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Oto Rhino Laryngologica Indonesiana
Published by Perhimpunan Dokter Spesialis Telinga Hidung dan Tenggorok Bedah Kepala Leher Indonesia
ISSN : 02163667     EISSN : 25983970     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Journal Othorhinolaryngologica Indonesiana is a peer-reviewed and open access journal that focuses on promoting otorhinolaryngology-head and neck surgery that publishes research reports, case reports, and literature reviews, to increase knowledge and updating diagnostics procedurs on otorhinolaryngology-head and neck surgery.
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Articles 493 Documents
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Sensorineural hearing loss in a child with congenital hypothyroidism receiving thyroid hormone replacement therapy Zizlavsky, Semiramis; Handayani, Tri; Suwento, Ronny; Safitri, Eka Dwi; Airlangga, Tri Juda
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.580

Abstract

ABSTRACTBackground: Congenital hypothyroidism remains as one of the most common causes of hearing loss in children, considering that thyroid hormone plays an essential role in the development and maturation of auditory organs. Purpose: To report a case of hearing loss in a child with congenital hypothyroidism who had received thyroid hormone replacement therapy. Case report: Presenting a 3-year-old boy with congenital hypothyroidism, growth and developmental delays, and a very severe bilateral sensorineural hearing loss. He was diagnosed at 6 months old, and even after subsequent therapies, the hearing impairment of the child remained profound. Clinical question: Could thyroid hormone replacement therapy improve the prognosis of hearing function in congenital hypothyroid patients accompanied by sensorineural hearing loss? Review method: Literature review through database PubMed, ProQuest, EBSCO, EBSCOhost and Embase, using keywords: “congenital hypothyroidism”, “hearing loss”, and “thyroid hormone replacement therapy”. Result: Screening on 1088 articles found no studies that were relevant with the clinical question and inclusion criteria. Conclusion: This report supported the evidence on the effects of congenital hypothyroidism on hearing loss, and the importance of early diagnosis and prompt treatment in congenital hypothyroid children. A missed diagnosis of congenital hypothyroidism in neonates may result in unfavorable effects on the child’s growth and development. Further studies are needed to assess the improvement of hearing function in congenital hypothyroid patients accompanied by sensorineural hearing loss that received thyroid hormone replacement therapy. ABSTRAKLatar belakang: Hipotiroidisme kongenital merupakan salah satu penyebab paling umum gangguan pendengaran pada anak-anak, terutama mengingat hormon tiroid berperan penting dalam perkembangan dan maturasi organ pendengaran. Tujuan: Melaporkan satu kasus gangguan pendengaran pada anak dengan hipotiroidisme kongenital yang menetap setelah terapi sulih hormon tiroid. Laporan kasus: Seorang anak laki-laki berusia 3 tahun dengan hipotiroidisme kongenital yang mengalami keterlambatan pertumbuhan dan perkembangan, dan gangguan pendengaran tipe sensorineural bilateral derajat sangat berat. Pasien didiagnosis pada usia 6 bulan, dan walaupun setelah terapi, gangguan pendengaran pada anak tersebut menetap. Pertanyaan klinis: Apakah terapi sulih hormon tiroid mempengaruhi prognosis perbaikan fungsi pendengaran pada pasien hipotiroid kongenital yang disertai gangguan pendengaran sensorineural? Tinjauan literatur: Melalui database PubMed, ProQuest, EBSCO, EBSCOhost dan Embase, menggunakan kata kunci: “hipotiroidisme kongenital”, “gangguan pendengaran”, “terapi sulih hormon tiroid”. Hasil: Setelah skrining 1088 artikel, tidak ada penelitian yang sesuai dengan pertanyaan klinis dan kriteria inklusi. Kesimpulan: Laporan ini menambah bukti tentang efek hipotiroidisme kongenital pada gangguan pendengaran, serta pentingnya diagnosis dini dan pengobatan segera pada anak hipotiroid kongenital. Diagnosis hipotiroidisme kongenital yang tidak terdeteksi pada neonatus, dapat mengakibatkan efek buruk pada pertumbuhan dan perkembangan anak. Diperlukan penelitian lebih lanjut untuk menilai prognosis peningkatan fungsi pendengaran pada pasien hipotiroid kongenital dengan gangguan pendengaran sensorineural, yang mendapatkan terapi sulih hormon tiroid.
Filtration effectiveness of N95 medical mask exposed to repeated ultraviolet germicidal irradiation room Restuti, Ratna Dwi; Priyono, Harim; Mariska, Tara Candida; Cahyono, Arie; Bramantyo, Brastho; Soemarko, Dewi S.; Yusuf, Prasandhya Astagiri; Arman, Fitri; Prihartanto, Joedo
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.581

