Difference between revisions of "STEMI-2017/C3/Non-STEMI-C-to-STEMI-D-Hospital/English"

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(Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Transfer from Non-STEMI C to STEMI D Hospital <div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name:...")
 
 
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|-  
 
|-  
 
|| Title slide
 
|| Title slide
−
|| Welcome to this tutorial on Transfer from '''Non-STEMI C Hospital '''to '''STEMI D Hospital.'''
+
|| Hello and welcome to this tutorial on Transfer from '''Non-STEMI C Hospital '''to '''STEMI D Hospital.'''
 
|-  
 
|-  
 
|| Opening Slide - can be graphic from the PPT
 
|| Opening Slide - can be graphic from the PPT
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|| In the''' STEMI D Hospital,''' the following details are to be entered into the '''STEMI App.'''
 
|| In the''' STEMI D Hospital,''' the following details are to be entered into the '''STEMI App.'''
 
|-  
 
|-  
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|| '''Blue box '''on already logged in '''D-User '''>> then on '''New Patient '''tab  
+
|| Blue box on already logged in '''D-User '''>> then on '''New Patient '''tab  
 
|| Let’s begin.
 
|| Let’s begin.
  
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|| Then, we are prompted to enter the '''STEMI D Hospital Arrival Date '''and''' Time.'''
 
|| Then, we are prompted to enter the '''STEMI D Hospital Arrival Date '''and''' Time.'''
 
|-  
 
|-  
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|| '''Blue box '''on '''Admission'''
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|| Blue box on '''Admission'''
  
−
'''Text box'''
+
Text box
 
|| Next, select '''Admission''' as '''Non-STEMI'''.
 
|| Next, select '''Admission''' as '''Non-STEMI'''.
  
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The data flow only takes place between the''' '''hospitals linked within the '''STEMI programme. '''
 
The data flow only takes place between the''' '''hospitals linked within the '''STEMI programme. '''
 
|-  
 
|-  
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|| Enter Details
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|| Enter details
 
|| Next, enter the hospital name and address.
 
|| Next, enter the hospital name and address.
  
 
|-  
 
|-  
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|| '''Blue box '''on '''Non STEMI Hospital Arrival Date''' and '''Time'''.
+
|| Blue box on '''Non STEMI Hospital Arrival Date''' and '''Time'''.
 
|| Then, we are prompted to enter the '''Non STEMI C Hospital Arrival Date''' and '''Time'''.
 
|| Then, we are prompted to enter the '''Non STEMI C Hospital Arrival Date''' and '''Time'''.
  
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|-  
 
|-  
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|| '''Blue box '''on '''Manual ECG Taken'''
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|| Blue box on '''Manual ECG Taken'''
 
|| I’ll check '''Manual ECG Taken''' as '''Yes''' and then enter the date and time.
 
|| I’ll check '''Manual ECG Taken''' as '''Yes''' and then enter the date and time.
  
 
|-  
 
|-  
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|| '''Blue box '''on '''STEMI Confirmed'''
+
|| Blue box on '''STEMI Confirmed'''
 
|| Next, I’ll check '''STEMI Confirmed''' as '''Yes''', along with date and time.
 
|| Next, I’ll check '''STEMI Confirmed''' as '''Yes''', along with date and time.
  
 
|-  
 
|-  
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|| '''Blue box '''on '''Post Thrombolysis '''
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|| Blue box on '''Post Thrombolysis '''
  
  
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|-  
 
|-  
−
||  
+
|| '''Cardiac History''' page
 
|| We are now in the '''Cardiac History''' page.
 
|| We are now in the '''Cardiac History''' page.
 
|-  
 
|-  
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|| I’ll check previous history '''Angina, CABG, PCI1, PCI2 '''as '''No'''.
 
|| I’ll check previous history '''Angina, CABG, PCI1, PCI2 '''as '''No'''.
 
|-  
 
|-  
−
||  
+
|| '''Chest discomfort - Pain'''
−
 
+
−
'''Chest discomfort - Pain'''
+
  
 
'''Location of pain''' - '''Retrosternal'''.
 
