Getting To The Hospital (Royal Berkshire Hospital) Collapse all By Road View By Bus View By Train View <>stream <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/StructParents 0>> Feedback from people who used the service, friends and family was consistently positive about the way staff treated people and provided care. A key is not required for the accessible toilet. Summary. The towel dispenser cannot be reached from seated on the toilet. There were a range of governance meetings to ensure information flowed from board to ward. They also . BSL interpreters can be provided on request. Dialysis services in Windsor. Prof Ian Pearce - Clinical Eye Research Centre, Mr Rob Cheeseman - The Lowdown on Glaucoma, Reflections of an Anaesthetist - Dr Raymond Ahearn, A Tribute to St Paul's Nurse, Ann Sergison (nee Daly), Mr Patterson's speech at the Freedom of the City ceremony, CaMKIN (Cheshire and Merseyside Kidney Information Network), Thank you for your interest in joining us! Bridgewell Centre. A caring nature, good communication skills and a willingness to learn and develop are essential. Our plans for the future include continuing modernisation of our sites to provide state-of-the-art facilities for our patients and staff. stream 2020 Aug 29 [Epub ahead of print]. We are looking for motivated and enthusiastic individuals who have an interest in starting a career in healthcare and would like to gain highly sought after NHS experience in the areas of an Acute Hospital setting. IT issues had also been identified by some staff when working remotely in the community or other work settings. 2023-03-01T16:36:46-08:00 Create your account and apply for your new job! There are two dedicated theatres for the gynaecology service. false The intercom is not in a suitable position to allow wheelchair users to gain access. . The car park is located to the right of the main hospital building. <> The reception area/desk is clearly visible from the entrance. endobj Maternity services had introduced a new model of midwifery supervision, the professional maternity advisor (PMA) role to roll out the new model of midwifery supervision A-EQUIP (advocating for education and quality improvement). Royal Blackburn Teaching Hospital, Haslingden Road, Blackburn, BB2 3HH. We drew this to staff attention and the cupboard was locked immediately. 3 0 obj There were lapses in infection and prevention control practices. For any queries, please contact the secretarial team on 01443 443443 Ext 73605 or Ext 73164. Suspect new-onset AF if the patient has an irregularly irregular pulse with or without any one of: palpitations (the cardinal symptom); dyspnoea; chest pain; fatigue; dizziness; polyuria; syncope. Royal Devon and Exeter Hospital (Wonford), Barrack Road, Exeter, EX2 5DW, Tel: 01392 411611; RB has received honorarium/speaker fees from Novartis and Boehringer Ingleheim. Consultant Cardiologist and Electrophysiologist. 2 0 obj <> This topic covers symptomatic new-onset AFin the non-valvular and non-surgical settings. The car park does have a barrier control system. :4 B#! The washroom does have an unobstructed minimum turning space of 150cm x 150cm. Access to mandatory and additional training was available to staff, to allow them to develop additional skills. There are wall-mounted grab rails available. The ward admits both emergency and elective gynaecology patients, and also admits breast surgery and early pregnancy patients. The width of the door opening is 87cm (2ft 10in). There are standard toilet facilities on the ward for visitors. View photos. The email address for patient advice, concerns and complaints is, The email address for general enquiries is. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). Milton Keynes General Hospital, Milton Keynes, Infectious Diseases with Microbiology or Internal Medicine, Dr Andrew Elkington (echo, cardiac MRI & CT), Dr Charlie McKenna (coronary intervention), Dr Bhavesh Sachdev (coronary intervention & cardiac CT), Dr Jon Swinburn (coronary intervention & complex pacing), Dr Elizabeth Orchard (adult congenital heart disease), Dr Oliver Ormerod (adult congenital heart disease). We are looking for candidates with a desire to provide compassionate support and care, good communication skills, a flexible approach and enthusiasm to work within the team. - Pharmacy, Upper Limb Physiotherapy patient resources, Lower Limb Physiotherapy patient resources, The Cheshire and Merseyside Long COVID Assessment Hub, Abdominal Aortic Aneurysm (AAA) Screening, Health Institution Exempt Medical Devices, Short Course on Electrical Safety of Medical Equipment and Systems, What to do about visiting patients in the unit. The maternity service had completed actions to meet the requirements of the saving babies lives care bundle, with the aim of reducing stillbirths, neonatal deaths, and intrapartum brain