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An autopsy study of ligature mark in 634 cases of suicidal hanging 634例自杀上吊尸体的勒痕解剖研究
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.031
D. Rao
In All Cases of Suspension Deaths, The Study of Ligature Mark form the Important Aspect of External Examination During Autopsy. The Character of Ligature Mark of Self Suspension is not well-defined. To Understand the Characteristic features of Ligature Marks in suicidal Hanging. The parameters studied were gender of victim, Knot Type and Its Position, the ligature mark with reference to its site, level, number, continuity and its Shape. Only Suicidal Hanging were included in the study. In Partial Hanging, The Major Position of the Ligature Mark, in 86% [n-153] cases was across the Thyroid Cartilage and was Nearly Horizontal in the Front. Wheras, In Complete Hanging Majority of the Ligature Mark, 92% [n-420], were situated above the Thyroid Cartilage. In 81% [n-369] of cases of Complete Hanging and 73% [n-130] of Partial Hanging, the Ligature Mark was Incomplete. In 38% [n-68] of Partial Hanging the Ligature Mark was Limited to the Front of the Neck whereas in 13% [n-59] of Complete Hanging it was limited to the Front of Neck. The Petechial Hemorrhages in Ligature Mark due to Complete hanging were Absent. A Slip Knot was used on 97.73% [n-620] of suspensions. In 78% [n-494] of Suspension the Position of the Knot was situated over the [Typical Hanging] Nape of Neck. This Study Highlights the Importance of Characteristic Features of Ligature Mark in Suicidal Hanging, with particular reference to Complete and Incomplete Hanging. The High Number of Cases Studied adds up to the Relevance of the Study.
在所有悬吊死亡案例中,结扎痕迹的研究是尸检过程中外部检查的重要方面。自吊绳纹的性质不明确。了解自杀上吊时的勒痕特征。研究的参数包括受害者的性别、结的类型和位置、结的位置、水平、数量、连续性和形状。只有自杀上吊被纳入研究。在部分悬吊中,86% [n-153]病例的结扎痕迹主要位于甲状软骨,前方接近水平。然而,在完全悬挂中,大部分结扎痕迹(92% [n-420])位于甲状软骨上方。在81% [n-369]的完全悬吊和73% [n-130]的部分悬吊病例中,结扎痕迹不完整。在部分悬挂的38% [n-68]中,勒痕局限于颈部前部,而在完全悬挂的13% [n-59]中,勒痕局限于颈部前部。未见结扎痕处因完全悬吊所致的点状出血。97.73% [n-620]的悬架采用滑结。在78% [n-494]的悬吊中,结的位置位于颈部的[典型悬挂]颈背之上。本研究强调了自杀上吊的特征特征,特别是完全上吊和不完全上吊的重要性。研究的案例数量之多说明了这项研究的相关性。
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引用次数: 0
To study the influence of stress level with obesity in medical students of India 目的:研究压力水平对印度医科学生肥胖的影响
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.032
Swati Sonawane, Hritika Sharma, T. Tetarbe
Stress and Obesity are two highly prevalent conditions present in the society, incidence of which are escalating worldwide. Medical education is taxing and tends to bring psychological stress. Eating has been recognized as a coping mechanisms for dealing with emotions and alleviating stress. There is a vicious cycle of stress-obesity-stigma-stress. To study the prevalence of stress levels and obesity in the medical studentsA cross-sectional study was conducted among medical students of age group 18-30 yrs of Dr. D.Y. University, School of Medicine, Nerul, India. After the approval of the Institutional Ethical Committee, data was collected from 500 students by using a validated, self-administered questionnaire. Utmost care was taken to maintain the privacy and confidentiality. Waiver consent was taken from students who had participated voluntarily in the study. The data collected was coded and entered in Microsoft Excel and analyzed using SPSS version 17.0 software. Descriptive statistics was used for data analysis and the data was represented in the form of percentages, mean.The prevalence of overweight and obesity in medical students was found to be 36.8 % (184) and 11.1 % (55) respectively. Prevalence of overweight and obesity was comparatively higher in males 48.3% and 11.5% than in females 30.1% and 10.6%. 45.6% (228) study participants perceived their stress level to be high and 30.8% (154) as medium. Among the study participants who perceives their stress level as high (n=228), 39.04% (89) were overweight and 18.86% (43) were obese. Developing innovative and effective strategies for managing stress in medical students is the need of the hour. Aggressive management can delay the onset and progression of obesity, and prevent complications.
