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H : 소장처정보

T : 목차정보

Journal of the American Geriatrics Society 39건

  1. [해외논문]   Midlife Cognitive Ability, Education, and Tooth Loss in Older Danes   SCI SCIE SSCI

    Bachkati, Kristine Harrsen (Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark) , Mortensen, Erik Lykke (Danish Aging Research Center, University of Southern Denmark, Odense, Denmark) , Brønnum‐ (Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark) , Hansen, Henrik (Department of Odontology, University of Copenhagen, Copenhagen, Denmark) , Holm‐ , Pedersen, Poul
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 194 - 199 , 2017 , 0002-8614 ,

    초록

    Objective To examine the possible influence of cognitive ability and education at age 50 or 60 on number of teeth at age 70. Setting Community‐dwelling population in Copenhagen, Denmark. Participants Men and women born in 1914 (N = 302). Measurements Cognitive ability was assessed using the Wechsler Adult Intelligence Scale at age 50 or 60. A global cognitive ability measure was used as a continuous measure and according to tertile. Information on education was gathered using a questionnaire at age 50 or 60. A clinical oral examination took place at age 70, and oral health was measured according to number of teeth ( Results Logistic regression analyses revealed that greater cognitive ability and educational attainment had a protective effect against risk of tooth loss. The associations were significant and persisted after adjusting for confounders and a two‐way interaction between cognitive ability and education. Conclusion Higher education level and cognitive ability measured at age 50 or 60 were associated with having more teeth at age 70. Whether these findings are due to the interaction of these factors with oral health, related socioeconomic factors, or other factors remains to be studied.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   Long‐Term Hormone Replacement Therapy Is Associated with Low Coronary Artery Calcium Levels in a Cohort of Older Women: The Age, Gene/Environment Susceptibility—Reykjavik Study   SCI SCIE SSCI

    Gudmundsson, Adalsteinn (Landspitali University Hospital, Reykjavik, Iceland) , Aspelund, Thor (University of Iceland, Reykjavik, Iceland) , Sigurdsson, Gunnar (Landspitali University Hospital, Reykjavik, Iceland) , Harris, Tamara (Intramural Research Program, National Institute on Aging, Bethesda, Maryland ) , Launer, Lenore J. (Intramural Research Program, National Institute on Aging, Bethesda, Maryland ) , Gudnason, Vilmundur (University of Iceland, Reykjavik, Iceland) , Jonsson, Helgi (Landspitali University Hospital, Reykjavik, Iceland)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 200 - 206 , 2017 , 0002-8614 ,

    초록

    Objectives To assess the relationship between hormone replacement therapy (HRT) and coronary artery calcium (CAC). Design Cross‐sectional. Setting Established population‐based cohort in Reykjavik, Iceland. Participants Women (mean age 76 ± 5) who had completed questionnaires on HRT use (N = 2,867). Measurements Coronary artery calcium assessed using computed tomography was the outcome variable and was compared between women with history of HRT and those who had never used HRT and analyzed according to age, length of use, and time after menopause that HRT was initiated. Results Eight hundred seventy‐two (30.4%) participants had used HRT, and 312 (10.9%) were current users. After adjustment for age, other late‐life variables, and a propensity score based on midlife data for HRT use as observed in late life, there were significant negative associations between CAC and history and length of HRT use. This association was evident in all age categories. When HRT had been used for longer than 15 years, median CAC level was less than 50% of that observed in never users. The lowest CAC was observed in those who started HRT within 5 years after menopause. The prevalence of coronary events was comparable in both groups. Conclusion A strong association was found between long‐term HRT use and low CAC. The negative association between duration of HRT and CAC was evident in all age groups of older women.

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    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Team‐Based Interprofessional Competency Training for Dementia Screening and Management   SCI SCIE SSCI

    Tan, Zaldy S. (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Damron‐ (University of California, Los Angeles, Los Angeles, California ) , Rodriguez, JoAnn (University of California, Los Angeles, Los Angeles, California ) , Cadogan, Mary (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Gans, Daphna (Health Services Advisory Group, Glendale, California ) , Price, Rachel M. (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Merkin, Sharon S. (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Jennings, Lee (Los Angeles County—Olive View—University of California, Los Angeles Medical Center, Sylmar, California ) , Schickedanz, Heather (Western University of Health Sciences , Pomona, California ) , Shimomura, Sam (California Association of Long Term Care Medicine, Los Angeles, California ) , Osterweil, Dan (Division of Geriatric Medicine and Palliative Care, School of Medicine, New York University, New York, New York) , Chodosh, Joshua
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 207 - 211 , 2017 , 0002-8614 ,

