STEMI-2017/C2/AorB-Hospital-data-entry/English

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Topic: A/B Hospital data entry.
Contributor Name: Jerry David, STEMI Team, Coimbatore
Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

Keywords: STEMI, STEMI App, A/B Hospital data entry on STEMI App


VISUAL CUE NARRATION
Show title slide

A/B Hospital Data Entry

Hello and welcome to this tutorial on A/B Hospital data entry.
Show Learning Objectives Slide In this tutorial, we will learn to –
  • Complete the data entry of a new patient on the STEMI App at the time of direct admission to an A/B Hospital.
Show System Requirements Slide To practice this tutorial, you will need –
  1. An Android tablet with STEMI App installed on it and
  2. A working Internet connection
Pre - requisite slide You will also need to have working knowledge of the STEMI device and the STEMI App.

If not, please refer to the STEMI tutorial series on this website.

Next page Contact Details Earlier, we learnt how to complete the data entry under Patient details, till the Contact Details page.
Thrombolysis In the A/B Hospital Data Entry, the App will take us to the next page, which is Thrombolysis.
Graphic:

Show a patient at the reception of a hospital

Show Cath Labs

In A Hospital -
  • A patient goes through Thrombolysis if the Cath Labs in the Hub hospital are not available
  • and that he/she has presented without having Thrombolysis done.


In B Hospital -

  • A patient goes through Thrombolysis if he/she arrives to the Hub Hospital after PCI Hours
  • and has presented without having Thrombolysis done.
Under Thrombolysis

Medication Prior to Thrombolysis

Under Thrombolysis, first we have Medication Prior to Thrombolysis.
Check Yes for the following-


  • Aspirin 325 mg: If Yes
    Dosage: 325 mg
    Date: 21/1/2016
    Time: 6:57 am


  • Clopidogrel: If Yes
    Dosage: 300 mg
    Date: 21/1/2016
    Time: 6:59 am


  • Unfractionated Heparin: If Yes
    Dosage: 60 U/kg
    Date: 21/1/2016
    Time: 7:01 am


  • LMW Heparin: If Yes
    Dosage: 120 mg
    Date: 21/1/2016
    Time: 7:03 am


  • Ticagrelor: If Yes
    Dosage: 180 mg
    Date: 21/1/2016
    Time: 7:05 am
Based on the medications administered to the patient while in the hospital, check Yes for the following-


  • Aspirin 325 mg: If Yes
    Dosage: 325 mg
    Date: and Time:


  • Clopidogrel: If Yes
    Dosage: 300 mg
    Date: and Time:


  • Unfractionated Heparin: If Yes
    Dosage: 60 U/kg
    Date: and Time:


  • LMW Heparin: If Yes
    Dosage: 120 mg
    Date: and Time:


  • Ticagrelor: If Yes
    Dosage: 180 mg
    Date: and Time:
Narration only Please note:

The above doses and selection of medications are an example meant for demo purposes.


Administer drugs as per patient condition and treatment modalities.

Select the Save & Continue button


Buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen.

“Saved Successfully” message appears Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
Thrombolysis Details page The App now takes us to the next page Thrombolysis Details.
Point to Select any one type of Thrombolytic Agent


  • Streptokinase
  • Tenecteplase
  • Reteplase
Next, under Thrombolysis Details, we have a mandatory field.


  • Select any one type of Thrombolytic Agent
  • Streptokinase
  • Tenecteplase
  • Reteplase
Select Streptokinase


In the drop-downs

  • Dosage: 15 lakh units
  • Start Date/ Time: 7:10 am
  • End Date/ Time: 7:55 am


I’ll select Streptokinase.


Once we select one of the Thrombolytic Agent, we get drop-downs for-

  • Dosage: 15 lakh units
  • Start Date/ Time:
  • End Date/ Time:
  • 90 MINS ECG
    DATE: 21/1/2016 TIME: 9:25 am

and

  • Successful Lysis Yes/ No >> mark as ‘Yes’
After this, we have the 90 MINS ECG, Date and Time

And Successful Lysis Yes/ No.

