• Title/Summary/Keyword: 경화부

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A Case of Chronic Meniere's Disease Improved by Korean Medicine Treatment Including Pharmacoacupuncture of Cervical and Temporomandibular Area - A Case Report (경추부 및 하악부 약침 치료를 포함한 한의복합치료로 호전된 만성 메니에르병 환자 1례 - 증례 보고)

  • Dong-Joo Kim;Kyeong-Hwa Heo;Kyeong-Hwa Lee;Hye-Jin Lee;Seung-Yeon Cho;Jung-Mi Park;Chang-Nam Ko;Seong-Uk Park
    • The Journal of Korean Medicine
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    • v.44 no.3
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    • pp.150-162
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    • 2023
  • Meniere's disease is characterized by episodic vertigo, fluctuating hearing loss, tinnitus and ear fullness. The main pathological finding is endolymphatic hydrops, but the etiology of disease and effective treatment methods are still disputed. Recently, Cervical spine disorders(CSD) and Temporomandibular disorders(TMD) have been attracting attention as one of the causes of Meniere's disease. A 65-year-old female Meniere patient with musculoskeletal problems in the cervical and mandible area was treated by Korean medical therapies including pharmacoacupuncture treatment. After 5 weeks of treatment, there was no meaningful change in hearing level evaluated with pure tone audiometry, but the subjective symptoms of Meniere improved significantly. Numerical rating scale (NRS) decreased from 10 to 0 for hearing loss, 10 to 3 for tinnitus and 8 to 3 for ear fullness. Also NRS of cervicalgia was reduced from 5 to 0 after treatment. The result suggests that the Korean medical therapy including pharmacoapuncture targeting CSD and TMD could be safe and effective method for patients with Meniere's disease.

Occlusive Complications after Lower Limb Arterial Bypass Surgery (하지동맥 재건술 후 폐쇄성 합병증에 대한 임상적 고찰)

  • Kim Jong Won;Chung Sung Woon
    • Journal of Chest Surgery
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    • v.38 no.2 s.247
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    • pp.152-156
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    • 2005
  • Background: Occlusive complications after arterial revascularization are difficult to treat and have high recurrence rate. This study was performed to establish an effective treatment modality and to evaluate the factors affecting the occlusive complications by analysis of clinical data. Material and Method: During the period of 5 years. 33 patients (55 reoperations) were studied at the Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital following 173 arterial revascularization surgeries. The clinical characteristics, operating methods, the time intervals of reoperation, used graft, and the results of treatment were evaluated retrospectively. Result: All the patients were men except one and the mean age was 63.5 years old. The mean time internal from first operation to reoperation was 11.9 months. The cause of arterial occlusive diseases were 28 atherosclerosis and 5 Burger's diseases, Associated diseases were Hypertension $(57.6\%)$, Diabetes mellitus $(33.3\%)$, heart failure $(18.2\%)$, and so on. The mean rate of reoperation was 1.67 times and the most common type of first operation was femoro-popliteal bypass grafting $(57.6\%)$. The graft that used revascularization surgery were 25 cases of PTFE and 6 case were Dacron. There was no statistical difference between two groups. The kinds of reoperations were thrombectomy in 20 cases, angioplasty 18 cases, re-bypass surgery in 13 cases, and lumbar sympathectomy in 4 cases. The results of reoperation were 15 cases of functional recovery, 7 cases of limb salvage, 5 cases of above-knee amputation. 3 cases of below-knee amputation and 3 deaths. Conclusion: The main cause of occlusive complications are occlusion of inflow or outflow artery. Treatments were different according to the first operation methods and graft used. The most frequent time of reoperation was within one year after the first operation. We believe that graft surveillance especially during the first year is very important factor in observing the patient. We can look forward to improving limb salvage rate to perform additional treatment such as radiological interventions and lumbar sympathectomy.

