Are nice guidelines mandatory

Are nice guidelines mandatory. Scoping was carried out using the 2014 version of the NICE manual. This guideline Oct 31, 2014 · 1. Find guidance, advice and information for health, public health and social care professionals. Call for evidence. This guideline covers the assessment and management of melanoma (a type of skin cancer) in children, young people and adults. The guideline helps women to make informed choices about where to have their baby and about their care in labour. It aims to ensure that a person’s decision to use a medicine is an informed choice. NICE quality standards are a set of specific, concise statements and associated measures. This guideline covers rehabilitation strategies for adults who have experienced a critical illness and stayed in critical care. It also aims to reduce variation in Quality standard - Falls in older people. This guideline covers assessing and managing suspected or confirmed cirrhosis in people who are 16 years or older. Sep 29, 2023 · Guidance. This guideline covers care for pregnant women and pregnant people with a twin or triplet pregnancy in addition to routine care during pregnancy and labour. In October 2018, we corrected the information in table 2 relating to treatments for Lyme May 28, 2014 · The aim is to help people lose weight and become more physically active to reduce the risk of diseases associated with obesity. This guideline covers how organisations, practitioners and carers should work together to deliver high-quality care, stable placements and nurturing relationships for looked-after children and young people. Help and advice. It also updates and replaces NICE evidence summary Dec 17, 2015 · This guideline covers interventions to maintain and improve the mental wellbeing and independence of people aged 65 or older and how to identify those most at risk of a decline. It focuses on women who give birth between 37 and 42 weeks of pregnancy (‘term’). This guideline should be read together with the Care and support statutory guidance under the Care Act 2014 and the Children and Families Act 2014. The quick answer is ‘never’. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using Jun 26, 2013 · This guideline incorporates NICE technology appraisal guidance 153, 154, 173 and recommendation 1. These recommendations should be read together with relevant NICE guidance on sexual health and contraception (see the NICE topic page on sexual health). In this guideline, we do not use the term pernicious anaemia to describe autoimmune gastritis. Oct 31, 2014 · The systematic identification of evidence is an essential step in developing NICE guideline recommendations. It recommends how to encourage adherence to medicines by supporting and involving people in decisions about their prescribed medicines. Where the guidelines manual does not provide advice, additional methods are Mar 23, 2021 · Guidance. This guideline describes good patient experience for babies, children and young people, and makes recommendations on how it can be delivered. It is recognised that parents and carers play a key role, and where May 3, 2019 · Guidance. It aims to help health and social care practitioners support people to make their own decisions where they have the capacity to do so. In September 2023, we reviewed the evidence and made new or updated This guideline covers care and management for adults (aged 18 and over) with type 2 diabetes. This guideline includes Dec 14, 2023 · This guideline covers identifying and assessing risk of cardiovascular disease (CVD) in adults without established CVD. These appraisals are still mandatory for the NHS in England. It aims to help identify, prevent and reduce domestic violence and abuse among women and men in heterosexual or same-sex relationships, and among young people. sharps containers. It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications. Clinicians already take resources and value for money into account when making clinical decisions; the incorporation of good Feb 26, 2014 · Guidance. We reserve the right to pause the evaluation if payment is not received by the deadline provided. This, in turn, will help prevent other major causes of death and illness, such as type 2 diabetes and many cancers. This guideline covers interventions to prevent sexually transmitted infections (STIs) in people aged 16 and over. improving access to and engagement with services, including outreach, the role of peers and long-term support. It aims to help professionals to provide consistent high-quality care and it highlights the importance of advice and support for people with ulcerative colitis. 7 Assessing cost effectiveness. This guideline covers recognising, diagnosing and managing vitamin B12 deficiency in people aged 16 and over, including deficiency caused by autoimmune gastritis. Mar 6, 2024 · Guidance. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using Welsh Government have recently agreed a new Service Level Agreement with NICE which covers technology appraisals, clinical guidelines and interventional procedure guidance. [new 2012] At the time of publication (March 2012), these requirements were covered by the: Health and Safety at Work Act 1974, Management of Health and Safety at Work Regulations 1999, Health and Safety Regulations 2002, Control of Substances Hazardous to Health Regulations 2002, Personal Protective Oct 29, 2021 · The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. Dec 5, 2018 · The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. NICE’s guidance and standards are underpinned by evidence. It aims to reduce variation in practice and increase the quality of care and survival for people with thyroid cancer. 1 . It does not cover managing severe asthma or acute asthma attacks. Principle 6. Mar 23, 2021 · Guidance. Pre-consultation documents released. Use evidence that is relevant, reliable and robust. It covers lifestyle changes and lipid-lowering treatment (including statins) for primary and secondary prevention of CVD, and includes guidance for people who also have diabetes or chronic kidney disease. This includes coronary heart disease, stroke, type 2 diabetes and various cancers. This guideline covers managing cataracts in adults aged 18 and over. 1. It aims to reduce the high incidence of cardiovascular disease. Jun 20, 2018 · This guideline is an update of the NICE guideline on dementia (CG42, published November 2006) and replaces it. It aims to improve diagnosis and treatment for different seizure types and epilepsy syndromes, and reduce the risks for people with epilepsy. The call for evidence from stakeholders is now Dec 19, 2022 · This guideline covers diagnosis and management of thyroid cancer in people aged 16 and over. 7 Consider caffeine citrate for any preterm baby with apnoea. 23 March 2023. In April we changed our status from a special health authority to a non-departmental public body and became the National Institute for Health and Care Excellence. It does not cover using tobacco products such as ‘heat not burn’ tobacco. It includes advice on diagnosis, education and support, blood glucose management, cardiovascular risk, and identifying and managing long-term complications. It aims to reduce variation in practice and improve survival. NICE advice refers to NICE publications on specific topics that do not include recommendations. 15 Guidance. This guideline covers the care of women and their babies during labour and immediately after birth. It should be read in conjunction with NICE’s guidelines on antenatal care, intrapartum care and fetal monitoring. Tests and treatments covered include excision biopsy Jan 25, 2016 · NICE guidelines refers specifically to guidance for clinical, social care, public health and medicines practice topics. NICE committees are singular ('The committee discussed the evidence. 3 Publishing the implementation tools. This guideline covers diagnosing and managing spondyloarthritis that is suspected or confirmed in adults who are 16 years or older. It aims to improve outcomes by providing advice on tests (ECG, high-sensitivity troponin tests, multislice CT angiography, functional testing) that support healthcare professionals to make a speedy and accurate diagnosis Nov 30, 2021 · The guideline brings together and updates all NICE's previous guidelines on using tobacco, including smokeless tobacco. They set out aspirational, but achievable, markers of high-quality, cost-effective care. To do this, we have processes to identify research evidence, determine whether it is relevant and assess its quality. 15 December 2023. multidisciplinary service provision, including homelessness multidisciplinary teams, homelessness leads and intermediate care. It aims to reduce the transmission of all STIs, including HIV, and includes ways to help increase the uptake of STI testing and vaccines for human papillomavirus (HPV) and hepatitis A and B. This guideline includes recommendations on: identifying people at Jan 31, 2022 · This guide describes the methods and processes, including expected timescales, that NICE follows when carrying out health technology evaluations. It aims to improve physical, psychological and cognitive outcomes in people who have been discharged from critical care. Dec 1, 2016 · The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. This guideline covers assessment and early management of head injury in babies, children, young people and adults. This guideline covers managing COVID-19 in babies, children, young people and adults in community and hospital settings. 3. It aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks. Published guidance on this topic (3) New guidance in the last 6 months (0) Updated guidance in the last 6 months (0) In development guidance (0) NICE advice Jun 15, 2022 · prescribing medicines (including off-label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding. Recommendations about supporting carers of people with specific health needs can be found in NICE guidance on those conditions. This guideline covers diagnosing and managing Lyme disease. 