'''Location of pain''' - '''Retrosternal'''.
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'''Pain Severity''' - 8.
 
'''Pain Severity''' - 8.
 
|-  
 
|-  
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|| '''Blue box '''on all items
+
|| Blue box on all items
 
|| After this, check the appropriate symptoms as observed in the patient.
 
|| After this, check the appropriate symptoms as observed in the patient.
  
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|| For symptoms, I will check  
 
|| For symptoms, I will check  
  
−
* <div style="margin-left:1.27cm;margin-right:-0.106cm;">'''Palpitation, Diaphoresis, Shortness of breath, Nausea/vomiting, Dizziness'''  
+
'''Palpitation, Diaphoresis, Shortness of breath, Nausea/vomiting, Dizziness'''  
  
 
as '''Yes'''.
 
as '''Yes'''.
 
|-  
 
|-  
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|| '''Blue box '''on '''Clinical Examination'''
+
|| Blue box on '''Clinical Examination'''
 
|| Next part is '''Clinical Examination'''.
 
|| Next part is '''Clinical Examination'''.
  
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|-  
 
|-  
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|| '''Blue box '''on '''Thrombolysis'''
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|| Blue box on '''Thrombolysis'''
 
|| The '''App''' will now move us to the next tab which is '''Thrombolysis'''.
 
|| The '''App''' will now move us to the next tab which is '''Thrombolysis'''.
 
|-  
 
|-  
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|| '''Blue box '''on '''Medications Prior to Thrombolysis'''.
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|| Blue box on '''Medications Prior to Thrombolysis'''.
 
|| Here we have to specify the '''Medications Prior to Thrombolysis'''.
 
|| Here we have to specify the '''Medications Prior to Thrombolysis'''.
 
|-  
 
|-  
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|-  
 
|-  
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|| '''Blue box '''on '''Thrombolysis'''
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|| Blue box on '''Thrombolysis'''
 
|| The '''App''' will now move us to the next page that is '''Thrombolysis'''.
 
|| The '''App''' will now move us to the next page that is '''Thrombolysis'''.
 
|-  
 
|-  
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|| Show filled details
 
|| Show filled details
  
−
'''Text box'''
+
Text box
 
|| And '''Successful Lysis Yes '''or '''No'''.
 
|| And '''Successful Lysis Yes '''or '''No'''.
  
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|-  
 
|-  
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|| '''Blue box '''on '''In-Hospital Summary.'''
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|| Blue box on '''In-Hospital Summary.'''
 
|| We’ll skip the next tab, that is '''In-Hospital Summary''' page.
 
|| We’ll skip the next tab, that is '''In-Hospital Summary''' page.
 
|-  
 
|-  
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|| We are now in the '''Discharge Summary '''page.
 
|| We are now in the '''Discharge Summary '''page.
 
|-  
 
|-  
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|| '''Blue box '''on '''Death >> No.'''
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|| Blue box on '''Death >> No.'''
 
|| Under '''Discharge Summary, '''we have '''Death.'''
 
|| Under '''Discharge Summary, '''we have '''Death.'''
  
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|-  
 
|-  
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|| '''Blue box '''on '''Discharge Medications.'''
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|| Blue box on '''Discharge Medications.'''
 
|| The '''App''' will direct us to the next page, that is, '''Discharge Medications.'''
 
|| The '''App''' will direct us to the next page, that is, '''Discharge Medications.'''
 
|-  
 
|-  
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−
'''Text box'''
+
Text box
 
|| The medications prescribed to the patient during discharge should be marked as '''Yes'''.
 
|| The medications prescribed to the patient during discharge should be marked as '''Yes'''.
  
