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Assessment of service components of Janani Suraksha Yojana Janani Suraksha Yojana服务组件的评估
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.06085202009062020
Nita A Tanna, Vilpa Tanna, Rakesh Srivastava
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引用次数: 0
Awareness and attitudes about prenatal sex determination among pregnant mothers and their perceptions regarding Pre-Conception and Pre-Natal Diagnostic Techniques Act 孕妇对产前性别确定的认识和态度以及她们对《孕前和产前诊断技术法》的看法
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.02030202018082020
J. Cacodcar, S. Kalyani, M. Jindal, Kritika Tamboskar, Riya Surlakar, Hena Signapurkar, Neha Usapkar
Background: Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act was introduced in India to provide a legal framework to support prevention of fetal foeticide and maintains a healthy sex ratio. Even after implementation of the act, illegal testing and abortions are reported. Awareness and attitudes of pregnant women will give an insight into this problem. Objectives: The objectives of this study were to study the level of awareness and attitudes among pregnant mothers at Goa Medical College toward pre-natal sex determination and female foeticide, and to study the perceptions among them regarding the PCPNDT ACT. Materials and Methods: This cross-sectional study was carried out among 100 consecutive pregnant women admitted from June 1 to August 31, 2019, in the antenatal wards of the Department of OBG at Goa Medical College, Bambolim, Goa. Results: Two-thirds (76%) of the pregnant mothers were aware of the PCPNDT Act and majority (83%) were aware that prenatal sex determination is an offence. The majority (81%) of the mothers had no specific expectations regarding the sex of the child, whereas 8% preferred having a male child and 11% preferred a female child. The most common reason for male child preference was found to be pressure from other family members. Conclusion: The majority of the pregnant mothers from Goa were aware of the PCPNDT Act and most of them do not have a specific preference for male child.
背景:印度出台了《孕前和产前诊断技术法》,以提供一个法律框架,支持预防堕胎和维持健康的性别比例。即使在该法案实施后,仍有非法检测和堕胎的报道。孕妇的意识和态度将有助于深入了解这一问题。目的:本研究的目的是研究果阿医学院孕妇对产前性别确定和女性堕胎的认识和态度水平,并研究她们对PCPNDT ACT的看法。材料与方法:本横断面研究对2019年6月1日至8月31日在果阿邦邦邦邦果阿医学院产科产科产前病房连续入院的100名孕妇进行了研究。结果:三分之二(76%)的孕妇知道PCPNDT法案,大多数(83%)知道产前性别确定是一种犯罪行为。大多数(81%)的母亲对孩子的性别没有具体的期望,而8%的母亲希望生男孩,11%的母亲希望生女孩。研究发现,重男轻女最常见的原因是来自其他家庭成员的压力。结论:果阿邦大多数孕妇对PCPNDT法有一定的了解,大多数孕妇对男孩没有特定的偏好。
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引用次数: 0
A cross-sectional study on prevalence of cyberchondria and factors influencing it among undergraduate students 大学生网络疑病患病率及影响因素的横断面研究
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.01010202020022020
Shameem R Kanganolli, N. Praveenkumar
Background: The internet is a source of valuable medical information. However, when it is employed as a diagnostic procedure, it has the potential to increase health anxiety among individuals who have no medical knowledge. This is a concerning subject as a large number of people search for health information online. Objectives: The objectives of the study were (i) to estimate the prevalence of cyberchondria among undergraduate medical students. (ii) To assess the factors influencing cyberchondria among undergraduate medical students. Materials and Methods: A cross-sectional study was conducted among undergraduate medical students of Shivamogga Institute of Medical Sciences, during June 2018–August 2018. One hundred and thirty-six undergraduate medical students were selected and data were collected using a semi-structured questionnaire. A database was created in MS Excel and analysis was done using SPSS software v.20. Descriptive statistics such as frequency and percentage were calculated and Chi-square test was used. Results: The prevalence of cyberchondria was found to be 37.5%. Cyberchondria was found to be more among males, study participants belonging to Class I according to the modified B G Prasad classification, those having 24*7 access to internet, those using internet for more than 1 h during the night, and those who were using internet for ≤5 years and for ≤6 h/day. Cyberchondria was significantly associated with the use of internet during the night. Conclusion: Excessive searching for health information online has the potential to spread threat among the people and it may lead to an increase in health anxiety. We can overcome this problem by creating awareness among the general public regarding proper usage of web search engines.
