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Depression may up risk of peripheral artery disease

Posted in : Other

(added few months ago!)

Depression may up risk of peripheral artery diseaseWashington: A study of more than one thousand men and women with heart disease has found depression to be associated with an increased risk of peripheral artery disease (PAD). PAD is a circulatory problem in which narrowed arteries reduce blood flow to the limbs – usually the legs and feet – resulting in pain, reduced mobility and, in extreme cases, gangrene and amputation.

Marlene Grenon, MD, CM, a vascular surgeon at San Francisco VA Medical Center and the University of California (SFVAMC) and an assistant professor of Surgery at UCSF, led the analysis of data from 1,024 participants in the Heart and Soul Study, a prospective study of men and women with coronary artery disease who were followed for an average of approximately seven years.

“We discovered that there was an association between depression and PAD at baseline, and also found that the patients who were depressed at the beginning of the study had a higher likelihood of developing PAD during follow-up at seven years,” said Grenon.

The researchers found that some of the risk for PAD was partly explained by modifiable risk factors such as smoking and reduced physical activity. “We still don’t know which comes first. Is it that patients with PAD become depressed because their mobility is impaired, or that people who are depressed engage in unhealthy behaviours such as smoking and lack of exercise, and are thus more at risk of developing PAD? Or might it be a vicious cycle, where one leads to the other? ” said Grenon.

Further research is needed to tease out cause and effect, she said. The study authors suggest that whatever the initial cause, lifestyle modifications such as being more physically active, eating better, quitting smoking and managing stress more effectively might reduce the risk for the association, as well as potentially address symptoms of both PAD and depression. The study was published last month in the Journal of the American Heart Association.

ANI

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Tropical Depression Seven remains on westward path

Posted in : Tropical Depression

(added few months ago!)

The National Hurricane Center is reporting that Tropical Depression Seven is maintaining its westward path in the Atlantic Ocean as of 11 p.m. Maximum sustained winds remain at nearly 35 mph with higher gusts, and the system could become a tropical storm sometime Saturday.
8:55 p.m.

The National Hurricane Center is reporting that Tropical Depression Seven could become a tropical storm before arriving at the Windward Islands on Saturday. The system is continuing on a western track at nearly 24 mph in the west Atlantic Ocean and is expected to continue this general motion through Sunday.

Maximum sustained winds remain at nearly 35 mph with higher gusts. :12 p.m. Ernesto dissipated today as Tropical Depression Seven continued on a western track at nearly 24 mph in the west Atlantic Ocean.

The tropical depression is expected to continue this general motion through Sunday. On the forecast track, the center of the system will be near the central Lesser Antilles on Saturday. Maximum sustained winds remain at nearly 35 mph with higher gusts. Some strengthening is possible during the next day or so and it could become a tropical storm before reaching the Lesser Antilles.
7:08 a.m.

VERACRUZ, Mexico (AP) — Ernesto weakened to a tropical depression as it moved inland early Friday, though forecasters warned it could still dump dangerous rains in the mountains of Mexico's flood-prone southern Gulf region. In Tabasco state, two fishermen drowned when the stormed passed through the area Thursday, Gov. Andres Granier told reporters.

Granier said the storm's strong winds ripped rooftops from several homes but residents refused to evacuate, fearing their possessions might be stolen. "People have chosen to stay in their homes and we are helping them," he said.

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Yoga may ease depression while pregnant

Posted in : Treatment

(added few months ago!)

Pregnant women who were identified as psychiatrically high risk and who participated in a 10-week mindfulness yoga intervention saw significant reductions in depressive symptoms, according to a University of Michigan Health System pilot feasibility study.

Yoga may ease depression while pregnant

Mothers-to-be also reported stronger attachment to their babies in the womb. The findings were published in Complementary Therapies in Clinical Practice.

“We hear about pregnant women trying yoga to reduce stress but there’s no data on how effective this method is,” says lead author Maria Muzik, assistant professor of psychiatry and assistant research scientist at the Center for Human Growth and Development.

“Our work provides promising first evidence that mindfulness yoga may be an effective alternative to pharmaceutical treatment for pregnant women showing signs of depression. This promotes both mother and baby wellbeing.”

