General Article

International locations With Common Well being Care Had Higher Kid Vaccination Charges All through Pandemic

News Picture: Countries With Universal Health Care Had Better Child Vaccination Rates During Pandemic

THURSDAY, Aug. 18, 2022 (HealthDay Information)

International locations which can be nearer to attaining common well being protection noticed smaller declines in regimen adolescence vaccinations right through the pandemic, a brand new find out about unearths.

The International Well being Group describes common well being protection as “all folks and communities obtain the well being services and products they want with out struggling monetary hardship.”

Researchers have been ready to make use of the pandemic as a “herbal experiment” to check variations in adolescence immunization protection in accordance with nations’ development towards common well being protection.

“Our findings strongly recommend that policymakers must proceed to recommend for insurance policies geared toward attaining common well being protection in coming years,” stated the find out about authors, who incorporated Yesim Tozan, an assistant professor at New York College’s Faculty of World Public Well being.

“This find out about additionally units the degree for long term analysis in figuring out the synergistic have an effect on of investments in world well being safety and common well being protection methods on nations’ well being gadget resilience,” they stated.

The workforce used immunization knowledge from WHO/UNICEF, which contains knowledge on 195 nations and 14 adolescence vaccines between 1997 and 2020.

The find out about extensively utilized the 2019 Common Well being Protection (UHC) Carrier Protection Index, a measure that represents degree of protection.

International locations who had a prime UHC index have been related to a 2.7% smaller decline in adolescence vaccination protection right through 2020 when in comparison to nations with a decrease UHC index.

Ahead of the pandemic, nations with a prime UHC index had a mean adolescence immunization protection charge of 92.7%. Through comparability, the ones with a decrease UHC index had a protection charge of 86.2%.

In 2020, the protection charge was once 91.9% in prime UHC nations, whilst it was once 81.7% in nations with a decrease UHC index.

The findings have been printed Aug. 16 within the magazine PLOS Medication.

“The COVID-19 pandemic has affected the supply of crucial well being services and products throughout nations international,” Tozan stated in a magazine information liberate. “This find out about supplied the much-needed quantitative proof of the protecting results of common well being protection in instances of public well being crises.”

Additional information

The International Well being Group has extra on common well being protection.

SOURCE: PLOS Medication, information liberate, Aug. 16, 2022

Through Cara Murez HealthDay Reporter

MedicalNews

Copyright © 2021 HealthDay. All rights reserved.





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Weight problems Charges Over 20% and Proceed to Climb in Children, Teenagers

Obesity Rates Over 20% and Continue to Climb in Kids, TeensThrough Steven Reinberg HealthDay Reporter

For the primary time ever, greater than 1 in 5 American children is overweight.

From 2011 to 2012 and once more from 2017 to 2020, charges of weight problems rose for youngsters between 2 and 5 years of age in addition to 12- to 19-year-olds, a brand new research of national well being survey knowledge displays. And the uptick used to be true for U.S. children of each and every race and ethnic background, in keeping with learn about chief Amanda Staiano.

“The share of youngsters having weight problems larger from 18% within the 2011 cycle to 22% within the 2020 cycle,” mentioned Staiano, director of the pediatric weight problems and well being conduct lab at Louisiana State College’s Pennington Biomedical Analysis Middle in Baton Rouge.

“What’s much more alarming is those knowledge had been all amassed previous to the COVID-19 pandemic, and different knowledge revealed just lately display that children are gaining much more weight on account of restrictions to their vitamin and job all the way through the pandemic,” she mentioned.

Staiano fears the numbers will likely be even worse within the subsequent Nationwide Well being and Diet Exam Survey.

Weight problems has vital well being penalties, she mentioned, from some cancers to diabetes, middle illness, bronchial asthma, joint issues, nervousness and despair.

“Children are bearing the price of this illness, and adults are paying for the added well being care prices of youngsters rising up with illnesses and desiring remedy,” Staiano mentioned. “Children who don’t seem to be consuming nutritious diets generally tend to accomplish worse in class, and so weight problems impacts each and every house of a kid’s existence.”

For the learn about, she and her Pennington Middle colleague Kathy Hu analyzed knowledge on just about 15,000 U.S. youngsters and teenagers who took section within the national well being and diet survey in 2011-2012, 2013-2014, 2015-2016 and 2017-2020.

