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The Impact of Childhood Traumatic Experiences on Self-Esteem and Interpersonal Relationships 童年创伤经历对自尊和人际关系的影响
Pub Date : 2020-01-01 DOI: 10.5455/pbs.20200502025907
N. Ozdemir, Ş. Şahin
Objective: Traumatic experiences during childhood have an impact on the emotional states of individuals during their adulthood. The impacts of traumatic experiences during childhood on self-esteem will be examined in the present study. It was also aimed to examine the relationship between these traumatic experiences and self-esteem with interpersonal relation levels. Method: This was a descriptive-cross-sectional study carried out during the dates of February 11, 2018 and March 11, 2018 on Gaziantep university students. Rosenberg Self-Esteem Scale (RSES), Scale of dimensions of interpersonal relationships (SDIR), childhood trauma questionnaire (CTQ) were used. Results: Of the 926 students who participated in the study, 712 (76.9 %) were female, 214 (33.1 %) were male. The RSES total score of the students was 12.63±2.36, CTS total score was 48.0±20.97. CTQ were determined to be positively related with the empathy, trust, emotion awareness dimensions of SDIR and negatively related with approval dependence. This result is an indication of low trust, low emotion awareness, increased approval dependence and more empathy in interpersonal relationships. RSES total score was not determined to be related with CTQ total in our study, but a relationship was determined between RSES and only the emotional abuse sub-dimension. The mean scores of RSES in individuals were determined to have a negative relationship with trust and emotion sub-dimensions of SDIR and to have a positive relationship with the empathy and approval sub-dimensions. This result is an indication of less empathy, increase in approval dependence, low emotional awareness and decrease in trust with regard to interpersonal relationships. The differences found significant in the study can be listed as follows: the number of siblings in SDIR empathy dimension, family type in the trust dimension, alcohol use in emotion and trust dimension, gender in all of the emotion, empathy, trust and approval sub-dimensions, chronic disorders in the trust dimension, smoking in approval and emotion dimension, duration of internet use in the emotion sub-dimension. Significant differences were observed with regard to gender, parental attitudes, number of siblings, economic level, family type, alcohol use and smoking in CTQ scores. Duration of internet usage time in a day displayed statistical differences in RSES scores. Conclusion: Childhood traumas have impacts on all dimensions of interpersonal relationships. Self-esteem was determined to be related only with emotional abuse from childhood traumas and self-esteem has a significant impact on interpersonal relationships. Sociodemographic factor analysis has indicated that parental attitudes, family type, alcohol use and smoking, gender are related with childhood traumas, that the number of siblings, family type, alcohol use, gender, chronic disorder, smoking, duration of internet usage are related with interpersonal relationships and that internet usage is rel
