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  1. Article ; Online: The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy.

    Raimundo, Rodrigo Daminello / Zangirolami-Raimundo, Juliana / Leone, Claudio / de Carvalho, Tatiana Dias / da Silva, Talita Dias / Bezerra, Italla Maria Pinheiro / de Almeida, Alvaro Dantas / Valenti, Vitor Engracia / de Abreu, Luiz Carlos

    International journal of environmental research and public health

    2021  Volume 18, Issue 21

    Abstract: Background and purpose: The development of public policies must be guided by full knowledge of the health-disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart ... ...

    Abstract Background and purpose: The development of public policies must be guided by full knowledge of the health-disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise.
    Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest-10 min of rest in supine position; exercise-the 30 min of peak exercise; and recovery-30 min in supine position post-exercise.
    Results: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (
    Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recovery, with similar responses found in the healthy elderly group.
    MeSH term(s) Aged ; Autonomic Nervous System ; Exercise ; Health Policy ; Heart Rate ; Humans ; Middle Aged ; Public Policy ; Stroke
    Language English
    Publishing date 2021-10-31
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182111460
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  2. Article ; Online: The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients

    Rodrigo Daminello Raimundo / Juliana Zangirolami-Raimundo / Claudio Leone / Tatiana Dias de Carvalho / Talita Dias da Silva / Italla Maria Pinheiro Bezerra / Alvaro Dantas de Almeida / Vitor Engracia Valenti / Luiz Carlos de Abreu

    International Journal of Environmental Research and Public Health, Vol 18, Iss 11460, p

    Functional Rehabilitation as a Public Health Policy

    2021  Volume 11460

    Abstract: Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart ... ...

    Abstract Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Results: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups ( p = 0.062; p = 0.601; p = 0.166; p = 0.224, and p = 0.059, respectively). The HF (ms 2 ) was higher and the LF/HF ratio was lower for the stroke group than the control group ( p < 0.001 and p = 0.007, respectively). The SD2 was lower for the stroke group than for the control group ( p = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recovery, with similar responses found in the healthy elderly group.
    Keywords autonomic nervous system ; aging ; heart rate variability ; exercise ; stroke ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2021-10-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Risk factors for depression in adults: NR3C1 DNA methylation and lifestyle association.

    Borçoi, Aline Ribeiro / Mendes, Suzanny Oliveira / Gasparini Dos Santos, Joaquim / Mota de Oliveira, Mayara / Moreno, Ivana Alece Arantes / Freitas, Flávia Vitorino / Pinheiro, Júlia Assis / Arpini, Juliana Krüger / Cunha, Ester Ribeiro / Archanjo, Anderson Barros / Evangelista Monteiro de Assis, Aricia Leone / Sorroche, Bruna Pereira / Rebolho Batista Arantes, Lídia Maria / Borloti, Elizeu / Álvares-da-Silva, Adriana Madeira

    Journal of psychiatric research

    2019  Volume 121, Page(s) 24–30

    Abstract: Objective: The aim of this study was to verify determinant factors for depression and analyze the relationship between possible changes in HPA axis and depression, in this case NR3C1 DNA methylation and serum cortisol levels.: Methods: 349 adult ... ...

