• 제목/요약/키워드: treatment related death

검색결과 594건 처리시간 0.029초

비광요구형 디페닐에테르계 TOPE 의 생리적 작용에 관한 연구 (Physiological Effects of TOPE, a Photo - independent Diphenylether, on Higher Plants)

  • 김진석;조광연;변종영
    • 한국잡초학회지
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    • 제16권2호
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    • pp.160-170
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    • 1996
  • 비광요구형 디페닐에테르계 화합물인 TOPE의 제초작용 생리를 알기 위하여 온실에서의 제초특성을 비롯한 식물색소대사, 전자전달계, 단백질 및 핵산대사 등에 미치는 TOPE.의 영향을 조사하였다. 작용발현 속도가 광요구형 디페닐에테르계보다는 늦지만 엽신부의 고사와 동시에 생육저해 및 생장점에서의 분열이상이 관찰되었으며 절취된 오이자엽에 처리될 경우 전해질 누출과 더불어 엽주변부의 심한 분열이상이 초래되었다. 그러나 2,4-D와 같은 오옥신 활성은 아니었다. 저광도에서의 엽록소 형성 저해정도는 관찰되지 않았으며 oxyfluorfen 과는 달리 protoporphyrin IX의 축적도 유기되지 않았으나, 카로티노이드 성분은 모두 비정상적으로 증가되었다. 탈수소효소의 활성 또는 미토콘드리아에서의 호흡활성은 일정농도에 서 증가되는 경향을 보이나 호흡저해제들은 TOPE에 의한 전해질 누출을 경감시키지 못하였다. 한편 광합성 전자전달 저해는 고농도에서만 관찰되었다. 오이의 전해질 누출과 분열이상을 지표로 한 TOPE와의 상호작용 실험에서 전해질 누출에 대하여 cycloheximide는 상승적으로, chloramphenicol, actinomycin-D, hydroxyurea는 길항적으로 작용하였고, cycloheximide, actinomycin-D, hydroxyurea 등은 자엽의 이상분열을 경감시켰다. 이는 TOPE가 핵산대사에 관여됨을 시사해 주는 것으로써 오이자엽 및 벼 근에 TOPE를 처리했을 때 RNA 및 단백질보다 DNA의 증가가 보다 빠른 시기에 일어났다. 따라서 TOPE가 처리되면 비정상적인 핵산대사 촉진으로 인해 제반 생리작용이 교란되고 이어 엽신부의 고사와 분열이상 등의 제초활성이 발현되는 것으로 생각된다.

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Pemetrexed as a Component of First-, Second- and Third-line Chemotherapy in Treating Patients with Metastatic Lung Adenocarcinoma

  • Huang, Xin-En;Tian, Guang-Yu;Cao, Jie;Xu, Xia;Lu, Yan-Yan;Wu, Xue-Yan;Liu, Jin;Shi, Lin;Xiang, Jin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6663-6667
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    • 2013
  • Purpose: The current research was conducted to investigate the efficacy and safety of pemetrexed given continuously as a basement agent for first-, second- to third line chemotherapy of patients with metastatic lung adenocarcinoma. Patients and Methods: Patients with metastatic lung adenocarcinoma who were diagnosed in Jiangsu Cancer Hospital and Research Insitute, were enrolled. All received pemetrexed 500 $mg/m^2$ (intravenous; on day 1), and another chemotherapieutic agent every 3 weeks until disease progression, or intolerable toxicity. Then the patients were changed to a second line chemotherapy that was still based on pemetrexed 500 $mg/m^2$ and another chemotherapeutic agent differing from the first line example, until disease progression, or intolerable toxicity. When third line chemotherapy was needed, pemetrexed 500 $mg/m^2$ and another new chemotherapeutic agent were combined until disease progression. Evaluation of efficacy was conducted after two cycles of chemotherapy using the Response Evaluation Criteria for Solid Tumors. Toxicity was recorded according to NCI Criteria for Adverse Events version 3.0. Results: From January 2010 to September 2013, 15 patients were enrolled. Their median age was 56 years (range 43 to 77 years). Eight patients were male and 7 female. Five patients (33.3%) achieved PR, while 6 patients (40.0%) remained stable, no CR on first line; and 1 PR (7.7%), 5 stable (38.5%) were recorded when pemetrexed was ordered in second line; 5 patients (41.7%) were stable after pemetrexed was combined in third line; no complete response was observed. Main side effects were grade 1 to 2 neutrophil suppression and thrombocytopenia. Other toxicities included elevated transaminase and oral mucositis, but no treatment related death occurred. Conclusions: Pemetrexed continuously as a basement agent from first-, second- to third line chemotherapy is mildly effective in treating patients with metastatic lung adenocarcinoma with tolerable toxicity.