目的:童年创伤经历对个体成年后情绪状态的影响。本研究将探讨童年创伤经历对自尊的影响。该研究还旨在研究这些创伤经历和自尊与人际关系水平之间的关系。方法:这是一项描述性横断面研究,于2018年2月11日至2018年3月11日对加济安泰普大学的学生进行研究。采用罗森博格自尊量表(RSES)、人际关系维度量表(SDIR)、童年创伤问卷(CTQ)。结果:参与研究的926名学生中,女性712人(76.9%),男性214人(33.1%)。学生的RSES总分为12.63±2.36,CTS总分为48.0±20.97。CTQ与SDIR的共情、信任、情绪意识维度呈正相关,与认可依赖呈负相关。这一结果表明,在人际关系中,信任程度低,情绪意识低,认同依赖增加,同理心增加。本研究未确定RSES总分与CTQ总分相关,仅确定了RSES与情绪虐待子维度相关。个体RSES平均得分与SDIR的信任和情感子维度呈负相关,与共情和认可子维度呈正相关。这一结果表明,在人际关系中,他们的共情能力较弱,认同依赖增加,情绪意识较低,信任程度下降。本研究发现的显著差异包括:SDIR共情维度的兄弟姐妹数、信任维度的家庭类型、情感和信任维度的饮酒、情感、共情、信任和认可子维度的性别、信任维度的慢性障碍、认可和情感维度的吸烟、情感子维度的上网时长。在性别、父母态度、兄弟姐妹数量、经济水平、家庭类型、饮酒和吸烟方面,CTQ得分存在显著差异。每天上网时间的持续时间在RSES得分上显示出统计学差异。结论:童年创伤对人际关系的各个维度都有影响。自尊只与童年创伤性情绪虐待相关,自尊对人际关系有显著影响。社会人口因素分析表明,父母态度、家庭类型、饮酒和吸烟、性别与童年创伤相关,兄弟姐妹数量、家庭类型、饮酒、性别、慢性疾病、吸烟、使用互联网时间长短与人际关系相关,互联网使用与自尊相关。改善积极亲子关系和增加家庭与儿童的互动是预防虐待和忽视的有效和适用的方法。建议就这一问题进行培训,因为可靠一致的关系很重要,而且积极的关系可以减少遭受虐待的风险。
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引用次数: 3
Depression in children and adolescents with tension type headache may not be related with vitamin D and vitamin B12 deficiences 患有紧张性头痛的儿童和青少年的抑郁可能与维生素D和维生素B12缺乏无关
Pub Date : 2020-01-01 DOI: 10.5455/pbs.20190802122307
Rezzan Aydin Görücü, A. Eraslan, R. Sivri, Z. Goker, Arzu Yılmaz
Received: Aug 02, 2019 Accepted: Dec 22, 2019 Abstract Objective: Aim of this study was to investigate relation between serum 25 (OH) vitamin D or B12 levels and depressive symptoms in children and adolescents with tension-type headache. Methods: Electronic records of children and adolescents diagnosed with tension-type headache in Ankara Training and Research Hospital Child Neurology Department between March 2018 and August 2018 were retrospectively reviewed. Among them, subjects with depression diagnosed based on DSM-5 criteria and its symptoms obtained via Children depression inventory (CDI) and Beck depression inventory (BDI) found in records were collected. Vitamin D deficiency is defined if its serum levels are below 20 ng/mL, and Vitamin B12 deficiency as below 203 pg/mL. SPSS 17.0 was used for analyses and p<.05 was considered as significant. Results: Of 74 subjects with tension-type headache were included. Mean age of all was 14.3 years (9-17) and 81.1% of all were girls. Of 16.2% of them had depression based on DSM-5 criteria. The mean CDI scale was 12.9 (2-32) and BDI scale was 19.3 (9-40). Mean serum level of vitamin D was 14.4 ng/mL (range= 3.80-46.6 ng/mL) and 73% of them had Vitamin D deficiency. Mean serum vitamin B12 levels were 291.3 pg/mL (range= 123.5-792) and 20.3% of them had its “deficiency”. There was no significant relation between vitamin deficiencies and having depression or being adolescent (for all variables p>.05). There was also not any significant correlation between two vitamin levels and depressive symptoms based on CDI and BDI. There was, however, a relation between being girl and vitamin deficiencies, which 88.9% of all vitamin D deficient cases (48/54, c2(1) = 7.192, p = .016, Fisher’s exact test), and 60% of vitamin B12 deficient subjects (9/15, c2(1) = 5.451, p = .030, Fisher’s exact test) were girls. Correlation analyses revealed that age (years) has significant negative correlation with vitamin B12 (Spearman rho=-.352, p= .002), and positive correlation with CDI (Spearman rho=.282, p=.039). There was another negative correlation found between vitamin D and BDI (Spearman rho=-.499, p=.041). Conclusions: Girls with tension-type headache would be evaluated for vitamin D and B12 levels. Being adolescents might have effect on vitamin B12 intake and on depression symptoms.
