scholarly journals The Role of Febrile Neutropenia Guideline’s Implementation on Mortality Rate in Dharmais Hospital-National Cancer Center

2019 ◽  
Vol 12 (3) ◽  
pp. 71
Author(s):  
Dody Ranuhardy
Keyword(s):  
Mortality Rate ◽  
Febrile Neutropenia ◽  
Mortality Rates ◽  
Cancer Center ◽  
Bivariate Analysis ◽  
High Morbidity ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Reduce Mortality Rate

Introduction: Febrile neutropenia have a high morbidity and mortality impact for the patient. The mortality rate of febrile neutropenia in 2002 was 38.8%, while it was 27.3% in 2009. The difference in mortality rates could be caused by several factors such as availability of the Neutropenic Fever Management Guidelines in 2006, in addition to infrastructure, human resources and equipment. This study aims to determine the role of guideline availibility and other factors to cancer mortality rate in the immunocompromised isolation room of Dharmais Hospital. Methods: This study was a cross-sectional retrospective study which investigate mortality rates and compare with adherence to febrile neutropenia guidelines for the period 2008-2012. Data were taken from the patient's medical record file, and then analysed using univariate and bivariate analysis. Results: The mortality rate in the period 2008-2012 was 20.7%. The correlation between age, sex, and degree of risk factor on mortality was not significantly different (p=0,409, p=0,404, and p=0,324). The proportion of deaths was higher in patients borne by third parties (26.8%) than in the case of personal (10%) although not statistically significant (p=0,065). From the three types of adherence, only one had a significant effect of adherence to treatment flow (p=0,033). Conclusions: The availibility of management guideline can reduce mortality rate of febrile neutropenia even though from the three types of adherence, only one had a significant effect of adherence to treatment flow (p=0,033).

scholarly journals FAKTOR-FAKTOR YANG BERPENGARUH DALAM LUARAN KLINIS PASIEN TETANUS DI RSUP DR. MOHAMMAD HOESIN PALEMBANG

2018 ◽  
Vol 35 (3) ◽  
Author(s):  
Luther Theng ◽  
Theresia Christin ◽  
Erial Bahar
Keyword(s):  
Mortality Rate ◽  
Clinical Outcome ◽  
Incidence Rate ◽  
Medical Record ◽  
Case Fatality ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Isolation Room ◽  
Reduce Mortality Rate

FACTORS AFFECTING THE CLINICAL OUTCOME OF TETANUS PATIENTS IN MOHAMMAD HOESIN GENERAL HOSPITAL PALEMBANGABSTRACTIntroduction: Tetanus is a serious health problem with mortality rate up to 60% despite the decreasing incidence rate every year. Knowledge about factors affecting clinical outcome of tetanus patients may reduce mortality rate, better understanding on prevention and management of the disease. The clinical outcomeAim: To know the incidence and factors that affect the clinical outcome of tetanus patients.Method: Retrospective study with cross sectional analytic using hospital-based secondary data. Inclusion criteria were hospitalized tetanus patients within 3 years period (2013-2015) and complete medical record. Incidence, case fatality rate and other which other factors associated with clinical outcome were counted from medical record and analyzed by univariate and bivariate analysis, and logistic regression for multivariate analysis.Result: The incidence rate of tetanus patients in 2013 was (4.28%), 2014 (1.62%), 2015 (2.87%) and the mortality rate reaches 28.41%. From 41 subjects, univariate, bivariate and multivariate analyses were performed. The four selected variables were gender, port d’entrée, onset, and isolation room. Dsicussion: Mortality rate reached 28.41% despite the decreasing incidence every year. Sex, port d’entrée, onset, and isolation room treatment are factors that affect clinical outcome of tetanus patients.Keywords: Clinical outcome, mortality rate, tetanusABSTRAKPendahuluan: Tetanus merupakan masalah kesehatan serius dapat menyebabkan angka kematian mencapai 60% walaupun angka insiden semakin menurun setiap tahunnya. Pengetahuan mengenai faktor-faktor yang memengaruhi luaran klinis pasien dapat menurunkan angka kematian, upaya pencegahan penyakit dan keberhasilan penatalaksanaan.Tujuan: Mengetahui insiden serta faktor–faktor yang memengaruhi luaran klinis pasien tetanus.Metode: Studi bersifat retrospektif dengan metode potong lintang analitik dengan data sekunder berbasis RS. Kriteria inklusi adalah pasien tetanus yang dirawat sejak tiga periode 2013-2015 dan memiliki data rekam medis lengkap. Insiden, angka kematian dan hal-hal yang diperkirakan berhubungan dengan luaran ditelusuri dari rekam medis kemudian dilakukan analisis univariat, bivariat, dan multivariat menggunakan regresi logistik.Hasil: Angka insiden tetanus tahun 2013 (4,28%), 2014 (1,62%), 2015 (2,87%) dengan angka kematian rata-rata28,41%. Dari 41 subjek penelitian dilakukan analisis univariat, bivariat, dan multivariat. Empat variabel yang terpilih adalah jenis kelamin, port d’entrée, onset, dan perawatan pasien ruang isolasi.Diskusi: Angka kematian kasus tetanus masih mencapai 28,41% walaupun angka insiden semakin menurun setiap tahunnya. Jenis kelamin, port d’entry, onset, dan perawatan di ruang isolasi merupakan faktor-faktor berpengaruh terhadap luaran klinis pasien tetanus.Kata kunci: Angka kematian, luaran klinis, tetanus