Mouse의 신장상피세포에서 패장(敗醬)추출물이 산화 스트레스 및 NF-${\kappa}B$ signaling에 미치는 영향 (The Effect of Patriniae Radix on the Oxidative Stress and the NF-${\kappa}B$ Signaling in Mouse LLC-$PK_1$ Cell)

  • 김현영;장수영;최규호;신현철
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.153-165
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    • 2010
  • Objectives : The aims of this study were to investigate the cytoprotective, antioxidative and inflammation genes inhibitory effects of Patriniae Radix on the mouse LLC-$PK_1$ cells (renal epithelial cells). Methods : The cytoprotective effect of Patriniae Radix was evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The antioxidative effect was measured in terms of generation amount of superoxide anion radical (${\cdot}{O_2}^-$) by 2',7'-dichlorodihydrofluorescein diacetate (DCFDA), nitric oxide (NO) by 4,5-diaminofluorescein (DAF-2), peroxynitrite ($ONOO^-$) by dihyldrorhodamine 123 (DHR 123) and prostaglandin $E_2$ ($PGE_2$) by $PGE_2$ immunoassay on $H_2O_2$-treated LLC-$PK_1$ cells. For measuring of inflammation genes inhibitory effects, western blot was performed to detect IKK-$\alpha$, phospho-$I{\kappa}B-\alpha$, NF-${\kappa}B$ (p50, p65), COX-2, iNOS, IL-$1{\beta}$ and VCAM-1 protein level in cytosol fractions from LLC-$PK_1$ cells. Results : Patriniae Radix extract reduced the $H_2O_2$-induced cell death and inhibited the amount of $H_2O_2$-induced ${\cdot}{O_2}^-$, NO, $ONOO^-$, $PGE_2$ generation dose-dependently on the mouse LLC-$PK_1$ cells in vitro. Also Patriniae Radix extract inhibited the expression of IKK-$\alpha$, phospho-$I{\kappa}B-\alpha$, COX-2, iNOS, IL-$1\beta$ and VCAM-1 genes dose-dependently by means of decreasing activation of NF-${\kappa}B$. Conclusions : According to above results, it was identified that Patriniae Radix had the cytoprotective, antioxidative and inflammation genes inhibitory effects. So it was suggested that Patriniae Radix would be effective to the treatment for the inflammatory process and inflammation-related diseases.

개에서 새로운 캄토테신계 항암제 CKD-602의 단회투여독성시험 (Single dose toxicity study of CKD-602, a new camptothecin anticancer agent, in Beagle dogs)

  • 김종춘;신동호;박승춘;손우찬;차신우;한정희;배주현;서정은;정문구
    • 대한수의학회지
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    • 제44권1호
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    • pp.49-55
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    • 2004
  • The present study was carried out to investigate the potential acute toxicity of CKD-602 by a single intravenous dose in Beagle dogs. The test chemical was administered intravenously to male and female Beagle dogs at dose levels of 0.3, 0.5, or 2.5 mg/kg. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period following the administration. At the end of 14-day observation period, all animals were sacrificed and complete gross postmortem examinations were performed. All males and females of the 2.5 mg/kg dose group were found dead between the fourth and seventh day after the injection. Treatment related clinical signs, including vomiting, anorexia, mucous stool, diarrhea, and no stool were observed. Decrease or suppression of body weight was observed in a dose-dependent manner. In autopsy, dark red discoloration of the gastrointestinal tract, atrophy of the thymus, paleness of the spleen, sporadic dark red spots of the lung and petechia of the heart were observed in dead animals of the 2.5 mg/kg dose group. There were no specific adverse effects on males and females of the 0.3 and 0.5 mg/kg dose groups, except for the transient clinical signs such as anorexia, vomiting, and mucus/no stool. On the basis of the results, it was concluded that a single intravenous injection of CKD-602 to Beagle dogs resulted in increased incidence of abnormal clinical signs and death, decreased body weight, and increased incidence of abnormal gross findings. The absolute toxic dose of this chemical was 2.5 mg/kg for both genders. The $LD_{50}$ value was 1.1 mg/kg (95% confidence limit not specified) for both genders. The no-observed-effect level (NOEL) was considered to be below 0.3 mg/kg for both genders.

