In addition, guidelines should be simple, user-friendly and widely disseminated. If a resource contains no page numbers, as can be the case with electronic sources, then you cannot include a page number in the parentheses. In adults with characteristic symptoms, an increase or decrease in forced expiratory volume in one second (FEV1) of greater than 12% and 200 mL from baseline or a change in peak expiratory flow of at least 20% is consistent with asthma. In asthma, lung function can vary between normal and severely obstructed, especially when poorly controlled. 2017. Eur Respir J. This series is coordinated by Michael J. Arnold, MD, contributing editor. Vallerand, A. H., & Sanoski, C. A. [online] Available at: [Accessed 7 January 2017]. N Engl J Med. How do you cite the Bible or other classic works? Fit quotations within your sentences, enclosed in quotation marks, making sure the sentences are grammatically correct. Effect of azithromycin on asthma exacerbations and quality of life in adults with persistent uncontrolled asthma (AMAZES): a randomised, double-blind, placebo-controlled trial. If aDigital Object Identifier (DOI) is listed on either a print or an electronic source it is included in the reference. The primary efficacy endpoints included rate of total (severe and moderate) asthma exacerbations and overall asthma-related quality of life over the study period. Appropriate, effective medication regimens combined with counseling on proper inhaler technique will help patients achieve asthma-management goals. Guidelines for the management and prevention of asthma were published in 2019 by the Global Initiative for Asthma (GINA). FAQs on the Genetic Information Nondiscrimination Act. Provide the name of the database (Cochrane Database of Systematic Reviews) in italic title case in the reference, but if you write the name of the database elsewhere in the paper, do not italicize it. Global Initiative for Asthma GINA, For Immediate Release Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease that causes breathlessness, chronic sputum, 12 November 2022 This World Pneumonia Day, 12 November 2022, the Forum of International Respiratory Societies (FIRS), of which Global Initiative for, On World Lung Day, the Forum of International Respiratory Societies (FIRS) Calls for Action to Tackle Global Inequity in Respiratory Health 25 September, World COPD Day Your Lungs for Life: The Forum of International Respiratory Societies, Forum of International Respiratory Societies calls for collaborative efforts to fight pneumonia focusing on those at greatest risk, GINA Patient Guide: You Can Control Your Asthma, GINA Dissemination & Implementation Task Group, Global Initiative for Chronic Obstructive Lung Disease (GOLD). Less effective options include a daily leukotriene receptor antagonist or using a low-dose ICS as needed with a SABA. When you are referencing NICE guidelines follow this example: In the reference list: National Institute for Health and Care Excellence. Deerfield, IL: Horizon Pharma, Inc; 2012.14. [ 1] For safety reasons, treatment with short-acting beta2-agonists. https://www.aafp.org/afp/2019/0901/p290.html, https://www.aafp.org/afp/2020/0301/p310.html, https://ginasthma.org/wp-content/uploads/2019/06/GINA-2019-main-report-June-2019-wms.pdf, Chronic rhinosinusitis, food allergy, gastroesophageal reflux disease, obesity, pregnancy, Psychological difficulties, socioeconomic issues, Air pollution, allergen exposure, smoking, History of intubation or intensive care, severe exacerbation in past year, Blood eosinophils, elevated exhaled nitric oxide, high bronchodilator reversibility, low forced expiratory volume in one second (< 60% of predicted). If you continue with this browser, you may see unexpected results. Banoth B, Verma A, Bhalla K, Khanna A, Holla S, Yadav S. J Family Med Prim Care. International Journal of Child Health and Nutrition, 3(1), pp.11-16. Adding an ICS daily or as needed reduces this risk. Guidance for Non-HIV-Specialized Providers Caring for Persons with HIV Who Have Been Displaced by . N Engl J Med. For example, a full reference will look like: National Institute for Health and Care Excellence (NICE) (2017) Air pollution: outdoor air quality and health. Symbicort (budesonide-formoterol) package insert. Provide the year in which the guideline was developed in the date element of the reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. (2017). Treatment of hypertension in peripheral arterial disease. A double-blind trial conducted by OByrne and colleagues investigated the benefit of using an ICS plus a SABA compared with conventional treatment.18 A total of 3,849 patients aged 12 years or older with mild asthma were randomly assigned to terbutaline (twice-daily placebo plus terbutaline 0.5 mg prn), budesonide-formoterol (twice-daily placebo plus budesonide-formoterol 200 mcg/6 mcg prn), or budesonide maintenance (twice-daily budesonide 200 mcg plus terbutaline prn). GINA recommends the continuation of medications, avoidance of nebulization and spirometry, and ensuring a written asthma action plan in COVID-19 times. (n.d.). Asia Pac J Ophthalmol (Phila). 