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[PMID]:29494572
[Au] Autor:Leavitt RA; Ertl A; Sheats K; Petrosky E; Ivey-Stephenson A; Fowler KA
[Ti] Título:Suicides Among American Indian/Alaska Natives - National Violent Death Reporting System, 18 States, 2003-2014.
[So] Source:MMWR Morb Mortal Wkly Rep;67(8):237-242, 2018 Mar 02.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Suicide disproportionately affects American Indians/Alaska Natives (AI/AN). The suicide rate among AI/AN has been increasing since 2003 (1), and in 2015, AI/AN suicide rates in the 18 states participating in the National Violent Death Reporting System (NVDRS) were 21.5 per 100,000, more than 3.5 times higher than those among racial/ethnic groups with the lowest rates.* To study completed suicides across all ages of AI/AN, NVDRS data collected from 2003 to 2014 were analyzed by comparing differences in suicide characteristics and circumstances between AI/AN and white decedents. Group differences were assessed using chi-squared tests and logistic regression. Across multiple demographics, incident characteristics, and circumstances, AI/AN decedents were significantly different from white decedents. More than one third (35.7%) of AI/AN decedents were aged 10-24 years (versus 11.1% of whites). Compared with whites, AI/AN decedents had 6.6 times the odds of living in a nonmetropolitan area, 2.1 times the odds of a positive alcohol toxicology result, and 2.4 times the odds of a suicide of a friend or family member affecting their death. Suicide prevention efforts should incorporate evidence-based, culturally relevant strategies at individual, interpersonal, and community levels (2) and need to account for the heterogeneity among AI/AN communities (3,4).
[Mh] Termos MeSH primário: Nativos do Alasca/estatística & dados numéricos
Índios Norte-Americanos/estatística & dados numéricos
Suicídio/etnologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Bases de Dados Factuais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180302
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6708a1


  2 / 12805 MEDLINE  
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[PMID]:29235960
[Au] Autor:PetersonLund R; Bunkers SS
[Ad] Endereço:1 Adjunct Assistant Professor of Nursing, South Dakota State University, Rapid City, SD, USA.
[Ti] Título:The Living Experience of Suffering: Lakota Voices.
[So] Source:Nurs Sci Q;31(1):36-46, 2018 Jan.
[Is] ISSN:1552-7409
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Suffering, as a universal humanuniverse living experience, was explored utilizing the Parsesciencing mode of inquiry. Ten Lakota historians engaged in discussion to answer the question, "What is your experience of suffering?" The discovery revealed the discerning extant moment of suffering as follows: Suffering is burdening anguish amid uplifting aspirations surfacing in persevering with divergent encounters.
[Mh] Termos MeSH primário: Humanismo
Índios Norte-Americanos/psicologia
Estresse Psicológico/etiologia
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.1177/0894318417741118


  3 / 12805 MEDLINE  
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[PMID]:29361656
[Au] Autor:Mortenson LC; Thomson Reuters Accelus.
[Ti] Título:Medicaid Waivers.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-39, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicaid/organização & administração
[Mh] Termos MeSH secundário: Serviços de Saúde Comunitária
Serviços de Saúde Bucal
Definição da Elegibilidade
Emprego
Reforma dos Serviços de Saúde
Serviços de Assistência Domiciliar
Seres Humanos
Índios Norte-Americanos
Cobertura do Seguro
Pessoas sem Cobertura de Seguro de Saúde
Serviços de Saúde Mental
Patient Protection and Affordable Care Act
Governo Estadual
Detecção do Abuso de Substâncias
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  4 / 12805 MEDLINE  
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[PMID]:29318275
[Au] Autor:Abbasi J
[Ti] Título:Why Are American Indians Dying Young?
[So] Source:JAMA;319(2):109-111, 2018 Jan 09.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Índios Norte-Americanos/estatística & dados numéricos
Mortalidade/etnologia
[Mh] Termos MeSH secundário: Causas de Morte
Seres Humanos
Estados Unidos/epidemiologia
United States Indian Health Service
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.10122