摘要目的:探讨儿童和青少年紧张性头痛患者血清25 (OH)维生素D或B12水平与抑郁症状的关系。方法:回顾性分析2018年3月至2018年8月安卡拉培训与研究医院儿童神经内科诊断为紧张性头痛的儿童和青少年的电子记录。其中收集根据DSM-5标准诊断为抑郁症的被试,并收集记录中通过儿童抑郁量表(CDI)和贝克抑郁量表(BDI)获得的抑郁症状。如果血清中维生素D水平低于20 ng/mL,维生素B12水平低于203 pg/mL,则为维生素D缺乏症。采用SPSS 17.0进行分析,p < 0.05)。两种维生素水平与基于CDI和BDI的抑郁症状之间也没有任何显著相关性。然而,女孩与维生素缺乏症之间存在关系,88.9%的维生素D缺乏症患者(48/54,c2(1) = 7.192, p = 0.016, Fisher精确检验)和60%的维生素B12缺乏症患者(9/15,c2(1) = 5.451, p = 0.030, Fisher精确检验)是女孩。相关分析显示,年龄(岁)与维生素B12呈显著负相关(Spearman rho=-)。352, p= .002),且与CDI呈正相关(Spearman rho=。282年,p = .039)。维生素D和BDI之间还有另一个负相关(Spearman rho=-)。499年,p = .041)。结论:对紧张性头痛的女孩进行维生素D和B12水平评估。青少年时期可能对维生素B12的摄入量和抑郁症状有影响。
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引用次数: 0
Treatment Adherence in Patients with Bipolar Disorder and Beliefs Related to Non-Adherence 双相情感障碍患者的治疗依从性及与不依从性相关的信念
Pub Date : 2020-01-01 DOI: 10.5455/pbs.20200313091607
E. Uygun, S. Kucukgoncu
Objective: Our aim in this study was to identify treatment adherence in bipolar disorder patients who regularly use medications and to examine the factors and beliefs associated with treatment compliance. Method: Our sample consisted of 92 patients who were followed up by bipolar disorder. Participants assessed for diagnosis and remission by criteria of affective disorders part of SCID I then Sociodemographic data form, Morisky Medication Adherence Scale (MMAS) and The Beliefs about Medication Compliance Scale (BMCS) was given. Results: Treatment non-adherence rate were %29,3. Variables that differ significantly in non-adherent group then adherent as follows: low education (p=0.03), medications that causes sedation (p=0,001), not educated about treatment (p=0,05), young age (p=0,04), difficulty in obtaining medicine (p=0,003) and treatment complexity (p=0,01). Particularly training the patient with written/visualized materials were higher in adherent group (p=0,02). While there was no significant difference in terms of BMCS benefit subscale (p=0,47), patients with poor treatment compliance reported significantly higher scores on the BMCS barrier subscale (p=0,01). In the logistic regression analysis, sedative medications, difficulty in obtaining medication and treatment complexity were found to be significant predictors of treatment non-adherence. Conclusion: providing access to medication, informing the prescribing medicines with using visual material and patient-centered approaches would increase the compliance of the medication, especially with minimal use of sedative drugs.
