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Psychiatrische Praxis最新文献

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[A Continuous Literature Review for Mental Health Surveillance during the Covid-19 Pandemic in Germany - Method, Selected Results and Lessons Learned]. [德国 Covid-19 大流行期间心理健康监测的持续文献回顾--方法、部分结果和经验教训]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-03-29 DOI: 10.1055/a-2241-4148
Sophie Christine Eicher, Julia Wilhelm, Elvira Mauz, Stephan Junker, Heike Hölling, Lorenz Schmid, Julia Thom
{"title":"[A Continuous Literature Review for Mental Health Surveillance during the Covid-19 Pandemic in Germany - Method, Selected Results and Lessons Learned].","authors":"Sophie Christine Eicher, Julia Wilhelm, Elvira Mauz, Stephan Junker, Heike Hölling, Lorenz Schmid, Julia Thom","doi":"10.1055/a-2241-4148","DOIUrl":"10.1055/a-2241-4148","url":null,"abstract":"<p><p>In order to provide an up-to-date overview on changes in population's mental health during the COVID-19 pandemic, a continuous literature review was conducted. Building on a rapid review, systematic and hand searches were conducted monthly until December 31, 2022. Studies were assessed for observation periods, risk of bias and outcomes. Trends in depressive symptoms in adults were summarized by vote counting. 102 publications were included from 62 studies in the adult population. Studies declined over the course of the pandemic. Overall, 37% of the studies and 56% of the publications can assess trends in the population reliably. Among evidence for changes in depressive symptoms deteriorations predominated at last. The heterogeneity of results published by the end of 2022 limits evidence syntheses. Evidence of deterioration requires further surveillance. A continuous review can indicate evidence gaps at an early stage.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"178-188"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Intended utilization of health care services in cases of mental illnesses with varying urgency]. [在不同紧急程度的精神病患者中使用医疗服务的意向]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-02-15 DOI: 10.1055/a-2230-3163
Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck
{"title":"[Intended utilization of health care services in cases of mental illnesses with varying urgency].","authors":"Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck","doi":"10.1055/a-2230-3163","DOIUrl":"10.1055/a-2230-3163","url":null,"abstract":"<p><strong>Objective: </strong>To investigate variations in intended utilization in cases of an acute psychotic episode, an alcohol related or depressive disorder depending on different case characteristics.</p><p><strong>Methods: </strong>A telephone survey with case vignettes was conducted (N=1,200). Vignettes varied in terms of urgency of symptoms, daytime, sex of the afflicted person and age/mental disorder. The respondents were asked to indicate whom they would contact first in the described case.</p><p><strong>Results: </strong>Outpatient physicians were named most frequently as the first point of contact (61.1%) while only 6.5% of the respondents named emergency medicine including the medical on call service (8.1% in high urgency cases, i. e. emergencies that did not tolerate any delay). Intended utilization varied by urgency and age/mental illness.</p><p><strong>Conclusion: </strong>More Information about the need to seek medical help immediately in cases of mental illnesses with high urgency should be provided.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"209-215"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Outpatientization of Hospital Psychiatry - The Time has Come]. [医院精神病学门诊化--时机已到]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-05-08 DOI: 10.1055/a-2266-6881
Martin Driessen
{"title":"[Outpatientization of Hospital Psychiatry - The Time has Come].","authors":"Martin Driessen","doi":"10.1055/a-2266-6881","DOIUrl":"https://doi.org/10.1055/a-2266-6881","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 4","pages":"175-177"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Does Inpatient Equivalent Home Treatment lead to higher satisfaction? Results on satisfaction of persons involved in treatment within the Multi-center AKtiV Study]. 住院等效家庭治疗是否会带来更高的满意度?多中心AKtiV研究中参与治疗的人员满意度的结果[j]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2023-11-21 DOI: 10.1055/a-2179-6983