    Abstract Objective: The aim of this study was to verify determinant factors for depression and analyze the relationship between possible changes in HPA axis and depression, in this case NR3C1 DNA methylation and serum cortisol levels.
    Methods: 349 adult volunteers were recruited to evaluate depression, socio-demographic, economic and lifestyle factors, serum cortisol levels and NR3C1 DNA methylation by pyrosequencing. Depression determinant factors were investigated using a Poisson regression model with robust variance (p < 0.05).
    Results: Poisson regression with robust variance adjusted by gender, tobacco use, self-perceived stress, leisure activity, suicidal ideation, low cortisol levels and NR3C1 DNA methylation was performed and predicted risk factors for depression. Furthermore, depressive volunteers showed a significant increase in NR3C1 DNA methylation when compared to healthy volunteers.
    Conclusions: This findings provide a basis for understanding the role of HPA axis in depression, especially its regulation by NR3C1 DNA methylation. Furthermore, it emphasizes the stressful lifestyle risk factors (female, tobacco uso, self perceived stress, leisure activities absence and suicidal ideation) that can contribute to future research and the search for public health policies to improve quality of live, mental and general health.
    MeSH term(s) Adult ; Brazil/epidemiology ; DNA Methylation ; Depression/blood ; Depression/epidemiology ; Depression/metabolism ; Epigenesis, Genetic ; Female ; Humans ; Hydrocortisone/blood ; Hypothalamo-Hypophyseal System/metabolism ; Leisure Activities ; Life Style ; Male ; Middle Aged ; Receptors, Glucocorticoid/metabolism ; Risk Factors ; Sex Factors ; Smoking/epidemiology ; Smoking/metabolism ; Stress, Psychological/epidemiology ; Stress, Psychological/metabolism ; Suicidal Ideation ; Young Adult
    Chemical Substances NR3C1 protein, human ; Receptors, Glucocorticoid ; Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2019-10-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2019.10.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: JMJD1A, H3K9me1, H3K9me2 and ADM expression as prognostic markers in oral and oropharyngeal squamous cell carcinoma.

    Lucas de Lima Maia / Gabriela Tonini Peterle / Marcelo Dos Santos / Leonardo Oliveira Trivilin / Suzanny Oliveira Mendes / Mayara Mota de Oliveira / Joaquim Gasparini Dos Santos / Elaine Stur / Lidiane Pignaton Agostini / Cinthia Vidal Monteiro da Silva Couto / Juliana Dalbó / Aricia Leone Evangelista Monteiro de Assis / Anderson Barros Archanjo / Ana Maria Da Cunha Mercante / Rossana Veronica Mendoza Lopez / Fábio Daumas Nunes / Marcos Brasilino de Carvalho / Eloiza Helena Tajara / Iúri Drumond Louro /
    Adriana Madeira Álvares-da-Silva

    PLoS ONE, Vol 13, Iss 3, p e

    2018  Volume 0194884

    Abstract: Jumonji Domain-Containing 1A (JMJD1A) protein promotes demethylation of histones, especially at lysin-9 of di-methylated histone H3 (H3K9me2) or mono-methylated (H3K9me1). Increased levels of H3 histone methylation at lysin-9 (H3K9) is related to tumor ... ...

    Abstract Jumonji Domain-Containing 1A (JMJD1A) protein promotes demethylation of histones, especially at lysin-9 of di-methylated histone H3 (H3K9me2) or mono-methylated (H3K9me1). Increased levels of H3 histone methylation at lysin-9 (H3K9) is related to tumor suppressor gene silencing. JMJD1A gene target Adrenomeduline (ADM) has shown to promote cell growth and tumorigenesis. JMJD1A and ADM expression, as well as H3K9 methylation level have been related with development risk and prognosis of several tumor types.We aimed to evaluate JMJD1A, ADM, H3K9me1 and H3K9me2expression in paraffin-embedded tissue microarrays from 84 oral and oropharyngeal squamous cell carcinoma samples through immunohistochemistry analysis. Our results showed that nuclear JMJD1A expression was related to lymph node metastasis risk. In addition, JMJD1A cytoplasmic expression was an independent risk marker for advanced tumor stages. H3K9me1 cytoplasmic expression was associated with reduced disease-specific death risk. Furthermore, high H3K9me2 nuclear expression was associated with worse specific-disease and disease-free survival. Finally, high ADM cytoplasmic expression was an independent marker of lymph node metastasis risk.JMJD1A, H3K9me1/2 and ADM expression may be predictor markers of progression and prognosis in oral and oropharynx cancer patients, as well as putative therapeutic targets.
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: JMJD1A, H3K9me1, H3K9me2 and ADM expression as prognostic markers in oral and oropharyngeal squamous cell carcinoma.

