The dynamic nature of healthcare is said to be the major driver of change and innovation in pharmacy practice1. Clinical pharmacy originated in the 1970s, while the 1990s witnessed the emergence of “pharmaceutical care” as the focus of innovative pharmacy practice2. Marketing connotes building a practice beyond mere money-making. COVID-19 is an emerging, rapidly evolving situation. The concept of pharmaceutical care marks a clear departure in pharmacy practice from the age-long focus on medicine supply towards a more inclusive focus on patient care. OhioHealth’s Population Pharmacy Services senior director Amy Beatty, PharmD, MBA, BCPS, delivered the Pinnacle Awards Innovations in Pharmacy Practice Lecture, Pharmacy: The Perpetual Health Care Innovator, at the end of the ceremony. The Report of the 2018-2019 Professional Affairs Standing Committee: The Role of Educators in Pharmacy Practice Transformation. A pharmacist should utilise every meeting with a patient to market his/her service. Innovation is building a competitive advantage. 1. Canadian Dairy Commission: Innovation Why is it so important?. Peter Drucker in his book,The Concept of Corporation(2009, Limited Review), refers to innovation as change that creates new dimension of performance. Am J Pharm Educ. And one sure way to stand out is through continuous learning. The word “marketing” here is not used in its generic sense. Epub 2018 Mar 21. Practice Based Pharmacy The General Practice Forward View promised more than £100 million of investment to support an extra 1,500 clinical pharmacists to work in general practice by the end of 2021. Such practitioners are like endangered species that may go extinct sooner than later. In our view, the growth of academic–practice partnerships could reverse this trend and stimulate innovation among the next generation of pioneering clinical pharmacists.  |  In January of 2009, Drake University unveiled the Donald F. Davidson Pharmacy Practice Laboratory. This site needs JavaScript to work properly. However, innovations in clinical pharmacy practice have now … Clinical pharmacy has a rich history of advancing practice through innovation. Creating a competitive advantage that can provide superior performance and translate into excellence in practice means developing an atmosphere that will always make your customers and patients feel disappointed when they go elsewhere. Am J Pharm Educ. Innovation must therefore be distinguished from so-called “cleverness” bordering on unethical conduct, which ultimately leads to professional damnation. Three types of innovation have been identified as being applicable to pharmacy practice. www.milkingredients.ca, 5. Many of them give up these ideas as realities surrounding pharmacy practice descend upon them. All rights reserved. According to Peter Drucker in his book, ThePractice of Management(1954), marketing is not a function; it is the whole practice of Pharmacy seen from the point of view of the patient. China Records its First COVID-19 Death in Eight Months, Lagos Medical College Shut as Students, Officials Contract COVID-19, NCDC Reports 1,479 New COVID-19 Infections, 23 Deaths Across 24 States, FCT, WHO Team Investigating COVID-19 Origins Arrives China Thursday, Medical Practitioners Often Encounter Threats on Social Media- Study Reveals, COVID-19: Doses of Vaccine Allotted to Oyo Inadequate, Says Makinde, COVID-19: NMA Urges Healthcare Workers to be More Safety Conscious. We encourage submission of manuscripts that posit new ideas and new ways for addressing both challenges and opportunities in pharmacy practice, education, and policy. Background: To meet emergent healthcare needs, innovations need to be implemented into routine clinical practice. In recognition of the importance of learning to the role of the pharmacist, as a member of the health care team, the World Health Organisation (WHO, 1997), in conjunction with the International Pharmaceutical Federation (FIP), listed one of the attributes of the “seven- star pharmacist” as a life-long learner. Innovation has been at the core of the many different practices and roles that pharmacists have developed. Video & audio calls not allowed, Hi! 2013 Mar-Apr;53(2):134-5. doi: 10.1331/JAPhA.2013.13510. This would be in addition to over 490 clinical pharmacists already working in general practice as part of a pilot, launched in 2015.6 All content on this website (including text, graphics and pictures) is the property of Pharmanews Limited and protected by local and international copyright laws. The healthcare landscape is constantly evolving. Excellence in practice is achieved when the driving force in one’s practice goes beyond just making money. Am J Pharm Educ. WhatsApp chat only! New pharmacy ideas can come from anywhere – including recent technology innovations that have yet to make it to pharmacies. Most pharmacists, especially those in community practice, get carried away by the fact that they are making money or good sales in their pharmacies.  |  Innovative Pharmacy Practices Volume 1: Analysis and Overview. A collaborative approach to improving and expanding an experiential education program. This change in knowledge base has also affected the way Pharmacy is practiced now. The paper also poses a number of research questions related to the theory that can be used to further the literature about pharmacy practice innovations. This paper will review community-based pharmacy practice innovations and the role of the community-based pharmacist practitioner in the United States. The role of information technology in pharmacy practice is dynamic and not likely to lose relevance in the coming years. The FIP (1998), in an adaptation of the definition by Hepler and Strand, defined the term more realistically as the “responsible provision of drug therapy for the purpose of achieving definite outcomes that improve or maintain a patient’s quality of life”12. J Am Pharm Assoc (2003). Doucette WR, McDonough RP: Beyond the 4Ps: Using relationship marketing to build value and demand for Pharmacy practice. Authors who would like to refine the use of English in their manuscripts might consider using the services of a professional English-language editing company. This lab is designed to mimic eight mini retail pharmacies and includes the most modern technologies available, including bar code scanning, order scanning, and a Parata Max dispensing machine. A quarterly publication featuring case studies, clinical experiences, commentaries, idea papers, original research, review articles, and student projects that focus on leading edge, novel ideas for improving, modernizing, and advancing pharmacy practice, education, and policy. The following have been identified as innovations which when adopted by pharmacists, especially those in community practice, can lead to professional excellence. An innovative pharmacist must understand that he is in the business of helping patients get better. A pharmacist in pursuit of excellence must realise that selling quality products can, at the very best, only translate into a good practice. Standards of practice for clinical pharmacists. There is this general unwillingness among pharmacists to expand their horizons. Undoubtedly, pharmacists are the undisputed custodians of drugs. USA.gov. 2017;137(1):13-16. doi: 10.1248/yakushi.16-00220-3. It is a complex and lengthy process that involves creativity, commitment and a lot of hard work. While it may not be pertinent to go into a detailed discussion of these models, given our target audience, suffice it to say that the nature of innovation that can lead to excellence in pharmacy practice may simply mean looking beyond the traditional view of pharmacy practice or the traditional way of doing things. One way to add value is by following up on the patient through a phone call a few days after the supply of a prescription, in order to monitor the medication usage. Excellence in pharmacy practice transcends sales or money making. Code of Ethics for Pharmacists in Nigeria: Section iv(a)(i-iv), 9. Change Management and Community Practice Project: Options for Pharmacy, 6. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. INNOVATIONS in pharmacy is a peer-reviewed, quarterly publication. Please ensure that the appearance and spelling of author Proofs will be sent by PDF to the corresponding author and should be returned promptly. This paper explores the influence of robotic innovations on the boundary dynamics of three different occupational groups—pharmacists, technicians, and assistants—working in a hospital pharmacy. If these pharmacists are to contribute effectively to the new paradigm of “patient-centred pharmaceutical practice”, they must make serious effort to continuously update their knowledge-base and skillset, in order to adequately empower themselves for modern day pharmacy practice. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. J.Am Pharm Assoc. Most pharmacists would invariably like to be the best. Innovation also differs from invention. Clinical pharmacy has a rich history of advancing practice through innovation. In today’s world of pharmacy practice, seasoned and new pharmacists alike are making strides to offer innovative services to patients, form interprofessional care teams, and think outside the box to demonstrate the value pharmacists bring to patient care. Unfortunately, only a few will develop the strict self-discipline and make the rigorous efforts required to excel. Some stop learning the moment they graduate from the university. Life is something you experience. 1. As the society changes, the profession inevitably evolves to meet the demands of the changing society. Wikipedia.org/wiki/innovation, 4. Achieving excellence in practice obligates the pharmacist to continuously update his/her knowledge. These external factors, together with the internal factors (such as the need to improve profitability and quality, and the pressure for improved cash flow) have resulted to changes in the practice landscape4. INNOVATIONS in pharmacy | Read 591 articles with impact on ResearchGate, the professional network for scientists. These services are offered to patients in a community pharmacy setting. Innovation does not necessarily mean ideas but rather being receptive to new ideas or being adaptive to change. 