Abstract

ABSTRACTBackground: The global Coronavirus disease (COVID-19) pandemic has created shortages of personal protective equipment (PPE) including N95 respirator medical masks. Ultraviolet Germicidal Irradiation (UVGI) is an effective way for disinfection of N95 masks before reuse. The UVGI chamber is an effective method of disinfection against SARS-CoV-2, however its effect on the N95 medical masks filtration ability is still uncertain. Purpose: To evaluate filtration effectiveness of N95 mask after repeated UV-C irradiation in the UVGI chamber. Method: This was a parallel two-group experimental study to see the effect of repeated UVGI exposure on the filtration of 2 types of N95 medical masks (type 8210 and 1860), with 25 pieces each group, using an aerosol particle counter, after 10 cycles of repeated UVGI exposure in the UVGI chamber of the ORL-HNS Department Dr. Cipto Mangunkusumo Hospital. Result: There were no significant differences in the filtration effectiveness of N95 medical masks after repeated UVGI exposure up to 10 cycles for 2 types of N95 masks and there was no significant change in the filtration ability of the N95 medical masks after repeated UVGI exposure. Conclusion: The filtration of N95 medical masks type 8210 and 1860 filtration were maintained >95% after repeated UVGI exposure with cumulative dose of 10,126-16.200 mJ/cm2 in UVGI chamber of ORL-HNS Department, Dr. Cipto Mangunkusumo Hospital. ABSTRAKLatar belakang: Pandemi Coronavirus disease 2019 (COVID-19) menyebabkan keterbatasan tersedianya alat pelindung diri (APD) termasuk masker respirator N95. Ultraviolet Germicidal Irradiation (UVGI) merupakan salah satu cara desinfeksi yang menjanjikan dan efektif, sehingga masker N95 dapat digunakan kembali. Bilik UVGI merupakan metode yang efektif dalam disinfeksi terhadap SARS-CoV-2, namun efek paparan UVGI terhadap kemampuan filtrasi masker N95 belum diketahui. Tujuan: Untuk mengevaluasi efektivitas filtrasi masker N95 setelah paparan UV-C berulang di Bilik UVGI. Metode: Penelitian ini adalah studi ekperimental dua kelompok paralel untuk melihat efek paparan UVGI berulang terhadap filtrasi 2 tipe masker N95 (tipe 8210 dan 1860) sebanyak 25 masker di setiap grup, menggunakan aerosol particle counter setelah paparan UVGI berulang sebanyak 10 siklus di Bilik UVGI Departemen THT-KL RSCM. Hasil: Tidak didapatkan perbedaan bermakna pada masker N95 pasca-paparan UVGI berulang sebanyak 10 siklus dengan rerata filtrasi pada 2 tipe masker, serta tidak terdapat perubahan signifikan kemampuan filtrasi masker N95 pasca-paparan UVGI berulang. Kesimpulan: Filtrasi masker N95 pada penelitian ini dapat dipertahankan 95% pasca-paparan UVGI berulang hingga dosis kumulatif 10.126˗16.200 mJ/cm2 di bilik UVGI Departemen THT-KL RSCM. 
Correlation between Tinnitus Handicap Inventory Correlation between Tinnitus Handicap Inventory Purnami, Nyilo; Tiarini, Sofia; Probosutejo, Nico; Utomo, Budi; Cahyani, Makhmudyah Indri
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.582

