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Health Tips from Cougars

Child Care

Soft Drinks Add to Childhood Obesity

The sugary soft drinks so popular with children are contributing to a growing population of obese youngsters and teenagers, researchers warned on Friday.
Instead of drinking milk, water and natural fruit juices which are healthier and more nutritious, children are consuming more sweetened beverages and getting fatter.
Obesity in children in the United States doubled between 1980 and 1994. Other industrialized countries are also seeing an alarming rise in the number of fat children.
The study found that for every additional serving per day of soft drink consumed, the risk of becoming obese increased by about 50 percent.
This relation between soft drinks and obesity remained even after taking into account the effects of physical activity levels and other food consumed.
Because the drinks are so tasty and less filling than food, the children do not feel full or realize how many calories they are consuming.
The added weight they are gaining poses a real health risk because childhood obesity leads to adult obesity and chronic health problems such as heart disease and diabetes.
In a study published in medical journal The Lancet, Dr. Ludwig and his colleagues reported the results of the first long-term study into the impact of beverages like sugar-sweetened soda, fruit drinks, sweetened ice tea, Kool-Aid and Hawaiian Punch on children's body weight.
They studied 548 youngsters with an average age of about 11 from schools in four communities in Massachusetts for two years.
The researchers monitored how many sweet drinks the children consumed and changes in their body mass index, a standard method used to measure body fat.
Ludwig and his colleagues found that adolescent boys were the biggest consumers of soft drink. Each additional sweet drink consumed daily equated to a 60 percent increase in body mass index and obesity risk.
During the study, the researchers found 57 percent of the children had increased their daily intake of soft drinks and more than half of them by nearly a full serving each day.
Ludwig stressed that more studies will be needed to confirm the results but he added: ``The study does suggest that public health efforts aimed at limiting consumption of soft drinks in children may help prevent and treat obesity.''
Sugary drinks are not the only cause of the alarming rise in childhood obesity. Studies have shown that children are also less active and eat diets higher in fat than previously.

Colds in Babies 'Ward Off Asthma'
Babies with runny noses are less likely than other children to get asthma as they grow older, a new study indicates. The findings add weight to the growing body of evidence that colds and minor infections brought about by a child's normal exposure to dirt can prime the immune system to fight off allergies such as those which can bring on an asthma attack.
Writing in the British Medical Journal, Sabina Illi and colleagues from the University children's hospital in Munich report how they followed up a group of 1,314 children at regular intervals from birth until they were seven years old.
The parents of the children were interviewed when their children were one, three, six, 12 and 18 months, and then at yearly intervals.
When the child reached the age of seven, the parents were asked whether he or she had ever had a diagnosis of asthma. Parents were asked to keep a diary of any illness the child suffered.
The researchers found that the more infections the child had suffered and fought off, the less likely he or she was to become asthmatic. A child with two or more episodes of runny nose before the age of one was at half the risk of having asthma diagnosed by the age of seven than a child with one or fewer episodes.
But children who developed repeated lower respiratory tract infections in their first three years were more likely than others to develop asthma.