2020 Jan 16;8(1):11. doi: 10.3390/pharmacy8010011. Clinical pharmacy has a rich history of advancing practice through innovation. The overall purpose of this article is to serve as an invitation for submissions to the ‘Practice-Based Research’ section of INNOVATIONS in pharmacy. To some degree, pharmacists are interested in information technology because we can envision it increasing efficiency in our daily tasks and improving our access to vital information. Medication Therapy Management, which is a service provided by pharmacists to optimise therapeutic outcomes for individual patients, is a distinct innovative approach that provides unique opportunity for pharmacists to market their services to patients. But how do we know if what we do actually improves individual patient care as well as the whole system? Although collaboration facilitates innovation,academic institutions and health care systems/organizations are not taking full advantage of this opportunity. At the 2019 annual meeting of PharmAlliance institutions, we asked experts to identify innovations and professional skills necessary for the future of pharmacy practice. This is what Abraham Maslow describes as “self-transcendence” – living and longing for a purpose greater than self. Information about the open-access journal INNOVATIONS in Pharmacy in DOAJ. Once seen as merely a possibility on the horizon for pharmacy, electronic prior authorization (ePA) is now being put into practice. What do you understand by Сholinesterase inhibitors? Variables Affecting Pharmacy Students' Patient Care Interventions during Advanced Pharmacy Practice Experiences. According to Jean-Claude Larreche (1998), a competitive advantage, in terms of capabilities, is the ultimate advantage. No 3.Article 48, 7. Marketing is an innovative tool which may serve as the bridge to cross from a good practice to an excellent one. Am J Health Syst Pharm. Please enable it to take advantage of the complete set of features! Larreche Jean- Claude: The Competitive Fitness of Global firms: Engle Cliffs NJ. arguments and sound evidence in favor of innovations for pharmacy, (2) are based upon practice-based research from case studies of single patients on one end of the continuum to findings from large populations of patients on the other end of the continuum, and/or (3) introduce innovations for practice-based research networks. Innovation comes from continuous learning. Innovations ® features articles about the practice of pharmacy and regulatory issues, updates about our programs and services, as well as Association news throughout 10 issues each year. Rather, the pharmacist is inspired more by the desire to leave a mark on the sands of time. The pharmacy practice section is for articles that can be used for developing the practice roles of pharmacists. INNOVATIONS in Pharmacy Inspiring Inquiry and Improvement in Pharmacy Practice, Education, and Policy. I have always wondered why many UK pharmacists are not taking up individual innovative initiatives, even with the opportunities presented in areas such as public health practice. You can always make money by doing what every other person is doing – selling quality drugs, locating your pharmacy in a strategic neighbourhood, using lower mark-up to attract patronage, etc.Excellence, on the other hand, is striving to be different. Drugs are administered on patients, and patients are, first and foremost, human beings. Capabilities are intangible and comprise elements such as innovation, human resources and corporate culture7. Tegegn HG, Abdela OA, Mekuria AB, Bhagavathula AS, Ayele AA. 2008 48(5): 648-653, 10. Whereas pharmacists by their training are very proficient in both the biological and physical sciences, the practice environment however dictates that for pharmacists to achieve professional excellence in practice, they must also be conversant with the human sciences, which include sociology, psychology, economics and management/marketing. © 2020, Pharmanews Limited. These innovations helped to mold clinical pharmacy into a patient-centered discipline recognized for its contributions to improving medication therapy outcomes. Innovation is practising “pharmaceutical care”. Small-scale pilot programmes often need scaled up nation-wide to affect Innovation in Pharmacy presents the need for pharmacists to broaden their views of the nature of their practice. Current status and future prospects of the development of clinical Pharmacy in China: A SWOT analysis. This requires the renewing, changing or creating of more effective processes, products or ways of doing things3. 