• 제목/요약/키워드: Syringe

검색결과 360건 처리시간 0.021초

치위생(학)과 학생의 치과감염관리에 관한 인식현황 (Current conditions regarding dental infection management recognition of students in the department of dental hygiene)

  • 이연경;김순덕
    • 한국치위생학회지
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    • 제9권3호
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    • pp.468-478
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    • 2009
  • This research was performed to provide basic data for the development of infection related dental hygiene studies by surveying the current condition of recognition among students in the department of dental hygiene toward hospital infection management while receiving the following results by using a personal self-administered survey method targeting 303 students in the department of dental hygiene from certain areas. 1. With the current condition of recognition on the sanitization and sterilization of instruments among students in the department of dental hygiene(study), the rate at which surgical instruments are to be sterilized with autoclaves was 79.9% which was relatively higher than other instruments while it was shown that prosthetic instruments for treatment was 56.4%, conservative instruments for treatment was 51.8%, and ultrasonic scaler tip was 51.1% while the way syringe tips(36.1%) and the dental anesthetic apparatus(27.9%) were revealed to require sanitization by alcohol. 2. The 'hand wash' area was the highest with 4.71 while the 'materials and environment management' area and 'equipment management' area appeared high respectively with 4.43 and 4.41. 3. With the current condition of recognition on equipment management, 'equipments used for contagious patients are separately washed after a one-time use and must be sterilized or separated-and-discarded' was the highest with 4.82 while 'sterilization equipments with humidity or water on it are considered contaminated and are not used' showed the lowest recognition level with 3.90. 4. Regarding the current condition of materials and environment management, 'contagious and general trash are separated and discarded' was the highest with 4.70 while 'the refrigerator for medicine storage is cleaned on a regular basis once a month' was revealed as the lowest with 4.11. 5. With the current condition of recognition on hand washing, 'one must wash their hands after coming in contact with contagious patients, was the highest with 4.90 while washing hands after taking off gloves' appeared as the lowest with 4.51 point. To conclude department of dental hygiene there is to infection management and necessary about organization disinfecting and pasteurization to strengthen an education in order raising a stamp helping practical ratio about the infection management which whole, is from presence at a sickbed and connection does and about the infection management which is substantial and educational program development leads feed with the fact that deepening studying which is continuous must become accomplished becomes.

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안저골절 정복술 후 풍선 달린 카테터와 방사선조영제의 이용 (Reconstruction of the Orbital Floor Fracture using the Antral Balloon Catheter with Radiopaque Dye)

  • 최환준;이한정;양형은;이영만
    • Archives of Plastic Surgery
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    • 제37권1호
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    • pp.99-103
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    • 2010
  • Purpose: Blow-out fractures are reduced through transcutaneous or transconjunctival incisions. But the field of orbital surgery is difficult due to lack of visualization of fracture site, blind dissection of orbital floor, susceptibility of injury of orbital structures. In these situations, the former technique of using an antral balloon catheter has advantages over other methods for reconstruction because of its rapidity, simplicity, and inexpensiveness. Furthermore, the antral balloon catheter allows not only elevation of the orbital bone fragment but also expansion of the maxillary sinus in cases where there is a fracture of its walls. But postoperative follow-up method using computed tomography is expensive. Hence, we report a simple and inexpensive follow-up method using radiopaque dye inflation. Methods: We performed endoscopic transantral approach in 5 cases of blow-out fracture under general anesthesia. To accomplish this technique, a rigid 4 mm, 0 or 30 degree angled endoscopy was inserted into the maxillary sinus. Inflation of the catheter started gradually, with 10 to 15 mL of saline mixed radiopaque dye (saline: dye, 5 : 1) by syringe and while observing the elevation of the fracture site with endoscope until a proper contour was reached. For the maintain of the position of fractured site, 12 French urinary balloon foley catheter were used in fracture site for 7 - 10 days. Results: Postoperative assessment was performed by means of clinical and simple radiographic examination to secure the catheter under the inferior orbital wall and in the maxillary sinus. No specific complications occurred related to this procedure. Results of the surgery and follow-up in all cases were satisfactory. Conclusion: It may be a better alternative to the conventional follow-up method, with less cost and effectiveness of the catheter patency. The advantages of using the urinary balloon foley catheter with the radiopaque dye include the following : it is safe, efficacy, simple, and especially low cost. On drawback of this method is the discomfort to the patient caused by the catheter during the treatment.

