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Gaur PS, Saha S, Goel A, Ovseiko P, Aggarwal S, Agarwal V, Haq AU, Danda D, Hartle A, Sandhu NK, Gupta L. Mental healthcare for young and adolescent LGBTQ+ individuals in the Indian subcontinent. Front Psychol 2023; 14:1060543. [PMID: 36743255 PMCID: PMC9895954 DOI: 10.3389/fpsyg.2023.1060543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 01/04/2023] [Indexed: 01/22/2023] Open
Abstract
The coronavirus disease (COVID-19) pandemic has led to a significant change in the way healthcare is dispensed. During the pandemic, healthcare inequities were experienced by various sections of society, based on gender, ethnicity, and socioeconomic status. The LGBTQ individuals were also affected by this inequity. There is a lack of information on this topic especially in the developing countries. Hence this issue requires further exploration and understanding. Previous literature briefly explored the mental, physical, and emotional turmoil faced by the LGBTQ community on a regular basis. They feared rejection by family and friends, bullying, physical assault, and religious biases. These issues prevented them from publicly speaking about their sexual orientation thereby making it difficult to collect reliable data. Although they require medical and psychological treatment, they are afraid to ask for help and access healthcare and mental health services. Being mindful of these difficulties, this article explores the various underlying causes of the mental health problems faced by LGBTQ individuals, especially, in the Indian subcontinent. The article also examines the status of healthcare services available to Indian sexual minorities and provides recommendations about possible remedial measures to ensure the well-being of LGBTQ individuals.
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Affiliation(s)
| | - Sreoshy Saha
- Mymensingh Medical College, Mymensingh, Bangladesh
| | - Ashish Goel
- Department of Medicine, Dr. B. R. Ambedkar State Institute of Medical Sciences, Mohali, India
| | - Pavel Ovseiko
- Radcliffe Department of Medicine, Oxford, United Kingdom
| | - Shelley Aggarwal
- Department of Pediatrics, Santa Clara Valley Medical Center, San Jose, CA, United States
| | - Vikas Agarwal
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Atiq Ul Haq
- Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Debashish Danda
- Department of Rheumatology and Clinical Immunology, Christian Medical College Hospital, Vellore, India
| | - Andrew Hartle
- Imperial College Healthcare NHS Trust, London, United Kingdom
| | - Nimrat Kaur Sandhu
- Department of Public Health, University of California, Merced, Merced, CA, United States
| | - Latika Gupta
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India,Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom,Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, United Kingdom,City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom,*Correspondence: Latika Gupta, ; orcid.org/0000-0003-2753-2990
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Gil‐Vila A, Naveen R, Selva‐O'Callaghan A, Sen P, Nune A, Gaur PS, Gonzalez RA, Lilleker JB, Joshi M, Agarwal V, Kardes S, Kim M, Day J, Makol A, Milchert M, Gheita T, Salim B, Velikova T, Gracia‐Ramos AE, Parodis I, Nikiphorou E, Tan AL, Chatterjee T, Cavagna L, Saavedra MA, Shinjo SK, Ziade N, Knitza J, Kuwana M, Distler O, Chinoy H, Agarwal V, Aggarwal R, Gupta L, Barman B, Singh YP, Ranjan R, Jain A, Pandya SC, Pilania RK, Sharma A, Manesh Manoj M, Gupta V, Kavadichanda CG, Patro PS, Ajmani S, Phatak S, Goswami RP, Chowdhury AC, Mathew AJ, Shenoy P, Asranna A, Bommakanti KT, Shukla A, Pandey AKR, Chandwar K, Cansu DÜ, Pauling JD, Wincup C, Del Papa N, Sambataro G, Fabiola A, Govoni M, Parisi S, Bocci EB, Sebastiani GD, Fusaro E, Sebastiani M, Quartuccio L, Franceschini F, Sainaghi PP, Orsolini G, De Angelis R, Danielli MG, Venerito V, Traboco LS, Wibowo SAK, Tehozol EAZ, Serrano JR, La Torre IG, Loarce‐Martos J, Prieto‐González S, Gil‐Vila A, Gonzalez RA, Yoshida A, Nakashima R, Sato S, Kimura N, Kaneko Y, Tomaras S, Gromova MA, Aharonov O, Hmamouchi I, Hoff LS, Giannini M, Maurier F, Campagne J, Meyer A, Nagy‐Vincze M, Langguth D, Limaye V, Needham M, Srivastav N, Hudson M, Landon‐Cardinal O, Shaharir SS, Zuleta WGR, Silva JAP, Fonseca JE, Zimba O. COVID‐19 Vaccination In Autoimmune Diseases (COVAD) Study: Vaccine Safety In Idiopathic Inflammatory Myopathies. Muscle Nerve 2022; 66:426-437. [PMID: 35869701 PMCID: PMC9349921 DOI: 10.1002/mus.27681] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 07/09/2022] [Accepted: 07/17/2022] [Indexed: 11/30/2022]
Abstract