24 March 2023 - 01 May 2023. Recommendations. Guidance. Find out more about how we develop our guidance and how to use it. The methods and processes are designed to produce robust guidance for the NHS in an open, transparent and timely way, with appropriate contribution from stakeholders. [2012, amended 2016] 1. Feb 28, 2017 · Guidance. When implementation tools are published at the same time as a clinical guideline by NICE, they are downloaded more frequently than if they are published later. See a 3-page visual summary of the recommendations, including a table to support This guideline was developed using the methods described in the NICE guidelines manual as outlined in the table below. It aims to improve the quality of life for adults with hearing loss by advising healthcare staff on assessing hearing difficulties, managing earwax and referring people for audiological or specialist assessment and Oct 31, 2018 · Guidance. The Royal College of Obstetricians and Gynaecologists has produced guidance for gynaecological services during the COVID-19 pandemic. NICE has also produced a guideline on the Sep 7, 2018 · Emergency and acute medical care in over 16s: service delivery and organisation. It aims to help people understand what to expect if they have symptoms that may suggest cancer. NICE guidelines make evidence-based recommendations on a wide range of topics, from preventing and managing specific conditions, improving health, and managing medicines in different settings, to providing social care and support to adults and children, and planning broader services and interventions to improve the health of communities. It includes recommendations on the organisation and delivery of rehabilitation in hospital and the community. Jan 13, 2016 · 1. Teams within NICE have a role in supporting the implementation of our guidance. Additionally the agreement now includes public health and future social care guidance as well as the new NICE Quality Standards, Clinical Pathways and NHS Evidence Compliance with a NICE-approved medicine or treatment. As of 1 April 2019, because of a risk of abuse and dependence Implementing NICE guidance. In April 2019, this dosage was an off-label use of caffeine citrate. Jun 21, 2018 · Guidance. Sep 4, 2019 · Guidance. This guideline covers care and treatment for adults (aged 18 and over) with type 1 diabetes. It aims to raise awareness of the features of spondyloarthritis and provide clear advice on what action to take when people with signs and symptoms first present in healthcare settings. It aims to ensure people are assessed for common problems and conditions linked to stroke, and get the care and therapy they need. MHRA advice on antiepileptic drugs Guidance. But the longer answer is worth understanding, particularly as GPs take on commissioning. Jan 28, 2009 · This guideline covers medicines adherence in people aged 18 and over. For information on related topics see our cardiometabolic disease prevention Jun 22, 2022 · This guideline covers diagnosing and managing multiple sclerosis in people aged 18 and over. It also covers monitoring for gastric cancer in people with autoimmune gastritis. It aims to improve care before, during and after cataract surgery by optimising service organisation, referral and surgical management, and reducing complications. facilitators. The primary data, which form the evidence for developing guidelines, are of necessity derived from a sample population. 7. It aims to reduce the number of pressure ulcers in people admitted to secondary or tertiary care or receiving NHS care in other settings, such as Oct 18, 2023 · This guideline covers rehabilitation after stroke for over 16s. uk if you have any questions about our charging process. See full list on hilldickinson. Aug 8, 2012 · Guidance. NICE guideline CG50 (2007), recommendation 1. This guideline covers some aspects of assessing and managing hearing loss in primary, community and secondary care. This chapter sets out how evidence is identified at each stage of the guideline development cycle. 3 Care homes and care home providers should have systems in place to track and monitor incidents, accidents, disciplinary action, complaints and safeguarding concerns, to identify patterns of potential harm. It also aims to reduce variation in Aug 2, 2018 · Guidance. It also covers complications associated with mesh surgery for these conditions. This guideline covers identifying children, young people and adults with symptoms that could be caused by cancer. It aims to encourage more people to use community pharmacies by integrating them within existing health and care pathways and ensuring they offer standard May 17, 2022 · This guideline aims to increase the uptake of all vaccines provided on the NHS routine UK immunisation schedule by everyone who is eligible. Multidisciplinary TB teams and others working with the general public, and with under‑served and other high‑risk groups in particular, should include information on TB with other health‑related messages and existing health promotion programmes tailored to the target group. This guideline covers decision-making in people 16 years and over who may lack capacity now or in the future. This guideline covers assessment of fall risk and interventions to prevent falls in people aged 65 and over. QS10. Dec 2, 2015 · Guidance. 