scholarly journals Determinant Factors of Supervisor Model 4S (Structure, Skill, Support, Sustainability) Against the Implementation of Islamic Spiritual Care

2021 ◽  
Vol 12 (1) ◽  
pp. 33-41
Author(s):  
Inggriane Puspita Dewi ◽  
Dewi Mustikaningsih
Keyword(s):  
Nursing Care ◽  
Spiritual Care ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Adult Inpatient ◽  
Supervision Model ◽  
Spearman Test ◽  
The Relationship

Introduction: The supervision model commonly applied in nursing is the 4S model, namely the Structure, Skill, Support and Sustainability (4S) stages. This supervision model can be applied by the head of the room and the head of the shift as a supervisor in overseeing the implementation of Islamic spiritual nursing care in adult inpatient rooms. Purpose: to analyze the relationship between the role of the 4S supervisor model and the implementation of Islamic spiritual nursing care in adult inpatient rooms. Methods: the study used a cross sectional method. The sampling technique with a proportionate stratified random sampling was 62 nurses. Data analysis used univariate, bivariate analysis with Spearman test, and multivariate with logistic regression. Results: showed the role of the 4S supervisor model was good (88.7%), the implementation of Islamic nursing care was good category (52%), there was a relationship between the role of model supervision 4S with the implementation of Islamic spiritual care, with a significance value of <0.0001 and the strongest relationship between the 4S model and the implementation of Islamic spiritual care is the variable skill and sustainability, seen from the significance value for skills of 0.05 (Pvalue ≤0.05), and sustainability of 0.01 (Pvalue ≤0.05). The strength of the relationship is seen based on the OR [EXP {B}] value, respectively, skill (0.194) and sustainability (0.109). Discussion: The probability of nurses implementing Islamic nursing care well is 90% if they provide Islamic spiritual nursing care skills and continuous supervision by the hospital supervisor. 

Acceptance of Post-Placental Intrauterine Contraceptive Device in Denpasar

2016 ◽  
pp. 104
Author(s):  
N.M. Rai Widiastuti ◽  
N.L.P Suaryani ◽  
Mangku Karmaya
Keyword(s):  
Side Effects ◽  
Health Center ◽  
Contraceptive Use ◽  
Health Workers ◽  
Intrauterine Device ◽  
Bivariate Analysis ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Post Placental

