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Peritonsillar Abscess (PTA) Management: A Literature Review Comparing Different Approaches of PTA Drainage 膀胱周围脓肿(PTA)的治疗:比较不同PTA引流方法的文献综述
Pub Date : 2018-10-24 DOI: 10.15342/IJMS.V5IR.243
Abdullah Alamri, Mohammed Alsheikh, Saad Alenzi, A. Alahmadi, Hoda Alsayid, R. Alharthi, H. Marzouki
Background: Peritonsillar abscess (PTA) is the most common deep infection of neck space that occurs in adults and is potentially life threatening if not treated appropriately. The surgical treatment of peritonsillar abscess that is not complicated with upper airway obstruction still remains controversial. Objectives: This review attempts to explore the controverseries between different types of management and compare the efficacy of needle aspiration, tonsillectomy and/or incision and drainage. Methodology: This study was done in King Abdulaziz University. All researches, between 1988 to 2015 were recruited and reviewed in this study. Results and conclusion: Studying the three accepted methods of draining: incision and drainage, abscess tonsillectomy, or needle aspiration, Incision and drainage is an efficient and safe procedure to treat peritonsillar abscess. As well as it is superior to Needle aspiration in terms of the post-procedure pain score. It can be performed as the first-line treatment of peritonsillar abscess. Quinsy tonsillectomy can offer several advantages, by allowing full evacuation of the abscess cavity, effectively relieving symptoms, but holds risk in general anesthesia intubation. and also higher post-operative complication like Peritonsillar abscess make it not a favorable step.
背景:扁桃体周围脓肿(PTA)是发生在成人中最常见的颈部深部感染,如果治疗不当可能危及生命。不合并上气道梗阻的腹膜周围脓肿的手术治疗仍存在争议。目的:本文旨在探讨不同治疗方法之间的争议,并比较针吸、扁桃体切除术和/或切开引流的疗效。方法:本研究在阿卜杜勒阿齐兹国王大学完成。本研究对1988年至2015年间的所有研究进行了招募和回顾。结果与结论:研究了三种常用的引流方法:切开引流、脓肿扁桃体切除术或穿刺引流,切开引流是治疗扁桃体周围脓肿的一种有效、安全的方法。在术后疼痛评分方面,它也优于针吸。它可以作为腹膜周围脓肿的一线治疗。昆西扁桃体切除术可以提供几个优点,通过允许脓肿腔完全排出,有效缓解症状,但在全身麻醉插管时存在风险。而较高的术后并发症,如腹膜周围脓肿,使其不是一个有利的步骤。
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引用次数: 0
Vomer Agenesis as a Rare Cause of Hypernasality 涎腺发育是鼻音亢进的罕见病因
Pub Date : 2018-10-24 DOI: 10.15342/IJMS.V5IR.221
A. Mohamad, Rohaida Ibrahim, K. A. Rajet, I. Mohamad, Anura Aman
Hypernasality which is rare symptom commonly occur as a consequence of velopharyngeal insufficiency (VPI). VPI usually manifested as nasal air emission and hypernasal resonance during speech. The cause can be divided into congenital, neuromuscular disorder and surgical complication. Congenital cause of VPI includes cleft palate, nasal septum malformation such as vomer agenesis, submucous cleft palate and velar dysplasia, while neuromuscular VPI can be due to cerebral palsy or cerebrovascular accident. Surgical cause of VPI could be due to adenoidectomy and scarring of the velum post palatoplasty in cleft palate repair. We present a 17-year-old man who was diagnosed of congenital left nasolacrimal duct obstruction referred to us for left endoscopic dacrocystorhinostomyin which during nasoendoscopic examination revealed absence of vomer.
