexity and Uncertainty: Insights from Studying Epidemiology in Family Medicine -- 6. Anticipation in Complex Systems: Potential Implications for Improving Safety and Quality in Healthcare -- 7. Extreme Variability is Typical Not Normal -- 8. Monitoring Variability and Complexity at the Bedside -- 9. Heterogeneity Mediated System Complexity: The Ultimate Challenge for Studying Common and Complex Diseases -- 10. Multimorbidity: Through a Glass Darkly -- 11. Viewing Mental Health Through the Lens of Complexity Science -- 12. Quantitatively Demonstrating the Complex Nature of Intimate Partner Violence -- 13. Depression: Not Just a Top–Down Phenomenon -- Part II. Complexity and the Healthcare System Ethics, Organisation Policy, and Politics -- 14. Ethical Complexities in Systems Healthcare: What Care and for Whom? -- 15. Systematic Reviews: Beyond Cochrane to Complexity -- 16. Agent-Based Modelling of Organizational Performance -- 17. Leading the Emergency Department as a Complex Adaptive System -- 18. The Value of Systems and Complexity Thinking to Enable Change in Adaptive Healthcare Organisations, Supported by Informatics -- 19. Using a Team Approach to Address Avoidable Emergency Department Utilization and Re-hospitalizations as Symptoms of Complexity Through Quality Improvement Methodology -- 20. Access to Primary Care: A Complex Adaptive Systems Lens on Acuity -- 21. “If the Facts Don’t Fit the Theory, Change the Theory”: Implications for Health System Reform -- Appendices.
Format
e-Book
Publication Type
Congress
Location
Online
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6 records – page 1 of 1.