Gerhard Längle, Svenja Raschmann, Anna Heinsch, Tamara Großmann, Lasse Fischer, Jürgen Timm, Andreas Bechdolf, Sebastian von Peter, Stefan Weinmann, Konstantinos Nikolaidis, Peter Brieger, Johannes Hamann, Tamara Waldmann, Julian Schwarz, Sandeep Rout, Uwe Herwig, Janina Richter, Constance Hirschmeier, Johanna Baumgardt, Martin Holzke
{"title":"[Does Inpatient Equivalent Home Treatment lead to higher satisfaction? Results on satisfaction of persons involved in treatment within the Multi-center AKtiV Study].","authors":"Gerhard Längle, Svenja Raschmann, Anna Heinsch, Tamara Großmann, Lasse Fischer, Jürgen Timm, Andreas Bechdolf, Sebastian von Peter, Stefan Weinmann, Konstantinos Nikolaidis, Peter Brieger, Johannes Hamann, Tamara Waldmann, Julian Schwarz, Sandeep Rout, Uwe Herwig, Janina Richter, Constance Hirschmeier, Johanna Baumgardt, Martin Holzke","doi":"10.1055/a-2179-6983","DOIUrl":"10.1055/a-2179-6983","url":null,"abstract":"<p><p>This part of the AKtiV Study focuses on treatment satisfaction of patients and their relatives within Inpatient Equivalent Home Treatment (IEHT) and regular treatment. Stress of relatives and job satisfaction and workload of employees in IEHT is also considered. Relevant Parameters were collected via established as well as newly adapted questionnaires at the end of treatment. Patients and relatives in IEHT are significantly more satisfied. The stress experienced by relatives is reduced in both forms of treatment. Employees in IEHT are generally very satisfied, although there is no correlation with the satisfaction of relatives and patients. Known limitations of satisfaction surveys must be taken into account. In general these results encourage the expansion and continuous development of this new form of treatment in Germany.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"202-208"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Work and Employment Situation of People with Mental Illness Receiving Independent Supported Housing: An Analysis of Routine Data from a Community Psychiatry Service]. 社区精神病学服务中心常规数据分析:独立支持住房的精神疾病患者的工作和就业情况
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2023-11-21 DOI: 10.1055/a-2196-2218
Lorenz B Dehn, Julia Suer, Rüdiger Klein, Martin Driessen
{"title":"[Work and Employment Situation of People with Mental Illness Receiving Independent Supported Housing: An Analysis of Routine Data from a Community Psychiatry Service].","authors":"Lorenz B Dehn, Julia Suer, Rüdiger Klein, Martin Driessen","doi":"10.1055/a-2196-2218","DOIUrl":"10.1055/a-2196-2218","url":null,"abstract":"<p><strong>Objectives: </strong>Due to insufficient empirical data on the occupational participation of people affected by severe mental illness receiving integration assistance, routine data from a community psychiatry service were evaluated.</p><p><strong>Methods: </strong>Reference workers filled out a short questionnaire on different occupational and employment aspects of their clients from supported housing/floating outreach. In addition to descriptive and exploratory analyses, overall results from previous survey rounds were also evaluated.</p><p><strong>Results: </strong>N=1418 individuals (M=47.6 years) could be included, of whom approximately 45% had no job, sheltered employment, or daytime service. This percentage has remained almost unchanged over the last decades.</p><p><strong>Conclusion: </strong>Overall, there is an urgent need for action to improve occupational participation opportunities for people with mental illness and substance addiction.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"216-220"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Coercive Medication: Who, how, how Long? A Retrospective Chart Analysis in 6 Hospital Sites in Baden-Wuerttemberg]. [强制用药：谁、如何、多长时间？巴登一符腾堡州 6 家医院的回顾性病历分析]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-01-17 DOI: 10.1055/a-2225-2162
Tilman Steinert, Jana Wiedmer