This is based on the 90-mins ECG.

I’ll mark as ‘Yes’.

Make appropriate entries in these fields.
Select the Save & Continue button.


Buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen.

“Saved Successfully” message appears at the bottom Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
Next page PCI The App now takes us to the next page PCI.
Under PCI we have DRUGS BEFORE PCI
  • Clopidogrel' if ‘Yes’
    Clopidogrel Dosage : 300 mg/ 600mg select an option
    Then enter Date: Time:


  • Prasugrel 60 mg: ‘Yes’ >> enter Date: Time:


Ticagrelor 180 mg: ‘Yes’ >> enter Date: Time:

Under PCI, we have DRUGS BEFORE PCI.
  • Clopidogrel if ‘Yes’
    Clopidogrel Dosage : 300 mg/ 600mg
  • I'll select 300 mg
  • Select an option, then enter Date and Time:


  • Prasugrel 60 mg: if ‘Yes’, then enter Date: and Time:


  • Ticagrelor 180 mg: if ‘Yes’, then enter Date and Time
Select the Save & Continue button.


Please wait if buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen.

“Saved Successfully” message appears When the page is saved, “Saved Successfully” message appears at the bottom.
The App now takes us to the next page PCI Details



Cath Lab Activation

Date: 21/1/2016 Time: 7:00 am

Cath Lab Arrival

Date: 21/1/2016 Time: 8:30 am

Vascular Access

Date: 21/1/2016 Time: 8:33 am

Catheter Access

Radial / Femoral Select an option

I’ll select Femoral

CART

Start Date: 21/1/2016 Start Time: 8:36 am

End Date: 21/1/2016

End Time: 8:45 am

The App now takes us to the next page PCI Details.


Enter the following details appropriately.

The following details are filled inside the Cath Lab by a Cath Lab Technician or a Cardiologist.


Cath Lab Activation Date: and Time:

Cath Lab Arrival Date: and Time:

Vascular Access Date: and Time:

Catheter Access

Radial / Femoral Select an option.

I’ll select Femoral

CART

Start Date: Start Time:

End Date: End Time


Select any one based on the type & number of vessels involved with STEMI.

SVD - Single Vessel Disease

DVD - Double Vessel Disease

TVD - Triple Vessel Disease Insignificant Disease

SVD - Single Vessel Disease

DVD - Double Vessel Disease

TVD - Triple Vessel Disease Insignificant Disease

I’ll select SVD

Culprit vessel


Use the + plus/ add button to add culprit vessel.


Select the Culprit vessel >> enter % of selected vessel.


Culprit vessel options = LAD, D1,D2, CX, OM1, OM2,RI,RCA,PDA,PLV


Select RCA & % of RCA 99

Culprit vessel


Use the + plus/ add button to add culprit vessel.


Select the Culprit vessel and enter % of selected vessel.


Culprit vessel options are LAD, D1,D2, CX, OM1, OM2,RI,RCA,PDA,PLV


I’ll select RCA and percentage of RCA 99


Select the culprit vessel and enter percentage of selected vessel.

Select the Trash bin icon To delete, select the Trash bin icon beside the field.
Select the vessel >> enter % of selected vessel by selecting the + plus/add button Similarly for Vessel.


Select the vessel and enter % of selected vessel by selecting the + plus/add button.


To add more vessels, select the + plus/add button.

Under Management

Conservative:

  • If ‘Yes’, we get a drop-down Present Admission/ Elective >> Select either one >> Select Save and Continue
  • If ‘No’, is selected we have drop-downs CABG & PCI
Under Management

Conservative:

  • If ‘Yes’, is selected there ends data entry in this page.

Select Save and Continue and move on to the next page.


  • If ‘No’ is selected, we have drop-downs CABG & PCI
CABG if Yes

Present Admission/ Elective

CABG if Yes

Present Admission/ Elective

PCI if Yes >> further drop-downs

Intervention - IABP whether Yes/ No

PCI

If Yes, we have further drop-downs

  • Intervention
  • Culprit Vessel : RCA % of RCA


Check the box beside if Intervention was done.


