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1.
Emergencias (Sant Vicenç dels Horts) ; 32(1): 45-48, feb. 2020. tab
Artigo em Espanhol | IBECS-Express | ID: ibc-ET2-3436

RESUMO

Objetivo. Evaluar los resultados de la formación mixta frente a la presencial en un curso de soporte vital básico/desfibrilador externo automático (SVB/DEA), así como su retención a los 9 meses. Método. Estudio experimental aleatorizado que compara los resultados de la formación en SVB/DEA entre un grupo control (GC) que recibió formación presencial de 4 horas frente a un grupo experimental (GE) que recibió formación en metodología mixta: 2 horas virtuales y 2 horas presenciales. Resultados. Participaron 89 alumnos (45 del GC y 44 del GE). Después de la formación, el GC obtuvo mejores puntuaciones en conocimientos [8,6 (DE 0,9) frente a 8,0 (DE 1,14), p = 0,013]. El GE obtuvo mejores puntuaciones en las habilidades del tiempo en segundos de "hands off" y en el porcentaje de la rexpansión completa del tórax. Los conocimientos decaen a los 9 meses, pero sin diferencias entre los dos grupos. La retención global baja de 8,31 (DE 1,1) a 6,04 (DE 1,6) (p = 0,001), en 9 meses, pero de forma similar en ambos grupos. En las habilidades prácticas no hubo diferencias entre los dos grupos ni al finalizar el curso ni a los 9 meses. Conclusiones. Con la metodología virtual se obtienen mejores resultados en algunos parámetros de las habilidades


Objective. To evaluate the immediate and 9-month results of blended versus standard training in basic life support and the use of an automatic external defibrillator (BLS/AED). Methods. Randomized trial comparing the results of standard BLS/AED training to blended training. The control group received 4 hours of standard instruction from a trainer and the experimental blended-training group received 2 hours of virtual training and 2 hours of in-person instruction. Results. Eighty-nine students participated, 45 in the control group and 44 in the experimental group. The controls achieved better mean (SD) knowledge scores immediately after training (8.6 [0.9] vs 8.0 [1.14] in the experimental group, P=.013). The blended training group scored better on certain skill markers (hands-off time in seconds and compressions followed by complete chest recoil). Participant knowledge had decreased at 9 months without significant between-group differences. Overall, retention fell from a score of 8.31 (1.1) to 6.04 (1.6) (P=.001) in 9 months and the loss was similar in the 2 groups. No differences in practical skills between the groups were observed at the end of the course or 9 months later. Conclusions. The blended training method led to better results on some skill ítems

2.
Emergencias ; 32(1): 45-48, 2020 Feb.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-31909912

RESUMO

OBJECTIVES: To evaluate the immediate and 9-month results of blended versus standard training in basic life support and the use of an automatic external defibrillator (BLS/AED). MATERIAL AND METHODS: Randomized trial comparing the results of standard BLS/AED training to blended training. The control group received 4 hours of standard instruction from a trainer and the experimental blended-training group received 2 hours of virtual training and 2 hours of in-person instruction. RESULTS: Eighty-nine students participated, 45 in the control group and 44 in the experimental group. The controls achieved better mean (SD) knowledge scores immediately after training (8.6 [0.9] vs 8.0 [1.14] in the experimental group, P=.013). The blended training group scored better on certain skill markers (hands-off time in seconds and compressions followed by complete chest recoil). Participant knowledge had decreased at 9 months without significant between-group differences. Overall, retention fell from a score of 8.31 (1.1) to 6.04 (1.6) (P=.001) in 9 months and the loss was similar in the 2 groups. No differences in practical skills between the groups were observed at the end of the course or 9 months later. CONCLUSION: The blended training method led to better results on some skill items.

