Dr Tessa Watts

2024

• Brett, J. et al. 2024. Impact of nurse education prior to and during COVID-19 on nursing students' preparedness for clinical placement: A qualitative study. International Journal of Nursing Studies Advances 7, article number: 100260. (10.1016/j.ijnsa.2024.100260)
• Watts, T., Jennings, S., Anstey, S. and Roche, D. 2024. Supporting people treated with immune checkpoint inhibitors: a qualitative study exploring oncology healthcare professionals' experiences. Seminars in Oncology Nursing 40(6), article number: 151745. (10.1016/j.soncn.2024.151745)
• Whybrow, D., Jones, B., Temeng, E., Dale, C., Bundy, C. and Watts, T. 2024. The perceived helpfulness and acceptability of a bespoke psychological therapy service for registered nurses experiencing psychological distress: A qualitative study. Journal of Advanced Nursing 80(12), pp. 5029-5038. (10.1111/jan.16160)
• Csontos, J., Roche, D. and Watts, T. 2024. Exploring what influences the uptake of cancer rehabilitation services: a realist informed mixed-methods study. BMJ Open 14(11), article number: e087812. (10.1136/bmjopen-2024-087812)
• Silva, L., Smith, L., Watts, T., Bisson, J., Torkington, J. and Cornish, J. A. 2024. Psychological recovery after emergency laparotomy: giving patients grief. British Journal of Surgery 111(s8), article number: znae197.107. (10.1093/bjs/znae197.107)
• Watts, T., Roche, D. and Csontos, J. 2024. Patients' experiences of cancer immunotherapy with immune checkpoint inhibitors: A systematic review and thematic synthesis. Journal of Clinical Nursing 33(8), pp. 2885-2904. (10.1111/jocn.17154)
• Silva, L. et al. 2024. Psychosocial outcomes following emergency laparotomy (POLO) study: a study protocol for a multicentre mixed-methods prospective cohort study assessing the psycho-social outcomes following emergency laparotomy in adults. BMJ Open 14, article number: e081821. (10.1136/bmjopen-2023-081821)
• Watts, T. et al. 2024. Access, acceptance and adherence to cancer prehabilitation: a mixed-methods systematic review. Journal of Cancer Survivorship (10.1007/s11764-024-01605-3)
• Temeng, E., Hewitt, R., Pattinson, R., Sydor, A., Whybrow, D., Watts, T. and Bundy, C. 2024. Nurses' coping strategies caring for patients during severe viral pandemics: A mixed methods systematic review. Journal of Clinical Nursing. 33(1), pp. 242-254. (10.1111/jocn.16711)

2023

• Henshall, C. et al. 2023. The impact of the COVID-19 pandemic on nursing students' navigation of their nursing programmes and experiences of resilience. A qualitative study. International Journal of Nursing Studies Advances 5, article number: 100146. (10.1016/j.ijnsa.2023.100146)
• Watts, T. et al. 2023. ASSISTANCE (Addressing moral distress among nurses after the COVID-19 emergency): co-creation of evidence-based guidance to ameliorate moral distress.. Presented at: Chief Nursing Office Wales Conference, Cardiff, 13 October 2023.
• Albatini, A., Snelgrove, S., Edwards, D. and Watts, T. 2023. 2 Effects of cardiac rehabilitation on quality of life: role of exercise, cultural and social factors; a qualitative study [Abstract]. Heart 109, pp. A1-A1. (10.1136/heartjnl-2023-BACPR.1)
• Watts, T. et al. 2023. Registered Nurses' and nursing students' perspectives on moral distress and its effects: a mixed-methods systematic review and thematic synthesis. Nursing Open 10(9), pp. 6014-6032. (10.1002/nop2.1913)
• Cable, M., Watts, T., Reagon, C. and Kelly, D. 2023. Experiences of early-career nurses working in specialist adolescent/young adult cancer units: A narrative inquiry. Journal of Advanced Nursing 79(8), pp. 2871-2885. (10.1111/jan.15488)
• Csontos, J., Roche, D. and Watts, T. 2023. European Cancer Summit 2022 submission for Survivorship and Quality of Life NetworkUnderstanding how two cancer rehabilitation services work for people in South Wales, UK: findings from a mixed-methods study (Part 2). Presented at: European Cancer Summit 2022, 16-17 November, Vol. 35. Elsevier pp. 9., (10.1016/j.jcpo.2023.100398)
• Watts, T. and Roche, D. 2023. It's just been hard work: Experiences of immune checkpoint inhibitor treatments among people with advanced cancer.. Presented at: RCN International Research Conference 2023, 6th - 9 September 2023.
• Watts, T. et al. 2023. Addressing moral distress among nurses after the Covid-19 emergency: The ASSISTANCE study. Presented at: Chief Nursing Officer Conference, Cardiff, 13 October 2023.
• Watts, T. et al. 2023. Co-creation of evidence-based moral distress guidance for nurses: The ASSISTANCE (Addressing moral distress among nurses after the COVID-19 emergency) Study -Phase 3. Presented at: Chief Nurse Conference, Cardiff, UK, 13 October 2023.
• Watts, T. 2023. 'Toxicities can occur at any timepoint': Doing immunotherapy toxicity management. Presented at: CUCS23, Cardiff University, 31/03/2023.
• Watts, T. et al. 2023. The ASSISTANCE STUDY: Moral distress and psychological wellbeing of nurses during the COVID-19 pandemic. Presented at: Royal College of Nursing International Nursing Research Conference, Manchester University, 6-8 September 2023.