{"title":"[Coercive Medication: Who, how, how Long? A Retrospective Chart Analysis in 6 Hospital Sites in Baden-Wuerttemberg].","authors":"Tilman Steinert, Jana Wiedmer","doi":"10.1055/a-2225-2162","DOIUrl":"10.1055/a-2225-2162","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of the practice of coercive treatment in Germany after the Constiutional Court's decision in 2011.</p><p><strong>Methods: </strong>The documented emergency treatments (N=86) and judicially approved compulsory treatments (N=62) in 2015 and 2016 at 6 hospital locations in Baden-Württemberg were retrospectively analysed.</p><p><strong>Results: </strong>Patients had an average of 8 previous psychiatric hospitalisations with a cumulative duration of 645 days on average and 87% had a psychotic disorder. 34% received subsequent compulsory treatment within one year. The median duration of compulsory treatment was 15 days. 92% of the patients were taking an antipsychotic at discharge, 45% received further treatment in a day hospital or a psychiatric outpatient clinic.</p><p><strong>Conclusion: </strong>Coercive treatment affects a relatively small, chronically severely ill group of patients and is frequently recurrent among them. For considerable part, no consecutive treatment setting can be established after discharge.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"189-194"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[How Successful is the Participation of People with Mental Illness and Family Members in the Development of Evidence- and Consensus-Based Clinical Practice Guidelines? Results of a Survey in Psychiatry]. [精神疾病患者及其家人参与制定以证据和共识为基础的临床实践指南的成功率如何？精神病学调查的结果]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2023-12-22 DOI: 10.1055/a-2201-7987
Katja Schladitz, Elena Caroline Weitzel, Margrit Löbner, Bettina Soltmann, Frank Jessen, Jochen Schmitt, Andrea Pfennig, Steffi G Riedel-Heller, Uta Gühne
{"title":"[How Successful is the Participation of People with Mental Illness and Family Members in the Development of Evidence- and Consensus-Based Clinical Practice Guidelines? Results of a Survey in Psychiatry].","authors":"Katja Schladitz, Elena Caroline Weitzel, Margrit Löbner, Bettina Soltmann, Frank Jessen, Jochen Schmitt, Andrea Pfennig, Steffi G Riedel-Heller, Uta Gühne","doi":"10.1055/a-2201-7987","DOIUrl":"10.1055/a-2201-7987","url":null,"abstract":"<p><strong>Objective: </strong>The study examines how successful the participation of people with mental illness and family members is currently in the development of psychiatric guidelines.</p><p><strong>Methods: </strong>Survey results of N=561 (Response 37%) guideline developers are analyzed.</p><p><strong>Results: </strong>Involvement of affected individuals succeeds more often than that of family members (61% vs. 55%). 68% felt that this participation was central to successful guideline development. 51% perceived discrepancies between empirical evidence and experience perspective. 33-36% perceived a lack of appreciation of experience expertise, 37% an insufficient representation and 46% an inequality in consensus building. 45% did not see barriers effectively removed.</p><p><strong>Conclusion: </strong>There remain challenges in the participation of people with mental illness and family members. There is an increasing awareness that their participation is central.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"195-201"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138885975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Influence of guideline recommendations, care structures and individual factors on the use of psychosocial therapies in severely mentally ill people]. [指南建议、护理结构和个人因素对严重精神病患者使用心理社会疗法的影响]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-10-09 DOI: 10.1055/a-2133-3527
Sarah Fritz, Markus Kösters, Andreas Allgöwer, Thomas Becker, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Jessica Baumgärtner, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Johanna Breilmann