농작업재해 감시체계 개발 (A study on the Development of Surveillance System for Agricultural Injuries in Korea)

  • 고재우;권순찬;김경란;이경숙;장은철;권영준;류승호;이수진;송재철
    • 농촌의학ㆍ지역보건
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    • 제32권3호
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    • pp.139-153
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    • 2007
  • Injury in agriculture is a serious public health issue with a major impact on the lives of Korean farmers. It is one of the leading causes of death and is also a major cause of longand short-term disability. In 2001, the social cost of one accident in agricultural machinery was estimated as 97.7-97.8 million won that is 4 fold of farm household income in Korea. Effective prevention and control of injuries requires a system of surveillance that monitors the incidence of injuries, their causes, treatment and outcomes. This requires an integrated system of data collection, analysis and interpretation and communication. Creating effective injury surveillance system in Korea requires to establish a framework for a national agenda. Discussions regarding the development of the framework should address, but not be limited to issues related to Data Holdings and Linkages; Capacity and Skills; Communication; Interconnection; and Surveillance Products. Ideally, an injury surveillance system would meet the information requirements across all sectors, while allowing each to have the ongoing information it needs for its policy and programming needs. This study was carried out to develop a surveillance system of agricultural injuries in Korea. Study subjects were residents who lived in a typical agricultural area (Yangpyung area in Kyung-gi province). The main data sources were reports of village headmen, compared with data of 'National Emergency Management Agency', 'National Health Insurance Corporation', 'Insurance of National Agricultural Cooperative', and 'Emergency Medical Centers'. Each data were reviewed to validate the strengths and weaknesses.

Caffeic acid phenethyl ester의 처리에 의한 NSAID activated gene-1의 과대발현 (Over-expression of NSAID Activated Gene-1 by Caffeic Acid Phenethyl Ester)

  • 장민정;김효은;손성민;김민정;서을원;김영호;김종식
    • 생명과학회지
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    • 제19권12호
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    • pp.1787-1793
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    • 2009
  • 파이토케미칼의 일종인 CAPE가 암세포 생장에 미치는 영향과 유전자 발현을 연구하기 위하여, 인간 대장암 세포주 HCT116에 CAPE를 처리하였다. CAPE의 처리는 농도 의존적으로 암 세포 생존율을 감소시키고, 세포사멸을 유도함을 확인하였다. CAPE에 의해 차별적으로 발현되는 유전자를 분석하기 위하여, oligo DNA microarray 실험을 수행하였다. 그 결과, $20{\mu}M$ CAPE를 24시간 동안 처리한 경우, 2배 이상 발현이 증가되는 유전자 266개, 2배 이상 발현이 감소되는 유전자 143개를 확인하였다. 발현이 증가되는 유전자중 3개(NAG-1, p21, GADD45A)를 선택하여, RT-PCR을 수행하였다. 그 결과, 모든 유전자의 발현이 마이크로어레이 실험결과와 일치하였다. 또한, CAPE를 농도 의존적으로 처리한 후, NAG-1 유전자와 단백질의 발현을 확인한 결과, mRNA 수준과 단백질 수준에서의 발현양상이 동일함을 확인하였다. 게다가, CAPE를 포함한 5개의 다른 종류의 파이토케미칼(resveratrol, genistein, daidzein, capsaicin)을 처리한 경우, 처리한 모든 파이토케미칼에 의해 NAG-1 유전자의 발현이 증가됨을 확인하였다. 이중 CAPE가 가장 낮은 농도의 처리임에도 불구하고 NAG-1의 발현을 가장 강하게 유도하였다. 결론적으로 이러한 연구결과는 CAPE에 의한 세포사멸은 항암유전자인 NAG-1의 과대발현과 밀접한 관련이 있음을 의미한다.