개에서 Xylazine-diazepam-ketamine 병용마취 시 두 가지 근육내 투여 용량 비교 (A Comparison of Two Intramuscular Doses of a Xylazine-Diazepam-Ketamine Combination in Dogs)

  • 이재연;서지원;조재금;조하은;정성목;김명철
    • 한국임상수의학회지
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    • 제29권1호
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    • pp.12-17
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    • 2012
  • 많은 약물들이 개의 진정 및 마취를 위해 근육내 투여를 통해 사용되고 있다. 개 마취를 위한 많은 근육내 병용투여 방법이 정립되었으나 xylazine-diazepam-ketamine 병용투여에 대한 연구는 미흡하다. 따라서 본 연구의 목적은 개에서 xylazine-diazepam-ketamine 병용투여의 영향을 연구하는 것이다. 12 마리의 혼혈 종 개를 사용하였으며 diazepam (0.5 mg/kg), xylazine (1.1 mg/kg)에 두 가지 용량의 ketamine (5 mg/kg; group 1, 10 mg/kg; group 2)을 근육내로 투여하여 비교하였다. 마취 시간은 group 2에서 group 1과 비교 시 유의적으로 길었으며 혈압은 약물 투여 후 두 군에서 모두 유의적으로 증가 하였다. $S_aO_2$ 수준도 약물 투여 후 두 군에서 모두 유의적으로 감소 하였다. 마취는 두 군에서 모두 적절히 이루어졌다. 본 실험 결과 diazepam (0.5 mg/kg), xylazine (1.1 mg/kg)에 두 가지 용량의 ketamine (5 mg/kg, 10 mg/kg)의 병용투여는 개에서 짧은 시간의 깊은 진정 및 마취 시에 사용할 수 있는 효과적인 방법으로 생각된다.

비글견에서 medetomidine-midazolam-ketamine 마취에 대한 atipamezole과 yohimbine의 길항효과 (Antagonistic Effects of Atipamezole and Yohimbine on Medetomidine-Midazolam-Ketamine Anesthesia in Beagle Dogs)

  • 황학균;이재연;정성목;김명철
    • 한국임상수의학회지
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    • 제28권2호
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    • pp.211-218
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    • 2011
  • 개에서 많은 주사용 마취제가 있고 그 부작용을 줄이기 위해 다양한 약물들을 혼합하여 사용한다. 개에서 medetomidine-midazolam-ketamine (MMK) 합제에 대한 마취효과를 알아보고, 이 합제에 대한 atipamezole과 yohimbine의 길항효과를 비교하였다. 18마리 수컷 비글견을 사용하였고, 모든 개에서 medetomidine (0.04 mg/kg), midazolam (0.2 mg/kg) 및 ketamine (5 mg/kg)을 근육주사하고, 20분 후 atipamezole (0.24 mg/kg, MMKA), yohimbine (0.2 mg/kg, MMKY) 또는 생리식염수(0.1 ml/kg, MMK)를 정맥주사하였다. 유도 및 회복시간, 진정 및 진통점수, 심박수, 혈압, 직장온도, 호흡수, 동맥혈액가스를 측정하였다. 평균마취, 흉와, 기립 및 보행시간은 MMKA와 MMKY군에서 MMK군보다 유의성있게 짧았다. 그러나 MMKA군과 MMKY군 간의 유의적인 차이는 없었다. 모든 군에서 MMK 투여는 개에서 만족스런 진정 및 진통을 일으켰다. 그러나 atipamezole이나 yohimbine 투여 후 자세점수 및 유해자극반응은 MMK군에 비해 MMKA나 MMKY군에서 유의성있게 감소하였다. 본 실험 결과 MMK는 양호한 진정 및 마취효과를 나타냈고, atipamezole과 yohimbine은 개에서 MMK 마취를 길항하는 데 안전하고 효과적으로 사용될 수 있을 것으로 사료된다.

조절 T세포에 미치는 치자(梔子)의 효과 (Research on the Effect of Gardeniae Fructus on Regulatory T Cell Stimulation)