压力和肥胖是社会上两种非常普遍的疾病,其发病率在世界范围内呈上升趋势。医学教育是繁重的,往往会带来心理压力。吃已经被认为是一种处理情绪和缓解压力的应对机制。这是一个压力-肥胖-耻辱-压力的恶性循环。为了研究医学生的压力水平和肥胖的流行程度,我们对印度Nerul医学院Dr. D.Y.大学18-30岁的医学生进行了一项横断面研究。经机构伦理委员会批准后,通过使用有效的自我管理问卷从500名学生中收集数据。我们采取了最大的措施来保护隐私和保密。弃权同意书来自自愿参加研究的学生。收集的数据在Microsoft Excel中进行编码和录入,并使用SPSS 17.0版软件进行分析。采用描述性统计进行数据分析,数据以百分比、平均值的形式表示。医学生超重和肥胖患病率分别为36.8%(184)和11.1%(55)。超重和肥胖患病率男性为48.3%和11.5%,女性为30.1%和10.6%。45.6%(228人)的研究参与者认为他们的压力水平高,30.8%(154人)认为他们的压力水平中等。在认为自己压力水平较高的研究参与者(n=228)中,39.04%(89)人超重,18.86%(43)人肥胖。制定创新和有效的策略来管理医学生的压力是当前的需要。积极的管理可以延缓肥胖的发生和发展,并预防并发症。
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引用次数: 0
An analytical study of decomposed bodies during forensic autopsies 法医解剖过程中对腐烂尸体的分析研究
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.030
D. Rao
Decomposition is a Physico Chemical Changes are Naturally Occurring in the Dead Bodies, however there are many Human Factors which Facilitate the Process of Decomposition posing a Challenge to the forensic Pathologist in Identifying the cause of death and Manner of Death. To understand the Factors Responsible for Decomposition of Bodies and the Challenges posed to forensic pathologist from Decomposition of Bodies. This is a Retrospective Study done on Decomposed Bodies referred for Autopsy, in Two Regions, Jamaica and India ,over a period of Twelve years on 620cases. A Total of 620 cases of Decomposed bodies were Referred during this period of study out of 7456 cases. MalesContributed to 82.6%[n-512] of Decomposition cases. Maximum cases reported were in the 5th to 6th Decade.62.9% of the bodies were recovered from their pace of residence and they were lonely living individuals. in 88.4% of cases the Cause of Death was Natural. In 55.8% cases the Cause of Death were Undetermined due to effects of Decomposition. In 50.6% of Cases the Bodies showed Advanced Stage of Decomposition.
尸体腐烂是一种自然发生的物理化学变化,但许多人为因素促进了尸体腐烂的过程,这对法医病理学家在确定死因和死亡方式方面提出了挑战。了解导致尸体腐烂的因素及尸体腐烂给法医病理学家带来的挑战。这是对牙买加和印度两个地区的620个病例进行的为期12年的移交尸检的腐烂尸体的回顾性研究。本研究期间共涉及7456例腐烂尸体中的620例。男性占分解病例的82.6%[n-512]。报告病例最多的是在第5至第6个十年,62.9%的尸体从他们居住的地方被发现,他们是孤独的生活个体。88.4%的病例是自然死亡。在55.8%的病例中,由于腐烂的影响,死亡原因无法确定。在50.6%的病例中,尸体表现为晚期腐烂。
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引用次数: 1
The resume 简历
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.034
V. Dhingra, R. Chaudhary, H. Sharma, D. K. Sathpathy
In any case of homicide, proof of corpus delicti is very important, as entirety of corpus and the proof of homicidal death are very essential ingredients for successful prosecution, otherwise due to lack of the vital points the case become weak. Crime scene investigation is very grim in cases where the actual scene of crime is not known. Sometimes the criminal attempt to mislead the investigation by dismembering the victim’s body and disposed it off. The actual crime scene may contain very important clues related to the case but in these types of cases a crime scene investigator may not be able to examine the actual primary scene of crime. Detailed Scientific examination of the secondary location and by putting together seemingly insignificant clues the investigator was able to reconstruct whole sequence of events in the crime and identified the victim and locate all the places and the persons involved in the crime. Present study deals forensic investigation of an important case in which crime was committed at one location and the body parts was disposed off in two different locations.
