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Surgical Evaluation of Bronchogenic Carcinoma (원발성 폐암의 외과적 고찰)

  • 박재길
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.209-214
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    • 1994
  • Lung cancer is one of the most disastrous of all the current cancers in Korea. In 1990 it was projected that there would be 5, 500 new lung cancer patients in Korea and that 5, 000 would die of their disease. This is a mortality rate of 91 percent. We reviewed the surgically treated 153 bronchogenic cancer patients from January 1987 to December 1991 in St. Mary`s Hospital of Catholic University Medical College. There were 121 men and 32 women ranging in age from 18 to 83 years, with a mean of 56 years. Of the 153 patients, resection was possible in 138 patients and the resectability was 90.1 percent. Squamous cell carcinoma was present in 48 percent of patients, adenocarcinoma in 29 percent, adenosquamous carcinoma in 7 percent, large cell carcinoma in 6 percent, salivary gland tumor in 5 percent, and small cell carcinoma and carcinoid in 3 percent respectively. Postoperative cancer staging was grouped stage I 33 percent, stage II 21 percent, stage IIIa 35 percent, and stage IIIb 10 percent. Lobectomy was performed in 70 percent, pneumonectomy in 17 percent, and segmentectomy in 14 percent. Three and 5-year postoperative survival in resectable 138 patients were 47 and 29 percent respectively.

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CHEMICAL COMPOSITION OF WHEAT STRAW AS INFLUENCED BY UREA AND ALKALI TREATMENTS AT DIFFERENT MOISTURE LEVELS

  • Rasool, E.;Gilani, A.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.8 no.6
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    • pp.563-566
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    • 1995
  • To improve the nutritive value of wheat straw it as treated with 0, 3, 4 and 5 percent levels of urea, 0 and 4 percent level of alkali at 40, 50 and 60 percent moisture levels and stored at room temperature. Total nitrogen contents of the straw increased significantly, from 0.77 percent with no urea treatment to 0.87, 1.16 and 1.19 percent with 3, 4 and 5 percent urea levels, respectively. Percent retention of nitrogen was 63.73 percent. Alkali treatment at 4 percent level, lowered significantly the crude fibre contents of the straw from 41.86 percent in control to 40.21 percent in the treated straw. Moisture level of 40 percent significantly lowered (p < 0.05) the crude fibre contents. Total ash content of straw increased significantly by urea and alkali treatment. Alkali treatment improved significantly the sodium contents also. The results of the study indicated that most beneficial results were obtained with 4 percent urea, 4 percent alkali at 50 percent moisture level.

Technical Feasibility of Ethanol-Kerosene Blends for Farm Kerosene Engines (에타놀-석유(石油) 혼합연료(混合燃料)의 농용석유(農用石油)엔진에의 이용(利用)에 관(關)한 연구(硏究))

  • Bae, Yeong Hwan;Ryu, Kwan Hee
    • Journal of Biosystems Engineering
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    • v.7 no.1
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    • pp.53-61
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    • 1982
  • As an attempt to reduce the consumption of petroleum resources and to improve the performance of a kerosene engine, a series of experiments was conducted using several kinds of ethanol-kerosene blends under the various compression ratios. The engine used in this study was a single-cylinder, four-cycle kerosene engine having a compression ratio of 4.5. To investigate the feasibility of ethanol-kerosene blends in the original engine, kerosene and blends of 5-percent, 10-percent, and 20-percent-ethanol, by volume, with kerosene were used. And to investigate the feasibility of improving the performance of the kerosene engine, a portion of the cylinder head was cut off to increase the compression ratio up to 5.0 by reducing the combustion chamber volume. Kerosene and blends of 30-percent and 40-percent-ethanol, by volume, with kerosene were used for the modified engine with an increased compression ratio. Variable speed tests at wide-open throttle were also conducted at five speed levels in the range of 1000 to 2200 rpm for each compression ratio and fuel type. Volumetric efficiency, engine torque, and brake specific fuel consumption were determined, and brake thermal efficiency based on the lower heating values of kerosene and ethanol was calculated. The results obtained in the study are summarized as follows: A. Test with the original engine: (1) No abnormal conditions were found when burning ethanol-kerosene blends in the original engine. (2) Volumetric efficiency increased with ethanol concentration in blends. When burning blends of 5-percent, 10-percent, and 20-percent ethanol, by volume, with kerosene, average volumetric efficiency increased 1.6 percent, 2.6 percent, and 4.1 percent respectively, than when burning kerosene. (3) Mean engine torque increased 5.2 percent for 5-percent-ethanol blend, 9.3 percent for 10-percent-ethanol blend, and 11.5 percent for 20-percent-ethanol blend than for kerosene. Increase in engine torque when using ethanol-kerosene blends was due to the improved combustion characteristics of ethanol as well as an increase in volumetric efficiency. (4) Up to ethanol concentration of 20 percent, mean brake specific fuel consumption was nearly constant inspite of the difference in heating value between ethanol and kerosene. (5) Brake thermal efficiency increased 0.3 percent for 5-percent-ethanol blend, 3.8 percent for 10-percent-ethanol blend, and 6.8 percent for 20-percent-ethanol blend than for kerosene. B. Test with the modified engine with an increased compression ratio: (1) When burning kerosene, mean volumetric efficiency, engine torque, and brake thermal efficiency were somewhat lower than for the original engine. (2) Engine torque increased 15.1 percent for 30-percent-ethanol blend and 18.4 percent for 40-percent-ethanol blend than for kerosene. (3) There was no significant difference in brake specific fuel consumption regardless of ethanol concentration in blends. (4) Brake thermal efficiency increased 15.0 percent for 30-percent-ethanol blend and 19. 5 percent for 40-percent-ethanol blend than for kerosene.