Mental health disorders during pregnancy, including depression and anxiety, have become a serious health concern. Hormonal changes, genetic predisposition, and social factors set the stage for some expectant moms to experience persistent irritability, feelings of being overwhelmed, and inability to cope with stress.

Untreated, these symptoms bear major health risks for both the mom and baby, including poor weight gain, preeclampsia, premature labor, and trouble bonding with the new baby.

While antidepressants have proven to effectively treat these mood disorders, Muzik says, previous studies show that many pregnant women are reluctant to take these drugs out of concern for their infant’s safety.

“Unfortunately, few women suffering from perinatal health disorders receive treatment, exposing them and their child to the negative impact of psychiatric illness during one of the most vulnerable times,” Muzik says. “That’s why developing feasible alternatives for treatment is critical.”

Evidence suggests women are more comfortable with nontraditional treatments, including herbal medicine, relaxation techniques and mind-body work.

Yoga continues to grow in popularity but in the United States, many classes concentrate on yoga as “exercise,” omitting the practice of being fully present in the moment and aware, authors say.

Meanwhile, mindfulness yoga—which combines meditative focus with physical poses—has proven to be a powerful method to fight stress and boost energy.

For the study, women who showed signs of depression and who were between 12-26 weeks pregnant participated in 90-minute mindfulness yoga sessions that focused on poses for the pregnant body, as well as support in the awareness of how their bodies were changing to help their babies grow.

Funding for follow up work on this subject was recently provided by a grant from the Institute for Research on Women and Gender.

“Research on the impact of mindfulness yoga on pregnant women is limited but encouraging,” Muzik says. “This study builds the foundation for further research on how yoga may lead to an empowered and positive feeling toward pregnancy.”

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PTSD Can Affect New Mothers

Posted in : Symptoms

(added few months ago!)

PTSD Can Affect New MothersNatural childbirth is a major cause of post-traumatic stress disorder (PTSD), according to new research. A Tel Aviv University researcher has discovered that approximately one-third of all postpartum women exhibit some symptoms of PTSD, and a smaller percentage develop full-blown PTSD following labor.

Of the women who developed symptoms, 80 percent opted for natural childbirth without pain relief, reported Professor Rael Strous of TAU’s Sackler Faculty of Medicine.

Other significant factors identified in the study include the woman’s body image, including discomfort about being in an undressed state for a relatively prolonged period of labor and undergoing elective Caesarean sections; fear during labor; and complications in not only this pregnancy, but in earlier ones as well.

Researchers interviewed 89 post-partum women between the ages of 20 and 40, first within five days after delivery and then again one month after delivery.

They discovered that of these women, 25.9 percent displayed symptoms of PTSD, 7.8 percent suffered from partial PTSD, and 3.4 percent exhibited symptoms of full-blown PTSD.

Symptoms included flashbacks of the labor, the avoidance of discussion of the event, physical reactions, such as heart palpitations during such discussions, and a reluctance to consider having another child.

According to Strous, one of the most influential factors was pain management during delivery. Of the women who experienced PTSD symptoms, 80 percent had gone through a natural childbirth, without any form of pain relief.

“The less pain relief there was, the higher the woman’s chances of developing post-partum PTSD,” he said. Of the women who did not develop any PTSD symptoms, only 48 percent experienced a natural childbirth, he added.

A full 80 percent of the PTSD group reported feeling discomfort with being unclothed, and 67 percent had previous pregnancies which they described as traumatic. Fear of the labor itself, both in terms of expected pain levels and danger to themselves and their children, was also influential.

The researchers also discovered that support during labor, in the form of a midwife or doula, had no impact when it came to avoiding PTSD symptoms. Other factors, such as socioeconomic and marital status, level of education, and religion, also had no effect.

Strous suggests doctors become familiar with the profile of women more disposed to suffer from PTSD symptoms, and be on the look-out for warning signs after labor. He also advocates additional research to develop better treatment plans and make more resources available for women.

There are some immediate steps medical professionals can take, Strous added, including better counseling about pain relief and making sure that patients’ bodies are properly covered during delivery.

