scholarly journals Attitudes towards interprofessional collaboration of Primary Care teams participating in the ‘More Doctors’ (Mais Médicos) program

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
José Rodrigues Freire Filho ◽  
Marcelo Viana da Costa ◽  
Carinne Magnago ◽  
Aldaísa Cassanho Forster
Keyword(s):  
Health Professionals ◽  
Interprofessional Collaboration ◽  
Family Health ◽  
Professional Collaboration ◽  
Professional Category ◽  
Primary Care Teams ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Impact

ABSTRACT Objectives: to compare the attitudes regarding interprofessional collaboration of health professionals that make up the Family Health Strategy teams participating in the ‘More Doctors’ (Mais Médicos) program; and to identify factors associated with attitudes of interprofessional collaboration. Method: a descriptive, transversal and comparative study developed with 63 health professionals who responded to the Jefferson Scale of Attitudes Toward Interprofessional Collaboration. The data were statistically analyzed. Results: the sum of the scale items ranged from 88 to 139 points. The analysis of all the Family Health teams indicated statistically significant differences between the scores of the scale and the professional category and between the scores and the education level, suggesting that nurses and professionals with higher education are more inclined towards collaborative practice. The analysis according to the profile of the doctor - Brazilian, Cuban or foreign exchange doctor - found no statistical differences regarding the physicians’ scores, nor in the scores of the components of teams with different profiles. Conclusion: the profile did not suggest a statistically significant greater or lesser inclination of the doctors or teams toward interprofessional work. This study can support new studies which will contribute to the analysis of inter-professional collaboration and the impact of the Mais Médicos program.

scholarly journals Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

2017 ◽  
Vol 20 (4) ◽  
pp. 714-726 ◽  
Author(s):  
Cristina Rabelo Flôr ◽  
Cláudia Di Lorenzo Oliveira ◽  
Clareci Silva Cardoso ◽  
Cleonice Ferreira Rabelo ◽  
Bernardo Luis Gontijo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Family Health ◽  
Traditional Model ◽  
Care Model ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.

scholarly journals Training of Professionals from the Family Health Strategy for Psychosocial Care for the Elderly

10.3823/2277 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Verônica Lourdes Lima Batista Maia ◽  
Eliana Campelo Lago ◽  
Carmen Viana Ramos ◽  
Márcia Astrês Fernandes ◽  
Eucário Leite Monteiro Alves
Keyword(s):  
Mental Disorders ◽  
Health Professionals ◽  
Psychosocial Care ◽  
Family Health ◽  
The Elderly ◽  
Care For The Elderly ◽  
Basic Care ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Background: Mental disorders of the elderly constitute a public health problem due to their high prevalence, shortage of specialized services offered in Brazil, difficulties of access by the population and deficiency in the training of professionals of the Family Health Strategy for the identification, receptiveness and psychosocial assistance to the elderly. Objectives: To analyze the training of professionals of the Family Health Strategy on psychosocial care for the elderly in the context of the Psychosocial Care Network – RAPS (Rede de Atenção Psicossocial), and to discuss how professional training influences the care provided to the elderly. Methodology: Descriptive, qualitative study carried out with 31 professionals, 13 physicians and 18 nurses, who work at the Family Health Strategy of the city of Picos, Piauí, Brazil. The data were collected in January 2016, through a semi-structured interview guide, processed by the IRAMUTEQ software and analyzed by means of the Descending Hierarchical Classification. Results: The results were presented in three segments, namely: 1. The practice of professionals from the Family Health Strategy in psychosocial care in the family context; 2. Training of specialized professionals, in the attention to the elderly, in the Family Health Strategy; 3. The Psychosocial Attention Network in the care of elderly users of alcohol and other drugs; Conclusion: Health professionals have difficulties in dealing with the elderly with mental disorders in basic care. In order to facilitate access to specialized health services and to develop actions for social reintegration, prevention and harm reduction, it is necessary to implement a policy of ongoing training and education for health professionals to improve care for the elderly. Keywords: Aging; Mental Health; Mental disorders; Family Health Strategy.

scholarly journals Acesso de crianças em condição crônica na atenção primária: estudo exploratório descritivo

2016 ◽  
Vol 15 ◽  
pp. 549
Author(s):  
Daisy Cristina Rodrigues ◽  
Eliane Tatsch Neves ◽  
Leonardo Bigolin Jantsch ◽  
Andressa Da Silveira
Keyword(s):  
Health Professionals ◽  
Chronic Conditions ◽  
Family Health ◽  
Coordination Of Care ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
South Of Brazil ◽  
Basic Health Units