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Knowledge and Pattern of Dental Health Care of the Community People (일부지역주민의 구강보건인식도 및 치과의료 이용양상)

  • 김일준;남철현
    • Korean Journal of Health Education and Promotion
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    • v.10 no.1
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    • pp.34-60
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    • 1993
  • This study was done for the improvement of dental health of rural villagers and the dental health education, through finding of the types of brushing teeth and dental treatment of 812 people in Sunsan, Kyungpook province for 35days from March 27 to April 30 in 1992. Summaries are as follows ; 1. 58.5 percent of respondents were women, 56.3 percent were 40′s, 28.0 percent were 30′s, 12.3 percent were 50′s, and the over 60′s were 3.4 percent Elementary school graduates were 36.1 percent and most of them were middle school graduates, 33.5 percent. In view of the occupation, farmers were 56.5 percent, factory workers were 17.9 percent, the middle class (monthly pay amounting to 500,000∼990,000 won) were 49 percent and the lower class(less than 500,000 won) were 30.9 percent. In the standpoint of religion, Buddhists were 42.5 percent. 2. In the number and times of respondents brushing, 35.5 percent is "after dinner", 25.6 percent is "Before going to bed", 15.8 percent is "After breakfast", 13.3 percent is "After every meal", 5.2 percent is "Before breakfast" and 4.7 percent is "The sometimes it occurs to them". 3. The acquirement process of knowledge on the dental health were clinics or health center dentists (27.6%), TV(24.5%), magazine(9.2%), school(7.8%), relatives(5.3%). and 25.6 percent has never acquired. 28.3 percent of the farmers learned something by clinics and 28.1 percent of them haven′t heard about dental health. 4. The rate of persons who experienced oral diseases during 1 year period was 76.1 percent, and that of the educated was 19.9 percent and that of the uneducated 80.1 percent. The authorities concerned with treatment were dentist′s(41.6%), health center(30.3%), and the unlicensed person(2.9%). The rate of negligence was 6.3 percent, farmers experienced oral disease was 75.2 percent and they utilized the health center most often(36.2%). 5. The rate of person who had experienced dental prosthesis during ten year period was 71.9 percent, and the final place or man for dental prosthesis was dental clinic(59.4%), the unlicensed person(27.1%), and health center(13.5%). The rate of farmers experienced dental prosthesis was 70.4 percent. They utilized the dental clinic, the unlicensed person and the health center with the rates of 51.5 percent, 32.2 percent, and 16.7 percent respectively. 6. As to the results of dental prosthesis using the dental clinic, "being satisfied now" was 72.4 percent, "being dissatisfied" 14.4 percent, "being unable to use it" 3.1 percent, "its being somewhat usable" 10.1 percent, "having some problem" 38.7 percent, and "there being no problems" 61.3 percent. About utilizing the unlicensed person, "being satisfied now" was 65.8 percent, "being dissatisfied" was 10.7 percent, "being unable to use it" 5.1 percent and "its being some what usable" was 18.4 percent. 7. The rate of missing teeth holders amounted to 89.8 percent, the rate of the educated to the uneducated was 19.2 percent to 80.8 percent The reasons of neglecting that illness were due to "Endurable"(28.3%), and "No money" (24.3%). In the case of farmers 89.1 percent of them were the missing-teeth holders, the "Endurable" were 29.8 7. percent, and "No money" lay in 27.4 percent. 8. Their hopeful centers for dental prosthesis were the dental clinics(76.6%), and the health center(16.9%).

