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Exploring Trends and Differences in Health Behaviours of Health Sciences University Students from Germany and England: Findings from the "SuSy" Project. 探究德国和英国健康科学专业大学生健康行为的趋势和差异:来自“SuSy”项目的调查结果。
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-09-21 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1603965
Alexandra Kalbus, Juliane Boenecke, Maxine Holt, Susan Powell, Ralf Reintjes

Objectives: This research aimed to explore the health behaviours of health sciences students over time and across different settings. Methods: A health behaviour surveillance system has been implemented in Hamburg and Manchester among under- and postgraduate health sciences students. Trends among the Hamburg sample were described. In a cross-sectional assessment, health behaviours across both universities were examined using multivariate regression analysis. Results: Between 2014 and 2018, increasing trends in physical activity and cannabis and alcohol consumption were observed in Hamburg (n = 1,366). While fruit and vegetable intake was constantly low, tobacco smoking decreased. No clear trend was observed for stress perception. The comparison (n = 474) revealed that Manchester students had higher odds of smoking, excessive alcohol consumption, and fruit and vegetable consumption; and lower odds of being physically active, and consuming cannabis. No difference in stress perception was observed. Conclusions: Varying trends and potential areas of intervention were identified for health behaviours in Hamburg. The comparison with Manchester students revealed differences in behaviours, which could be further explored to help inform health promotion strategies in both settings.

目的:本研究旨在探讨不同时间和环境下健康科学专业学生的健康行为。方法:在汉堡和曼彻斯特的健康科学本科生和研究生中实施健康行为监测系统。描述了汉堡样本的趋势。在横断面评估中,使用多变量回归分析检查了两所大学的健康行为。结果:2014年至2018年期间,汉堡的体育活动、大麻和酒精消费呈增加趋势(n = 1366)。虽然水果和蔬菜的摄入量一直很低,但吸烟却减少了。在压力感知方面没有明显的趋势。比较(n = 474)显示,曼彻斯特学生吸烟、过度饮酒、水果和蔬菜消费的几率更高;锻炼身体和吸食大麻的几率也更低。应激感知方面无差异。结论:确定了汉堡健康行为的不同趋势和潜在干预领域。与曼彻斯特学生的比较揭示了行为上的差异,这可以进一步探讨,以帮助在两种情况下制定健康促进策略。
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引用次数: 1
Parental Engagement and Adolescents Mental Health Wellbeing: Cross-Sectional Study from Sri Lanka 父母参与与青少年心理健康:来自斯里兰卡的横断面研究
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-08-31 DOI: 10.17511/ijphr.2021.i04.01
Gajarishiyan Rasalingam, Arrosan Rajalingam
Background: Parental engagement is one of the key factors that can influence adolescents mentalhealth status, although these associations are not fully measured in the local context. This study willestimate the prevalence and association of parental engagement with adolescents and mental healthstatus in Sri Lanka. Method: This current study is a secondary analysis of nationally representativedata for Sri Lanka. The data was collected from 3262 school attending students in grades 8-12 inthe Sri Lankan Global School-based health survey (GSHS) 2016. A two-stage cluster sample designwas used to select the representation of samples. The binary variables i.e. loneliness, anxiety andsuicidal ideation, were modelled using multivariable logistic regression models with predictorsrepresenting gender, age, grade, parental supervision and parental understanding. Result: It isestimated that the prevalence of parental supervision and parental understanding is 85.3% and78.5%, respectively. The analysis of both good parental supervision and parenting understandinghas reduced the loneliness, anxiety and suicidal thoughts among the adolescents population,compared to those who don't have good parental engagement. Conclusion: It is seen that there isa higher prevalence of parental and children engagement in Sri Lanka compared to otherdemographical regions. However, the prevalence of mental health remains higher as compared tothe global average. The results suggest that national policies and programs should be integrated forboth parents and children. Parents need more knowledge on good parenting, while adolescents needsupport on coping with their mental health.
背景:父母参与是影响青少年心理健康状况的关键因素之一,尽管这些关联在当地情况下尚未得到充分衡量。本研究将评估斯里兰卡青少年父母参与与心理健康状况的患病率和关联。方法:本研究是对斯里兰卡全国代表性数据的二次分析。数据收集自2016年斯里兰卡全球学校健康调查(GSHS)中3262名8-12年级在校学生。采用两阶段聚类样本设计来选择样本的代表性。二元变量(孤独、焦虑和自杀意念)采用多变量logistic回归模型建模,预测因子为性别、年龄、年级、父母监督和父母理解。结果:估计家长监督和家长理解的患病率分别为85.3%和78.5%。与那些没有良好父母参与的青少年相比,良好的父母监督和父母理解减少了青少年群体中的孤独感、焦虑和自杀念头。结论:可以看出,与其他人口统计区域相比,斯里兰卡的父母和儿童参与的患病率更高。然而,与全球平均水平相比,精神健康的患病率仍然较高。研究结果表明,国家政策和计划应该结合起来,兼顾父母和孩子。父母需要更多关于良好养育的知识,而青少年需要在应对心理健康方面得到支持。
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引用次数: 0
Prevalence and Associated Factors of Common Mental Disorders in Women: A Systematic Review. 女性常见精神障碍的患病率及相关因素:一项系统综述。
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-08-23 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1604234
Héllyda de Souza Bezerra, Roberta M Alves, Aryelly Dayanne D Nunes, Isabelle R Barbosa