“Dignity is a factor that should be taken into account,” he said. “It’s an issue of ethics and professionalism, and now we can see that it does have physical and psychological ramifications.”

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Depression is Over-rated

Posted in : Other

(added few months ago!)

Depression isn’t an illness. It’s an excuse for being cynical and miserable. I just find it kind of melodramatic how passive people are when throwing around the term depression. Most people who say they have it, really don’t! rather they just say they do because they’re going through a series of rough patches in life and would rather have a short term solution to a series of long term problems by labeling it as ‘Depression’.

Depression is Over-rated

How about the thought that  maybe you are not just living hard enough and this depression you feel is an excuse for a prolonged sense of boredom and lack of motivation you get when things aren’t going your way? Fact is, if you’ve got a roof over your head, food on your plate and some basic human contact with friends and family, there’s no reason to label something as normal as feeling depressed as a severe medical condition.
 
Depression here can be explained as a self-inflicted disease. Bad company, bad environment and bad surroundings are the pathogen causing the malady. Therefore it is always advised to approach asocial surrounding which is based on principles of ethics and methodology of keeping a good relationship. Once the disease spreads, it rampantly provokes the proper functioning of the life until not treated.
 It is another form of disturbance- this syndrome is caused by the company we keep. A company that is usually well known as the group of friends, relatives and colleagues. It is the interaction with these people which creates a phenomenon called as distress. The influence of company, their attitudes and way of spending the day causes the other to be habitual of it.

Why are people disturbed? The question has a deep and wide form of elaborate explanation. There can be different reasons for this condition; a behavior that is commonly prevalent among the society. The remedy can be easily postulated and practiced if the cause of a condition is known for the benefit of people. We have to realize a verity, if we want benefits then others should be gaining successfully without any disorder. There are people who are physically or  psychologically disturbed but here I am discussing about those who are normal and healthy.

Okay, so I may understand the romantic side of depression. The idea that you are direct  your own destiny and can end your life at any given time, admittedly seems a lot more cool and fit for closure to a person desperately trying to find meaning in their lives. But let’s face it, we’re not Kurt Cobain, nobody is and the best reaction any of us would ever receive through suicide is gossip fuel for a few shocked acquaintances and needless stress to our friends and family.

Here, sociologists suggest being optimistic which can refresh people’s minds and they might understand much better than what is being told. A constant supply of positive attitude has to be given to activate and refresh depressed souls. So the next time you feel depressed, Remember that when you are in a depth of a difficulty, you can bare it and you can face it!

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Mild Depression, Anxiety Could Hasten Death: Study

Posted in : Anxiety

(added few months ago!)

Mild Depression, Anxiety Could Hasten Death: StudyDoctors have known for years that depression and anxiety can increase a person's risk of dying at an early age --especially if the symptoms are serious or stem from a devastating life event, such as the loss of a loved one. But what about the run-of-the-mill sadness and worry so many of us carry around?

These everyday problems may take a toll as well. According to a new study published today in the British Medical Journal, even mild symptoms of depression and anxiety that would generally escape a doctor's attention are associated with a higher risk of premature death.

Researchers in the U.K. pooled data from 10 previous studies involving more than 68,000 British adults ages 35 and up. All of the study participants answered a list of questions about so-called psychological distress in their day-to-day life, such as whether they felt unhappy, were sleeping poorly due to stress, or had feelings of worthlessness or low self-esteem.

People who reported the most psychological distress were two-thirds more likely than happy people to die during the various studies, which lasted for an average of about 8 years. But even those with the lowest levels of distress had a 16 percent higher risk of dying compared to distress-free people.

The participants with only mild distress "would not have sufficient symptoms to be diagnosed with an anxiety disorder or a depressive illness were they to present to a doctor," says lead author Tom Russ, M.D., a researcher and Alzheimer's disease specialist at the University of Edinburgh, in Scotland.

"However," he adds, "even these individuals are at an increased risk of dying from various major causes. [This] means that even these minor symptoms of anxiety and depression should be taken seriously."

