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Decreased Cognitive Function in People with Type 2 Diabetes Mellitus 2型糖尿病患者认知功能下降
Pub Date : 2021-04-30 DOI: 10.26714/jkmi.16.1.2021.34-41
Shinta Kaozar Wiratman, W. Cahyati
ABSTRACTBackground: The number of cases and the prevalence of diabetes has continued to increase over the past few decades. DM itself is associated with an increased risk of cancer, kidney failure, stroke, and decreased cognitive function that leads to dementia. In 2016 Indonesia has an estimated 1.2 million people with dementia and is expected to grow to 4 million by 2050.Objective: The purpose of this study was to find out the risk factors for decreased cognitive function in people with type 2 diabetes mellitus.Method: This type of research is observational analytics with cross sectional design. The sample was 62 respondents with purposive sampling techniques. The instrument used in the study was a structured questionnaire. Measurement of cognitive function using MoCA-INA questionnaire. Data collection is done by interview method to respondents.Result: The results showed that there was a relationship between the age of the respondent (PR= 2.98; 95% CI= 0.97-9.17), and the respondent's blood sugar level (PR= 3.31; 95% CI= 1.12-9.74) to decreased cognitive function in people with type 2 diabetes mellitus.Conclusion: Age and blood sugar levels of respondents contributed to decreased cognitive function of people with type 2 diabetes mellitus.
摘要背景:在过去的几十年里,糖尿病的病例数和患病率持续上升。糖尿病本身与癌症、肾衰竭、中风和导致痴呆的认知功能下降的风险增加有关。2016年,印度尼西亚估计有120万痴呆症患者,预计到2050年将增加到400万。目的:探讨2型糖尿病患者认知功能下降的危险因素。方法:这种类型的研究是观察分析与横断面设计。样本为62名受访者,采用有目的的抽样技术。研究中使用的工具是结构化问卷。使用MoCA-INA问卷测量认知功能。数据收集采用访谈法对受访者进行。结果:调查结果显示,被调查者的年龄(PR= 2.98;95% CI= 0.97-9.17),被调查者的血糖水平(PR= 3.31;95% CI= 1.12-9.74)与2型糖尿病患者认知功能下降有关。结论:年龄和血糖水平与2型糖尿病患者认知功能下降有关。
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引用次数: 0
Faktor Determinan Perilaku dalam Upaya Pencegahan dan Penanggulangan Covid-19 行为决定因素在预防和应对措施19
Pub Date : 2021-04-30 DOI: 10.26714/JKMI.16.1.2021.52-59
Cucu Herawati, Suzana Indragiri, Yasinta Indah Widyaningsih
Latar belakang: Upaya pencegahan dan penanggulangan covid-19 merupakan faktor utama yang harus dilakukan untuk memutus mata rantai penularan penyakit covid-19 yang semakin meningkat. Faktor determinan perilaku sangat menentukan masyarakat dalam menerapkan tidaknya upaya pencegahan dan penanggulangan covid-19tersebut. Tujuan: Untuk menganalisis hubungan antara faktor determinan perilaku dengan upaya pencegahan dan penanggulangan covid-19. Metode: Jenis penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pegawai PT. X dengan jumlah 252 responden, dengan besar sampel 72 sampel. Teknik pengambilan sampel menggunakan accidental sampling.Metode pengumpulan data dengan wawancara.Analisis data menggunakan uji statistik Chi-Square. Hasil:Adanya hubungan yang signifikan antara sikap (p-value 0,023) dan sarana prasarana (p-value 0,034) dengan upaya pencegahan dan penanggulangan covid-19. Tidak ada hubungan yang signifikan antara umur (p-value 0,466), pendidikan (p-value 0,553), pengetahuan (p-value 1.000), dukungan petugas kesehatan (p-value 0,811) dengan upaya pencegahan dan penanggulangan covid-19. Kesimpulan: Sebaiknya melakukan kegiatan sosialisasi kebijakan secara rutin dan menerapkan sanksi bagi pegawai yang tidak menerapkan upaya pencegahan dan penanggulangan covid-19 serta memastikan ketersediaan sarana dan prasarana kesehatan selalu dalam kondisi baik.