Objectives: To identify the prevalence and factors associated with common mental disorders in adult women. Methods: Searches were carried out in the PubMed, Web of Science, Science Direct, Scopus, Cinahl, Google Scholar and Open Gray databases. The study protocol was registered with PROSPERO under number CRD42020168231. Cross-sectional studies showing the prevalence of common mental disorders in women over 18 years were included. Studies with men, children and pregnant women of another age group and with other mental disorders and other types of studies were excluded. The Joanna Briggs Institute checklist was used to assess the risk of bias. Results: Nineteen studies were included in this review. The prevalence of CMD ranged from 9.6% to 69.3%. The main associated factors were unemployment, indebtedness, low income, being a housewife, smoking, low education, poor self-rated health, being single, divorced or widowed. The risk of bias in the studies was classified as low and moderate. Conclusion: This review revealed a variable prevalence rate of CMD in adult women. Public policies are needed to create strategies to prevent the mental illness of these women.

目的:确定成年女性常见精神障碍的患病率和相关因素。方法:检索PubMed、Web of Science、Science Direct、Scopus、Cinahl、Google Scholar和Open Gray数据库。该研究方案已在PROSPERO注册,编号CRD42020168231。横断面研究显示了18岁以上女性常见精神障碍的患病率。排除了对另一年龄组的男性、儿童和孕妇以及其他精神障碍和其他类型研究的研究。乔安娜·布里格斯研究所的检查表用于评估偏见的风险。结果:本综述包括19项研究。CMD的患病率在9.6%-69.3%之间。主要相关因素是失业、负债、低收入、家庭主妇、吸烟、低教育程度、自我评估健康状况不佳、单身、离婚或丧偶。研究中的偏倚风险分为低风险和中等风险。结论:本综述揭示了CMD在成年女性中的不同患病率。需要制定公共政策来制定预防这些妇女精神疾病的战略。
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引用次数: 0
Impact of lockdown due to COVID-19 on the dietary habits of youngsters of Delhi-NCR COVID-19导致的封锁对德里ncr青少年饮食习惯的影响
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-30 DOI: 10.17511/ijphr.2021.i03.01
Devesh Arora, Shaurya Narang
With over a year after the first coronavirus case reached Delhi, the total number of infections anddeaths has reached a sky-high mark. The response of the Delhi government involved the impositionof multiple lockdowns. This decision, though slowed down the positivity rate, had unprecedentedeffects on the dietary habits of young individuals in the city. Forced to stay at home due to thelockdown, these individuals engaged in unhealthy daily routines and dietary habits. With the closelink between diet and immunity it becomes imperative to collect data in this regard. The presentpaper records the dietary habits of individuals in the city using a web-based survey. The findings arepresented and analyzed graphically. It was observed that the lockdown harmed the dietary habits ofyoung individuals. A decrease in the level of exercise, water intake and increase in weight were themajor variables leading to this conclusion.
在德里出现首例冠状病毒病例一年多后,感染和死亡总数已经达到了极高的水平。德里政府的回应包括实施多次封锁。这一决定虽然降低了阳性率,但对城市中年轻人的饮食习惯产生了前所未有的影响。由于封锁,这些人被迫呆在家里,他们的日常生活和饮食习惯都不健康。随着饮食与免疫之间的密切联系,收集这方面的数据变得势在必行。本文使用基于网络的调查记录了城市中个人的饮食习惯。研究结果以图表形式呈现和分析。据观察,封锁损害了年轻人的饮食习惯。运动量的减少、饮水量的减少和体重的增加是导致这一结论的主要变量。
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引用次数: 2
Study on infant feeding practice among children up to 6 months in an urban slum of Bhopal 博帕尔城市贫民窟6个月以下儿童喂养实践研究
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-30 DOI: 10.17511/ijphr.2021.i03.02
R. Sarkar, Harshal Kawanpure
Introduction: High morbidity and mortality among the under 5 children are highly prevalent inIndia. Appropriate child feeding practices in the initial six months of age act as a preventiveintervention against childhood morbidity and mortality. Methods: A questionnaire-based cross-sectional study was conducted in an urban slum to study various feeding practices prevalent amongchildren up to 6 months of age. Also associated socio-demographic factors were studied. SPSSsoftware version 25 was used to analyze the results. Results: The study included 55 children up to6 months of age. Out of these 76.4% were exclusively breastfed. Among 45.5%, breastfeeding waswithin 1st hour of the birth. 56.4% have received pre-lacteal feeds, while 72.72% receivedcolostrum. The educational status of the mother and place of delivery were major determinants ofappropriate infant feeding practices. Conclusion: Most mothers are practising exclusivebreastfeeding. Colostrum was fed to most of the children. Animal milk was given in cases whereinitiation of breastfeeding was delayed.
5岁以下儿童的高发病率和死亡率在印度非常普遍。在婴儿出生后6个月采取适当的喂养做法,是预防儿童发病率和死亡率的一种干预措施。方法:在一个城市贫民窟进行了一项基于问卷的横断面研究,研究了6个月以下儿童普遍存在的各种喂养方法。还研究了相关的社会人口因素。采用SPSSsoftware version 25对结果进行分析。结果:该研究包括55名6个月大的儿童。其中76.4%为纯母乳喂养。45.5%的婴儿在出生后1小时内进行母乳喂养。56.4%饲喂乳前饲料,72.72%饲喂初乳。母亲的受教育程度和分娩地点是婴儿适当喂养方式的主要决定因素。结论:大多数母亲实行纯母乳喂养。大多数孩子都吃初乳。在开始母乳喂养延迟的情况下,给予动物奶。
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引用次数: 0
An Overview of the Epidemiologic, Diagnostic and Treatment Approaches of COVID-19: What do We Know? COVID-19的流行病学、诊断和治疗方法综述:我们知道什么?
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-17 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1604061
Hanieh Beyrampour-Basmenj, Morteza Milani, Abbas Ebrahimi-Kalan, Ziyad Ben Taleb, Kenneth D Ward, Ghader Dargahi Abbasabad, Zeynab Aliyari-Serej, Mohammad Ebrahimi Kalan