2022

• Smith, L., Meggy, A., Watts, T., Knight, L., Torkington, J. and Cornish, J. 2022. Incisional hernia prevention: risk-benefit from a patient perspective (INVITE) - protocol for a single-centre, mixed-methods, cross-sectional study aiming to determine if using prophylactic mesh in incisional hernia prevention is acceptable to patients. BMJ Open 12(12), article number: e069568. (10.1136/bmjopen-2022-069568)
• Watts, T. et al. 2022. Perceived helpfulness of a tiered mental health support intervention for moral distress: a qualitative, exploratory study. Presented at: European Nursing Congress 22: Future Proof Nursing: Nurses as key drivers of change, Netherlands, 4-7 October 2022.
• Watts, T. et al. 2022. Contributing factors and impacts of moral distress among nurses: a systematic review. Presented at: European Nursing Congress 22: Future Proof Nursing: Nurses as key drivers of change, Netherlands, 4-7 October 2022.
• Watts, T., Anstey, S. and Jennings, S. 2022. 'Where they've got bad side effects or less response it's a difficult treatment?: Oncology health professionals' experiences of supporting people receiving immunotherapy. Presented at: RCN International Nursing Research Conference, Cardiff, UK, 5-6 Sept 2022.
• Watts, T. et al. 2022. Symposium of four papers: Identifying and mitigating moral distress in the nursing workforce: insights from the UK and the United States. Presented at: RCN International Nursing Research Conference, Cardiff, UK, 5-6 Sept 2022.
• Cable, M., Kelly, D., Watts, T. and Reagon, C. 2022. The experiences of early career nurses working in specialist adolescent/young adult cancer units: a narrative inquiry. Presented at: RCN International Nursing Research Conference, Cardiff, UK, 5-6 Sept 2022.
• Watts, T., Csontos, J., Roche, D. and Jennings, S. 2022. Patients' experiences of cancer immunotherapy with immune checkpoint inhibitors: a systematic review and qualitative evidence synthesis. Presented at: RCN International Nursing Research Conference, Cardiff, UK, 5-6 Sept 2022.
• Watts, T., Jennings, S. and Anstey, S. 2022. 'We're in new territory': oncology health professionals' experiences with immune checkpoint inhibitors. Presented at: Cancer Care in the Digital Age, Belfast, 11-12 November 2022.
• Silva, L., Abbas, S., Watts, T., Torkington, J. and Cornish, J. 2022. Patient reported outcomes and experiences following emergency laparotomy: a mixed methods patient survey. British Journal of Surgery 109(S5), pp. v102-v102. (10.1093/bjs/znac248.254)
• Silva, L., Crole-Rees, C., Watts, T., Bisson, J. and Cornish, J. 2022. SP4.2.2 Recovery after emergency laparotomy – what do patients want?. British Journal of Surgery 109(Supple), article number: znac247.046. (10.1093/bjs/znac247.046)
• Silva, L., Mohammed, S., Strong, P., Watts, T., Torkington, J. and Cornish, J. 2022. Patient reported outcomes and experiences following emergency laparotomy: a mixed methods patient survey. Presented at: Annual Scientific Meeting of the Surgical Research Society, East Midlands Conference Centre, Nottingham, UK, 24-25 March 2022. , (10.1093/bjs/znac242.040)
• Watts, T. and Arthur, J. 2022. An exploratory study identifying a possible response shift phenomena of the Glasgow Hearing Aid Benefit Profile. Presented at: The National PROMS Annual Research Conference, Virtual, 14 -15 June 2022.
• Csontos, J., Roche, D. and Watts, T. 2022. Understanding how two cancer rehabilitation services work for people in South Wales, UK: findings from a mixed methods study. Presented at: European Cancer Summit 2022, Brussels, Belgium, 17 November 2022.
• Watts, T. et al. 2022. Addressing moral distress during COVID-19 recovery: a mixed methods systematic review and narrative synthesis of moral distress in nurses and supportive moral distress interventions. Public Health Wales: Cardiff University.
• Francis-Coad, J., Watts, T., Bulsara, C. and Hill, A. 2022. Designing and evaluating falls prevention education with residents and staff in aged care homes: a feasibility study. Health Education 122(5), pp. 546-563. (10.1108/HE-08-2021-0113)
