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Obesity as a Risk Factor in Primary Total Hip Arthroplasty 肥胖是原发性全髋关节置换术的危险因素
Pub Date : 2023-02-03 DOI: 10.7251/qol2301073j
Ž. Jovičić, Željka Cvijetić, S. Manojlović
Hip arthroplasty or hip replacement is a surgical procedure by which damaged cartilage and bone are removed from the joint and replaced by implants. Hip replacement is performed in order to achive painless and normal movements. Obesity is characterized by excessive accumulation of fat inside an organism and it affects occurance of arthrosis. Obese people make up to 30% of the population in developed countries. A vast majority of recent research publications talk about obesity and its impact on the outcome of orthopedic surgical procedures.
髋关节置换术是一种外科手术,将受损的软骨和骨从关节中取出并用植入物代替。髋关节置换术是为了实现无痛和正常的运动。肥胖的特征是体内脂肪的过度积累,它会影响关节病的发生。在发达国家,肥胖人口占总人口的30%。最近的绝大多数研究出版物都在谈论肥胖及其对整形外科手术结果的影响。
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引用次数: 0
The Prevention of Life-Changing Injuries and Fatalities 预防改变生命的伤害和死亡
Pub Date : 2023-02-03 DOI: 10.7251/qol2301056s
Tijana Stanković, Tamara Rađenović, Snežana Živković
In the past two years, the Republic of Serbia has seen gains in workplace safety, particularly as regards total reported injuries. In 2020 there is a 22.63% drop in reported injuries compared to 2019, according to the Ministry of Labor, Employment, Social and Veterans Affairs Work Report for 2020 and 2019. Nonetheless, this trend should not overshadow another disturbing trend in the workplace – that the number of life-changing injuries and fatalities has been on a much slower regression. While it is encouraging that the total reported incident rate is decreasing, the next step for safety excellence and the one Serbian Ministry currently strives to achieve, is the elimination of life-changing injuries and fatalities in the workplace. The paper presents an overview of life-changing injury and fatality prevention and how it is addressed by using incident and near miss data. The presented analyses will add benefit to the prevention improvement of life-changing injuries and fatalities.
在过去两年中,塞尔维亚共和国在工作场所安全方面取得了进展,特别是在报告的受伤总数方面。根据劳动、就业、社会和退伍军人事务部2020年和2019年的工作报告,2020年报告的受伤人数比2019年下降了22.63%。尽管如此,这一趋势不应掩盖工作场所另一个令人不安的趋势——改变生活的伤害和死亡人数的下降速度要慢得多。虽然令人鼓舞的是,报告的总事故率正在下降,但安全卓越的下一步,也是塞尔维亚部委目前努力实现的目标,是消除工作场所改变生活的伤害和死亡。本文概述了改变生命的伤害和死亡预防,以及如何通过使用事件和near miss数据来解决。所提出的分析将有助于预防和改善改变生活的伤害和死亡。
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引用次数: 0
Incidence of Febrile Neutropenia in Breast Cancer Patients Treated With Chemotheraphy Protocols From 01.01.2020 to 31.12.2021 in University Clinical Center of Republic of Srpska Banja Luka 2020年1月1日至2021年12月31日在斯普斯卡共和国巴尼亚卢卡大学临床中心接受化疗的乳腺癌患者发热性中性粒细胞减少的发生率
Pub Date : 2023-02-03 DOI: 10.7251/qol2301038c
Željka Cvijetić, Z. Gojković, Ž. Jovičić, Sanja Kostur, I. Baroš, Slađana Šiljak
Febrile neutropenia occurring during chemotherapy was reported to be a predictor of survival in breast cancer patients. We assessed the incidence of febrile neutropenia induced by chemotherapy. Data from a retrospective study on the application of chemotherapy protocols in breast cancer patients was reviewed. Analyzing the data, we can see that out of 81 patients who received chemotherapy, 43 were diagnosed with neutropenia and 4 or 9.3% of those patients were diagnosed with neutropenia again despite prophylaxis with Granulocyte-colony stimulating factor (G-CSF). In 4 or 9.3% of patients, further administration of that chemotherapy protocol had to be stopped due to severity of neutropenia and complications they caused. During the treatment, grade IV neutropenia was diagnosed in 27 or 63% of patients while grade I neutropenia was diagnosed in 2 or 4.65% of patients. Anemia associated with neutropenia was also diagnosed in 7 or 16.3% of patients while pancytopenia was diagnosed in 4 or 9.3% of patients, and thrombocytopenia associated with neutropenia was diagnosed in only one patient. The hazard ratio of febrile neutropenia presence compared to the absence of such toxicity was adjusted. The cox model was 0.75 (confidence interval 95% 0.54-0.95; P=0,0189) for grade I neutropenia, 0.63 (0.50-0.78; P0,0001) for grade II neutropenia and 0.71 (0.51-0.98; P=0.3888) for grades III and IV neutropenia. These results suggest that the occurrence of neutropenia during chemotherapy is an independent predictor of increased survival in breast cancer patients, while the absence of such toxicity indicates that the drug doses are not sufficient. Monitoring of febrile neutropenia in patients treated with chemotherapy may contribute to improved drug efficacy and better survival rate.