5.
Nutr. clín. diet. hosp ; 36(3): 14-18, 2016. tab
Artigo em Espanhol | IBECS | ID: ibc-155449

RESUMO

Introducción: Evaluar los registros enfermeros, permite conocer la actividad realizada para detectar precozmente problemas nutricionales. Objetivo: Valorar y cuantificar los registros enfermeros respecto a la ingesta oral del paciente. Metodología: Estudio retrospectivo longitudinal en una unidad de semicríticos de 21 camas. Se incluyeron pacientes mayores de 18 años, con estancias superiores a 24 horas y con dieta oral. Se excluyeron pacientes con nutrición enteral o parenteral. Se recogieron datos demográficos, diagnóstico médico, tipo de dieta, número de registros de peso, talla, estado de conciencia, cantidad de ingesta y anotaciones en la gráfica. Resultados: Se valoraron 495 gráficas (184 pacientes), la media de edad fue 64,6 (14,1) años, constaba el tipo de dieta en el 92,7% y en el 62,5% peso y talla. El 84,4% de los registros no incluía ni cantidad ni anotaciones sobre la ingesta. Existió un registro superior en pacientes postquirúrgicos (p<0,037) y según la consistencia de la dieta siendo superior en dietas líquidas (p<0,001). Discusión: Existe una falta de información sobre la evaluación de la ingesta tanto en cantidad como en la descripción de problemas ya que la mayoría de registros son puntuales sin describir ninguna planificación o intervención. Conclusiones: Los resultados son mejorables y enfermería debe revisar su práctica y desarrollar estrategias para asegurar un correcto seguimiento de la ingesta del paciente (AU)


Introduction: To evaluate nursery records provides information about the activity performed to detect early nutritional problems. Objective: To evaluate and quantify the nursing records regarding the patient’s oral intake. Methodology: Retrospective longitudinal study in a semicrítical unit with 21beds. There were included patients over 18 years old with stays over 24 hours and oral diet. Patients with enteral or parental nutrition were excluded. There were compiled demographics data, medical diagnosis, type of diet, number of data registered linked to weight, size, consciousness, amount of the intake and notes in the graphic. Results: 495 graphics were evaluated (184 patients), the mean age 64.6 (14.1) years. The type of diet were registered in 92.7% and 62.5% had the registrations of weight and size. 84.4% of the records did not include annotations or quantity or intake. There was a higher registration in post surgical patients (p<0,037) and according to the consistency of the diet. It was superior in the liquid intakes (p<.001). Discussion: There is a lack of information regarding to the evaluation of the intake; so as in the quantity as in the problems description, due to the fact that most of the records were taken isolated without describing any planification. Conclusions: The results need to be improved. Nursery needs to review its perform and develop its strategy in order to ensure a correct follow up of the patient’s intake (AU)


Assuntos
Humanos , Apoio Nutricional/enfermagem , Transtornos Nutricionais/epidemiologia , Estado Terminal/enfermagem , Registros de Enfermagem/estatística & dados numéricos , Avaliação Nutricional , Registros de Dieta , Cuidados de Enfermagem/métodos
6.
Enferm. clín. (Ed. impr.) ; 25(4): 204-208, jul.-ago. 2015. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-142226

RESUMO

Objetivo: Determinar la concordancia entre evaluadores de la escala «Nursing Activities Score». Método: Estudio descriptivo transversal realizado desde diciembre del 2012 a junio del 2013, en una unidad de cuidados intensivos polivalente de 12 camas. Tres enfermeras evaluadoras con diferentes años de experiencia profesional, de manera simultánea e independiente puntuaron, a través de la gráfica diaria del paciente, el trabajo enfermero utilizando la «Nursing Activities Score» en todos los pacientes ingresados mayores de 18 años. Resultados: Se recogieron un total de 339 registros. El coeficiente de correlación intraclase (CCI) entre los evaluadores fue del 0,92 (0,89-0,94). El 39,1% de los ítems tuvo una concordancia perfecta, el 52,2% alta y el 8,7% baja, correspondiendo a 2 de los ítems con varias opciones de puntuación. Se encontraron diferencias significativas de la puntuación obtenida en 2 de los evaluadores (p = 0,049). Conclusiones: A pesar de que la concordancia interevaluadores de la escala es alta, serían necesarios unos registros enfermeros más precisos para reducir la variabilidad de los ítems con varias opciones de puntuación, y permitir una mayor precisión en la interpretación y medición de los datos sobre la carga de trabajo enfermera (AU)