병기 IIa, IIb 자궁경부암에서 방사선치료와 Hydroxyurea 병합치료 결과 (Hydroxyurea with Radiation Therapy of the Carcinoma of the Cervix IIA, IIB)

  • 김진희;윤선민;김옥배
    • Radiation Oncology Journal
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    • 제13권4호
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    • pp.369-375
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    • 1995
  • 목적 : 종양의 크기가 큰 외장성 이나 내장성의 병기 IIa, IIb 자궁경부암 환자에서 방사선치료와 hydroxyurea 동시병합치료의 효과에 대한 후향적 연구를 시행하였다. 방법 : 1989년 8월부터 1991년 5월까지 계명대학교 동산의료원 치료방사선과에서 방사선치료와 방사선 감작제로 hydroxyurea 병합치료를 받은 종양의 크기가 3cm 이상인 외장성이나 재장성의 병기 IIa, IIb 자궁경부암환자 64명을 대상으로 하였다. 병기 IIa가 29명, 병기 IIb가 35명이었고 평균연령은 53.8세이었다. 최장기 및 평균 추적기간은 각각 68개월, 57개원이었다. 방사선치료는 외부방사선치료로 전골반강에 하루에 180cGy로 분할하여 3600-5400 cGy 조사하고 양편자궁주위에 조사량이 4500-6300 cGy 되도록 $4{\times}10cm$ 중간차폐를 하여 조사한 후 강내조사를 하였다(전체 조사량이 A 지점에 7100-7500cGy). Hydroxyurea는 방사선치료를 하는동안 1.0gm/day 1회 경구투약 하였다. 결과 : 완전관해율은 89.1%, 5년생존율은 병기 IIa에서 78.8%, 병기 IIb에서 72.8% 이었고 전체 재발률은 25% (16/64) 이었다. 23%에서 3도이상의 백혈구 감소증을 보였고 4%에서 3도이상의 혈소판감소증을 보였으나 자연적으로 회복되었고 3도이상의 빈혈, 위장관계 및 비뇨생식계 합병증은 없었고 치료에의한 사망은 없었다. 결론 : 위와 같은 결과로 볼때 종양의 크기가 큰 외장성 또는 내장성의 병기 IIa 자궁경부암에서 방사선치료과 방사선 감작제로써 hydroxyurea의 병용은 심각한 합병증 없이 생존률을 향상시킬 수 있을것으로 사료된다.

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'선한 사마리아인 법'에 따른 민사책임의 감경 - 응금의료에 관한 법률 제5조의2을 중심으로 - (Exemption from Civil Liability in the Good Samaritan Law)

  • 김천수
    • 의료법학
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    • 제15권2호
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    • pp.31-60
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    • 2014
  • In this paper the good Samaritan civil liability is argued. In many cases some damage could be caused by an emergency medical service. In such situations the degree of duty of care taken by the service provider would be alleviated depending upon the degree of emergency. Then the service provided by anyone not carrying any duty to do so could be generally ruled by the 'Korean Civil Act' Article 735. This article is related to the management of affairs in urgency. The application of this article means the mitigation of civil liability of the service provider. If the service provider not carrying any duty to provide it "has managed the affairs" of the service "in order to protect the" victim "against an imminent danger to the latter's life", the provider "shall not be liable for any damages caused thereby, unless he acted intentionally or with gross negligence". Korea has another rule applied in such a situation, that is the Korean 'Emergency Medical Service Act' Article 5-2. This article is established for the exemption from responsibility for well-intentioned emergency medical service. It could be referred to as the Good Samaritan law. It provides: "In cases where no intention or gross negligence is committed on the property damage and death or injury caused by giving any emergency medical service or first-aid treatment falling under any of the following subparagraphs to an emergency patient whose life is in jeopardy, the relevant actor shall not take the civil liability ${\cdots}$" In this paper the two articles is compared in the viewpoints of the requirements for and effects of the application of them respectively. The 'Korean Civil Act' Article 735 is relatively general rule against the the Korean 'Emergency Medical Service Act' Article 5-2 in the same circumstance. Therefore the former could be resorted to only if any situation could not satisfy the requisites for the application of the latter. In this paper it has suggested that the former article be more specific for the accuracy of making decision to apply it; and that the latter be revise in some requirements including the victim, the service provider, and the service.