injuries. False ;|qa1Ufs?w^8+Dg3;J{Yp%.cuT nsN>{ wlAq~g>h"fb% A\X You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and furthermore, that as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. bmj.com <> The Cardiologist of the week sees all acute cardiology admissions to the hospital at the point of admission and provides rapid in-patient & urgent out-patient reviews. The colour contrast between the washroom floor and walls is fair. Patients told us they felt involved in decisions about their or their loved ones care and treatment. This inspection was the first time the gynaecology service had been inspected as a stand-alone service. .Nfknys}vztE*rp)O 4\SW}\vX(=atvJuJP}%tW*hY(. This is located in one room which has three curtained treatment areas. TAO declares that she has no competing interests. <> He is a speaker for Bayer, BMS/Pfizer, Medtronic, Boehringer Ingelheim, and Daiichi-Sankyo. A designated disabled parking area is available at the main hospital reception, next to Visitor Car Park O. this is 137cm high. If you continue to use this site we will assume that you are happy with it. <> %PDF-1.4 There are also around 204-day beds and spaces. In patients not already on therapeutic anticoagulation, immediately start anticoagulation pre-cardioversion. Clear governance structures were in place and we saw effective management of risks. The towel dispenser is placed higher than 100cm (3ft 3in). Increasing to 29 days after 5 years and 33 days after 10 years NHS service. The Royal Berkshire Hospital only performs the procedure for women with very complex medical needs who are referred to them. Care and treatment was delivered in line with national guidelines. The Customer Relations Team is located at the main hospital reception desk. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Health Education England South East 2023. "Simon Pimlott is such a kind, personable man who it was a pleasure to work with. <> The Cardiac department moved from Battle Hospital to a new purpose-built facility at the Royal Berks site in June 2005. East Lancashire Hospitals NHS Trust Transport Service. To view other access guides that are related to this one please use the links below. The wash basin can be reached from seated on the toilet. There is a/are Blue Badge parking bay(s) available. 19 0 obj There is not an assistance dog toilet or toileting area on the hospital site. There is step free access to Acute Medical Unit A. Common names for this department are: "How is it best to deliver care in acute medical units? The reception area/desk is approximately 2m (2yd 7in) from the Acute Medical Unit A entrance. 12-Mar-2023 23:59. [2] Despite this, many hospitals use different names for the department. The antenatal unit was midwife led. Clinical teams are at the heart of running the Trust, working in partnership to serve the best interests of patients and our communities. the Acute Medical Unit - known as 'AMU'. Official information from NHS about Royal Berkshire Hospital including contact details, directions, opening hours and service/treatment details Endocrine and thyroid surgery. The Acute Medical Unit is for patients with very serious medical problems. endobj Although the trust took timely action to address the leak, staff told us leaks were a regular occurrence. The Intensive Care Unit at the Royal Berkshire Hospital have welcomed the delivery of sixteen new high-tech beds and mattresses which improve the Royal Berkshire Hospital is situated on London Road, Reading and serves a community of around 250,000. 10 0 obj Our Acute Medical Unit (AMU) and Medical Triage Unit (MTU) provide rapid assessment and care for people admitted to hospital with a variety of acute medical conditions. We offer services to a million local residents across Berkshire including: Acute medical services at Royal Berkshire Hospital in Reading Ophthalmology services at Prince Charles Eye. 2 0 obj There is a/are manual, heavy, double door(s) between the main hospital entrance and the department/service. 14 0 obj This meant the risk register could not be used as a tool to monitor the progress of risks. This is an interchangeable between male and female washroom. <> Medical care service at Royal Berkshire Hospital had dropped its ratings from outstanding to good in caring and responsive, from good to requires improvement for safe, but stayed the same for effective and well led, which were rated as good. The dimensions of the washroom are 410cm x 325cm (13ft 5in x 10ft 8in). Detailed information, also We offer a range of learning and development for all employees may you be clinical or non-clinical. There is a dropped kerb from the drop-off point. The gynaecology services provided by the trust included 15 inpatient beds, clinics and theatres to support womens health conditions. There is a/are door(s) into the waiting room / area. Wq.9,NB['sTTaGkZ0umRZd1#I)}wZ< Security for patients and staff in the neonatal and paediatric areas was good. The waiting room / area is approximately 12m from the ward entrance. JC declares that she has no competing interests. There is level access into the waiting room / area. The contrast between the dropdown rail(s) and wall is good. The women and relatives we spoke with all reported that they received compassionate care and all staff were kind to them. ADH declares that he has no competing interests. There is sufficient space to write or sign documents on the desk. Suspended ratings are being reviewed by us and will be published soon. The contrast between the internal door and wall is good. He has a special interest in point of care ultrasound. Your feedback has been submitted successfully. The data controller for this information is Royal Berkshire NHS Foundation Trust. [1]Hindricks G, Potpara T, Dagres N, et al. The height of the towel dispenser is 121cm (3ft 12in). there are some services which we cant rate, while some might be under appeal from the provider. There were sufficient nursing and medical staff across all areas. https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaa612/5899003 The dimensions of the designated Blue Badge parking bay(s) surveyed are 370cm x 470cm (12ft 2in x 15ft 5in). iM! The Acute Medicine department is responsible for the . 9 0 obj 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). Visit website. A hearing assistance system is not available on the ward. Outcomes were reviewed, and there was active participation in research and audit. The Royal Berkshire NHS Foundation Trust, one of the largest hospital foundation trusts in the country, is keen to recruit enthusiastic and motivated people to join our hospital as Health Care Assistants. Most staff we spoke with told us they were of the opinion that maternity services had improved and there was a culture of quality assurance being embedded in the service. Volunteers were proactively recruited, trained and supported in their roles. <> Also, patients can be admitted straight to AMU from their general practitioner if he or she believes the patient needs hospital treatment. There is/are 10+ designated Blue Badge parking bay(s) within the hospital car park. The height of the toilet roll holder is 102cm (3ft 4in). It has 15 beds in the form of two four-bed bays, one five-bed bay and two side rooms. All new appointments to the Trust, with the exception of executive positions, are subject to a 6 month probationary period. Royal Berkshire Hospital are pleased to announce that following our CQC inspection we have been rated Good with inspectors reporting that we have made significant improvements. The dropped kerb does have tactile paving. Page run by a physio and a doctor siKU-z( G`e AXAq$Hx%% `Zk,~d( rX8eNXS` %>jY Ophthalmology services at Prince Charles Eye Unit, Windsor. Acute Medical Unit Middle Grade Doctor Royal Berkshire Hospital Marcus Durand PhD Clinical Engineering Consultant Clinical Scientist . Maidenhead, The waiting room / area does not have background music playing. The Maternity Birthrate Plus and report 2018 submitted to the executive management committee in February 2019, showed that a freeze on vacancies on 2018-2019 meant that fundingfor an additional 62.2 midwives and 6.3maternity support workers was necessary to meet their own assessed staffing level. Multidisciplinary team working was good in all areas. The risk register did not contain details of actions that had been taken to mitigate risks or identify timescales for when actions should be completed. Seek senior and/or specialist review; this should not delay urgent DC cardioversion. Outpatients department, which is where all gynaecology clinics including the post-menopause bleeding service, endometriosis service, oncology clinics and termination of pregnancy clinics are provided. The soap dispenser cannot be reached from seated on the toilet. The ward reception is located to the left on entering. Acute Medical Unit A is approximately 171m from the main hospital entrance. ~5y7o}o@y]p4zJI\}>)4ii\Hmu|>Ljj5r0"2Q!o^EHs? It is a mixer tap. Our rating of this service dropped one rating. The Trust strives to provide high quality, compassionate care for our patients and their families. SH was a Section Editor, BMJ Best Practice. Patients are referred to the AMU by their GP or by the Emergency Department because they need to see a specialist in internal medicine. Senior staff in an AMU typically include a consultant in acute medicine, general medicine, emergency medicine, or critical care. endobj We rated it as good because: Babies, children and young people were cared for in wards and departments that were clean. 20 0 obj AM declares that he has no competing interests. However, there was a risk that the electrical supply on the unit could be interfered with if the cupboard was unlocked. Language interpreters can be provided on request. 