目的:本研究的目的是确定定期使用药物的双相情感障碍患者的治疗依从性,并检查与治疗依从性相关的因素和信念。方法:我们的样本包括92例双相情感障碍患者。采用SCID I情感障碍部分标准对受试者进行诊断和缓解评估,并给出社会人口学数据表、Morisky药物依从性量表(MMAS)和药物依从性信念量表(BMCS)。结果:治疗不依从率为% 29.3。非黏附组与黏附组差异显著的变量为:教育程度低(p=0.03)、导致镇静的药物(p= 0.001)、未接受治疗教育(p= 0.05)、年龄小(p= 0.04)、难以获得药物(p= 0.003)和治疗复杂性(p= 0.01)。特别是用书面/可视化材料训练患者在粘附组更高(p= 0.02)。虽然在BMCS获益量表上没有显著差异(p=0,47),但治疗依从性较差的患者在BMCS屏障量表上的得分明显较高(p=0,01)。在logistic回归分析中,镇静药物、获得药物的困难程度和治疗复杂性是治疗不依从性的显著预测因素。结论:提供药物可及性、使用视觉材料告知处方药物和以患者为中心的方法可提高用药依从性,尤其是在镇静药使用最少的情况下。
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引用次数: 1
Burnout and Defense Mechanisms among Research Assistant Doctors 研究助理医师的职业倦怠及其防御机制
Pub Date : 2019-01-01 DOI: 10.5455/pbs.20181015100722
Onur Hurşitoğlu, Ebru Fındıklı, Fatih Saglam, A. Doğaner
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引用次数: 1
Olanzapine induced hair loss in an adolescent case 奥氮平导致青少年脱发的案例
Pub Date : 2019-01-01 DOI: 10.5455/pbs.20190519123229
S. Uygun
Drug induced alopecia is a reversible side effect of psychopharmacological treatments. Diffuse hair loss occurs with use of antipsychotics more rarely than mood stabilizers shown to be related to alopecia. In the literature, there is only one case report presenting an atypical antipsychotic “quetiapine” induced hair loss during adolescence when individuals are more sensitive to undesirable effects of drugs. Olanzapine, a safe and well tolerated atypical antipsychotic, is prescribed in child and adolescent psychiatry clinics. Alopecia may not be described by children and adolescents, but clinicians should be aware of this problem that may lead to impair compliance with treatment. In the report, an adolescent case of alopecia related to use of olanzapine that recovered after cessation of the drug is presented.
药物性脱发是心理药物治疗的可逆副作用。与情绪稳定剂相比,使用抗精神病药物更少发生弥漫性脱发,这与脱发有关。在文献中,只有一个病例报告显示非典型抗精神病药物“奎硫平”在青少年时期引起脱发,而此时个体对药物的不良影响更敏感。奥氮平是一种安全且耐受性良好的非典型抗精神病药物,在儿童和青少年精神病学诊所开处方。儿童和青少年可能无法描述脱发,但临床医生应该意识到这一问题可能导致损害治疗依从性。在报告中,一个青少年脱发病例与使用奥氮平有关,停药后恢复。
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引用次数: 0
PISHACHA GRAHONMADA - FRONTOTEMPORAL DEMENTIA WITH VITAMIN B12 DEFICIENCY? Pishacha grahonmada -额颞叶痴呆伴维生素b12缺乏?
Pub Date : 2019-01-01 DOI: 10.5455/pbs.20180910011901
Prasad Mamidi, Kshama Gupta
{"title":"PISHACHA GRAHONMADA - FRONTOTEMPORAL DEMENTIA WITH VITAMIN B12 DEFICIENCY?","authors":"Prasad Mamidi, Kshama Gupta","doi":"10.5455/pbs.20180910011901","DOIUrl":"https://doi.org/10.5455/pbs.20180910011901","url":null,"abstract":"","PeriodicalId":74168,"journal":{"name":"MedPress psychiatry and behavioral sciences","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88847868","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
The Cognitive Behavioural Treatment of Schizophrenia: Current Issues and Future 精神分裂症的认知行为治疗:当前问题和未来
Pub Date : 2019-01-01 DOI: 10.5455/PBS.20180829084822
Zafer Bekirogullari
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引用次数: 0
Sexual Life Traits Of Chronic Pain Disorder Patients And Relationship Between Temperament And Character Dimensions Of Personality 慢性疼痛障碍患者性生活特征及气质与人格特征维度的关系
Pub Date : 2019-01-01 DOI: 10.5455/PBS.20180725093036
D. Aker, M. Solmaz, S. Kose
Objective: It is known that a complex problem is sexual life in patients with chronic pain. Also physicians may ignore this point. In this study, we aimed to compare the clinical features, sexual life properties and personality traits of patients with Chronic Pain Disorder (CPD) and healthy controls. We hypothesized that Harm Avoidance (HA) scores would be higher and predictive of compared to healthy controls also sexual dysfunction would found in patient group. Methods: This study was conducted in outpatients with CPD who presented to the Bagcilar Training and Research Hospital’s Outpatient Psychiatry Clinic. The sample was comprised of 60 outpatients (53 women, 7 men) who complained of chronic pain for at least 3 months and were not under any medication treatments. The control group comprised of 60 healthy controls (49 women, 11 men). Semi-structured sociodemographic