    Maia, Lucas de Lima / Peterle, Gabriela Tonini / Dos Santos, Marcelo / Trivilin, Leonardo Oliveira / Mendes, Suzanny Oliveira / de Oliveira, Mayara Mota / Dos Santos, Joaquim Gasparini / Stur, Elaine / Agostini, Lidiane Pignaton / Couto, Cinthia Vidal Monteiro da Silva / Dalbó, Juliana / de Assis, Aricia Leone Evangelista Monteiro / Archanjo, Anderson Barros / Mercante, Ana Maria Da Cunha / Lopez, Rossana Veronica Mendoza / Nunes, Fábio Daumas / de Carvalho, Marcos Brasilino / Tajara, Eloiza Helena / Louro, Iúri Drumond /
    Álvares-da-Silva, Adriana Madeira

    PloS one

    2018  Volume 13, Issue 3, Page(s) e0194884

    Abstract: Aims: Jumonji Domain-Containing 1A (JMJD1A) protein promotes demethylation of histones, especially at lysin-9 of di-methylated histone H3 (H3K9me2) or mono-methylated (H3K9me1). Increased levels of H3 histone methylation at lysin-9 (H3K9) is related to ... ...

    Abstract Aims: Jumonji Domain-Containing 1A (JMJD1A) protein promotes demethylation of histones, especially at lysin-9 of di-methylated histone H3 (H3K9me2) or mono-methylated (H3K9me1). Increased levels of H3 histone methylation at lysin-9 (H3K9) is related to tumor suppressor gene silencing. JMJD1A gene target Adrenomeduline (ADM) has shown to promote cell growth and tumorigenesis. JMJD1A and ADM expression, as well as H3K9 methylation level have been related with development risk and prognosis of several tumor types.
    Methods and results: We aimed to evaluate JMJD1A, ADM, H3K9me1 and H3K9me2expression in paraffin-embedded tissue microarrays from 84 oral and oropharyngeal squamous cell carcinoma samples through immunohistochemistry analysis. Our results showed that nuclear JMJD1A expression was related to lymph node metastasis risk. In addition, JMJD1A cytoplasmic expression was an independent risk marker for advanced tumor stages. H3K9me1 cytoplasmic expression was associated with reduced disease-specific death risk. Furthermore, high H3K9me2 nuclear expression was associated with worse specific-disease and disease-free survival. Finally, high ADM cytoplasmic expression was an independent marker of lymph node metastasis risk.
    Conclusion: JMJD1A, H3K9me1/2 and ADM expression may be predictor markers of progression and prognosis in oral and oropharynx cancer patients, as well as putative therapeutic targets.
    MeSH term(s) Adrenomedullin/metabolism ; Biomarkers, Tumor/metabolism ; Carcinoma, Squamous Cell/metabolism ; Carcinoma, Squamous Cell/secondary ; Carcinoma, Squamous Cell/surgery ; Epigenesis, Genetic ; Female ; Follow-Up Studies ; Gene Expression Regulation, Neoplastic ; Histones/metabolism ; Humans ; Jumonji Domain-Containing Histone Demethylases/metabolism ; Lymphatic Metastasis ; Male ; Middle Aged ; Mouth Neoplasms/metabolism ; Mouth Neoplasms/pathology ; Mouth Neoplasms/surgery ; Neoplasm Recurrence, Local/metabolism ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/surgery ; Oropharyngeal Neoplasms/metabolism ; Oropharyngeal Neoplasms/pathology ; Oropharyngeal Neoplasms/surgery ; Prognosis ; Survival Rate
    Chemical Substances ADM protein, human ; Biomarkers, Tumor ; Histones ; Adrenomedullin (148498-78-6) ; Jumonji Domain-Containing Histone Demethylases (EC 1.14.11.-) ; KDM3A protein, human (EC 1.14.11.-)
    Language English
    Publishing date 2018
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0194884
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS.