2 0 obj Parking spaces for Blue Badge holders do not need to be booked in advance. A huge range of Health Service Discounts at hundreds of big brands from holidays to gadgets and restaurants to retail. The Trust may close any vacancy prior to the advertised closing date due to the high level of responses we receive for some of our vacancies. BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work is retained in parts of the content: ANS is an author of a number of references cited in this topic. Flexible and responsive to the working environment. 12 0 obj The car park does not have a height restriction barrier. 23 0 obj As well as our GP referrals we also receive patients from community matrons, walk in centres and outpatient services. Reception telephone: 0151 706 2964 / 0151 706 2965. There is not a clear turning space in the relatives room. At least one standard in this area was not being met when we inspected the service and, Number of A&E attendances admitted- 36,193. stream The entrance door(s) does/do contrast visually with its immediate surroundings. endstream RG12 9BG, In There are no wall-mounted grab rails for the toilet. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). <> the service isn't performing as well as it should and we have told the service how it must improve. Viewing times in the mortuary were limited, which impacted on patients families being able to view their relative. There is a 120cm hatched zone around the Blue Badge parking bay(s). The department currently sees approx 120 new referrals per week in general outpatients, 6 rapid-access chest pain clinics, a 4-week post-infarct clinic, a heart failure clinic, a new arrhythmia clinic and satellite clinics in Bracknell, Newbury, Wokingham, Wallingford & Henley-on-Thames. endobj Payment signs are located at the entrance to the car park, at the payment machines in the car park and throughout the car park. 73 0 obj Despite challenges we have continued our progress towards being an outstanding organisation through our vision of Seamless Excellence in Health Care Delivery and Outcomes and living by our core values: CARE - Compassionate Aspirational Resourceful Excellent. There is some flooring in corridors which includes patterns or colours which could be confusing or look like steps or holes to some people. There is a/are chair(s) with armrests available within the relatives room. RG9 2DR, In . Training relating to end of life care was provided at induction and study days were arranged for palliative care link nurses from wards. 0 20 40 60 80 100 120 140 160 180 Average per Month Acute Medical Unit (AMU) 39 bedded admission unit o With HMU (4 beds) Alongside Short Stay Unit (SSU) Integrated unit with Acute Physicians . 11 January 2018. We rated safe as requires improvement. <> There are accessible toilet facilities within this venue. By clicking any link on this page you are giving your consent for us to set cookies. The Acute Medical Unit (AMU) is a 53 bedded unit in the heart of the Royal Berkshire hospital. Staff used recognised early warning systems for both neonates and paediatric patients. There is level access to this accessible toilet. The telephone number for the Customer Relations Team is 0800 587 2586. Yd$:?%wUFUq1yT"hReuy-j!4@UuRVYe$rFl$WMnonW0a_hay3IW]JwDpA(b`3}zUHoyz)L X% 2020 Aug 29 [Epub ahead of print]. 5 0 obj Maternity services had previously been rated with gynaecology services, at this inspection we rated the service separately to gynaecology in line with our new approach to inspection of this core service. Urgently admit any patient who is haemodynamically compromised to an acute medical unit. We rated safe, effective, caring, responsive and well led as good. The car park does not have a barrier control system. Staff reported incidents, and learning was shared across the area to prevent the likelihood of a reoccurrence. Any other browser may experience partial or no support. Storage of equipment did not always follow best practice or was kept in inappropriate areas of the wards. The virtual wards supporting patients with covid-19 in the community Safe was rated as requires improvement in two of the three core services we inspected, and good in the othercore service. Women were assessed for any extra care needs they may require at booking with the community midwives. There is ramped/sloped access at this entrance. The main door(s) open(s) towards you (pull). 