Amongst 2- to 19-year-olds, weight problems surged from 17.7% between 2011 and 2012 to 21.5% within the 2017-2020 survey.

All through the decade-long span, weight problems charges amongst boys rose from 18% to 21.4%, and amongst ladies from 17% to 21.6%.

Whilst weight problems charges rose considerably in preschoolers and teenagers, they didn’t amongst 6- to 11-year-olds.

Total, weight problems charges for youngsters 2 to 19 rose from 21.8% to 27% amongst Mexican-American citizens; from 19.5% to 23.8% amongst Black children, and from 15% to 18.4% amongst white children, Staiano and Hu discovered.

To lend a hand curb the emerging tide of weight problems, Staiano mentioned medical doctors will have to display screen for and track weight problems and similar illnesses that have an effect on the center, lungs and metabolism. However, she added, fixing the issue would be the paintings of American society as an entire.

“Well being care suppliers will have to supply counseling and evidence-based systems to beef up households to undertake a more healthy way of life,” Staiano mentioned. “Insurance coverage firms will have to observe the Inexpensive Care Act to pay for those weight control products and services in an effort to save you debilitating and expensive illness.”

Prevention and early remedy are essential so children acquire a wholesome quantity of weight, she mentioned.

“Oldsters and children will have to communicate to their medical doctors and college nurses to expand a wholesome consuming and job plan that may paintings for his or her circle of relatives,” Staiano mentioned.

“A large number of weight acquire happens when children are off of faculty all the way through {the summertime}, so group leaders and executive officers will have to suggest for feeding systems to supply wholesome foods all the way through this out-of-school time and to supply camps and systems with structured job all the way through the summer time,” she mentioned.




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Staiano mentioned investments are wanted in way of life and behaviour weight control systems, medicines, and metabolic and bariatric surgical treatment choices for youngsters to decelerate their weight acquire or lend a hand them drop a few pounds in a secure and sustainable approach.

“Civic leaders will have to incentivize grocery retail outlets and nook retail outlets with wholesome meals choices to find in meals deserts and likewise make sure strolling trails and public parks and playgrounds are secure and smartly maintained,” she added.

Dr. David Katz, a expert in preventive and way of life medication and president of the True Well being Initiative in Tulsa, Okla., reviewed the findings.

He mentioned the dropping combat towards adolescence weight problems in The united states has been waged for greater than 3 many years.

“Mentioned bluntly, this a countrywide shame, as a result of this downside is one with dire penalties that lets repair

General Article

U.S. HPV Vaccination Charges Emerging, Even Amongst Boys

Newest Sexual Well being Information

News Picture: U.S. HPV Vaccination Rates Rising, Even Among BoysBy way of Alan Mozes HealthDay Reporter

WEDNESDAY, June 22, 2022 (HealthDay Information)

Increasingly more of The united states’s teenagers are getting vaccinated in opposition to the human papillomavirus virus (HPV), new analysis signifies.

Between 2015 and 2020, the learn about discovered, the share of 13- to 17-year-olds who had gotten a minimum of one dose of the vaccine incessantly higher, emerging from 56% to simply over 75%.

“As well as, the teens who finished their HPV vaccination sequence higher from 40.3% in 2015 to 59.3% in 2020,” mentioned lead researcher Dr. Peng-jun Lu, an epidemiologist with the Nationwide Heart for Immunization and Breathing Illnesses on the U.S. Facilities for Illness Keep an eye on and Prevention, in Atlanta.

That is an important spice up for a debatable vaccine that was once gradual to catch on when it was once offered in the USA in 2006. It’s presented to stop an endemic that reasons quite a lot of sexually transmitted cancers, together with cancers of the cervix, vagina, penis, anus, mouth and throat.

The HPV vaccine is beneficial beginning at age 11 or 12, even though it may be administered as early as age 9, the CDC notes.

Given as a two- to three-dose routine (relying at the age of the preliminary vaccination), it was once at the beginning only for women. However via 2011 it was once beneficial for boys, as neatly.

A 12 months after the vaccine was once beneficial for each and every, best about 25% of ladies and 21% of boys gained it, due partially to a couple oldsters’ issues about providing their children a vaccine tied to illnesses related to sexual task.

