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Mathur V, Roberts R, Mathur M, Reeve M, Okrongly D. The 4Kscore Test as a Predictor of High-Grade Prostatic Adenocarcinoma on Biopsy at Prostate-Specific Antigen Levels Less Than 4 ng/mL. Am J Clin Pathol 2015. [DOI: 10.1093/ajcp/144.suppl2.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Mathur V, Mathur M, Roberts R, Reeve M, Okrongly D. The 4Kscore Test Predicts Upgrading of Prostate Adenocarcinoma on Radical Prostatectomy in Men With Low-Grade Prostate Biopsies. Am J Clin Pathol 2015. [DOI: 10.1093/ajcp/144.suppl2.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mathur M, Pandey SN. Clinicohistological Profile of Cutaneous Tuberculosis in Central Nepal. Kathmandu Univ Med J (KUMJ) 2015; 12:238-41. [PMID: 26333576 DOI: 10.3126/kumj.v12i4.13727] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND There are few studies on cutaneous tuberculosis in Nepal. OBJECTIVE To analyse the epidemiological, clinical and histological patterns of cutaneous TB over the past 5 years. METHOD Patients with cutaneous tuberculosis diagnosed from January 2010 to December 2014 at College of Medical Sciences, Chitwan, Nepal were included in the study. Chest radiography, routine investigations and screening for HIV was performed in all cases. RESULT A total of 47 clinical cases of cutaneous tuberculosis were diagnosed. The most commonly affected age group was 41-50 years. Male to female ratio was 1.5:1. Duration of cutaneous tuberculosis ranged from 1 month to 33 years. Lupus vulgaris was the most common clinical type (64%), followed by tuberculosis verrucosa cutis (19%). Two cases (4%) were diagnosed as papulonecrotic tuberculid. Overall, the most common site of involvement was extremities (55%) followed by head and neck, trunk, and perianal region. Histopathologic features of epitheloid cell granuloma with Langhans type giant cells were seen in 89% of cases, and in remaining 11% cases, chronic inflammatory dermatitis and nonspecific chronic dermatitis were observed. CONCLUSION M Tuberculosis is endemic in Nepal and the incidence of cutaneous tuberculosis at our centre was 0.1%. Lupus vulgaris was the most common type followed by tuberculosis verrucosa cutis in our study. Cutaneous tuberculosis can be accompanied by tuberculosis in internal organs and hence should be looked for. Clinicopathologic correlation is necessary to make a proper diagnosis.
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Jhorawat R, Bansal N, Mathur M, Prasad D, Kimmatkar P, Beniwal P, Agarwal D, Malhotra V. FP775FACTORS AFFECTING INSULIN RESISTANCE AND ITS RELATION TO VITAMIN D STATUS AND CLINICAL NUTRITIONAL PARAMETERS IN DIALYSIS PATIENTS : A SINGLE CENTER INDIAN STUDY. Nephrol Dial Transplant 2015. [DOI: 10.1093/ndt/gfv184.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mathur M, Shrestha S. Intravenous Iron Sucrose Therapy in Iron Deficiency Anemia in Antenatal and Postnatal Patients. JNMA J Nepal Med Assoc 2015; 53:108-112. [PMID: 26994030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
INTRODUCTION Dermatophytosis is a common superficial fungal infection of the skin, hair and nails caused by Trichophyton, Microsporum and Epidermophyton dermatophytic species. Identification of causative dermatophytic species tend to vary with time and place and antifungal sensitivity is of epidemiological concern as well as significant for the treatment with precision at the current scenario of increasing antifungal resistance. The objectives was to study clinicomycological profile and antifungal sensitivity pattern of commonly used azoles in dermatophytosis. METHODS The prospective analysis of 145 clinically suspected cases of dermatophytosis was conducted from January 2014 to January 2015 at Department of Dermatology of COMS, Bharatpur, Chitwan, Nepal. Cases were evaluated and data recorded as per proforma. Samples were collected for microscopy and culture from skin, hair and nail. Antifungal sensitivity pattern was evaluated by standard disk diffusion technique. RESULTS Maximum numbers of cases with dermatophytosis were observed between June to September with male to female ratio of 1.4:1. The youngest patient was 3 years and the oldest was 76 years. Tinea corporis (25.5%) was the dominant clnical type observed. Overall direct microscopy (KOH) positivity and culture positivity was 64.8% and 57.2% respectively. Predominant species of dermatophyte isolated was T. mentagrophyte (23.4%). Out of five antifungals used in our study, fluconazole and ketoconazole were found 100% resistant. CONCLUSIONS This study highlighted the increasing resistance of the antifungals, which is responsible for the treatment failure in dermatophye infections.