    Freitas, Flavio Geraldo Rezende de / Hammond, Naomi / Li, Yang / Azevedo, Luciano Cesar Pontes de / Cavalcanti, Alexandre Biasi / Taniguchi, Leandro / Gobatto, André / Japiassú, André Miguel / Bafi, Antonio Tonete / Mazza, Bruno Franco / Noritomi, Danilo Teixeira / Dal-Pizzol, Felipe / Bozza, Fernando / Salluh, Jorge Ibrahin Figueira / Westphal, Glauco Adrieno / Soares, Márcio / Assunção, Murillo Santucci César de / Lisboa, Thiago / Lobo, Suzana Margarete Ajeje /
    Barbosa, Achilles Rohlfs / Ventura, Adriana Fonseca / Souza, Ailson Faria de / Silva, Alexandre Francisco / Toledo, Alexandre / Reis, Aline / Cembranel, Allan / Rea Neto, Alvaro / Gut, Ana Lúcia / Justo, Ana Patricia Pierre / Santos, Ana Paula / Albuquerque, André Campos D de / Scazufka, André / Rodrigues, Antonio Babo / Fernandino, Bruno Bonaccorsi / Silva, Bruno Goncalves / Vidal, Bruno Sarno / Pinheiro, Bruno Valle / Pinto, Bruno Vilela Costa / Feijo, Carlos Augusto Ramos / Abreu Filho, Carlos de / Bosso, Carlos Eduardo da Costa Nunes / Moreira, Carlos Eduardo Nassif / Ramos, Carlos Henrique Ferreira / Tavares, Carmen / Arantes, Cidamaiá / Grion, Cintia / Mendes, Ciro Leite / Kmohan, Claudio / Piras, Claudio / Castro, Cristine Pilati Pileggi / Lins, Cyntia / Beraldo, Daniel / Fontes, Daniel / Boni, Daniela / Castiglioni, Débora / Paisani, Denise de Moraes / Pedroso, Durval Ferreira Fonseca / Mattos, Ederson Roberto / Brito Sobrinho, Edgar de / Troncoso, Edgar M V / Rodrigues Filho, Edison Moraes / Nogueira, Eduardo Enrico Ferrari / Ferreira, Eduardo Leme / Pacheco, Eduardo Souza / Jodar, Euzebio / Ferreira, Evandro L A / Araujo, Fabiana Fernandes de / Trevisol, Fabiana Schuelter / Amorim, Fábio Ferreira / Giannini, Fabio Poianas / Santos, Fabrício Primitivo Matos / Buarque, Fátima / Lima, Felipe Gallego / Costa, Fernando Antonio Alvares da / Sad, Fernando Cesar Dos Anjos / Aranha, Fernando G / Ganem, Fernando / Callil, Flavio / Costa Filho, Francisco Flávio / Dall Arto, Frederico Toledo Campo / Moreno, Geovani / Friedman, Gilberto / Moralez, Giulliana Martines / Silva, Guilherme Abdalla da / Costa, Guilherme / Cavalcanti, Guilherme Silva / Betônico, Gustavo Navarro / Reis, Hélder / Araujo, Helia Beatriz N / Hortiz Júnior, Helio Anjos / Guimaraes, Helio Penna / Urbano, Hugo / Maia, Israel / Santiago Filho, Ivan Lopes / Farhat Júnior, Jamil / Alvarez, Janu Rangel / Passos, Joel Tavares / Paranhos, Jorge Eduardo da Rocha / Marques, José Aurelio / Moreira Filho, José Gonçalves / Andrade, Jose Neto / Sobrinho, José Onofre de C / Bezerra, Jose Terceiro de Paiva / Alves, Juliana Apolônio / Ferreira, Juliana / Gomes, Jussara / Sato, Karina Midori / Gerent, Karine / Teixeira, Kathia Margarida Costa / Conde, Katia Aparecida Pessoa / Martins, Laércia Ferreira / Figueirêdo, Lanese / Rezegue, Leila / Tcherniacovsk, Leonardo / Ferraz, Leone Oliveira / Cavalcante, Liane / Rabelo, Ligia / Miilher, Lilian / Garcia, Lisiane / Tannous, Luana / Hajjar, Ludhmila Abrahão / Paciência, Luís Eduardo Miranda / Cruz Neto, Luiz Monteiro da / Bley, Macia Valeria / Sousa, Marcelo Ferreira / Puga, Marcelo Lourencini / Romano, Marcelo Luz Pereira / Nobrega, Marciano / Arbex, Marcio / Rodrigues, Márcio Leite / Guerreiro, Márcio Osório / Rocha, Marcone / Alves, Maria Angela Pangoni / Rosa, Maria Doroti / Dias, Mariza D'Agostino / Martins, Miquéias / Oliveira, Mirella de / Moretti, Miriane Melo Silveira / Matsui, Mirna / Messender, Octavio / Santarém, Orlando Luís de Andrade / Silveira, Patricio Júnior Henrique da / Vassallo, Paula Frizera / Antoniazzi, Paulo / Gottardo, Paulo César / Correia, Paulo / Ferreira, Paulo / Torres, Paulo / Silva, Pedro Gabrile M de Barros E / Foernges, Rafael / Gomes, Rafael / Moraes, Rafael / Nonato Filho, Raimundo / Borba, Renato Luis / Gomes, Renato V / Cordioli, Ricardo / Lima, Ricardo / López, Ricardo Pérez / Gargioni, Ricardo Rath de Oliveira / Rosenblat, Richard / Souza, Roberta Machado de / Almeida, Roberto / Narciso, Roberto Camargo / Marco, Roberto / Waltrick, Roberto / Biondi, Rodrigo / Figueiredo, Rodrigo / Dutra, Rodrigo Santana / Batista, Roseane / Felipe, Rouge / Franco, Rubens Sergio da Silva / Houly, Sandra / Faria, Sara Socorro / Pinto, Sergio Felix / Luzzi, Sergio / Sant'ana, Sergio / Fernandes, Sergio Sonego / Yamada, Sérgio / Zajac, Sérgio / Vaz, Sidiner Mesquita / Bezerra, Silvia Aparecida Bezerra / Farhat, Tatiana Bueno Tardivo / Santos, Thiago Martins / Smith, Tiago / Silva, Ulysses V A / Damasceno, Valnei Bento / Nobre, Vandack / Dantas, Vicente Cés de Souza / Irineu, Vivian Menezes / Bogado, Viviane / Nedel, Wagner / Campos Filho, Walther / Dantas, Weidson / Viana, William / Oliveira Filho, Wilson de / Delgadinho, Wilson Martins / Finfer, Simon / Machado, Flavia Ribeiro

    Revista Brasileira de terapia intensiva

    2021  Volume 33, Issue 2, Page(s) 206–218

    Abstract: Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS.: Methods: This was a prospective, international, cross-sectional, observational ...

    Title translation Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS.
    Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS.
    Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice.
    Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only.
    Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
    MeSH term(s) Brazil ; Critical Illness ; Cross-Sectional Studies ; Fluid Therapy ; Humans ; Intensive Care Units ; Isotonic Solutions ; Prospective Studies ; Rehydration Solutions ; Resuscitation
    Chemical Substances Isotonic Solutions ; Rehydration Solutions
    Language English
    Publishing date 2021-07-05
    Publishing country Brazil
    Document type Journal Article ; Observational Study
    ZDB-ID 2732162-9
    ISSN 1982-4335 ; 1982-4335
    ISSN (online) 1982-4335
    ISSN 1982-4335
    DOI 10.5935/0103-507X.20210028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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