在任何杀人案中,既成事实的证据都是非常重要的,因为完整的证据和杀人死亡的证据是成功起诉的必要因素,否则由于缺乏关键点,案件就会变得薄弱。在不知道实际犯罪现场的情况下,现场调查是非常严峻的。有时犯罪分子试图通过肢解受害者的尸体并将其处理掉来误导调查。实际的犯罪现场可能包含与案件有关的非常重要的线索,但在这类案件中,犯罪现场调查员可能无法检查实际的主要犯罪现场。通过对第二地点进行详细的科学检查,并将看似无关紧要的线索组合在一起,调查人员能够重建整个犯罪事件的顺序,并确定受害者的身份,确定所有涉及犯罪的地点和人员。本研究涉及一个重要案件的法医调查,其中犯罪发生在一个地点,尸体部位在两个不同的地点被丢弃。
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引用次数: 0
Sternal foramen- Incidence and medico-legal importance 胸骨孔-发生率和法医学重要性
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.029
Rishabh K Singh, S. Duchania, M. Rani
Sternum foramen may be misinterpreted as acquired lesions such as gunshot wound, fracture, lytic lesions, etc. Sternal foramen leaves the lung, heart and large vessels unprotected while performing invasive procedures such as bone marrow aspiration, acupuncture leading to life-threatening complications such as pneumothorax and cardiac tamponade. From a medicolegal perspective, identifying the morphological anomalies or variations of xiphoid process aid in the individualization process by serving as points of similarity when their occurrence has been recorded antemortem. In addition, their antemortem records in the form of previous x rays make important data for skeletonized remains to be identified.The present study was carried using sternal bones removed during autopsy on a total of 350 cases above the age of 30 years and has established aincidence of 6.57% for sternal foramen.Forensic pathologists should be meticulous enough to rule out errors in determining the nature and cause of death in worrying cases as sternal foramen is highly likely to be confused with gun-shot wounds or traumatic antemortem injury.
胸骨孔可能被误解为后天病变,如枪伤、骨折、溶解性病变等。在进行骨髓穿刺、针灸等侵入性手术时,胸骨孔使肺、心脏和大血管不受保护,从而导致危及生命的并发症,如气胸和心脏填塞。从医学法学的角度来看,识别剑突的形态异常或变异有助于个体化过程,因为当它们在死前发生时,它们可以作为相似点。此外,它们生前的x射线记录为鉴定骨骼遗骸提供了重要的数据。本研究使用尸检中取出的胸骨对350例30岁以上的患者进行了研究,胸骨孔的发病率为6.57%。在令人担忧的情况下,法医病理学家在确定死亡性质和原因时应该足够细致,以排除错误,因为胸骨孔极有可能与枪伤或创伤性死前损伤混淆。
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引用次数: 0
Trends of suicide during the COVID-19 pandemic: An autopsy-based study 2019冠状病毒病大流行期间的自杀趋势:一项基于尸检的研究
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.027
A. S. Jiwane, R. Bardale
Suicide is a preventable but major public health problem and it has received greater attention during current corona pandemic. The aim of present autopsy-based study is to analyse the trends of suicide and to provide baseline data so as preventive measures can be implemented to prevent such premature deaths This is a postmortem examination based retrospective study conducted at Department of Forensic Medicine, Government Medical College and Hospital. The study was conducted through March 2020 to March 2021. Total 387 post-mortem examinations were conducted during this period and out of which 126 suicidal deaths were included in the study.: 126 cases were studied and amongst them 76.19% were male and 23.80% were female. The mean age was 39.97 years. Hanging was preferred method for committing suicide followed by poisoning and drowning.: Higher risk for suicide was observed among male. Increase in the number of suicidal deaths during Covid-19 pandemic is of great concern and needs immediate short term and long-term intervention to prevent these deaths.