Nonetheless, the ones numbers did support through the years. By way of 2015, as an example, about 63% of ladies had gotten a minimum of probably the most beneficial vaccine doses.

And CDC surveys of teenagers between 2015 and 2020 display that the upward development has endured. By way of 2020, about 77% of ladies and 74% of boys had gotten a minimum of one dose.

The 2020 numbers counsel “there have been greater will increase amongst men than women folk in HPV vaccination charges,” Lu famous. After all, the gender hole in vaccine uptake shrank from 13% in 2015 to simply 3% via 2020.

As to what is riding the secure growth, Lu pointed to vaccine training efforts via quite a lot of teams, together with the CDC, state and native well being departments, the American Academy of Pediatrics, the American Academy of Circle of relatives Physicians, American School of Obstetricians and Gynecologists, and the American Most cancers Society.

“The learn about additionally discovered that those that gained a health care provider advice have been a long way much more likely to get an HPV vaccination,” Lu famous.

As relied on resources of well being data, well being care suppliers “can function a key influencer in selections via sufferers to get vaccinated,” Lu added.

However different survey signs paint a much less transparent minimize image as to what is going on.

For instance, teenagers in families wherein the mum was once fairly extra trained have been much less prone to get vaccinated, Lu mentioned. That was once additionally the case amongst children in additional rural spaces.

And, Lu emphasised, the findings don’t bear in mind the COVID pandemic’s have an effect on on vaccine charges.

“We can want further years of survey information to completely assess the have an effect on of the pandemic,” Lu mentioned.

That factor is of explicit worry, mentioned Debbie Saslow, managing director of HPV-Similar and Ladies’s Cancers on the American Most cancers Society. She reviewed the findings.

“The HPV vaccination uptake was once measured prior to the pandemic began,” she mentioned. “We all know there was an overly massive drop in vaccinations within the remaining two years, specifically for the HPV vaccine.”

As well as, Saslow famous that whilst uptake of the HPV vaccine has been step by step and incessantly expanding over a few years, it nonetheless lags a long way at the back of different vaccines given on the identical age.

In that mild, she mentioned, the most productive technique will likely be to inspire docs and nurses to proceed recommending the HPV vaccine.




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The brand new findings have been printed on-line June 22 in Pediatrics.

Additional info

The U.S. Facilities for Illness Keep an eye on and Prevention has extra about HPV vaccination.

SOURCES: Peng-jun Lu, MD, PhD, epidemiologist, Nationwide Heart for Immunization and Breathing Illnesses, U.S. Facilities for Illness Keep an eye on and Prevention, Atlanta; Debbie Saslow, PhD, managing director, HPV-Similar and Ladies’s Cancers, American Most cancers

General Article

Obamacare Would possibly Have Helped Decrease Suicide Charges

Newest Psychological Well being Information

News Picture: Obamacare May Have Helped Lower Suicide Rates

THURSDAY, June 16, 2022 (HealthDay Information)

Suicide charges are emerging extra slowly in states that experience expanded Medicaid underneath the Reasonably priced Care Act (ACA), a brand new learn about unearths.

“Suicide is a public well being downside, and our findings point out that expanding get entry to to well being care — together with psychological well being care — by means of increasing Medicaid eligibility can play the most important position in addressing and lowering the distressing upward thrust of suicide deaths in our nation,” mentioned senior investigator Dr. Laura Bierut, a professor of psychiatry at Washington College College of Drugs in St. Louis.

“Greater get entry to to insurance coverage and to well being care suppliers is a very powerful, and increasing such get entry to national would possibly lend a hand alternate the route of those regularly emerging numbers,” Bierut mentioned in a college information unencumber.

General, suicide charges were expanding in america over the last two decades, emerging a median of about 1% a yr from 1999 to 2006, however mountain climbing by means of 2% a yr from 2006 via 2018.

Bierut and her colleagues analyzed suicide charges in all 50 states and Washington, D.C., from 2000 via 2018, all over which there have been just about 554,000 suicide deaths.

Beneath the ACA, often referred to as Obamacare, states may enlarge Medicaid eligibility starting in 2014. To this point, 39 states have finished so.