背景:covid-19的预防和应对措施是切断日益增长的covid-19疾病传播链的一个主要因素。行为决定因素将决定公众是否实施covid-19的预防和对策。目的:分析行为确定因素与预防和应对措施19之间的关系。方法:该类型采用定量方法与交叉设计。本研究的总体人口是PT. X公司所有员工的252人,样本最多72人。采用样意外采集技术。面试数据收集方法。使用chi square的统计测试进行数据分析。结果:态度(p-价值023)和基础设施(p-值0.034)与covid-19的预防和对策之间存在显著的联系。年龄(p-value 0.466)、教育(p-value 0.553)、知识(p-value 1000)、卫生工作者支持(p-value 0.811)与covid-19的预防和对策之间没有明显的联系。结论:应定期进行政策社会化活动,并对不执行covid-19预防和对策的员工实施制裁,并确保现有设施和卫生基础设施永远处于良好状态。
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引用次数: 10
Analisa Faktor-Faktor yang Berhubungan dengan Perilaku Makan Mahasiswa Tingkat Akhir Fakultas Kedokteran Universitas Pembangunan Nasional “Veteran” Jakarta Tahun 2020 分析影响2020年雅加达“退伍军人”国家发展学院学生饮食的因素
Pub Date : 2021-04-30 DOI: 10.26714/JKMI.16.1.2021.20-25
Maya Kartika Hadiyuni, Luh Eka Purwani, Nunuk Nugrohowati
Background: Eating behavior is the way a person thinks, is knowledgeable, and has views about food which is expressed in the form of eating. Deviant eating behaviors can be caused by a variety of factors, one of which is the stress condition commonly experienced by final-level students.. Objective: This study aims to determine the factors associated with the eating behavior of final-level students. Methods: The study used cross-sectional analytical studies on 49 respondents with stratified random sampling techniques. Data was collected using a questionnaire conducted online via google-form. The questionnaire that has been made by previous researchers has been tested for validity and reliability.  Results: The results showed that the majority of respondents had female gender (73.5%), good eating behavior (69.4%), positive body image perception (61.2%), moderate stress level (51%), and positive emotional eating (51%). Based on bivariate analysis there was a relationship between perception of body image and eating behavior (p = 0.029). Conclusion: Therefore, students are advised to build good confidence in order to create a positive perception of body image, so that they can have good eating behaviors with high levels of productivity. Keywords: eating behavior; gender; body image perception; stress; emotional eating; final year student.
背景:饮食行为是一个人思考的方式,知识渊博,对食物有看法,并以进食的形式表达出来。不正常的饮食行为可能由多种因素引起,其中之一是期末学生通常经历的压力状况。目的:探讨高三学生饮食行为的影响因素。方法:采用分层随机抽样方法,对49名调查对象进行横断面分析。数据是通过谷歌表格在网上进行问卷调查收集的。先前研究人员制作的问卷已经经过了效度和信度测试。结果:调查结果显示,女性(73.5%)、良好的饮食行为(69.4%)、积极的身体形象感知(61.2%)、适度的压力水平(51%)、积极的情绪饮食(51%)占大多数。基于双变量分析,身体形象感知与饮食行为之间存在相关性(p = 0.029)。结论:因此,建议学生建立良好的信心,以创造一个积极的身体形象的感知,这样他们就可以有良好的饮食行为和高水平的生产力。关键词:饮食行为;性别;身体形象感知;压力;情绪化进食;最后一年的学生。
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引用次数: 2
Pola Makan Masyarakat di Kota Pontianak Selama Pandemi Covid-19 在Covid-19大流行期间,庞蒂克市的公共饮食
Pub Date : 2021-04-30 DOI: 10.26714/JKMI.16.1.2021.%P
Alma Elvia Jumalda, Linda Suwarni, Marlenywati Marlenywati, Selviana Selviana, M. Mawardi