自杀是一个可预防的重大公共卫生问题,在当前的冠状病毒大流行期间,这一问题受到了更多关注。本研究的目的是分析自杀趋势,并提供基线数据,以便采取预防措施,防止过早死亡。本研究是在政府医学院及医院法医学学系进行的一项以尸体解剖为基础的回顾性研究。该研究将于2020年3月至2021年3月进行。在此期间共进行了387次尸检,其中126例自杀死亡被纳入研究。126例,其中男性76.19%,女性23.80%。平均年龄39.97岁。上吊是自杀的首选方式,其次是投毒和溺水。男性有较高的自杀风险。2019冠状病毒病大流行期间自杀死亡人数的增加令人极为关切,需要立即采取短期和长期干预措施,以防止这些死亡。
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引用次数: 0
Clinical presentation of various APP cases admitted in S.N.M.C., Agra clinical profiling of acute pesticide poisoning (APP) cases admitted in tertiary care hospital of north India 印度北部三级医院急性农药中毒(APP)病例的临床分析
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.028
Richa Gupta, S. Gupta, Mradul Chaturvedi, A. Agrawal
Poisoning is a significant health problem around the world. In India being an agriculture based economy, Pesticide Poisoning contributes largest sum in poisoning cases. The study was conducted in Emergency Department of S.N. Medical College and Hospital, Agra from Sept 2018 to Sept 2019 to investigate Acute Pesticide Poisoning (APP) cases in the region. Majority of cases in our study were from age group of 21-30 yrs with mean age of 28.10 ± 11.38 yrs with male predominance. In This study we found out that APP is 61% of all poisoning cases, out of them maximum cases belongs to OP poisoning which clinically presented with Dyspnea/Tachypnea, Sweating, Vomiting, Abdominal pain . Mortality in APP cases was found to be 10.5%. Although case fatality ratio is highest in cases of celphos (AlP) which most commonly presented with symptoms of Paresthesias, Diarrhea, and Abdominal pain.
中毒是世界范围内的一个重大健康问题。印度是一个以农业为基础的经济体,农药中毒在中毒案件中占最大的份额。该研究于2018年9月至2019年9月在阿格拉S.N.医学院急诊科进行,调查该地区急性农药中毒(APP)病例。本组病例以年龄21 ~ 30岁为主,平均年龄28.10±11.38岁,男性居多。本研究发现APP中毒占全部中毒病例的61%,其中以OP中毒最多,临床表现为呼吸困难/呼吸急促、出汗、呕吐、腹痛。APP病例的死亡率为10.5%。虽然病死率最高的是celphos (AlP),它最常见的症状是感觉异常、腹泻和腹痛。
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引用次数: 0
Analysis of undiagnosed neoplasms identified at post-mortem: A descriptive study 死后发现的未确诊肿瘤的分析:一项描述性研究
Pub Date : 2022-01-15 DOI: 10.18231/j.ijfmts.2021.033
Zini Chaurasia, S. Agarwal, Renu Gupta, Cheta Singh, Dishant Kumar Malik
Autopsy which is also known as post-mortem examination has been derived from the greek term “autopsia” meaning “to see for one self”. Autopsies performed by the forensic medicine specialists are followed by histopathological examination of various concerned organs for underlying cause of death. histopathological examination of various organs thus always present an interesting plethora of unsuspected findings. These findings could have been present ante mortem with symptoms or completely asymptomatic. The undetectable lesions could have contributed to the death of the person. There fore the alertnesss and inquisitiveness of a pathologist while examining the autopsy cases can contribute significantly towards the subject of pathology and also serve as a learning process for the clinician to establish clinicopathological correlations. This study has been conducted with the following aims & objectives in mind:To analyse the neoplastic lesions detected incidentally on histopathology and correlate with the symptoms if any present ante mortem. Settings and design: this is a retrospective, descriptive study done in the department of pathology, dr. bsa