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호흡근 강화훈련이 뇌졸중환자의 폐 기능에 미치는 영향 (Effects of Respiratory Muscle Strengthening Training on Pulmonary Function in Persons with Stroke : A Preliminary Study)

  • 이성란;이정민;이정은;이해정
    • 대한물리치료과학회지
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    • 제19권4호
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    • pp.47-52
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    • 2012
  • Purpose : The purpose of the study was to examine if a respiratory muscle strengthening training in patients with stroke can improve their pulmonary function. Methods : Volunteers were included for the study if a patient diagnosed stroke more than 6 months and had 24 points or higher in MMSE-K scores. Twenty-eight subjects participated in this study and were randomly divided into two groups; a breathing exercise group(n=14) and a control group(n=14). The intervention for all subjects was conducted for 20minutes, three times a week for 4 weeks. Subjects for the breathing exercise group had the respiratory muscle strengthening training using spiro-tigers, where-as subjects in the control group got their usual treatment ie a postural training. The six-minute walking test(6MWT) and the pulmonary function tests(FVC, $FEV_1$, $FEV_1$/FVC, VC, Vt, IRV and ERV) were employed to assess treatment effects at baseline and after their intervention. Results : Twenty-four subjects finished their 4-week treatment programs. The general characteristics between groups were found to be similar (p>0.05). The pulmonary function between groups were also observed no difference across groups at the baseline measurement (p>0.05). In the post treatment group comparison, subjects in the breathing exercise group showed an increase in lung function with VC ($2.73{\pm}0.80{\ell}$) and Vt ($0.87{\pm}0.38{\ell}$) than those in the control group ($1.91{\pm}0.80{\ell}$ and $0.48{\pm}0.22{\ell}$ respectively) (p<0.05). However, there was no difference found in 6MWT, FVC, $FEV_1$, $FEV_1$/FVC, IRV, and ERV across groups (p>0.05). Conclusion : A significant increase in VC and Vt was found in subjects with stroke, who had four-week training on respiratory muscle strengthening. However, respiratory muscle strengthening showed no effect on walking speed and FVC, $FEV_1$, $FEV_1$/FVC, IRV, and ERV in patients with stroke.

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심해 풍파의 3파 상호작용에 대한 실험실 실험 (Laboratory Experiments for Triad Interactions of Deep Water Wind Waves)

  • 서경덕;오상호;;안경모;박광순
    • 한국해안해양공학회지
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    • 제12권1호
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    • pp.39-52
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    • 2000
  • 3파 상호작용은 천수파 또는 유한 수심 풍파의 경우에만 중요한 것으로 알려져 왔다. 파랑 성분간의 에너지 전달에 의한 풍파의 성장 관점에서 볼 때 심해에서 3파 상호작용은 4파 상호작용에 비해 별로 중요하지 않다. 그러나, 심해에서도, 특히 풍파 성장의 초기 단계에서는, 3파 상호작용이 중요할 수 있는데, 이는 3파 상호작용이 쇄파에 결정적인 영향을 미치는 파형경사, 수면 위에서의 공기 흐름의 항력, 선박의 항해 등과 밀접한 관계를 가지고 있기 때문이다. 본 연구에서는 일련의 실험실 실험 결과를 제시하고, 이에 대한 bispectrum 분석을 통하여 심해 풍파의 3파 상호작용을 고찰한다. 스펙트럼 첨두 주파수에서의 bicoherence와 파형경사가 거의 정비례하는 것으로 나타나는데, 이는 파봉이 뽀족하고 파곡이 밋밋한, 경사가 큰 파가 3파 상호작용의 결과임을 나타낸다. Bicoherence 및 파형경사 모두가 파랑 성장의 초기 단계에서는 파령에 따라 증가하다가 파랑이 발달함에 따라 다시 작아진다. 파랑 성장의 초기 단계에서 3파 상호작용에 의하여 발달된 스펙트럽 2차 첨두의 에너지가 그 이후에는 4파 상호작용에 의해 주변의 주파수들로 재분배되는 것으로 추측된다.

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마늘유(diallyl disulfide)와 비타민 A(retinol acetate)가 카드뮴 투여 랫드에 미치는영향 (Effect of Garlic Oil (diallyl disulfide)/ Vitamin A( retinol acetate on Heat Shock Protein Induction in Cadmium Treated Rats.)