Effects of Tile Drain on Physicochemical Properties and Crop Productivity of Soils under Newly Constructed Plastic Film House (신설 하우스 시설재배지의 파이프 암거배수 효과)

  • Kim, Lee-Yul;Cho, Hyun-Jun;Han, Kyung-Hwa
    • Korean Journal of Soil Science and Fertilizer
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    • v.36 no.3
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    • pp.154-162
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    • 2003
  • This study was conducted to investigate the effects of tile drain on Physicochemical properties and crop productivity of soils under plastic film house for three years (1999 - 2001). Tiles (${\Phi}100mm$ PVC pipe) were established at 50-60 cm depth with 1 m, 2 m, and 3 m intervals in Gangseo silt loam soil under 2W-type plastic film house. Cropping system was a pumpkin-pumpkin in the first year, a cucumber-spinach-crown daisy-spinach-young radish in the second year, and a green red pepper-tomato-spinach in last year, with conventional fertilization and drip or furrow irrigation by groundwater pumping. Bulk density and soil hardness of plot with tile drain were lower than those of control (plot without tile drain). Soil water content was also lower in tile drain plot than in control regardless of soil depth, and decreased at narrower interval and longer distance from tile in the same plot, thus suggesting that water flow and density of tile drain plot was higher than those of control. Rhizosphere of spinach, a final crop of third year, was expanded more than 2 cm due probably to improvement of soil physical properties caused by tiles establishment. Electrical conductivity (EC) of topsoil decreased from $1.22dS\;m^{-1}$ to $0.82dS\;m^{-1}$ by tile drain system, and the extent of EC decrease was different with season: higher in spring and lower in summer and autumn. The $NO_{3^-}-N$ concentration in topsoil decreased, from $200mg\;kg^{-1}$ to $39mg\;kg^{-1}$. The effect of tile drain on crop yield varied with crops. Average crop productivity obtained in tile drain plot than that of control crop: 18.2% in 2 m interval, 14.2% in 3 m interval, but lower 0.2% in 1 m interval.

Evaluations of Growth and Forage Quality of Sesbania Accessions Adaptable to Korean Environments (국내적응 세스바니아의 생육특성 및 사료가치 평가)

  • Lee, Chang Min;Kim, Young Jin;Ahn, Sol;Hailegioris, Daniel;Lee, Cheong Ae;Yun, Song-Joong
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.64 no.3
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    • pp.278-286
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    • 2019
  • Sesbania, an annual herb, is known for its high forage value and salt tolerance. It has merits as a forage crop that is adaptable to reclaimed land in the Republic of Korea. Therefore, we collected Sesbania genetic resources from the Republic of Korea and other countries, and conducted experiments to evaluate their potential as a forage crop in Korean climate and soil conditions. In the preliminary experiments, 15 genetic resources which were able to set seeds in Korean environment were selected out of a total of 46 collected genetic resources. Among 15 genetic resources, SL13 was the tallest and it was followed by that of SC04, SR01 and SE07. The accessions with the earliest flowering started flowering 101 days after sowing and set seed in early August. Fifteen accessions were evaluated for their salt tolerance at germination stage based on germination rate and growth of germinated seedlings at 0 mM, 150 mM and 300 mM NaCl concentrations. Five genetic resources like SC04, SL13, SS20, SS24 and SR01 were selected to be tolerant to NaCl treatment. Forage value was evaluated based on crude protein, acid detergent fiber, neutral detergent fiber and in vitro dry matter digestibility. The forage value of leaves was significantly higher than that of stems, and the forage value of the stem was slightly better than that of rice straw. The forage value of leaves of all the genetic resources was higher than grade 1 by the American Forage and Grassland Council grade. Among five selected genetic resources, the relative feed value of SC04 was the highest and it was followed by that of SS20, SL13, SS24 and SR01.

Effects of Accelerated Curing on the Strength of Mortar Using Briquette Ash. (촉진양생(促進養生)이 연탄재를 사용(使用)한 Mortar의 강도(强度)에 미치는 영향(影響))