  • 서산;정희재;정승기
    • 대한한방내과학회지
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    • 제31권2호
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    • pp.189-200
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    • 2010
  • Objectives : Regulatory T cells can reduce inflammation and allergic reactions through their inhibitory functions. Gardeniae Fructus(GF) is a Heat-clearing herb used in traditional Korean medicine, and a wide range of studies on its antiinflammatory effects are being carried out. The authors investigated the effect that Gardeniae Fructus has on regulatory T cells. Methods : The authors screened 14 herbs for their effects on regulatory T cells. 100mg of each herb were separately dissolved in 1ml of sterile saline and the supernatant was harvested after 10 minutes of centrifuge at 15,000 rpm. The supernatant was filtered through a 0.2 ${\mu}m$ syringe filter, and the resulting stock was refrigerated at $4^{\circ}C$. The stock was diluted before testing and used at a final concentration of $0.01{\mu}g/ml$. CD4+CD25+ T cells from healthy BALB/c spleens were used as natural regulatory T cells (nTreg), and CD4+CD25- T cells were used as reactive T cells. CD4+CD25+ and CD4+CD25- T cells were activated with anti-CD3e ($10{\mu}g/m{\ell}$)/anti-CD28 ($1{\mu}g/m{\ell}$) and cultured. IL-10 from supernatant of the culture medium was measured by IL-10 cytokine ELISA. The percentages, cell numbers, phenotype and function of CD4+CD25+ Treg cells were determined by flow cytometry. Results : Gardeniae Fructus was shown to be the most potent herb among the 14 herbs tested for suppressing CD4+CD25- reactive T cell proliferation by stimulating CD4+CD25+ natural regulatory T cells. Gardeniae Fructus induces IL-10 secretion increase by stimulating CD4+CD25+ natural regulatory T cells, and indirectly suppresses CD4+CD25- reactive T cell proliferation through increasing CD25 (IL-2 receptor $\alpha$) expression and thus promoting bonding with IL-2. Gardeniae Fructus did not directly affect CD4+CD25- reactive T cell proliferation. Conclusions : Gardeniae Fructus suppressed reactive T cell proliferation through inducing increases in IL-10 secretion and CD25 (IL-2 receptor $\alpha$) expression.

Optimization of a Virus-Induced Gene Silencing System with Soybean yellow common mosaic virus for Gene Function Studies in Soybeans

  • Kim, Kil Hyun;Lim, Seungmo;Kang, Yang Jae;Yoon, Min Young;Nam, Moon;Jun, Tae Hwan;Seo, Min-Jung;Baek, Seong-Bum;Lee, Jeom-Ho;Moon, Jung-Kyung;Lee, Suk-Ha;Lee, Su-Heon;Lim, Hyoun-Sub;Moon, Jae Sun;Park, Chang-Hwan
    • The Plant Pathology Journal
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    • 제32권2호
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    • pp.112-122
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    • 2016
  • Virus-induced gene silencing (VIGS) is an effective tool for the study of soybean gene function. Successful VIGS depends on the interaction between virus spread and plant growth, which can be influenced by environmental conditions. Recently, we developed a new VIGS system derived from the Soybean yellow common mosaic virus (SYCMV). Here, we investigated several environmental and developmental factors to improve the efficiency of a SYCMV-based VIGS system to optimize the functional analysis of the soybean. Following SYCMV: Glycine max-phytoene desaturase (GmPDS) infiltration, we investigated the effect of photoperiod, inoculation time, concentration of Agrobacterium inoculm, and growth temperature on VIGS efficiency. In addition, the relative expression of GmPDS between non-silenced and silenced plants was measured by qRT-PCR. We found that gene silencing efficiency was highest at a photoperiod of 16/8 h (light/dark) at a growth temperature of approximately $27^{\circ}C$ following syringe infiltration to unrolled unifoliolate leaves in cotyledon stage with a final SYCMV:GmPDS optimal density $(OD)_{600}$ of 2.0. Using this optimized protocol, we achieved high efficiency of GmPDS-silencing in various soybean germplasms including cultivated and wild soybeans. We also confirmed that VIGS occurred in the entire plant, including the root, stem, leaves, and flowers, and could transmit GmPDS to other soybean germplasms via mechanical inoculation. This optimized protocol using a SYCMV-based VIGS system in the soybean should provide a fast and effective method to elucidate gene functions and for use in large-scale screening experiments.