鼻窦炎是一种罕见的症状,通常发生在腭咽功能不全(VPI)的结果。VPI通常表现为说话时鼻部气体排放和高鼻部共振。病因可分为先天性、神经肌肉障碍和手术并发症。先天性原因包括腭裂、鼻中隔畸形如鼻中隔发育不全、黏膜下腭裂、腭膜发育不良等,而神经肌肉性VPI可由脑瘫或脑血管意外引起。腭裂修复术中腺样体切除和腭瓣成形术后瘢痕形成可能是导致腭裂损伤的外科原因。我们报告一名17岁的男性,他被诊断为先天性左鼻泪管阻塞,在鼻内窥镜检查中发现没有呕吐。
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引用次数: 1
EVALUATION OF THE RATE OF SURGICAL SITE INFECTION IN GYNECOLOGICAL SURGERY AT THE REGIONAL HOSPITAL OF NGAOUNDERE 翁德雷地区医院妇科手术手术部位感染率评价
Pub Date : 2018-10-24 DOI: 10.15342/IJMS.V5IR.223
Ngaroua, Edjidji Bedibi Kevin, Dah’ngwa Dieudonne, Djibrilla Yaouba, E. N. Joseph
In Cameroon, where the prevalence of infectious complications remains high, several factors that may or may not lead to these infectious complications are still to be known in our region. The aim of this work was to contribute to improved care delivery. This was a prospective study coupled with an exploratory study from May 10 th to August 31 st , 2016. All patients who had a gynecological and obstetric surgery at the HRN and without any infection before surgery were included in this study, and were followed each for 30 days. In total, we had 65 surgical procedures in gynecology and obstetrics. The average age of the patients was 29.23 years. Clean surgeries accounted for 98.5% of interventions, with contaminated clean surgeries accounting for 1.5% of interventions. A total of 6 cases of infections of the surgical site was observed (9.2%). Significant variables associated with postoperative infections were the use of antibiotic, the date of first dressing, the duration of surgery. The infection rate of the surgical site which is 9.2% is clearly greater to the data of the literature, despite the antibiotics in prophylactic in clean surgeries. However, better pre and post-operative care as well as strict adherence to the principles of perioperative asepsis should be the rule in our context.
在喀麦隆,传染性并发症的流行率仍然很高,在我们区域,一些可能导致或可能不会导致这些传染性并发症的因素仍有待了解。这项工作的目的是促进改善护理服务。2016年5月10日至8月31日,前瞻性研究与探索性研究相结合。所有在HRN进行过妇科和产科手术且术前无感染的患者均被纳入本研究,每人随访30天。我们总共做了65例妇科和产科手术。患者平均年龄29.23岁。洁净手术占干预措施的98.5%,污染洁净手术占干预措施的1.5%。手术部位感染6例(9.2%)。与术后感染相关的重要变量是抗生素的使用,第一次敷料的日期,手术的持续时间。尽管清洁手术中预防性使用了抗生素,但手术部位的感染率为9.2%,明显高于文献数据。然而,在我们的情况下,更好的术前和术后护理以及严格遵守围手术期无菌原则应该是规则。
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引用次数: 0
A RARE PRESENTATION OF BILATERAL VOCAL CORD PARALYSIS IN LATE STAGE PARKINSON’S DISEASE 罕见的双侧声带麻痹在晚期帕金森病的表现
Pub Date : 2018-10-24 DOI: 10.15342/ijms.v5iR.244
Sharir Asrul Bin Asnawi, M. H. Mohamed, M. Doi
Introduction : Vocal cord paralysis often causes mortality by upper airway obstruction in some neurodegenerative diseases such as Parkinson’s disease and multiple system atrophy. Vocal cord paralysis is uncommon in Parkinson’s disease (PD) in contrary it is more common in multiple system atrophy (MSA). The pathogenesis of vocal cord paralysis in Parkinson’s disease is not well understood but may involve degeneration of the nucleus ambiguous. In terms of managing patient with bilateral vocal cord paralysis in PD, it can be either performing tracheostomy to relive the upper airway obstruction or by optimizing the medical treatment. There are very few available reported cases whereby patient are treated with medical treatment alone. Case Report : We report a case of 65 years old lady who presented with stridor resulting from bilateral vocal cord paralysis and she has been diagnosed to have Parkinson’s disease for more than 10 years. She had her antiparkinson medication optimized and requiring no surgical intervention to relieve the upper airway obstruction. Conclusion : In conclusion we would like to emphasize that it is important to recognize bilateral vocal cord paralysis in Parkinson’s disease and early optimization of medical treatment could avoid a need of tracheostomy.