The risk of dying prematurely varied by cause of death. Compared to happy people, those with low levels of psychological distress were 23 percent more likely to die from accidents or injuries and 25 percent more likely to die from heart disease, strokes, or heart failure. By contrast, an increased risk of fatal cancer was apparent only among the most distressed people.

What explains these relationships? The extenuating factors the researchers took into account -- such as smoking, body mass index, physical activity, alcohol consumption, and social class -- didn't appear to play a large role, so the answer probably lies elsewhere.

One possibility, the authors say, is that psychological distress promotes inflammation and the release of stress hormones, which have a demonstrated ill effect on heart health as well as cancer.

For instance, surges of adrenaline and other stress-related body chemicals can cause the fatty plaques in narrowed arteries to rupture, leading to blood clots, heart attacks, and strokes, says Christopher Cove, M.D., a cardiologist and associate professor of medicine at the University of Rochester Medical Center, in Rochester, N.Y.

In addition, there is some evidence to suggest that being distracted by psychological distress can contribute to fatal car accidents and injuries, says Cove, who was not involved in the study.

Almost everyone experiences some feelings of depression or anxiety, and the study authors emphasize their goal is not to recast normal distress as a dire medical condition.

"We are not advocating widespread medicalization or pathologizing of such distress, and certainly would not suggest that medication would be appropriate for these people," Russ says.

But non-drug remedies for depression and anxiety -- such as exercise or lifestyle changes -- may prove beneficial to people with mild psychological distress, Russ says. More research will be needed to test whether these and other treatment strategies can boost overall health and affect longevity.

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Efficacy Of Transcranial Magnetic Stimulation For Depression Confirmed

Posted in : Treatment

(added few months ago!)

In one of the first studies to look at transcranial magnetic stimulation (TMS) in real-world clinical practice settings, researchers at Butler Hospital, along with colleagues across the U.S., confirmed that TMS is an effective treatment for patients with depression who are unable to find symptom relief through antidepressant medications. The study findings are published online in the June 11, 2012 edition of Depression and Anxiety in the Wiley Online Library.

Efficacy Of Transcranial Magnetic Stimulation For Depression Confirmed

Previous analysis of the efficacy of TMS has been provided through more than 30 published trials, yielding generally consistent results supporting the use of TMS to treat depression when medications aren’t sufficient. “Those previous studies were key in laying the groundwork for the FDA to approve the first device for delivery of TMS as a treatment for depression in 2008,” said Linda Carpenter, MD, lead author of the report and chief of the Mood Disorders Program and the Neuromodulation Clinic at Butler Hospital. “Naturalistic studies like ours, which provide scrutiny of real-life patient outcomes when TMS therapy is given in actual clinical practice settings, are the next step in further understanding the effectiveness of TMS. They are also important for informing healthcare policy, particularly in an era when difficult decisions must be made about allocation of scarce resources.”

Carpenter explains that naturalistic studies differ from controlled clinical trials because they permit the inclusion of subjects with a wider range of symptomatology and comorbidity, whereas controlled clinical trials typically have more rigid criteria for inclusion. “As a multisite study collecting naturalistic outcomes from patients in clinics in various regions in the U.S., we were also able to capture effects that might arise from introducing a novel psychiatric treatment modality like TMS in non-research settings,” said Carpenter. In all, the study confirms how well TMS works in diverse settings where TMS is administered to a real-life population of patients with depression that have not found relief through many other available treatments.

The published report summarized data collected from 42 clinical TMS practice sites in the US, and included outcomes from 307 patients with Major Depressive Disorder (MDD) who had persistent symptoms despite the use of antidepressant medication. Change during TMS was assessed using both clinicians’ ratings of overall depression severity and scores on patient self-report depression scales, which require the patient to rate the severity of each symptom on the same standardized scale at the end of each 2-week period. Rates for “response” and “remission” to TMS were calculated based on the same cut-off scores and conventions used for other clinical trials of antidepressant treatments. Fifty-eight percent positive response rate to TMS and 37 percent remission rate were observed.

