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Whole task simulation in surgical training: A hybrid method of teaching undergraduate medical students 外科培训中的全任务模拟:医科本科生混合教学法
Pub Date : 2023-11-30 DOI: 10.34172/rdme.2023.33129
Caren D’Souza, Supriya Pinto
Background: The current Competency-Based Medical Education (CBME) curriculum practiced in India accentuates that medical graduates must demonstrate competency in safely diagnosing, investigating, and managing clinical presentations across both community and secondary care settings. Therefore, there is a need for more hybrid teaching methods that simulate real situations. This approach will help newly qualified doctors gain confidence and prepare them for the future. We used the whole task simulation method to teach them one of the most common surgical problems i.e., breast cancer along with communication skills, professionalism, Interprofessional teamwork, asepsis, and safe surgery practices. Methods: The study enrolled 20 final-year MBBS students through purposeful sampling. Following classroom-based teaching on a Breast case, a simulated scenario was given, based on SECO (The Safe and Effective Clinical Outcome) design, and was modified with the addition of a simulated operating room setup. History taking, examination, ordering investigations and interpreting them, pre-operative counseling and consent and operation theatre scenario was done using standardized patient and mannequins. Pre- and post-simulation survey was conducted. Quantitative data were collected through Google Forms to assess their conceptual knowledge and qualitative data by Focused group discussions. Results: Students preferred a shift to this hybrid method of learning in a simulated environment over classical classroom-based teaching. They all felt that getting involved in a real-life situation helps in understanding surgical management better. They also understood the concept of teamwork and effective communication. "I feel it’s the best way to learn clinical medicine. No amount of literature could ever replace the knowledge we get from being in the scenario", was one of the responses given by the participants. Conclusion: Integration of surgical simulated clinics along with the operation room (OR) set up into the undergraduate curriculum could facilitate the acquisition of clinical skills actively and interactively. Such a hybrid method of teaching is an effective tool for teaching communication skills, professionalism, interprofessional teamwork along clinical skills.
背景:印度目前实施的能力本位医学教育(CBME)课程强调,医学毕业生必须在社区和二级护理环境中展示安全诊断、调查和管理临床表现的能力。因此,需要更多模拟真实情况的混合教学方法。这种方法将帮助新获得资格的医生增强信心,为未来做好准备。我们采用整体任务模拟法,向他们传授最常见的外科问题之一,即乳腺癌,以及沟通技巧、职业精神、跨专业团队合作、无菌操作和安全手术操作。研究方法研究通过有目的的抽样调查,招收了 20 名医学学士学位毕业班学生。在乳腺病例的课堂教学后,根据 SECO(安全有效的临床结果)的设计,提供了一个模拟场景,并增加了模拟手术室的设置。使用标准化病人和人体模型进行病史采集、检查、开检查单和解释、术前咨询和同意以及手术室情景模拟。进行了模拟前和模拟后调查。通过谷歌表格收集定量数据以评估他们的概念性知识,并通过焦点小组讨论收集定性数据。结果:与传统的课堂教学相比,学生们更喜欢在模拟环境中转变这种混合学习方法。他们都认为,参与到真实环境中有助于更好地理解外科手术管理。他们还理解了团队合作和有效沟通的概念。"我觉得这是学习临床医学的最佳方式。再多的文献资料也无法取代我们从情景中获得的知识",这是学员们的回答之一。结论将外科模拟诊所和手术室(OR)设置纳入本科课程,可促进学生积极主动地学习临床技能。这种混合教学方法是传授沟通技巧、专业精神、跨专业团队合作以及临床技能的有效工具。
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引用次数: 0
Application of rapid qualitative methods in difficult conditions of an epidemic with emphasis on conceptual framework 在流行病的困难条件下应用快速定性方法,重点是概念框架
Pub Date : 2023-11-20 DOI: 10.34172/rdme.2023.33155
Mohammad Abbaszadeh, M. Alizadeh, Esmaeil Norouzi, Sakineh Heydarpour Marand, F. Tahmasbi
Background: The world today is fraught with numerous perils, particularly due to frequent epidemics that inordinately impact people’s lives. Given such ongoing global crises, universities need to take into account the challenges that their research activities may encounter. Therefore, we aimed to conduct a thorough and rapid study of the causes and consequences of emergencies to overcome the methodological challenges that such crises impose. Methods: A literature review. Results: The effects of these social and epidemiological complications on academic and research practices have made scholars adapt their research approaches to the challenging and restrictive conditions of emerging societies in the postmodern epidemic and risk society. This has accentuated the importance of innovative approaches like team-based qualitative research. Conclusion: This research introduces a team-based, rapid qualitative approach to deliver timely, useful, and pertinent findings. It accentuates the feasibility of employing swift and urgent methods in challenging epidemic settings.