  • 김판기
    • 한국식품위생안전성학회지
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    • 제13권2호
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    • pp.171-187
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    • 1998
  • Garlic occupies a special position among the many foods of vegetable origin because it is the sole food for Koreans during the their lives. And vitamin A has been ingested by forms of food or additives. Cadmium has been described as one of the most dangerous trace elements in the food and environment of man and livestocks. Since the de novo synthesis of stress proteins can be detected early after exposure to some agents, analysis of cadmium-induced changes in gene expression , ie. alterations in patterns of protein synthesis, may be useful to develop as biomarkers of exposure and damage for food hygiene. He acute and chronic combine effects of cadmium (Cd, CdCl2 20mg/kg), garlic oil(Dds: diallyl disulfide 50mg/kg, 3 times a week) and vitamin A(Ra: retinol acetate 50,000 IU/kg, 3 times a week) on Wistar male rats were evaluated concerning cadmium contents, tissues enzyme activity, HSP expression histopathological and electron microscopical examinations. The results of the study are as follows ; 1. Less cadmium was absorbed through the digestive tracts, but the ratio of contents in tissue were not changed by the simultaneous adminstration of diallyl disufide or retinol acetate. 2. ALT(alanine aminotransferase) , AST(aspartate aminotransferase), glucose, BUN (blood urea nitrogen), creatinine, the key indices of the clinical changes in hepatic and renal function were significantly hanged by the cadmium treatment after 1 week in liver, after 4 weeks in kidney. 3. Histopathological changes in cadmium treated rats were appeared at 8 weeks age treatment in kidneys. Homogenous eosinophilic material was accumulated in cortical and collecting tubular lumens at 16 weeks. Degenerated or necrotized tubular cells were observed in cortex and medulla. Degenerated seminiferous tubules and homogeneous eosinophilic material was seen in interstitial tissue of rat treated with cadmium for 16 weeks. Calcium deposits were seen in degenerated seminiferous tubules and the tubules showed severe calcification of rat treated with cadmium for 16 weeks. Electron microscope changes in kidney were observed in rats treated with CdCl2 20 mg/kg. Proximal convoluted tubule cells showed selling of cytoplasm and narrow lumen. Capillary endothelial cells showed cytoplasmic vacuoles and swelling. Degenerated epithelial cells were accumulated in tubular lumen of kidney. 4. Enhanced synthesis of 70 KDa relateve molecular mass proteins were detected in 2 hours after cadmium, exposure, with maximum activity occurring at 8~48 hours. Induction of HSP 70 was evident at proximal tubules and glomeruli in kidney. Testicular cells produced enough HSP to be detected normally. From the above results, it could be concluded that HSP70 induction by the cadmium treatment was a rapid reaction to indicated the exposure of xenobiotics, and retinol acetate reduced the cadmium induced nephrotoxicity.

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자원봉사자에 의한 아로마 복부경락마사지 제공이 입원 뇌 병변 장애환자의 변비완화에 미치는 효과 (Effects of Abdominal Meridian Massage with Aroma Oils by Volunteers on the Relief of Constipation in Hospitalized Disability Patients with brain lesions)

  • 김태임;남미정;방영이;연영순
    • 한국산학기술학회논문지
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    • 제13권5호
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    • pp.2267-2277
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    • 2012
  • 본 연구는 배변 문제가 있는 뇌 병변 장애 입원 환자에게 자원봉사자들이 주 3회의 아로마 복부경락마사지 중재(7분/1회)를 4주간 적용하여 변비완화에 미치는 효과를 검정하고자 시도되었다. 연구 설계는 단일군 전후설계의 원시실험연구이며, 연구대상은 5개월 이상 입원중이며 배변문제가 있는 뇌 병변 장애환자 38명이었다. 연구기간은 2011년 5월 9일부터 6월 19일까지 총 6주간 이었다. 변비완화 효과는 좌약 또는 관장 적용 횟수, 배변 횟수, 배변 양으로 측정 하였으며, 수집된 자료를 SPSS 19.0을 이용하여 기술통계와 Repeated Measures ANOVA로 분석한 결과는 다음과 같다. 첫째, 시간의 경과에 따라 좌약 또는 관장횟수가 감소한 것으로 나타났으나 통계적으로 유의하지 않았다(F=1.03, p=.361). 둘째, 시간의 경과에 따라 배변 횟수가 증가한 것으로 나타났으나 통계적으로 유의하지 않았다(F=2.14, p=.133). 셋째, 시간의 경과에 따라 배변 양이 유의하게 증가한 것으로 나타났다(F=3.56, p=.033). 시점 간을 비교 분석한 결과 사전시기 보다 중재 1-2주(p<.05)와 중재 3-4주(p<.01)에 배변 양이 증가하여 유의한 차이가 있었다. 이상의 결과를 통해 자원봉사자에 의한 주 3회의 아로마 복부경락마사지는 입원 뇌 병변 장애 환자의 변비완화에 효과가 있는 비 침습적인 간호중재라고 결론지을 수 있으며, 간호실무 현장에서 아로마 복부경락마사지 중재를 적용할 수 있는 경험적 근거와 지침을 제공한 점에서 그 의의가 있다. 추후 본 연구결과의 확산을 위해 다양한 대상자에게 반복 연구를 실시하여 경험적 증거를 축적할 것을 제언한다.