Latar belakang: Pandemi Covid-19 mempengaruhi banyak aspek dalam kehidupan manusia, termasuk pola makan (kebiasaan makan, konsumsi buah, suplemen, jamu atau empon-empon). Keberadaan kasus Covid-19 merupakan salah satu faktor yang berkontribusi terjadinya perubahan ini. Tujuan: Mengetahui tentang pola makan masyarakat di Kota Pontianak selama pandemi Covid-19 serta perbedaan keberadaan kasus Covid-19 di sekitar dengan perubahan pola makan. Metode: Penelitian kuantitatif dengan pendekatan crosssectional digunakan dalam penelitian ini. Populasi studi dalam penelitian ini adalah seluruh masyarakat di Kota Pontianak yang berusia 15-64 tahun. Sebanyak 382 responden menjadi sampel dalam penelitian ini dengan menggunakan teknik Consecutive Sampling. Pengumpulan data dilakukan secara online dengan menggunakan platform google form. Hasil: Sebagian responden menyatakan terdapat perbedaan konsumsi suplemen (52.9%), konsumsi empon-empon (57.1%), dan kebiasaan makan (29.1%). Ada hubungan yang signifikan jenis kelamin dengan konsumsi empon-empon (p value = 0.005; PR=1.442). Keberadaan kasus Covid-19 di sekitar berhubungan signifikan dengan kebiasaan makan (PR=1.212) dan  konsumsi suplemen (PR=1.341) antara sebelum dan selama pandemic (p value < 0.05). Kesimpulan: Diperlukan peningkatan pemahaman pada masyarakat agar memiliki pola makan dengan gizi seimbang agar daya tahan tubuh meningkat selama pandemic Covid-19
背景:Covid-19大流行影响着人类生活的许多方面,包括饮食(饮食习惯、水果摄入、补充剂、草药或empon)。Covid-19案件的存在是促成这种变化的一个因素。目的:了解了解Covid-19大流行期间庞蒂亚克市的公共饮食模式,了解附近饮食改变的Covid-19病例的不同存在。方法:用交叉方法进行的定量研究。这项研究的人口是15-64岁的庞蒂克市的整个社区。多达382名受访者采用采样技术作为本研究的样本。数据收集是在网上使用谷歌平台进行的。结果:一些受访者认为补充剂摄入量(52.9%)、empon摄入量(57.1%)和饮食习惯(29.1%)有差异。性与empone -empon (p值= 0005;= 1.442)作业。Covid-19病例的存在与大流行前后的饮食习惯(PR= 1,212)和补充剂(PR= 1,341)之间的饮食习惯(p值< 0.05)有显著关系。结论:在高压氧恐慌症(Covid-19)期间,必须增加对社会的认识,使其营养均衡的饮食,使身体的耐力增加
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引用次数: 2
Factors Affecting the incidence of VIA positive at Halmahera Health Care Center in 2018-2019 影响2018-2019年哈马赫拉卫生保健中心VIA阳性发生率的因素
Pub Date : 2021-04-30 DOI: 10.26714/jkmi.16.1.2021.7-13
Sintia Aprianti, Yunita Dyah Santik
Abstract Background : VIA is a simple test with moderate sensitivity and specificity for early cervical lesions screening. The purpose of this study was to determine the relationship between risk factors and the incidence of positive IVA at Halmahera Health Center in 2018-2019.Methods : This type of research is an observational analytic with a case control design. Using purposive sampling technique, the minimum sample size is 68, consisting of 34 cases and 34 controls. Using a questionnaire instrument with interview data collection techniques. Data were analyzed using univariate and bivariate tests using the Chi-Square test with SPSS software.Results : The factors associated with the incidence of positive IVA at Halmahera Health Center were personal hygiene in genital areas (p=0.001, OR = 5.5), history of parity (p= 0.001, OR= 5.9 ) symptoms of vaginal diseases (p=0.003, OR=5.9), and duration of use of hormonal contraceptives (p=0.001, OR=5.25).Conclusion: factors associated with the incidence of positive IVA at Halmahera Public Health Center are personal hygiene of genital area, history of parity, history of genital disease symptoms, and duration of hormonal contraception use.Keywords: Factors, Visual Examination of Acetic Acid, Incidence.