据报道,化疗期间发生的发热性中性粒细胞减少是乳腺癌患者生存的一个预测指标。我们评估了化疗引起的发热性中性粒细胞减少的发生率。回顾了一项关于化疗方案在乳腺癌患者中的应用的回顾性研究数据。分析数据,我们可以看到,在接受化疗的81例患者中,有43例被诊断为中性粒细胞减少症,尽管使用了粒细胞集落刺激因子(G-CSF)预防,但仍有4例(9.3%)患者再次被诊断为中性粒细胞减少症。在4%或9.3%的患者中,由于严重的中性粒细胞减少症及其引起的并发症,化疗方案的进一步管理不得不停止。在治疗过程中,27例(63%)患者诊断为IV级中性粒细胞减少,2例(4.65%)患者诊断为I级中性粒细胞减少。有7例(16.3%)的患者诊断为贫血伴中性粒细胞减少症,4例(9.3%)的患者诊断为全血细胞减少症,仅有1例患者诊断为血小板减少症伴中性粒细胞减少症。对发热性中性粒细胞减少的存在与不存在这种毒性的危险比进行了调整。cox模型为0.75(置信区间95% 0.54 ~ 0.95;I级中性粒细胞减少,P= 0.0189), 0.63 (0.50-0.78;II级中性粒细胞减少为P0,0001)和0.71 (0.51-0.98;P=0.3888)为III级和IV级中性粒细胞减少症。这些结果表明,化疗期间中性粒细胞减少的发生是乳腺癌患者生存率增加的一个独立预测因素,而没有这种毒性表明药物剂量不够。化疗患者发热性中性粒细胞减少的监测可能有助于提高药物疗效和生存率。
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引用次数: 0
Comparison of Some Physical Properties of Soil and River Sediment 土壤与河流沉积物某些物理性质的比较
Pub Date : 2023-02-03 DOI: 10.7251/qol2301005s
Tajana Shishkova, Andrijana Chankulovska, Katerina Atkovska, Boško Boškovski, S. Bogoevski
In this research, a comparison of some physical properties of two natural media was made, namely, a selected soil sample from the northwestern segment of the Skopje valley and a sample of river sediment from the river Vardar. The primary parameters of the samples are determined, such as: granulometric composition, specific mass and volume mass in different compacted condition. The secondary physical characteristics are followed, which are a consequence of the previously listed, which are the porosity of the samples and the capillary characteristics. These, further define the following characteristics of the media: maximum water permeability, characteristics of the water transport process and heat transfer through the examined sample layer. Simultaneously, the changes of temperature and moisture at a defined point of the experimental layers are monitored (under appropriate experimental conditions, namely, an emphasized / amplified ΔT is set) and the phenomena are explained.