• Silva, L., Crole-Rees, C., Watts, T., Bisson, J. and Cornish, J. 2022. Recovery after emergency laparotomy – what do patients want?. Presented at: ASGBI 2022 'Recharge and reset'. International Surgical Congress, Liverpool, 3-5 May 2022.
• Silva, L., Mohammed, S. A., Watts, T., Torkington, J. and Cornish, J. 2022. Patient reported outcomes and experiences following emergency laparotomy. Presented at: Association of Surgeons of Great Britain and Ireland International Congress 2022, Liverpool, UK., 3-5 May 2022.
• Watts, T. et al. 2022. Addressing moral distress among nurses after the COVID-19 emergency: The ASSISTANCE study. Presented at: Canopi Synposium, Cardiff University, May 2022.
• Watts, T. 2022. 'Toxicities can occur at any timepoint': Doing checkpoint inhibitor toxicity management. Presented at: All-Wales WAHPN Cancer Research Network Conference, Virtual, 29th September 2022.
• Csontos, J., Roche, D. and Watts, T. 2022. Understanding how two cancer rehabilitation services work for people in South Wales, UK: findings from a mixed methods study. Presented at: All-Wales WAHPN Cancer Research Network Conference, Virtual, 29 September 2022.
• Watts, T., Roche, D., Jennings, S. and Csontos, J. 2022. Experiences of immune checkpoint inhibitors from the perspectives of people affected by cancer: a qualitative evidence synthesis. Presented at: Cancer Care in the Digital Age, Belfast, UK, 11-12 November 2022Completed Abstracts presented at the UKONS Annual Conference, 11–12 November 2022, The ICC Belfast.

2021

• Arnold, H., Willis, R. and Watts, T. 2021. Co-developing and implementing a community nursing simulated learning resource for undergraduate nursing students. Nurse Education in Practice 56, article number: 103192. (10.1016/j.nepr.2021.103192)
• Jennings, S. et al. 2021. Experiences of cancer immunotherapy with immune checkpoint inhibitors (ExCIm)- insights of people affected by cancer and healthcare professionals: a qualitative study protocol. BMJ Open 11, article number: e043750. (10.1136/bmjopen-2020-043750)
• Watts, T. E. and Bower, J. 2021. Lost in transition: experiences following initial systemic anti-cancer treatment completion for haematological cancers in Wales, UK. Presented at: International Conference on Cancer Nurses 2021 Virtual Conference (ICCN2021), Virtual, 2-5 February 2021.
• Csontos, J., Roche, D. and Watts, T. 2021. Perspectives on cancer rehabilitation in South Wales, UK: qualitative investigations of experiences of people affected by cancer and healthcare professionals.. Presented at: International Conference on Cancer Nurses 2021 Virtual Conference (ICCN2021), Virtual, 2-5 February 2021.
• Watts, T. et al. 2021. COV-ed Nurse : investigating the extent to which nurse education prior to and during COVID prepare student nurses for their role in the pandemic: an analysis of what works. Presented at: RCN International Nursing Research Conference 2021, Virtual, 7-9 September 2021.
• Watts, T. and Arthur, J. 2021. 'They talk to you differently, like, as if you are not all there.' New hearing aid users views and experiences: a qualitative study. Presented at: British Academy of Audiology 17th Annual Conference 2021, Manchester, England, 18-19 November 2021.
• Watts, T. and Arthur, J. 2021. The views and experiences of new hearing aid users.. Presented at: Audiology Cymru 2021Virtual Conference, Online, 5 November 2021.
• Watts, T. et al. 2021. Supportive interventions to mitigate moral distress among nurses: a mixed methods systematic review and narrative synthesis. Presented at: Public Health Wales Research and Evaluation Conference 2021: Research in action: COVID-19 and beyond, Online, 23 September 2021.
• Hopkinson, J., Watts, T., Abdi, A. and Chivers, E. 2021. What is known about oral nutritional care of patients receiving radiotherapy, chemotherapy or chemoradiotherapy for colorectal cancer? A systematic review and narrative synthesis.. NIHR CRD. Available at: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020178160