“The patient outcomes we found in this study demonstrated a response rate similar to controlled clinical trial populations,” said Dr. Carpenter, explaining that this new data validates TMS efficacy in treating depression for those who have failed to benefit from antidepressant medications. “Continued research and confirmation of the effectiveness of TMS is important for understanding its place in everyday psychiatric care and to support advocacy for insurance coverage of the treatment.” Thanks in part to the advocacy efforts of Dr. Carpenter, TMS was recently approved for coverage by Medicare in New England, and it is also now covered by BCBSRI. “Next steps for TMS research involve enhancing our understanding of how to maintain positive response to TMS over time after the course of therapy ends and learning how to customize the treatment for patients using newer technologies, so TMS can help even more patients.”

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Selecting out Clear-Cut Plans For Depression Treatment

Posted in : Treatment

(added few months ago!)

Today, I’d like to address several clinical treatments intended for chronic pain and depression syndrome. Since chronic pain and depression are very enmeshed with one another, treatment ideally needs and target both at once. If this is not possible somebody approach is used – one answer to the pain and something for the depression and anxiety. In addition, a “holistic” approach of exploring the patient’s entire lifestyle for treating pain and depression can help.

It can also be caused with a loss, chronic illness, relationship problems, work stress, family crises, financial worries, even unexpected change. So many things in your life can create the state of gloom! The good news is it could be corrected and managed. It can be healed, that’s slightly distinctive from treating it. Treating in all probability it involves the utilization of anti-depressant drugs. There is nothing wrong with that in severe cases, but you can find steps you can take for you to naturally shift your brain chemistry.

How many individuals do you know who’re physically fit and therefore are following some depression and anxiety treatment? Very few, if any, I imagine. It is a medical undeniable fact that exercise and any physical activity not simply keeps the body in great shape, but also the mind. That is why workout is always recommended in depression and anxiety treatment.

In the past few years, many mental physicians have again begun to advocate the utilization of EST (electro-shock therapy) for patients who may have a more profound depressive illness. For some period of time in the 1970s and 1980s, EST being a self help for depression treatment option was frowned upon by a wide sector in the mental health care professional community. However, in recent times, the strategy associated with EST happen to be refined and many doctors have learned to see beneficial results of their patients who will be subjected to a depression treatment regimen that includes EST. But, again, EST is utilized being a depression treatment option in only a limited number of cases the location where the depression of a particular patient is severe and unabated over an extended period of time. As with depression programs which include medication, patients who receive EST also take part in a course of therapy to try to discover the root causes of the depressive illness.

Depression treatment can alter your existence. Whoever you’re, however defeated you imagine you to ultimately be, a guru depression treatment solution will let you resume living existence how we utilized to understand it. The matter, though, put simply should be able to find help. Only by registering for a private depression treatments facility would you be ready to achieve virtually any significant or lasting wellness. Beneath conditions, you could possibly can’t are able to uncover that truth costly way.

In my last article, I spoke for you about the association between chronic pain and depression; ways to cause/aggravate another because the part in the brain that controls mood also controls pain. I suggested numerous things that you can do on your own in an attempt to alleviate, or reduce, your pain and/or help brighten your mood.

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Stressed parents, depressed kids

Posted in : Other

(added few months ago!)

Children today are more depressed than they were at the height of the Great Depression, researchers say, and second-hand stress is a major culprit. One survey of 1000 children in West Australia, found 35 per cent of the respondents had "too much stress" in their lives and highlighted family conflict as a significant source of this stress.

Stressed parents, depressed kids

"There has been a considerable increase in stress and it's been particularly marked over the last decade," Dr Stuart Shanker, a Canadian research professor, told Health+Medicine. Too much visual stimulation from devices such as television, computers and video games are partly to blame, Dr Shanker says. But high parental stress from factors including economic crisis, marital breakdown and urban living are significantly affecting a child's ability to self-regulate.

"Self-regulation is the ability to manage your own energy states, emotions, behaviours and attention, in ways that are socially acceptable and help achieve positive goals, such as maintaining good relationships, learning and maintaining wellbeing," he says.

When a child is exposed to too many stressors, the body's ability to self-regulate and return themselves to "baseline" gets worn out, says Dr Shanker. This can worsen pre-existing conditions on the autism spectrum or give rise to other issues like obesity, cardiovascular disease, anxiety or depression. While the West Australian survey targeted five to 18-year-olds, Gary Johnston, a psychotherapist says the root of the stress can start much earlier. He explains that in the first five years of a child's life, they don't usually have the ability to "rationalise what is going on around them."