중학교 가정과 수업 방법의 개성을 위한 탐구훈련수업의 학습효과 - 식생활 단원을 중심으로- (A Study on the Learning Effects of the Inquiry Training Model for the Home Economics of the Middle School - Focusing of the Unit of Food and Nutrition)

  • 한오숙;김갑영
    • 한국가정과교육학회지
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    • 제10권2호
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    • pp.13-28
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    • 1998
  • The purpose of this study is to compare of learning effects between the inquiry training model and traditional lecture method in the unit of food and nutrition of home economics in the middle school and propose a teaching-learning method of home economics in the middle school.For this study I sampled one hundred students both male and female who were in the first grade students of middle school in Ansan city.The students were divided into two groups each of which was composed of one male class and one female class. One was called the inquiry training model group, which was taught by the inquiry training model, the other the traditional lecture method group, which was taught by traditional lecture method .They learned about food and nutrition unit during the same time. To evaluate the effectiveness of learning, learning achievement degree, instruction interest degree, and the powers of exploration process, a creativity lest by using a Questionnaire was gIven.The resuits of this study are as follows: 1. In the traditional lecture method group between the inquiry training model one, the difference of learning achievement degree was not significant. The score of learning achieve ment degree in the inquiry training group, the female class got higher scores than .the maleone, but the difference was not significant. 2. In the test of instruction interest degree, the traditional lecture method group got higher scores than the inquiry training model one. (p<.001.). In the inquiry training group the male class got higher scores than the f ema Ie one. (p < .001 ) 3. In the test of powers of exploration process, the traditional lecture method group got higher scores than the inquiry training model one.( p< .00 1). In the inquiry training group, the male class got higher scores than the female one, but the difference was not significant. 4. In the test of creativity, the traditional lecture method group got higher scores than the inquiry training one. (p < .00 1). In the inquiry training group, the female class got higher scores than the male one, but the difference was not significant Therefore, the inquiry training model is the more effective instruction model for both male and female students, rather than the traditional lecture method for instruction interest de¬gree, powers of exploration process, creativity and extends instruction interest degree for the male studentsale students.

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월파형 파력발전구조물의 월파 특성에 관한 실험적 연구 (An Experimental Study of Wave Overtopping Characteristics on the Structure for Wave Overtopping Power Generating System)

  • 신승호;홍기용
    • 한국항해항만학회지
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    • 제30권8호
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    • pp.649-655
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    • 2006
  • 연안으로 입사해 들어오는 파랑은 월파형 파랑제어구조물에 의해 증폭, 월파되어 구조물 배후의 유수지에 위치 에너지로 저장될 수 있으며, 수두차의 형태로 저장된 위치에너지는 초저낙차 수차 터빈을 통해 전기에너지로 변환될 수 있다. 본 연구는 이와 같은 월파형 파력발전에 있어서 주어진 입사파 조건에 대해 최대 월파 유량을 획득하는 월파형 파랑제어구조물의 최적 형상을 도출하기 위한 실험적 연구이다. 월파형 파랑제어구조물의 형상 도출을 위한 수조 실험은 삼차원 조파 수조에서 이루어졌으며, 평면 파랑 집중 형상을 가진 삼차원 구조물의 형상은 5가지의 종류로 제작되었다. 파랑제어구조물은 신과 홍(2005)에서 제안한 월파형 파랑제어구조물의 이차원 단면 형상을 토대로 수로폭 및 수렴각을 가진 삼차원 형상으로 확장한 것이다. 본 삼차원 월파실험에서는 20개의 입사파 조건과 각각의 파에 대한 $0^{\circ},\;15^{\circ},\;30^{\circ}$의 상대 입사각을 부여하여 계측된 월파량을 분석하였다.