2020

• Csontos, J., Roche, D. and Watts, T. 2020. Exploring cancer rehabilitation services in South Wales: qualitative understanding from the perspectives of people affected by cancer and healthcare professionals. Physiotherapy 107(S1), pp. E32-E33. (10.1016/j.physio.2020.03.046)
• Jennings, S., Anstey, S., Bower, J. and Watts, T. 2020. 'We've just had to hit the ground running': Health professionals' experiences of cancer immunotherapy: A qualitative study. Presented at: NCRI Virtual Showcase 2020, Virtual, 2-3 November 2020.

2019

• Watts, T., Willis, D., Noble, S. and Johnston, B. 2019. Death Rattle: reassuring harbinger of imminent death or a perfect example of inadequacies in evidence-based practice. Current Opinion in Supportive and Palliative Care 13(4), pp. 380-383. (10.1097/SPC.0000000000000463)
• Watts, T. and Bower, J. 2019. Still lost in transition: a qualitative descriptive study of people's experiences following treatment completion for haematological cancer in Wales, UK. ecancermedicalscience 13, article number: 985. (10.3332/ecancer.2019.985)
• Francis-Coad, J. et al. 2019. Evaluation of older people's knowledge, awareness, motivation and perceptions about falls and falls prevention in residential aged care homes: a tale of two cities. Ageing and Society 39(11), pp. 2541-2559. (10.1017/S0144686X18000697)
• Csontos, J., Roche, D. and Watts, T. 2019. Exploring cancer rehabilitation services in South Wales: a qualitative understanding from perspectives of people affected by cancer and healthcare professionals. Presented at: Physiotherapy UK 2019, Birmingham, UK, 1-2 November 2019.
• Csontos, J., Roche, D. and Watts, T. 2019. Qualitative exploration of cancer rehabilitation in South Wales, UK from the perspectives of people affected by cancer and healthcare professionals. Presented at: NCRI 2019, Glasgow, UK, 3-5 November 2019.
• Csontos, J., Roche, D. and Watts, T. 2019. Exploring cancer rehabilitation services in South Wales: qualitative understanding from the perspectives of people affected by cancer and healthcare professionals.. Presented at: Physiotherapy UK, Glasgow, UK, 1-2 November 2019.
• Csontos, J., Watts, T., Roche, D. and Jones, M. 2019. Secondary analysis of routinely collected data from a specialist cancer rehabilitation service in South Wales, UK. Presented at: NCRI 2019, Glasgow, UK, 3-5 November 2019.
• Williams, S., Mashlan, W. and Watts, T. 2019. How nurses can support informal carers of people living with dementia. Nursing Older People 31(5), pp. 30-33. (10.7748/nop.2019.e1181)
• Csontos, J., Roche, D. and Watts, T. 2019. Barriers and facilitators to cancer rehabilitation services in South Wales, UK: Perspectives of oncology healthcare professionals. Presented at: RCN International Nursing Research Conference, Sheffield Hallam University, UK, 3-5 Sep 2019. pp. -.
• Watts, T. et al. 2019. 'It was as if the dots hadn't been joined up': bereaved families experiences of end of life care on an acute stroke ward: a qualitative investigation. Presented at: European Stroke Organisation Conference, Milan, Italy, 22-24 May 2019European Stroke Journal, Vol. 4. Vol. S1. SAGE Publications pp. AS17-021., (10.1177/2396987319845581)
• Watts, T. et al. 2019. ‘it was as if the dots hadn’t been joined up’: Bereaved families’experiences of end of life care in acute stroke wards: a qualitative investigation [Abstract]. European Stroke Journal 4(1S), pp. 586-586. (10.1177/2396987319845581)
• Csontos, J. K. et al. 2019. Realist evaluation of cancer rehabilitation services in South Wales (REEACaRS): a mixed methods study protocol. BMJ Open 9(4), article number: e025953. (10.1136/bmjopen-2018-025953)
• Csontos, J. et al. 2019. The perception and operation of cancer rehabilitation services in South Wales from healthcare professionals' perspective: a qualitative study. Presented at: Optimising Healthcare Research Quality, Cardiff University, 10 Apr 2019.
• Watts, T. 2019. Bereaved families' experiences of end-of-life care in the acute stroke setting in Wales, UK: a qualitative interview study. Presented at: RCN International Nursing Research Conference, Sheffield Hallam University, UK, 3-5th September 2019. pp. -.