背景:互联网是有价值的医学信息的来源。然而,当它被用作一种诊断程序时,它有可能增加没有医学知识的个人的健康焦虑。这是一个令人担忧的话题,因为大量的人在网上搜索健康信息。目的:本研究的目的是(i)估计医本科生网络疑病症的患病率。(二)探讨医大学生网络疑病的影响因素。材料与方法:在2018年6月至2018年8月期间,对Shivamogga医学科学研究所的本科医科学生进行了横断面研究。选取136名医大学生,采用半结构式问卷收集资料。在MS Excel中建立数据库,使用SPSS v.20软件进行分析。计算频率、百分比等描述性统计,采用卡方检验。结果:网络疑病患病率为37.5%。网络疑病症在男性、24*7小时上网、夜间上网时间超过1小时、上网时间≤5年且每天上网时间≤6小时的研究对象中较多出现。上网疑病症与夜间上网有显著关联。结论:网络健康信息的过度搜索有可能在人群中传播威胁,可能导致健康焦虑的增加。我们可以通过提高公众对正确使用网络搜索引擎的认识来克服这个问题。
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引用次数: 6
Impact of lockdown on non-COVID-19 patients 封锁对非covid -19患者的影响
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.11172202001122020
S. Chander, G. Gargi, A. Saini, Rakesh T Chauhan
Background: Severe acute respiratory syndrome coronavirus 2 pandemic gripped many nations and lockdowns were declared to limit its spread. During those harrowing lockdown times what happened to non-COVID patients has not been answered yet. Objectives: In the present study, the authors have tried to study the impact of lockdown on the non-COVID patients. Materials and Methods: It was a retrospective study conducted in a tertiary care institute. The impact of lockdown (March 24, 2020–May 31, 2020) on number of patients visiting outpatient department (OPD), admission, and deaths of non-COVID patients due to medical causes in wards of internal medicine and emergency was studied and compared with the corresponding period in 2019 (March 24, 2019–May 31, 2019). Results: OPD numbers plummeted from 14,050 in 2019 to just 3916 during lockdown a reduction of 258.78%. The total admissions appreciated from 887 in 2019 to 959 during lockdown 2020 an increase of 8.11%. The rate of admission substantially surged from 6.31% in 2019 to 24.48% in lockdown. Death rate witnessed a marginal increase from 2.36% in 2019 to 3.64% during lockdown. Mortality from renal causes increased substantially from two cases in 2019 to 10 in lockdown an increase of 400%. Conclusion: The research points out that during lockdown times OPD numbers plummeted significantly and admission rate of non-COVID patients showed an upward trend. A slight insignificant increase of in hospital mortality rate of non-COVID patients was also noted. These observations point out that non-COVID patients received due medical care during lockdown 2020.