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|-  
 
|-  
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|| The '''App''' now takes us to the next page '''Discharge/ Transfer'''
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|| Next page '''Discharge/ Transfer'''
 
|| The '''App''' will now take us to the next page that is '''Discharge/ Transfer'''.
 
|| The '''App''' will now take us to the next page that is '''Discharge/ Transfer'''.
 
|-  
 
|-  
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Fill out the '''Date & Time.'''
 
Fill out the '''Date & Time.'''
 
|-  
 
|-  
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|| In Discharge To field, select Stemi Cluster Hospital
+
|| '''Discharge To''' >> select '''Stemi Cluster Hospital'''
 
|| In '''Discharge To''' field, select '''Stemi Cluster Hospital'''.
 
|| In '''Discharge To''' field, select '''Stemi Cluster Hospital'''.
 
|-  
 
|-  
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|| select the '''Transfer to Hospital Name >> Kovai Medical'''
+
|| Select '''Transfer to Hospital Name >> Kovai Medical'''
 
|| Then select the '''Transfer to Hospital Name '''from the drop-down list.
 
|| Then select the '''Transfer to Hospital Name '''from the drop-down list.
 
|-  
 
|-  
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|| '''Blue box '''on Address
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|| Blue box on Address
  
−
'''Text box'''
+
Text box
 
|| On doing so, the '''Transfer Hospital Address '''gets auto-populated.
 
|| On doing so, the '''Transfer Hospital Address '''gets auto-populated.
  
 
This is because this hospital is part of the '''STEMI''' programme.
 
This is because this hospital is part of the '''STEMI''' programme.
 
|-  
 
|-  
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|| '''Blue box '''on '''Transport Vehicle'''.
+
|| Blue box on '''Transport Vehicle'''.
 
|| In '''Transport Vehicle '''field, choose '''Private '''or''' GVK EMRI Ambulance.'''
 
|| In '''Transport Vehicle '''field, choose '''Private '''or''' GVK EMRI Ambulance.'''
 
|-  
 
|-  
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||  
 
||  
 
|| This completes the data-entry when a patient is transferred
 
|| This completes the data-entry when a patient is transferred
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* <div style="margin-left:1.27cm;margin-right:0cm;">from a '''Non-STEMI C Hospital'''  
+
* from a '''Non-STEMI C Hospital'''  
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* <div style="margin-left:1.27cm;margin-right:0cm;">to a '''STEMI D Hospital.'''
+
* to a '''STEMI D Hospital.'''
−
 
+
  
 
|-  
 
|-  
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|| Show Summary Slide
 
|| Show Summary Slide
 
|| In this tutorial, we have learnt to -
 
|| In this tutorial, we have learnt to -
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">Enter data of a new patient on the '''STEMI App'''
+
* enter data of a new patient on the '''STEMI App'''
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">When the patient is transferred from a '''Non-STEMI C Hospital '''to a '''STEMI D Hospital '''
+
* when the patient is transferred from a '''Non-STEMI C Hospital '''to a '''STEMI D Hospital '''
  
 
|-  
 
|-  
 
|| Show STEMI INDIA slide
 
|| Show STEMI INDIA slide
 
|| STEMI INDIA
 
|| STEMI INDIA
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">was set up as a ‘not for profit’ organisation
+
* was set up as a ‘not for profit’ organisation
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">primarily to reduce delays in accessing appropriate care for heart attack patients
+
* primarily to reduce delays in accessing appropriate care for heart attack patients
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">and reducing deaths due to heart attacks.
+
* and reducing deaths due to heart attacks.
  
 
|-  
 
|-  
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|| Show THANK YOU slide
 
|| Show THANK YOU slide
 
|| This tutorial has been contributed by
 
|| This tutorial has been contributed by
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">STEMI INDIA
+
* STEMI INDIA
−
* <div style="margin-left:1.27cm;margin-right:-0.353cm;">and the Spoken Tutorial Project, IIT Bombay.
+
* and the Spoken Tutorial Project, IIT Bombay.
  