Aim:  to  describe  the  access  of  children  in  chronic  conditions  toprimary  health  care  from  the  perspective  of  health  professionals.  Method:  this  is  an exploratory  and  descriptive  study,  using  a  qualitative  approach.  For  the  collection  of data,  semi-structured  interviews  will  be  carried  out  with  health  professionals  that integrate the teams of Basic Health Units and the Family Health Strategy in the South of Brazil.  The  data  will  be  treated  through  the  thematic  inductive  analysis.  Expected results:  the  expectation  is  to  contribute  with  resources  for  the  planning  of  the assistance,  allowing  access  for  the  coordination  of  care.  In  addition  to  encouraging moments and spaces for reflection for the health professionals participating in the study, who can rethink their daily practices.

scholarly journals Política de Educação Popular: práticas na Estratégia Saúde da Família

2019 ◽  
Vol 13 ◽  
Author(s):  
Maria Clara Henrique Moreira Geraldo ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Mary Ann Menezes Freire ◽  
Juliana Roza Dias ◽  
Alex Simões De Mello ◽  
...  
Keyword(s):  
Health Education ◽  
Health Professionals ◽  
National Policy ◽  
Family Health ◽  
Structured Interviews ◽  
Categorical Analysis ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objetivo: compreender as práticas dos profissionais da saúde da Estratégia Saúde da Família a partir dos princípios teórico-metodológicos da Política Nacional de Educação Popular em Saúde, no âmbito do Sistema Único de Saúde. Método: trata-se de um estudo qualitativo, descritivo, com oito profissionais da saúde, por meio de entrevistas semiestruturadas, analisadas pela técnica da Análise de Conteúdo na modalidade Análise Temática-Categorial. Resultados: obtiveram-se as categorias << Fatores que fragilizam a prática da Educação Popular em Saúde >>, << Princípios norteadores da prática dos profissionais da saúde da Estratégia Saúde da Família >> e << Práticas de Educação Popular em Saúde desenvolvidas pelos profissionais da saúde >>. Conclusão: conclui-se que as práticas de Educação Popular em Saúde desenvolvidas pelos profissionais na Estratégia Saúde da Família se articulam aos princípios da Política Nacional de Educação Popular em Saúde. Descritores: Educação em Saúde; Estratégia Saúde da Família; Atenção Primária à Saúde; Prática Profissional; Participação da Comunidade; Política Pública.ABSTRACTObjective: to understand the practices of health professionals of the Family Health Strategy from the theoretical-methodological principles of the National Policy of Popular Health Education, within the scope of the Unified Health System. Method: this is a qualitative, descriptive study. with eight health professionals, through semi-structured interviews, analyzed by the Content Analysis technique in the Thematic-Categorical Analysis modality. Results: the following categories were obtained << Factors that weaken the practice of Popular Health Education >>, << Guiding principles of the practice of health professionals of the Family Health Strategy >> and << Practices of Popular Health Education developed by the health professionals >>. Conclusion: it is concluded that the practices of Popular Health Education developed by professionals in the Family Health Strategy are articulated with the principles of the National Policy of Popular Health Education. Descriptors: Health Education; Family Health Strategy; Primary Health Care; Professional Practice; Community Participation; Public Policy. RESUMENObjetivo: comprender las prácticas de los profesionales de la salud de la Estrategia de Salud de la Familia a partir de los principios teórico-metodológicos de la Política Nacional de Educación Popular en Salud, dentro del ámbito del Sistema Único de Salud. Método: se trata de un estudio cualitativo, descriptivo, con ocho profesionales de la salud, a través de entrevistas semiestructuradas, analizadas por la técnica de Análisis de contenido en la modalidad de Análisis temático-categórico. Resultados: se obtuvieron las categorías << Factores que debilitan la práctica de la Educación Popular en Salud >>, << Principios norteadores de la práctica de los profesionales de la salud de la Estrategia de Salud Familiar >> y << Prácticas de Educación Popular en Salud desarrolladas por los profesionales de la salud >>. Conclusión: se concluye que las prácticas de Educación Popular en Salud desarrolladas por profesionales en la Estrategia de Salud Familiar se articulan a los principios de la política Nacional de Educación Popular en Salud. Descriptores: Educación en Salud; Estrategia de Salud Familiar; Atención Primaria de Salud; Práctica Profesional; Participación de la Comunidad; Política Pública.

scholarly journals Práticas interdisciplinares no enfrentamento da COVID-19 na estratégia saúde da família