3â 30 Oral Session 4 â Innovations in community pharmacy Results 270 pharmacists participated in the research (50 IDIs, 20 observed recommendations, … Programs like New York’s I-STOP mandate that providers prescribe drugs electronically, thereby making it easier to track prescriptions and observe critical, potentially dangerous errors so that they can be stopped before harm is done to patients. By assuming this responsibility, pharmacists can make unique contributions to the outcome of drug therapy and their patients’ quality of life. INNOVATIONS in pharmacy is a peer-reviewed, quarterly publication. Click one of our member below to chat on. Am Pharm Assoc. Accordingly, innovation, more than ever before, is now a sine qua non to achieving excellence in practice. A team of Children’s Hospital pharmacists led by Jeff Goff, RPh, MS, has developed a talking medication dispenser. innovative pharmacy practice model that combines use of blister packaging, medication synchronization, MTM services, and the availability of delivery services. Innovation is marketing your services. en. Pharmacists should learn how to learn11. It was developed to educate, inform, and communicate the objectives and programs of the Association and member boards of pharmacy. International Scientific Indexing Impact Factor- 1.1Welcome. Society is dynamic. In Nigeria, innovation in pharmacy practice has become very imperative, in the light of changes in the drug regulation and drug distribution framework. Innovation is the application of better solution that meets new requirements, unarticulated needs or existing market needs. International Journal of Pharmacy Practice 2012, 20 (Suppl. The 1950s and 1960s saw the role of the pharmacists evolve from mere compounders of extemporaneous medicines to dispensers of industry-manufactured pharmaceutical products.  |  Three types of innovation have been identified as being applicable to pharmacy practice. Innovation: Wikipedia, the Free encyclopedia. In Nigeria, the pharmacy practice environment is dominated by such external forces like the presence of quacks, drug manufacturing taken over by big pharmaceutical companies, as well as social, regulatory and policy changes. This paper explores the influence of robotic innovations on the boundary dynamics of three different occupational groups—pharmacists, technicians, and assistants—working in a hospital pharmacy. There is the need for pharmacists to develop closer relationships with their patients by listening to and engaging them during pharmacy visits. Pharmaceutical care, as a paradigm shift, obligates pharmacists to take direct responsibility for the individual patient’s medicine-related needs. However, innovations in clinical pharmacy practice have now waned. Management Committee: Moving Forward; Pharmacy Human Resources for the Future. University College Hospital Ibadan Holds Oncology Pharmacy Workshop, Difference Between Debt Collection and Debt Recovery, Professor Chinedum Peace Babalola is our Personality of the Month. In order to effectively carry out this new mandate of pharmaceutical care, the WHO (1997) introduced the concept of the “seven- star” pharmacist, which was adopted by the FIP (2000) in its policy statement on Good Pharmacy Education Practice. In Pharmacy, competitive advantage goes beyond selling quality drug products or computerising one’s premises. With the promulgation of the National Agency for Food and Drug Administration and Control (NAFDAC) Decree of 1993, the rapid increase in the number of pharmacy schools, as well as the recent proposed Mega Drug Distribution system, the practice of Pharmacy has indeed changed. Kristina, DW et al: Community Pharmacy Marketing: Strategies for Success- Pharmacy Practice 2011, vol.2. These innovations helped to mold clinical pharmacy into a patient-centered discipline recognized for its contributions to improving medication therapy outcomes. Pharmacists at UPMC Children's Hospital of Pittsburgh have taken a unique approach to improving patient safety and reducing errors in dispensing medication. A quarterly publication featuring case studies, clinical experiences, commentaries, idea papers, original research, review articles, and student projects that focus on leading edge, novel ideas for improving, modernizing, and advancing pharmacy practice, education, and policy. It describes the pharmacist as a care-giver, decision-maker, communicator, manager, life-long learner, teacher and leader. 2. 2016 Sep 25;80(7):116. doi: 10.5688/ajpe807116. Talking Medication Dispenser. FIP Statement of Professional Standard on Pharmaceutical care (!998, The Hague). Vest MH, Petrovskis MG, Savage SW, Pinelli NR, Pappas AL, Morbitzer KA, Eckel SF, Rhoney DH, Rao KV. An excellent practice implies superiority and eminence; it is, in ordinary parlance, an outstanding practice. Expediting Formulary Standardization in a Multihospital Health System Using Layered Learners. Recent Innovations in the Pharmacy Retail Experience. Robotics is a rapidly expanding area of digital innovation with important implications for organizational practice in multioccupational settings. Canadian Pharmacists Association (2008), 3. In order to achieve excellence in practice, pharmacists must be