 
This is Nancy Varkey signing off. Thanks for joining.
 
This is Nancy Varkey signing off. Thanks for joining.
 
|-
 
|-
 
|}
 
|}

Latest revision as of 12:48, 15 July 2020

Topic: Transfer from Non-STEMI C to STEMI D Hospital
Contributor Name: Jerry David, STEMI Team, Coimbatore
Revised and reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

Keywords: STEMI, STEMI App, Data entry in STEMI App in STEMI D Hospital, patient transfer from Non-STEMI C Hospital

VISUAL CUE NARRATION
Title slide Hello and welcome to this tutorial on Transfer from Non-STEMI C Hospital to STEMI D Hospital.
Opening Slide - can be graphic from the PPT In this scenario, a patient is brought from a Non STEMI C Hospital to a STEMI D Hospital.
Learning Objective Slide In the STEMI D Hospital, the following details are to be entered into the STEMI App.
Blue box on already logged in D-User >> then on New Patient tab Let’s begin.

Note that in the STEMI Homepage, we are a D Hospital user.

Select the New Patient Tab.

Let’s assume a patient and enter the following details.
Enter Basic Details Enter the patient’s name, age, gender, phone and address, as shown here.
Payment >>choose State BPL Insurance. Next, choose the Payment from the drop-down.

I’ll choose State BPL Insurance.

Now, enter the date and time of Symptom Onset.
D Hospital Arrival Date and Time Then, we are prompted to enter the STEMI D Hospital Arrival Date and Time.
Blue box on Admission

Text box

Next, select Admission as Non-STEMI.

Recall - this is a transfer from Non STEMI C Hospital to STEMI D Hospital.

We need to enter all the details in this case.

No data is transferred from Non STEMI Hospital to the STEMI Hospital.

This is because Non STEMI Hospitals are outside the STEMI programme.

The data flow only takes place between the hospitals linked within the STEMI programme.

Enter details Next, enter the hospital name and address.
Blue box on Non STEMI Hospital Arrival Date and Time. Then, we are prompted to enter the Non STEMI C Hospital Arrival Date and Time.
After this, we have to fill out the STEMI Details.
Blue box on Manual ECG Taken I’ll check Manual ECG Taken as Yes and then enter the date and time.
Blue box on STEMI Confirmed Next, I’ll check STEMI Confirmed as Yes, along with date and time.
Blue box on Post Thrombolysis


Text box

I’ll check Post Thrombolysis as No as the patient was transfered from a C type Non STEMI Hospital.

In these hospitals, Thrombolysis is not done.

Lastly on this page, we have Transport Details.
Transport Details. Here we will choose Private or GVK EMRI Ambulance.
Save and Continue button. Select the Save and Continue button at the bottom of the page.
Fibrinolytic Checklist. The App will take us to the next page i.e. Fibrinolytic Checklist.
Text box

Check all as No.

Under Fibrinolytic Checklist, there are 12 items because the patient is Male.

If the patient was Female, 13 items would be displayed.

I will check No against each of the 12 items displayed on this page.

Save and Continue button. After doing so, select the Save and Continue button at the bottom of the page.
Cardiac History page We are now in the Cardiac History page.
Previous MI, Angina, CABG, PCI1, PCI2 I’ll check previous history Angina, CABG, PCI1, PCI2 as No.
Chest discomfort - Pain

Location of pain - Retrosternal.

Pain Severity - 8.

Then under Diagnosis, I’ll enter the following details-

Chest discomfort - Pain

Location of pain - Retrosternal.

Pain Severity - 8.

Blue box on all items After this, check the appropriate symptoms as observed in the patient.
Select a few as per narration For symptoms, I will check

Palpitation, Diaphoresis, Shortness of breath, Nausea/vomiting, Dizziness

as Yes.