시료고체상분산(matrix solid phase dispersion)전처리법을 이용한 식육중 테트라사이클린계 항생물질 동시정량분석 (Multiresidue matrix solid phase dispersion (MSPD) extraction and HPLC determination of tetracyclines in animal muscle tissue)

  • 강환구;손성완;조병훈;이혜숙;박신자;김재학;조명행
    • 대한수의학회지
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    • 제36권3호
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    • pp.541-550
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    • 1996
  • Tetracycline antibiotics have been widely used not only therapeutics but feed additives. There are many methods for the isolation and determination of tetracycline antibiotics in animal muscle tissue. But those methods take much time and labor, so it is difficult to analyse many samples simultaneously. A rapid isolation method and liquid chromatographic determination of tetracycline antibiotics in animal muscle tissue (bovine, porcine, chicken) is presented. Blank control and tetracyclines fortified samples (0.5g) were blended with $C_{18}$ containing 0.05g each of oxalic acid and disodium ethylenediaminetetraacetate. After homogenize, homogenate was transferred to glass column made from 10ml glass syringe and compressed to 4~4.5ml volume. A column made from the $C_{18}$/meat matrix was washed with hexane (8ml) and dichloromethane (8ml, if needed), following which the tetracyclines were eluted,vith methanol or 0.01M methanolic oxalic acid (8ml). The eluates containing tetracyclines analytes were free from interfering compounds when analysed by HPLC with UV detection (photodiode array at 360nm). Standard curve for each tetracycline showed a linear response at the range of $0.05{\sim}1.0{\mu}g/ml$ and tetracycline antibiotics were eluted within 4ml of eluted volume. All tetracycline antibiotics except tetracycline were stable during the concentration process at $40^{\circ}C$ and time required for concentration was 3~4 hours. Fortified samples containing oxalic aicd and EDTA represented more good recoveries than those of not-contained sample. Recoveries were 91.8~110.1% (oxytetracycline; OTC), 57.7~79.5% (tetracycline; TC), 78.1~88.6% (chlortetracyclines; CTC) and 88.4~100.6% (doxycycline; DC) in pork tissue, 101.1~126.8% (OTC), 66.4~75.4% (TC), 79.2~88.1% (CTC) and 69.3~86.7% (DC) in beef tissue, and 90.8~95.6% (OTC), 66.2~84.4% (TC), 75.7~77.2% (CTC) and 55.6~80.7% (DC) in chicken muscle tissue. The detection limits validated in muscle tissue by this method were $0.05{\mu}g/g$ for OTC and TC, and $0.1{\mu}g/g$ for CTC and DC.

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내시경 갑상샘 절제술 후 발생한 경부 근긴장이상증의 보툴리늄 A 독소를 이용한 치료: 증례보고 (Botulinum Toxin A Treatment for Cervical Dystonia Resulting in Endoscopic Thyroidectomy: A Case Report)

  • 오화영;최환준;남두현;김준혁;이영만
    • Archives of Plastic Surgery
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    • 제38권2호
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    • pp.207-211
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    • 2011
  • Purpose: Surgery for thyroid gland requires skin incisions that can result in postsurgical neck scar. To overcome this, many surgeons performed a endoscopic thyroidectomy. But, this approach had a some problems. One of postoperative problems, iatrogenic cervical dystonia (CD) may occur. At common, CD is defined as a syndrome characterized by prolonged muscle contraction causing twisting, repetitive movements or abnormal posture. Botulinum toxin A (BTA, Botox$^{(R)}$, Allergan, Irvine, CA, USA) is well known treatment agent in the treatment of CD. So, the authors applied BTA injection in rare case with iatrogenic CD resulting in endoscopic thyroidectomy. Methods: A 43-year-old female had endoscopic subtotal thyroidectomy operation 3 years ago. She had symptoms such as progressive cervical pain, abnormal neck posture, depression, and sleep difficulty. About 1 year later, the patient who had previous myomectomy of the clavicular head of sternocleidomastoid muscle, however, symptoms were not improved. And then the patient received BTA therapy in our department. The 2 units per 0.1 mL solution was administered in a 1 mL tuberculin syringe. Results: The dose of BTA used in the patient was 36 units for vertical platysmal bands, superficially, and 10 units for ipsilateral sternocleidomastoid muscle, intramuscularly. After 2 weeks, additional the dose of BTA used in the patient was 5 points for remained scar bands, superficially. Complications related to injection such as significant swallowing difficulties, neck muscle weakness, or sensory change were not observed. In 9 months follow-up, the patient maintained a good result from the method of BTA injection alone. Conclusion: The basic concept is selective denervation for the hyperactive individual muscles and scar bands. We conclude that BTA is an effective and safe treatment for CD despite the iatrogenic and complex presentation of this complication.