  5 / 12805 MEDLINE  
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[PMID]:29280606
[Au] Autor:Hiebert JC; Rhodes RM; Anderson MP; Vasan NR
[Ti] Título:Patient Opinion on the Affordable Care Act in an Otolaryngology Practice: the Ideological Divide.
[So] Source:J Okla State Med Assoc;109(9):441-5, 2016 09.
[Is] ISSN:0030-1876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess patient opinion on the Patient Protection and Affordable Care Act (PPACA) in an Otolaryngology practice and the factors that influence those opinions. STUDY DESIGN: Observational study. METHODS: An anonymous survey assessing patient opinion on the PPACA, demographic information, political affiliation, medical diagnosis, and insurance status was distributed to patients in three separate Otolaryngology clinics (General, cancer, and Low-income/Indigent) from April to June 2014. A total of 300 surveys were distributed and 207 were used for final analysis. The primary study outcome measures were patient opinion of the PPACA and statistically significant variables affecting that opinion. The association of Support for the PPACA and variables were tested using the Chi-square test. RESULTS: The only variables that showed a significant association with support for the PPACA were Political Party (p<0.0001) and Ethnicity (p=0.0050). Specifically, a higher proportion of Democrats support the PPACA than Republicans and a higher proportion of African Americans and Hispanic/Latinos support the PPACA than Whites and Native Americans. CONCLUSION: Our survey of current Otolaryngology patients mirrors national findings of the division between Republicans and Democrats in their attitudes towards the Affordable Care Act. Political party appears to be the most significant factor in shaping patient opinion on this controversial subject regardless of insurance status or cancer diagnosis and a higher proportion of African Americans and Hispanic/Latinos support the PPACA than Whites and Native Americans. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Grupos Étnicos
Otolaringologia
Pacientes Ambulatoriais
Patient Protection and Affordable Care Act
Política
Opinião Pública
[Mh] Termos MeSH secundário: Afroamericanos
Grupo com Ancestrais do Continente Europeu
Feminino
Hispano-Americanos
Seres Humanos
Índios Norte-Americanos
Cobertura do Seguro
Seguro Saúde
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


  6 / 12805 MEDLINE  
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[PMID]:29267265
[Au] Autor:Odani S; Armour BS; Graffunder CM; Garrett BE; Agaku IT
[Ad] Endereço:Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC.
[Ti] Título:Prevalence and Disparities in Tobacco Product Use Among American Indians/Alaska Natives - United States, 2010-2015.
[So] Source:MMWR Morb Mortal Wkly Rep;66(50):1374-1378, 2017 Dec 22.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:An overarching goal of Healthy People 2020 is to achieve health equity, eliminate disparities, and improve health among all groups.* Although significant progress has been made in reducing overall commercial tobacco product use, disparities persist, with American Indians or Alaska Natives (AI/ANs) having one of the highest prevalences of cigarette smoking among all racial/ethnic groups (1,2). Variations in cigarette smoking among AI/ANs have been documented by sex and geographic location (3), but not by other sociodemographic characteristics. Furthermore, few data exist on use of tobacco products other than cigarettes among AI/ANs (4). CDC analyzed self-reported current (past 30-day) use of five tobacco product types among AI/AN adults from the 2010-2015 National Survey on Drug Use and Health (NSDUH); results were compared with six other racial/ethnic groups (Hispanic; non-Hispanic white [white]; non-Hispanic black [black]; non-Hispanic Native Hawaiian or other Pacific Islander [NHOPI]; non-Hispanic Asian [Asian]; and non-Hispanic multirace [multirace]). Prevalence of current tobacco product use was significantly higher among AI/ANs than among non-AI/ANs combined for any tobacco product, cigarettes, roll-your-own tobacco, pipes, and smokeless tobacco. Among AI/ANs, prevalence of current use of any tobacco product was higher among males, persons aged 18-25 years, those with less than a high school diploma, those with annual family income <$20,000, those who lived below the federal poverty level, and those who were never married. Addressing the social determinants of health and providing evidence-based, population-level, and culturally appropriate tobacco control interventions could help reduce tobacco product use and eliminate disparities in tobacco product use among AI/ANs (1).
[Mh] Termos MeSH primário: Nativos do Alasca/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Índios Norte-Americanos/estatística & dados numéricos
Produtos do Tabaco/utilização
Tabagismo/etnologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Fatores Socioeconômicos
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6650a2