이하선 종괴로 발현된 악성 림프종 (Parotid Mass as First Presentation of Malignant Lymphoma)

  • 정웅윤;이효상;서진학;양우익;박정수
    • 대한두경부종양학회지
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    • 제17권1호
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    • pp.26-31
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    • 2001
  • Background: Primary malignant lymphoma of the parotid gland is a rare disease and defined as any malignant lymphoma that first manifests in the parotid gland, regardless of the subsequent stage of the diseases, whether it arises in the parenchyma or intraglandular lymph nodes. This study was performed to review the clinicopathological characteristics of primary parotid lymphoma and identify its optimal treatment modality. Materials and Methods: Six cases with parotid mass as first presentation of malignant lymphoma between 1988 and 2000, were studied on the basis of clinical features, diagnostic tools, treatment modality, treatment outcomes, and clinical stage by Ann Arbor Criteria. All were microscopically reevaluated and classified by NCI working formulation. Results: All patients were males and mean age was 36.7 years (2-66 years). Rapid growing non-tender mass was presented in all the cases and cervical lymphnodes were palpated in 4 cases. However, there was not any evidence of concurrent autoimmune disease such as Sjogren's syndrom or Rheumatoid arthritis. One case was confirmed by surgical specimen after superficial parotidectomy, 2 by excisional biopsy, and 3 by incisional biopsy. The stage of disease by NCI working formulation was IE in 1 patient, IIE in 4 and IV in 1. All were classified into non-Hodgkin' lymphoma, of which there were 5 cases of B-cell type and 1 case of T-cell type. There were 3 diffuse large cell lymphomas, 1 Burkitt lymphoma, 1 MALT lymphoma and 1 T-lymphoblastic lymphoma. Three cases were treated by chemotherapy only, 2 by radiotherapy only and 1 by chemo-radiotherapy. One case with Burkitt lymphoma was died from the disease and one case was lost to follow-up. The others are alive with no evidence of recurrence. Conclusions: Although primary parotid lymphoma is rare and difficult to diagnose preoperatively, most were detected in early stage and showed a relatively good response to the chemotherapy or radiotherapy like other types of extranodal malignant lymphoma.

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감마선과 훈증처리가 저장 중 건고추의 미생물 생육, 과피 색도 및 흡광 특성에 미치는 영향 (Effects of Gamma-Irradiation and Fumigation on Microbial Growth, Color and Absorption Properties of Dried Red Pepper during Storage)

  • 김병근;;김동호;권중호
    • 한국식품저장유통학회지
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    • 제12권1호
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    • pp.48-53
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    • 2005
  • 방사선 조사(5, 10 kGy)와 훈증처리$(MeBr,\;PH_3)$된 건고추의 저장조건(실온,4, 8개월)에 따른 미생물학적, 수분함량, 기계적 색도 및 흡광특성에 미치는 영향을 검토하였다. 처리군별 미생물 농도에서 무처리 시료의 총세균은 분말 고추 $4.8\times10^5\;CFU/g$, 통고추 $1.8\times10^2\;CFU/g$ 수준이었고, 효모 및 곰팡이는 분말 고추 $1.7\times10^5\;CFU/g$, 통고추 $5.0\times10^2\;CHU/g$수준으로 통고추에 비해 분말 고추가 높은 미생물 농도를 나타내었다. 그러나 대장균군은 모든 시료에서 검출되지 않았다. 특히, 화학 훈증제는 살균 효과가 거의 나타나지 않았으나 5 kGy범위의 감마선 조사는 모든 미생물 농도를 $2\~3\;log$ cycle 이상 감소시킬 수 있었다. 건고추의 수분함량은 감마선과 훈증처리에 의해 거의 변화되지 않았으나 저장조건의 영향이 크게 나타났다. 건고추 과육 추출물의 흡광특성은 처리군간에 차이가 없었다. 과피의 명도(L)는 처리직후 10 kGy 조사군과 MeBr 처리군에서 적색도(a)와 황색도(b)는 감마선과 훈증처리군에서 각각 낮은 (p<0.05) 값을 보였으나 저장 4개월 이후에는 무처리군과 처리군간에 유의적이 차이가 없었으며, 저장기간은 시료의 색도변화에 유의적인 영향을 나타내었다.