Objective: To evaluate inter-rater concordance in the valuation of the «Nursing Activities Score». Method: Cross-sectional descriptive study conducted from December 2012 until June 2013 in a general intensive care unit with twelve beds. Three evaluator nurses, simultaneously and independently, through the patient daily charts, scored the nursing workload using Nursing Activities Score scale in all patients admitted over 18 years old. Results: Three hundreds and thirty-nine records were collected. The intra-class correlation coefficient (ICC) between evaluators was 0.92 (0.89-0.94). A perfect concordance was obtained in 39.1% of the items, with 52.2% having a high, and 8.7% having lower concordance, corresponding to two of the items with multiple scoring options. Significant differences between two of the evaluators (P=.049) were found. Conclusions: Although the inter-rater concordance was high, more accurate records are needed to reduce the variability of the items with multiple options and to allow more accuracy in the interpretation and measurement of the data regarding nursing workload (AU)


Assuntos
Humanos , Cuidados Críticos/métodos , Diagnóstico de Enfermagem/estatística & dados numéricos , Cuidados de Enfermagem/métodos , Processo de Enfermagem/organização & administração , Pesquisa em Avaliação de Enfermagem/métodos , Carga de Trabalho , Planejamento de Assistência ao Paciente
7.
Enferm Clin ; 25(4): 204-8, 2015.
Artigo em Espanhol | MEDLINE | ID: mdl-26112663

RESUMO

OBJECTIVE: To evaluate inter-rater concordance in the valuation of the "Nursing Activities Score". METHOD: Cross-sectional descriptive study conducted from December 2012 until June 2013 in a general intensive care unit with twelve beds. Three evaluator nurses, simultaneously and independently, through the patient daily charts, scored the nursing workload using Nursing Activities Score scale in all patients admitted over 18 years old. RESULTS: Three hundreds and thirty-nine records were collected. The intra-class correlation coefficient (ICC) between evaluators was 0.92 (0.89-0.94). A perfect concordance was obtained in 39.1% of the items, with 52.2% having a high, and 8.7% having lower concordance, corresponding to two of the items with multiple scoring options. Significant differences between two of the evaluators (P=.049) were found. CONCLUSIONS: Although the inter-rater concordance was high, more accurate records are needed to reduce the variability of the items with multiple options and to allow more accuracy in the interpretation and measurement of the data regarding nursing workload.


Assuntos
Enfermagem de Cuidados Críticos/estatística & dados numéricos , Cuidados Críticos/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador
8.
Med. clín (Ed. impr.) ; 142(3): 103-106, feb. 2014.
Artigo em Espanhol | IBECS | ID: ibc-119338

RESUMO

Fundamento y objetivo: Determinar la prevalencia de una diferencia de presión arterial sistólica (dPAS) ≥ 10 mmHg entre brazos en pacientes críticos y examinar las características clínicas asociadas a dicha diferencia. Metodología: Estudio descriptivo transversal. Se realizaron 2 determinaciones de presión arterial (PA) consecutivas en cada brazo al ingreso comenzando por el brazo elegido aleatoriamente. Resultados: Se estudiaron 168 pacientes, con una edad media (DE) de 61 (16) años. El 67,3% eran varones y un 45% tenían diagnóstico previo de hipertensión arterial (HTA). Al ingreso, el 27,4% presentaba dPAS ≥ 10 mmHg. De este grupo, el 54% presentaban una PAS superior en el brazo derecho y el 46% en el izquierdo. En el grupo con dPAS ≥ 10 mmHg se dio con mayor frecuencia el diagnóstico previo de HTA (67,4 frente a 36,9%, p < 0,001) y la presencia de alteraciones de la conciencia (76,1 frente a 52,5%, p = 0,006). Conclusiones: Más de una cuarta parte de los pacientes críticos tienen una dPAS ≥ 10 mmHg entre brazos. Esta característica se asocia al hecho de tener diagnóstico previo de HTA y a la presencia de trastornos de la conciencia. Debería evaluarse en un futuro si la elección de un brazo control ayudaría a mejorar su atención al suponer una guía más exacta en el abordaje hemodinámico (AU)