  7 / 12805 MEDLINE  
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[PMID]:28746264
[Au] Autor:Singleton R; Seeman S; Grinnell M; Bulkow L; Kokesh J; Emmett S; Holve S; McCollum J; Hennessy T
[Ti] Título:Trends in Otitis Media and Myringotomy With Tube Placement Among American Indian and Alaska Native Children and the US General Population of Children After Introduction of the 13-valent Pneumococcal Conjugate Vaccine.
[So] Source:Pediatr Infect Dis J;37(1):e6-e12, 2018 Jan.
[Is] ISSN:1532-0987
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other US children. To understand recent trends, we evaluated AI/AN OM rates before and after 13-valent pneumococcal conjugate vaccine introduction. METHODS: We analyzed outpatient visits listing OM as a diagnosis among AI/AN children <5 years of age from the Indian Health Service National Patient Information Reporting System for 2010-2013. OM outpatient visits for the general US child population <5 years of age were analyzed using the National Ambulatory Medical Care and National Hospital Ambulatory Care Surveys for 2010-2011. RESULTS: The 2010-2011 OM-associated outpatient visit rate for AI/AN children (63.5 per 100/year) was similar to 2010-2011 rate for same-age children in the general US population (62.8) and decreased from the 2003 to 2005 AI/AN rate (91.4). Further decline in AI/AN OM visit rates was seen for 2010-2011 to 2012-2013 (P < 0.0001). The AI/AN infant OM visit rate (130.5) was 1.6-fold higher than the US infant population. For 2010-2011, the highest AI/AN OM visit rate for <5 year olds was from Alaska (135.0). CONCLUSIONS: AI/AN <5-year-old OM visits declined by one third from 2003-2005 to 2010-2011 to a rate similar to the US general population <5 years. However, the AI/AN infant OM rate remained higher than the US infant population. The highest AI/AN <5-year-old OM rate occurred in Alaska.
[Mh] Termos MeSH primário: Nativos do Alasca/estatística & dados numéricos
Índios Norte-Americanos/estatística & dados numéricos
Ventilação da Orelha Média
Otite Média
Vacinas Pneumocócicas
Vacinação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Ventilação da Orelha Média/estatística & dados numéricos
Ventilação da Orelha Média/tendências
Otite Média/epidemiologia
Otite Média/cirurgia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (13-valent pneumococcal vaccine); 0 (Pneumococcal Vaccines)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180110
[Lr] Data última revisão:
180110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/INF.0000000000001704


  8 / 12805 MEDLINE  
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[PMID]:29213152
[Au] Autor:Valencia Pacheco G; Nakazawa Ueji YE; Rodríguez Dzul EA; Angulo Ramírez AV; López Villanueva RF; Quintal Ortiz IG; Rosado Paredes EP
[Ad] Endereço:Laboratorio de Hematología, Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Yucatán, México.
[Ti] Título:Serological and molecular analysis of parvovirus B19 infection in Mayan women with systemic lupus erythematosus in Mexico.
[So] Source:Colomb Med (Cali);48(3):105-112, 2017 Sep 30.
[Is] ISSN:1657-9534
[Cp] País de publicação:Colombia
[La] Idioma:eng
[Ab] Resumo:Background: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease that mainly affects women, characterized by the production of autoantibodies. Its causal agent is unknown, but the combination of environmental, hormonal and genetic factors may favor the development of the disease. Parvovirus B19 has been associated with the development of SLE, since it induces the production of anti-single stranded DNA antibodies. It is unknown whether PV-B19 infection is an environmental factor that trigger or reactivate SLE in the Mexican Mayan population. Aim: A preliminary serological and molecular study of PV-B19 infection in Mayan women with established SLE was done. Methods: IgG and IgM anti PV-B19 were evaluated in 66 SLE patients and 66 control subjects, all women of Mayan origin. Viral DNA and viral load were analyzed by qPCR. Results: Insignificant levels of IgM were observed in 14.3% (4/28) of the patients and 11.4% (4/35) of control subjects. IgG was detected in 82.1% (23/28) of the patients and 82.9% (29/35) of control subjects, but were significantly higher in patients. Viral DNA was found in 86.0% (57/66) of the patients and 81.0% (54/66) of control subjects. Viral load, quantified in 28/66 patients and 31/66 controls which were positive for IgM and IgG, was significantly higher in controls. Conclusion: The high prevalence of PV-B19 in Yucatan, and the presence of IgM, IgG, and viral load in Mayan women with established SLE suggest that PV-B19 infection could be an environmental factor to trigger or reactivate SLE.
[Mh] Termos MeSH primário: Índios Norte-Americanos
Lúpus Eritematoso Sistêmico/virologia
Infecções por Parvoviridae/complicações
Parvovirus B19 Humano
[Mh] Termos MeSH secundário: Adulto
Anticorpos Antivirais/sangue
Estudos de Casos e Controles
DNA Viral/sangue
Feminino
Seres Humanos
Imunoglobulina G/sangue
Imunoglobulina M/sangue
Índios Norte-Americanos/etnologia
Índios Norte-Americanos/genética
Lúpus Eritematoso Sistêmico/etnologia
México/etnologia
Infecções por Parvoviridae/diagnóstico
Parvovirus B19 Humano/genética
Parvovirus B19 Humano/imunologia
Carga Viral
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Viral); 0 (DNA, Viral); 0 (Immunoglobulin G); 0 (Immunoglobulin M)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.25100/cm.v48i3.2981