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Rosilande Dos Santos Silva ◽  
Patricia Nascimento Rotondano ◽  
Márcia Maria de Sousa ◽  
Emanuelle Rocha da Purificação ◽  
Mariana Pereira Dos Santos ◽  
...  
Keyword(s):  
Health Professionals ◽  
Family Health ◽  
Descriptive Study ◽  
Viral Transmission ◽  
Health Team ◽  
Second Stage ◽  
The Third ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objetivo: Descrever as experiências de residentes multiprofissionais na Estratégia Saúde da Família acerca da aplicação de ações interdisciplinares no enfrentamento do novo Coronavírus. Método: Estudo descritivo, do tipo relato de experiência realizado por residentes multiprofissionais do núcleo Saúde da Família em uma Estratégia Saúde da Família. O estudo foi desenvolvido em três fases: levantamento das problemáticas enfrentadas pela equipe; formulação do plano de contingência local com base a teoria da interdisciplinaridade e implementação das ações. Resultados: Evidenciou-se uma maior adesão da população as recomendações da equipe de saúde, observados na demarcação do fluxo de indivíduos que mostrou bons resultados, reduzindo o risco da transmissão viral entre pacientes e os profissionais da saúde, bem como possibilitou uma diminuição significativa da permanência dos usuários na unidade de modo que a população continuasse a ser assistida, garantindo a segurança de todos os atores envolvidos. Considerações finais: As práticas interdisciplinares têm se destacado nos mais diversos serviços de saúde como método de ascensão essencial para gestores, profissionais de saúde e estudantes na produção de relações mais atuantes de forma integrada no campo da saúde como um todo, principalmente no enfrentamento da pandemia.Descritores: Educação em Saúde; Pandemias; Infecções por Coronavirus; Práticas Interdisciplinares.Interdisciplinary practices in coping with covid-19 in the family health strategyObjective: To describe the experiences of multiprofessional residents in the Family Health Strategy regarding the application of interdisciplinary actions for coping with the new Coronavirus. Method: This is an experience report by multiprofessional Family Health residents. The descriptive study was developed in three phases: the first, the survey of the problems faced by the team; the second stage was the formulation of a local contingency plan based on the theory of interdisciplinarity and the third was the implementation of these actions. Results: The population adherence to the recommendations from the health team was observed in the demarcation of the flow of individuals. Which showed good results, reducing the risk of viral transmission among patients and health professionals, as consequence of a significant decreased in permanence of users in the unit. Additionally, the population continues to be assisted, ensuring the safety of all actors involved. Conclusion: Interdisciplinary practices have stood out in the most diverse health services as an essential ascension method for managers, health professionals and students in the production of more active relationship in an integrated manner in the field of health as a whole, especially of coping with the pandemic.Descriptors: Health Education; Pandemics; Coronavirus Infections; Interdisciplinary practices.Prácticas interdisciplinarias al enfrentar covid-19 en la estrategia de salud familiarObjetivo: Describir las experiencias del equipo de profesionales multidisciplinario en la Estrategia de Salud Familiar con respecto a la aplicación de acciones interdisciplinarias para enfrentar el nuevo Coronavirus. Método: Un estudio descriptivo, un informe de experiencia realizado por profesionales de la Unidad de Salud de la Familia. El estudio fue desarrollado en tres fases: la primera, la encuesta de los problemas que enfrenta el equipo; la segunda etapa fue la formulación del plan de contingencia local basado en la teoría de la interdisciplinariedad y la tercera fue la implementación de acciones. Resultados: Se observó una mayor adherencia de la población a las recomendaciones del equipo de salud, observada en la demarcación del flujo de individuos que mostró buenos resultados, reduciendo el riesgo de transmisión viral entre pacientes y profesionales de la salud, así como permitiendo una disminución significativa en permanencia de los usuarios en la unidad para que la población continúe siendo asistida, garantizando la seguridad de todos los actores involucrados. Conclusión: Las prácticas interdisciplinarias se han destacado en los servicios de salud más diversos como un método esencial para los gerentes, profesionales de la salud y estudiantes en la producción de relaciones más activas de manera integrada en el campo de la salud en general, y especialmente en este contexto para enfrentar la pandemia.Descriptores: Educação em Saúde; Pandemias; Infecções por Coronavirus; Prácticas interdisciplinarias.

scholarly journals Impactos da ação educativa nos indicadores de saúde: potencialidade e fragilidades