背景:VIA是一种简单、灵敏度和特异性中等的宫颈早期病变筛查方法。本研究的目的是确定危险因素与2018-2019年Halmahera卫生中心IVA阳性发生率之间的关系。方法:本研究采用病例对照设计的观察性分析。采用有目的抽样技术,最小样本量为68例,包括34例病例和34例对照。使用问卷调查工具和访谈数据收集技术。数据分析采用单因素和双因素检验,采用SPSS软件进行卡方检验。结果:与Halmahera保健中心IVA阳性发生率相关的因素为生殖区域个人卫生(p=0.001, OR= 5.5)、胎次史(p=0.001, OR=5.9)、阴道疾病症状(p=0.003, OR=5.9)和使用激素避孕药的持续时间(p=0.001, OR=5.25)。结论:与Halmahera公共卫生中心IVA阳性发生率相关的因素是生殖器区域的个人卫生、胎次史、生殖器疾病症状史和使用激素避孕药的持续时间。关键词:影响因素,醋酸目测,发病率。
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引用次数: 0
Kajian Kekerasan terhadap Anak Perempuan melalui Focus Group Discussion
Pub Date : 2021-01-30 DOI: 10.20884/1.ki.2021.13.1.3359
Aisyah Apriliciciliana Aryani
Data from the Indonesian Child Protection Commission (KPAI) in 2017-2018 shows that there are 161 cases of violence against children in the world of education, consisting of 77 cases of bullying (47.95%), 54 cases of the brawl (33.6%), and 30 cases of child victims of policy (18.7%). This study aims to examine violence experienced by girls and how it impacts the health and well-being of children. The results showed that experiences of exposure to violence that have been experienced include physical, psychological, and cyberbullying violence. The impact of violence against children is felt by victims as well as perpetrators of violence. The impacts experienced by the victims include children becoming often brooding and quiet, depression, stress, insomnia, avoiding crowds, wanting to take the same action as revenge, bruises, and wounds. The impact on the perpetrator includes remorse, a  reprimand from school, expulsion from school, exclusion and poor judgement from the community. The problem-solving design is based on the research results, namely to further maximize the role of the counseling guidance teacher team and the role of schools in preventing violence by establishing written rules and including subject matter regarding the impact of violence on girls. Keyword: Violence Study, Girls, Focus Group Discussion
印度尼西亚儿童保护委员会(KPAI) 2017-2018年的数据显示,在教育领域发生了161起针对儿童的暴力案件,包括77起欺凌案件(47.95%),54起斗殴案件(33.6%)和30起政策儿童受害者案件(18.7%)。这项研究旨在调查女童遭受的暴力以及暴力如何影响儿童的健康和福祉。结果显示,遭受暴力的经历包括身体暴力、心理暴力和网络欺凌暴力。暴力侵害儿童行为的影响,受害者和施暴者都能感受到。受害者所经历的影响包括儿童经常变得沉思和安静,抑郁,压力,失眠,避开人群,想要采取与报复相同的行动,瘀伤和伤口。对犯罪者的影响包括懊悔、被学校训斥、被学校开除、被社会排斥和判断力差。解决问题的设计是基于研究结果,即通过制定书面规则和纳入暴力对女孩的影响的主题,进一步最大限度地发挥咨询指导教师团队和学校在预防暴力方面的作用。关键词:暴力研究,女孩,焦点小组讨论
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引用次数: 1
Faktor Risiko Neuropati Diabetik pada Penderita Diabetes Melitus Tipe 2 糖尿病患者2型糖尿病神经性糖尿病的风险因素
Pub Date : 2021-01-30 DOI: 10.20884/1.ki.2021.13.1.3227
Faiqotunnuriyah Faiqotunnuriyah
Neuropati diabetik merupakan salah satu komplikasi serius pada penderita diabetes melitus yang disebabkan oleh kerusakan saraf khususnya pada kaki akibat kadar gula darah yang berlebihan. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kejadian neuropati diabetik pada penderita diabetes melitus tipe 2 di RSUD Ungaran. Jenis penelitian ini adalah observasional analitik dengan menggunakan rancangan penelitian case control. Sampel yang ditetapkan sebesar 25 kasus dan 25 kontrol yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan adalah kuesioner terstruktur. Data dianalisis dengan menggunakan uji chi square dan regresi logistik dengan perangkat SPSS 16. Hasil menunjukkan bahwa terdapat hubungan antara riwayat keturunan (OR= 3,78; 95% CI= 1,17-12,19), lama menderita DM (OR=7,87; 95% CI= 2,07-29,94), riwayat dislipidemia (OR=3,18; 95% CI= 1,00-10,17), status hipertensi (OR=3,18; 95% CI= 1,00-10,17), kepatuhan diet DM (OR=3,18; 95% CI= 1,00-10,17) dan riwayat pengobatan DM (OR=0,24; 95% CI= 0,06-0,92) terhadap kejadian neuropati diabetik pada penderita DM tipe 2 di RSUD Ungaran.