在本研究中,对斯科普里河谷西北段的土壤样本和瓦尔达尔河的河流沉积物样本这两种自然介质的一些物理性质进行了比较。测定了样品在不同压实条件下的粒度组成、比质量和体积质量等主要参数。其次是二级物理特征,这是前面列出的结果,即样品的孔隙率和毛细管特征。这些进一步定义了介质的以下特征:最大透水性,水传输过程的特征以及通过被检测样品层的传热。同时,监测实验层某一特定点的温度和湿度变化(在适当的实验条件下,即设置强调/放大ΔT),并对现象进行解释。
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引用次数: 0
Calculation of emissions into the air of non-road mobile machinery from the landfill 非道路移动机械从垃圾填埋场排放到空气中的排放量计算
Pub Date : 2023-02-03 DOI: 10.7251/qol2301021b
Marko Balaban, Valentina Balaban Radić, Draženko Bjelić, Aleksandar Bursać, Milenko Jaćimović, Brankica Gegić, Aleksandar Lukač, D. Marić, Dragana Nešković Markić, Željka Šobot Pešić, Ž. Jovičić
Waste disposal is just one of the segments in solid municipal waste management system. During the entire life cycle of waste, starting from waste generation, through storage, collection, transport, recycling, treatment and disposal, several different pollutants are emitted. By disposing solid waste, non-road mobile machinery (NRMM) emits various pollutants into the air such as CO2, CO, NMVOC, PM, PAHs, heavy metals, etc. These substances can pose certain problems for human health and the environment. The subject of this study is the calculation of air emissions of CO2, CH4, N2O, NMVOC, PM10, CO, Cd, Cr and PAHs (chrysene and benz[a]anthracene) from NRMM which are included in the activities of receiving and disposing of waste at the Banja Luka landfill. The study evaluates the emission of pollutants using the EEA guidelines for the assessment of the emission of pollutants into the air, based on the consumption of diesel fuel during the year. This study, which is based on the calculation of NRMM emissions at the Banja Luka landfill, should serve as an example not only to other landfills but also to sectors that use NRMM on the importance of keeping track of pollutant emissions. The goal is to look at these emissions and introduce changes and improvements in this sector by replacing old NRMMs with new ones, optimizing operation, using diesel of satisfactory quality, etc.
垃圾处理只是城市固体废物管理系统的一个环节。在废物的整个生命周期中,从废物产生开始,通过储存、收集、运输、回收、处理和处置,会排放几种不同的污染物。非道路移动机械(NRMM)通过处理固体废物,向空气中排放各种污染物,如CO2, CO, NMVOC, PM, PAHs,重金属等。这些物质可能对人类健康和环境造成某些问题。本研究的主题是计算Banja Luka垃圾填埋场接收和处理废物活动中NRMM产生的CO2、CH4、N2O、NMVOC、PM10、CO、Cd、Cr和多环芳烃(chrysene和苯并[a]蒽)的空气排放量。该研究根据一年中柴油燃料的消耗量,使用欧洲环境局评估空气中污染物排放的指南来评估污染物的排放。本研究基于对巴尼亚卢卡垃圾填埋场NRMM排放量的计算,不仅可以为其他垃圾填埋场,而且可以为使用NRMM的部门提供跟踪污染物排放重要性的榜样。我们的目标是观察这些排放,并通过用新的nrmm替换旧的nrmm,优化操作,使用质量令人满意的柴油等方式,在该领域引入变革和改进。
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引用次数: 0
Health Risk Assesssment of Benzen, Toluene and Xylene at a Landfill 垃圾填埋场中苯、甲苯和二甲苯的健康风险评价
Pub Date : 2023-02-03 DOI: 10.7251/qol2301047m
Dragana Nešković Markić, L. Stojanović Bjelić, Slađana Šiljak, Ž. Jovičić, Željka Cvijetić
The municipal solid waste (MSW) landfill is recognized as an anthropogenic source of air pollutants that can have a negative impact on human health and the environment. Workers who work at the MSW landfill may be exposed to risk due to the inhalation of substances such as volatile organic compounds (VOCs). Although VOCs account for 1% in landfill gas, they are important because of the high level of toxicity associated with them. Regular monitoring of air quality and risk assessment provides important information in protecting the health of workers at the landfill. This study focuses on a health risk assessment related to VOCs (benzene, toluene and xylene) exposure via inhalation for workers at a landfill Banja Luka, Republic of Srpska, Bosnia and Herzegovina. Additionally, cancer risk and non-cancer risk of benzene, toluene and xylene of workers indicated that occupational exposures were above recommended standard. This implies that landfill workers are exposed to a significant health risk associated with inhalation exposure to VOCs