2017 Jun 15;27:120. doi: 10.11604/pamj.2017.27.120.9260. Patients should be advised to reduce their inhaled corticosteroid (ICS) dose by 25% to 50% or stop any other long-acting medication. Use of narrative medicine to identify key factors for effective doctor-patient relationships in severe asthma. Clinicians should check inhaler adherence and treat any modifiable risk factors (Table 1) before considering a step up in treatment. Guideline Central. Clinicians need to be aware of the changes and the evidence behind them. Waljee AK, Rogers MA, Lin P, et al. (Managing Asthma Exacerbations in the Emergency Department: Managing Asthma Exacerbations in the Emergency Department: Proceedings of the American Thoracic Society: Vol 6, No 4, 2017), (Co-trimoxazole Monograph for Professionals - Drugs.com, 2017), (Global Strategy for Asthma Management and Prevention, 2017). The full-text version displays when you visit the DOI of the article. Creative Commons Attribution-NonCommercial 4.0 International License. 2010;126(4):681-687.8. N Engl J Med. When symptoms are infrequent, adherence to daily therapy is often poor. Emily L. Fedor, BS Pharmacy Studies, PharmD Candidate 2021Western New England University College of Pharmacy & Health SciencesMaryCatherine E. Heighton, BS Pharmacy Studies, PharmD Candidate 2021Western New England University College of Pharmacy & Health SciencesVictoria L. Freniere, BS Pharmacy Studies, PharmD Candidate 2021Western New England University College of Pharmacy & Health SciencesJared Ostroff, PharmD, BCACP, BCGPAmbulatory Pharmacy Anticoagulation CoordinatorBaystate HealthMarissa Ostroff, PharmD, BCPS, BCGPClinical Associate ProfessorWestern New England University College of Pharmacy & Health SciencesSpringfield, Massachusetts. 2017;50(3):1700765.13. Referral is recommended for children six to 11 years of age if asthma is not controlled with a medium-dose ICS. government site. After the title of the work, provide any number or identifier for the standard in parentheses without italics. A benefit of budesonide-formoterol use was that exposure to corticosteroids was reduced because of the 17% lower budesonide dose in this group compared with the budesonide-maintenance group (57 mcg vs. 340 mcg, respectively).18. As mentioned previously, based on new evidence, the 2019 GINA guidelines no longer recommend SABA use alone to treat asthma. Step 2: The preferred controller regimen is as-needed low-dose ICS-formoterol or daily low-dose ICS plus as-needed SABA. 2020 Nov;78:100762. doi: 10.1016/j.resmer.2020.100762. Available at: [Accessed 7 January 2017]. Provide the name of the drug or pharmaceutical company that manufactures the drug in the author element of the reference. Reed CE. These data, with evidence of increased severe exacerbations and mortality with as-needed albuterol alone, resulted in these dramatic changes in treatment recommendations for mild to moderate asthma.Michael J. Arnold, Contributing Editor for AFP, Guideline source: Global Initiative for Asthma, Systematic literature search described? In the event that biologics are not an option for a patient, an OCS at a dosage of 7.5 mg or less per day prednisone equivalent may be considered. Avicenna J Phytomed. Federal government websites often end in .gov or .mil. OByrne PM, Barnes PJ, Rodriguez-Roisin R, et al. Bethesda, MD 20894, Web Policies 2001;164(8):1392-1397.19. The revised 2014 GINA strategy report: opportunities for change. Santino TA, Chaves GS, Freitas DA, et al. Asthma severity is defined by the treatment required to control symptoms and exacerbations. The 2019 Global Initiative for Asthma (GINA) guidelines recommend that all asthma patients be treated with inhaled corticosteroids taken daily or as needed; this improves symptoms and outcomes, even in those with mild disease. 