背景:严重急性呼吸综合征冠状病毒大流行席卷了许多国家,并宣布封锁以限制其传播。在那段令人痛苦的封锁时期,非covid - 19患者身上发生了什么还没有答案。目的:在本研究中,作者试图研究封锁对非covid患者的影响。材料与方法:在某三级保健机构进行回顾性研究。研究封锁(2020年3月24日至2020年5月31日)对内科和急诊科门诊就诊人数、入院人数和非新冠肺炎患者因医疗原因死亡人数的影响,并与2019年同期(2019年3月24日至2019年5月31日)进行比较。结果:OPD人数从2019年的14050人下降到封锁期间的3916人,减少了258.78%。总接收人数从2019年的887人增加到2020年封锁期间的959人,增长了8.11%。入境率从2019年的6.31%大幅飙升至封锁期间的24.48%。死亡率从2019年的2.36%略微上升到封锁期间的3.64%。肾脏疾病导致的死亡率从2019年的2例大幅增加到封锁期间的10例,增加了400%。结论:研究指出,在封锁期间,门诊人数明显下降,非新冠肺炎患者入院率呈上升趋势。非新冠肺炎患者的住院死亡率也略有不显著上升。这些观察结果表明,2020年封锁期间,非covid - 19患者得到了应有的医疗照顾。
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引用次数: 0
Impact of coronavirus disease-2019 and lockdown on non-coronavirus disease-2019 patients in India 2019年冠状病毒病和封锁对印度2019年非冠状病毒病患者的影响
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.12183202025122020
A. Dixit, P. Roy
The whole world is under the grip of the coronavirus disease (COVID) 2019 pandemic and in India, the virus has wreaked havoc and the victory against the contagion seems a distant dream. A series of lockdowns were imposed in India at both central and state level to halt the spread of the virus, the repercussions of which have been drastic. The major brunt fell on the patients due to suspension of various health and public transport services amidst the lockdown. This could have been prevented by better planning and its implementation and systematic phased out lockdown measures.
2019年新冠肺炎疫情席卷全球,印度疫情肆虐,战胜疫情似乎遥不可及。印度在中央和邦一级实施了一系列封锁,以阻止病毒的传播,其影响是巨大的。在封锁期间,各种医疗和公共交通服务暂停,患者首当其冲。这本来可以通过更好的规划和实施,以及系统地逐步取消封锁措施来预防。
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引用次数: 1
The association between social media and anxiety symptoms among the general population in the Kingdom of Bahrain 巴林王国一般人群中社交媒体与焦虑症状之间的关系
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.08143202001092020
Abdulrahman D Mahroofi, Aysha Aljeeb, A. Alqasimi, H. Jahrami
Background: Social media use has increased in the past few years; it is hardly ever to meet someone who has never been exposed to it. Moreover, individuals vary in their interactions with social media; hence, this may lead to diverse mental health outcomes. Objective: In this study, we sought to estimate the prevalence of generalized anxiety disorder (GAD) in the Kingdom of Bahrain, to assess the relationship between social media use and GAD, and to identify the potential risk factors for GAD among the population. Materials and Methods: In November and December 2019, a sample of 703 participants aged ≥18 years answered an online-based questionnaire that was implemented to gather the needed data. A cross-sectional design was used along with demographic data, GAD 7, and social media scales. Ethical standards were met in this study. Results: The prevalence rate of minimal and mild forms of GAD accounts for more than 80% of the study population. Almost 75% of the sample size (73%) were found to use social media more than 6 times/day, and 48% of them felt worried while using different social media platforms. Nearly half of the sample size (44%) agreed that social media use had made them compare themselves with others. Conclusion: We concluded that the relationship between social media use and anxiety depends on multiple factors, and it is bidirectional in nature. Further studies are needed to study more aspects of social media use and to establish causality.