Introduction/Aims In this study we investigated COVID‐19 vaccination–related adverse events (ADEs) 7 days postvaccination in patients with idiopathic inflammatory myopathies (IIMs) and other systemic autoimmune and inflammatory disorders (SAIDs). Methods Seven‐day vaccine ADEs were collected in an international patient self‐reported e‐survey. Descriptive statistics were obtained and multivariable regression was performed. Results Ten thousand nine hundred respondents were analyzed (1227 IIM cases, 4640 SAID cases, and 5033 healthy controls [HCs]; median age, 42 [interquartile range, 30‐455] years; 74% female; 45% Caucasian; 69% completely vaccinated). Major ADEs were reported by 76.3% of the IIM patients and 4.6% reported major ADEs. Patients with active IIMs reported more frequent major (odds ratio [OR], 2.7; interquartile range [IQR], 1.04‐7.3) and minor (OR, 1.5; IQR, 1.1‐2.2) ADEs than patients with inactive IIMs. Rashes were more frequent in IIMs (OR, 2.3; IQR, 1.2‐4.2) than HCs. ADEs were not impacted by steroid dose, although hydroxychloroquine and intravenous/subcutaneous immunoglobulins were associated with a higher risk of minor ADEs (OR, 1.9; IQR, 1.1‐3.3; and OR, 2.2; IQR, 1.1‐4.3, respectively). Overall, ADEs were less frequent in inclusion‐body myositis (IBM) and BNT162b2 (Pfizer) vaccine recipients. Discussion Seven‐day postvaccination ADEs were comparable in patients with IIMs, SAIDs, and HCs, except for a higher risk of rash in IIMs. Patients with dermatomyositis with active disease may be at higher risk, and IBM patients may be at lower risk of specific ADEs. Overall, the benefit of preventing severe COVID‐19 through vaccination likely outweighs the risk of vaccine‐related ADEs. Our results may inform future guidelines regarding COVID‐19 vaccination in patients with SAIDs, specifically in those with IIMs. Studies to evaluate long‐term outcomes and disease flares are needed to shed more light on developing future COVID‐19 vaccination guidelines.
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Affiliation(s)
- Albert Gil‐Vila
- Systemic Autoimmune Diseases Unit, Vall d'Hebron General Hospital, Medicine Dept Universitat Autónoma de Barcelona Barcelona Spain
| | - R. Naveen
- Department of Clinical Immunology and Rheumatology Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow India
| | - Albert Selva‐O'Callaghan
- Systemic Autoimmune Diseases Unit, Vall d'Hebron General Hospital, Medicine Dept Universitat Autónoma de Barcelona Barcelona Spain
| | - Parikshit Sen
- Maulana Azad Medical College, 2‐Bahadurshah Zafar Marg, New Delhi Delhi India
| | - Arvind Nune
- Southport and Ormskirk Hospital NHS Trust Southport UK
| | | | - Raquel Arànega Gonzalez
- Internal Medicine Department Hospital Clinic, Consorci Sanitari del Maresme, Mataró Barcelona Spain
| | - James B. Lilleker
- Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre The University of Manchester Manchester UK
- Neurology, Manchester Centre for Clinical Neurosciences Northern Care Alliance NHS Foundation Trust Salford UK
| | - Mrudula Joshi
- Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals Pune India
| | - Vishwesh Agarwal
- Mahatma Gandhi Mission Medical College Navi Mumbai Maharashtra India
| | - Sinan Kardes
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine Istanbul University, Capa‐Fatih Istanbul Turkey
| | - Minchul Kim
- Center for Outcomes Research, Department of Internal Medicine University of Illinois College of Medicine Peoria Illinois USA
| | - Jessica Day
- Department of Rheumatology Royal Melbourne Hospital Parkville VIC Australia
- Walter and Eliza Hall Institute of Medical Research Parkville VIC Australia
- Department of Medical Biology University of Melbourne Parkville VIC Australia
| | - Ashima Makol
- Division of Rheumatology Mayo Clinic Rochester MN USA
| | - Marcin Milchert
- Department of Internal Medicine, Rheumatology, Geriatrics and Clinical Immunology Pomeranian Medical University in Szczecin, ul Unii Lubelskiej 1 Szczecin Poland
| | - Tamer Gheita
- Rheumatology Department, Kasr Al Ainy School of Medicine Cairo University Cairo Egypt
| | - Babur Salim
- Rheumatology Department Fauji Foundation Hospital Rawalpindi Pakistan
| | - Tsvetelina Velikova
- Department of Clinical Immunology, Medical Faculty University Hospital "Lozenetz", Sofia University St. Kliment Ohridski, 1 Kozyak Str. Sofia Bulgaria
| | - Abraham Edgar Gracia‐Ramos
- Department of Internal Medicine, General Hospital National Medical Center “La Raza”, Instituto Mexicano del Seguro Social, Av. Jacaranda S/N, Col. La Raza, Del. Azcapotzalco, C.P Mexico City Mexico
| | - Ioannis Parodis
- Division of Rheumatology, Department of Medicine Solna Karolinska Institutet and Karolinska University Hospital Stockholm Sweden
- Department of Rheumatology, Faculty of Medicine and Health Örebro University Örebro Sweden
| | - Elena Nikiphorou
- Centre for Rheumatic Diseases King's College London London UK