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Mathur M, Sharma S, Prasad D, Garsa R, Singh AP, Kumar R, Beniwal P, Agarwal D, Malhotra V. Incidence and profile of C3 Glomerulopathy: A single center study. Indian J Nephrol 2015; 25:8-11. [PMID: 25684865 PMCID: PMC4323919 DOI: 10.4103/0971-4065.136889] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
C3 glomerulopathy has recently been described as a distinct entity. The underlying mechanism is unregulated activation of the alternate pathway of the complement system. The most common presentation is with an acute nephritic syndrome. The diagnosis is made on immunofluoroscence by the presence of isolated or dominant C3 staining. In this retrospective study, renal biopsy data were collected from 2010 to 2013 patients with C3 glomerulopathy identified and their clinical and biochemical parameters analyzed. Out of 514 biopsies available for analysis, the incidence of C3 glomerulopathy was 1.16% (n = 6). The mean age of the presentation was 26 years and the average estimated glomerular filtration rate was 30.65 ml/min/1.73 m(2). The most common histopathological pattern was membranoproliferative glomerulonephritis (n = 4).
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Kumar S, Rani S, Dadhich H, Mathur M. Types, Pattern and Morphology of Enteritis Prevalent in Camels of Rajasthan. J CAMEL PRACT RES 2015. [DOI: 10.5958/2277-8934.2015.00048.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kumar S, Rani S, Dadhich H, Mathur M. Occurrence and pathological study of intestinal coccidiosis in camels (Camelus dromedarius) of western rajasthan. J CAMEL PRACT RES 2015. [DOI: 10.5958/2277-8934.2015.00012.0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Saini K, Dadhich H, Mathur M, Tripathi A. Histopathological studies on renal lesions in dromedary camel (Camelus dromedarius). J CAMEL PRACT RES 2015. [DOI: 10.5958/2277-8934.2015.00018.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Myneedu VP, Behera D, Verma AK, Bhalla M, Singh N, Arora J, Singhal R, Mathur M, Lal P, Sarin R. Xpert® MTB/RIF assay for tuberculosis diagnosis: evaluation in an Indian setting. Int J Tuberc Lung Dis 2014; 18:958-60. [DOI: 10.5588/ijtld.13.0328] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Mathur M, D'Souza AVL, Malhotra V, Agarwal D, Beniwal P. Uremic frost. Clin Kidney J 2014; 7:418-9. [PMID: 25852925 PMCID: PMC4377803 DOI: 10.1093/ckj/sfu057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 05/15/2014] [Indexed: 11/18/2022] Open
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Ratan SK, Dhua AK, Sinha S, Mathur M, Rao S, Aggarwal S. Acquired nonspecific cicatrizing inflammation causing pyloric stricture and gastric outlet obstruction in infancy: is it Jodhpur disease? ACTA ACUST UNITED AC 2014; 34:274-7. [PMID: 25046896 DOI: 10.7869/tg.150] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Prasad D, Agarwal D, Malhotra V, Mathur M, Garsa R, Gandhi K, Beniwal P. Successful outcome of tacrolimus-associated thrombotic microangiopathy in renal transplant recipient with plasmapharesis. INDIAN JOURNAL OF TRANSPLANTATION 2014. [DOI: 10.1016/j.ijt.2014.08.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Kumar R, Jhorawat R, Mathur M, Garsa RK, Kimmatkar PD, Sharma S, Singh A, Beniwal P, Malhotra V. Effect of renal transplantation on multiple hormone levels in patients of chronic kidney disease: A single center study. INDIAN JOURNAL OF TRANSPLANTATION 2014. [DOI: 10.1016/j.ijt.2014.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Chiaka Ejike J, Humbert S, Bahjri K, Mathur M. Outcomes of children with abdominal compartment syndrome. Acta Clin Belg 2014; 62 Suppl 1:141-8. [PMID: 24881711 DOI: 10.1179/acb.2007.62.s1.018] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
INTRODUCTION Abdominal compartment syndrome (ACS) is a problem across all critical care scenarios and is associated with a high mortality. It has not been well described in pediatric populations. OBJECTIVE To describe the occurrence of ACS in a subset of critically ill pediatric patients and determine its effects on mortality and length of pediatric intensive care stay (PICU LOS). We also aimed to find predictors of mortality and development of ACS. SETTING 25 bed tertiary pediatric intensive care unit. PATIENTS PATIENTS less than 50 kg on mechanical ventilation and a urethral catheter. MEASUREMENTS Intra-abdominal pressures (IAP) were monitored using the intra-vesical technique. ACS was defined as IAP of >12mmHg associated with new