From 2011 via 2013, the prevalence of suicide was once 13.9 in step with 100,000 other folks in states that at last expanded Medicaid, whilst it was once 16.7 in step with 100,000 in states that may no longer cross directly to enlarge Medicaid.

After 2014, prevalence rose by means of 2.5 suicides in step with 100,000 other folks in Medicaid growth states, when compared with 3.1 in step with 100,000 in states that didn’t enlarge Medicaid. That is a statistically important distinction, the researchers famous.

In line with the knowledge, they concluded that there have been 0.4 fewer suicides in step with 100,000 other folks in Medicaid growth states from 2014 via 2018, which fits out to at least one,818 suicides being averted in the ones states.

The learn about was once revealed June 15 within the magazine JAMA Community Open.

“Greater get entry to to well being care, together with psychological well being care, helped to forestall loads of suicide deaths,” mentioned learn about creator Dr. Hetal Patel, a resident doctor within the Division of Psychiatry and Division of Radiation Oncology at Washington College College of Drugs.

“With the variations we see in those suicide charges, we predict there will have to in truth be considerably extra remedy, in addition to next enhancements, in psychological well being within the states with expanded Medicaid,” Bierut mentioned.

Additional info

For extra on suicide prevention, see the U.S. Nationwide Institute of Psychological Well being.

SOURCE: Washington College College of Drugs in St. Louis, information unencumber, June 15, 2022

By way of Robert Preidt HealthDay Reporter

MedicalNews

Copyright © 2021 HealthDay. All rights reserved.

General Article

U.S. Spends Extra on Most cancers Than Any Different Nation. Why Are Survival Charges Low?

News Picture: U.S. Spends More on Cancer Than Any Other Country. Why Are Survival Rates Low?By means of Amy Norton HealthDay Reporter

THURSDAY, June 2, 2022 (HealthDay Information)

The US spends way more on most cancers care than different rich international locations, however it isn’t seeing a go back on that funding in the case of lives stored, a brand new find out about displays.

In comparison with the common high-income nation, researchers discovered the U.S. spends two times as a lot on most cancers care — greater than $200 billion a yr. But the country’s most cancers dying charges stay on the subject of reasonable.

Professionals mentioned the findings — printed Might 27 within the magazine JAMA Well being Discussion board — aren’t solely unexpected. It is widely known that the U.S. can pay a lot more for most cancers medication, for instance, so the heavy spending on most cancers remedy was once anticipated.

“But it surely was once disappointing to peer that regardless of that, our results don’t seem to be on the most sensible of the pack,” mentioned senior researcher Dr. Cary Gross, a professor at Yale Faculty of Drugs.

Why is all that spending no longer reaping larger rewards?

Gross mentioned the ones excessive drug costs are most probably a large issue: If the U.S. is paying extra for a similar remedies, that would move some distance in explaining why its most cancers dying charges aren’t any less than many different international locations’.

In terms of approving new medication, Gross mentioned, “maximum different international locations are a little bit extra doubtful than we’re.”

The U.S. has a tendency to approve extra new most cancers remedies extra briefly than different international locations — frequently with out proof they beef up sufferers’ long-term survival.

In contrast to the U.S., different international locations believe prices when making choices on new drug approvals, and in addition negotiate costs of the ones medication. Against this, new most cancers medication generally have a better beginning value within the U.S., and that ticket normally grows through the years, Gross and his colleagues indicate.

That occurs, largely, as a result of Medicare, which supplies medical insurance to older American citizens, has no energy to barter drug costs.

Past that, Gross mentioned, American citizens with most cancers generally tend to obtain extra competitive remedy — occasionally getting chemotherapy within the remaining months of lifestyles, when it does no longer make a distinction in survival.

Dr. William Dahut, leader clinical officer for the American Most cancers Society, made identical issues. Most cancers medication value extra within the U.S., he mentioned, and a big portion of spending is going towards sufferers with incurable cancers.

Lengthening folks’s lives and giving palliative care — remedy to control ache and differently beef up high quality of lifestyles — are vital targets, Dahut stressed out. However the ones expenditures don’t save you deaths.

