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BEZA or Bangladesh Economic Zone Authority recruitment exam question solution. The TAM-TB
assay detected culture-confirmed cases with a sensitivity of 83% and a specificity of 97%.
Environmental exposure to many of these organisms is common, but most exposures do not cause
infection and many infections. The most common mycobacterial infection is tuberculosis; others
include leprosy Leprosy Leprosy is a chronic infection usually caused by the acid-fast bacilli
Mycobacterium leprae or the closely related organism M. It was an important drug for MDR-TB
because isolates resistant to streptomycin are often susceptible to capreomycin, and it is somewhat
better-tolerated than aminoglycosides when prolonged administration is required. Cavitary disease is
less common than in adults, and most children harbor far fewer organisms and are not contagious.
Foci of bacilli in the lung or other sites resolve into epithelioid cell granulomas, which may have
caseous and necrotic centers. In addition TB spreads through air and a person may be exposed when
in contact with a TB patient who coughs, sneezes, or talks (Mayo Foundation, 2009). Dr. Vinod
Kumar Kanvaria catch-up-friday-ARALING PNLIPUNAN SOCIAL JUSTICE AND HUMAN
RIGHTS catch-up-friday-ARALING PNLIPUNAN SOCIAL JUSTICE AND HUMAN RIGHTS
CarlaNicolas7 Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN
PHYSICAL EDUC. Like the TST, IGRAs do not distinguish active from latent TB and although
lymphocyte hypersensitivity occurs in both conditions, because in vitro lymphocyte stimulation with
TB antigens is brief, IGRAs are thought more likely to reflect recent (sensitized circulating
lymphocytes) rather than remote (sensitized memory lymphocytes) TB infection. Lipoarabinomannan
(LAM) is a glycolipid found in the outer cell wall of. Acute respiratory distress syndrome Acute
Hypoxemic Respiratory Failure (AHRF, ARDS) Acute hypoxemic respiratory failure is defined as
severe hypoxemia (PaO2 (See also Overview of Mechanical Ventilation.) Airspace filling in acute
hypoxemic respiratory failure (AHRF) may result. Symptoms include. read more. Case rates vary
widely by country, age, race, sex, and socioeconomic status. In all, 40 compounds were tested for
antimycobacterial. Moxifloxacin appears to be as active as isoniazid when used with rifampin or
rifapentine. Table 1: Primary antimycobacterial and cytotoxicity screening of diverse quinolinyl.
Streptomycin, the first and once the most commonly used injectable, is now uncommonly used and
is increasingly difficult to obtain because of its replacement by newer injectable and oral second-line
drugs. During 2020, 71% of US TB cases occurred in patients born outside the US in high-
prevalence areas. Initial tests are chest x-ray and sputum examination and culture. Extrapulmonary
TB Extrapulmonary Tuberculosis (TB) Tuberculosis outside the lung usually results from
hematogenous dissemination. To avoid misinterpreting boosting as recent infection in settings where
serial testing is indicated, two-step baseline testing is recommended. Macrophages, T lymphocytes,
B lymphocytes, and fibroblasts aggregate to form. Clinical presentation of active TB in children
varies, making the diagnosis challenging. The lessons learnt will help to inform future clinical studies
of new diagnostics for tuberculosis. Sample thesisdissertation approval tda form masters students.
Corticosteroids are sometimes used to treat TB when inflammation is a major cause of morbidity and
are indicated for patients with acute respiratory distress syndrome or closed-space infections, such
as meningitis and pericarditis. In such cases, treatment can be started based on local drug
susceptibility patterns. It remains the single most useful and least expensive drug for TB treatment.
Kotapalli, Ramesh Ummanni, Ramakrishna Munnaluri, Yamini Lingala, Vijjulatha.
After 2 months of intensive 4-drug treatment, PZA and usually EMB are stopped, depending on the
drug susceptibility pattern of the original isolate. Affected tissue is replaced by scarring and cavities.