organ dysfunction or failure. Demographics, physiologic measures of organ dysfunction, PICU LOS and mortality were monitored. MAIN RESULTS 14 (4.7%) of 294 eligible patients had ACS. Mortality was 50% among those with ACS versus 8.2% without (p<.001). PICU LOS stay did not differ between groups. No difference in mortality or PICU LOS was seen in primary versus secondary ACS or in patients who underwent abdominal decompression compared to those without decompression. IAP and ACS were independent predictors of mortality (odds ratio 1.53, 95% CI, 1.17 - 1.99 and 9.09, 95% CI, 1.07 - 76.84) respectively. IAP and a PRISM score of ≥17 were predictive of developing ACS. CONCLUSIONS ACS is a clinical problem that increases the risk of mortality in critically ill children. IAP and PRISM scores may help identify children likely to develop ACS.
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Le M, Ravin K, Hasan A, Clauss H, Muchant DG, Pasko JK, Cipollina G, Abanyie F, Montgomery SP, Loy M, Ahmed M, Mathur M, Chokkalingam Mani B, Mehr J, Kotru A, Varma C, Maksimak M, Schultz M, Obradovic G, Alvarez R, Toyoda Y, Birkenbach M, Brunner E, Nelson J. Single donor-derived strongyloidiasis in three solid organ transplant recipients: case series and review of the literature. Am J Transplant 2014; 14:1199-206. [PMID: 24612907 PMCID: PMC10167799 DOI: 10.1111/ajt.12670] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2013] [Revised: 01/14/2014] [Accepted: 01/14/2014] [Indexed: 01/25/2023]
Abstract
Donor-derived Strongyloides stercoralis infections in transplant recipients are a rare but recognized complication. In this case series, we report donor-derived allograft transmission of Strongyloides in three solid organ transplant recipients. Following detection of infection in heart and kidney-pancreas recipients at two different transplant centers, a third recipient from the same donor was identified and diagnosed. S. stercoralis larvae were detected in duodenal aspirates, bronchial washings, cerebrospinal fluid, urine and stool specimens. Treatment with ivermectin and albendazole was successful in two of the three patients identified. The Centers for Disease Control and Prevention was contacted and performed an epidemiologic investigation. Donor serology was strongly positive for S. stercoralis antibodies on retrospective testing while all pretransplant recipient serum was negative. There should be a high index of suspicion for parasitic infection in transplant recipients and donors from endemic regions of the world. This case series underscores the need for expanded transplant screening protocols for Strongyloides. Positive serologic or stool tests should prompt early treatment or prophylaxis in donors and recipients as well as timely notification of organ procurement organizations and transplant centers.
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Beniwal P, Pandey S, Garsa RK, Mathur M, Malhotra V, Agarwal D. The use of CT angiography in the evaluation of living donors for kidney transplantation. INDIAN JOURNAL OF TRANSPLANTATION 2014. [DOI: 10.1016/j.ijt.2014.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Liu S, Mathur M, Tagore S. Complications and pregnancy outcome following uterine compression suture for postpartum haemorrhage: a single centre experience. J OBSTET GYNAECOL 2014; 34:383-6. [PMID: 24678816 DOI: 10.3109/01443615.2014.895309] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
In the treatment of postpartum haemorrhage from uterine atony, uterine compression sutures, such as the B-Lynch suture and its modifications have a role with the advantage of preservation of the uterus for fertility. There is however, a risk that apposition of the anterior and posterior walls of the uterus will impede drainage of lochia, resulting in undesirable complications. We undertook a five-year retrospective study of all women who underwent uterine compression sutures at the KK Women's and Children's Hospital, between 2008 and 2012. In total, 23 women had uterine compression sutures during the study period, of which, nineteen women managed to conserve their uterus. Our complication rate was 25%, which included persistent vaginal discharge, pyometra and endometritis. There were three conceptions, with two successful pregnancies. Our study shows uterine compression suture to be a safe and effective alternative to avoid hysterectomy with preservation of fertility at the time of major postpartum haemorrhage. The outcome of subsequent pregnancies is reassuring.