28 July 2011. personal protective equipment. It also replaces recommendation 1. Rapid changes in diagnostic methods, endovascular treatments and vascular services associated with new specialties in surgery and interventional radiology have resulted in considerable uncertainty and variation in practice. It aims to improve how cirrhosis is identified and diagnosed, and gives advice on the monitoring, prevention and early management of complications. Guideline title changed from Adrenal insufficiency: acute and long-term management to Adrenal insufficiency: identification and management. It covers nicotine replacement therapy and e-cigarettes to help people stop smoking or reduce their harm from smoking. This guideline covers how community pharmacies can help maintain and improve people’s physical and mental health and wellbeing, including people with a long-term condition. Why this guidance is mandatory The NHS is legally obliged to fund and resource medicines and other treatments recommended by NICE's technology appraisals. It aims to help these children and young people reach their full potential and have the same opportunities as their peers. 8. 14 December 2023. NICE has also produced guidelines on obesity identification and management and the local strategic approach to obesity. The guideline includes recommendations on: principles of good practice; group-based activities; one-to-one activities; volunteering Mar 25, 2009 · Quality standard - Rehabilitation after critical illness in adults. It aims to improve the quality of life for people with multiple sclerosis by promoting prompt and effective symptom management and relapse treatment, and comprehensive reviews. . It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications Jul 29, 2015 · Guidance. This guideline covers the early and longer-term (rehabilitation) management of acute coronary syndromes. It aims to make sure that all babies, children and young people using NHS services have the best possible experience of care. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. In July 2022, we made new and updated recommendations on genetic testing, staging, surgery for stages 0 to III melanoma, anticancer treatment for Mar 21, 2018 · This guideline covers assessing and reducing the risk of venous thromboembolism (VTE or blood clots, including deep vein thrombosis and pulmonary embolism) in people aged 16 and over in hospital. com Oct 3, 2012 · NICE guidelines are crucial – but they are not compulsory. 1 NICE guideline recommendations. See NICE’s guideline on major trauma service delivery for recommendations Nov 18, 2020 · Guidance. This guideline sets out an antimicrobial prescribing strategy for lower urinary tract infection (also called cystitis) in children, young people and adults who do not have a catheter. This guideline includes recommendations on: assessment and referral in primary care Apr 2, 2019 · Guidance. Sep 30, 2015 · The mandatory implementation of NICE clinical guidelines as the minimum standard of care offers the prospect of delivering high quality care at reduced cost while promoting equity of access and respect for patient and carers’ views and choices, provided the guideline is seen as the starting basis for good clinical care rather than constraining patient-centred care and are kept up to date and Mar 23, 2021 · Guidance. This guideline covers care and management for adults (aged 18 and over) with type 2 diabetes. It aims to optimise antibiotic use and reduce antibiotic resistance. Therefore the aim is to publish the implementation tools at the same time as the guideline wherever possible. These include ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI) and unstable angina. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using Mar 24, 2010 · This guideline covers assessing and diagnosing recent chest pain in people aged 18 and over and managing symptoms while a diagnosis is being made. 2. This guideline covers the main risk factors linked with cardiovascular disease: poor diet, physical inactivity, smoking and excessive alcohol consumption. Declaration of interests. It aims to help healthcare professionals identify people most at risk and describes interventions that can be used to reduce the risk of VTE Mar 23, 2021 · Guidance. It noticed that…'). It does not cover preventing Lyme disease. Clinical knowledge summaries (CKS) - Cancer provide primary care practitioners with a readily accessible summary of the current evidence base and practical guidance on best practice. 