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okay i think we can get started um good morning good afternoon and good evening to anyone joining us today my name is alan dominguez and on behalf of the international dysphagia diet standardization initiative or itsy i would like to welcome you all to todays webinar titled modified texture use in long-term care issues and implications presented by dr heather keller we would like to thank our very generous sponsors who allow the work of itsy to continue and who support implementation around the world now before we begin i do want to go through go through some quick housekeeping uh the webinar is being recorded the participants joining us today are in listen only mode which means that all panelists the panelists will not hear or see you and that your microphone and video will remain off for the session however if you have any questions please submit them through the throughout the presentation using the questions tab or your button in your control panel of the go to webinar platform o