背景:当今世界危机四伏,尤其是流行病频发,给人们的生活造成了极大的影响。鉴于这种持续的全球性危机,大学需要考虑到其研究活动可能遇到的挑战。因此,我们旨在对突发事件的原因和后果进行全面、快速的研究,以克服此类危机所带来的方法论挑战。研究方法文献综述。结果:这些社会和流行病并发症对学术和研究实践的影响使学者们调整了他们的研究方法,以适应后现代流行病和风险社会中新兴社会所面临的挑战和限制条件。这凸显了以团队为基础的定性研究等创新方法的重要性。结论:这项研究引入了以团队为基础的快速定性研究方法,以提供及时、有用和相关的研究结果。它强调了在具有挑战性的流行病环境中采用快速、紧急方法的可行性。
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引用次数: 0
Internet gaming disorder in medical students: Is it a risk factor for poor educational outcomes? 医学生的网络游戏障碍:它是导致不良教育结果的风险因素吗?
Pub Date : 2023-11-15 DOI: 10.34172/rdme.2023.33128
Negar Emrani, Majid khadem-Rezaiyan
Background: Today, computer games have taken a prominent place in the lives of children and teenagers, and statistics indicate that online gaming constitutes the majority of computer usage. Numerous studies have explored the detrimental effects of internet gaming on individuals. However, to date, no comprehensive research has been conducted specifically investigating the effect of online gaming on academic performance within a medical education context. To address this gap, we have conducted this study, focusing on the impact of online gaming on the academic performance of Iranian medical students. Methods: In a cross-sectional study, 185 medical students from four disciplines ((basic sciences, Physiopathology, extern, intern) were selected through a multi-stage sampling method at Mashhad University of Medical Sciences. Internet gaming disorder (IGD) test as well as the grade point average (GPA) of the last academic semester, the average study hours on normal days and near the exam, the efficiency of study hours, the number of failed semesters, and academic satisfaction were assessed. Results: In this study, a total of 185 medical students participated, of which 62.2% (115 students) were females. The prevalence of IGD was found to be 3.8%. Interestingly, the prevalence of IGD was approximately four times higher in males than in females (7.1% vs. 1.7%, P=0.106). Furthermore, both the overall daily study time (P<0.001) and the daily study time on days near exams (P=0.031) were found to be significantly higher in students without IGD compared to those with IGD. However, factors such as age, gender, being native to Mashhad, discipline level, last GPA, number of failed semesters, and satisfaction with education showed no correlation with IGD. Conclusion: These findings may serve as a cautionary signal for educational authorities within the Iranian medical education system. However, to obtain more robust results, further investigations are recommended, particularly in other academic majors.