2018 ◽  
Vol 12 (6) ◽  
pp. 1640 ◽  
Author(s):  
Vanusa Thaine Lubini ◽  
Janaina Quinzen Willrich ◽  
Guilherme Emanuel Weiss Pinheiro ◽  
Luciane Prado Kantorski ◽  
Mirela Farias Pickersgill
Keyword(s):  
Health Education ◽  
Family Health ◽  
Health Indicators ◽  
Structured Interview ◽  
Educational Process ◽  
Observation Data ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Impact

RESUMOObjetivo: discutir as potencialidades e fragilidades identificadas por enfermeiros da Estratégia de Saúde da Família no desenvolvimento de ações de educação em saúde e o impacto nos indicadores de saúde. Método: estudo qualitativo, descritivo, exploratório, com enfermeiros de uma Unidade de Saúde da Família. A coleta de dados ocorreu a partir de entrevista semiestruturada e observação participante. A análise dos dados foi pela técnica de Análise de Conteúdo na modalidade Análise temática. Resultados: apresentam as potencialidades e as fragilidades vivenciadas pelos enfermeiros, além da percepção acerca das transformações nos indicadores de saúde como melhoria da cobertura vacinal, dos exames citopatológicos e na atenção ao pré-natal. Conclusão: o conhecimento acerca das potencialidades e fragilidades do processo educativo facilita o trabalho em saúde e, por consequência, favorece a melhoria dos indicadores de saúde que são reflexos da dedicação das equipes de saúde da família, pautados na educação em saúde. Descritores: Educação em Saúde; Enfermagem; Atenção Primária à Saúde; Indicadores de Saúde; Estratégia Saúde da Família. ABSTRACT Objective: to discuss the potentialities and fragilities identified by nurses of the Family Health Strategy in the development of health education actions and the impact on health indicators. Method: this is a qualitative, descriptive, exploratory study with nurses from a Family Health Unit. Data collection was done through a semi-structured interview and participant observation. Data analysis was based on the Content Analysis technique in the Thematic Analysis modality. Results: there are potentialities and fragilities experienced by nurses, as well as the perception about changes in health indicators such as improved vaccination coverage, cytopathological exams, and prenatal care. Conclusion: knowledge about the potentialities and fragilities of the educational process facilitates health work and, consequently, favors the improvement of health indicators that are a reflection of the dedication of the family health teams, based on health education. Descriptors: Health Education; Nursing; Primary Health Care; Health Status Indicators; Family Health Strategy. RESUMEN Objetivo: discutir las potencialidades y fragilidades identificadas por enfermeros de la Estrategia de Salud de la Familia en el desarrollo de acciones de educación en salud y el impacto en los indicadores de salud. Método: estudio cualitativo, descriptivo, exploratorio, con enfermeros de una Unidad de Salud de la Familia, La recolección de datos ocurrió a partir de entrevista semi-estructurada y observación participante, el análisis de los datos fue por la técnica de Análisis de Contenido en la modalidad Análisis temático. Resultados: presentan las potencialidades y las fragilidades vividas por los enfermeros, además de la percepción acerca de las transformaciones en los indicadores de salud como mejoría de la cobertura de vacunas, de los exámenes de citopatología y en la atención al prenatal. Conclusión: el conocimiento acerca de las potencialidades y fragilidades del proceso educativo facilita el trabajo en salud y, por consecuencia, favorece la mejoría de los indicadores de salud que son reflejos de la dedicación de los equipos de salud de la familia, pautado en la educación en salud. Descriptores: Educación en Salud; Enfermería; Atención Primaria de Salud; Indicadores de Salud; Estrategia de Salud Familiar.

scholarly journals Healthcare practices for users suffering from violence: from invisibility to comprehensive (un)care

2014 ◽  
Vol 35 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Patrícia Caprini Guzzo ◽  
Marta Cocco da Costa ◽  
Ethel Bastos da Silva ◽  
Alice do Carmo Jahn
Keyword(s):  
Health Professionals ◽  
Treatment Plan ◽  
Family Health ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Descriptive Research ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices

The aim of this study was to investigate practices of health professionals for users undergoing violence from perspective of comprehensive care. This study was based on a qualitative and descriptive research on graduate-level and technical health professionals who work in the Family Health Strategy programme in a northeastern municipality of Rio Grande do Sul. Data were collected by means of semi-structured interviews and analyzed using thematic mode. Results showed that these professionals do not utilize comprehensiveness to guide their care practices with users undergoing violence. Instead, they still work according to the biomedical model in which intervention is based on referring care to other sectors and the treatment plan. The study highlights the need for more appropriation and further discussion on practices regarding violence guided by the principle of comprehensiveness within the Family Healthcare team.

scholarly journals Medical training and nurses of Family Health strategy on worker health aspect