城市固体废物(MSW)填埋场被认为是空气污染物的人为来源,可对人类健康和环境产生负面影响。在都市固体废物堆填区工作的工人可能因吸入挥发性有机化合物等物质而面临风险。虽然挥发性有机化合物在垃圾填埋气体中只占1%,但由于与之相关的高毒性,它们很重要。定期监测空气质量和风险评估为保护垃圾填埋场工人的健康提供了重要信息。本研究的重点是对波斯尼亚和黑塞哥维那斯普斯卡共和国巴尼亚卢卡垃圾填埋场工人通过吸入接触挥发性有机化合物(苯、甲苯和二甲苯)的健康风险进行评估。此外,工人的苯、甲苯和二甲苯的致癌风险和非致癌风险表明,职业暴露高于建议标准。这意味着,垃圾填埋场工人面临着与吸入挥发性有机化合物有关的重大健康风险
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引用次数: 0
Influence of Psychosocial Factors on Quality of Life Among in-School Adolescents 心理社会因素对在校青少年生活质量的影响
Pub Date : 2023-02-03 DOI: 10.7251/qol2301030o
Funmilola Bosede Olutola, Adekunle Thomas Olutola, Waidi Shina Mustapha, Grace Aanuolwapo Adejuwon
The impact of psychosocial factors on quality of life remains the subjects of considerable research globally. Thus, this study investigated the influence of psychosocial factors on quality of life among in-school adolescents in Oriade Local Government Area, of Osun State, Nigeria. The study adopted descriptive research design of survey type and was conducted in three purposively selected senior secondary schools in Oriade Local Government Area of Osun State, Nigeria. The population of the study consists of 4,669 in-school adolescents. Slovin’s formula was used to select 369 in-school adolescents from the population. The instrument used for data collection was a structured questionnaire consisting of 89 items. Three hypotheses were formulated and multiple regression analysis was used to analyse the data collected. Results show that sleep quality, social media addiction and family relationship jointly predicted quality of life (QoL) among in-school adolescents (F(3,363) = 156.182; p.01). The researchers recommended that both parents and teachers should assist in-school adolescents to improve their sleep quality and family relationship in other to maintain their QoL.
社会心理因素对生活质量的影响仍然是全球大量研究的主题。因此,本研究调查了社会心理因素对尼日利亚奥松州Oriade地方政府区的在校青少年生活质量的影响。本研究采用调查式描述性研究设计,在尼日利亚奥逊州奥里亚德地方政府区的三所高中进行。研究对象包括4669名在校青少年。斯洛文的公式被用来从人口中选择369名在校青少年。数据收集的工具是一份包含89个项目的结构化问卷。提出三个假设,并采用多元回归分析对收集的数据进行分析。结果显示,睡眠质量、社交媒体成瘾和家庭关系共同预测在校青少年的生活质量(QoL) (F(3,363) = 156.182;p.01)。研究人员建议,家长和老师都应该帮助在校青少年改善睡眠质量和家庭关系,以保持他们的生活质量。
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引用次数: 0
A Holistic Review of Home-Grown School Feeding Programme for Primary School Pupils’ in Africa 非洲本土小学供餐计划的整体回顾
Pub Date : 2023-02-03 DOI: 10.7251/qol2301065o
Adekunle Thomas Olutola, Justina Chinyere Aguh
School feeding programme is an important aspect of child’s cognitive development. Home-grown school feeding is an intervention programme designed for school aged children in order to eradicate hunger, increase enrolment, improve pupils’ nutritional value and pupils’ cognitive development whereas these objectives have not be achieved. Therefore, aim of the study is to holistically review the challenges faced in the implementation of home-grown school feeding programme among primary school pupils in Africa (Nigeria, Ghana, Kenya and Mali) and ways of solving these challenges. The paper also reviewed the concept of home-grown school feeding and its challenges. A qualitative research design of systematic search strategy type was used to gathered information in different databases and journals. In the course of the study, the researchers discovered that the programme is faced with the issues of corruption due non- remittance of regular fund to the school vendors and underfunding of the programmes. Other penitent issues include: low and inadequate storage facilities, political interferences, inadequate nutritional meals and low level of implementation. The researchers recommended that caterers should be trained by dieticians on the type of food to prepare for pupils’ and also government should set up a monitoring team to supervise the home-grown school feeding programme for proper implementation in Nigeria, Ghana, Kenya, Mali and other Sub-Sahara Africa Countries.