背景:如今,电脑游戏在儿童和青少年的生活中占据了重要位置,统计数据表明,网络游戏占电脑使用量的绝大部分。许多研究都探讨了网络游戏对个人的有害影响。然而,迄今为止,还没有专门针对医学教育背景下网络游戏对学习成绩影响的综合性研究。为了填补这一空白,我们开展了这项研究,重点研究网络游戏对伊朗医科学生学习成绩的影响。研究方法在一项横断面研究中,我们通过多阶段抽样方法选取了马什哈德医科大学四个学科(基础科学、生理病理学、外科医生、实习医生)的 185 名医学生。调查内容包括网络游戏障碍(IGD)测试、上一学期平均绩点(GPA)、平时和临近考试时的平均学习时间、学习时间效率、不及格学期数和学习满意度。结果本研究共有 185 名医学生参加,其中 62.2%(115 名学生)为女生。发现IGD的发病率为3.8%。有趣的是,男生的 IGD 患病率约为女生的四倍(7.1% 对 1.7%,P=0.106)。此外,与患有 IGD 的学生相比,未患 IGD 的学生的总体每日学习时间(P<0.001)和临近考试日的每日学习时间(P=0.031)均明显较多。然而,年龄、性别、马什哈德本地人、学科水平、最后平均学分绩点、不及格学期数和对教育的满意度等因素与 IGD 没有相关性。结论这些发现可为伊朗医学教育系统内的教育当局提供一个警示信号。不过,为了获得更可靠的结果,建议进行进一步调查,尤其是在其他学科专业。
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引用次数: 0
Analysis of the educational needs for English in pharmacy: The perspectives of Pharmacy School lecturers and students 药剂学英语教育需求分析:药学院讲师和学生的观点
Pub Date : 2023-11-11 DOI: 10.34172/rdme.2023.33092
Hamid Mahmoodi, M. Fathalipour, MohammadHosein Sheybani-Arani, A. Piroozan
Background: Science is constantly advancing, and educational content must be updated accordingly to meet students’ academic needs. This study aimed to assess the educational needs of both students and instructors for English in pharmacy. Methods: This qualitative study included a sample of 65 junior pharmacy students and a total of 11 pharmacy lecturers at Hormozgan University of Medical Sciences during the academic year 2020-2021. The students were selected using purposive sampling methods while the lecturers were selected through consensus sampling. Based on previous studies analyzing the educational needs of ESP and through verbal communication with students, an interview protocol was developed. Data were collected through structured interviews with the participants, and the findings were presented using descriptive statistics. Results: The lecturers believed that reading comprehension is the most crucial skill, followed by writing, speaking, and listening, respectively. However, students mentioned that the need for speaking skills is almost as important as the need for other skills. They expressed their enthusiasm for communicating verbally in specific contexts, such as scientific conferences, highlighted the need for learning pharmacy terminology, academic writing skills, prescription abbreviations, and medical terminology, respectively. The participants in our course anticipate that it will be co-facilitated by TEFL specialists and pharmacists." Conclusion: Both language instructors and pharmacists should take immediate action to advance Pharmacy ESP. Reading comprehension is a crucial skill for this course. Writing skills can be improved through educational workshops. The prerequisite and general English syllabi should be enriched with a focus on speaking skills or extracurricular courses should be devoted to developing students’ competencies. In this manner, the listening skills will be improved as well.
背景:科学在不断进步,教育内容也必须随之更新,以满足学生的学习需求。本研究旨在评估学生和教师对药学英语的教育需求。研究方法这项定性研究的样本包括霍尔木兹甘医科大学 2020-2021 学年的 65 名药学专业大三学生和 11 名药学专业讲师。学生是采用目的性抽样方法选出的,而讲师则是通过共识抽样选出的。根据以往对 ESP 教育需求的分析研究,并通过与学生的口头交流,制定了访谈协议。通过对参与者进行结构化访谈来收集数据,并使用描述性统计来呈现调查结果。结果讲师们认为阅读理解是最关键的技能,其次分别是写作、口语和听力。然而,学生们提到,对口语技能的需求几乎与对其他技能的需求同等重要。他们表达了在科学会议等特定场合进行口头交流的热情,分别强调了学习药学术语、学术写作技巧、处方缩写和医学术语的必要性。参加我们课程的学员预计,该课程将由 TEFL 专家和药剂师共同主持"。结论:语言教师和药剂师都应立即采取行动,推进药学 ESP 的发展。阅读理解是这门课程的关键技能。写作技巧可以通过教育讲习班来提高。应丰富先修课程和通用英语课程大纲,将重点放在口语技能上,或专门开设课外课程来培养学生的能力。这样,听力技能也会得到提高。
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引用次数: 0
The need for medical disciplines to be inspired by the basics of medical education during the COVID-19 pandemic 在 COVID-19 大流行期间,医学学科需要从医学教育的基础知识中得到启发
Pub Date : 2023-11-08 DOI: 10.34172/rdme.2023.33125
Eshagh Moradi, Ghobad Ramezani
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引用次数: 0
Online medical teaching during COVID-19 lockdown: perceptions by the South-Indian Faculty COVID-19封锁期间的在线医学教学:南印度学院的看法
Pub Date : 2023-10-30 DOI: 10.34172/rdme.2023.33110
Pratima M. Bhutkar, Suganthi Vajiravelu, Milind V. Bhutkar, Deepti Shastri