If Intervention was done, we are prompted to enter more details.


Wire crossing Whether Yes/ No , I’ll select Yes, Date: and Time:


Aspiration Whether Yes/ No , I’ll select Yes, Date: and Time:


Balloon Dilatation Whether Yes/ No,


I’ll select Yes, Date: and Time:


Stenting: Whether Yes/ No, I’ll select Yes

If Yes, Date: and Time:


BMS - Bare Metal Stent Whether Yes/No

I’ll select BMS as Yes


If Yes, then enter the number of Stents.


DES - Drug Eluting Stent Whether Yes/ No


M Guard - Whether Yes/ No


TIMI Flow


TIMI Blush Grade


- IABP whether Yes/ No, I’ll select Yes

Select the Save & Continue button.


Buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen.

“Saved Successfully” message appears at the bottom When the page gets saved, the success message appears at the bottom.
Next page Medication in Cath Lab The App now takes us to the next page Medication in Cath Lab.
Under Medication in Cath Lab


Intra - Coronary Drugs in Cath Lab


  • Nitroglycerine: Yes/ No
  • Adenosine: Yes/No
  • Nicorandil: Yes/No
  • SNP: Yes/ No
  • Ca Blockers: Yes/No
  • 2b3a: Yes/No
  • 2b3a inhibitors
Under Medication in Cath Lab there are-

Intra - Coronary Drugs in Cath Lab


  • Nitroglycerine: Yes/ No
  • Adenosine: Yes/No
  • Nicorandil: Yes/No
  • SNP: Yes/ No
  • Ca Blockers: Yes/No
  • 2b3a: Yes/No
  • 2b3a inhibitors
  • Un-fractionated Heparin: if ‘Yes’, enter

Dosage:

Date: 21/1/2016 Time: 8:46 am

  • Un-fractionated Heparin: if ‘Yes’, we then have to enter Dosage:

Date: and Time:

  • LMW Heparin: if ‘Yes’, we then have to enter

Route: IV

Dosage:

Date: and Time:

  • LMW Heparin: if ‘Yes’, we then have to enter

Route: IV

Dosage: Date: and Time:

Bivalirudin: Yes/ No

Abciximab: Yes/ No

Eptifibatide: Yes/ No

Triofiabin: Yes/ No

Bivalirudin: Yes/ No

Abciximab: Yes/ No

Eptifibatide: Yes/ No

Triofiabin: Yes/ No

Select the Save & Continue button.


Buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen.

“Saved Successfully” message appears The page gets saved and the success message appears at the bottom.
Next page In- Hospital Summary The App now takes us to the next page In-Hospital Summary.
Under In hospital Summary >> Medication in Hospital Here, we have Medication in hospital.
Nitroglycerine if Yes

Route: Oral Dosage: 2.5 mg

Date: 21/1/2016 Time: 9:30 am

Nitroglycerine if Yes

Route: Oral Dosage: 2.5 mg

Date: and Time:

Dopamine: if Yes

Route: IV Dosage: 5 ml in 45 ml of 0.9% NS

Date: 21/1/2016 Time: 9:32 am

Dopamine: if Yes

Route: IV Dosage: 5 ml in 45 ml of 0.9% NS

Date: and Time:

Dobutamine:if Yes


Route: IV Dosage: 5 ml in 45 ml of 0.9% NS

Date: 21/1/2016 Time: 9:34 am

Dobutamine: if Yes


Route:IV Dosage: 5 ml in 45 ml of 0.9% NS

Date: and Time:

Adrenaline: If Yes


Route: IV Dosage: 4ml in 46 ml of 0.9% NS

Date: 21/1/2016 Time: 9:36 am

Adrenaline: if Yes


Route: IV Dosage: 4ml in 46 ml of 0.9% NS

Date: and Time:

Nor – Adrenaline: if Yes


Route: IV Dosage: 2ml in 48 ml of 0.9% NS

Date: 21/1/2016 Time: 9:38 am

Nor-adrenaline: if Yes


Route: IV Dosage: 2ml in 48 ml of 0.9% NS

Date: and Time:

Other Drugs: if Yes


Name: Vasopressin

Route: IV Dosage: 1ml in 19 ml of 0.9% NS

Date: 21/1/2016 Time: 9:40 am

Other Drugs: if Yes


Name: Eg -Vasopressin

Route: IV Dosage: 1ml in 19 ml of 0.9% NS

Date: and Time:

Select the Save & Continue button

Buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen

“Saved Successfully” message appears The page gets saved and the success message appears at the bottom.
Next page ADVERSE REACTION The App now takes us to the next page ADVERSE REACTION page.
Adverse Reaction Under Adverse Events, we have to select either Yes or No.
Point to Yes On choosing Yes in each field, we will be prompted to enter some additional information.

Re - infarction: if Yes

Location of Re-infarction; Inferior, Posterior, RV, Anterior, Lateral



Select Lateral >> enter Date: Time:

So, let’s start.

Re-infarction: If Yes, then we have to enter the following-

  • Location of Re-infarction:
    The options are Inferior, Posterior, RV, Anterior, Lateral
    I will choose Inferior and then enter the Date: and Time:
  • Repeat PCI: if Yes, then enter Date : Time:
  • CABG if Yes, then enterDate : Time:
  • Stroke: if Yes, then enter Date : Time:
  • Cardiogenic Shock: if Yes, then enter Date : Time:
  • Access Site Hemorrhage: if Yes, then enter Date : Time:
  • Major Bleed: If Yes then enter Date : Time:
  • Minor Bleed: If Yes then enter Date: Time:
  • Repeat PCI: if Yes, then enter Date : Time:
  • CABG if Yes, then enter Date : Time:
  • Stroke: if Yes, then enter Date : Time:
  • Cardiogenic Shock: if Yes, then enter Date : Time:
  • Access Site Hemorrhage: if Yes, then enter Date : Time:
  • Major Bleed: If Yes then enter

Date : Time:

  • Minor Bleed: If Yes then enter Date: Time:
Select all as ‘No’ Select Adverse Events from the above if any and enter date and time of its occurrence.


For now I’ll select all as ‘No’.

Select the Save & Continue button Then select the Save & Continue button at the bottom of the page.
Buffering sign is seen Please wait if buffering sign is seen.
“Saved Successfully” message appears The page gets saved and “Saved Successfully” message appears at the bottom.
Discharge Summary The App will now take us to the next page, that is, Discharge Summary.
Under Discharge Summary we have Death

If the patient dies, death is marked as Yes we have dropdowns

  • Reason of death Cardiac, Non Cardiac

Others-----------------------------

End of data entry

Under Discharge Summary, we have Death.

If the patient dies, this is marked as “Yes” and we get a dropdown - Reason of death and Others


Under Reason of death,we have options- Cardiac, Non Cardiac.


If we choose either, we get a drop-down Death Date and Time:


If we choose Others: as the option, we have to enter other reasons for patient’s death.

Then enter Death Date and Time.


Once we choose any one option, there ends the data entry.

Mark as ‘No’ and move on to Discharge / transfer


Select Death as ‘No’

If the patient did not die, then mark as “No” and move on to Discharge Medications.


I’ll select Death as ‘No’ for now.

Select the Save & Continue button


Buffering sign is seen

Select the Save & Continue button at the bottom of the page.


Please wait if buffering sign is seen.

“Saved Successfully” message appears The page gets saved and the success message appears at the bottom.
Next page

Discharge Medications

The App now takes us to the next page Discharge Medications.
  • Aspirin: Yes
  • Clopidogrel: Yes
  • Prasugrel
  • Ticagrelor
  • ACEI
  • ARB
  • Beta Blocker: Yes
  • Nitrate
  • Statin: Yes
  • Others

Mark a few of them as Yes

  • Aspirin:
  • Clopidogrel
  • Prasugrel
  • Ticagrelor
  • ACEI
  • ARB
  • Beta Blocker:
  • Nitrate
  • Statin:
  • Others

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


I’ll mark a few as ‘Yes’.