Study Suggests Babies Fed on Infant Formula Grow Up with Higher Blood Pressure
Babies fed on infant formula grow up to have higher blood pressure than those given breast milk, new research suggests.
The findings, to be published Saturday in The Lancet medical journal, come from the first experimental study of how early nutrition influences blood pressure, a predictor of heart disease risk later in life.
Earlier studies have noticed that adults with high blood pressure tended to have been fed on formula as babies. But none of those studies took account of scores of other factors that raise blood pressure, such as a bad diet in adulthood, stress and lack of exercise. Experts say the results bolster the theory that an infant's diet influences the risk of several diseases in adulthood. Breastfeeding is also considered better for children's intelligence. The study by scientists at the Institute of Child Health in London involved pre-term babies, who are sometimes not strong enough to suck or may need a more concentrated formula. That also eliminated the ethical problem of experimenting with healthy full-term babies whose mothers can easily breastfeed exclusively. "When you put this together with the two observational studies linking formula to higher blood in full-term babies, there's a strong possibility these results would apply to healthy full-term babies,'' said one of the researchers, Dr. Alan Lucas, a professor of pediatrics at the Institute of Child Health. Nearly 20 years ago, the researchers randomly divided 216 pre-term babies into three groups: one received donated breast milk, one received infant formula made for pre-term babies, and the third received regular infant formula. Each diet, begun with 48 hours of birth, was used as a sole food or as a supplement to mother's milk, depending on what the mother wanted to do. The infants remained in the study until they weighed enough to go home, usually after one month. The children then returned about 16 years later to have their blood pressure measured. There were two comparisons. One compared breast milk with pre-term formula, the other compared pre-term formula with full-term formula. ``Just one month of one diet rather than another had a major impact,'' Lucas said. ``We created a situation where the only difference between them was what they were fed in the first month of life.'' The scientists found that the diastolic blood pressure reading _ the lower number _ was 3.2 points lower in the teens fed breast milk as infants than in those given pre-term formula. The systolic reading _ the higher number _ was 2.7 points lower. An elevation in either reading is bad. Within the milk-fed group, babies on the highest proportion of formula to mother's milk ended up with the highest blood pressure. There was no difference in blood pressure between the groups fed pre-term formula and regular formula, which contain different nutrients. The results were not related to birth weight, the study said. ``These few millimeters may look small, but it's a large effect,'' Lucas said. Major American heart disease studies have found that if adults' diastolic blood pressure was lowered by just 2 points, the prevalence of high blood pressure would drop by 17 percent, the risk of heart disease would fall by 6 percent and the risk of stroke and heart attacks would drop by 15 percent, he noted. ``The most likely thing is there's something in breast milk that protects,'' Lucas said. Identifying the specific differences in the composition of human milk and commercial formula that produced the difference in blood pressure is important for making better infant formula, said Susan Roberts, an expert at Tufts University's Human Nutrition Research Center in Boston, who was not connected with the study. The study discounted any relation between high blood pressure among teens and sodium and total fat in the infant milk or formula, she noted.

Killer Crayons
In a recent series of laboratory studies conducted for the newspaper, The Seattle Post-Intelligencer, three popular brands of coloring crayons tested positive for asbestos. Of the 40 crayons tested from brands that showed asbestos, 80 percent of them were above the detectable trace level. These three brands are Crayola, Prang and Rose Art. They were tested in two government-certified laboratories. "Asbestos" is the name given to a group of minerals that occur naturally as masses of strong, flexible fibers that can be separated into thin threads and woven. These fibers are not affected by heat or chemicals and do not conduct electricity. For these reasons, asbestos has been widely used in many industries. Asbestos fiber masses tend to break easily into dust composed of tiny particles that can float in the air and stick to clothes. The fibers may be easily inhaled or swallowed and can cause serious health problems.

Exposure to asbestos may increase the risk of several serious diseases:

>> Asbestosis—a chronic lung ailment that can produce shortness of breath and permanent lung damage and increase the risk of dangerous lung infections;
>> Lung cancer;
>> Mesothelioma—a relatively rare cancer of the thin membranes that line the chest and abdomen; and
>> Other cancers, such as those of the larynx and of the gastrointestinal tract

The report says the asbestos may be a contaminant of the talc, a mineral used by many companies to strengthen coloring agents and parafin, a waxy substance, used in crayons. Binney & Smith, the company which makes Crayola brand crayons, said that it had not found any asbestos in the talc and it would conduct its own tests on whole crayons. Crayon manufacturers responded that safety is their No. 1 priority and said they will review the manufacturing process and materials used. According to the newspaper, Crayola, the world's largest manufacturer, had asbestos levels in its crayons ranging from 0.05 percent in Carnation Pink to 2.86 percent in Orchid. Prang's levels ranged from 0.3 percent in Periwinkle to 0.54 percent in a yellow crayon. And Rose Art showed 0.03 percent in a brown crayon and 1.20 percent in an orange crayon, according to the newspaper. The Consumer Product Safety Commission (CPSC) says it is currently discussing the problem with all crayon manufacturers to determine how much asbestos is in the crayons and how much can be potentially ingested by children. The newspaper tested a total of four domestic crayon brands and four foreign brands. Another CPSC spokesman, Russ Rader, said the CPSC would conduct its own tests of the crayons in question. He added that while they are concerned, parents should not panic. "If they want to take crayons away (from their children) for the time just to be cautious, they should," Rader said. "But there are a lot of unanswered questions. The facts are not in."