背景:社交媒体的使用在过去几年有所增加;很难遇到一个从未接触过它的人。此外,个人与社交媒体的互动也各不相同;因此,这可能导致不同的心理健康结果。目的:在本研究中,我们试图估计巴林王国广泛性焦虑症(GAD)的患病率,评估社交媒体使用与GAD之间的关系,并确定人群中广泛性焦虑症的潜在危险因素。材料与方法:2019年11月和12月,703名年龄≥18岁的参与者回答了一份在线问卷,以收集所需的数据。横断面设计与人口统计数据、GAD 7和社交媒体量表一起使用。本研究符合伦理标准。结果:轻度和轻度广泛性焦虑症的患病率占研究人群的80%以上。近75%的样本(73%)被发现每天使用社交媒体超过6次,48%的人在使用不同的社交媒体平台时感到担忧。近一半的受访者(44%)认为社交媒体的使用会让他们把自己和别人比较。结论:我们认为社交媒体使用与焦虑之间的关系取决于多种因素,并且是双向的。需要进一步的研究来研究社交媒体使用的更多方面并建立因果关系。
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引用次数: 0
Awareness of suicide prevention among staff in the psychiatric hospital, Bahrain 巴林精神病院工作人员预防自杀的意识
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.08137202027082020
Rayan Al Marzooq, Nawaf Mohammed Aldughaylibi, Z. Alattar, A. Amir, H. Jahrami
Background: Suicide is a leading cause of death globally. Yet, suicide is preventable, according to the American Psychiatric Association. Aims and Objectives: The study aimed to evaluate the awareness of the psychiatric hospital staff in Bahrain toward suicidal behavior. Materials and Methods: A cross-sectional, questionnaire-based study was carried out in a psychiatric hospital among staff. Results: A remarkable result showed that nearly 95% of the population is willing to help and prevents suicide. Moreover, 73% were very comfortable to guide someone who is having suicidal thoughts to a physician. On the other hand, 12% were uncomfortable. Furthermore, respondents were interested in learning how they could help people who have suicidal thoughts with a result of 100%. Conclusion: The psychiatric hospital staff showed a supportive attitude toward suicidal patients and great interest in improving their skills to deal with such critical situations. On the other hand, suicide prevention awareness programs need to be expanded. As the suicide rate increases, it becomes even more important to spread awareness.
背景:自杀是全球死亡的主要原因。然而,根据美国精神病学协会,自杀是可以预防的。目的与目的:本研究旨在评估巴林精神病院工作人员对自杀行为的认知。材料和方法:在一家精神病院的工作人员中进行了一项横断面、基于问卷的研究。结果:一个显著的结果显示,近95%的人愿意帮助和预防自杀。此外,73%的人愿意引导有自杀念头的人去看医生。另一方面,12%的人感到不舒服。此外,受访者有兴趣了解他们如何帮助有自杀念头的人,结果是100%。结论:精神病院工作人员对自杀患者持支持态度,并对提高处理此类危急情况的技能表现出极大的兴趣。另一方面,预防自杀意识项目需要扩大。随着自杀率的上升,传播自杀意识变得更加重要。
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引用次数: 0
Effect of non-surgical spinal decompression therapy on walking duration in subjects with lumbar radiculopathy: A randomized controlled trial 非手术脊柱减压治疗对腰椎神经根病患者行走时间的影响:一项随机对照试验
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.08130202027082020
Aalap C. Shah, Megha Sheth, D. Shah
Background: Lumbar radiculopathy is a prevalent complaint (12–40%) made by subjects with low back pain. It causes various functional limitations such as gait deviations and reduction of walking duration. Non-surgical spinal decompression therapy (DTS) is a relatively newer technology that has changed the management of lumbar radiculopathy. It has been found to relieve pain, improve neurologic symptoms, improve disk height, and reduce intervertebral pressures in various spinal pathologies. There are relatively few studies that have tried to focus on the effect of DTS on walking duration, though. Objectives: The objectives of the study were to evaluate the effect of non-surgical DTS on walking duration in subjects with lumbar radiculopathy. Materials and Methods: A randomized controlled trial using a random number generator was done with 80 subjects having lumbar radiculopathy. Forty subjects were included in each group. The experimental received 20 sessions of DTS, transcutaneous electrical nerve stimulation, hot water fomentation, core stabilization exercises, and lower extremity strengthening exercises. The control group received the same intervention except DTS. Results: Both groups showed improvements in the walking duration post-intervention (P < 0.001). However, the experimental group better improvement than the control group (P < 0.001). Conclusion: DTS is effective in improving walking duration in subjects with lumbar radiculopathy.