Background and purpose: The Indonesian Demographic Health Survey of 2012 indicated that the prevalence of contraceptive use in Bali Province has decreased compared to 2007. In addition, the proportion of the use an intrauterine device (IUD) also continues to decline. To increase number of IUD acceptors is to promote post-placental intrauterine device (PPIUCD), however the acceptance remains low. This study aims to determine factors associated with acceptance of post-placental intrauterine device in Denpasar.Methods: Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were mothers who had gave birth in January-February 2016 at Wangaya General Hospital and three health centers (Dauh Puri Sub Health Center, East Denpasar I and South Denpasar IV). Data were collected by interview in hospital and health center. Chi square test was conducted for bivariate analysis and multivariate using logistic regression.Results: Proportion of PPIUCD acceptance was 35%. Multivariate analysis indicated that PPIUCD acceptance was associated with perception of benefits (AOR=10.39; 95% CI: 2.792-38.56), perception of low side effects (AOR=5.288; 95%CI: 1.085-25.761), role of health workers (AOR=7.1; 95%CI: 1.781-28.60) and support of the husband (AOR=12.020; 95% CI=2.888-50.01).Conclusion: Variables associated with PPIUCD acceptance were perception of low side effects, perception of benefits, role of health workers and husband support.

Impact of ischemic heart disease and atrial fibrillation on survival after spontaneous intracerebral hemorrhage

2008 ◽  
Vol 108 (6) ◽  
pp. 1172-1177 ◽  
Author(s):  
Sami Tetri ◽  
Liisa Mäntymäki ◽  
Seppo Juvela ◽  
Pertti Saloheimo ◽  
Juhani Pyhtinen ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Heart Disease ◽  
Mortality Rate ◽  
Intracerebral Hemorrhage ◽  
Ischemic Heart Disease ◽  
Mortality Rates ◽  
Ischemic Heart ◽  
University Hospital ◽  
Spontaneous Intracerebral Hemorrhage

Object The well-known predictors for increased early deaths after spontaneous intracerebral hemorrhage (ICH) include the clinical and radiological severity of bleeding as well as being on a warfarin regimen at the onset of stroke. Ischemic heart disease and atrial fibrillation may also increase early deaths. In the present study the authors aimed to elucidate the role of the last 2 factors. Methods The authors assessed the 3-month mortality rate in patients with spontaneous ICH (453 individuals) who were admitted to the stroke unit of Oulu University Hospital within a period of 11 years (1993–2004). Results The 3-month mortality rate for the 453 patients was 28%. The corresponding mortality rates were 42% for the patients who had ischemic heart disease and 61% for those with atrial fibrillation on admission. The following independent predictors of death emerged after adjustment for sex and the use of warfarin or aspirin at the onset of ICH: 1) ischemic heart disease (hazard ratio [HR] 1.67, 95% confidence interval [CI] 1.12–2.48, p < 0.02); 2) atrial fibrillation on admission (HR 1.79, 95% CI 1.12–2.86, p < 0.02); 3) the Glasgow Coma Scale score on admission (HR 0.82 per unit, 95% CI 0.79–0.87, p < 0.01); 4) size of hematoma (HR 1.11 per 10 ml, 95% CI 1.07–1.16, p < 0.01); 5) intraventricular hemorrhage (HR 2.62, 95% CI 1.71–4.02, p < 0.01); 6) age (HR 1.04 per year, 95% CI 1.02–1.06, p < 0.01); and 7) infratentorial location of the hematoma (HR 1.93, 95% CI 1.26–2.97, p < 0.01). Conclusions Both ischemic heart disease and atrial fibrillation independently and significantly impaired the 3-month survival of patients with ICH.

