best quality, masterpiece, highres, detailed, perfect anatomy, Barack Obama  working as a male nurse in a hospital, 1boy, nurseCH , blue uniform,  <lyco:NurseCHV1:0.7>
(worst quality, low quality:1.4), watermark, signature, monochrome, bad anatomy, bad proportions, ng_deepnegative_v1_75t, Unspeakable-Horrors-Composition-4v:0.8, negative_hand-neg, pink uniform,
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