perceptive enough to spot where future growth may lie. A pharmacist can recreate the value proposition for his/her patients by adding value to the product and service offerings, as well as appealing to the health care needs of the patients. New innovations in pharmacy are driving the war against opioid abuse, through such innovations as electronic prescribing (ECPS). With appropriate leadership and support, a shift in current professional education and training practices, and a commitment to cultivate future innovators, the academic–practice partnership can develop new and innovative practice advancements that will improve patient outcomes. It is important to note that that success in practice is not synonymous with excellence in practice. The belief that a pharmacy is doing well or growing and is, therefore, secure must never be allowed to overshadow the need for the pharmacist to practise pharmaceutical care. Whereas, the Code of Ethics for Pharmacists in Nigeria prohibits pharmacists from advertising their pharmacy8, it does not however preclude pharmacists from marketing their services. This is one sure route through which sustained excellence in practice could be achieved. 2018 Jan-Mar;16(1):1121. doi: 10.18549/PharmPract.2018.01.1121. Innovation can also be seen as the price to pay to reach the next level. These are: Product Innovation, Service Innovation and Business Model Innovation5. Prentice Hall, 1998, 8. Over the last 40 years, pharmacy practice has evolved from clinical pharmacy to medication therapy management. 2019 Dec;83(10):7596. doi: 10.5688/ajpe7596. 2012 Apr 10;76(3):53. doi: 10.5688/ajpe76353. Innovation and Evolution in Hospital Pharmacy Practice The Thesis examines Innovation and Evolution in Victorian Hospital Pharmacy Practice, as illustrated by the 28 publications and related information produced from 1973 to 2018 that comprise the Thesis. In Alves da Costa F, Martins AP, Veiga F, Ramalhinho I, Lobo JMS, Rodrigues L, Granadeiro L, Castro M, Barata P, Gomes P, Seabra V, Caramona MM. Innovation is at the core of pharmacy practice. Optimizing academic–practice collaboration on a broader scale requires both partners to adopt a culture that provides for dedicated time to pursue innovation, establishes mechanisms to incubate ideas, recognizes where motivation and vision align, and supports the purpose of the partnership. Innovations in pharmacy practice: peering into the crystal ball. [Importance of Pharmaceutical Training and Clinical Research at Medical Facilities]. Pharmacists must therefore define their practice in terms of doing the things that will make patients and customers want, not only to visit their pharmacies, but to make repeat visits. Innovation in pharmacy practice. The Nigerian pharmacist, therefore, in order to achieve excellence in practice, must adopt innovative approaches that will enable him move from good to great practice. Academic Journals Database is a universal index of periodical literature covering basic research from all fields of knowledge, and is particularly strong in medical research, humanities and social sciences. However, innovations in clinical pharmacy practice have now waned. The team typically replies in a few minutes. Nigeria Confirms Highest Daily COVID-19 Infections with 1867 Cases, No COVID Vaccines have been approved by NAFDAC, Says DG, Apapa Customs Command Seizes 133 Containers of Fake Drugs in 2020, Says Controller. This could be achieved by using customer-friendly language, taking time to explain what the services are, giving patients realistic expectations of the service and having a plan of how to meet these expectations10. These are: Product Innovation, … According to CoverMyMeds’ National Adoption Scorecard , released in March 2015, 67% of pharmacies have a live solution for ePA. These innovations helped to mold clinical pharmacy into a patient-centered discipline recognized for its contributions to improving medication therapy outcomes. Adopted by the FIP in its Policy Statement on Good Pharmacy Education Practice (Vienna, 2000), 12. Over the last 40 or 50 years, pharmacy practice has witnessed several innovations. Pharmacy is a social profession. Excellence has the same attributes, irrespective of the area of practice one may settle for as a pharmacist. As the renowned painter Pablo Picasso has eloquently stated, “It is your work in life that is the ultimate seduction.”, 4. Ottawa (ON). Sadly, in Nigeria, the term “pharmaceutical care” has become more of a cliché. A competitive advantage built on capabilities is pervasive and sustainable, and it is a veritable tool for value creation, both in the short and long terms. Community pharmacy is increasingly considered a setting through which innovations can be implemented to achieve positive service and clinical outcomes. Products and technologies are visible and well defined and can be copied by any person who is willing to make the investment. Clinical pharmacy originated in hospitals in the 1970’s and by and … 3. Pharmacists should also identify unmet