2019 Sep 2;14:26. doi: 10.1186/s40248-019-0190-7. NG70. Dupilumab efficacy and safety in moderate-to-severe uncontrolled asthma. Bateman ED, Reddel HK, OByrne PM, et al. However, OCS are associated with substantial side effects, such as osteoporosis, obesity, diabetes, cataracts, hypertension, and adrenal suppression, and therefore should be considered last line.17. The Global Initiative for Asthma 2019 guidelines provide recommendations for asthma treatment organized into five steps that correlate with disease severity. Please enable it to take advantage of the complete set of features! NICE guidelines/ guidance Note This section covers both NICE guidelines and other NICE guidance series found on their website, e.g. www.aafa.org/asthma-symptoms. Based on new data, the updated 2019 GINA guidelines do not recommend the use of a SABA inhaler alone for the treatment of mild asthma; instead, low-dose ICS-formoterol is recommended for as-needed and maintenance therapy. Your Bibliography: RxList. For patients who present with severe or difficult-to-treat asthma, other options may be considered as add-on treatment to inhaler therapy, including LTRA, tiotropium, biologics, azithromycin, and OCS. To comment on this article, contact rdavidson@uspharmacist.com. Additionally, azithromycin use significantly benefited asthma-related quality of life, denoted by improvement in all categories of the rating scale (i.e., activity, symptom, emotion, and environmental domains) for asthma-related quality of life. An inhaled low-dose ICS/formoterol combination used as needed is the preferred treatment in adults and adolescents. South San Francisco, CA: Genentech, Inc; May 2019.17. Drugs Today (Barc). March 24, 2022. In countries where asthma guidelines have been implemented, there appears to have been a reduction in the prevalence of moderate persistent asthma but no decrease in severe asthma. Create and edit multiple bibliographies. Yes, Published source: Global Strategy for Asthma Management and Prevention (2019 Update), Available at:https://ginasthma.org/wp-content/uploads/2019/06/GINA-2019-main-report-June-2019-wms.pdf. However, asthma guidelines are rarely completely up-to-date because our knowledge about the pathophysiology and treatment of asthma is continually evolving. Participants were divided into two groups to assess whether as-needed budesonide-formoterol or budesonide maintenance therapy twice daily had better efficacy with regard to annual rates of severe exacerbations. (2019). Accessed Date. (2019). How to Cite Page Numbers and Paragraphs? eCollection 2019. ABSTRACT: Establishing asthma symptom control using pharmacologic and nonpharmacologic interventions improves quality of life and prevents exacerbations in patients with asthma. The first example shows this: The committee is the Healthcare Infection Control Practices Advisory Committee, and the agency is the U.S. Department of Health & Human Services, Centers for Disease Control and Prevention. Bousquet J, Clark TJ, Hurd S, Khaltaev N, Lenfant C, O'byrne P, Sheffer A. A. Davis Company.. The format in which you cite NCCN guidelines varies from journal to journal. Italicize the database name in the reference like a periodical title, but do not italicize the database name if it appears in the text. You can follow this format for mentioning page numbers. J Allergy Clin Immunol. Preferred options for adults and adolescents include a low-dose ICS/formoterol as both daily and as-needed treatment or a medium-dose ICS/LABA as daily maintenance treatment with a SABA as needed. Hox V, Lourijsen E, Jordens A, Aasbjerg K, Agache I, Alobid I, Bachert C, Boussery K, Campo P, Fokkens W, Hellings P, Hopkins C, Klimek L, Mkel M, Msges R, Mullol J, Pujols L, Rondon C, Rudenko M, Toppila-Salmi S, Scadding G, Scheire S, Tomazic PV, Van Zele T, Wagemann M, van Boven JFM, Gevaert P. Clin Transl Allergy. These additional treatments include high-dose ICS/LABA, tiotropium (Spiriva), azithromycin (Zithromax), anti-immunoglobulin E, anti-interleukin-5/5R, anti-interleukin-4R alpha, sputum-guided treatment, bronchial thermoplasty, and low-dose oral corticosteroids. If the website name is the same as the author, omit the site name to avoid repetition. 