hospital, delhi.A retrospective study of medicolegal autopsies for five years was undertaken in a tertiary care centre to analyse the tumors incidentally detected on histopathological examination. Autopsy records of 663 cases were reviewed and cases where a histopathological diagnosis of tumor was given were included in our study. Gross and histopathologic findings were noted and the salient features were studied. Clinical data of these cases were noted in detail from the forensic post mortem records and tabulated. This study includes 12 cases of tumor out of 663 cases. Most common benign tumor was leiomyoma and most common malignant tumor was adenocarcinoma. An interesting case of hodgkins lymphoma in spleen and liver was also documented. A single case of meningioma, squamous cell carcinoma metastasis to heart and astrocytic tumor were noted.This study highlights the various undetected tumors both benign and malignant. This study also gives a perspective to correlate ante mortem findings with post mortem findings to the clinician and pathologist.
尸检也被称为验尸后检查,来源于希腊语“autopsia”,意思是“自己看”。法医专家进行尸检后,对各种有关器官进行组织病理学检查,以确定潜在的死亡原因。因此,各种器官的组织病理学检查总是呈现出许多意想不到的有趣发现。这些发现可能在死前就有症状或完全无症状。无法检测到的病变可能导致患者死亡。因此,病理学家在检查尸检病例时的警觉性和好奇心可以对病理学主题做出重大贡献,也可以作为临床医生建立临床病理相关性的学习过程。本研究的目的和目的如下:分析在组织病理学上偶然发现的肿瘤病变,并与死前出现的症状联系起来。环境与设计:这是一项回顾性、描述性研究,在德里bsa医生医院病理部门完成。在一个三级保健中心进行了一项为期五年的法医尸检回顾性研究,以分析在组织病理学检查中偶然发现的肿瘤。我们回顾了663例的尸检记录,并将组织病理学诊断为肿瘤的病例纳入我们的研究。我们记录了大体和组织病理学的发现,并研究了其显著特征。从法医验尸记录中详细记录了这些病例的临床数据并将其制成表格。本研究纳入663例肿瘤中的12例。最常见的良性肿瘤是平滑肌瘤,最常见的恶性肿瘤是腺癌。一个有趣的病例霍奇金淋巴瘤在脾脏和肝脏也被记录。报告脑膜瘤、鳞状细胞癌转移至心脏及星形细胞瘤1例。这项研究强调了各种未被发现的良性和恶性肿瘤。该研究也为临床医生和病理学家提供了将死前发现与死后发现相关联的观点。
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引用次数: 0
Fatal road traffic collisions-An autopsy based study 致命的道路交通碰撞——基于尸体解剖的研究
Pub Date : 2021-09-15 DOI: 10.18231/j.ijfmts.2021.024
D. Rao
The Deaths due to Road Traffic Collision has become a Major Public Health issue, hence Understanding the Deaths and the Factors involved is important to prevent Fatalities and at the same time Prevent Road Traffic Collision in General. The present Study is a Retrospective Study conducted during the period 2013 to November 2020. Road Traffic Accidents constituted 39.35%[n-1168] of the Cases. Males formed the Majority of the Victims contributing to 83.04% of the cases. Majority of the Victims were I the age group 31-40 years, consisting of 422 victims. The least Age Group affected were those below the age 10years and those individuals above the age 70years. Light Motor Vehicle were the Major Contributor to the Accidents, contributing to 46.40%[n-542] of the cases. Head and Neck was the Major region affected in 795 cases. The Maximum Fatality reported were due to Head or Craniocerebral Injuries in 87% of the cases. Abrasions were Present in all the Victims. Majority of the Deaths were due to Traumatic Shock reported in on the Spot Deaths or Brought Dead Victims in 35.45% [n-414] cases. The commonest Cause of Death reported after 07days of Treatment, were Septicemia, Lung infections, Peritonitis, Coma. Craniocerebral Injuries were the Main Contributors to Fatality in 87% of Accidents. Majority of Deaths were due to Traumatic Shocks due to Multiple injuries involved. Importance of Emergency Care is well understood in this study.