学校供餐计划是儿童认知发展的一个重要方面。国产学校供餐是为学龄儿童设计的一项干预方案,目的是消除饥饿,增加入学率,提高学生的营养价值和学生的认知发展,但这些目标尚未实现。因此,本研究的目的是全面审查在非洲(尼日利亚、加纳、肯尼亚和马里)小学生中实施本土学校供餐计划所面临的挑战,以及解决这些挑战的方法。本文还回顾了本土学校供餐的概念及其面临的挑战。采用系统检索策略型的定性研究设计,在不同的数据库和期刊中收集信息。在研究过程中,研究人员发现该计划面临着由于定期资金未汇款给学校供应商和计划资金不足而导致的腐败问题。其他令人后悔的问题包括:储存设施低和不足、政治干预、营养膳食不足和执行水平低。研究人员建议,提供伙食的人应该接受营养学家的培训,了解为学生准备的食物类型,政府也应该成立一个监督小组,监督在尼日利亚、加纳、肯尼亚、马里和其他撒哈拉以南非洲国家适当实施的本土学校供餐计划。
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引用次数: 0
Influence of Physical Exercise Program on Glycemic Status and Inflammatory Parameters in Type 2 Diabetes Mellitus 体育锻炼计划对2型糖尿病血糖状态和炎症参数的影响
Pub Date : 2023-02-03 DOI: 10.7251/qol2301014h
Almedina Hajrović, Adela Erović Vranešić, Aldina Alibegović, Arzija Pašalić, Amra Mačak Hadžiomerović, Samir Bojičić
Introduction: Physical activity has a positive effect on the regulation of diabetes mellitus and has been shown to have benefits in improving health. Aim: Examine the effects of physical activity on changes in glycemic parameters (glucose, HbA1C) and inflammatory parameters (leukocyte count (WBC), CRP) before and one month after the exercise program. Material and Methods: The study was designed as a prospective, analytical, and observational study. Results: T-test of paired samples assessed the impact of physical activity on glycemic and inflammatory parameters in subjects with confirmed Diabetes mellitus type 2 and in subjects without confirmed diabetes mellitus type 2. In subjects with confirmed diabetes the value of eta squared (ɳ2 - eta sqared) is 95%, which indicates a significant impact of physical activity on the change in glucose values and on the change of HbA1C value was indicated by the value of eta square of 93%. When it comes to inflammatory parameters, the impact of physical activity was found in the reduced number of WBC (ɳ2 = 88%), and in CRP (ɳ2 = 90%). In subjects without confirmed diabetes mellitus, a significant effect of physical activity on the change in glucose (ɳ2 = 94%) and HbA1C (ɳ2 = 77%). The influence of physical activity on the reduction of leukocyte count was proven by ɳ2 - eta sqared test (ɳ2 = 66%), as well as a decrease in CRP (ɳ2 = 30%). Conclusion: This study showed a significant impact of physical activity on the reduction of elevated glycemic and inflammatory parameters.