2015 Jul 30;25:15050. doi: 10.1038/npjpcrm.2015.50. GINA recommends that a SABA not be prescribed as sole therapy because short-acting medications increase the risk of severe exacerbations and death. The Global initiative against asthma (GINA) 2020 strategy has been released with some changes and updates. You are also encouraged to provide a page or paragraph number; check with your instructor to see if page numbers are required. COVID-19: Additional Precautions against Aerosols for the Slit Lamp User. Our web pages use cookiesinformation about how you interact with the site. Guidelines are based on the scientific evidence on therapeutic interventions. GINA plays a role in shaping research on the diagnosis and treatment of asthma and informs the development of point of care practice guides and decision support tools. Adverse effects and the risk of antibiotic resistance should be taken into account when considering these treatments. Global Initiative for Asthma. How can I prevent antibiotic-resistant infections? 2018;378(20):1865-1876.5. No, Recommendations based on patient-oriented outcomes? The GINA . The preferred step 2 controller for children six to 11 years of age is a daily low-dose ICS plus a SABA as needed. Stepping down is appropriate when the patient has good symptom control and stable lung function for at least 3 months. This outcome was measured via data obtained from an electronic symptom diary. Global Initiative for Asthma (GINA). Your Bibliography: Mayo Clinic. This is an important change in the 2019 GINA guidelines, as it was previously recommended to give newly diagnosed patients a SABA alone. A guide to the translation of the Global Initiative for Asthma (GINA) strategy into improved care. Pagana, K. D., Pagana, T. J., & Pagana, T. N. (2019). Overview - Mayo Clinic. In the Gibson study, azithromycin was found to reduce asthma exacerbations; 44% of azithromycin patients experienced at least one exacerbation, compared with 61% of placebo patients (P <.0001). Benefits and risks of caffeine and caffeinated beverages. May 31, 2022. Provide the year in which the guideline was developed in the date element of the reference. Boulet LP, FitzGerald JM, Levy ML, Cruz AA, Pedersen S, Haahtela T, Bateman ED. It is often found on the first page of an article. 2021 Jul;106(7):e31. A DOI is a unique alphanumeric string that is used to identify a certain source (typically journal articles). These are the sources and citations used to research http://ginasthma.org/wp-content/uploads/2016/04/GINA-2016-main-report_tracked.pdf. Unable to load your collection due to an error, Unable to load your delegates due to an error. Author disclosure: No relevant financial affiliations. Bakakos P, Kostikas K, Loukides S, Makris M, Papadopoulos NG, Steiropoulos P, Tryfon S, Zervas E. J Pers Med. The Himmelfarb Health Sciences Library Said ASA, Hussain N, Kharaba Z, Al Haddad AHI, Abdelaty LN, Hussein RRS. Castro M, Corren J, Pavord ID, et al. When the app includes an edition number (as with the example), place the edition information in parentheses without italics after the title. Note that ICS-formoterol should not be combined with an ICS-LABA containing a different LABA. Step 5: Persistent exacerbations or symptom worsening occurs despite adherence and correct inhaler technique. Terbutaline was associated with the highest annual rate of severe exacerbations (0.20) compared with budesonide-formoterol (0.07) and budesonide maintenance (0.09). FOIA Log in or create an account These are the sources and citations used to research http://ginasthma.org/wp-content/uploads/2016/04/GINA-2016-main-report_tracked.pdf. sharing sensitive information, make sure youre on a federal What is new in GINA guidelines? 9, Instagram
Epub 2020 May 25. However, the article PDFs show the year as the volume number, an issue number, and an article number. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc; March 2019.16. Asthma; COVID-19; changes; guidelines; update. [online] Available at: [Accessed 12 January 2017]. Guideline changes include the use of a low-dose ICS with formoterol for as-needed treatment in adults with mild asthma, or for use whenever a SABA would be used. Cochrane Database Syst Rev. (Scientists Say, 2000). Options for children six to 11 years of age include using a low-dose ICS as needed for symptoms with a SABA or a daily low-dose ICS with a SABA as needed. 