背景:腰神经根病是腰痛患者常见的主诉(12 - 40%)。它引起各种功能限制,如步态偏差和步行时间减少。非手术脊柱减压疗法(DTS)是一项相对较新的技术,它改变了腰椎神经根病的治疗。已发现它可以缓解疼痛,改善神经系统症状,提高椎间盘高度,并降低各种脊柱病变的椎间压力。然而,相对较少的研究试图关注DTS对步行时间的影响。目的:本研究的目的是评估非手术DTS对腰椎神经根病患者行走时间的影响。材料和方法:采用随机数字发生器对80例腰椎神经根病患者进行随机对照试验。每组40名受试者。实验接受20次DTS、经皮神经电刺激、热水刺激、核心稳定练习和下肢强化练习。对照组接受除DTS外的相同干预。结果:两组干预后步行时间均有改善(P < 0.001)。但实验组改善效果优于对照组(P < 0.001)。结论:DTS能有效改善腰椎神经根病患者的行走时间。
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引用次数: 1
Anemia in school-going adolescent girls of age between 11 and 16 years in rural area - A cross-sectional study 农村地区11 - 16岁学龄少女贫血的横断面研究
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.05060202021092020
K. Mitkari, H. Wadgave, S. Haralkar
Background: Adolescent age group (10–19 years) is characterized by rapid physical, psychological, and cognitive development. This is a vulnerable period for the development of nutritional anemia. Lack of knowledge concerning nutrition is one of the most significant reasons for nutritional problems and inappropriate nutritional practices can lead to numerous complications. Objectives: The objectives of the study were (1) to estimate the prevalence of anemia among school-going adolescent girls aged 11–16 years in rural area, (2) to know sociodemographic factors associated with anemia, and (3) to assess knowledge, attitude, and practices regarding anemia and its prevention. Materials and Methods: A descriptive cross-sectional study was conducted in rural area during November 1, 2018–January 15, 2019 among 1152 school-going adolescent girls of age between 11 and 16 years and resident of rural area using multistage sampling method. Results: In rural school-going adolescent girls, the prevalence of anemia was 67.36%. Anemia in adolescent girls was significantly associated with mother’s education and occupation. About 44.18%, 43.4%, and 38.28% girls did not know about causes, symptoms, and prevention of anemia, respectively. About 53.82% of girls worried about anemia, 61.81% of girls like to eat iron-rich food, and 64.76% of girls think that iron-rich foods are beneficial in anemia. About 21.88% of girls eat iron-rich foods and 57.2% eat Vitamin C rich foods regularly. Conclusion: There was poor knowledge in girls and unsatisfactory practices about anemia and its prevention, but positive attitude was seen to prevent anemia.
背景:青少年年龄段(10 - 19岁)是身体、心理和认知快速发展的阶段。这是发展为营养性贫血的脆弱时期。缺乏营养知识是营养问题最重要的原因之一,不适当的营养做法会导致许多并发症。目的:本研究的目的是(1)估计农村地区11 - 16岁学龄少女贫血的患病率,(2)了解与贫血相关的社会人口因素,(3)评估有关贫血及其预防的知识、态度和做法。材料与方法:采用多阶段抽样方法,于2018年11月1日至2019年1月15日在农村地区对1152名11 - 16岁的农村适龄少女进行了描述性横断面研究。结果:农村学龄女童贫血患病率为67.36%。少女贫血与母亲的受教育程度和职业有显著相关性。分别有44.18%、43.4%和38.28%的女孩不了解贫血的原因、症状和预防。约53.82%的女生担心贫血,61.81%的女生喜欢吃富含铁的食物,64.76%的女生认为富含铁的食物对贫血有益。约21.88%的女孩经常吃富含铁的食物,57.2%的女孩经常吃富含维生素C的食物。结论:女童对贫血及其预防的认识不足,实践不到位,但对预防贫血有积极态度。
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引用次数: 5
Study of bone formation marker levels in rheumatoid arthritis 类风湿关节炎骨形成标志物水平的研究
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.02034202018022020
A. Dubey, Davina Hijam, O. B. Devi, W. B. Devi, Suman Debnath