Select the Save & Continue button Select the Save & Continue button at the bottom of the page.
Buffering sign is seen

“Saved Successfully” message appears

Please wait if buffering sign is seen.


The page gets saved and “Saved Successfully” message appears.

The App now takes us to the next page Discharge/ Transfer The App then takes us to the next page Discharge/ Transfer.
Discharge from A/B hospital

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

Discharge from A/B hospital

Fill out the Date: and Time:

In Discharge To field, select one option
  • STEMI Cluster Hospital
  • Non-STEMI Cluster Hospital
  • Home
In Discharge To field, select one option
  • STEMI Cluster Hospital
  • Non-STEMI Cluster Hospital
  • Home
Home is selected >> no drop-downs If Home is selected we get no further drop-downs.
Point to Non STEMI Cluster Hospital


Point to Transfer to Hospital Name and the Transfer to Hospital Address

If Non STEMI Cluster Hospital is selected, then we have to manually enter these details-
  • Transfer to Hospital Name and
  • Transfer to Hospital Address


This is because details of Non-STEMI Hospitals are not available in the database.

Select Stemi Cluster Hospital I’ll select Stemi Cluster Hospital
“STEMI Cluster Hospital” selected-
  • Remarks field, add your remarks, if any.
  • Transfer to Hospital Name: Kovai Medical Center and Hospital
  • Transfer to Hospital Address: 3209, Sitra, Avinashi Road, Coimbatore, Tamil Nadu - 641 014

Highlight Hospital Address

If “STEMI Cluster Hospital” is selected, it further opens into-
  • Remarks field, add your remarks, if any.
  • Transfer to Hospital Name: Kovai Medical Center and Hospital
  • Transfer to Hospital Address: 3209, Sitra, Avinashi Road, Coimbatore, Tamil Nadu - 641 014

When we select the hospital name, the hospital address is auto-populated.

Transport Vehicle Choose from -
  • Private Vehicle
  • Ambulance

I’ll select Private

In Transport Vehicle field, choose from
  • Private Vehicle
  • Ambulance

I’ll select Private Vehicle

Select the Save & Continue button at the bottom of the page Select the Save & Continue button at the bottom of the page.
Buffering sign is seen


Saved Successfully” message appears

Please wait if buffering sign is seen.


The page gets saved and “Saved Successfully” message appears at the bottom.

The App takes us to Follow Up The App then takes us to the next page Follow up.
Under Follow up Details


Duration of Follow - Up Visit:

  • 1 month
  • 6 month
  • 1 year
  • 2 years
  • 3 years
  • 4 years
  • 5 years


Point to the options >> Select 1 month

Under Follow-up Details, we have


Duration of Follow - Up Visit:

  • 1 month
  • 6 month
  • 1 year
  • 2 years
  • 3 years
  • 4 years
  • 5 years

Based on the type of follow up, select one of these options.


I’ll select 1 month.

Follow- Up Date: 21/2/2016 Fill the Follow- Up Date: 21/2/2016
Mode of Follow-Up:
  • Hospital
  • Telephonic
  • Lost to Follow Up

Point to the options

Mode of Follow-Up:
  • Hospital
  • Telephonic
  • Lost to Follow Up

Based on the mode of follow up, select one of these options.

Lost to Follow Up mode is selected >> no drop-downs. If Lost to Follow Up mode is selected, we have no further drop-downs.
Select Telephonic.

Hospital/ Telephonic Mode is selected >> drop-down Type of follow-up Hospital

I’ll select Telephonic.


Hospital/ Telephonic Mode is selected, we get the drop-down Type of follow-up Hospital.