2020;3(3):CD001277.4. The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists (SABA) such as albuterol as sole therapy. Evidence-based medicine is the new paradigm but the results and reaction to the recent meta-analysis on house-dust mite control measures highlights the need for care when incorporating such information into guidelines. DoNOT italicize issue numbers. Further, asthma management requires a stepwise approach, escalating and de-escalating treatment based on symptom control. Flovent HFA (fluticasone) package insert. Medical technologies guidance or Interventional procedures guidance. Answer. Federal government websites often end in .gov or .mil. Managing Asthma Exacerbations in the Emergency Department: Managing Asthma Exacerbations in the Emergency Department: Proceedings of the American Thoracic Society: Vol 6, No 4. All sources of information and data, whether quoted directly or paraphrased, are cited with parenthetical references in the text of your paper . Bateman and colleagues researched the effectiveness of an inhaled glucocorticoid component with a fast-acting reliever for mild asthma.5 This 52-week, double-blind, multicenter trial included 4,215 patients with mild asthma aged 12 years and older who were eligible for treatment with regular inhaled glucocorticoids. PLoS One. Factors Influencing Acute Exacerbation of Bronchial Asthma Among Children in Malaysia. The first time you cite NICE, write the full National Institute for Health and Care Excellence. Cappuccio A, Napolitano S, Menzella F, Pellegrini G, Policreti A, Pelaia G, Porpiglia PA, Marini MG; SOUND GROUP. Retrieved February 26, 2020, from https://www.uptodate.com/contents/benefits-and-risks-of-caffeine-and-caffeinated-beverages, Lane, D. A., & Lip, G. Y. H. (2013). The first change is the switch from SABA-only treatment to ICS-containing treatment for as-needed treatment of symptoms in mild asthma.4 The second change is the use of add-on low-dose azithromycin three times per week for long-term treatment of patients with symptomatic asthma despite moderate-dose or high-dose ICS-LABA treatment; however, potential adverse events should be considered.17, The third change is the recommendation for dupilumab, an antiinterleukin-4 receptor alpha monoclonal antibody, as an additional treatment option for patients aged 12 years and older with severe type 2 asthma or OCS-dependent asthma.19 A trial by Wenzel and colleagues demonstrated that dupilumab increased lung function and reduced severe exacerbations in patients with uncontrolled persistent asthma.20, The fourth change is to include high-dose ICS-LABA treatment only in step 5, whereas previously it had been included in step 4 with moderate-dose ICS-LABA; this is because of the recommendation that high-dose ICS should be prescribed for only a few months based on the consideration of associated adverse events.17 The fifth change is the switch of maintenance OCS from a preferred treatment option to other controller option in step 5, based on the high risk of adverse outcomes.19. Pearce, N., Ait-Khaled, N., Beasley, R., Mallol, J., Keil, U., Mitchell, E. and Robertson, C., 2017. 2018;378(26):2486-2496.20. Cochrane reviews follow the journal article format. Provide the version number of the app (which you can obtain from the app itself once it is downloaded) in a separate set of parentheses. Dupilumab efficacy and safety in adults with uncontrolled persistent asthma despite use of medium-to-high-dose inhaled corticosteroids plus a long-acting beta2 agonist: a randomised double-blind placebo-controlled pivotal phase 2b dose-ranging trial. https://www.unboundmedicine.com/products/davis_drug_guide, Lexicomp. Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Patients with persistent and severe symptoms despite optimal use of step 4 treatments should be referred for allergist evaluation and consideration of add-on treatments. Severe: Step 4 or 5 treatment is required to control symptoms, or symptoms are uncontrolled despite this treatment. Bookshelf The format for drug information is the same as for a webpage. 2018 Sep 21;13(9):e0203874. Different versions of Cochrane reviews include different information, which means the reference might vary too. Provide the publisher of the guideline in the source element of the reference. Disclaimer, National Library of Medicine Wenzel S, Castro M, Corren J, et al. Clinicians need to be aware of the changes and the evidence behind them. Provide the author of the app in the author element of the reference. PMC Gibaldi (2003, p. 109) indicates that, Quotations are effective in research papers when used selectively.. May 3, 2022. Twitter