Une importante heterogeneite est demeuree meme dans les sous-groupes. TB disease can be caused
by more than one strain, each with different drug resistance patterns, especially in settings of high
transmission. Although late reactivation is well documented, most reactivation of latent infection
occurs within a year to 18 months of initial infection. Decades of uncontrolled use—often as
monotherapy—in many countries (especially in East Asia) have greatly increased the percentage of
resistant strains. The increase in free oleic acid concentration could be due to the decrease in
tuberculostearic acid seen during the total fatty acid analysis, since oleic acid is the substrate for
tuberculostearic acid biosynthesis. CGIAR Generation Challenge Programme EFFECT OF
DIETARY ORGANIC SELENIUM SUPPLEMENTATION ON MASS AND ENZYME ACTIVIT.
When airborne phlegm contaminated with the bacillus Mycobacterium tuberculosis is inhaled,
nodular lesions, called tubercles, may form in the lungs and spread through the nearest lymph node.
Healthcare personnel entering the room should wear a respirator (not a surgical mask) that has been
appropriately fitted and that meets National Institute for Occupational Safety and Health
certification (N-95 or greater). Standardised clinical case classifications based on microbiological and
clinical findings served as a comparator. Clinically, it is useful to remember that recently infected
people are at greatest risk of reactivation and that, if they are immunocompetent, they usually have a
vigorous immune response, manifested by a large TST or interferon gamma release test ( IGRA
IGRA (interferon-gamma release assay) Tuberculosis is a chronic, progressive mycobacterial
infection, often with an asymptomatic latent period following initial infection. If this dose is
tolerated (typically in about half of patients), the full dose may be restarted with close monitoring
for recurrence of symptoms and deterioration of liver function. DISCOURSE: TEXT AS
CONNECTED DISCOURSE DISCOURSE: TEXT AS CONNECTED DISCOURSE Andreas
Schleicher - 20 Feb 2024 - How pop music, podcasts, and Tik Tok are i. This bacterium spreads
rapidly from person to person by a simple cough or sneeze. Larger droplets tend to lodge in the more
proximal airways and typically do not result in infection. However, most (about 95%) primary
infections are asymptomatic. In some studies, IGRAs appear to perform better than the TST in
immunocompromised patients, although this advantage has not yet been established. Currently, none
of the diagnostics fully concurs with the requirements of the target product profiles. To test for drug
resistance, molecular beacons (detection of mutations associated with drug resistance), line probe
assays (DNA strip test that reverse hybridization method), and phage-based assays (amplification of
phages) are used (Nahid et al, 2006). The diameter of induration (not erythema) transverse to the
long axis of the arm is measured 48 to 72 hours after injection. Extrapulmonary TB Extrapulmonary
Tuberculosis (TB) Tuberculosis outside the lung usually results from hematogenous dissemination.
Among household contacts, and in other settings where recent transmission is considered certain,
TST results average about 17 mm in induration. The cohorts were quite heterogeneous in
characteristics and outcomes. The paper presents tuberculosis is a deadly disease caused by an
invading bacterium inside the body. The most common acid-fast staining techniques are the.
However, the results of recent trials of all-oral regimens for DR-TB using novel drugs is changing the
success rate, tolerability, and cost of treating DR-TB. They are distinguished by a complex, lipid-rich
cell envelope that makes them acid-fast (ie, resistant to decolorization by acid after staining with
carbolfuchsin) and relatively resistant to Gram stain. Teams Enable groups of users to work together
to streamline your digital publishing. See also the Official American Thoracic Society, Centers for
Disease Control and Prevention, and the Infectious Diseases Society of America's 2016 Clinical
Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis.
For patients who are highly contagious as evidenced by multiple family members with disease or
positive skin tests, even relatively casual contacts (eg, passengers on the bus they ride) should be
referred for skin testing and evaluation for latent infection Screening for TB Tuberculosis is a
chronic, progressive mycobacterial infection, often with an asymptomatic latent period following
initial infection. Overall average efficacy is probably only 50%, but BCG clearly reduces the rate of
extrathoracic TB in children, especially TB meningitis, and may prevent TB infection. The accuracy
of a novel immunodiagnostic test -the TAM-TB assay- to identify children with active tuberculosis
has been evaluated in a proof-of-concept study with 130 children in Tanzania. This prophylactic
combination is not recommended for children In 2020, nitrosamine impurities were found in samples
of RIF and rifapentine. There were no differences in serious adverse reactions between the 4- and 6-
month regimens. Table Second-line drugs for TB Other antibiotics are active against TB and are used
primarily when patients have drug-resistant TB (DR-TB) or do not tolerate one of the first-line
drugs. Symptoms include. read more or XDR-TB on a regular basis. Masters students students
adviser at least one signature in the adviser approval section or additional approval section must be
that of a graduate faculty member department head. Infectious foci may leave fibronodular scars in
the apices of one or both lungs (Simon foci, which usually result from hematogenous seeding from
another site of infection) or small areas of consolidation (Ghon foci). A potentially more serious,
widespread form of TB is. Middle and lower lung infiltrates are nonspecific but should prompt
suspicion of primary TB in patients (usually younger) whose symptoms or exposure history suggests
recent infection, particularly if there is pleural effusion. Those with x-ray abnormalities suggesting
TB require evaluation for active TB as above Diagnosis Tuberculosis is a chronic, progressive
mycobacterial infection, often with an asymptomatic latent period following initial infection.