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A STUDY ON NURSING RECORD BEHAVIOR IN PATIENT′S RECORDS (간호기록 행위에 관한 조사연구)

  • 강윤희
    • Journal of Korean Academy of Nursing
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    • v.4 no.1
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    • pp.22-37
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    • 1974
  • Through the examination of hospitalized patient's records, this study purports to determine. the extent to which nursing record behaviors meet general expectations held for nursing records and the differences in nursing record behavior in relation to different nursing categories, period of recording and hospitals with different management patterns. Nursing record behaviors of 802 patient's records in four hospitals in Seoul were examined. by use of a check list, which was prepared by the author as an instrument for the study. Data obtained from this examination were processed into percentage values for percentage. test and chi-square test in order to determine their significance. Results are as follows; 1. Records pertaining to treatment ranked highest among all care categories in their extent of coverage, averaging 65.6 percent. 2. Of the treatment category records, records of medication led others at 94.3 percent. followed by records of test and collection of specimens at 59.9 percent. diet at 58.8 percent and treatment at 41.0 percent. 3. Records in the category of physical assessment and care averaged 44.1 percent, the second highest next to treatment category records, 4. Of the records in the category of physical assessment and care, records in vital signs. placed first at 98.9 percent, followed by sleep at 76.2 percent, body weight at 74.7 percent, symptoms and signs at 69.3 percent, rest at 44.5 percent, hygiene at 39.7 percent, activities and participation at 16.9 percent, positions at 10.3 percent, level of consciousness at 9.8 percent and physiological dysfunction at 1.1 percent in that order. 5. Records in the category of psychological assessment and care averaged 3.2 percent, the lowest of the -three major categories. 6. Of the records in the category of psychological assessment and care, records on emotional responses ranked top at 10.5 percent, followed by self-concern at 2.1 percent, adjustment at 2.0 percent, family, occupational and social relations at 0.7 percent and preferences. and interest at 0.5 percent in that order. 7. Records in relation to the category of specific conditions were found in 9.1 percent of the total records. 8. Of the records in the category of specific conditions, consultation and transfer records, stood first at 25.0 percent, followed by precautionary measurements at 1.4 percent and isolation at 0.9 percent 9. A great difference in nursing record behavior was observed between the first week of hospitalization and the last week, with the first week's recordings much higher than the last week in the categories of treatment and specific conditions (p<0.01). and of physical assessment and care (p <0.05). 10. A big difference was also observed among the hospitals (p<0.01). 11. A big difference was also observed between the government-run hospitals and the private hospitals in the categories of physical assessment and care and specific conditions in the first week of hospitalization (P<0.05l), and in the category of psychological assessment and care in the last week (P<0.05). 12. Between the hospitals established with foreign aid and the other hospitals, the difference in nursing record behavior was significant only in the category of physical assessment and care both in the first week and the last week (P<0.01). 13. The average nursing record behavior in all care categories stood at 45.1 percent in the extent of its coverage in relation to the general expectations.