Self-assessment system of febrile neutropenia (FN) by patients receiving ambulatory chemotherapy for solid tumor.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e19548-e19548 ◽  
Author(s):  
Akihito Kitao ◽  
Koji Matsumoto ◽  
Maki Tanioka ◽  
Shunichi Negoro
Keyword(s):  
Mortality Rate ◽  
Febrile Neutropenia ◽  
Malignant Disease ◽  
Febrile Episode ◽  
Assessment System ◽  
Cancer Center ◽  
Self Assessment ◽  
Literacy Rate ◽  
Peritoneal Cancer ◽  
Mascc Score

e19548 Background: Febrile neutropenia is one of the oncology emergencies, which usually should be timely assessed and treated at the hospital. In some areas of Japan, however, medical resources are limited in especially nights and holidays. In Hyogo Cancer Center department of medical oncology, majority of pts have breast and gynecologic (GYN) malignant disease, those who are relatively young and without COPD. These pts may be managed by a self -assessment system of FN, although the feasibility is still unknown. Methods: Self assessment system consists of three steps, such as, prescription of Ciprofloxacin 1200mg b.i.d., educating pts by the team (doctors, pharmacists, and nurses) with written material, and evaluation at the hospital if febrile episode (FE) continues for longer than 48 hours. FE is defined as body temperature higher than 38 °C. Frequency of FE, admission to the hospital, ICU stay, and 30 days mortality rate were assessed retrospectively. Results: From Aug. 2006 to Oct. 2011, 476 pts were treated in ambulatory chemotherapy center under self-assessment system. Median age was 58 years old (range; 17 - 82), 87 % of them were under 60 years old. Literacy rate was 100 %. All had solid tumors, 75 % of them had breast (n= 157) or GYN (ovary and primary peritoneal cancer; n = 155, cervix; n = 40, corpus; n = 4) malignancy. Platinum based regimens (n = 184) and anthracycline based regimens (n = 131) were dominant. FE occurred in 159 pts (33.4%). Forty three pts (9%) were admitted to the hospital. Two pts were admitted to ICU. 30 days mortality rate was 0 %. The median MASCC score of admitted pts was 21 (range; 14 - 21). About half (47 %) had high risk score (< 20). Conclusions: In areas with limited resources, self assessment of FN can be an alternative option, although that should be applied to young and literate pts educated by skilled medical team.

scholarly journals ASSESSING THE ROLE OF INTERPERSONAL AND INFORMATIONAL JUSTICE IN THE PURVIEW OF TEACHING FACULTY’S JOB SATISFACTION

2021 ◽  
Vol 9 (3) ◽  
pp. 1632-1641
Author(s):  
Abdullah ◽  
Niaz Muhammad ◽  
Arshad Khan Bangash ◽  
Nizar Ahmad ◽  
Ihsan Ullah Khan
Keyword(s):  
Job Satisfaction ◽  
Data Collection ◽  
Working Environment ◽  
Primary Data ◽  
Bivariate Analysis ◽  
Open Communication ◽  
Cross Sectional ◽  
Informational Justice ◽  
The University

Purpose of the study: This study was designed to assess the role of interpersonal and Informational Justice in the purview of teaching faculty’s job satisfaction.  Methodology: A cross-sectional and quantitative research method was carried out in three randomly selected universities of Khyber Pakhtunkhwa, Pakistan i.e. Bacha Khan University, University of Malakand, and the University of Swat. A well-structured questionnaire was used for data collection from 217 sampled respondents (employees) for primary data collection. Further, the researchers analyzed the data through descriptive and inferential statistics, i.e. frequency, percentage, correlation, and indexation of the study variables, namely dependent (job satisfaction) and independent (Interpersonal and Informational Justice), respectively. Principal Findings: Regarding the demographic sketch of the sampled respondents, the study found that the majority of the respondents were male, having the age group from 31-40 years with the collaboration of 5-10 year experiences of teaching at the university level. Further, as per the correlation test statistics at bivariate analysis between the Interpersonal and Informational Justice with job satisfaction was found significant with strong correlation (P≤0.05; 0.860) respectively. Applications of this study: The government and administration should take positive steps to provide a good working environment to establish their trust by expanding cooperation towards employees, exploration of benefits, strengthening relationships with each other, and encouragement of open communication that can stimulate and encourage an exchange of view between faculty and administration was put forward some of the recommendations in light of the study findings.  Novelty/Originality of this study: This research comes under the domain of Sociology of organization and sociology of work through the perceptional-based endeavor.

scholarly journals Does Prone Positioning Decrease Mortality Rate in ARDS? A Systematic Review