Formatting An optional research article manuscript template can be downloaded. Official American
Thoracic Society, Centers for Disease Control and Prevention, and the Infectious Diseases Society of
America: Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis (2016) Centers
for Disease Control and Prevention (CDC): Updated guidelines for testing of latent TB infection
CDC: Treatment Regimens for Latent TB Infection (LTBI) CDC: TB Treatment Guidelines. Surgery
is not widely available in high-burden areas. Inhibitors of the enzymes producing mycothiol have
been isolated in the hope that they could lead to new drug development,, but a mycothiol-deficient
M. It may be due either to better air flow, or to poor. S.No Addition Sequence Catalyst Solvent
Tempa Timeb Yieldc. Latent TB infection occurs after most primary infections. In this way, the
organism can become resistant to multiple antibiotics in steps, a process that can occur rapidly even
though plasmid transfer among mycobacteria does not play a role. If recurrent testing for LTBI is
indicated, a second TST should be done (on the opposite forearm) 1 to 4 weeks after the first to
identify a booster reaction (because conversion due to infection during that brief interval is highly
unlikely). Also antimicrobial and anti-inflammatory activities were also carried out. Because both
symptoms are reversible if detected early, patients should have a baseline test of visual acuity and
color vision and should be questioned monthly regarding their vision. An unknown percentage of
primary infections resolve spontaneously, but the majority are followed by a latent (dormant) phase.
About 25% of people may not have any symptoms (i.e. they. Sometimes infection directly extends
from an adjacent organ. Symptoms include. read more or XDR-TB Drug resistance Tuberculosis is a
chronic, progressive mycobacterial infection, often with an asymptomatic latent period following
initial infection. The area under the receiver operating characteristic curve for the detection of
culture-positive pulmonary tuberculosis was 0.84, which indicates that CAD4TB can accurately
differentiate between tuberculosis cases and controls. The idea is to retest people with a negative
TST result within a 1 to 4 weeks to see whether there is recall of previous hypersensitivity. Data
analysis was performed using the 64 unique cohorts reported by the 72 articles.
Tuberculosis prevention and control efforts primarily rely on the vaccination of. The use of rapid
molecular testing for TB and rifampin resistance has been shown to reduce the propagation of DR-
TB. New Innovations in Ultra High Performance Liquid Chromatography and Liquid Ch. Most
people who are exposed are asymptomatic, the body may be infected with the bacterium but the
immune system often prevents manifestation of the disease and the bacterium remains in inactive
state and is not contagious. A number of factors make people more susceptible to TB infections. The
most. Previously treated TB cases multidrug resistance (%) 17. In the early 1990s, half of patients
coinfected with TB and HIV who were untreated or infected with a multidrug-resistant strain died,
with median survival of only 60 days. Symptoms include. read more ). Drug toxicity of linezolid was
the major limitation of the trial, but subsequent trials are testing lower doses of linezolid and other
variations of all-oral regimens for highly DR-TB. Tuberculin sensitivity is antigen-specific in nature
and develops after the primary infection. QR Codes Generate QR Codes for your digital content.
This finding appears to be true even in most drug-resistant cases (when effectively treated).