Instant Noodles a Danger to Children’s Health
By Alternative Medicine Update
Instant noodles are so full of fat and salt they could damage children's health, a report published Friday found. An average pot of noodles contains as much fat as a serving of chips, a quarter of a pizza or one and a half candy bars and as much salt as a young child needs all day, the Australian Consumers' Association said in the report, publishing in the South China Morning Post. The association tested a variety of brands of instant noodles sold internationally and found the average pot of noodles contained 1,700 milligrams of salt - 75 per cent of the recommended maximum daily intake for adults and 100 per cent of what a child aged 4 to 7 should consume.

Smoking in Pregnancy Ups Kids' Asthma Risk (see asthma)

Researchers Identify Gene Related to Infant Lung Disease

A multi-center team of researchers has discovered a possible genetic cause of infant lung disease. They found that two patients who developed a potentially fatal form of lung disease within the first months of life both had a mutation of one of the genes responsible for producing pulmonary surfactant, a material in the lungs that keeps them inflated. The study is reported in the Feb. 22 issue of the New England Journal of Medicine.

"These fundamental investigations will allow us to develop more sophisticated therapies for respiratory problems," says Aaron Hamvas, M.D., associate professor of pediatrics at Washington University School of Medicine in St. Louis. "We now are one step closer to identifying another type of genetic lung disease, but we still have a long way to go."

Hamvas, who also serves on the staff of St. Louis Children’s Hospital, is a collaborator in this study along with researchers at the University of Cincinnati and Johns Hopkins University. The first author is Lawrence M. Nogee, M.D., of Johns Hopkins University School of Medicine.

These three institutions have investigated hundreds of cases of lung disease from around the world in an effort to better understand the underlying causes of the disease. Such was the case with the mother-daughter pair described in this report. Both mother and daughter had no breathing difficulties at birth but subsequently developed interstitial lung disease. The exact number of chronic lung disorders in this disease category still is unknown. Diagnosed as a toddler, the mother was treated throughout her childhood and adolescence. She died of respiratory failure shortly after the birth of her child. Her infant girl developed lung disease at 6 weeks old. A family history revealed that the baby’s maternal grandfather also died of life-long lung disease. The tiny air sacs responsible for gas exchange in the lungs are called alveoli. These are lined with a thin layer of fluid, called surfactant, to prevent the walls of the alveoli from sticking together and collapsing during exhalation. Without enough surfactant, the lungs lose their elasticity and breathing becomes difficult. Researchers found that tissue samples from both mother and baby lacked one component of surfactant called surfactant protein C, or SP-C. DNA analysis revealed that both had a mutation in the gene for this protein. The gene was not mutated in DNA samples from 50 healthy patients. The findings suggest that SP-C is important for normal lung function after birth and that mutations in this gene may be associated with interstitial lung disease. In 1993, researchers at Washington University School of Medicine discovered a lethal genetic lung disease in newborns characterized by a lack of another component of surfactant, SP-B. Newborns with this disease now survive with the help of a lung transplant. "The identification of the SP-B deficiency has opened a new area of investigation for newborn lung disease and suggests that there are genetic causes of respiratory distress in newborns," Hamvas says. "This has led physicians and scientists around the country to be much more aggressive in trying to diagnose and understand these breathing disorders." The current SP-C research holds similar promise for lung disease that develops in infants or older children. DNA analysis of the mother and daughter pair also revealed that the genetic mutation is a dominant trait, found on only one gene. This means a child may have symptoms even if only one parent has the mutation. Most other lung diseases, including SP-B deficiency, result from recessive traits, where patients must inherit the same mutation from both parents in order for the disease to appear. The identification of SP-C gene mutations as a possible cause of interstitial lung disease may provide for more accurate classification of the many conditions within this disease category. It also may lead to improved diagnostic techniques – such as a blood test, rather than invasive procedures like lung biopsy – and better treatments, such as gene therapy. Nogee LM, Dunbar AE, Wert SE, Askin F, Hamvas A, Whitsett JA. A mutation in the surfactant protein C (SP-C) gene associated with familial interstitial lung disease. New England Journal of Medicine, Feb. 22, 2001. The research was supported by grants from the National Institutes of Health and the Eudowood Foundation. The full-time and volunteer faculty of Washington University School of Medicine are the physicians and surgeons of Barnes-Jewish and St. Louis Children's hospitals. The School of Medicine is one of the leading medical research, teaching and patient-care institutions in the nation. Through its affiliations with Barnes-Jewish and St. Louis Children's hospitals, the School of Medicine is linked to BJC HealthCare.