Background: In late December 2019, a new infectious respiratory disease (COVID-19) was reported in a number of patients with a history of exposure to the Huanan seafood market in China. The World Health Organization officially announced the COVID-19 pandemic on March 11, 2020. Here, we provided an overview of the epidemiologic, diagnostic and treatment approaches associated with COVID-19. Methods: We reviewed the publications indexed in major biomedical databases by December 20, 2020 or earlier (updated on May 16, 2021). Search keywords included a combination of: COVID-19, Coronavirus disease 2019, SARS-CoV-2, Epidemiology, Prevention, Diagnosis, Vaccine, and Treatment. We also used available information about COVID-19 from valid sources such as WHO. Results and Conclusion: At the time of writing this review, while most of the countries authorized COVID-19 vaccines for emergency use starting December 8, 2020, there is no a definite cure for it. This review synthesizes current knowledge of virology, epidemiology, clinical symptoms, diagnostic approaches, common treatment strategies, novel potential therapeutic options for control and prevention of COVID-19 infection, available vaccines, public health and clinical implications.

背景:2019年12月下旬,中国华南海鲜市场多名有接触史的患者报告了一种新型传染性呼吸道疾病(新冠肺炎)。世界卫生组织于2020年3月11日正式宣布新冠肺炎大流行。在此,我们概述了与新冠肺炎相关的流行病学、诊断和治疗方法。方法:我们回顾了截至2020年12月20日或更早(2021年5月16日更新)在主要生物医学数据库中索引的出版物。搜索关键字包括以下组合:新冠肺炎、2019冠状病毒病、SARS-CoV-2、流行病学、预防、诊断、疫苗和治疗。我们还使用了来自世界卫生组织等有效来源的有关新冠肺炎的可用信息。结果和结论:在撰写本综述时,尽管大多数国家从2020年12月8日起授权新冠肺炎疫苗紧急使用,但尚无确切的治愈方法。本综述综合了病毒学、流行病学、临床症状、诊断方法、常见治疗策略、,控制和预防新冠肺炎感染的新的潜在治疗选择、可用疫苗、公共卫生和临床意义。
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引用次数: 6
Reviewing School Uniform through a Public Health Lens: Evidence about the Impacts of School Uniform on Education and Health. 从公共卫生的角度审视校服:关于校服对教育和健康影响的证据。
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-16 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1604212
Johanna Reidy