{"title":"[Influence of guideline recommendations, care structures and individual factors on the use of psychosocial therapies in severely mentally ill people].","authors":"Sarah Fritz, Markus Kösters, Andreas Allgöwer, Thomas Becker, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Jessica Baumgärtner, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Johanna Breilmann","doi":"10.1055/a-2133-3527","DOIUrl":"10.1055/a-2133-3527","url":null,"abstract":"<p><strong>Objective: </strong>The influence of guideline recommendations and other factors on the utilization of psychosocial interventions in people with severe mental illness was examined.</p><p><strong>Methods: </strong>Data from a cross-sectional study of 397 people with severe mental illness were analysed descriptively.</p><p><strong>Results: </strong>Patients are less likely to receive therapies with a strong recommendation compared to other levels of recommendation. Various other factors are diffusely associated with utilization rates, but no ubiquitous predictors could be identified across all therapies.</p><p><strong>Conclusion: </strong>Current practice in the use of psychosocial interventions does not follow guideline recommendation strength. Interventions with strong recommendations are probably not available across services. Consequently, routine practice is not able to follow guideline recommendations according to their strength. Other consistent predictors could not be identified.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"129-138"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Anxiety, Depression, Psychological Strain and Physical Complaints before and after the Covid-19 Pandemic in a German Longitudinal Study with Adults from Saxony]. [德国萨克森州成年人在新冠肺炎大流行前后的焦虑、抑郁、心理紧张和身体抱怨纵向研究]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-11-09 DOI: 10.1055/a-2191-0234
Hendrik Berth, Elmar Brähler, Lisa Braunheim, Markus Zenger, Yve Stöbel-Richter, Franziska Emmerich, Ernst Peter Richter, Lisa Irmscher
{"title":"[Anxiety, Depression, Psychological Strain and Physical Complaints before and after the Covid-19 Pandemic in a German Longitudinal Study with Adults from Saxony].","authors":"Hendrik Berth, Elmar Brähler, Lisa Braunheim, Markus Zenger, Yve Stöbel-Richter, Franziska Emmerich, Ernst Peter Richter, Lisa Irmscher","doi":"10.1055/a-2191-0234","DOIUrl":"10.1055/a-2191-0234","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to investigate whether psychological distress increased in a German community sample from Saxony during the course of the Corona pandemic.</p><p><strong>Methods: </strong>In 2017/2018 and 2022, N=289 participants (54.7% female) of the Saxon Longitudinal Study were interviewed about their psychological well-being using questionnaires (PHQ-4, SSS-8).</p><p><strong>Results: </strong>There is a significant increase in complaints (anxiety, depression, psychological distress, physical complaints) compared to 2017/2018 to 2022 with effect sizes in the small and medium range (Cohens d=0.26-0.62).</p><p><strong>Conclusion: </strong>Data collection was not due to the pandemic but was routine as part of an ongoing long-term study. The Covid-19 pandemic led to an increase in psychological distress and physical complaints in a Saxonian, age-homogeneous population sample.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"163-166"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Smoke-free in Psychiatry - A Qualitative Analysis of Staff Perspectives]. [精神病学的无烟-对工作人员观点的定性分析]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-11-21 DOI: 10.1055/a-2184-3979
Deniz Cerci, Karin Vitzthum
{"title":"[Smoke-free in Psychiatry - A Qualitative Analysis of Staff Perspectives].","authors":"Deniz Cerci, Karin Vitzthum","doi":"10.1055/a-2184-3979","DOIUrl":"10.1055/a-2184-3979","url":null,"abstract":"<p><strong>Background: </strong>People with mental illness are more likely to be nicotine-dependent and they have a shorter life expectancy as a result of smoking. Although guidelines recommend smoking cessation support, this is rarely provided by psychiatric staff who often view the implementation of smoke-free policies critically.</p><p><strong>Method: </strong>We undertook inductive thematic analysis of the free-text fields of a staff survey on smoking.</p><p><strong>Results: </strong>Feedback on the topic was often emotional and related to the areas patient care, staff and the protection of non-smokers. Participants were often concerned that smoking cessation could worsen the patient's psychiatric condition or lead to aggressive behavior.</p><p><strong>Conclusions: </strong>There is no scientific evidence for these concerns. It is important to counteract false assumptions by providing the appropriate training on smoking cessation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"157-162"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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