통계적 검정과 데이터마이닝기법의 융합을 통한 민간요법 인식 요인 탐색조사 (Research of recognition factors of folk medicine using statistical testing and data mining)

  • 유진아;최경호;조정근
    • 디지털융복합연구
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    • 제13권2호
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    • pp.393-399
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    • 2015
  • 오늘날은 가히 웰빙과 LOHAS 시대를 넘어 힐링시대라 할 만큼 모두들 스스로의 치료(self therapy)에 관심이 많다. 이에 따라 민간요법과 관련된 분야의 활발한 산업화 그리고 질병치료가 아닌 건강증진 등에 대한 관심이 증대되면서 다양한 분야에서 대체의학이나 대체요법에 대한 연구가 수행되고 있다. 이렇듯 민간요법을 통한 건강증진 및 인간의 자연치유력에 대한 관심이 증대되고 있는 시점에서, 민간요법에 대한 인식을 구성하는 요인들을 탐색해 보는 것은 매우 의미 있는 일이다. 이에 본 연구에서는 선행연구를 토대로 인식 속성 관련 설문문항을 개발하여 요인분석 등을 이용하여 민간요법을 구성하는 요인에 대해 탐색해 보고, 인구통계학적인 특성들에 따라 인식 속성에 어떠한 차이가 있는지를 통계적 검정해 보았다. 그 결과 24개로 구성된 민간요법 관련 측정 변수들은 4개의 요인, 즉, 건강증진요인, 안전요인, 심리요인 그리고 대안요인 등으로 분류되었다. 그리고 전체적으로 30세 이하의 젊은 층보다는 40~60대의 중장년층 그리고 학력이 높을수록 민간요법에 대한 사용경험이 높으며, 성별로는 큰 차이가 없음을 알 수 있었다.

아마추어 씨름 선수들의 부상 발생 양상과 물리치료 이해도에 관한 연구 (The Pattern of Trauma and Level of Understanding to the Physical Therapy of Amateur Ssirum Player)

  • 김종렬;박래준;김철용
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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    • pp.107-119
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    • 2000
  • This study is fulfilled from September 1st to December 31st in 1999 and the object of investigation are all 289 students belong to 5 universities managing amateur Ssirum team in Kyungnam, Kyungpook. Pusan and Seoul(158 people) and 6 high schools(131 people). And these results were derived from percentage and cross analysis of Person Chi-square test ann interview and 47 questioned paper based on this purpose of study. 1. There were no significant differences between high school students and university students in the comprehension of physical therapy and injury occurrence by technique. 2. According to the relation between satisfaction of life as a player and injured part, the injury of soft tissue ranked high among satisfied and unsatisfied people. and the satisfaction or unsatisfaction of practicing place also derived same result. 3. $46.8\%$ of Ssirum players got the injury of soft tissue during practice. the articular injury and bone injury in regular sequence. But there were no relations between the time of injury and the sort of injury. 4. There were no statistical differences ortho sort of injury by technique.(p=0.399). 5. According to the part of injury by using techniques, the injury of soft tissue ranked high$(50.0\%)$, articular injury ranked high$(42.6\%)$ in the leg technique, bone injury ranked high in the leg technique, and nerve injury ranked high in hand technique. 6. The injury of soft tissue ranked high during the practice$(46.8\%)$, practice on the purpose of a match$(50.0\%)$ and match$(41.7\%)$ but there were no relations between the time of injury and son of injury. 7. The part of injury by technique ranked high in the soft tissue$(50.0\%)$, articular injury by leg technique$(42.6\%)$, bone injury in leg and waist technique and nerve injury in hand technique high. 8. The time of injury ranked high during the practice$(65.7\%)$, and $66.1\%$ of injury occurred in the afternoon. 9. During the practice, the cold weather ie related on the rate of injury because $67\%$ of injury occurred in winter, but there are no statistical significance. 10. There were no relations between the satisfaction of place far practice and time of injury. 11. The particular part of injury occurred very much during the match between defense and offense. 12. In the relation between the degree of understanding of physical therapy and the experience of physical therapy, the people who know physical therapy had much experiences of physical therapy(p=.000) And independent of the physical therapy experiences, the effectiveness of physical therapy therapy to players was $48.8\%$, no idea was 42.65 and no effectiveness was $8.7\%$(p=.000). 13. $59.6\%$ of the people admitting the physical therapy effectiveness answered they would follow the order of the doctor and $56.6\%$ of the people not admitting the physical therapy effectiveness answered no.

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