2018 ◽  
Author(s):  
Joseph Sarkis
Keyword(s):  
Systematic Review ◽  
Acute Respiratory Distress Syndrome ◽  
Mortality Rate ◽  
Respiratory Distress Syndrome ◽  
Supportive Care ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Mortality Rates ◽  
Prone Positioning ◽  
Reduce Mortality Rate

Acute Respiratory Distress Syndrome (ARDS) is a clinical condition in which the lungs suffer severe irreversible, large-scale damage causing a grievous form of hypoxemic respiratory failure. Acute respiratory distress syndrome is one of the most evasive diagnosis confronted in the Intensive care unit (ICU) as the name, definition and diagnostic standards have adapted over the past four decades. An ARDS diagnosis is established by physiological criteria and continues to be a diagnosis of exclusion, which makes it crucial that medical professionals expand their knowledge base to effectively diagnose ARDS. Patients admitted with ARDS have high mortality rates ranging from 40 to 60 percent. High-level quality supportive care continues to be the sole option for ARDS treatment. Even with improved supportive care, however, ARDS prognosis is still poor. Extended prone positioning (PP) has been shown to increase alveolar recruitment end expiratory lung volume, thereby improving oxygenation and survival. Unfortunately, few studies have examined the association of mortality and prone positioning in ARDS. A systematic review was conducted to examine the following research question: Does prone positioning compared to supine positioning in patients with ARDS decrease mortality rates? This systematic review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Critical Appraisal Skills Programme (CASP). A literature review was performed and data were collected from each study. A cross study analysis was performed and PP was found to reduce mortality rate in patients who were severely hypoxic. The reviewed studies demonstrated that incorporating early and longer periods of PP may improve mortality in ARDS patients, but further research is needed.

scholarly journals Stigma terhadap pasien pasca COVID-19 dan faktor yang mempengaruhinya

2021 ◽  
Vol 3 (2) ◽  
pp. 70
Author(s):  
Intan Okrima Putri
Keyword(s):  
Public Attitudes ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Community Leaders ◽  
Bivariate Analysis ◽  
Religious Leaders ◽  
Cross Sectional ◽  
Self Confidence ◽  
The People

Stigma is a negative action that can reduce a person’s self-confidence. During the COVID-19 pandemic, the stigma can be in the form of refusal of bodies, expulsion of medical staff or ex-communication of patients with confirmed COVID-19 and post-COVID-19 patients. There are 2 Post-COVID-19 patients in Papringan Hamlet. This study aims to find out the influence of knowledge, attitudes, and role of community leaders on the stigma against Post-COVID-19 patients in Papringan Helmet Sidomukti Magetan Regency. This was a cross-sectional study. The population were the people who live in Papringan Hamlet, the sample amount was 97 respondents who used the Slovin formula. The sample criteria were aged 26-45 years, chosen by purposive sampling technique. Data were collected by questionnaires and checklist observations. Data analysis used the logistic regression test. Results: The results of the bivariate analysis test showed that there was an influence a relationship between knowledge (Sig. 0,000), attitude (Sig. 0,000), and roles of community leaders (Sig. 0,000) on the stigma against post-COVID-19 patients and multivariate analysis using Binary logistic test indicated there is an influence of knowledge (OR=16,955) to stigma Post-COVID-19 patients in Papringan Hamlet Sidomukti Magetan Regency. The Health Service and community health centres can eliminate the stigma of Post-COVID-19 patients in the community by increasing public knowledge through health education, as well as encouraging the role of religious leaders and community leaders to influence public attitudes so as not to carry out negative stigma against Post-COVID patients.

scholarly journals Hubungan antara Berat Badan Lahir Bayi dengan Ruptur Perineum pada Primipara

2021 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Russiska Russiska ◽  
Susan Yuliyantika ◽  
Merissa Laora Heryanto
Keyword(s):  
Birth Weight ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Significant Relationship ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Maternal Mortality Rate