简介:体育活动对糖尿病的调节有积极作用,并已被证明对改善健康有好处。目的:探讨体育锻炼对运动前和运动后一个月血糖参数(葡萄糖、糖化血红蛋白)和炎症参数(白细胞计数、CRP)变化的影响。材料和方法:本研究设计为前瞻性、分析性和观察性研究。结果:配对样本的t检验评估了体力活动对确诊为2型糖尿病和未确诊为2型糖尿病受试者的血糖和炎症参数的影响。在确诊为糖尿病的受试者中,eta平方(2 - eta平方)的值为95%,这表明体育活动对血糖值的变化和HbA1C值的变化有显著影响,eta平方值为93%。当涉及到炎症参数时,体育活动的影响是在WBC数量减少(% 2 = 88%)和CRP(% 2 = 90%)中发现的。在未确诊糖尿病的受试者中,体力活动对葡萄糖(% 2 = 94%)和糖化血红蛋白(% 2 = 77%)的变化有显著影响。体育活动对白细胞计数减少的影响通过2 -平方检验(2 = 66%)和CRP降低(2 = 30%)得到证实。结论:本研究显示体育锻炼对降低血糖升高和炎症参数有显著影响。
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引用次数: 0
The Effectiveness of Health Educational Materials in the Prevention of Non-Communicable Diseases 卫生教育材料在预防非传染性疾病方面的有效性
Pub Date : 2022-05-03 DOI: 10.7251/qol2203105s
Slađana Šiljak, L. Kovačević, Branislav Mihajlović
Non-communicable diseases (NCDs) are the leading causes of morbidity, disability, and mortality among the world’s population. In this research, we aim to determine the knowledge about the risk factors for NCDs, as well as socio-demographic differences in the effectiveness of health education materials in disease prevention. Instrument was prepared according to methodological guidelines for population health risks survey (Eurostat, 2018) and knowledge and attitudes related to NCD questionnaire survey. Sample size included 210 participants of both genders (Nmale= 105, Nfemale= 105) systematically selected, residents of Belgrade, Republic of Serbia, who did not have diagnosed chronic non-communicable diseases and used services at primary health care centre Zvezdara. Research results indicate that 27% of all participants had one or more health educational activities in the last six months. More than two thirds of respondents (71%) know that tobacco usage is the leading cause of cardiovascular diseases, but 54,8% know that cause malignant diseases. More than two thirds of respondents know that inadequate nutritional habits, consumption of industrial products and sweets and low vegetable intake cause cardiovascular diseases and more than half of them know that inadequate nutritional habits causes malignant diseases. Statistically significance difference between groups of participants based on level of education are obtained in attitudes towards the effectiveness of health education material in the prevention of malignant diseases (F= 3.396, p .05), diabetes (F= 3.611, p .05) and respiratory diseases (F= 3.483, p .05) and socio-economic differences in the use of printed and video materials in the prevention of NCDs. Effectiveness of health education materials through preventive activities improve health and reduce risks for NCDs.
非传染性疾病(NCDs)是世界人口中发病、残疾和死亡的主要原因。在这项研究中,我们的目标是确定关于非传染性疾病风险因素的知识,以及健康教育材料在疾病预防方面的有效性的社会人口差异。根据人口健康风险调查方法指南(欧盟统计局,2018年)和与非传染性疾病相关的知识和态度问卷调查编写了文书。样本量包括系统选择的210名男女参与者(男105人,女105人),他们是塞尔维亚共和国贝尔格莱德的居民,没有诊断出慢性非传染性疾病,并使用Zvezdara初级保健中心的服务。研究结果显示,27%的参与者在过去六个月内参加过一次或多次健康教育活动。超过三分之二的答复者(71%)知道烟草使用是导致心血管疾病的主要原因,但54.8%的答复者知道烟草使用会导致恶性疾病。三分之二以上的答复者知道营养习惯不良、食用工业品和甜食以及蔬菜摄入量低会导致心血管疾病,其中一半以上的答复者知道营养习惯不良会导致恶性疾病。不同受教育程度的参与者对健康教育材料在预防恶性疾病(F= 3.396, p .05)、糖尿病(F= 3.611, p .05)和呼吸系统疾病(F= 3.483, p .05)方面的有效性的态度,以及在使用印刷和视频材料预防非传染性疾病方面的社会经济差异,均存在统计学上的显著差异。通过预防活动提高卫生教育材料的有效性,可改善健康并减少非传染性疾病的风险。
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引用次数: 0
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Quality of Life (Banja Luka) - APEIRON
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