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LMK02의 Sprague-Dawley 랫드를 이용한 4 주간 반복 경구투여 DRF 독성시험 (4 Weeks Repeated Oral Dose Toxicity Studies with LMK02-Jangwonhwan in SD Rats)

  • 류영수;김지훤;박현제;이경희;이종화;강형원
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1034-1041
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    • 2010
  • The oriental medicine Jangwonhwan, which is a boiled extract of 12 medicinal herbs/mushroom, has been prescribed for patients with cognitive dysfunction and it is originally from the Korean medical text, DonguiBogam(amnesia chapter). Recently, a modified recipe of Jangwonhwan (LMK02-Jangwonhwan) consisting of seven medicinal plants/mushroom, was shown to reduce ${\beta}$-amyloid deposition in the brain of Tg-APPswe/PS1dE9 mouse model of Alzheimer disease. The toxicity of LMK02 was investigated in SD rats by oral repeated adminstration for 4 weeks and we tried to determine test does for 13 weeks repeated study. Quality control of tablet form of LMK02 was established by estimating indicative components, Ginsenoside Rg3 of Red Ginseng and Decursin of Angelicagigas Nakai. The toxicity of LMK02 was investigated in 6 weeks old specific pathogen free (SPF) Sprageu-Dawley rats by oral administration. Each test group were consist of 5 male and 5 female and they received doses of 500, 1,000 and 2,000 mg/kg/day of test substance for 4 weeks. The clinical signs, death rate, body weight, food consumption, ophthalmic examination, urinalysis, hematological and serum biochemistry, organ weight and pathological changes were examined and compared with those of control group. Urinalysis : We observed increase of PRO(p<0.01), SG(p<0.01) in female rats of 1,000 mg/kg/day and 2,000 mg/kg/day(p<0.01). Also, we observed increase of pH and KET in female rats of 1,000 mg/kg/day(p<0.05) and of 2,000 mg/kg/day(p<0.01). WBC in female rats in 1,000 mg/kg/day and 2,000 mg/kg/day were on increase. Hematological test : We observed increase of MCV in male rats of 250 mg/kg/day. (p<0.05) Serum biochemistry test : We found increase of CHO in female rats of 2,000 mg/kg/day(p<0.05). During the experimental period, there were no animals dead or moribund. There were no treatment related changes of general symptom, food and water consumption, organ weight and autopsy According to the results of 4-week repeated dose range finding study, the highest dose was established as 1000 mg/kg for 13-week repeated dose toxicity study and we determined to put 2 more groups by common ratio two.

소 수정란 이식에서의 배사멸과 임신율 (Embryonic Mortality and Pregnancy Rate in Bovine Embryo Transfer)

  • 김창근
    • 한국수정란이식학회지
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    • 제6권2호
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    • pp.1-17
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    • 1991
  • It is widely recognized that the embryonic or fetal loss after breeding is common in the cattle and that it is an important factor affecting reproductive efficiency. The causes of this loss have been subject of extensive researches and the results indicate that the embryonic mortality may he primary factor responsible for low pregnancy rates in non-embryo transfer bovine populations as well as embryo transfer programs. However, it's causes are still not clearly understood. The embryonic mortality or pregnancy rate has been influenced by various embryonic and maternal effects related to genetic and environmental factors. The timing and extent of embryonic mortality vanes greatly according to authors and estimating methods, because it is difficult to make direct measurements. The major important factors that may influence the embryonic losses or pregnancy rates after embryo transfer can be summeirized. 1.When an embryo is transferred to unmated recipients, the contralateral transfer to corpus luteum results in a lower survival rate than ipsilateral deposition. When the embryos are transferred for the production of twin calves, their survivals and twin pregnancies have quite inconsistent according to the transfer methods either to the unmated-synchronized or already mated recipients and more works are needed to accurrately clarify the previous results. 2.Although embryos can be cultured in vitro some hours without the great declines in pregnancy rates, the rates differ markedly among culture times and media but may be improved by co-transfer systems. 3.Embryo developmental stages and quality grades clearly affect the survival rate following freezing and the pregnancy rate after transfer and the selection of embryos without chromosome abnormalities and of high fertile semen may also be considered to increase the pregnancy rates. 4.Many researches have attempted to relate the plasma progesterone levels to pregnancy rates and others have done either direct progesterone supplementation or luteal stimulation by hCG treatment in order to increase the pregnancy rates. However, these effects on pregnancy rates are inconsistent and also contradictory. 5.The asynchrony between donors or embryos and recipients may he a major cause of embryo death and low pregnancy rate and the sensitivity to uterine asynchyony differs in according to the quality and stages of embryos. 6.The extremes of poor or over nutrition during early pregnancy in the recipients are detrimental to the survival of embryos and the good body condition is required to prevent a reduejion of pregnancy rates. The uterine pathogens in embryonic mortality or fertility have been questioned but the infection of C.pyogenes and Campylobacter fetus is still important pathogens. 7.The heat stress during early pregnancy may reduce conceptus weight and possibly increase the embryonic mortality.

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