糖尿病神经症是糖尿病患者的严重并发症之一,主要是由于过多的血糖而对脚造成的神经损伤。本研究的目的是确定哪些因素与亚的斯亚贝巴型糖尿病患者的2型糖尿病神经症状有关。这种类型的研究是通过案例控制研究的设计进行分析观察。用采样技术选择的25个病例和25个控件。所使用的工具是一份结构性问卷。数据通过使用chi square测试和SPSS 16设备的物流回归进行分析。结果表明,血统记录(或= 3.78;95%的CI= 1,17- 1219),长期患有DM(或= 7.87;95%的CI= 2.07 - 2994), dislipidemia(或= 3.18;95%的CI= 1.017),高血压状态(或= 3.18;95%的CI= 1.010.17), DM节食率(或= 3.18;95%的CI= 1.010.17)和DM治疗历史(或= 0.24;95%的CI= 06-992)用于患有2型DM的糖尿病神经病变。
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引用次数: 1
Bahasa Indonesia
Pub Date : 2021-01-30 DOI: 10.20884/1.ki.2021.13.1.2607
Elviera Gamelia, Arif Kurniawan
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引用次数: 0
Pola Konsumsi Kopi Pada Penderita Hipertensi Di Kecamatan Medan Perjuangan, Kota Medan 高血压患者的咖啡消费模式
Pub Date : 2021-01-30 DOI: 10.20884/1.KI.2021.13.1.2324
Citra Cahyati Nst
Kadar kafein yang tinggi di dalam kopi bisa membuat tekanan darah seseorang yang mempunyai penyakit hipertensi meningkat 3-4 kali karena saat kafein masuk ke aliran darah, hormon adrenalin yang membuat kesulitan tidur akan meningkat sehingga tekanan darah akan juga akan semakin meningkat. Penelitian ini merupakan penelitian survey cepat dengan analisis univariat, dilakukan di Kecamatan Medan Perjuangan pada November 2019. Sampel penelitian ini adalah masyarakat penderita hipertensi sebanyak 210 sampel dengan alat pengumpulan data berupa instrument kuisioner. Mayoritas responden adalah perempuan, usia terbanyak 52-59 tahun, mayoritas pekerjaaan adalah Ibu Rumah Tangga. Sebanyak 47 orang mengonsumsi kopi secara rutin, rata-rata frekuensi konsumsi kopi 1.457 gelas/hari, dengan ukuran gelas rata-rata 198.105 ml, rata-rata takaran kopi sebesar 1.674 sdm dan rata-rata lama konsumsi kopi 18.383 tahun. Tekanan darah sistolik responden yang mengonsumsi kopi rutin paling banyak pada kategori 140-159 mmHg (66%) dan tekanan darah diastolik responden yang mengonsumsi kopi rutin paling banyak pada kategori 90-99 mmHg (48,9%). Rata-rata konsumsi kopi responden tidak melewati batas konsumsi kopi maksimal bagi penderita hipertensi namun akan lebih baik jika tidak mengonsumsi kopi sama sekali. Kata kunci : Hipertensi, Konsumsi kopi, Kafein
咖啡因含量高的咖啡会导致高血压患者的血压上升3-4倍,因为当咖啡因进入血液时,导致睡眠困难的肾上腺素会增加,血压也会增加。该研究是对univariat分析的快速调查,发生在2019年11月的战斗区块。该研究样本为210个样本的高血压人群,采用问卷调查工具收集数据。大多数受访者是女性,年龄最多52-59岁,大部分是家庭主妇。多达47人定期喝咖啡,平均咖啡消费量为1457杯/日,平均杯量为198,105毫升,平均咖啡摄取量为1674品脱,咖啡平均摄取量为18383年。服用常规咖啡的受访者收缩压为140-159 mmHg(66%)和服用正常咖啡最多的受访者舒张压为90-99 mmHg(48.9%)。平均咖啡摄入量并没有超过高血压患者的最大咖啡摄入量,但如果根本不喝咖啡就更好了。关键词:高血压,咖啡摄入量,咖啡因