Background and objective: To evaluate the prevalence of a difference in systolic blood pressure (SBPd) ≥ 10 mmHg between arms in patients admitted in a Critical Care Unit and to examine the clinical characteristics associated with such blood pressure difference. Methods: Observational cross-sectional study. Two blood pressure measurements in each arm were carried out at unit admission. The firstly measured arm was chosen at random. Results: One-hundred and sixty-eight patients were studied, with a mean age of 61 (SD = 16), 67.3% male and 45% with a previous hypertension diagnosis. On admission, 27.4% presented SBPd ≥ 10 mmHg. Among them, 54% had higher SBP in the right arm and 46% in the left one. A SBPd ≥ 10 mmHg was associated with a previous hypertension diagnosis (67.4 versus 36.9%; P < .001) and with reduced consciousness (76.1 versus 52.5%; P = .006). Conclusions: Over a quarter of critically ill patients have a SBPd ≥ 10 mmHg between arms. This feature is associated with a previous hypertension diagnosis and reduced consciousness. It should be assessed in the future if the choice of a control arm would help improve patient's care as it would become a more accurate guide for hemodynamic management (AU)


Assuntos
Humanos , Determinação da Pressão Arterial , Monitorização Fisiológica/métodos , Estado Terminal , Cuidados Críticos
9.
Med Clin (Barc) ; 142(3): 103-6, 2014 Feb 04.
Artigo em Espanhol | MEDLINE | ID: mdl-23332625

RESUMO

BACKGROUND AND OBJECTIVE: To evaluate the prevalence of a difference in systolic blood pressure (SBPd) ≥ 10 mmHg between arms in patients admitted in a Critical Care Unit and to examine the clinical characteristics associated with such blood pressure difference. METHODS: Observational cross-sectional study. Two blood pressure measurements in each arm were carried out at unit admission. The firstly measured arm was chosen at random. RESULTS: One-hundred and sixty-eight patients were studied, with a mean age of 61 (SD=16), 67.3% male and 45% with a previous hypertension diagnosis. On admission, 27.4% presented SBPd ≥ 10 mmHg. Among them, 54% had higher SBP in the right arm and 46% in the left one. A SBPd ≥ 10 mmHg was associated with a previous hypertension diagnosis (67.4 versus 36.9%; P<.001) and with reduced consciousness (76.1 versus 52.5%; P=.006). CONCLUSIONS: Over a quarter of critically ill patients have a SBPd ≥ 10 mmHg between arms. This feature is associated with a previous hypertension diagnosis and reduced consciousness. It should be assessed in the future if the choice of a control arm would help improve patient's care as it would become a more accurate guide for hemodynamic management.


Assuntos
Braço/fisiologia , Pressão Sanguínea , Estado Terminal , Hipertensão/diagnóstico , Idoso , Estudos Transversais , Erros de Diagnóstico/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco
10.
Enferm. clín. (Ed. impr.) ; 15(6): 321-328, nov. 2005. tab
Artigo em Espanhol | IBECS | ID: ibc-042656

RESUMO

Objetivo. Valorar los conocimientos y las actitudes de los profesionales de enfermería sobre la infección del virus de la inmunodeficiencia humana (VIH) en el Hospital Mútua de Terrassa, en el año 2002, y analizar las diferencias y similitudes con el estudio realizado en 1992 en el Hospital de Bellvitge. Ambos hospitales se encuentran en la provincia de Barcelona. Método. Desarrollado en el año 2002 en el Hospital Mútua de Terrassa, se trata de un estudio descriptivo, analítico, transversal y comparativo respecto del estudio realizado en el Hospital de Bellvitge en 1992. Se realizó mediante la administración de un cuestionario de autocumplimentación. Se seleccionó una muestra representativa aleatoria del personal de enfermería (diplomados de enfermería y auxiliares de clínica). Resultados. Se recogieron 216 cuestionarios (80% de la muestra) en 2002 y 170 cuestionarios (100% de la muestra) en 1992. Destaca que ha mejorado el conocimiento sobre el tratamiento del VIH. Asimismo han aumentado los conocimientos específicos: un 12% más dijo saber qué son las precauciones universales y el 62% disponía de tiempo y de material para aplicarlas. El 99% de los profesionales consideró que no se debe reencapuchar la aguja. En las preguntas de opinión se observa una disminución del 26% del miedo al contagio y del 9% del miedo al rechazo social. En el año 2002 al 29% le gustaba trabajar con pacientes con el VIH. Conclusiones. Los profesionales de enfermería han mejorado, en algunos aspectos, sus conocimientos respecto a la enfermedad del VIH, y su actitud ante el sida, su motivación y su aceptación son más favorables