  • Kim, Seong Wan;Kang, Sin Up;Sung, Chan Yong
    • Korean Journal of Agricultural Science
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    • v.8 no.2
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    • pp.185-194
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    • 1981
  • This study was carried out to determine the effect of accelerated curing on the strength of standard sand mortar and briquette ash mortar. The standard sand mortars and the briquette ash mortars made by mixture of the standard sand:cement and the briquette ash:cement at the ratio of 2 : 1, 3: 1 and 4 : 1, respectively, were cured at 4 different temperature of $20^{\circ}C$, $60^{\circ}C$, $80^{\circ}C$ and $100^{\circ}C$. The compression and tensil strength of mortars were measured at ${\sigma}_3$, ${\sigma}_7$, ${\sigma}_28$. The results obtained are summarized as follows; 1. At each age of curing and each curing temperature, the compression and tensile strength of the mortars made by the mixture of cement and standard sand was significantly higher than that of the mortars made by the mixture of cement and briquette ash. But the increasing rate of strength in compression and tension was significantly higher at the mortars of cement and briquette ash than those of cement and standard sand. 2. The strength of mortars which showed lower strength than Korean Standard at ordinary curing temperature was significantly increased and showed higher value than Korean Standard by the accelerated curing at high temperature. The increasing rate of strength by the accelerated curing was higher at the mortars containing less amount of cement than those containing more cement. The hardening of the mortars containing less amount of cement was significantly promoted by the accelerated curing in high temperature. 3. When the briquette ash was substituted for the materials of cement mortar, decline of the mortar strength is. unavoidable. But the enhancement of the mortar strength is still expected by the experimental results that the strength of cement-briquette ash mortar showed an increase of 137.6% by the accelerated curing at $60^{\circ}C$, 164.1% at $80^{\circ}C$ C and 183.8% at $100^{\circ}C$, respectively, compared with the strength of mortar cured at $20^{\circ}C$ for 28 days. 4. As the strength of cement briquette mortar is lower than that of cement standard sand mortar, the cement briquette ash mortar is expected to be increased in strength by the accelerated curing at high temperature. The cement briquette mortar is expected to be utilized to the production of secondary mortar goods or the constructions which need low strength of mortar.

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A Survey of Cancer Perception in the Students of Korea University (고려대학교 학생에서의 '암에 관한 인식도' 설문 조사 연구)

  • Choi, In-Ken;Seo, Hee-Yun;Sul, Hye-Ryoung;Choi, Jong-Gwon;Sung, Hwa-Jung;Park, Kyong-Hwa;Yoon, So-Young;Oh, Sang-Cheul;Seo, Jae-Hong;Choi, Chul-Won;Shin, Sang-Won;Kim, Yeul-Hong;Kim, Byung-Soo
    • Journal of Hospice and Palliative Care
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    • v.6 no.2
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    • pp.172-176
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    • 2003
  • Purpose : This study was designed to evaluate the perception of cancer in the students of Korea University. Methods : 1,000 students of Korea University were surveyed by questionnaire from March 2001 to September 2002. Nine hundred ninety two complete questionnaires were returned. The data were analyzed by descriptive statistics, and Chi-square analysis using the SPSS program. Results : 701 students (76.1%) replied that cancer is a curable disease. However, the degree of satisfaction for cancer treatment with modem clinical medicine was low (37.5%). Moreover, they thought that there was no difference between the efficacy of treatment by chemotherapy, alternative medicine, or dietary modification. But, the positive evaluation for the effectiveness of chemotherapy in the students who had cancer patients in their families was higher than that in the students without the experience of cancer patients in their families. Six hundred ninety four students (75.3%) replied positively for euthanasia in terminal cancer patients. And they thought that the dignity and the right of the patients were the most important point that should be considered in making the decision of euthanasia. Conclusions : The credibility to modem clinical medicine for cancer treatment was relatively low in the students of Korea University who had no cancer patients in their families. So, further studies and trials will be warranted to evaluate the causes of these results and improve the credibility of modem clinical medicine for cancer treatment in the general population.

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Coronary Fistulas -20 years experience - (관상동맥루)

  • Lee Jeong Ryul;Jung Yo Chun;Choi Chang Hyu;Kim Woong Han;Kim Yong Jin;Bae Eun Jung;Noh Chung Il
    • Journal of Chest Surgery
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    • v.38 no.9 s.254
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    • pp.609-615
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    • 2005
  • Background: Some controversy still exists concerning the operative indications of coronary fistulas. Nevertheless, a short-term and long-term outcomes are excellent with surgical interventions. In this study, we assessed our surgical results on this disease entity during the last 20 years. Anatomic diversity was described as well. Material and Method: From April 1986 to March 2005, 20 patients with coronary fistulas underwent surgical correction in Seoul National University Children's Hospital. Their medical records were reviewed retrospectively. Result: Twelve patients ($60\%$) were asymptomatic prior to surgery. All had electrocardiogram and echocardiogram and all but 3 had coro-nary angiogram preoperatively. Anatomically, none of them had two or more coronary fistulas. The sites of origin were left coronary system in 11 patients and right in 9. The draining sites were right ventricle in 11, right atrium in 3, left ventricle in 3, main pulmonary artery in 2, and superior vena cavae in 1. All of the involved, the coro-nary arteries were dilated or aneurismal. In 1 case, there was atherosclerotic change but no ischemic evidence in preoperative electrocardiogram. Operative techniques included external obliteration (13), internal obliteration (5), and both (2). External obliteration was done by ligation of the fistulous tract only in T patients, by fstula ligation plus plication in 3 and by plication or patch closure via fistulotomy in 3. There was no operative mortality. All of postoperative morbidities including transient sinus arrhythmia (2), complete atrioventricular block (1), decreased left ventricular function (2), ventricular tachycardia (1), pericarditis (1), and seizure (1) improved on discharge. The mean follow-up was 55.1$\pm$50.2 months (4.0 months${\~}$18.0 years) and there were no recurrences of fistula. There was 1 second operation for aortic root aneurysm, which developed after external patch closure of right coronary fistula. Conclusion: We demonstrated here that coronary fistulas can be cured with excellent clinical outcome and low operative risk under precise diagnosis. Understanding the anatomic diversity will help to construct surgical plans.