"Their awareness of what's going on is based on how the world affects them ... Anything that happens around them, anything anybody says or does, those kids take it as being their fault."In addition, the way that a potentially stressful situation unfolds can contribute to the severity of the impact. For instance Jocelyn Brewer, a psychologist who works with school children, says that when marital disharmony happens behind closed doors, it may make matters worse, as the kids may imagine that they are responsible for their parents arguing.

Instead, open discussion and acknowledgement, by the parents, that things aren't rosy but that they are trying to work through a tough patch, can actually be a positive life lesson for kids, Brewer says.
"It's actually about resolving an issue in front of the kids so that they can see that problems can be overcome and they can have models of appropriate or effective problem-solving and conflict resolution."
It can also build resilience.

"[It's important for children to know that] life isn't always going to be a smooth sail. When there are problems, how you cope with those problems is the most important thing," she says. As well as encouraging an open, transparent atmosphere, Brewer emphasises the importance of parental education. She believes resources to help parents would be more beneficial than programs like the mental health screening process that was recently announced for three-year-olds. "Why aren't we doing more to help parents in setting boundaries, role modelling and understanding attachment styles?" she says. "If parents understood a little bit more about boundary setting, that would probably be a better use of the $11 million than trying to do internalising and externalising behaviour checks on three-year-olds," she says.

Johnston agrees and cautions that there is a real risk of putting labels on children. "[If you] put a label of severe mental disorder or anxiety on a child, they will become that disorder. I agree with it totally, they should be looking at the parents, not the kids," Johnston says. In the 25 years that Dr Shanker has been working with kids, he says that he has never seen a bad, stupid or lazy child.

"But if we do the wrong things or allow the wrong things to be done to them, they can become lazy, bad and stupid."In the modern world, where exposure to some second-hand stress is inevitable, Dr. Shanker's says simple boundaries can help to minimise the impact of this stress. "The solutions are real easy, the solutions themselves are not rocket science. Get your kid to bed, have your kid eat properly," he says. He also says some activities can help children to "top up the gas" when they are depleted of energy. Sports, music, yoga and non-competitive Tae-Kwon-do all play an incredible role at helping kids regulate themselves, he says.

He likens learning how to self-regulate to driving a car, where there is a constant need to scan the roads, accelerate, brake and change gears. Some children accelerate, brake or change gears too quickly, resulting in a not so smooth ride. And like learning to driving a car through city roads, learning to self-regulate in the modern world takes time and practice.

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As ‘Ferdie’ moves up, storm signal up only in 3 provinces

Posted in : Tropical Depression

(added few months ago!)

As ‘Ferdie’ moves up, storm signal up only in 3 provincesMANILA, Philippines—Only three provinces in the Philippines remained under public storm signal as tropical depression Ferdie crossed the Balintang Channel Saturday, the state weather bureau said. Balintang Channel is a waterway between Batanes province and Babuyan Islands in Northern Luzon. Under public storm signal number 1 are Ilocos Norte, Ilocos Sur and Abra, the Philippine Atmospheric Geophysical and Astronomical Services Administration said. Ferdie has crossed the Balintang channel and has merged with a low pressure area in the West Philippine Sea.

As of 10a.m., it was seen 130 kilometers northwest of Laoag City and has maximun sustained winds of 55 kilometers per hour near the center. It was moving west at 15 kph, Pagasa said. Estimated rainfall is heavy to intense af 10-25mm per hour within 400kilometer diameter of the storm. Residents living in low lying and mountainous areas were alerted against possible flash floods and landslides due to enhances southwest monsoon especially the western sections of Luzon and Visayas. Fishing boats and other small seacraft were advised not to venture into the western seaboard of Luzon due to combined effects of “Ferdie” and the southwest monsoon. Tropical depression “Ferdie” was forecast to be 300 kilometers west northwest of Laoag City outside the Philippine area of responsibility Saturday night, Pagasa said.

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