Type of follow-up Hospital:
  • STEMI
  • Non STEMI
  • No Follow Up
In Type of follow-up Hospital:, we have
  • STEMI
  • Non STEMI and
  • No Follow Up
Point to “No Follow- Up” >> Point to the Save & Continue button


If “No Follow- Up” is selected, then
  • go to the next page
  • by selecting the Save & Continue button at the bottom.
Point to ‘Non STEMI’ >> point to

Name of the Follow- Up Hospital

Follow- Up Hospital Address

If ‘Non STEMI’ is selected, then we have to enter the following details manually-
  • Name of the Follow- Up Hospital
  • Follow- Up Hospital Address


Select STEMI I’ll select STEMI.
If “STEMI” is selected >> drop-downs

Name of the Cluster: KMCH

Name of the Follow -Up Hospital: Coimbatore Medical College Hospital

Follow- Up Hospital Address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu -641018, India

When “STEMI” is selected, we get drop-downs.


Name of the Cluster: KMCH

Name of the Follow-Up Hospital: I will select Coimbatore Medical College Hospital

Follow- Up Hospital Address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu -641018, India

This gets auto-populated.

Select the Save & Continue button. Select the Save & Continue button at the bottom of the page.
Buffering sign is seen


“Saved Successfully” message appears.

Please wait if buffering sign is seen.


The page gets saved and “Saved Successfully” message appears at the bottom.

Next page Medication. The App then takes us to the next page Medication.
Under Medication
  • Aspirin
  • Clopidogrel
  • Prasugrel
  • Nitrate
  • Beta Blocker
  • ACEI
  • ARB
  • Statins
  • OHA
  • Insulin

Select ‘Yes’ for few of them

Under Medication
  • Aspirin:
  • Clopidogrel
  • Prasugrel
  • Nitrate
  • Beta Blocker:
  • ACEI
  • ARB
  • Statins:
  • OHA
  • Insulin:

Select ‘Yes’ for those medication that the patient is on, at the time of follow up.

I’ll select a few as ‘Yes’

Select the Save & Continue button at the bottom of the page Select the Save & Continue button at the bottom of the page
Buffering sign is seen

“Saved Successfully” message appears.

Please wait if buffering sign is seen


The page gets saved and “Saved Successfully” message appears at the bottom.

The App takes us to Events. The App then takes us to the next page Events.
Events till the time of follow-up
  • Recurrence of Angina: Yes/No
  • TMT whether: +ve/ -ve
  • Echo LVEF: enter details
  • Re CART if ‘Yes’, Date:
  • Restenosis if ‘Yes’, Date:
  • Re - MI if ‘Yes’, Date:
  • Re- Intervention if ‘Yes’

TLR PCI : Yes/ No

TVR PCI : Yes/ No

Non TVR PCI : Yes/ No

  • CABG if ‘Yes’, Date:
  • Death if ‘Yes’, Death Date:

Reason of Death: Cardiac/ Non Cardiac


Select ‘Yes’ to which of these event took place till the date of follow-up.


I’ll check all as ‘No’ fo now.

This page provides details of the events that occurred till the time of follow-up.


  • Recurrence of Angina: Check if Yes
  • TMT whether: +ve/ -ve; depending on whether TMT was done
  • Echo LVEF: enter details
  • Re CART if ‘Yes’, Date:
  • Restenosis if ‘Yes’, Date:
  • Re - MI if ‘Yes’, Date:
  • Re- Intervention if ‘Yes’,
  • TLR PCI : Yes/ No
  • TVR PCI : Yes/ No
  • Non TVR PCI : Yes/ No
  • CABG if ‘Yes’, Date:
  • Death if ‘Yes’, Death Date:

Reason of Death: Cardiac/ Non Cardiac


Select ‘Yes’ to which of these events took place till the date of follow-up.


I’ll check all as ‘No’ for now.

Select Finish button Select the Finish button at the bottom of the page.
Buffering sign is seen.


“Saved Successfully” message appears.

Please wait if buffering sign is seen.


The page gets saved and “Saved Successfully” message appears at the bottom.

This completes the data entry at the A/B Hospital.
Let us summarize.
Show Summary Slide In this tutorial, we have learnt to -
  • Complete the data entry of a new patient on the STEMI App at the time of direct admission to an A/B 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 is Nancy Varkey from IIT Bombay, signing off.


Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya

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