This study uses a public health lens to review evidence about the impacts of wearing a school uniform on students' health and educational outcomes. It also reviews the underlying rationales for school uniform use, exploring historical reasons for uniform use, as well as how questions of equity, human rights, and the status of children as a vulnerable group are played out in debates over school uniforms. The literature identified indicates that uniforms have no direct impact on academic performance, yet directly impact physical and psychological health. Girls, ethnic and religious minorities, gender-diverse students and poorer students suffer harm disproportionately from poorly designed uniform policies and garments that do not suit their physical and socio-cultural needs. Paradoxically, for some students, uniform creates a barrier to education that it was originally instituted to remedy. The article shows that public health offers a new perspective on and contribution to debates and rationales for school uniform use. This review lays out the research landscape on school uniform and highlights areas for further research.

本研究从公共卫生的角度审视了穿校服对学生健康和教育成果影响的证据。它还回顾了使用校服的基本原理,探讨了使用校服的历史原因,以及公平、人权和儿童作为弱势群体的地位问题如何在关于校服的辩论中发挥作用。研究表明,校服对学习成绩没有直接影响,但对身心健康有直接影响。女孩、少数民族和宗教少数群体、性别多样化的学生和贫困学生因设计不当的制服政策和服装而受到不成比例的伤害,这些政策和服装不符合他们的身体和社会文化需求。矛盾的是,对一些学生来说,校服给他们的教育造成了障碍,而这本来是为了补救而制定的。这篇文章表明,公共卫生为使用校服的辩论和理由提供了新的视角和贡献。本文概述了校服的研究概况,并指出了有待进一步研究的领域。
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引用次数: 7
Rebuilding Trust on Routine Immunization in Era of COVID-19 Fear-Role that Civil Society Organizations can Play Hands-in-Hand with Immunization Program. 在COVID-19恐惧时代重建对常规免疫的信任——民间社会组织与免疫规划携手合作的作用。
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-02 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1603989
Ameer Muhammad, Daniyaal Ahmad, Eleze Tariq, Yasir Shafiq
To the Editor, The COVID-19 pandemic has drastically impacted the health and socioeconomic condition of this symbiotic globe [1]. The aforementioned impact as well as the one on quality of life has been much more devastating for developing countries, such as the ones supported by the Global Alliance for Vaccines and Immunization (GAVI) [4] All GAVI-supported countries pledged to achieve 100 percent of immunization but one in every 10 children globally still has no access to vaccines, leaving millions of zero-dose children behind [6]. Where the supply-side in these countries is struggling to deliver vaccination services after COVID-19, the demand is facing “double burden” now. Communities often harbor lots of “myths and misconceptions” pertaining to vaccines and vaccination services [7]. The exacerbation of existing fear within communities to access vaccination services and anxiety among frontline health workers to safely deliver vaccination present as key hurdles, reflected by a much smaller number of children being vaccinated in this period [8–10]. The consequences of this have been compounded by restrictions on movement, suspension of public transport, and concerns about exposure to COVID-19. At the same time, the health workforce is absent from their duties either due to travel restrictions, self-quarantine, sickness, lack of personal protective equipment (PPE) and concerns about COVID-19 exposure [11, 12]. There is a resultant visible impact seen on immunization services such as the 52.8% decrease in immunization visits seen in the Sindh province, Pakistan. This translated into around 2,734 missed children daily only in Karachi, the most populous city of Sindh province. These missed children are at the highest risk of developing VPDs [13]. Many immunization campaigns like “polio and zero dose” were or are still suspended in countries including Pakistan, and bring about a risk of spread of these VPDs and consequent morbidity and mortality [14, 15]. Currently, countries are lifting lockdown restrictions and restoring the health services. However, due to the unpredictability of the situation and decrease in vaccination coverage, exceptional strategies are needed. Expanded Program on Immunization (EPI) alone cannot compensate for the loss of missed children so far and months of effort are required to reach the point where we were before COVID-19. Integrated systems and synergy across the partners are a need of the hour. In some semblance of hope, Pakistan has an existing infrastructure of CSOs which operate as the key players in delivering Edited by: Raquel Lucas, University Porto, Portugal
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引用次数: 0
Community-Based Interventions for Cardiovascular Disease Prevention in Low-and Middle-Income Countries: A Systematic Review. 低收入和中等收入国家以社区为基础的心血管疾病预防干预:一项系统综述。
IF 5.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-02 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1604018
Rawlance Ndejjo, Hamid Yimam Hassen, Rhoda K Wanyenze, David Musoke, Fred Nuwaha, Steven Abrams, Hilde Bastiaens, Geofrey Musinguzi