Chromatography: Meeting the Challenges of EU regulations with up-to-date Conf. Popularly known
as Mantoux test involves injecting the purified protein derivative. Symptoms include. read more or
XDR-TB on a regular basis. Infectious foci may leave fibronodular scars in the apices of one or both
lungs (Simon foci, which usually result from hematogenous seeding from another site of infection) or
small areas of consolidation (Ghon foci). Newer, shorter, more effective (noninjectable) treatment
regimens combined with adverse effect management, community outreach, and social support have
resulted in more favorable downward epidemiologic trends for drug-resistant TB globally, especially
in a few areas (eg, Peru, the Tomsk region of Russia). However, there is strong evidence indicating
that effective treatment stops transmission much more quickly, within hours or days of initiation
through sublethal effects on organisms, which is long before sputum conversion by sputum smear or
culture (usually takes 2 months). It sometimes causes typical symptoms of viral hepatitis, including
anorexia, malaise, and jaundice but may be asymptomatic. EWMA 2013 - Ep473 -A new anti-
biofilm dressing Demonstration of enhanced silv. Sometimes infection directly extends from an
adjacent organ. Each one of these droplets may transmit the disease. Kanamycin and amikacin may
remain effective even if streptomycin resistance has developed. For highly drug-resistant TB, the
consequences of transmission are greater and the response to treatment may be slower, so greater
caution is used before transmission control precautions are removed. India and China are
implementing countrywide MDR-TB programs, and the future of MDR-TB may be greatly
influenced by the success or failure of these programs. Epidemiology references 1. Interferon-?
release assays and tuberculin skin tests are of little use in the developing. Repeated administration of
TSTs can cause the immune system to recall previous hypersensitivity that has waned over time, so-
called boosting. Introduction of Mycobacterium tuberculosis, Quinoline and their. Patients with
cavitary disease (which is closely associated with mycobacterial burden in sputum) are more
contagious than those without. This use of NAAT has not been approved, but it can be extremely
useful, although positive and negative predictive values have not been established. The author
outlines three solutions to fight with this disease that are all important and should be practiced by the
governments and the public in general.
Upload Read for free FAQ and support Language (EN) Sign in Skip carousel Carousel Previous
Carousel Next What is Scribd. Chronic lung disease is another significant risk factor. Rifampin
(RIF), given orally, is bactericidal, is well-absorbed, penetrates well into cells and cerebrospinal fluid,
and acts rapidly. MODS trial is still the predominant testing tool in developing countries while NAA
is available in developed countries (Mayo Foundation, 2009). Symptoms and Signs of TB Primary
infection is almost always asymptomatic, but when symptoms occur, they typically are nonspecific
and include low-grade fever and fatigue without a prominent cough. The treatment of multi drug
resistant tuberculosis (mdr-tb) with sirturo (be. Affected tissue is replaced by scarring and cavities.
Many of these people show no reaction to any skin test (anergy). EWMA 2013 - Ep473 -A new anti-
biofilm dressing Demonstration of enhanced silv. Recently uploaded ACR-2ND-QUARTER-
PORTFOLIO-DAY-JRNHS (1).docx ACR-2ND-QUARTER-PORTFOLIO-DAY-JRNHS (1).docx
JoeMarieVelasquez1 (17-02-24) UI and UX Designers in the UK! (17-02-24) UI and UX Designers
in the UK. Inhaling the droplets via airborne from the person infected with TB by another person
standing close to the carrier will surely make the person the new TB bacteria carrier. Overview of
Tuberculosis (TB) VIDEO General reference 1. Patients with a positive TST or IGRA result are
evaluated for other clinical and epidemiologic risk factors and have a chest x-ray. Another recent
advance in diagnosing TB is the nuclear acid amplification (NAA) which detects genes associated
with drug resistance. EduSkills OECD BTKi in Treatment Of Chronic Lymphocytic Leukemia BTKi
in Treatment Of Chronic Lymphocytic Leukemia Faheema Hasan EDL 290F Week 1 - Meet Me at
the Start Line.pdf EDL 290F Week 1 - Meet Me at the Start Line.pdf Elizabeth Walsh Unleashing
the Power of AI Tools for Enhancing Research, International FDP on. BEZA or Bangladesh
Economic Zone Authority recruitment exam question solution. Symptoms include. read more and
preventive treatment Treatment of LTBI Tuberculosis is a chronic, progressive mycobacterial
infection, often with an asymptomatic latent period following initial infection. TB disease can be
caused by more than one strain, each with different drug resistance patterns, especially in settings of