  9 / 12805 MEDLINE  
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[PMID]:29265661
[Au] Autor:O'Brien MJ; Buchanan B
[Ad] Endereço:Department of Humanities and Social Sciences, Texas A&M University-San Antonio.
[Ti] Título:Cultural learning and the Clovis colonization of North America.
[So] Source:Evol Anthropol;26(6):270-284, 2017 Nov.
[Is] ISSN:1520-6505
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The timing of the earliest colonization of North America is debatable, but what is not at issue is the point of origin of the early colonists: Humans entered the continent from Beringia and then made their way south along or near the Pacific Coast and/or through a corridor that ran between the Cordilleran and Laurentide ice sheets in western North America. At some point, they abandoned their Arctic-based tool complex for one more adapted to an entirely different environment. That new techno-complex is termed "Clovis"; its dispersal allows us to examine, at a fine scale, how colonization processes played out across a vast continent that at the time had, at best, a very small resident population. Clovis has figured prominently in American archeology since the first Clovis points were identified in eastern New Mexico in the 1930s. However, the successful marriage of learning models grounded in evolutionary theory and modern analytical methods that began roughly a decade ago has begun to pay significant dividends in terms of what we know about the rapid spread of human groups across the last sizable landmass to witness human occupation.
[Mh] Termos MeSH primário: Evolução Cultural/história
Migração Humana
Índios Norte-Americanos/etnologia
Aprendizado Social
Tecnologia/história
[Mh] Termos MeSH secundário: Antropologia
História Antiga
Seres Humanos
América do Norte
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1002/evan.21550


  10 / 12805 MEDLINE  
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[PMID]:29187399
[Au] Autor:Emerson MA; Banegas MP; Chawla N; Achacoso N; Alexeeff SE; Adams AS; Habel LA
[Ad] Endereço:Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland. memerso@live.unc.edu.
[Ti] Título:Disparities in Prostate, Lung, Breast, and Colorectal Cancer Survival and Comorbidity Status among Urban American Indians and Alaskan Natives.
[So] Source:Cancer Res;77(23):6770-6776, 2017 Dec 01.
[Is] ISSN:1538-7445
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cancer is the second leading cause of death among American Indians and Alaskan Natives (AIAN), although cancer survival information in this population is limited, particularly among urban AIAN. In this retrospective cohort study, we compared all-cause and prostate, breast, lung, and colorectal cancer-specific mortality among AIAN ( = 582) and non-Hispanic white (NHW; = 82,696) enrollees of Kaiser Permanente Northern California (KPNC) diagnosed with primary invasive breast, prostate, lung, or colorectal cancer from 1997 to 2015. Tumor registry and other electronic health records provided information on sociodemographic, comorbidity, tumor, clinical, and treatment characteristics. Cox regression models were used to estimate adjusted survival curves and hazard ratios (HR) with 95% confidence intervals (CI). AIAN had a significantly higher comorbidity burden compared with NHW ( < 0.05). When adjusting for patient, disease characteristics, and Charlson comorbidity scores, all-cause mortality and cancer-specific mortality were significantly higher for AIAN than NHW patients with breast cancer (HR, 1.47; 95% CI, 1.13-1.92) or with prostate cancer (HR, 1.87; 95% CI, 1.14-3.06) but not for AIAN patients with lung and colorectal cancer. Despite approximately equal access to preventive services and cancer care in this setting, we found higher mortality for AIAN than NHW with some cancers, and a greater proportion of AIAN cancer patients with multiple comorbid conditions. This study provides severely needed information on the cancer experience of the 71% of AIANs who live in urban areas and access cancer care outside of the Indian Health Services, from which the vast majority of AIAN cancer information comes. .
[Mh] Termos MeSH primário: Nativos do Alasca/estatística & dados numéricos
Neoplasias da Mama/mortalidade
Neoplasias Colorretais/mortalidade
Índios Norte-Americanos/estatística & dados numéricos
Neoplasias Pulmonares/mortalidade
Neoplasias da Próstata/mortalidade
[Mh] Termos MeSH secundário: Idoso
Neoplasias da Mama/epidemiologia
Neoplasias da Mama/terapia
Neoplasias Colorretais/epidemiologia
Neoplasias Colorretais/terapia
Comorbidade
Feminino
Seres Humanos
Neoplasias Pulmonares/epidemiologia
Neoplasias Pulmonares/terapia
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Modelos de Riscos Proporcionais
Neoplasias da Próstata/epidemiologia
Neoplasias da Próstata/terapia
Estudos Retrospectivos
Taxa de Sobrevida
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1158/0008-5472.CAN-17-0429



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