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Cholesterol

Snack Attack
Feel guilty when you sneak a snack? Don't ! --Between-meal munching actually may be good for you. A University of Toronto study found that people who ate the equivalent of three meals divided into five or six mini-meals and snacks throughout the day had significantly lower blood cholesterol levels and a lower heart disease risk than people who ate the same amount of food in three sittings. Snack selection counts, of course, so skip the chips and candy bars, and opt for the healthy stuff, such as fruit and other complex carbs, and lean protein. Eating a diverse diet that is low in calories and high in nutrition can make you much younger.

Study Shows Reduced Fat Intake to Lower Cholesterol is Safe and Beneficial for Children
Children with high blood cholesterol levels can benefit from reducing the amount of fat, saturated fat, and cholesterol in their diets without adversely affecting their normal development during puberty, according to new results from a long-term study funded by the National Heart, Lung, and Blood Institute (NHLBI). The study appears in the February issue of the journal Pediatrics. In the Dietary Intervention Study in Children (DISC), children who adopted a recommended low-fat, low-cholesterol diet decreased their intake of total fat, saturated fat, and cholesterol within the first year of the study and maintained lower levels for several more years. These dietary modifications did not alter the children's growth, nutritional status, or sexual maturation throughout the seven-year study. Furthermore, the diet helped the children significantly decrease their blood levels of low-density lipoprotein (LDL) - the "bad" cholesterol - for up to three years. "This is the first study of this size to examine the long-term effects of reduced dietary saturated fat and cholesterol intake among children," said Dr. Claude Lenfant, NHLBI director. "DISC confirms that dietary changes in children with high levels of LDL cholesterol may thwart the development of atherosclerosis without adverse effects." During the past decade, scientists have found increasing evidence that atherosclerosis begins in childhood and that children and adolescents with high cholesterol levels are more likely than those with normal or low levels to have high cholesterol levels as adults. In a 1991 report, the National Cholesterol Education Program's (NCEP) Expert Panel on Blood Cholesterol Levels in Children and Adolescents recommended cholesterol screening for children and adolescents with a family history of early heart disease or with a parent who has high blood cholesterol. Children and adolescents from such high-risk families who are found to have elevated blood cholesterol levels are advised to follow a diet low in saturated fat and cholesterol. In addition, the panel suggested population-wide approaches to lower the average blood cholesterol of all American children and adolescents by reducing their consumption of saturated fat, total fat, and cholesterol. But some scientists have questioned whether reducing fat in children's diets might cause problems such as growth retardation, nutritional inadequacy, and adverse psychological effects among pre-pubertal children. "DISC addresses these concerns," added Dr. Eva Obarzanek, NHLBI project director. "Because this study examines children through several years during key stages of development, we can measure the effects of dietary modifications in the context of physiological changes during puberty." DISC was conducted at six medical centers and involved more than 650 children who began the study at ages 8 through 10. Eligible participants had levels of LDL cholesterol that were considered borderline to high (111.5 mg/dL or higher for boys and 117.5 mg/dL or higher for girls). Children were randomly assigned to either the intervention group or the "usual care" group. Those in the intervention group participated in periodic sessions with nutrition counselors