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육계에서의 양지, 우지 및 레시친의 이용

  • 고태송;오세정;김춘수
    • KOREAN POULTRY JOURNAL
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    • v.11 no.6 s.116
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    • pp.75-83
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    • 1979
  • In order to evaluate the effect of lipids on the utilization of the energy and protein of the diet, the isocaloric and isoprotein diets added with mutton fat, tallow, and lecithin at the levels of two percent and five percent were prepared. The growth of chicken and the feed efficiency were observed on hatched chicken which were fed a commercial diet for the first week, with starters for the next four weeks, and with finisher diets for the last three weeks respectively during the eight weeks of the experiment. Growth rate, feed efficiency, and average body weight gain per day were similar among the chicken fed diets containing various lipids or at the levels of two percent and five percent. The metabolize energy of the diets was found to be from 2.713 kcal to 3.059 kcal per gram, and the metabolizability of the gross energy was from 62 percent to 70 percent. Also the metabolizability of basal diet was higher as compared with the diets containing lipids. And the lower energy utiliztion was found in the broilers fed diets containing five percent lipids than those of two percent, showing not significant difference between them. Daily matabolizable energy of three week old brids ranged from 0.631 gr to 0.738 gr, which showed an increasing tendency on the birds fed five percent mutton fat and tallow in comparison with those of two percent. But the lecithin brought about a reverse tendency. The digestibility of crude fats was found to be from 48 percent to 76 percent, but bot significant difference among diets plus lipids or at the levels of two percent and five percent. The birds fed five percent mutton fat and tallow showed a tendency of lower digestibility as compared with those fed two percent, but the similar results were found between two percent and five percent lecithin fed to the birds. Then, it was tentatively concluded that the effect of the mutton fat on the energy and protein utilization was similar to tallow but resulted different tendency with lecithin.

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Teratomas in Children (소아 기형종의 임상적 분석)

  • Jung, Poong-Man;Lee, Jong-In
    • Advances in pediatric surgery
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    • v.5 no.1
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    • pp.1-14
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    • 1999
  • Among 60 children with teratoma, forty-three (71.7 percent) were girls and 17 (28.3 percent) boys, Primary sites were sacrococcygeal in 30 patients (50 percent), retroperitoneal in 12 (20 percent), ovarian in 11 (18.3 percent), testicular in 3 (5 percent), and one in each of nasopharyngeal, gastric, hepatic and pancreatic (1.6 percent, respectively). Fifty-five (91.7 percent) teratomas were benign and 5 (8.3 percent) malignant. Malignant teratomas W8,re detected only in the sacrococcygeal region (16.7 percent). Age greater than 2 mouths at diagnosis, presence of urinary or colonic obstructive symptoms, multiple masses and elevated serum alpha-fetoprotein were indicators of malignancy in the sacrococcygeal region. Tumor size, presence of calcification, and gross apperance (cystic or solid) did not correlate with malignancy. Thirteen (21.7 percent) cases were associated with other anomalies. For the immature teratoma, operative resection without adjuvant chemotherapy was adequate treatment. Three patients with malignant tumors survived, one who received chemotherapy survived 3 years and the others without chemotherapy survived for 5 and 10 years.

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A study on the status of menstruation of elementary school girls (국민학교(國民學校) 아동들의 생리실태(生理實態)에 관(關)한 조사(調査)연구)

  • Ko, Young Aie
    • Journal of the Korean Society of School Health
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    • v.2 no.2
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    • pp.28-35
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    • 1989
  • The purpose of this study is to identify the status of menstruation of elementary schoolgirls. The date was collected from 20th May to 3rd June, 1989. The survey was conducted by using prepared questionair and 859 6th grade schoolgirls in 7 public elementary schools in Seoul were sampled for this study. The results of study are summerized as follows. 1. 13.9 percent of the school girls have experienced menarche. 0.7 percent of them began in 4th grade, 5.8 percent began in 5th grade and 7.0 percent of them began In 6th grade. 2. Among them 90.8 percent had knowledge of menstruation before menarche.43.7 percent of the respondents learned it through their mothers and 27.8 percent learned it through teachers. 3. About the menstruation, the girls who think it as a physiological phenomena as a woman showed 52.9 percent and 14.3 percent of them thought it was trouble some but, being a woman, regarded it as a inevitable thing. The repondents who think menstruation is tiresome and want not to have it were 31.9 percent. 4. At menarche 20.2 percent of the girls managed it by themselves, 72 percent disposed of it by asking someone and 2.5 percent of them managed it by their family members when the sign was detected. 5. During the menstruation 72.3 percent of the samples had some symptom and the most common symptom was abdominal pain(84.9 percent). 6. In menarche only 16.8 percent of the girls had positive response. 7. In their present menstruation 35.3 percent of them had positive response on it.