19 September 2023. Putting our guidance into practice benefits patients and carers, healthcare professionals and organisations. It aims to: prevent suicide in places where it is currently more likely. It aims to ensure that people have the right care for the severity of their head injury, including direct referral to specialist care if needed. professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. This guideline includes recommendations on: information and support for people with thyroid cancer; assessment and Yes, the charges are mandatory as per The National Institute for Health and Care Excellence (Miscellaneous Amendments) Regulations 2018. MHRA advice on modafinil: In December 2020, we amended recommendations in line with the Sep 30, 2015 · The mandatory implementation of NICE clinical guidelines as the minimum standard of care offers the prospect of delivering high quality care at reduced cost while promoting equity of access and respect for patient and carers’ views and choices, provided the guideline is seen as the starting basis for good clinical care rather than May 18, 2023 · Guidance. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using Oct 27, 2004 · This guideline covers assigning recall intervals between oral health reviews that are appropriate to the needs of individual patients. This guideline covers planning and delivering multi-agency services for domestic violence and abuse. This guideline covers diagnosing and managing non-Hodgkin's lymphoma in people aged 16 years and over. Mar 28, 2012 · materials for hand decontamination. Feb 24, 2012 · A NICE quality standard on patient experience in adult NHS services has been developed alongside this guidance. Please contact TAHSTcharging@nice. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using Oct 20, 2021 · Guidance. It does not cover national strategies, general mental wellbeing, or areas covered by other NICE guidance such as self-harm or mental health conditions. For information on related topics, see our cardiometabolic disease prevention and Aug 25, 2021 · Guidance. Jul 6, 2016 · Guidance. This guideline covers diagnosing and managing Parkinson's disease in people aged 18 and over. 1 of NICE technology appraisal guidance 96. 07 March 2024. The guideline takes account of the effect of dental checks on: people’s wellbeing, general health and preventive habits; caries incidence and avoiding restorations; periodontal health and avoiding tooth loss; and avoiding pain and anxiety. There appears to be confusion about the circumstances in which it is obligatory for GPs to follow NICE guidance. 1. This guideline covers managing ulcerative colitis in children, young people and adults. 31 October 2023. Apr 11, 2018 · Guidance. It aims to improve care from the time of diagnosis, including monitoring and managing symptoms, providing information and support, and palliative care. It aims to reduce the risk and incidence of falls and the associated distress, pain, injury, loss of confidence, loss of independence and mortality. The guideline aims to improve survival and quality of life for people who have a heart Apr 3, 2019 · 1. Jul 19, 2017 · Guidance. Give a loading dose of 20 mg/kg of caffeine citrate, followed 24 hours later by a maintenance dosage of 5 mg/kg once daily, increasing up to 20 mg/kg daily if episodes of apnoea persist. It supports the aims of the NHS Long Term Plan, which includes actions to improve immunisation coverage by GPs (including the changes to vaccinations and immunisations detailed in the 2021/2022 and 2022/23 GP contracts) and support a narrowing of health Oct 3, 2018 · Guidance. This guideline covers assessing and managing urinary incontinence and pelvic organ prolapse in women aged 18 and over. The adoption and implementation team provides: practical support. Chronic obstructive pulmonary disease in adults. The NHS Constitution states that patients have the right to medicines and other treatments that have been recommended by NICE for use in the NHS, if their doctor believes they are clinically Feb 26, 2021 · 1. Next. The remainder of the development followed the 2020 version of the NICE manual. It aims to raise awareness of when Lyme disease should be suspected and ensure that people have prompt and consistent diagnosis and treatment. Mar 19, 2024 · The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. NICE has also produced technology appraisal guidance on disease-modifying Mar 16, 2022 · This guideline includes recommendations on: general principles and planning and commissioning. 