道路交通碰撞造成的死亡已成为一个主要的公共卫生问题,因此,了解死亡人数及其相关因素对预防死亡和预防道路交通碰撞非常重要。本研究是2013年至2020年11月期间进行的回顾性研究。道路交通事故占39.35%[n-1168]。男性占受害者的大多数,占83.04%。大多数受害者年龄在31-40岁之间,共有422名受害者。受影响最小的年龄组是10岁以下的人和70岁以上的人。轻型车是交通事故的主要原因,占46.40%[n-542]。头颈部是795例病例中受影响的主要区域。87%的病例报告的最大死亡是由于头部或颅脑损伤。所有受害者身上都有擦伤。在35.45% [n-414]的病例中,现场死亡或带来死亡的受害者报告的大多数死亡是由于创伤性休克。治疗7天后报告的最常见死亡原因是败血症、肺部感染、腹膜炎、昏迷。在87%的事故中,颅脑损伤是导致死亡的主要原因。大多数死亡是由于多处受伤造成的创伤性休克。在这项研究中,急救的重要性得到了很好的理解。
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引用次数: 0
Study on pattern of medicolegal cases in casualty of government medical college KolhapurMaharashtra 马哈拉施特拉邦公立医学院伤病案模式研究
Pub Date : 2021-09-15 DOI: 10.18231/j.ijfmts.2021.017
N. Jagtap, M. Patekar
Medico-legal case is any quite case where the accompanying registered medical practitioners (RMP), after obtaining a detail history and examining the patient, thinks that some investigation or procedure by law enforcement agencies is required to establish and the responsibility for the case in accordance with the law or legal ground. This study is run to hunt out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to spotlight the vulnerable gender, age, residence and the cause. This is often retrospective study during which all the MLC cases registered in MLC record during a period of two years (1 January 2018– 31 December 2020) were included. Non medico-legal were excluded. Variables such as gender, age, time period between injury and reporting to casualty, were considered Findings were expressed in numbers and percentages. The total 2450 cases were registered as “medico-legal” out of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age bracket of 21-30 years i.e., 905 (36.93%). Most of the medico-legal cases registered were because of road traffic accidents 1154 (47.10%), fall (41.5%), and assault (6.73%) snake bite (6.4%), poisoning (14.81%)
医学-法律案件是指伴随的注册医生(RMP)在获得详细的病史并对患者进行检查后,认为需要执法机构进行一些调查或程序,以根据法律或法律依据确定案件的责任的任何案件。开展这项研究是为了查明三级保健医院报告的医疗法律案件的频率和模式,并突出弱势群体的性别、年龄、居住地和原因。这通常是回顾性研究,包括两年内(2018年1月1日至2020年12月31日)在MLC记录中登记的所有MLC病例。非医学法律的除外。考虑了性别、年龄、受伤和报告伤亡之间的时间间隔等变量。研究结果以数字和百分比表示。共有2450例登记为"医学-法律",其中1866例(79.4%)为男性,484例(20.6%)为女性。21 ~ 30岁年龄组最多,905例(36.93%)。其中,以道路交通事故1154起(47.10%)、摔伤(41.5%)、殴打(6.73%)、蛇咬伤(6.4%)、中毒(14.81%)为主。
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引用次数: 0
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IP International Journal of Forensic Medicine and Toxicological Sciences
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