For the find out about, Gross and his crew checked out most cancers care spending and most cancers dying charges in 22 high-income international locations for the yr 2020. Total, the U.S. spent two times as a lot according to capita, when put next with the common for all international locations studied — just about $600 according to particular person, as opposed to $300.

But most cancers dying charges within the U.S. had been most effective rather less than the median, or midpoint, for all international locations studied — about 86 deaths according to 100,000 folks, as opposed to 91 according to 100,000.

Even that small distinction went away as soon as researchers factored in smoking: It is much less commonplace within the U.S. than in lots of different international locations, which is helping offer protection to extra American citizens from getting sure cancers within the first position.

Total, 9 international locations had decrease “smoking-adjusted” most cancers dying charges than the U.S., regardless of spending much less on most cancers care: Australia, Finland, Iceland, Japan, Korea, Luxembourg, Norway, Spain and Switzerland.

For his phase, Dahut noticed a favorable in the ones smoking-related figures.

“Smoking cessation has been essential to reducing most cancers mortality within the U.S.,” he mentioned.

Whilst that is true, Gross mentioned extra must be finished at the prevention entrance — together with addressing the country’s excessive weight problems price, and making improvements to American citizens’ nutrition high quality and bodily task ranges.




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Each Dahut and Gross mentioned disparities might be enjoying a task within the U.S. most cancers dying charges, too. Research display that Black American citizens and Hispanic American citizens have decrease screening charges for sure cancers, or even after a most cancers is detected might face delays in remedy.

“Care is a lot more dear when the most cancers is extra complicated,” Dahut mentioned.

Gross additionally pointed to the bigger

General Article

Restricting TV to Underneath 1 Hour a Day May Slash Middle Illness Charges: Learn about

News Picture: Limiting TV to Under 1 Hour a Day Could Slash Heart Disease Rates: StudyBy means of Cara Murez HealthDay Reporter

WEDNESDAY, Might 25, 2022 (HealthDay Information)

It is tempting to binge-watch TV presentations, and it could be exhausting to get off the sofa after only one or two episodes.

But it surely might be price it.

Researchers calculated that if other people dedicated to gazing just below an hour of TV an afternoon, 11% of coronary coronary heart illness circumstances might be eradicated.

Despite the fact that sedentary habits or sitting for lengthy stretches has in the past been related to coronary coronary heart illness, this learn about grew to become the lens on screen-based sitting, together with gazing TV and leisure-time pc use.

The group additionally factored in an individual’s DNA, growing ratings for the chance of growing coronary coronary heart illness according to 300 genetic variants identified to steer this commonplace well being situation.

“Our learn about supplies robust proof at the attainable function that restricting time gazing TV may play within the prevention of coronary coronary heart illness,” stated Youngwon Kim, an assistant professor within the College of Public Well being on the College of Hong Kong.

“Folks must attempt to scale back the period of time gazing TV, however on the identical time, there are different measures that they may take, equivalent to breaking apart their TV viewing and doing a little gentle workout in between,” Kim stated.

The researchers discovered that individuals with upper polygenic possibility ratings (particular person genetic possibility) had been on the largest possibility of growing coronary coronary heart illness.

Who is maximum in danger?

Individuals who watched TV greater than 4 hours an afternoon had been on the largest possibility, irrespective of their genetic possibility ratings.

In comparison to the ones with the best possible dangers, individuals who watched two or 3 hours of TV an afternoon had a relative 6% decrease fee of growing coronary coronary heart illness.

Those that watched not up to one hour of TV day-to-day had a 16% decrease fee.

That is a lot much less time than American citizens are estimated to spend in entrance of the tv. Between 2013 and 2017, other people elderly 15 and up spent a median of 2 hours and 46 mins day-to-day gazing TV, in line with the U.S. Bureau of Exertions Statistics. It referred to as gazing tv “The us’s favourite hobby.”

About 659,000 American citizens die from coronary heart illness every 12 months, the U.S. Facilities for Illness Regulate and Prevention experiences. Coronary coronary heart illness is the commonest kind, accountable for 360,900 deaths in 2019.

Folks with coronary coronary heart illness also are two times as prone to have a stroke, in line with the learn about authors.