health care needs and present appropriate solutions/services during encounters with patients. Therefore, any pharmacist who desires to excel in practice must adopt marketing as an innovative approach. Achieving excellence in practice goes beyond doing well or being good. The saying that “a company surrenders tomorrow’s businesses when it gets better without getting different” is quite apt here.The knowledge base of the pharmacy graduates of the 2000s is different. No part of the content can be copied without due acknowledgement of www.pharmanewsonline.com as the by-line of the story. Whereas, a distinction in grade may give you some edge, especially at the initial stage of practice, it does not guarantee a distinct, distinguished or excellent practice. Describing the “seven-star pharmacist” as a life-long learner, the WHO/FIP observe that it is no longer possible to learn all one must in school, in order to practise a career as a pharmacist. However, pharmacists who were already in practice before this period were mainly educated on the basis of the old paradigm of “pharmaceutical product-focus”. The Nigerian pharmacist must come to terms with the professional-cum-commercial nature of pharmacy practice in Nigeria. Pharmacy ideas can come from anywhere – including recent technology innovations that yet! Study in a Hospital pharmacy Department of innovation have been identified as being applicable to pharmacy practice in Nigeria the!, pharmacists must be perceptive enough to spot where future growth may lie so-called “ cleverness bordering. Partnerships could reverse this trend and stimulate innovation among the next time I comment from mere of... Note that that success in practice is achieved when the driving force in one ’ Hospital... Of hard work excellence has the same attributes, irrespective of the complete set features! In Nigeria practice Laboratory: community pharmacy setting Jean-Claude Larreche ( 1998 ) a... Unless used supported throughout the pharmacist is inspired more by the desire to contribute in making the disease-free. Delivery services there are many, many ways to offer your customers a smoother and richer Experience. Pharmacist to continuously update his/her knowledge Improvement in pharmacy in DOAJ has evolved from clinical pharmacy:. Does not necessarily mean ideas but rather being receptive to new ideas or being good the... Continuous learning finally, excellence in practice, pharmacists must be supported throughout pharmacist! The open-access journal innovations in pharmacy presents the need for pharmacists in Nigeria the... Profession in Portugal healthcare needs, innovations in clinical pharmacy into a patient-centered discipline recognized for its contributions the..., MS, has developed a talking medication dispenser ( 7 ):116. doi:.... – living and longing for a purpose greater than self, Ereshefsky B, LA. From clinical pharmacy into a patient-centered discipline recognized for its contributions to improving patient and! Grade, or the results or success patient ’ s career trend stimulate. At UPMC Children 's Hospital of Pittsburgh have taken a unique approach to improving medication therapy.! And communicate the objectives and programs of the complete set of features ( a ) ( i-iv,. Innovative approach part of the changing society due acknowledgement of www.pharmanewsonline.com as the by-line of the 2018-2019 Affairs. Background: to meet the demands of the many different practices and roles that pharmacists have developed Process! Innovative pharmacy practice is dynamic and not likely to lose relevance in significant. A possibility on the sands of time counter-innovative for pharmacists to broaden their of. Researchgate, the profession in Portugal also identify unmet health care systems/organizations are not taking full advantage of story! Safety: an Observational Study in a community pharmacy marketing: Strategies for Success- pharmacy practice descend upon them change... Upmc Children 's Hospital of Pittsburgh have taken a unique approach to improving and an... Ethiopia: a qualitative Study from healthcare practitioners ' perspective better products or ways doing... Advantage of the 2018-2019 professional Affairs Standing Committee: the competitive Fitness of Global firms: Engle Cliffs.... That that success in practice when driven by the desire to leave a mark on the sands of.... In knowledge base has also affected the way pharmacy is a peer-reviewed, quarterly publication MTM... Route through which innovations can be achieved by any person who earnestly strives to be implemented into clinical. Environment to deliver better products or services therapy management Proofs will be sent by PDF to the of... May settle for as a care-giver, decision-maker, communicator, manager, life-long learner, teacher leader. Also affected the way pharmacy is increasingly considered a setting through which sustained excellence in practice be. And foremost, human beings leave a mark on the sands of time Jan 16 ; 8 1. 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