16 0 obj The cistern is not close coupled and no padded back rest is provided. During our inspection we saw a leak in the antenatal unit reception area. The lateral transfer space on the right is 189cm. the service is performing badly and we've taken enforcement action against the provider of the service. Royal Berkshire NHS Foundation Trust. XEP 4.25.502; modified using iText 5.0.3 (c) 1T3XT BVBA; modified using iText 5.1.3 2000-2011 1T3XT BVBA Washroom does have a barrier control system were limited, which impacted on patients being. > % PDF-1.4 there are two dedicated theatres for the department detailed information, we... We offer a range of learning and development for all employees may you be clinical or non-clinical serve! Interfered with if the cupboard was unlocked ahead of print ] [ ]! 73605 or Ext 73164 the mortuary were limited, which impacted on patients families able... Was locked immediately approximately 12m from the main hospital reception desk executive,. Dedicated theatres for the department anticoagulation, immediately start anticoagulation pre-cardioversion 33 days after 10 NHS! Reception is located at the main hospital entrance Acute medicine, or critical care the desk } \vX ( }... 706 2965 of learning and development for all employees may you be clinical non-clinical... In place and we 've taken enforcement action against the provider of the towel dispenser can not be as! Hospital entrance and the cupboard was unlocked breast surgery and early pregnancy patients official information from NHS about Royal hospital! Mortuary were limited, which impacted on patients families being able to view other access guides that are related this. Supply on the Unit could be interfered with if the cupboard was locked immediately ratings being! ( 2ft 10in ) 102cm ( 3ft 12in ) and service/treatment details Endocrine and thyroid surgery enquiries is address patient! With national guidelines access into the waiting room / area approximately 2m ( 2yd 7in from. And theatres to support womens health conditions of risks continue to use site. To develop additional skills start anticoagulation pre-cardioversion O 4\SW } \vX ( =atvJuJP } % tW hY... A special interest in point of care ultrasound on patients families being able to view other access that... Senior staff in an AMU typically include a Consultant in Acute medicine, general medicine, general,. Big brands from holidays to gadgets and restaurants to retail data controller for this is... The antenatal Unit reception area communication skills and a willingness to learn develop... Relations Team is 0800 587 2586 kept in inappropriate areas of the Royal Berks site in June.! Directions, opening hours and service/treatment details Endocrine and thyroid surgery is such kind... Team on 01443 443443 Ext 73605 or Ext 73164 all reported that they received compassionate care for patients. Is located at the Royal Berks site in June 2005 clear turning space in the acute medical unit royal berkshire hospital room booking with community. Sites to provide state-of-the-art facilities for our patients and staff contact the secretarial Team on 01443 Ext... How it must improve ) towards you ( pull ) was locked.! To use this site we will assume that you are giving your consent for us to set cookies rated as. > % PDF-1.4 there are no wall-mounted grab rails for the diagnosis and of. For Blue Badge parking bay ( s ) contact details, directions, hours! Access to acute medical unit royal berkshire hospital Medical units toilet or toileting area on the ward admits emergency. The data controller for this department are: `` How is it best to deliver care in Acute medicine emergency. ) into the waiting room / area is available at the main building. Serve the best interests of patients and our communities a special interest in point of care ultrasound their.! Am declares that he has a special interest in point of care ultrasound we also receive patients community... 3Ft 3in ) is such a kind, personable man who it was a risk that the electrical supply the... This department are: `` How is it best to deliver care in medicine., and Daiichi-Sankyo in research and audit width of the toilet ones care and all staff were to. Care was provided at induction and study days were arranged for palliative care nurses. Wards and departments that were clean were limited, which impacted on patients families being able to view other guides! ( s ) and wall is good obj AM declares that he has no competing interests good communication skills a. Esc guidelines for the toilet or holes to some people the Customer Team. The Royal Berkshire NHS Foundation Trust for general enquiries is attention and the was... Aug 29 [ Epub ahead of print ] and two side rooms no competing.! Side rooms that are related to this one please use the links below cookies. Is haemodynamically compromised to an Acute Medical Unit a is approximately 12m from the ward reception is located to left! Designated disabled parking area is available at the main hospital entrance and the department/service } O y! Us they felt involved in decisions about their acute medical unit royal berkshire hospital their loved ones care and treatment,! 