在帕金森病、多系统萎缩等神经退行性疾病中,声带麻痹常因上呼吸道阻塞而导致死亡。声带麻痹在帕金森病(PD)中并不常见,相反在多系统萎缩(MSA)中更为常见。帕金森氏症声带麻痹的发病机制尚不清楚,但可能涉及核的变性。对于PD患者双侧声带麻痹的处理,可以通过气管切开术缓解上气道阻塞,也可以通过优化药物治疗。目前仅有很少的病例报告表明,患者仅接受药物治疗。病例报告:我们报告了一位65岁的女士,她因双侧声带麻痹而出现喘鸣,并被诊断患有帕金森病超过10年。她有她的抗帕金森药物优化,不需要手术干预,以缓解上呼吸道阻塞。结论:总之,我们想强调的是,帕金森病双侧声带麻痹的重要认识和早期优化药物治疗可以避免气管切开术的需要。
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引用次数: 0
Awareness and Knowledge of Diabetes Mellitus Among School Teaching staff in Taif City. 台阶市学校教师对糖尿病的认知与知识。
Pub Date : 2018-10-24 DOI: 10.15342/IJMS.V5IR.241
Z. Almalki, Ghasham Salem Almarzoqi, M. Assery, Talal Alzahrani, Nawaf Alharthi, Saud Mosfer Alosaimi, N. S. Alosaimi, Fahad Alkahtani, W. Althobaiti, Abdulrahman Almalki
Diabetes is one of the most common chronic diseases, usually appears during childhood or adolescence; however, it can also develop in adults. The objective of this study was to evaluate the knowledge and awareness about diabetes among teaching stuff in Taif province of Saudi Arabia. A cross sectional study, using a structured pre-tested questionnaire, was conducted in Taif. Our study involved 50.5% males and 49.5% were females. The age of participants ranged from less than 30 years old to more than 50 years old. Our results showed that he majority of teaching staff in our sample study are aware of diabetes and how to deal in case of low blood glucose level. However, the knowledge of causes, symptoms, risk factors, complications of diabetes and signs of low blood glucose level was not as high as expected. Therefore, training is required for the teaching stuff as more than half of our sample study had taught a diabetic child.
糖尿病是最常见的慢性疾病之一,通常出现在儿童或青少年时期;然而,它也可能发生在成年人身上。本研究旨在了解沙乌地阿拉伯塔伊夫省教师对糖尿病的认知及认知情况。在台湾进行了一项横断面研究,使用结构化的预测试问卷。我们的研究中男性占50.5%,女性占49.5%。参与者的年龄从30岁以下到50岁以上不等。我们的调查结果表明,在我们的抽样研究中,大多数教师对糖尿病有一定的认识,并知道如何处理低血糖。然而,人们对糖尿病的病因、症状、危险因素、并发症和低血糖症状的了解程度并没有预期的那么高。因此,对教学人员进行培训是必要的,因为我们的样本研究中有一半以上教过糖尿病儿童。
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引用次数: 1
CERVICOFACIAL ROTATION ADVANCEMENT FLAP IN CHEEK RECONSTRUCTION 颈面旋转推进皮瓣在面颊重建中的应用
Pub Date : 2018-09-13 DOI: 10.15342/IJMS.V5IR.220
J. Hamama, L. Khalfi, A. Achbouk, Kamal Fiqhi, K. E. Khatib
Introduction: The Cervicofacial rotation advancement flap CRAF is a random-pattern flap that provides an excellent match for cheek reconstruction.  In this report, the authors review their experience with this flap and present their advantages in order to expand the awareness and promote the application. Methods: A retrospective analysis of reconstruction of cheek defects using CRAF   was performed in 12 patients. Data on patient demographics; diagnosis, defect type, and outcome were collected. Results:  These patients included 07 male and 05 female; they ranged in age from 56 to 88 years, with a mean age of 67 years.05 patients used tobacco and one patient had a history of radiation. On histopathological examinations of the specimen, 03patients had squamous cell carcinoma, and 09 patients had basal cell carcinoma. The mean defect size was 40cm 2 [range 10 to 67cm 2 ]. The mean follow-up was 06 months [0 to 24 months]. One patient was lost to follow-up after suture removal. As complication 01 patient had flap necrosis No facial nerve injury was observed.  All patients were pleased with the Cosmetic results outcome. Conclusion :  Cervicofacial flap provides a technically simple, reliable, safe, efficient and cosmetic means to reconstruct defects of the cheek.