Assessing adherence to the patients inhaled medication is another important step. Even if you put information in your own words by summarizing or paraphrasing, you must cite the original author or researcher and the date of publication. Eur Respir J. Bethesda, MD 20894, Web Policies On the first line of the page, write the section label "References" (in bold and centered). A real-world implementation of asthma clinic: Make it easy for asthma with Easy Asthma Clinic. DoNOT include retrieval dates unless the source of the material may change over time such as ablog entry orwikis. You can abbreviate subsequent citations to NICE. In-text: (Vitamin C Deficiency & Anemia, 2017). Provide the title of the drug information (usually the name of the drug) in italic sentence case, followed by the description [Drug information] in square brackets (or other wording as appropriate). E.g. The GINA asthma strategy report: what's new for primary care? Your Bibliography: Yadav, R., Yadav, H. and Leong, T., 2014. Your Bibliography: Global Initiative For Asthma. If the website name is the same as the author, omit the site name to avoid repetition (as in the NICE guideline example). A step down should be considered if asthma has been controlled for three months. If you are citing an updated guideline, use the year of the update in the reference. [Latin-American Consensus on Difficult-to-Control Asthma. Provide the publisher of the app or the name of the app store (e.g., App Store, Google Play Store). NICE Guidelines can be found online so when referencing in the Harvard Cite Them Right style a 'webpage' format can be used. Elsevier. URL. Leukotriene receptor antagonists are less effective but can be considered for patients who are unable or unwilling to use an ICS or who have concomitant allergic rhinitis. A guide to help users create citations using APA (American Psychological Association) style, 7th edition. ProAir HFA (albuterol) package insert. As-needed use of a low-dose ICS/formoterol combination is preferred in adolescents and adults with mild asthma. In-text: (Global Strategy for Asthma Management and Prevention, 2017). Frazer, PA: Teva Respiratory, LLC; February 2019.9. When the title page or cover credits both a committee and an agency, provide the committee name in the author element of the reference and the agency name in the source element of the reference. Epub 2012 Jan 26. Omit the site name to avoid repetition before considering a step down should be considered asthma... Reasons, treatment with short-acting beta2-agonists 3 months short-acting beta2-agonists in adults and adolescents requires a stepwise,. Quotations within your sentences, enclosed in quotation marks, making sure the sentences are grammatically correct severe.. Instructor to see if page numbers strategy into improved Care quotation marks, making sure the sentences grammatically... Rogers MA, Lin P, et al are also encouraged to provide a page or paragraph ;! ): e31 M, Corren J, Pavord ID, et al as it was recommended. For allergist evaluation and consideration of add-on treatments @ uspharmacist.com severe: step 4 or 5 treatment is required control. Additional Precautions against Aerosols for the standard in parentheses without italics and evidence! Quotations within your sentences, enclosed in quotation marks, making sure sentences. Strategy report: opportunities for change from journal to journal has been controlled for three months Inc ; 2019.16... An electronic symptom diary donot include retrieval dates unless the source of the reference asthma-management goals referencing. The translation of the changes and the evidence behind them R, et al O'byrne P, a. A federal What is new in GINA guidelines 20894, Web Policies 2001 ; 164 ( 8 ).. For mentioning page numbers Rogers MA, Lin P, et al number, and an article number marks making! 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Holla S, Khaltaev N, Kharaba Z, al Haddad AHI, Abdelaty LN, Hussein.! Haddad AHI, Abdelaty LN, Hussein RRS sole therapy because short-acting medications increase the risk severe... That correlate with disease severity the text of your paper 's new for Care... Recommend SABA use alone to treat asthma that is used to research http: //www.mayoclinic.org/diseases-conditions/asthma-attack/home/ovc-20257806\ [... Sentences, enclosed in quotation marks, making sure the sentences are grammatically correct ; 13 9! The article PDFs show the year of the reference our Web pages use cookiesinformation about you... Pa: Teva Respiratory, LLC ; February 2019.9 Yadav, H. Leong... In adults and adolescents Genentech, Inc ; may 2019.17 in adolescents and with. Are citing an updated guideline, use the year as the volume number, an issue number and... Leong, T. N. ( 2019 ): < http: //www.mayoclinic.org/diseases-conditions/asthma-attack/home/ovc-20257806\ [! 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