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Mathur D, Lim LFM, Mathur M, Sng BL. Pituitary apoplexy with reversible cerebral vasoconstrictive syndrome after spinal anaesthesia for emergency caesarean section: an uncommon cause for postpartum headache. Anaesth Intensive Care 2014; 42:99-105. [PMID: 24471671 DOI: 10.1177/0310057x1404200118] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Pituitary apoplexy is a rare condition involving pituitary necrosis following either pituitary haemorrhage or infarction. Similarly, reversible cerebral vasoconstrictive syndrome is a cerebrovascular disorder characterised by diffuse, multifocal narrowing of cerebral arteries. Both may present with an acute, intense headache and associated neurological deficits. In postpartum women, these conditions should be considered in the differential diagnosis of post-dural puncture headache following regional anaesthesia, as serious morbidity may ensue if they are left untreated. We report the case of a patient who developed pituitary apoplexy during an emergency caesarean section under spinal anaesthesia. It was further complicated by the development of reversible cerebral vasoconstriction syndrome and stroke.
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Mathur M, Beniwal P, Prasad D, Malhotra V. Occupational kidney disease: Is exposure to ammonium nitrate a risk factor? Indian J Occup Environ Med 2014; 18:164-5. [PMID: 25598626 PMCID: PMC4292206 DOI: 10.4103/0019-5278.146920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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De A, Patil K, Mathur M. Detection of enteric parasites in HIV positive patients with diarrhea. Indian J Sex Transm Dis AIDS 2012; 30:55-6. [PMID: 21938120 DOI: 10.4103/0253-7184.55483] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Haque L, Fatima F, Mathur M. W070 INITIAL REVIEW OF PREGNANCIES IN ABERDEEN RELATED TO H1N1 (SWINE FLU) 2009 INFLUENZA. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61795-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Haque L, Fatima F, Mathur M, Ashok P. W325 MEDICAL MANAGEMENT OF LATE INTRAUTERINE DEATH USING A COMBINATION OF MIFEPRISTONE AND MISOPROSTOL. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)62048-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mathur M, Kumari S. Contact dermatitis – Pathomechanism and understanding of disease in clinical setting. JOURNAL OF COLLEGE OF MEDICAL SCIENCES-NEPAL 2012. [DOI: 10.3126/jcmsn.v7i4.6816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
According to the pathophysiological mechanisms involved, two major types of contact dermatitis recognized irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD). The diagnosis of either ICD or ACD is mainly depending on comprehensive clinical data (history and physical examination) as well as by performing appropriate diagnostic patch testing. Two forms of contact dermatitis may differ in early phase of development but development of clinical dermatitis have similar mechanism confusing the clinician and differentiating between ICD and ACD is often difficult in the clinical setting. This review will allow practicing physician to adopt rational clinical approach and the implementation of scientific information for therapeutic as well as preventive strategies. Journal of College of Medical Sciences-Nepal,2011,Vol-7,No-4, 70-77 DOI: http://dx.doi.org/10.3126/jcmsn.v7i4.6816
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Ghimire RBK, Mathur M. Erthroplasia of queryat- A case report. JOURNAL OF COLLEGE OF MEDICAL SCIENCES-NEPAL 2012. [DOI: 10.3126/jcmsn.v7i4.6815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Erthroplassia of Queryat (EQ) is a rare squamous cell carcinoma in situ of the penis. It usually occurs on the glans penis and appears as a well-marginated erythematous velvety patch or plaque. Here, we present a case of Erthroplasia of Queryat (EQ). Journal of College of Medical Sciences-Nepal,2011,Vol-7,No-4, 67-69 DOI: http://dx.doi.org/10.3126/jcmsn.v7i4.6815
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