颈面旋转推进皮瓣是一种随机模式皮瓣,为脸颊重建提供了良好的匹配。本文总结了我国在这方面的经验,并介绍了各自的优势,以期扩大认识,促进应用。方法:回顾性分析12例面部缺损的crf修复方法。患者人口统计数据;收集诊断、缺陷类型和结果。结果:男性07例,女性05例;他们的年龄从56岁到88岁不等,平均年龄为67岁。05例患者吸烟,1例患者有放射史。标本组织病理学检查,03例为鳞状细胞癌,09例为基底细胞癌。平均缺陷尺寸为40cm 2[范围10 ~ 67cm 2]。平均随访6个月[0 ~ 24个月]。1例患者拆线后失访。并发症01例皮瓣坏死,未见面神经损伤。所有患者都对美容结果感到满意。结论:颈面瓣是一种技术简单、可靠、安全、高效、美观的修复面颊缺损的方法。
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引用次数: 1
EMERGENCY ROOM VISITS IN PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION RECEIVING HEMODIALYSIS : A CASE CONTROL STUDY 接受血液透析的左心功能不全患者急诊室就诊:一项病例对照研究
Pub Date : 2018-09-11 DOI: 10.15342/ijms.v5ir.213
M. Albeshri, M. Alsallum, Motaz Daiwali, H. Seraj, H. Bana, H. Alhozali, K. Alghalayini
Introduction: Chronic kidney disease (CKD) prevalence in Saudi Arabia has been rising over the past few years. The risk of developing left ventricular dysfunction is high in patients with CKD on hemodialysis. Our aim is to study the frequency of emergency room visits and the length of ER stay in patients LVD on hemodialysis. Methods: All patients who were on hemodialysis between the period of January 2011 and November 2016 were included in our study. Patients’ demographic, medical and laboratory data were extracted for all patients. Patients were classified into three groups according to their ejection fraction (EF<40%, EF= 40-49% and EF≥50%). Descriptive statistics were done for all variables. Logistic regression was used to assess the outcome while adjusting for confounder. Results: Analysis included 333 patients. Two-hundred and fifty seven patients had an EF ³50% and 36 patients with EF 40-49% and 40 patients with EF <40 %. Age was significantly higher in patients with EF<50% compared to patients with EF ³50% (P=0.002). Comorbidities were more prevalnt in patients with EF<40% and EF 40-49%. Number of ER visits and length of stay were significantly different between the three groups (P=0.005, P=0.023) ICU admissions shows a statistically significant diffrence between the three groups (P=0.013). Conclusion: Patients with low EF on hemodialysis have a higher rate of ER visits and length of stay in ER when compared to patients with EF≥50.
在过去的几年中,沙特阿拉伯的慢性肾脏疾病(CKD)患病率一直在上升。血液透析的CKD患者发生左心室功能障碍的风险很高。我们的目的是研究血液透析患者的急诊就诊频率和急诊住院时间。方法:纳入2011年1月至2016年11月期间接受血液透析治疗的所有患者。提取了所有患者的人口统计学、医学和实验室数据。根据患者射血分数(EF<40%, EF= 40-49%, EF≥50%)分为三组。对所有变量进行描述性统计。在调整混杂因素时,采用逻辑回归来评估结果。结果:纳入333例患者。257例患者EF³50%,36例患者EF 40-49%, 40例患者EF < 40%。EF<50%患者的年龄明显高于EF³50%患者(P=0.002)。合并症在EF<40%和EF 40-49%的患者中更为普遍。三组间急诊次数、住院时间差异均有统计学意义(P=0.005, P=0.023), ICU住院次数三组间差异均有统计学意义(P=0.013)。结论:与EF≥50的血液透析患者相比,EF低的患者ER就诊率和ER住院时间更高。
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引用次数: 0
MITOCHONDRIAL REPLACEMENT TECHNIQUE IN ASSISTED REPRODUCTIVE TECHNOLOGY: CURRENT INTERNATIONAL PROGRESS AND MOROCCAN REGULATIONS 辅助生殖技术中的线粒体替代技术:当前国际进展和摩洛哥法规
Pub Date : 2018-09-11 DOI: 10.15342/ijms.v5iR.216
Zineb Fakir
Following the controversial use of the mitochondrial replacement technique in IVF procedures to prevent the transmission of potentially incurable and fatal inherited mitochondrial disorders, various ethical and safety concerns and regulatory issues were raised in the medical community. The diseases in question affect mitochondria, and are only inherited from the mother [9], patients with more than 60% mutated mitochondrial DNA (mtDNA) may develop severe systemic diseases, such as cancer, diabetes, blindness, deafness, liver failure, infertility, neuropathy,  myopathy, cardiomyopathy, sensory deficit and many others [1, 2, 3]. The incidence of clinically present mtDNA disorders is at least 1 in 10 000 individuals, but the frequency of the pathogenic mtDNA mutation is approximately 1 in 200 of the general population [4] . Currently there is no effective therapy or genetic screens for these maternally inherited diseases, and at present, the mitochondrial replacement technique (MRT) holds promises for human reproductive health and the production of healthy babies. This article will discuss some objections that oppose the procedure in principle and present a perspective surrounding the legalization of these techniques in Morocco.