Blue box on Clinical Examination Next part is Clinical Examination.
Show filled details Here we have to enter the Height, Weight and BMI of the patient.
Show filled details And also BP Systolic, BP Diastolic and Heart Rate.
Save and Continue button. Select the Save & Continue button at the bottom of the page.
Co-Morbid Conditions page We are now taken to the next page - Co-Morbid Conditions.
Enter the details after consulting with the patient or the patient’s family.
Show filled details. I’m going to fill the following details.
Save and Continue button. Select the Save & Continue button at the bottom of the page.
Contact Details page We are now taken to the next page that is Contact Details.
Here we have to enter the details of the patient’s relative.
Show filled details Name, Relation Type, Address, City, Contact No.
Show filled details Then Occupation.
Show filled details Then comes ID proof section - Aadhar Card No. and the upload of the soft-copy.
Save and Continue button. Select Save & Continue button at the bottom.
Blue box on Thrombolysis The App will now move us to the next tab which is Thrombolysis.
Blue box on Medications Prior to Thrombolysis. Here we have to specify the Medications Prior to Thrombolysis.
Show filled details

Text box

A list of medications is displayed on this page.

Enter the details of the medication administered to the patient along with dosage, date and time.

Save and Continue button. Select Save & Continue button at the bottom.
Blue box on Thrombolysis The App will now move us to the next page that is Thrombolysis.
Select Streptokinase

Text box

Here we have to select any one type of Thrombolytic Agent.
Show filled details

Text box

I’ll select Streptokinase.

Then enter the Dosage, Start Date and Time, End Date and Time.

Show filled details This is followed by 90 min ECG, Date and Time.
Show filled details

Text box

And Successful Lysis Yes or No.

This is based on the 90 mins ECG.

Save and Continue button. Select the Save & Continue button at the bottom.
Blue box on In-Hospital Summary. We’ll skip the next tab, that is In-Hospital Summary page.
Discharge Summary We are now in the Discharge Summary page.
Blue box on Death >> No. Under Discharge Summary, we have Death.


I’ll select Death as ‘No’ for now.

Save and Continue button. Then select the Save & Continue button at the bottom of the page.
Blue box on Discharge Medications. The App will direct us to the next page, that is, Discharge Medications.
Select few as Yes


Text box

The medications prescribed to the patient during discharge should be marked as Yes.


So I’ll mark a few as ‘Yes’.

Save and Continue button. Then select the Save & Continue button at the bottom of the page.
Next page Discharge/ Transfer The App will now take us to the next page that is Discharge/ Transfer.
Discharge from D hospital

Date: 21/1/2016 Time: 9:45 am

Discharge from D hospital

Fill out the Date & Time.

Discharge To >> select Stemi Cluster Hospital In Discharge To field, select Stemi Cluster Hospital.
Select Transfer to Hospital Name >> Kovai Medical Then select the Transfer to Hospital Name from the drop-down list.
Blue box on Address

Text box

On doing so, the Transfer Hospital Address gets auto-populated.

This is because this hospital is part of the STEMI programme.

Blue box on Transport Vehicle. In Transport Vehicle field, choose Private or GVK EMRI Ambulance.
Click on Finish Lastly, click on Finish button.
This completes the data-entry when a patient is transferred
  • from a Non-STEMI C Hospital
  • to a STEMI D Hospital.
Let us summarize.
Show Summary Slide In this tutorial, we have learnt to -
  • enter data of a new patient on the STEMI App
  • when the patient is transferred from a Non-STEMI C Hospital to a STEMI D Hospital
Show STEMI INDIA slide STEMI INDIA
  • was set up as a ‘not for profit’ organisation
  • primarily to reduce delays in accessing appropriate care for heart attack patients
  • and reducing deaths due to heart attacks.
Show Spoken Tutorial Project Slide Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.

For more details, please visit http://spoken-tutorial.org

Show THANK YOU slide This tutorial has been contributed by
  • STEMI INDIA
  • and the Spoken Tutorial Project, IIT Bombay.

This is Nancy Varkey signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya

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