data form, Visual Analog Scale (VAS), Temperament and Character Inventory (TCI), Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) and Arizona Sexual Experiences Scale (ASEX) were administered to the participants. All statistical analyses were performed using SPSS for Windows, Version 23.0. Results: In CPD patients ASEX scores were significantly higher than healthy controls. It demostrates sexual dysfunction presenting in CPD group. In terms of gender; female ASEX scores were significantly higher than male ones. VAS scores did not correlate to ASEX scores in all of participants. Explatory excitability subscale of Novelty Seeking, Total Cooperativeness and Total Reward Dependence scores were changed negatively correlation with ASEX scores; Harm Avoidance, persistanceness, Self Directedness, Self Trancendance and their subscales did not correlate to ASEX scores. ASEX scores, positively corraleted to Attachment and Sentimentality subsclaes of Reward Dependence. BDI scores changed positively with BAI, ASEX,VAS scores; BAI scores also corraleted positively with VAS and ASEX scores. Helpfulness vs Unhelpfulness and Compassion vs Revengefulness subscales of cooperativeness in patients with CPD positively corraleted to ASEX scores. Conclusion: Temperament and character traits and sexual life properties of the CPD patients were significantly different from the healthy control subjects. Explatory excitability subscale of NS and C is negative predictor of Sexual Dysfunction. Also Helpfulness vs Unhelpfulness and Compassion vs Revengefulness subscale of C is positive predictor of Sexual Dysfunction.
目的:众所周知,慢性疼痛患者的性生活是一个复杂的问题。医生也可能忽略这一点。在本研究中,我们旨在比较慢性疼痛障碍(CPD)患者和健康对照者的临床特征、性生活特征和人格特征。我们假设,与健康对照组相比,患者组的伤害避免(HA)评分更高,且具有预测性,同时患者组也存在性功能障碍。方法:本研究在Bagcilar培训与研究医院精神病学门诊进行的CPD门诊患者中进行。样本包括60名门诊患者(53名女性,7名男性),他们抱怨慢性疼痛至少3个月,没有接受任何药物治疗。对照组由60名健康对照者组成(49名女性,11名男性)。采用半结构化社会人口学数据表、视觉模拟量表(VAS)、气质与性格量表(TCI)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和亚利桑那性经验量表(ASEX)。所有统计分析均使用SPSS for Windows, Version 23.0进行。结果:慢性阻塞性肺病患者ASEX评分明显高于健康对照组。显示CPD组出现性功能障碍。在性别方面;女性ASEX评分显著高于男性。所有参与者的VAS评分与ASEX评分不相关。新颖性、总合作性和总奖励依赖性的解释性兴奋性分量表与ASEX得分呈负相关变化;伤害回避、坚持、自我指导、自我超越及其分量表与ASEX得分无相关性。ASEX得分与奖励依赖的依恋和多愁善感分量表正相关。BDI评分与BAI、ASEX、VAS评分呈正相关;BAI评分与VAS和ASEX评分也呈正相关。CPD患者乐于助人与不乐于助人、同情与报复的合作分量表与ASEX评分正相关。结论:CPD患者的气质、性格特征和性生活特征与健康对照组有显著差异。NS和C的解释性兴奋性分量表是性功能障碍的负向预测因子。此外,乐于助人与不乐于助人、同情与报复的C分量表是性功能障碍的正向预测因子。
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引用次数: 0
The Relationship Between Burnout and Perceived Stress: A sample of Healthcare Workers 职业倦怠与感知压力的关系:以医护人员为例
Pub Date : 2019-01-01 DOI: 10.5455/PBS.20190213030150
Nevzat Devebakan
Objective: The complex relationship between perceived stress and burnout symptoms in medical professionals is an overlooked topic abd there are limited studies that examine the relationship between these two varriables. In this study, it is aimed to examine the relationship between perceived stress and burnout based on Maslach’s three-dimensional model. Methods: The study sample consists of 32 males, 124 females and totally 156 medical secretaries from different departments of Dokuz Eylul University Hospital (DEUH). Sociodemographic form for all the participants was completed during the interviews. The Turkish MBI (Maslach's Burnout Inventory) and Turkish PSS (Perceived Stress Scale) were completed by the participants. Results: Our findings revealed that stress and burnout scores were not statistically significant different in terms of sociodemographic variables such as gender, marital status, education level, and working unit. Furthermore, stress was found to be positively correlated with emotional exhaustion and depersonalization and also depersonalization and personal accomplishment subscales were significantly predictive of stress. Discussion: The development of programs aimed at reducing the stress level of individuals in healthcare organizations and taking some precautions in this direction will also decrease the level of burnout and increase the work efficiency.