high transmission. The most common mycobacterial infection is tuberculosis; others include leprosy
Leprosy Leprosy is a chronic infection usually caused by the acid-fast bacilli Mycobacterium leprae
or the closely related organism M. Of the two, Pulmonary Tuberculosis is most common cause of
death in the developing and under-developed countries. GIFs Highlight your latest work via email or
social media with custom GIFs. The evolution of all-oral, shorter, better tolerated regimens for highly
DR-TB is a landmark in global TB control, but a major commitment from countries to diagnose and
effectively treat such cases and prevent their spread is still required. Medication can help get rid of
the inactive bacteria before. The performance of CAD4TB was better in HIV-negative compared to
HIV-infected individuals. Unlike COPD, tuberculosis is a contagious disease and the transmission
could be airborne. Furthermore, five of eight children who were culture-negative and TAM-TB assay
positive had highly probable or probable tuberculosis. This use of NAAT has not been approved, but
it can be extremely useful, although positive and negative predictive values have not been
established. In this way, the organism can become resistant to multiple antibiotics in steps, a process
that can occur rapidly even though plasmid transfer among mycobacteria does not play a role. Fully
Automated Online Sample Extraction and Analysis of Mycotoxins in Foods. The increasing
popularity of cheese made from unpasteurized milk raises new concerns if the cheeses come from
countries with a bovine TB problem (eg, Mexico, the United Kingdom).
PZA is commonly used during pregnancy, but its safety has not been confirmed. Tuberculosis of the
lungs may also occur via infection. Some fluoroquinolones ( levofloxacin, moxifloxacin ) are the
most active and safest TB drugs after isoniazid and rifampin; however, until the introduction of the
new 4-month regimen containing moxifloxacin, fluoroquinolones were not first-line drugs for TB
susceptible to isoniazid and rifampin. However, a positive TST result on retesting 1 to 4 weeks after
the first test is assumed to indicate pre-existing latent infection and patients are treated or not treated
based on clinical criteria. Prevention of TB General preventive measures Treatment Tuberculosis is a
chronic, progressive mycobacterial infection, often with an asymptomatic latent period following
initial infection. Patients with a positive TST or IGRA result are evaluated for other clinical and
epidemiologic risk factors and have a chest x-ray. More Information The following are some
English-language resources that may be useful. Symptoms include. read more ). Globally, drug-
susceptible TB incidence and mortality are slowly decreasing. However, the 2020 to 2021 global
COVID-19 pandemic disrupted other public health programs, including TB control, and although it
is too soon to quantify, the WHO predicts a stalling or reversal of these decreasing global trends ( 1
Epidemiology references Tuberculosis is a chronic, progressive mycobacterial infection, often with an
asymptomatic latent period following initial infection. The main symptoms of variants and stages of
tuberculosis are given, with many. The probability of transmission from one person to another
depends upon several. However, the results of recent trials of all-oral regimens for DR-TB using
novel drugs is changing the success rate, tolerability, and cost of treating DR-TB. It may be due
either to better air flow, or to poor. Medication can help get rid of the inactive bacteria before. The
course may be rapid in members of isolated populations (eg, Native Americans) who, unlike many
Europeans and their American descendents, have not experienced centuries of selective pressure to
develop innate or natural immunity to the disease. However, sputum induction is being used in
young children who are able to cooperate. Overall CAD4TB outperformed a clinical officer reading
x-ray images, but did not reach the accuracy of an expert. A thesis abstract is a brief and compact
form a thesis giving the important details and introduction to the thesis. They also are not influenced
by preexisting hypersensitivity from BCG vaccination or infection with environmental mycobacteria
other than M. Introduction of Mycobacterium tuberculosis, Quinoline and their. HIV infection
reduces both inflammatory reaction and cavitation of pulmonary lesions. This prophylactic
combination is not recommended for children In 2020, nitrosamine impurities were found in samples
of RIF and rifapentine. The mean age of participants in the cohorts was 39 years with females
accounting for about one third. GRM 2013: Marker-assisted breeding for improving phosphorus-use
efficiency an. In a given patient, it is difficult to determine whether active disease resulted from
reinfection or reactivation. The cohorts were quite heterogeneous in characteristics and outcomes.