Background: The nationwide lockdown following the COVID-19 pandemic tremendously impacted the medical teaching-learning process. This study aimed to assess medical teachers’ perceptions about various aspects of online teaching-learning during the lockdown. Methods: A survey questionnaire was developed using Google Forms and emailed to medical teachers in India. Responses were analyzed and their significance was assessed using a chi-square test with an alpha of 0.05. Results: Out of 294 eligible responses, 70% belonged to deemed universities. 42.86% of teachers were preclinical, 23.81% paraclinical and 33.33% belonged to clinical subjects. Overall, 93.88% of faculty felt online teaching is time-consuming and 92.52% felt face-to-face classes are better. Almost 52% of faculties were reluctant to continue online classes after the lockdown. Approximately 53% of teachers believed that the maximum number of students would have utilized this facility, but still, a significant number of teachers were uncertain whether students would have benefited this activity. A significantly greater number of preclinical and paraclinical teachers conducted both theory and practical examinations as well as viva examinations, whereas clinical teachers primarily conducted theory examinations. Only 21.77% of teachers were satisfied with the conduct of examinations. Conclusion: Medical teachers have adapted themselves to teaching online during the COVID-19 pandemic. Google Classroom was the most preferred platform and live synchronous classes were the most preferred choice for delivering the classes. Most of the faculty perceived that online teaching was time-consuming. They were skeptical about the active involvement of students in this process. Moreover, they felt that the reliability of online assessments needed improving.
背景:新冠肺炎大流行后,全国范围内的封锁极大地影响了医学教学过程。本研究旨在评估医学教师对封锁期间在线教学的各个方面的看法。方法:利用谷歌表格制作调查问卷,并通过电子邮件发送给印度的医学教师。对反应进行分析,并采用卡方检验评估其显著性,alpha为0.05。结果:在294份合格回复中,70%属于被认定的大学。42.86%的教师为临床前教师,23.81%为临床教师,33.33%为临床教师。总体而言,93.88%的教师认为在线教学耗时长,92.52%的教师认为面对面的教学更好。封锁后,近52%的学院不愿继续在线授课。大约53%的教师认为最大数量的学生会利用这个设施,但仍然有相当数量的教师不确定学生是否会受益于这个活动。临床前和临床旁教师同时进行理论和实践考试以及现场考试的比例明显高于临床教师,而临床教师主要进行理论考试。只有21.77%的教师对考试的进行感到满意。结论:新冠肺炎疫情期间,医学教师适应了在线教学。Google教室是最受欢迎的平台,实时同步课程是最受欢迎的课程交付平台。大多数教师认为在线教学很耗时。他们对学生积极参与这一过程持怀疑态度。此外,他们认为在线评估的可靠性需要改进。
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引用次数: 0
Burnout and professional commitment in medical faculty students in Türkiye: A cross-sectional analysis <s:1>基耶医学院学生职业倦怠与专业承诺:一项横断面分析
Pub Date : 2023-10-26 DOI: 10.34172/rdme.2023.33127
Gamze Özbek Güven, Feyza İnceoğlu, Furkan Özdemir, Osman Sinan Bakır
Background: Burnout is a stress-related syndrome that affects medical students. Certain environmental and personal factors can contribute to the onset of burnout and lead to serious consequences such as dropping out of school, sleep disorders, depression, and even suicide. Professional commitment is a personal characteristic that positively influences burnout. Methods: This research was conducted to determine the differentiation of burnout levels among medical school students based on certain variables and examine the impact of professional commitment on burnout. The research sample consisted of a total of 130 individuals studying of Medical Faculty in Türkiye. Descriptive and correlational research techniques, including survey models, were utilized in the study. Data were collected through online platforms and face-to-face surveys. The collected data were analyzed using the SPSS program. Results: The research findings revealed that male students had higher depersonalization scores than female students (P<0.05). Emotional exhaustion and depersonalization scores were found to be higher among students with poor academic performance (P<0.017), those who did not choose medical school willingly (P<0.017), and those who chose medical school due to family pressure (P<0.05). Among female students, those who chose medical school willingly and those who chose it as their dream profession had higher scores of professional commitment. As professional commitment scores increased, burnout scale scores and their subscales, including exhaustion, depersonalization, and reduced personal accomplishment, decreased (P<0.05). Conclusion: The findings of the study indicate a relationship between professional commitment and burnout, suggesting that professional commitment can reduce burnout levels. This highlights the importance of increasing the level of professional commitment among medical students, who are future physicians. Strengthening students’ commitment to their profession can decrease the risk of burnout and improve the quality of healthcare services.