    초록

    As many as 50% of people satisfying diagnostic criteria for dementia are undiagnosed. A team‐based training program for dementia screening and management was developed targeting four professions (medicine, nursing, pharmacy, social work) whose scope of practice involves dementia care. An interprofessional group of 10 faculty members was trained to facilitate four interactive competency stations on dementia screening, differential diagnoses, dementia management and team care planning, and screening for and managing caregiver stress. Registrants were organized into teams of five members, with at least one member of each profession per team. The teams rotated through all stations, completing assigned tasks through interprofessional collaboration. A total of 117 professionals (51 physicians, 11 nurses, 20 pharmacists, 24 social workers, 11 others) successfully completed the program. Change scores showed significant improvements in overall competence in dementia assessment and intervention (very low = 1; very high = 5; average change 1.12, P P P

    원문보기

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Reductions in Medication‐Related Hospitalizations in Older Adults with Medication Management by Hospital and Community Pharmacists: A Quasi‐Experimental Study   SCI SCIE SSCI

    Pellegrin, Karen L. (Continuing Education and Strategic Planning, Center for Rural Health Science, Daniel K. Inouye College of Pharmacy, University of Hawaii, Hilo, Hawaii ) , Krenk, Les (Hawaii Community Pharmacist Association, Lihue, Hawaii ) , Oakes, Sheena Jolson (Maui Clinic Pharmacy, Kahului, Hawaii ) , Ciarleglio, Anita (Daniel K. Inouye College of Pharmacy, University of Hawaii, Hilo, Hawaii ) , Lynn, Joanne (Center for Elder Care and Advanced Illness, Altarum Institute, Washington, District of Columbia ) , McInnis, Terry (Blue Thorn Inc., Cary, North Carolina ) , Bairos, Alistair W. (Kona Community Hospital, Hawaii Health Systems Corporation, Kealakekua, Hawaii ) , Gomez, Lara (Department of Clinical Education, Daniel K. Inouye College of Pharmacy, University of Hawaii, Hilo, Hawaii ) , McCrary, Mercedes Benitez (U.S. Public Health Service, Center for Medicare and Medicaid Innovation, Baltimore, Maryland ) , Hanlon, Alexandra L. (Department of Biostatistics, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania ) , Miyamura, Jill (Hawaii Health Information Corporation, Honolulu, Hawaii)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 212 - 219 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   My Sister Ra Died a Hero   SCI SCIE SSCI

    Hazzard, William R. (J. Paul Sticht Center on Aging, School of Medicine, Wake Forest University, Winston‐Salem, North Carolina)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 220 - 221 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Our Hidden Patients   SCI SCIE SSCI

    Donix, Markus (Department of Psychiatry, University Hospital Carl Gustav Carus, Technische Universität, Dresden, Germany)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 221 - 221 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Criterion Validity of a Frailty Index Derived from the Easycare Instrument   SCI SCIE SSCI

    Geessink, Noralie H. (Department of Geriatrics, Radboud university medical center, Nijmegen, the Netherlands) , Schoon, Yvonne (Department of Geriatrics, Radboud university medical center, Nijmegen, the Netherlands) , Olde Rikkert, Marcel G. M. (Department of Geriatrics, Radboud university medical center, Nijmegen, the Netherlands) , Melis, René (Department of Geriatrics, Radboud university medical center, Nijmegen, the Netherlands) , J.
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 222 - 224 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Inpatient Mobility Measures As Useful Predictors of Discharge Destination in Hospitalized Older Adults   SCI SCIE SSCI

    Pavon, Juliessa M. (Division of Geriatrics, Duke University Medical Center, Durham, North Carolina ) , Sloane, Richard (Division of Geriatrics, Duke University Medical Center, Durham, North Carolina ) , Morey, Miriam C. (Division of Geriatrics, Duke University Medical Center, Durham, North Carolina ) , Hastings, S. Nicole (Division of Geriatrics, Duke University Medical Center, Durham, North Carolina)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 224 - 226 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Notices   SCI SCIE SSCI


    Journal of the American Geriatrics Society v.65 no.1 ,pp. 227 - 227 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

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