11 . Published guidance on this topic (3) New guidance in the last 6 months (0) Updated guidance in the last 6 months (0) In development guidance (0) Jun 15, 2022 · Guidance. Commissioners have a statutory responsibility to make funding available for a drug or treatment recommended by a NICE TA or HST and to begin doing so no later than 90 calendar days (30 calendar days for EAMS products or for products appraised via the Fast Track Appraisal process) after the guidance is published, unless otherwise specified Sep 29, 2023 · Guidance. NICE impact report - lung cancer considers how NICE’s evidence based guidance can contribute to improvements in the care of people with lung cancer. 4 Care homes should have systems in place for preserving evidence from reported safeguarding concerns, including care records, as Aug 26, 2015 · Guidance. Acutely ill adults in hospital: recognising and responding to deterioration. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using Dec 7, 2016 · The guideline does not cover children and young people without a life-limiting condition who die unexpectedly (for example, accidental death). This guideline covers risk assessment, prevention and treatment in children, young people and adults at risk of, or who have, a pressure ulcer (also known as a bedsore or pressure sore). We use the best available evidence to develop recommendations that guide decisions in health, public health and social care. It aims to improve care for people with non-Hodgkin's lymphoma by promoting the best tests for diagnosis and staging and the most effective treatments for 6 of the subtypes. org. We also officially took on the work of bringing evidence-based guidance and standards to the social care sector, as outlined in the Health Jan 22, 2020 · This guideline covers general principles that apply to all adult carers. NICE guideline NG94 (2018), recommendation 1. In March 2021, we highlighted the importance of Apr 27, 2022 · Guidance. 19. From technology appraisals to diagnostics, we produce lots of different types of guidance. It focuses on people at increased risk of infective endocarditis undergoing dental, gastrointestinal tract, genitourinary and respiratory tract procedures. This guideline covers ways to reduce suicide and help people bereaved or affected by suicides. This guideline covers diagnosing and managing peripheral arterial disease (PAD) in people aged 18 and over. advice on adopting new technologies. 3 in the NICE technology appraisal guidance on donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's disease (TA217). Reducing the risk of people Sep 10, 2018 · Guidance. MHRA advice on gabapentin: In July 2019, we updated information in this guideline to reflect a change in the law relating to gabapentin. This guideline covers diagnosing and managing epilepsy in children, young people and adults in primary and secondary care, and referral to tertiary services. Nov 25, 2015 · This guideline covers the identification, assessment and treatment of attachment difficulties in children and young people up to age 18 who are adopted from care, in special guardianship, looked after by local authorities in foster homes (including kinship foster care), residential settings and other accommodation, or on the edge of care. It includes recommendations on communication, assessment, therapeutics for COVID-19, non-invasive respiratory support, preventing and managing acute complications, and identifying and managing co-infections. Health economics is about improving the health of the population through the efficient use of resources, so it necessarily applies at all levels, including individual clinical decisions. The National Institute for Health and Care Excellence ( NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care, [1] that publishes guidelines in four areas: [2] Guidelines are not without their limitations. It further aims to improve the availability of information for people with cataracts before, during and Nov 30, 2012 · 13. Acute respiratory infection in over 16s: initial assessment and management including virtual wards (hospital at home) QS210. Mar 28, 2018 · The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. The recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate Nov 29, 2017 · This guideline covers diagnosing, monitoring and managing asthma in adults, young people and children. It outlines appropriate investigations in primary care, and selection of people to refer for a specialist opinion. Jun 23, 2015 · Guidance. So we need to ensure that this evidence is relevant, reliable and robust. NICE has also produced a guideline on colonoscopic surveillance for adults with Oct 26, 2017 · Guidance. It aims to reduce the risk of complications and improve outcomes. Jun 22, 2010 · Guidance. It also helps practitioners to keep people who lack capacity at the centre of the decision Learn more about the guidance we produce. It provides details of the systematic literature searching methods used to identify the best available evidence for NICE guidelines. Use committee members if you cannot NICE becomes a non-departmental public body. Mar 17, 2008 · This guideline covers preventing infective endocarditis (IE) in children, young people and adults. cj td bb si yp wc da ue xq jc