to help them follow a regimen similar to the NCEP's therapeutic Step Two Diet to lower LDL blood cholesterol levels: 28% of calories from total fat, less than 8% from saturated fat, up to 9% from polyunsaturated fat, and fewer than 150 mg of cholesterol per day. Participants in the usual care group received information on general dietary recommendations but did not attend any intervention sessions. Researchers observed no significant differences in height, weight, sexual maturation, or levels of serum ferritin (iron) between the intervention group and the usual care group. In addition, participants in both groups consumed comparable quantities of key vitamins (A, C and B-6), calcium, and zinc. Blood tests to measure total cholesterol and LDL cholesterol levels were performed after one, three, five, and seven years. Throughout the study, blood cholesterol levels in the intervention group were lower than those in the usual care group, with significant differences between the groups found at one year and three years. At three years, LDL cholesterol levels of DISC participants in the intervention group were on average 2.5 percent (3.3 mg/dL) lower than the levels of those in the usual care group. (Findings from the study's first three years were published in the May 10, 1995, issue of the Journal of the American Medical Association.) The differences between the intervention and usual care groups in total blood cholesterol and LDL cholesterol levels narrowed over time, however, and they were no longer statistically significant at five years and seven years. One contributing factor to this narrowing of differences was “a gradual improvement in dietary habits in the usual care group, which helped to lower their blood cholesterol levels,” according to Dr. Obarzanek. At about five years from the start of the study, participants in the usual care group began consuming dietary cholesterol in amounts similar to those reported by the intervention group, making the differences in dietary cholesterol intake between the groups no longer significant by the end of the study (year 7). The amount of saturated fat and total fat intake among participants in the usual care group also began approximating that of the intervention group at about the fifth year, although the differences in dietary fat consumption between the two groups remained significant throughout the study. At the seven-year assessment, the percent of saturated fat intake dropped on average from 12.5% to 10.2% of calories in the intervention group, and from 12.7% to 11.3% of calories in the usual care group. In addition, total fat intake in the intervention group dropped on average from 33.4% to 28.5% of calories; in the usual care group, total fat dropped from 34.0% to 30.6% of calories. Scientists and nutrition experts view the improved dietary habits of the children in this study as encouraging - and reflective of positive trends in the general public. Population surveys performed by the National Center for Health Statistics over the past few decades, for example, have shown that adolescents are consuming less total fat, saturated fat, and cholesterol. "The results of these surveys - coupled with the new DISC findings - indicate that pediatricians, parents, and children are getting the message that it is important to start early to follow a low saturated-fat and low-cholesterol diet," Dr. Lenfant added. Another factor that may have contributed to the narrowing of the differences in blood cholesterol levels between the two groups is lower adherence to the dietary recommendations by intervention group participants in the later years of the study, when they attended fewer intervention sessions. When investigators analyzed the blood cholesterol levels among only those participants who were most actively engaged in the study (those who attended all clinic visits), they found that the intervention group had significantly lower blood levels of LDL-cholesterol than the usual care group for as long as five years.