“Lowering time spent gazing TV must be known as a key behavioral goal for prevention of coronary coronary heart illness, regardless of genetic susceptibility and conventional possibility markers,” Kim stated. “Folks with excessive genetic susceptibility to coronary coronary heart illness will have a decrease possibility of growing coronary coronary heart illness simply through restricting time spent on TV viewing.”

The learn about didn’t in finding that leisure-time pc use had any affect on growing coronary coronary heart illness.

Why is TV the perpetrator?

The adaptation is also that TV viewing occurs incessantly within the night time after dinner, which is in most cases essentially the most high-calorie meal of the day, the analysis group prompt. This might result in upper ranges of glucose and lipids within the blood.

The group additionally identified that individuals generally tend to snack extra whilst gazing TV and to look forward to extra prolonged instances, while they are much less most likely to do this whilst at the pc.

Tracie Barnett is an affiliate professor within the circle of relatives drugs division at McGill College in Montreal, Canada. She stated, “Whilst genetic possibility for CHD (coronary coronary heart illness) can’t be unnoticed, it is encouraging that those findings counsel that a completely modifiable possibility issue, particularly TV gazing, is related to very significant discounts within the occurrence of CHD.”

Being sedentary impacts the guts for a number of causes, Barnett stated. Every now and then, it displaces different actions which can be more fit, together with gentle job. Folks is also much less conscious in their meals consumption whilst gazing TV and extra uncovered to fast-food promoting, in line with Barnett, who could also be an American Middle Affiliation volunteer knowledgeable.




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“Being sedentary could also be related to much less time outdoor, most likely much less social interplay, and not more publicity to inexperienced areas and different elements which can be really useful to well being,” she added.

General Article

Prime Charges of COVID Vaccination Amongst Adults With Autism

News Picture: High Rates of COVID Vaccination Among Adults With Autism

TUESDAY, Might 10, 2022 (HealthDay Information)

Adults with autism have top charges of COVID-19 vaccine acceptance and photographs, a brand new learn about presentations.

That is just right information, as a result of autistic adults have a couple of possibility elements for COVID-19 an infection and for extra serious sickness in the event that they contract the illness, the researchers stated.

“Attaining this staff successfully in public well being messaging about vaccination is important,” stated learn about co-author Kaitlin Koffer Miller, from Drexel College in Philadelphia.

To determine if public well being messages concerning the significance of having vaccinated have reached adults with autism, the authors despatched on-line surveys to 431 autistic adults in Pennsylvania who had participated in earlier analysis.

The responses had been accumulated between March and August 2021. They confirmed that about 78% of survey respondents stated that they had won or supposed to get a COVID-19 vaccine, and greater than 55% stated that that they had won a minimum of one dose.

When compared, 42% of the entire grownup inhabitants in Pennsylvania had won a minimum of one dose of a COVID-19 vaccine as of the median reaction date for the survey (April 2, 2021), in step with the learn about. The findings had been revealed within the magazine Vaccine.

Amongst adults with autism, vaccine accepters “had been much more likely to record higher loneliness throughout COVID-19, reside in additional populated counties and in counties received by way of President Biden within the 2020 U.S. presidential election,” stated Koffer Miller. She’s director of coverage have an effect on with the Drexel Autism Institute Coverage and Analytics Heart.

“Sure relationships had been discovered between in need of to offer protection to others from COVID-19, fear about getting COVID-19 and trusting the protection of the vaccines,” Koffer Miller stated in a college information free up.

Worry about vaccine protection was once not unusual amongst those that had been vaccine hesitant.

The findings can assist information efforts to extend vaccination charges amongst folks with autism, in step with the researchers.

“By way of working out causes for vaccine hesitancy — for instance, considerations about vaccine protection — or vaccine acceptance, akin to emotions of higher loneliness, among autistic grownup respondents can assist pressure more practical public well being messaging and vaccine outreach to this inhabitants,” Koffer Miller stated.

The learn about suggests ways in which public well being companies can advertise vaccination to folks with autism, together with the use of visible strategies akin to social tales, which provide an explanation for social scenarios to assist autistic folks be told socially suitable conduct and responses.

Additional information

The Autism Society has extra on COVID-19.

SOURCE: Drexel College, information free up, Might 3, 2022

By way of Robert Preidt HealthDay Reporter

MedicalNews

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