Objectives: To synthesize evidence on the effectiveness of community-based interventions for cardiovascular disease (CVD) prevention in low- and middle-income countries (LMICs) to inform design of effective strategies for CVD prevention. Methods: We searched MEDLINE, EMBASE, CINAHL, Cochrane register of controlled studies and PSYCINFO databases for studies published between January 2000 and June 2019. Other studies were identified from gray literature sources and review of reference lists of included studies. The primary outcomes for the review were those aimed at primary prevention of CVD targeting physical activity, diet, smoking and alcohol consumption. Results: Database searches yielded 15,885 articles and 94 articles were identified through snowball searching. After screening, the articles from LMICs were 32 emanating from 27 studies: 9 cluster randomized trials, eight randomized controlled trials and 10 controlled before and after studies. Community-based interventions successfully improved population knowledge on CVD and risk factors and influenced physical activity and dietary practices. Evidence of interventions on smoking cessation and reduced alcohol consumption was inconsistent. Conclusion: This evidence should inform policy makers in decision-making and prioritizing evidence-based interventions.

目的:综合低收入和中等收入国家(LMICs)社区心血管疾病(CVD)预防干预措施有效性的证据,为设计有效的CVD预防策略提供信息。方法:检索MEDLINE、EMBASE、CINAHL、Cochrane对照研究注册库和PSYCINFO数据库,检索2000年1月至2019年6月间发表的研究。其他研究是从灰色文献来源和纳入研究的参考文献列表中确定的。该综述的主要结局是针对心血管疾病的一级预防,包括体育活动、饮食、吸烟和饮酒。结果:数据库检索获得15885篇文章,通过滚雪球检索识别出94篇文章。筛选后,来自27项研究的文章共32篇,其中9项为聚类随机试验,8项为随机对照试验,10项为前后对照研究。以社区为基础的干预措施成功地提高了人们对心血管疾病及其风险因素的认识,并影响了身体活动和饮食习惯。有关戒烟和减少饮酒的干预措施的证据并不一致。结论:这一证据应为决策者提供决策和优先考虑循证干预措施的依据。
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引用次数: 7
Communication With Older Adults in Times of a Pandemic: Practical Suggestions for the Health Care Professionals. 大流行病时期与老年人的沟通:给医疗保健专业人员的实用建议》。
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-05-27 eCollection Date: 2021-01-01 DOI: 10.3389/phrs.2021.1604046
Alexis Pinsonnault-Skvarenina, Adriana Bender Moreira de Lacerda, Mathieu Hotton, Jean-Pierre Gagné

In order to limit the spread of the coronavirus, several protective measures have been put in place in the community, in private and public residences and in health care centers. Some measures have a negative impact on communication. They include physical distancing, the use of face masks and shields as well as the increased use of telephone and videoconferencing for distance communication. The effects of COVID-19 are particularly harsh on older adults. Consequently, older adults, especially those with hearing loss, are particularly at risk of experiencing communication breakdowns and increased social isolation. Health care professionals should learn about and be encouraged to use communication strategies to maintain good interactions with their patients. This article proposes practical suggestions to health professionals who interact with older adults, especially those who have difficulty understanding speech. The goal of this article is to inform on the prevalence of hearing loss, the hearing difficulties experienced by older adults, the manifestations of hearing problems, the effects of pandemic protection measures on communication and the strategies that can be used to optimize professional-patient communication during a pandemic.

为了限制冠状病毒的传播,在社区、私人和公共住宅以及医疗保健中心采取了一些保护措施。有些措施会对交流产生负面影响。这些措施包括拉开身体距离、使用口罩和防护罩,以及更多地使用电话和视频会议进行远程交流。COVID-19 对老年人的影响尤其严重。因此,老年人,尤其是听力受损的老年人,特别容易出现沟通障碍,加剧社会隔离。医护人员应了解并鼓励使用沟通策略,以保持与患者的良好互动。本文向与老年人,尤其是理解言语有困难的老年人交流的医护人员提出了一些实用的建议。本文旨在介绍听力损失的普遍程度、老年人的听力困难、听力问题的表现形式、大流行病防护措施对沟通的影响以及在大流行病期间优化专业人员与患者沟通的策略。
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引用次数: 0
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