背景:职业倦怠是一种影响医学生的压力相关综合征。某些环境和个人因素可能会导致倦怠,并导致严重的后果,如辍学、睡眠障碍、抑郁甚至自杀。职业承诺是一种积极影响职业倦怠的个人特征。方法:本研究在一定变量的基础上,确定医学生职业倦怠水平的差异,并考察职业承诺对职业倦怠的影响。本研究样本由在基耶医学院学习的130名个人组成。描述性和相关性研究技术,包括调查模型,在研究中被使用。通过在线平台和面对面调查收集数据。收集的数据使用SPSS软件进行分析。结果:研究发现男生人格解体得分高于女生(P<0.05)。学业成绩差的学生(P<0.017)、非自愿选择医学院的学生(P<0.017)和因家庭压力选择医学院的学生(P<0.05)的情绪耗竭和人格解体得分较高。在女学生中,自愿选择医学院和将其作为梦想职业的女学生的专业承诺得分更高。随着职业承诺得分的增加,倦怠量表得分及其子量表倦怠、人格解体和个人成就感降低均呈下降趋势(P<0.05)。结论:本研究结果提示职业承诺与职业倦怠之间存在一定的关系,表明职业承诺可以降低职业倦怠水平。这突出了提高医学生的专业承诺水平的重要性,他们是未来的医生。加强学生对其专业的承诺可以减少倦怠的风险,提高医疗保健服务的质量。
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引用次数: 0
Tapping into excellence: India’s family adoption program in medical education 追求卓越:印度医学教育中的家庭收养项目
Pub Date : 2023-10-22 DOI: 10.34172/rdme.2023.33144
Mandar Chandrachood, Shreyash Mehta
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引用次数: 0
Coping self-efficacy and its contributing factors among medical students at Tabriz University of Medical Sciences 大不里士医科大学医学生应对自我效能感及其影响因素
Pub Date : 2023-10-21 DOI: 10.34172/rdme.2023.33124
Amin Abbasi, Mahdi Zarei, Dourna Omranifar, Mahya Mohammadi, Mahasti Alizadeh, Ebrahim Mohammadpour
Background: The COVID-19 pandemic declaration in 2019 required schools and universities to close, challenging students and their education. The mandatory stay-at-home quarantine rules and change to online education accentuate how mental health plays a crucial role in maintaining performance during challenging times. Coping self-efficacy (CSE) is associated with higher mental health levels and resilience to distress. Therefore, this study aimed to evaluate students’ CSE and related factors. Methods: In this cross-sectional study, CSE scores and demographic characteristics of the participants were evaluated through online questionnaires. A total of 364 medical students from Tabriz University Medical Sciences completed the questionnaires and were included in the study. CSE scores of students and their demographic characteristics were obtained, and the analysis was performed using a t-test and one-way ANOVA. Results: Of those included, 37.1% were males and the mean CSE score of the students was 83.75±24.8. Students’ type of residence was found to be significantly related to their CSE scores (P=0.003). Students living with their spouses had the highest CSE scores, while those living with their parents had the lowest CSE scores. The association of CSE scores with gender, marital status, academic year of study, and source of income was not significant. Conclusion: According to the findings of this study, students living with their parents had the lowest CSE scores. CSE plays a crucial role in managing distressful events, and our findings may be useful in identifying groups prone to stressful factors and help enhance future educational policies and planning.