目的:医学专业人员感知压力和倦怠症状之间的复杂关系是一个被忽视的话题,并且研究这两个变量之间关系的研究有限。本研究以Maslach的三维模型为基础,探讨感知压力与职业倦怠之间的关系。方法:选取Dokuz Eylul大学附属医院各科室医务秘书156名,男性32名,女性124名。所有参与者的社会人口统计表格在访谈期间完成。由被试完成土耳其MBI (Maslach's Burnout Inventory)和土耳其PSS (Perceived Stress Scale)。结果:在性别、婚姻状况、文化程度、工作单位等社会人口学变量上,压力和倦怠得分差异无统计学意义。此外,压力与情绪耗竭和去人格化呈正相关,去人格化和个人成就分量表对压力有显著的预测作用。讨论:制定旨在降低医疗机构中个人压力水平的计划,并在这方面采取一些预防措施,也会降低倦怠水平,提高工作效率。
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引用次数: 6
Bipolar Disorder recurrence in a nonagenarian: An uncommon and unfortunate health concern for a senior 双相情感障碍在90多岁的复发:一个罕见的和不幸的健康问题的老年人
Pub Date : 2019-01-01 DOI: 10.5455/PBS.20180607095746
S. Tunç, H. S. Başbuğ
Bipolar Disorder (BD) may affect people of all ages. Although it was once believed that bipolar symptoms slowly disappear with age, the studies showed that the truth is not so! Untreated BD tends to worsen over time. On the other hand, people who are initially diagnosed with BD late in life may well have had unnoticed BD for decades. As populations grow older, the number of BD cases among the seniors is expected to increase. In late-onset BD, etiopathology may differ from young BD patients. Cardiovascular diseases and some other biological mechanisms may play a significant role in the onset of disease. In this case report, we present a nonagenarian admitted with recurrent BD symptoms after twenty-four years of the symptom-free period. We aimed to discuss possible mechanisms and effective treatment methods of geriatric BD in light of current literature. This is the first case of geriatric BD recurrence reported after such a prolonged symptom-free period of a nonagenarian senior.
双相情感障碍(BD)可能影响所有年龄段的人。虽然人们曾经认为,双相情感障碍症状会随着年龄的增长而慢慢消失,但研究表明,事实并非如此!未经治疗的双相障碍往往会随着时间的推移而恶化。另一方面,那些在晚年才被诊断出双相障碍的人很可能几十年来都没有被注意到。随着人口的老龄化,老年人BD病例的数量预计会增加。迟发性双相障碍患者的病因可能与年轻双相障碍患者不同。心血管疾病和其他一些生物机制可能在疾病的发病中起重要作用。在这个病例报告中,我们报告了一位九十岁的老人,在24年的无症状期后,再次出现双相障碍症状。我们旨在结合现有文献,探讨老年性双相障碍的可能机制和有效治疗方法。这是第一例在如此长时间无症状后报道的老年双相障碍复发的病例。
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引用次数: 0
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MedPress psychiatry and behavioral sciences
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