The Maternal Mortality Rate (MMR) in Indonesia is around 90% at the time of delivery. in Indonesia until 2018 the Maternal Mortality Rate is still high at 305 per 1000 live births[1]. This is caused by postpartum bleeding due to several factors such as uterine atony and perineal rupture. The research objective was to determine the relationship between birth weight of infants and perineal rupture in Primipara at Japara Public Health Center, Kuningan Regency in 2019. The research method was analytic with a cross sectional approach, sampling with a total sampling technique with a total of 52 mothers giving birth. The instrument used was a checklist sheet and the analysis used Spearman Rank. Based on the results of the univariate analysis study, most mothers gave birth to babies with normal birth weight, namely around 59.6%, while most of the mothers experienced perineal rupture, namely around 51.9%. The results of the bivariate analysis showed a value (p = 0.09), this indicated that there was a significant relationship between birth weight of infants and perineal rupture in mothers who gave birth. It was concluded that there was a significant relationship between birth weight of infants and perineal rupture in mothers who gave birth. It is hoped that midwives will always carry out labor management in accordance with the standards of normal delivery care when giving birth and teach pregnant women how to massage the perineum.

scholarly journals HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG TABLET FE DENGAN KEJADIAN ANEMIA

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Nila Eza Fitria
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Mortality Rate ◽  
Chi Square Test

<p><em>Maternal Mortality Rate (MMR) is one indicator of the success of health services in a country. Maternal deaths occur for several reasons, including anemia The purpose of this research is to know the relationship of knowledge of pregnant women with Fe tablet with anemia occurrence in jorong Koto Malintang Puskesmas Agam District 2014. This research is cross sectional research design conducted in Jorong Koto Malintang Puskesmas Kamih Agam on 23 s / d 29 August 2014. The sample in this study pregnant women in Jorong Koto Malintang 30 people. Univariate analysis has been done descriptive and bivariate analysis using chi-square test. The results showed 30 respondents classified as less knowledgeable (36.7%) and more than half of pregnant women (63.3%) suffered from anemia. The result of bivariate analysis with trust level 0,05 indicates a significant relationship between the existence of Knowledge about Tablet Fe Pregnancy with Genesis Anemia where value p = 0,002 (p = &lt;0,05). Can be concluded in this research there is a significant relationship between mother's knowledge about Fe tablet with anemia. It is expected to improve the knowledge of pregnant women about the importance of Fe tablets consumed by pregnant women during pregnancy to prevent anemia</em></p><p><em><br /></em></p><p>Angka Kematian Ibu (Maternal Mortality Rate / MMR) merupakan salah satu indikator keberhasilan pelayanan kesehatan di suatu negara. Kematian ibu terjadi karena beberapa alasan, termasuk anemia. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan ibu hamil dengan tablet Fe dengan kejadian anemia di jorong Koto Malintang Puskesmas Kabupaten Agam tahun 2014. Penelitian ini adalah rancangan penelitian cross sectional yang dilakukan di Jorong Koto Malintang Puskesmas Kamih Agam pada 23 s/d 29Agustus 2014. Sampel dalam penelitian ini ibu hamil di Jorong Koto Malintang 30 orang. Analisis univariat telah dilakukan analisis deskriptif dan bivariat menggunakan uji chi-square. Hasilnya menunjukkan 30 responden tergolong kurang berpengetahuan (36,7%) dan lebih dari setengah ibu hamil (63,3%) menderita anemia. Hasil analisis bivariat dengan tingkat kepercayaan 0,05 menunjukkan adanya hubungan yang signifikan antara adanya Pengetahuan Tentang Tablet Fe Hamil dengan Anemia Genesis dimana nilai p = 0,002 (p = &lt;0,05). Dapat disimpulkan dalam penelitian ini ada hubungan yang signifikan antara pengetahuan ibu tentang tablet Fe dengan anemia. Diharapkandapat meningkatkan pengetahuan ibu hamil tentang pentingnya tablet Fe dikonsumsi oleh ibu hamil selama kehamilan untuk mencegah anemia. </p><p><em><br /></em></p>

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