Background: Rheumatoid arthritis (RA) is an autoimmune disease of unknown cause that affects the joints principally. The disease affects between 0.5% and 1% of the adult population worldwide. Two to three times as many women as men suffer from the disease. Osteocalcin (OC) is a small protein of 49 amino acids long. OC is the most abundant non-collagenous protein in bone. OC originates from osteoblasts and is deposited into bones or released into circulation, where it correlates with histological measures of bone formation. Bone alkaline phosphatase (ALP) is a glycoprotein that is found on the surface of osteoblasts. This enzyme reflects the biosynthetic activity of these bone-forming cells. The presence of OC and ALP in the circulation may, therefore, provide a specific chemical index of osteoblastic activity. Objectives: This study was undertaken to estimate the values of serum OC and ALP among patients with RA and healthy control groups and to compare and find out any changes in levels of serum OC and ALP between the study and control groups. Materials and Methods: It was a case–control study done on 76 RA patients and 76 age- and sex-matched healthy individuals. Serum OC and serum ALP values were evaluated among all 76 cases and 76 controls. Serum OC was measured using immunoenzymatric assay and ALP was measured by colorimetric method. Statistical analysis was performed and results were tabulated and analyzed. Results: Mean ± standard deviation of serum OC level is significantly higher (P < 0.001) among cases (18.50 ± 8.72 ng/ml) than controls (9.98 ± 7.68 ng/ml). Similarly, the values of ALP are higher (P < 0.001) among cases (216.22 ± 59.96 IU/L) than controls (164.17 ± 50.70 IU/L). A significantly positive correlation was found between serum OC and serum ALP levels. Patient with the highest mean value of serum OC also has the highest values of ALP. The values of serum ALP and OC levels increase significantly in both early and late stages when compared with control values. Conclusions: A significant difference between the values of serum OC and ALP among cases and controls was seen in the study. Levels of both these parameters are elevated in subjects with RA compared to controls. Furthermore, the levels of serum OC correlated with the levels of serum ALP. This study demonstrates that increased bone formation is associated with RA together with bone resorption.
背景:类风湿性关节炎(RA)是一种病因不明的自身免疫性疾病,主要影响关节。该疾病影响全世界0.5%至1%的成年人。患有这种疾病的女性是男性的两到三倍。骨钙素(OC)是一种长49个氨基酸的小蛋白质。OC是骨中最丰富的非胶原蛋白。OC起源于成骨细胞,并沉积到骨骼中或释放到循环中,在那里它与骨形成的组织学指标相关。骨碱性磷酸酶(ALP)是一种存在于成骨细胞表面的糖蛋白。这种酶反映了这些骨形成细胞的生物合成活性。因此,循环中OC和ALP的存在可以提供成骨细胞活性的特定化学指标。目的:本研究旨在评估RA患者和健康对照组的血清OC和ALP值,并比较研究组和对照组之间血清OC和ALP水平的变化。材料和方法:这是一项病例对照研究,对76名RA患者和76名年龄和性别匹配的健康个体进行了研究。测定76例患者和76例对照组的血清OC和ALP值。用免疫酶法测定血清OC,用比色法测定ALP。进行统计分析,并将结果制成表格进行分析。结果:患者血清OC水平的平均±标准差(18.50±8.72 ng/ml)显著高于对照组(9.98±7.68 ng/ml) (P < 0.001)。ALP值(216.22±59.96 IU/L)高于对照组(164.17±50.70 IU/L) (P < 0.001)。血清OC与ALP水平呈显著正相关。血清OC均值最高的患者ALP值也最高。与对照组相比,早期和晚期血清ALP和OC水平均显著升高。结论:本研究发现病例与对照组血清OC和ALP值有显著差异。与对照组相比,RA患者这两个参数的水平都升高。此外,血清OC水平与血清ALP水平相关。本研究表明骨形成增加与RA及骨吸收有关。
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引用次数: 0
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International Journal of Medical Science and Public Health
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