Objective. To assess nurses' knowledge of and attitudes to human immunodeficiency virus (HIV) infection at the Mútua de Terrassa Hospital in 2002 and to analyze differences and similarities with the study performed in Bellvitge Hospital in 1992. Both hospitals are situated in the province of Barcelona (Spain). Method. We performed a cross sectional, descriptive, analytic study based on a self-administered questionnaire in 2002 and compared the results with those of the study performed in Bellvitge Hospital in 1992. A representative randomized sample was selected from nurses and health care assistants. Results. Two hundred sixteen completed questionnaires (response rate of 80%) were received in 2002 from the Mútua de Terrassa Hospital and 170 (response rate of 100%) were received from the study performed in Bellvitge Hospital in 1992. A notable finding was that knowledge about HIV treatment had improved. Knowledge of specific areas also improved; 12% more nurses reported knowledge of universal precautions and 62% had sufficient time and material to apply them. Ninety-nine percent of nursing professionals did not recommend reshielding used needles. Fear of HIV contamination decreased by 26% and social discrimination by 9%. In 2002, 29% of nursing professionals reported they would work with HIV patients. Conclusions. Nurses' knowledge of HIV has improved. Attitudes, motivation and acceptance toward AIDS patients are more favorable


Assuntos
Masculino , Feminino , Humanos , Conhecimentos, Atitudes e Prática em Saúde , Infecções por HIV/enfermagem , Cuidados de Enfermagem/tendências , Estudos Transversais , Inquéritos e Questionários , Precauções Universais/tendências
11.
Enferm Infecc Microbiol Clin ; 20(4): 157-60, 2002 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-11996701

RESUMO

BACKGROUND: The aim of this study was to investigate the sensitivity of Helicobacter pylori to the antibiotics used in its eradication over a period of four years and to determine the influence of previous treatment on sensitivity. MATERIAL AND METHODS: During the period from 1995 to 1998 we determined the sensitivity of 235 consecutive Helicobacter pylori isolates to amoxicillin, metronidazole, clarythromycin and tetracycline by means of E-test methodology. The MIC values found were related with the prior use of eradicating treatment. RESULTS: The percentage of resistant strains were as follows: 23.5% to metronidazole, 12.9% to clarythromycin and 0.7% to tetracycline; none of the strains was resistant to amoxicillin. There were no significant changes in percentage of resistance to the drugs studied over the 4-year period. Resistance to metronidazole and clarythromycin was significantly higher (p 5 0.03 and p < 0.001 respectively) in strains isolated from patients who had received previous treatment. CONCLUSIONS: Monitorization of H. pylori sensitivity to the drugs used in its eradication is particularly important in patients who have undergone prior treatment.


Assuntos
Antibacterianos/uso terapêutico , Farmacorresistência Bacteriana , Infecções por Helicobacter/microbiologia , Helicobacter pylori/efeitos dos fármacos , Amoxicilina/farmacologia , Amoxicilina/uso terapêutico , Antibacterianos/farmacologia , Antiulcerosos/farmacologia , Antiulcerosos/uso terapêutico , Claritromicina/farmacologia , Claritromicina/uso terapêutico , Farmacorresistência Bacteriana Múltipla , Feminino , Infecções por Helicobacter/tratamento farmacológico , Infecções por Helicobacter/epidemiologia , Helicobacter pylori/isolamento & purificação , Humanos , Masculino , Metronidazol/farmacologia , Metronidazol/uso terapêutico , Testes de Sensibilidade Microbiana , Úlcera Péptica/tratamento farmacológico , Úlcera Péptica/epidemiologia , Úlcera Péptica/microbiologia , Inibidores da Bomba de Prótons , Estudos Retrospectivos , Espanha/epidemiologia , Tetraciclina/farmacologia , Tetraciclina/uso terapêutico
12.
Artigo em Espanhol | IBECS | ID: ibc-14263