背景:2019年宣布COVID-19大流行要求学校和大学关闭,这对学生和他们的教育构成了挑战。强制性居家隔离规定和在线教育的变化凸显了心理健康在挑战时期保持表现方面的关键作用。应对自我效能(CSE)与较高的心理健康水平和对痛苦的适应能力有关。因此,本研究旨在评估学生的CSE及其相关因素。方法:在横断面研究中,通过在线问卷评估参与者的CSE得分和人口学特征。来自大不里士大学医学院的364名医学生完成了问卷调查,并被纳入研究。获得学生CSE成绩及其人口学特征,采用t检验和单因素方差分析进行分析。结果:男性占37.1%,学生CSE平均分(83.75±24.8)。学生的居住类型与CSE成绩显著相关(P=0.003)。与配偶同住的学生的CSE分数最高,而与父母同住的学生的CSE分数最低。CSE分数与性别、婚姻状况、学年、收入来源的相关性不显著。结论:根据本研究结果,与父母同住的学生的CSE分数最低。CSE在管理痛苦事件中起着至关重要的作用,我们的研究结果可能有助于识别易受压力因素影响的群体,并有助于加强未来的教育政策和规划。
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引用次数: 0
Evaluation Strategies of Iran’s Medical Education Policies 伊朗医学教育政策评价策略
Pub Date : 2023-10-19 DOI: 10.34172/rdme.2023.33100
Hakimeh Ansari, Behnam Talebi
Background: The critical nature of the medical field necessitated an investigation into the evaluation of Iran’s medical education policies. This study aimed to identify strategies for evaluating medical education policies in Iran. Methods: This research, a mixed-method study, was conducted using grounded theory and a cross-sectional survey. Interviews were carried out with 17 individuals, including members of parliament, policymakers, and policy professors, using non-random method methods. Questionnaires were developed from the coded and validated interviews using the triangulation method. A total of 200 individuals were selected for this study. This mixed-method research was conducted using grounded theory and a cross-sectional survey. Interviews were carried out with 17 individuals, including members of parliament, policymakers, and policy professors, using non-random method methods. Questionnaires were developed from the coded and validated interviews using the triangulation method. A total of 200 individuals were selected for this study. Results: The results revealed that the strategies for evaluating medical education policies encompass a range of factors. These include a simultaneous focus on institutional and non-institutional agendas, prioritization of social benefits, implementation of economic strategies, updating of resources and information, precise definition and design of policies, executive strategies, and policy considerations. Conclusion: In the evaluation of policies, it is essential to adopt a community-oriented approach, with a focus on decentralization and public interests. This approach ensures that the objectives and general health needs of the population are met in a reasonable manner.
背景:医学领域的关键性质需要对伊朗医学教育政策的评价进行调查。本研究旨在确定评估伊朗医学教育政策的策略。方法:本研究采用扎根理论和横断面调查相结合的方法进行。对包括国会议员、政策制定者和政策教授在内的17人进行了访谈,采用了非随机方法。使用三角测量法从编码和验证的访谈中开发问卷。本研究共选取200人。这种混合方法的研究是使用接地理论和横断面调查进行的。对包括国会议员、政策制定者和政策教授在内的17人进行了访谈,采用了非随机方法。使用三角测量法从编码和验证的访谈中开发问卷。本研究共选取200人。结果:结果显示,医学教育政策的评估策略包含一系列因素。这包括同时关注体制和非体制议程、社会利益的优先次序、经济战略的实施、资源和信息的更新、政策的精确定义和设计、执行战略和政策考虑。结论:在政策评价中,必须采取以社区为导向的方法,注重权力下放和公共利益。这种做法确保以合理的方式满足人口的目标和一般保健需要。
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引用次数: 0
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Research and Development in Medical Education
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