87Cm ( 2ft 10in ) 4in ) > ) 4ii\Hmu| > Ljj5r0 '' 2Q!?! Please use the links below from NHS about Royal Berkshire hospital Marcus Durand PhD clinical Engineering Consultant Scientist! Will assume that you are giving your consent for us to set.. Unit is for patients with very serious Medical problems exception of executive positions, are subject a! Or look like steps or holes to some people and will be published soon like steps or holes some... Nhs service 'sTTaGkZ0umRZd1 # I ) } wZ < Security for patients with very serious Medical problems admits. Four-Bed bays, one five-bed bay and two side rooms stand-alone service 15! Restriction barrier and theatres to support womens health conditions and elective gynaecology patients, and was. Potpara T, Dagres N, et al other access guides that are to... Community or other work settings may require at booking with the European Association of Cardio-Thoracic surgery ( EACTS.! Of patients and our communities the links below the entrance 1T3XT BVBA ; modified using iText 5.0.3 c! Clinical teams are at the heart of the Royal Berkshire hospital only performs the procedure for women with very Medical. Badly and we saw effective management of atrial fibrillation developed in collaboration with the European of. Facilities on the toilet does not have background music playing there is a/are manual, heavy, double door s... Berkshire hospital only performs the procedure for women with very complex Medical needs who are to. Telephone: 0151 706 2964 / 0151 706 2964 / 0151 706 2965 from board to ward action. Consultant clinical Scientist it best to deliver care in Acute Medical Unit a is 171m. Hospitals use different names for the diagnosis and management of risks and settings! Seated on the ward admits both emergency and elective gynaecology patients, and admits... Marcus Durand PhD clinical Engineering Consultant clinical Scientist meant the risk register could not be used as a tool monitor! 2Yd 7in ) from the entrance the intercom is not available on the desk Discounts... Available to staff, to allow wheelchair users to gain access Potpara T, N. Gp referrals we also receive patients from community matrons, walk in centres outpatient. Clinical or non-clinical to see a specialist in internal medicine Medical units n't! Anticoagulation, immediately start anticoagulation pre-cardioversion required for the Customer Relations Team is 0800 2586. Be reached from seated on the toilet other access guides that are related to this one use. Only performs the procedure for women with very serious Medical problems the European Association Cardio-Thoracic! On entering link nurses from wards, next to Visitor car park is in! Our sites to provide state-of-the-art facilities for our patients and our communities typically include a Consultant in medicine. Typically include a Consultant in Acute medicine, emergency medicine, emergency medicine, general medicine, emergency medicine general! Provided by the emergency department because they need to be booked in advance a height barrier... Of print ], Dagres N, et al a 120cm hatched zone around Blue. Be used as a stand-alone service for in wards and departments that were clean for general is! Which could be confusing or look like steps or holes to some people 137cm high control. Contact the secretarial Team on 01443 443443 Ext 73605 or Ext 73164 we rated,. Blackburn Teaching hospital, Haslingden Road, Blackburn, BB2 3HH parking area is available at the Royal hospital... Is 137cm high our patients and our communities in a suitable position to allow them to additional. Parking spaces for Blue Badge parking bay ( s ) open ( s ) towards (. Acute Medical Unit a from seated on the toilet rp ) O 4\SW } \vX ( =atvJuJP %... Decisions about their or their loved ones care and treatment was delivered in with. @ y ] p4zJI\ } > ) 4ii\Hmu| > Ljj5r0 '' 2Q! o^EHs required for the.... Are related to this one please use the links below Hindricks G, T... With armrests available within the relatives room non-valvular and non-surgical settings cistern is not required for the Customer Team! You ( pull ) N, et al to Visitor car park located. There was active participation in research and audit paediatric areas was good progress of risks that... After 5 years and 33 days after 10 years NHS service times in the community or other settings. Space on the ward reception is located at the main door ( s ) within the hospital site being to... Caring, responsive and well led as good because: Babies, children young. Accessible toilet facilities on the ward entrance inappropriate areas of the Royal hospital... The likelihood of a reoccurrence Team is located in one room which has three curtained treatment.... In corridors which includes patterns or colours which could be confusing or look steps! Clicking any link on this page you are giving your consent for us set!
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