Transforming growth factor $(TGF)-{\beta}1$ conjugated chitosan film for enhanced osteoblastic activity (변형성장인자가 고정된 키토산 필름의 골아세포 활성에 미치는 영향)

  • Park, Yoon-Jeong;Lee, Jue-Yeon;Kim, Kyung-Hwa;Kim, Tae-Il;Lee, Myung-Hee;Shin, Seung-Yoon;Seol, Yang-Jo;Lee, Yong-Moo;Rhyu, In-Chul;Ku, Young;Han, Soo-Boo;Min, Byung-Moo;Lee, Seung-Jin;Chung, Chong-Pyoung
    • Journal of Periodontal and Implant Science
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    • v.34 no.4
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    • pp.781-790
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    • 2004
  • 골아세포의 생물학적 기능을 증진시키기 위해 키토산의 표면개질에 대하여 연구하였다. 생체적합성 천연고분자인 키토산은 1차 아미노기를 소유하고 있으므로 적정한 공유결합제를 사용하여 세포성장인자와 같은 생리활성을 지닌 단백질을 키토산의 표면에 고정시킬 수 있다. 본 연구에서는 키토산을 필름형태로 제조하여 세포성장인자 중 형질전환성장인자를 고정하고 골아세포의 부착, 성장 및 분화를 증가시키고자 하였다. 형태전환성장인자의 고정화 효율은 단순한 흡착방법에 비해 높았으며, 표면에 형성된 공유결합은 매우 안정하였다. 골아세포를 배양하여 초기세포부착능에 대한 영향을 연구한 결과, 배양 후 4시간, 1일째, 형질전환성장인자를 고정한 키토산 표면에서 고정하지 않은 키토산의 표면에 비해 더 많은 수의 골아세포가 부착되었고, 더 많이 신장된 부착형태를 보였다. 세포활성정도와 배양 후 4주일째의 칼슘축적량을 측정한 결과, 형질전환성장인자를 고정한 키토산 표면에서 고정하지 않은 키토산의 표면에 비해 더 높았다. 위의 결과는 키토산 표면에 형태전환성장인자의 고정이 성공적으로 이루어졌으며, 또한 실제로 활성이 있는 것이 증명되었다. 위의 연구 결과에서 형질전환성장인자로 고정된 키토산은 골아세포의 초기 부착 및 분화를 촉진시켰음을 알 수 있었던 바 성장인자의 표면고정은 임플란트 및 조직공학용 지지체에도 적용하여 생체적합성과 세포기능을 증진시키는데 이용할 수 있음을 알 수 있었다.

Matrix metalloproteinases and Tissue inhibitors of matrix metalloproteinases in gingival crevicular fluids of periodontitis patients (치주염 환자의 치은열구액에서 MMPs와 TIMPs의 양의 변화)