2018

• Tajic, A. et al. 2018. The effect of Tai Chi on quality of life in male older people: a randomized controlled clinical trial. Complementary Therapies in Clinical Practice 33, pp. 191-196. (10.1016/j.ctcp.2018.10.009)
• Csontos, J. et al. 2018. The perception and operation of cancer rehabilitation services in South Wales from healthcare professionals' perspective: a qualitative study. Presented at: Crossing Boundaries in Cancer Care UKONS Annual Conference 2018, Glasgow, 16-17 November 2018.
• Watts, T. 2018. Four cornerstones of lymphoedema care. Nursing and Residential Care 20(7), pp. 310-318. (10.12968/nrec.2018.20.7.310)
• Watts, T. and Francis-Coad, J. 2018. Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.. Presented at: RCN International Nursing Research Conference, Birmingham, UK, 16-18 April 2018.
• Coad, J. F., Anderson, M., Beer, C. E., Griffiths, E., Hill, A., Panes, G. and Watts, T. 2018. Australian and Welsh care home residents' views about falls and falls prevention. Presented at: Eight Biennial Australian and NEw Zealand Falls Prevention Conference, Hobart, Tasmania, 18-20 November 2018.
• Watts, T., Bower, J. and Samuel, H. M. 2018. The needs and concerns of adult haematology patients on completion of initial active chemotherapy treatment in West Wales: a qualitative investigation. Presented at: Crossing Boundaries in Cancer Care, Glasgow, 16th - 17th November 2018.
• Watts, T. 2018. Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales UK. Presented at: Royal College of Nursing International Nursing Research Conference, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 16-18 April 2018. pp. -.

2017

• Watts, T. and Davies, R. 2017. Chronic oedema "on-the-ground" education programme. British Journal of Community Nursing 22(11), pp. 526-534. (10.12968/bjcn.2017.22.11.526)
• Francis-Coad, J. et al. 2017. Evaluation of older people’s knowledge, motivation and perceptions about falls and falls prevention in residential aged care homes across continents: “A tale of two cities”.. Presented at: British Society of Gerontology Conference, Swansea University, Swansea, United Kingdom, 5-7 July 2017.
• Watts, T. et al. 2017. Evaluation of older people's knowledge, awareness, motivation and perceptions about falls and falls prevention in residential aged care homes: A tale of two cities. Presented at: Welsh Public Health Conference, Newport, Wales, UK, 26-27 October 2017.