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Dyslexia

Georgetown Researchers to Present Evidence of Biological Cause of Dyslexia
Addressing a long-standing controversy concerning the causes of reading disability, a series of research studies done by a team at the Georgetown Center for the Study of Learning indicate that the areas of the brain used for reading are the same areas used for other visual tasks, and that these areas may not work properly in the brains of people with dyslexia. However, the researchers also found that an intensive, phonologically based reading intervention program could not only improve reading skills in dyslexics, but could also effect changes in brain activity that can be measured using functional magnetic resonance imaging (fMRI) technology. "These study results are further evidence that dyslexia has biological roots," said Guinevere Eden, DPhil, co-director of the Georgetown Center for the Study of Learning. "The results are significant because they could one day lead to the creation of an early diagnostic test for dyslexia that might allow us to identify the condition in children even before reading difficulties are present, and thereby intervene early to treat the disorder." In their first study, Eden and Thomas Zeffiro, M.D., Ph.D., also a co-director of the Center, used fMRI technology to scan the brains of 37 participants-20 with dyslexia and 17 without the disorder-and found that each participant used similar brain areas for reading as he or she did for processing visual motion (identifying the direction of moving dots on a screen). They also found, however, that the dyslexic group activated these brain areas less strongly than the control group did while performing both these two tasks (reading and visual motion detection). It appears that dyslexic participants-who, by definition, have difficulties reading-also experience difficulties in processing visual motion, and that the areas of the brain used by non-dyslexics to perform these two tasks may be damaged or not working in dyslexics. "Unfortunately, today we are able to diagnose dyslexia only after children have shown difficulty in learning to read, usually around the time they're in second or third grade," said Thomas Zeffiro, M.D., Ph.D., also co-director of the Center. "But, if we know that the same areas of the brain used for reading are also used to perform other types of visual tasks, then we can test children before they reach reading age to determine whether those areas work properly. A biological marker of this type might give us the chance to intervene before reading failure has occurred." Zeffiro and Eden both stressed that identification of a presymptomatic biological marker for dyslexia is not that far along yet, and that any diagnostic test that might be developed would not be available until further, larger-scale studies had been completed. In another study, Eden and Zeffiro-working with Frank Wood, Ph.D., and Lynn Flowers, Ph.D., of Wake Forest University Medical Center at Bowman Gray in North Carolina-found that a reading intervention program could produce measurable improvements in reading skills and related changes in neural activity that are observable using fMRI. In this study, Eden, Zeffiro and their colleagues studied 20 adults with a lifelong history of dyslexia. They divided the adults into two groups of 10 and conducted baseline brain scans on both groups. One group then participated in an intensive eight-week interventional program designed to improve reading skills, while the other group received no intervention at all. At the end of the eight-week period, brain scans showed that the group that had taken part in the reading program showed measurable improvements in reading and related changes in neural activity. The brain scans of the control group showed no differences. "It was quite exciting to be able to see such clear confirmation of our hypothesis in the fMRI scans," Eden said. "This is a great step towards better understanding the neural mechanisms involved in reading and learning." Zeffiro and Eden and their colleagues from the University of Pittsburgh, Wake Forest University School of Medicine-Bowman Gray, and Harvard Medical School, will present these findings at the annual meeting of the American Association for the Advancement of Science (AAAS) on February 16 in San Francisco, Calif. Georgetown University Medical Center is one of the nation's preeminent institutions of medical research and education. It includes a biomedical research enterprise as well as the nationally ranked School of Medicine, and the School of Nursing and Health Studies. The federally funded Georgetown Center for the Study of Learning seeks to better understand the neural mechanisms that enable the acquisition of reading skills, and to identify new approaches to assess and treat reading disabilities.

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Fainting

Scientists Crack Fainting Secret
Scientists have identified the cause of a fainting syndrome that affects young women. People who have the syndrome experience repeated dizzy spells, elevated heartbeat or fainting after standing up from a lying position. Known as Neuropathic Postural Tachycardial Syndrome (NPTS), it affects thousands of women between 20 and 45. A joint team from the Technion-Israel Institute of Technology in Haifa and Vanderbilt University, Tennessee, found that NPTS can be caused in part by genetic mutations or by disease that can occur after surgery, pregnancy, or an inflammatory illness.

NPTS symptoms:

>>A remarkable increase in heart rate after standing from a prone position
>>Low or normal blood pressure
>>Dizziness and blurred vision
>>Fainting spells
>>Chest pains and shortness of breath
>>Chronic fatigue, anxiety and irritability
>>In both instances this appears to lead to problems in controlling blood flow in the legs

Scientists have been trying to pin down the causes of NPTS for decades. It has been mistaken for low blood sugar, anxiety, anaemia, or even chronic fatigue syndrome. The US researchers think the problem is caused by blood accumulating in the legs when a person stands. Blood vessel contraction, which depends on the vascular nerves, is supposed to keep blood pressure at the same level as it was when the person was lying down. But in NPTS patients, vascular nerves are damaged and contraction is ineffective, causing blood to pool in the legs and reducing the amount of blood to the heart. This produces an effect similar to dehydration or hemorrhaging, in which the heart rate initially increases to compensate for low blood pressure. If reduced blood return persists, blood pressure can fall and the patient can faint.

Ways to minimize risk:

>> Eat foods high in salt and water Wear socks or stockings that apply pressure to the legs
>> Walk and swim at a gradually increasing rate to build limb muscles, which provide structural support for veins

The researchers found that inadequate amounts of norepinephrine, the chemical responsible for blood vessel contraction, are released in the arms and legs of NPTS patients, even while resting. NPTS can be treating by prescribing beta-blockers, drugs commonly used to treat hypertension or arrhythmia that decrease the force and rate of heart contractions. Professor Julian Stewart, of New York Medical College, said the finding represented a significant breakthrough. He said: "Prior to this study, many people felt this wasn't an illness of any sort, just a group of neurotic people feeling dizzy. "Finding a consistent abnormality in blood flow control is very important to treating people with NPTS."

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