- Rheumatology Department King's College Hospital London UK
| | - Ai Lyn Tan
- NIHR Leeds Biomedical Research Centre Leeds Teaching Hospitals Trust Leeds UK
- Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds Leeds UK
| | - Tulika Chatterjee
- Center for Outcomes Research, Department of Internal Medicine University of Illinois College of Medicine Peoria Illinois USA
| | - Lorenzo Cavagna
- Department of Rheumatology Fondazione I.R.C.C.S. Policlinico San Matteo Pavia Italy
- Rheumatology Unit, Dipartimento di Medicine Interna e Terapia Medica Università degli studi di Pavia Pavia Lombardy Italy
| | - Miguel A. Saavedra
- Departamento de Reumatología Hospital de Especialidades Dr. Antonio Fraga Mouret Centro Médico Nacional La Raza, IMSS Mexico City Mexico
| | - Samuel Katsuyuki Shinjo
- Division of Rheumatology, Faculdade de Medicina FMUSP Universidade de Sao Paulo, Sao Paulo SP Brazil
| | - Nelly Ziade
- Rheumatology Department Saint‐Joseph University Beirut Lebanon
- Rheumatology Department Hotel‐Dieu de France Hospital Beirut Lebanon
| | - Johannes Knitza
- Medizinische Klinik 3 ‐ Rheumatologie und Immunologie Universitätsklinikum Erlangen, Friedrich‐Alexander‐Universität Erlangen‐Nürnberg, Ulmenweg 18 Erlangen Deutschland
| | - Masataka Kuwana
- Department of Allergy and Rheumatology Nippon Medical School Graduate School of Medicine, 1‐1‐5 Sendagi, Bunkyo‐ku Tokyo Japan
| | - Oliver Distler
- Department of Rheumatology University Hospital Zurich, University of Zurich Zurich Switzerland
| | - Hector Chinoy
- Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre The University of Manchester Manchester UK
- National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust The University of Manchester Manchester UK
- Department of Rheumatology Salford Royal Hospital Northern Care Alliance NHS Foundation Trust Salford UK
| | - Vikas Agarwal
- Department of Clinical Immunology and Rheumatology Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow India
| | - Rohit Aggarwal
- Division of Rheumatology and Clinical Immunology University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA
| | - Latika Gupta
- Department of Clinical Immunology and Rheumatology Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow India
- Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre The University of Manchester Manchester UK
- Dept of Rheumatology Royal Wolverhampton Hospital NHS Trust Wolverhampton United Kingdom
- City Hospital, Sandwell and West Birmingham Hospitals NHS Trust Birmingham United Kingdom
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Gaur PS, R N, Anuja AK, Singh MK, Rai MK, Muhammed R, Sahu AK, Agarwal V, Gupta L. Anti-mitochondrial antibodies in Indian patients with idiopathic inflammatory myopathies. Int J Rheum Dis 2022; 25:659-668. [PMID: 35384316 DOI: 10.1111/1756-185x.14320] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 01/27/2022] [Accepted: 03/18/2022] [Indexed: 12/01/2022]
Abstract
AIMS Anti-mitochondrial antibodies (AMAs) are associated with distinct clinical phenotypes including cardiac and hepatic manifestations in idiopathic inflammatory myopathies (IIMs). This article studies the prevalence, clinical characteristics and outcomes of AMA in Indian patients with IIM. METHODS Patients (97: 81 adult, 16 juvenile) clinically diagnosed with polymyositis or antibody-negative IIM were retrieved from the MyoCite bio-archive. They were tested for myositis-specific autoantibodies / myositis autoantibodies (MSAs/MAAs) using line immunoassay and antinuclear antibodies and AMAs using immunofluorescence assay (IFA). Patients were also screened for cardiac biomarkers (cardiac troponin I [c-TnI] and N terminal-pro brain natriuretic peptide [NT-pro-BNP] using immunometric immunoassay technique and enhanced chemiluminescence assay testing respectively) and hepatic manifestations using AMA testing. Results were formulated after carrying out analytical tests. RESULTS Of the cohort, 5 adults (6.2%) (M:F 0:1) with a median age and disease duration of 37 years and 2 months respectively, tested AMA+ while the children tested negative. Dermatomyositis was the commonest phenotype, with amyopathic forms being common, often with MSA positivity. Cancer-associated myositis and polymyositis were also seen. AMA positivity is associated with Gottron's sign and calcinosis. Comparable levels of C-TnI and NT-pro-BNP and AMA testing in patients help to rule out subclinical cardiac and hepatic involvement respectively. CONCLUSION Anti-mitochondrial antibodies are rare (6.2%) in different subtypes of IIM in the Indian population, and often coexist with MSAs. Their negative association with cardiac and hepatic involvement and probable association with Gottron's sign and calcinosis merit further investigation and long-term follow-up to understand the entire spectrum of the disease.