  • Lee, Sun-Yun;Jung, Yeoun-Ho;Kim, Kyoung-Hwa;Yang, Byung-Keun;Han, Soo-Boo;Chung, Chong-Pyoung;Kim, Tae-Il;Ku, Young;Lee, Yong-Moo;Ko, Jae-Seung;Rhyu, In-Chul
    • Journal of Periodontal and Implant Science
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    • v.34 no.1
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    • pp.139-148
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    • 2004
  • MMPs(Matrix metalloproteinases)는 치주질환에서 주된 조직파괴단백분해효소인 것은 알려져 있고 TIMPs(Tissue inhibitor of Matrix metalloproteinase)는 MMPs의 작용을 억제한다라고 알려져 있다. 이 둘간의 불균형으로 인해서 조직파괴가 더 가속화될 수 있다. 이 두 연구의 목적은 ELISA kit를 사용하여 특정 MMPs(1,2,3,8,9,13)과 TIMPs(1,2)의 양이 건강한 환자와 비교하여서 치주염 환자에서 달라지는지 알아보고 MMPs(1,2,3,8,9,13), TIMPs(1,2)와 치은열구깊이와 GI score와의 관계를 알아보기로 한다. 8명의 만성 치주염 환자와 4명의 급속진행형 치주염 환자가 실험군으로 참여하였고 5명의 건강한 치주조직을 환자가 대조군으로 참여하였다. 임상적인 측정은 GI score와 치주낭측정을 통하여 이루어졌다. 8명의 만성 치주염을 가진 환자와 4명의 급속진행형 치주염을 가진 환자에서 각각 치주낭 깊이가 3mm이하인 부위에서 6개의 치은열구액 표본과 치주낭 깊이가 6mm 이상인 곳에서 6개의 치은열구액 표본을 채취하였다. 건강한 치주조직을 가진 5명의 환자는 단지 치주낭깊이가 3mm 이하인 건강한 부위에서만 치은열구액 표본을 제공하였다. MMPs(1,2,3,8,9,13)과 MIMPs(1,2)의 측정은 Human Biotrack ELISA kit를 사용하여서 측정하였다. 통계처리는 MMPs, MIMPs의 실험군과 대조군의 차이는 Kruskal-Wallis test를 사용하였고 MMPs, TIMPs와 치주낭 깊이와 GI score의 관계정도는 Pearson's correlation coefficient를 사용하였다. 실험결과 대조군과 비교하여 만성 치주염 환자에서 치주낭 깊이가 6mm 이상인 부위에서 MMP9의 수치가 통계적으로 유의할만하게 높았으며(p=0.04) MIMP2의 수치가 대조군과 비교하여 치주낭 깊이가 3mm 이하인 부위를 가진 만성치주염 환자에서 통계적으로 유의할만하게 높았다(=0.049). MMPs(1,2,3,8,9,13), MIMPs(1,2)의 활동성과 치주낭 깊이의 관계에서 둘간의 통계적으로 유의할만한 관계는 존재하지 않았으나 MMP1(r=0.35)과 MMP2(r=0.31)가 상대적으로 높은 관계를 보였다. 또한 MMPs(1,2,3,8,9,13), MIMPs(1,2)의 활동성과 GI score의 관계에서도 둘간의 통계학적으로 유의할만한 관계는 존재하지 않으나 MMP1(r=0.4), MMP2(r=0.29), MMP9(r=0.26)가 상대적으로 높은 관계를 보였다. 이 실험의 결과로 볼 때 MMP9가 만성치주염 환자의 질환이 있는 부위에서만 염증의 지표가 될 수 있으며 MIMP2가 만성치주염 환자의 염증이 없는 부위에서 높은 농도로 존재하는 것으로 보아서 MIMP2가 MMPs에 대한 억제작용을 하여서 염증의 진행을 방해하는 역할을 한다라고 볼 수 있다.

Clinical Application of Stent-graft in Thoracic Aortic Diseases (흉부 대동맥 질환에서 스텐트-그라프트의 임상적 적용)

  • Kim, Kyung-Hwan;Lee, Cheul;Chang, Ji-Min;Chung, Jin-Wook;Ahn, Hyuk;Park, Jae-Hyung
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.698-703
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    • 2001
  • Background: Endovascular stent-graft insertion in aortic diseases is now generally accepted as an attractive alternative treatment modality. We reviewed our clinical experiences of endovascular stent-graft insertion in thoracic aorta. Material and Method: Since 1995, we performed 8 cases of endovasclar stent-graft insertion. Preoperative diagnoses were aortic aneurysms in 4, traumatic aortic ruptures in 3, and ruptured aortic pseudoaneurysm in 1. All procedures were performed in angiography room with the guidance of fluoroscopy. The stent-graft device is a custom-made 0.35mm thickness Z-shaped stainless steel wires, intertwined with each other using polypropylene suture ligation. It is covered with expanded Dacron vascular graft. Result: All procedures were performed successfully. Follow-up studies revealed 2 minimal perigraft leakages. There was no significant leakage or graft migration. 2 patients expired due to multiple organ failure and fungal sepsis. Other survivors(6) are doing well. Conclusion: Endovascular stent-graft insertion is relatively saft and effective treatment modality in the managment of various types of aortic diseases. In may be an effective alternative in aortic diseases of great surgical risk.

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