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引用次数: 0
Faktor Yang Berhubungan dengan Kejadian Hipertensi di Provinsi Jambi 这是贾比省发生高血压的因素
Pub Date : 2020-11-30 DOI: 10.26714/JKMI.15.2.2020.34-38
H. Helni
Latar belakang: Prevalensi kejadian hipertensi di Provinsi Jambi meningkat dalam lima tahun terakhir. Faktor perilaku dan lingkungan merupakan faktor resiko dari hipertensi. Penelitian ini dilakukan untuk mengetahui gambaran dan faktor yang berhubungan dengan kejadian hipertensi pada Anggota Rumah Tangga (ART) umur 18 tahun ke atas di Provinsi Jambi. Metode: Penelitian dilakukan dengan pendekatan kuantitatif dengan disain studi cross sectional bersumber data Riskesdas 2018 dari Badan Penelitian dan Pengembangan Kesehatan dengan menggunakan populasi target.   Variabel bebas adalah faktor perilaku (aktifitas fisik dan merokok) serta faktor lingkungan yaitu pekerjaan dan wilayah tempat tinggal, sementara variabel terikat adalah hipertensi. Analisis data dilakukan dengan chi square. Hasil: Uji hubungan menunjukkan angka signifikan antara kejadian hipertensi dengan variabel aktifitas fisik berat (p = 0,016, OR = 1,214), aktifitas fisik sedang (p = 0,000, OR = 1,207), merokok (p = 0,005), dan pekerjaan (p = 0,000, OR = 1,538). Variable yang tidak signifikan adalah wilayah tempat tinggal (p = 0,834). Kesimpulan: Aktifitas fisik baik berat maupun sedang dan kebiasaan merokok serta pekerjaan merupakan faktor yang berhubungan dengan kejadian hipertensi Perlu ditingkatkan upaya promotif dan preventif dengan mengendalikan faktor resiko melalui edukasi menggunakan media yang mudah dipahami masyarakat sebagai langkah pencegahan kejadian hipertensi.
背景:Jambi省高血压发病率在过去五年上升。行为和环境因素是高血压的风险因素。这项研究是为了了解在Jambi省18岁以上家庭成员高血压的情况和因素。方法:研究采用与交叉部分研究设计相关的定量方法进行,该方法具有目标人群驱动的2018年健康发展机构的数据来源。自由变量是行为和吸烟的因素,以及职业和生活区的环境因素,而变量是高血压。数据分析是在chi square上进行的。结果:关系测试显示,高血压和剧烈运动的变量(p = 016,或= 1,214)、中度活动(p = 10,000,或= 1,207)、吸烟(p = 0.005)和职业(p = 10,000,或= 1,538)之间的显著数字。可变最小是居住区(p = 0.834)。结论:适度、适度的体力活动、吸烟和就业都是导致高血压的因素,需要通过教育、使用大众容易理解的媒体来控制风险因素,从而加强促进和预防措施。
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引用次数: 2
期刊
Kesmas Indonesia Jurnal Ilmiah Kesehatan Masyarakat
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