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Affiliation(s)
| | - Naveen R
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Anamika Kumari Anuja
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Mantabya Kumar Singh
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Mohit Kumar Rai
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Rizwan Muhammed
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Ankit Kumar Sahu
- Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Vikas Agarwal
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Latika Gupta
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.,Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.,City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.,Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK
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Gaur PS, Saha S, Atukorale H, Lim I, Kuang CY, Wong P, Harifi G, Salim B, Danda D, Haq AU, Gupta L. Online academic community in the Asia-Pacific countries: The paragon of a metamorphic world. Int J Rheum Dis 2021; 24:1229-1234. [PMID: 34596952 DOI: 10.1111/1756-185x.14196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 07/23/2021] [Accepted: 07/25/2021] [Indexed: 11/27/2022]
Affiliation(s)
| | - Sreoshy Saha
- Mymensingh Medical College, Mymensingh, Bangladesh
| | | | | | - Cheng Yew Kuang
- Allergy, Arthritis and Rheumatology Clinic, Farrer Park Hospital, Singapore City, Singapore
| | | | - Ghita Harifi
- Dr. Humeira Badsha Medical Center, Dubai, United Arab Emirates
| | - Babur Salim
- Fauji Foundation Hospital Rawalpindi, Rawalpindi, Pakistan
| | - Debashish Danda
- Department of Rheumatology and Clinical Immunology, Christian Medical College Hospital, Vellore, India
| | - Atiq Ul Haq
- Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Latika Gupta
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
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Abstract
The current digital era has led to a surge in the use of Social Media in academia. Worldwide connectivity has brought to the fore a scarce participation of Central Asia and adjoining regions in scientific discussions. Global perspectives in science may not be recorded due to such communication disparities. An equal representation of all ethnic groups is essential to have a rounded picture of the topic at hand. The extent of use of social media platforms in various regions is determined by social, economic, religious, political, cultural and ethnic factors, which may limit participation. The paper aims to examine the use of social media by academicians in the Central Asian countries, China and Mongolia. It also focusses on the linguistic skills of the Central Asian, Chinese and Mongolian population and their eagerness to be involved in global discussions. Understanding the factors limiting participation from specific regions is the first step in this direction.
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Affiliation(s)
| | - Latika Gupta
- Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
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Abstract
Social Media Platforms (SMPs) have emerged as the new frontiers for academic engagement, more so during the pandemic. Cultural barriers, close censorship, and language restrictions may limit the participation of Central Asian scholars in the global scientific communication. This article explores the patterns of Social Media (SoMe) use in Central Asia and outlines probable deterrents of academic engagement in the region. Some suggestions are formulated to offer digital and socio-cultural solutions aimed to improve Central Asian scholars’ activities on SoMe platforms and bridge the divide for fruitful academic partnerships.
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Abstract
The coronavirus disease 2019 (COVID-19) pandemic has led to a massive rise in survey-based research. The paucity of perspicuous guidelines for conducting surveys may pose a challenge to the conduct of ethical, valid and meticulous research. The aim of this paper is to guide authors aiming to publish in scholarly journals regarding the methods and means to carry out surveys for valid outcomes. The paper outlines the various aspects, from planning, execution and dissemination of surveys followed by the data analysis and choosing target journals. While providing a comprehensive understanding of the scenarios most conducive to carrying out a survey, the role of ethical approval, survey validation and pilot testing, this brief delves deeper into the survey designs, methods of dissemination, the ways to secure and maintain data anonymity, the various analytical approaches, the reporting techniques and the process of choosing the appropriate journal. Further, the authors analyze retracted survey-based studies and the reasons for the same. This review article intends to guide authors to improve the quality of survey-based research by describing the essential tools and means to do the same with the hope to improve the utility of such studies.
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Affiliation(s)
| | - Olena Zimba
- Department of Internal Medicine No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
| | - Vikas Agarwal
- Department Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | - Latika Gupta
- Department Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
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