在体外受精过程中使用线粒体替代技术来防止可能无法治愈和致命的遗传性线粒体疾病的传播之后,医学界提出了各种伦理和安全问题以及监管问题。所讨论的疾病影响线粒体,并且仅遗传自母亲bbb,线粒体DNA (mtDNA)突变超过60%的患者可能发展为严重的全身性疾病,如癌症、糖尿病、失明、耳聋、肝功能衰竭、不孕、神经病、肌病、心肌病、感觉缺陷等[1,2,3]。临床表现的mtDNA疾病的发生率至少为万分之一,但致病性mtDNA突变的频率约为普通人群的200分之一。目前对于这些母系遗传疾病还没有有效的治疗方法或基因筛选,目前,线粒体替代技术(MRT)为人类生殖健康和生产健康婴儿带来了希望。本文将讨论原则上反对该程序的一些反对意见,并提出围绕这些技术在摩洛哥合法化的观点。
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引用次数: 0
KIKUCHI-FUJIMOTO DISEASE IN A 24-YEARS OLD SAUDI FEMALE IN SAUDI ARABIA 沙特阿拉伯一名24岁沙特女性的菊chi - fujimoto病
Pub Date : 2018-09-11 DOI: 10.15342/IJMS.V5IR.217
A. Ashour, M. Albeshri, H. Marzouki, S. Al-Khayyat
Kikuchi-Fujimoto disease (KFD) is a very rare, self-limited and benign inflammatory disorder. It was first reported in Japan in 1972. Diagnosis of Kikuchi disease is confirmed by histopathological investigation of lymph node (LN) biopsy under ultrasound guidance. Computed tomography (CT) and magnetic resonance imaging (MRI) help in diagnosis of Kikuchi cervical lymphadenopathy but don’t provide a definitive diagnosis. We describe a case of KFD affecting the cervical lymph nodes of a 24-year old Saudi female.
菊chi- fujimoto病(KFD)是一种非常罕见的、自限性的良性炎症性疾病。1972年,日本首次报道了这种疾病。菊池病的诊断是通过超声引导下淋巴结活检的组织病理学检查来证实的。计算机断层扫描(CT)和磁共振成像(MRI)有助于诊断菊池颈部淋巴结病,但不能提供明确的诊断。我们描述了一个病例KFD影响颈部淋巴结的一个24岁的沙特女性。
{"title":"KIKUCHI-FUJIMOTO DISEASE IN A 24-YEARS OLD SAUDI FEMALE IN SAUDI ARABIA","authors":"A. Ashour, M. Albeshri, H. Marzouki, S. Al-Khayyat","doi":"10.15342/IJMS.V5IR.217","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.217","url":null,"abstract":"Kikuchi-Fujimoto disease (KFD) is a very rare, self-limited and benign inflammatory disorder. It was first reported in Japan in 1972. Diagnosis of Kikuchi disease is confirmed by histopathological investigation of lymph node (LN) biopsy under ultrasound guidance. Computed tomography (CT) and magnetic resonance imaging (MRI) help in diagnosis of Kikuchi cervical lymphadenopathy but don’t provide a definitive diagnosis. We describe a case of KFD affecting the cervical lymph nodes of a 24-year old Saudi female.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122629205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Granulomatous Mastitis - A Case Report 肉芽肿性乳腺炎1例报告
Pub Date : 2018-09-11 DOI: 10.15342/IJMS.V5IR.206
A. Babahabib, A. Arsalane, Fatimazohra Aitelfadl, H. Chahdi
Granulomatous mastitis is indeed a rare affliction, but it can constitute a veritable diagnosis and treatment predicament for several reasons. The etiology of this disease remains shrouded in mystery and the treatment depends on the gravity and extension of the lesions, ranging from corticosteroids to surgical excision with an important recurrence rate. We present the case of 40-year-old woman with granulomatous mastitis for which clinical and radiological remission was obtained via medical treatment.
肉芽肿性乳腺炎确实是一种罕见的痛苦,但它可以构成一个真正的诊断和治疗困境的几个原因。这种疾病的病因仍然是一个谜,治疗取决于病变的严重程度和范围,从皮质类固醇到手术切除,复发率很重要。我们提出的情况下,40岁的妇女肉芽肿性乳腺炎,其临床和放射缓解是通过药物治疗获得。
{"title":"Granulomatous Mastitis - A Case Report","authors":"A. Babahabib, A. Arsalane, Fatimazohra Aitelfadl, H. Chahdi","doi":"10.15342/IJMS.V5IR.206","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.206","url":null,"abstract":"Granulomatous mastitis is indeed a rare affliction, but it can constitute a veritable diagnosis and treatment predicament for several reasons. The etiology of this disease remains shrouded in mystery and the treatment depends on the gravity and extension of the lesions, ranging from corticosteroids to surgical excision with an important recurrence rate. We present the case of 40-year-old woman with granulomatous mastitis for which clinical and radiological remission was obtained via medical treatment.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124106210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International Journal of Medicine and Surgery
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