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Study on Institutionalized Mentally Retarded Children in Korea(Particularly Regarding Their Accommodation and Education Facilities) (한국 정신박약아의 실태 조사 연구(교육기관 및 시설을 중심으로))

  • 김초강
    • Journal of Korean Academy of Nursing
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    • v.2 no.1
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    • pp.115-129
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    • 1971
  • As the result of a survey conducted by the author on the status of tile 12 educational institutions for mentally retarded children in Korea and their quartering facilities as well as on 934 children accommodated in such institutions, the following conclusion has been reached: 1) More than a half (approximately 58 percent) of the facilities for mentally retarded children are concentrated in Seoul. About eighty-three percent of these facilities are private establishments, of which 70 percent have their proprietors concurrently as their superintendents. Although these facilities were first established as many as 22 years ago, it has been only five or six years since education was actually started for mentally restarted children. 2) Out of a total of 179 employes, teachers number 99, there by constituting approximately 57.6 percent. Out of them, however, only 32 teachers or 2.8 percent have special teachers licenses. Thus, each teachers has to take care of an average of 29 children. This is excessive a number of children per teachers in view of the special nature of this education, there by indication how urgent it would be to secure more teachers lot this field. 3) Out of the mantally retarded children investigated 57.6 percent suffer from physical disorder in addition to mental retardation, 53.0 percent from mental alienation illnesses besides retardation, and 25 pent from physical, mental disorders in addition to retardation. It is therefore necessary to maintain medical and nursing facilities together with educational facilities. however, two places have no medical facilities at all, and four other places, without medical personnel, have to receive medical support from nearby hospitals or clinics. 4) The total number of children in the surveyed facilities is 934, who can be broken down into 58.7 percent boys and 41.3 percent for girls. They are classified into 12.5 percent for idiot, 37.7 percent for imbeciles, 32.7 percent for morons, and 17.3 percent for thoes children on borderline. Their average age is 13.9 years. 5) As the result of education, the illiteracy rate of mentally retarded children has decreased from 78.1 percent to 32.1 percent while the percentage of those taking the primary school course has increased for 12.2 per cent to 33.5 percent. As a result, it has been learned that education is definitely necessary for Retarded children though it may be a difficult task. 6) The children who have mentally retarded children among their brothers or sisters constitute 6.3 percent of the total number. The corresponding rate for boys is 3.5 percent while that for girls is a remarkably higher rate 10.6 percent. Through studies on the causes of their mental retardation, it has been learned that 39.6 percent of them is of the inherent type and 35.3 percent is of the environmental type. Control and improvement of health of mothers and children, early diagnosis and early treatment are believed to be very important because they could prevent or alleviant much of these conditions. 7) The storage age of teachers and employes is 35.3 years, an indication that a great proportion of them is experienced in a way or another as their major difficulty or problems in serving with these special school, 22.5 percent cited inadequate payment 24.5 gave the inadequate public understanding, and 22.5 percent pointed out the lack of understanding on the part of give parents.

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A Study on Girls' High School Students for Knowledge and Practice of Eyesight Care (서울시내 일부여고생들의 안경착용률 및 시력보호에 대한 지식과 태도에 관한 연구)

  • 김윤희;곽정옥
    • Korean Journal of Health Education and Promotion
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    • v.10 no.1
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    • pp.87-97
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    • 1993
  • The purpose of this study is to give practical information about eyesight care-preventing refractive error and actual conditions of wearing glasses(or contact lenses) to help school health education, For this study, 1,216 freshmen were sampled from liberal and vocational high schools in Seoul and the survey was successfully accomplished. Following are the major findings results of this study: 1. The percentage of the freshmen wearing glasses in girls high school were 57.5 percent in liberal high school and 41.7 percent in vocational high school. 2. The percentage of both the students and parents wearing glasses were 49.9 percent in liberal high school and 33.8 percent in vocational high school. 3. From the survey, the majority of the students began to wear glasses during their middle school years. The percentages were 46.6 percent in liberal high school and 62.1 percent in vocational high school. 4. The percentage of the students who got their glasses prescribed from an ophthalmic clinic were 60.6 percent in liberal high school, 31.5 percent in vocational high school and the rest got their glasses from the optician.. 5. The percentage of the students wearing glasses who didn't have optometry check-up for 6 months were 57.2 percent in liberal high school and 38.4 percent in vocational high school. The percentage of the students not wearing glasses in the same situation were 61.9 percent in liberal high school and 41.5 percent in vocational high school. 6. The percentage of the students who believe that the health education in school is necessary for the prevention of amblyopia were 79.2 percent of strdents attending in liberal high school, 82.9 percent in vocational high school, 81.5 percent of students wearing glasses and 80.8 percent of students not wearing glasses.

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