2016 ◽  
Vol 50 (spe) ◽  
pp. 25-31
Author(s):  
Érika Chediak Mori ◽  
Alessandra Vitorino Naghettini
Keyword(s):  
Occupational Health ◽  
Health Professionals ◽  
Medical Training ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Subject ◽  
Lack Of Knowledge ◽  
Doctors And Nurses

Considering the worker’s health one of the Unified Health System (SUS) tasks, the Primary Health Care (PHC) and the Family Health Strategy (FHS) play an important role in the development of health actions in the field health-work. In Brazil, where the number of informal and domiciled jobs is high, the FHS becomes a reference in the workers’ health actions. Therefore, if the FHS is not attentive to the relation between professional occupation and disease, several diseases that affect workers can overload the system without obtaining a cure. The aim of this study is to evaluate doctors and nurses recognition of the Family Health Strategy on occupational diseases in Aparecida de Goiânia. This is a qualitative descriptive study and the data analysis was done by content analysis. The setting for this study contemplates FHS units in the municipality of Aparecida de Goiânia, Goiás. There were 8 Basic Health Units and 16 health professionals were interviewed. The data was collected in the participants of the interview workplaces, from February through April, 2013, after being approved by the Ethics and Research Committee. The discourses were analyzed according to Minayo (2007), using thematic analysis. The interviews were recorded and later transcribed for analysis. Among the 16 professionals interviewed we observed that only 3 (18.75%) received professional training on occupational health in their Institution, however the aim of the courses were towards situations of biological hazards and not about workers care. Practitioners reported lack of knowledge in the occupational health area, and also observed that the area is still undervalued and underexplored in the academic and professional fields, and even by the Municipality health management. Evaluating the academic education it is possible to observe the inadequacy of the subject workload, where professionals reported the lack of knowledge in the area and the low workload of the subject in the academic field. Conclusion: There is a need to raise awareness and interest of the municipality health managers and the health professionals, doctors and nurses, towards the relations work-health-disease and the need to capacitate these professionals, in order to assist the workers in a better way.

scholarly journals Health needs: the interface between the discourse of health professionals and victimized women

2015 ◽  
Vol 23 (2) ◽  
pp. 299-306 ◽  
Author(s):  
Rebeca Nunes Guedes de Oliveira ◽  
Rosa Maria Godoy Serpa da Fonseca
Keyword(s):  
Health Service ◽  
Health Professionals ◽  
Family Health ◽  
Qualitative Approach ◽  
Health Needs ◽  
Human Needs ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Analytical Category

Objective: to understand the limits and the evaluative possibilities of the Family Health Strategy regarding the recognition of the health needs of women who experience violence. Method: a study with a qualitative approach, grounded in the perspective of gender, and which adopted health needs as the analytical category. The data were collected through interviews with health professionals and women who made use of a health service, and were analyzed using the method of discourse analysis. Results: the meeting between the discourses of women who use the services and the professionals of the health service revealed, as the interface, human needs, as in the example of autonomy and of bonds. The understanding regarding the needs was limited to the recognition of health problems of physical and psychological natures, just as the predominance of the recognition of needs for maintaining life in the light of essentially human needs was revealed in the professionals' discourses as an important limitation of the practices. Conclusion: emphasis is placed on the perspective of gender as a tool which must be aggregated to the routine of the professional practices in health so as to confirm or deny the transformative character of the care in place regarding the recognition and confronting of the women's health needs.

scholarly journals Health education practices of poisoning prevention for child in Family Health Strategy

2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Camila Cristiane Formaggi Sales ◽  
Magda Lúcia Félix de Oliveira
Keyword(s):  
Health Education ◽  
Health Professionals ◽  
Family Health ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Childhood Poisoning ◽  
Family Health Strategy ◽  
The City ◽  
Poisoning Prevention

Abstract Objective: To analyze health education practices developed by health professionals of the Family Health Strategy team in the context of childhood poisoning. Method: Qualitative research, carried out during the months of July and August 2016, with 50 health professionals from nine Family Health Strategy teams of the city of Maringá-Paraná. Data were collected through semi-structured interviews and, subsequently, submitted to the thematic content analyses. Results: There were different perceptions and living experiences among uniprofessional or multi-professional members of the team. Those were built by different professional categories that were working with families developing prevention activities about childhood poisoning. Those activities in groups of health education were intended to bring health professionals closer to the Users, through dialogue. Conclusion: Indeed, health education practices were based on the concept of first aids, and adopting a biomedical perspective. A little discussed of poisoning accident prevention during childhood showed that those practices were away from a dialogical health education.

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