2016

• Watts, T. and Davies, R. 2016. A qualitative national focus group study of the experience of living with lymphoedema and accessing local multiprofessional lymphoedema clinics. Journal of Advanced Nursing 72(12), pp. 3147-3158. (10.1111/jan.13071)
• Arthur, J., Watts, T., Davies, R., Manchaiah, V. and Slater, J. 2016. An exploratory study identifying a possible response shift phenomena of the Glasgow hearing aid benefit profile. Audiology Research 6(2), pp. 44-48. (10.4081/audiores.2016.152)
• Watts, T. 2016. Types of review and their purpose. In: Glasper, A. and Rees, C. eds. Nursing and Healthcare Research at a Glance. Wiley Blackwell, pp. 4-6.
• Watts, T., Arthur, J., Davies, R., Slater, J. and Jones, P. 2016. An analysis of hearing aid use: data logging as an adjunct with the Glasgow Hearing Benefit Profile Questionnaire. Journal of the Academy of Rehabilitative Audiology 49, pp. 27-33.

2014

• Watts, T. and Davies, R. 2014. Tensions and ambiguities: A qualitative study of final year adult field nursing students' experiences of caring for people affected by advanced dementia in Wales, UK. Nurse Education Today 34(8), pp. 1149-1154. (10.1016/j.nedt.2014.04.012)
• Watts, T. 2014. Final-year nursing undergraduates’ understandings of palliative care: a qualitative study in Wales, UK. International Journal of Palliative Nursing 20(6), pp. 285-293. (10.12968/ijpn.2014.20.6.285)
• Watts, T. 2014. Secondary breast cancer: the role of primary care nurses. Practice Nurse 44(5), pp. 36-41.

2013

• Watts, T. E. 2013. Big ideas: 'Les Rites De Passage' Arnold Van Gennep 1909. Nurse Education Today 33(4), pp. 312-313. (10.1016/j.nedt.2012.09.010)
• Watts, T. 2013. End-of-life care pathways and nursing: a literature review. Journal of Nursing Management 21(1), pp. 47-57. (10.1111/j.1365-2834.2012.01423.x)
• Watts, T. 2013. Primary breast cancer: an overview and update. Practice Nurse 43(2), pp. 36-42.
• Watts, T. 2013. The media critique of the Liverpool Care Pathway: some implications for nursing education. International Journal of Palliative Nursing 19(6), pp. 275-280. (10.12968/ijpn.2013.19.6.275)

2012

• Watts, T. 2012. End-of-life care pathways as tools to promote and support a good death: a critical commentary. European Journal of Cancer Care 21(1), pp. 20-30. (10.1111/j.1365-2354.2011.01301.x)
• Allen, M. and Watts, T. 2012. Promoting health and wellbeing at the end of life: the contribution of care pathways. International Journal of Palliative Nursing 18(7), pp. 348-354. (10.12968/ijpn.2012.18.7.348)
• Watts, T. 2012. Initiating end-of-life care pathways: a discussion paper. Journal of Advanced Nursing 68(10), pp. 2359-2370. (10.1111/j.1365-2648.2011.05924.x)

2011

• Watts, T. 2011. Support on schedule. Nursing Standard 25(40), pp. 61. (10.7748/ns2011.06.25.40.61.p5527)
• Watts, T. E. 2011. Supporting undergraduate nursing students through structured personal tutoring: some reflections. Nurse Education Today 31(2), pp. 214-218. (10.1016/j.nedt.2010.06.005)
• Watts, T. 2011. Caring for cancer survivors. Practice Nurse 41(12), pp. 40-45.

2010

• Watts, T. 2010. Chronic conditions management. In: Kell, C. and Helme, M. eds. Interprofessional Education in Wales: case studies in health and social care.. London: Higher Education Academy

2004

• Watts, T., Merrell, J., Murphy, F. and Williams, A. 2004. Breast health information needs of women from minority ethnic groups. Journal of Advanced Nursing 47(5), pp. 526-535. (10.1111/j.1365-2648.2004.03125.x)

2001

• Watts, T., Jones, M., Wainwright, P. and Williams, A. M. 2001. Methodologies analysing individual practice in health care: a systematic review. Journal of Advanced Nursing 35(2), pp. 238-256. (10.1046/j.1365-2648.2001.01841.x)

1999

• Watts, T. and Jenkins, K. 1999. Palliative care nurses' feelings about death rattle. Journal of Clinical Nursing 8(5), pp. 615-616. (10.1046/j.1365-2702.1999.0270a.x)

1997

• Watts, T., Jenkins, K. and Back, I. 1997. Problem and management of noisy rattling breathing in dying patients. International Journal of Palliative Nursing 3(5), pp. 245-252. (10.12968/ijpn.1997.3.5.245)