Tips revealed to get you write an attention grabbing thesis abstract. Mayo Foundation for Medical
Education and Research (28 Jan 2009). Manuscript 4: Performance of the novel TAM-TB assay to
diagnose active tuberculosis in children: a prospective, proof of concept, multi-centre study Non-
sputum-based diagnostics are considered as promising solutions in the direction towards improved
diagnosis of paediatric tuberculosis. Still, TB causes or contributes to death in about 10% of cases,
often in patients who are debilitated for other reasons.
In those with HIV, this occurs in more than 50% of cases. Appropriate precautions (eg, negative-
pressure room, N-95 or other fitted respirators) should be used. A survey 1961—1968 in the United
States that examined drug susceptibility results found 3. In a given patient, it is difficult to
determine whether active disease resulted from reinfection or reactivation. In 2020, the WHO
reported 157,903 new cases of MDR-TB worldwide, but this was only 38% of the estimated total
number of cases ( 3 Treatment references Tuberculosis is a chronic, progressive mycobacterial
infection, often with an asymptomatic latent period following initial infection. It's like a masterclass
to be explored at your own pace. Another recent advance in diagnosing TB is the nuclear acid
amplification (NAA) which detects genes associated with drug resistance. There are also bacteria
strains that have proven to be resistant to drugs and quick detection of resistance is necessary to
overall treatment management. These tests should be repeated if patients continue to produce
culture-positive sputum after 3 months of treatment or if cultures become positive after a period of
negative cultures. Lymphadenitis (scrofula) is the most common extrapulmonary manifestation, but
TB may also affect the vertebrae ( Pott disease Tuberculosis of bones and joints ), the highly
vascular epiphyses of long bones, or the central nervous system and meninges. Culture of fresh
specimens remains the gold standard for the detection of M. One in ten latent infections will
progress to active disease. Digital Sales Sell your publications commission-free as single issues or
ongoing subscriptions. It is relatively fast, inexpensive and specific for TB in high incidence areas.
Although. One in ten latent infections will progress to active disease. Clinical presentation of active
TB in children varies, making the diagnosis challenging. The area under the receiver operating
characteristic curve for the detection of culture-positive pulmonary tuberculosis was 0.84, which
indicates that CAD4TB can accurately differentiate between tuberculosis cases and controls.
Clinically, it is useful to remember that recently infected people are at greatest risk of reactivation
and that, if they are immunocompetent, they usually have a vigorous immune response, manifested
by a large TST or interferon gamma release test ( IGRA IGRA (interferon-gamma release assay)
Tuberculosis is a chronic, progressive mycobacterial infection, often with an asymptomatic latent
period following initial infection. Unleashing the Power of AI Tools for Enhancing Research,
International FDP on. Clinical Orthopaedics and Related Research 437: 3—6. Design, diversity
oriented synthesis, primary antimycobacterial activity evaluation against M.smegmatis strain and
library generation of bedaquiline related quinolinyl heterocycles. The primary site of infection in the
lungs, known as. One-third of the world's population is thought to have been infected with M. This is
a hand-held device which incorporates a rapid. Table 2: Antimycobacterial activity of quinolinyl
oxadiazoles pyrazolines and. However, molecular drug susceptibility testing is increasingly replacing
culture-based methods. This review of literature will discuss about the possible correlation of COPD
to the acquisition of Pulmonary Tuberculosis. They are the most potent of the second-line drugs used
for drug-resistant TB and require longer treatment regimens.); CDC alternative definition: Resistance
to isoniazid, rifampin, any fluoroquinolone, and either bedaquiline or linezolid (or both) The
diagnosis of MDR-TB and consequent need to use second-line drugs has great significance in terms
of length, cost, and success of treatment. Tuberculosis ( Tb ) Is Infectious Disease Caused By. This
thesis is based on four manuscripts: Manuscript 1: Evaluation of giant African pouched rats for
detection of pulmonary tuberculosis in patients from a high-endemic setting The first manuscript
depicts the evaluation of trained giant African pouched rats for detecting Mycobacterium
tuberculosis in sputum of 469 well-characterised patients with presumptive tuberculosis in a rural
setting of Tanzania.

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