RESUMO

FUNDAMENTO. Conocer la sensibilidad de Helicobacter pylori a los antibióticos utilizados en el tratamiento erradicador, su evolución temporal y la influencia de la utilización previa de dicho tratamiento. MATERIAL Y MÉTODOS. Se estudió mediante E-test la sensibilidad a amoxicilina, metronidazol, claritromicina y tetraciclina de 235 aislamientos consecutivos de Helicobacter pylori durante el período comprendido entre 1995 y 1998, y se relacionaron los valores de concentración mínima inhibitoria (CMI) hallados con la utilización previa de tratamiento erradicador. RESULTADOS. Se observó un porcentaje de resistencia a metronidazol de 23,5 por ciento, de 12,9 por ciento a claritromicina y de 0,7 por ciento a tetraciclina; ninguna de las cepas fue resistente a amoxicilina. No se observaron cambios significativos en los porcentajes de resistencia a lo largo del período estudiado. Los porcentajes de resistencia a metronidazol y claritromicina fueron significativamente más elevados (p 0,03 y p < 0,001, respectivamente) en las cepas aisladas de los pacientes que habían recibido tratamiento. CONCLUSIONES. Es necesaria la monitorización de la sensibilidad de H. pylori a los antibióticos utilizados en el tratamiento erradicador, especialmente en los pacientes previamente tratados Helicobacter pylori isolates to amoxicillin, metronidazole, clarythromycin and tetracycline by means of E-test methodology. The MIC values found were related with the prior use of eradicating treatment. RESULTS. The percentage of resistant strains were as follows: 23.5 por ciento to metronidazole, 12.9 por ciento to clarythromycin and 0.7 por ciento to tetracycline; none of the strains was resistant to amoxicillin. There were no significant changes in percentage of resistance to the drugs studied over the 4-year period. Resistance to metronidazole and clarythromycin was significantly higher (p 0.03 and p < 0.001 respectively) in strains isolated from patients who had received previous treatment. CONCLUSIONS. Monitorization of H. pylori sensitivity to the drugs used in its eradication is particularly important in patients who have undergone prior treatment (AU)


Assuntos
Masculino , Feminino , Humanos , Farmacorresistência Bacteriana , Espanha , Tetraciclina , Infecções por Helicobacter , Helicobacter pylori , Bombas de Próton , Claritromicina , Metronidazol , Estudos Retrospectivos , Farmacorresistência Bacteriana Múltipla , Antiulcerosos , Antibacterianos , Amoxicilina , Infecções por Helicobacter , Testes de Sensibilidade Microbiana , Úlcera Péptica
13.
Med. clín (Ed. impr.) ; 117(11): 406-409, oct. 2001.
Artigo em Espanhol | IBECS | ID: ibc-3283

RESUMO

FUNDAMENTO: La infección nosocomial en pacientes geriátricos tiene características propias en cada nivel asistencial. Describimos la incidencia de infección nosocomial en un centro de larga estancia dedicado a la convalecencia.PACIENTES Y MÉTODO: El estudio se realiza en L'Aliança, un centro de 138 camas de convalecencia de la ciudad de Barcelona. Registramos los casos de infección nosocomial durante el año 1999 mediante los criterios de infección nosocomial de McGeer adaptados para los centros de larga estancia. Se ha utilizado la prueba de la t de Student para la comparación de medias y de la 2 para el contraste de proporciones.RESULTADOS: La densidad de incidencia de infección nosocomial fue de 2,8 casos por 1.000 personas-día, con un aumento significativo por encima de los 75 años (p = 0,009). Los pacientes infectados tenían una estancia mayor y más dependencia física. Las infecciones respiratorias de vías bajas fueron las más frecuentes, con un 39,7 por ciento de casos. La mortalidad fue más elevada en estos enfermos (riesgo relativo: 2,61; intervalo de confianza del 95 por ciento, 1,60-4,25).CONCLUSIONES: Los ancianos tienen mayor riesgo de adquirir una infección nosocomial. Los centros de larga estancia deben desarrollar programas de control de la infección nosocomial adaptados a sus posibilidades (AU)


Assuntos
Idoso , Masculino , Feminino , Humanos , Incidência , Infecção Hospitalar
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