Heparin-Protamin Sulfate 상호작용의 실험적 연구

  • 김치경;이홍균
    • Journal of Chest Surgery
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    • 제13권1호
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    • pp.13-20
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    • 1980
  • Heparin would have been used for preventing clotting of blood during extracorporeal circulation and subsequent use of protamine sulfate and made possible the neutralization of heparin. This procedure has been adopted for eliminating one of the great causes of bleeding, especially in cardiac surgery. In this experiment, the hypocoagulability of blood induced by heparin followed by neutralization with treatment of protamine sulfate were estimated by the Lee-White clotting time [CT], partial thromboplastin time [PTT] and protamine titration test. The results were as follows: 1] Comparison of clotting time between the heparinized [2.0 mg/kg] and non-heparinized dogs was done using CT and PT`I` of the blood. In heparinized group [Group I], the CT lasted infinitively and prolongation of PTT [4 times than normal] until 60 minutes. The CT [2 times] and PTT [3 times] has been shortened after 90 minutes, however they returned to normal limit level within 180 minutes. 2] The determination of appropriate ratio of heparin and protamine In vivo were performed. The group II [heparin 2.0 mg/kg, protamine 1.0 mg/kg] revealed rapid decrease of CT and PTT, but returned to normal after 120 minutes. The group III [heparin 2.0 mg/kg, protamine 2.0 mg/kg] returned rapidly to normal within 15 minutes. The group IV [heparin 2.0 mg/kg, protamine 3.0 mg/kg] recovered its normal level after 60 minutes. The group V [heparin 2.0 mg/kg, protamine 4.0 mg/kg] recovered its normal level after 90 minutes. 3] In the combined experimental study In vivo and vitro, the protamine titration test was done using the dog which were given 2.0 mg/kg and 3.0 mg/kg of heparin, respectively and coagulation time were checked after 15, 30, 60 and 120 minutes. The complete neutralization was showed to be heparin-protamine ratio of 1:1 to 1.5. 4] In vitro study, fresh blood was drawn into known amount of heparin content [20, 40, 60 and 100/ug per 1 ml of blood] syringe, thereafter protamine titration test was done. In all cases, the complete neutralization was found in heparin-protamine ratio of 1:0.85 to 1.5. 5] It was found by the present experiment that the ideal heparin-protamine ratio was 1:1 within 60 minutes and 1:0.5 after 60 minutes for avoiding the serious side effect due to overadministration of protamine sulfate.

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물리.화학적 처리에 의한 소 정자세포구성분의 분리 (Isolation of Bovine Spermatozoal Components by Physical or Chemical Treatments)

  • 최승철;천장혜;이상호
    • 한국가축번식학회지
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    • 제17권4호
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    • pp.339-346
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    • 1994
  • 정자의 구조와 기능을 이해하기 위해서는 정자세포구성분의 분리가 필요하다. 본 실험은 동결융해된 한우정액에 다양한 물리·화학적 처리를 하여 효과적인 정자세포구성분의 분리방법을 확립하고자 실시하였다. 물리적 분리방법으로는 vortexing 처리, 26 gauge needle 또는 strained 26 gauge needle을 1ml 주사기에 부착시킨 후 반복된 pumping, 동결보존액없이 반복된 동결융해처리등을 시행하였다. 또한, 화학적인 분리를 위해 trypsin, dithiothreitol, sodium dodecylsulfate, mercaptoethanol 등을 사용하였다. 모든 처리구중에서 가장 효과적인 정자두부와 미부의 절단을 strained 26 gauge needle이 부착된 주사기를 사용한 반복된 pumping에 의해 얻어졌다. 이러한 처리에 의해 95∼100%의 높은 정자구성분의 분리가 이루어졌다. 분리된 정자구성분의 두부표면의 보존여부를 알아보기 위해 250g/ml FITC-UEA 1 염색을 실시하였지만 특별한 두부표면변화는 관찰되지 않았다. 다른 물리적 처리방법들도 높은 정자구성분의 분리결과를 보여주었지만, strained 26 gauge needle를 사용한 방법에 비해서는 분리효율, 시간등 여러면에서 비효율적이었다. 화학적 처리에 의한 정자구성분의 분리결과는 물리적 처리에 비해 효과적이지 못했다. 분리된 정자두부와 미부를 각각 회수하기 위해 sucrose 용액을 2M, 1M, 0.5M, 0.25M 순으로 시험관에 넣은 후 1,000rpm에서 15분간 원심분리한 결과, 1M과 2M의 경계부분에 형성된 정자두부층을 얻을 수 있었다. 정자구성분의 효과적이고 간편한 분리방법이 본 실험에 의해 확립되어졌으며, 위의 방법에 의해 분리, 회수된 정자구성분은 생화학적 연구, 난자활성화기작의 이해등 다양한 응용연구의 기초자료로서 이용될 수 있을 것이다.

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