Abstract

ABSTRACTBackground: Complaints of tinnitus sufferers are generally subjective, while there is no objective examination in establishing the diagnosis of tinnitus so far, so that a questionnaire is needed to help establish it. The limitations of objectively assessing tinnitus have led to self-report questionnaires as the best option for evaluating tinnitus symptoms and measuring the extent to which quality of life is negatively impacted. Objective: to compare the scores between the Indonesian Tinnitus Handicap Inventory (THI) and the Indonesian version of the 12-item Tinnitus Primary Function Questionnaire (TPFQ). Method: A descriptive analytic study with a cross sectional design, where both variables were observed at the same time. This research was conducted at the Neurotology Outpatient Unit (URJ) RSUD Dr. Soetomo Hospital, Surabaya from September 2019 to April 2020. Result: A total of 29 tinnitus patients who met the criteria were divided by age, gender, degree of hearing loss, THI score, THI severity, and TPFQ score. Conclusion: The results of the correlation test between the degree of hearing loss with THI-Indonesia and the degree of hearing loss with the Indonesian 12-item TPFQ showed no difference in the results, namely both were not correlated, so the Indonesian 12-items TPFQ was valid and reliable, and it could be used to shorten the assessment time of tinnitus sufferers in hectic outpatient clinics. ABSTRAKLatar belakang: Keluhan penderita tinitus umumnya bersifat subyektif, sedangkan sampai saat ini belum ada sarana pemeriksaan obyektif dalam menegakkan diagnosis tinitus, maka diperlukan kuesioner untuk membantu. Keterbatasan menilai tinitus secara obyektif telah menjadikan kuesioner mandiri (self-report) sebagai pilihan terbaik untuk mengevaluasi gejala tinitus dan mengukur sejauh mana kualitas hidup terkena dampak negatif. Tujuan: membandingkan skor antara Tinnitus Handicap Inventory (THI) Indonesia dengan Tinnitus Primary Function Questionnaire (TPFQ) 12-item versi Indonesia. Metode: Penelitian ini bersifat deskriptif analitik dengan desain potong lintang, dimana kedua variabel diamati dalam waktu yang bersamaan. Penelitian ini dilakukan di Unit Rawat Jalan (URJ) Neurotologi RSUD Dr. Soetomo pada bulan September 2019 sampai dengan April 2020. Hasil: Sebanyak 29 pasien tinitus yang memenuhi kriteria dibagi berdasarkan kategori usia, jenis kelamin, derajat gangguan pendengaran, skor THI, derajat keparahan THI, dan skor TPFQ. Kesimpulan: Hasil uji korelasi antara derajat gangguan pendengaran dengan THI-Indonesia maupun derajat gangguan pendengaran dengan TPFQ 12-item Indonesia menunjukkan tidak ada perbedaan hasil, yaitu sama-sama tidak berkorelasi, sehingga TPFQ 12-item Indonesia adalah valid dan handal dapat digunakan untuk mempersingkat penilaian penderita tinitus di klinik rawat jalan yang sibuk
TNF-α expression in chronic rhinosinusitis with and without nasal polyps Irfandy, Dolly; Pramita, Arsia Dilla
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.589

Abstract

Background: Chronic rhinosinusitis is an inflammatory disease of the nasal and paranasal sinusesmucosa, that is caused by multifactorial factors, and has a complex and influential etiology among variousmicroorganisms (bacteria, fungi, and viruses), environmental contamination (pollutants or cigarette smoke)and immune system instability. Tumor necrosis factor alpha (TNF-α) is one of the crucial cytokinesin the inflammatory process that plays a role in chronic rhinosinusitis. Purpose: To compare TNF-αgene expression levels in chronic rhinosinusitis patients with and without nasal polyps. Method: Thisquantitative study included a cross-sectional design comparative analysis of 24 samples obtained from theethmoid bulla of chronic rhinosinusitis patients. The patients were subjected to a Functional EndoscopicSinus Surgery (FESS) approach at the Rhinology Clinic of Dr. M. Djamil Regional Hospital, Padang.Patients were selected based on inclusion and exclusion criteria. The expression of TNF-α was measuredby using the Real-Time Polymerase Chain Reaction (RT-PCR). The data were analysed by SPSS witha p-value <0.05. Result: The average value of TNF-α expression in chronic rhinosinusitis with polypswas 4.89±12.65, while that of TNF-α expression in chronic rhinosinusitis patients without polyps was2.77±4.22. However, there was no statistical difference between the two groups of study (p-value >0.05).Conclusion: This study demonstrated the increased levels of TNF-α in chronic rhinosinusitis patientswith polyps compared to patients without polyps.
Validity-Reliability Test of Indonesian-translated MBD-MBS questionnaire as screening method for mouth breathers Winastuti, Retno Arun; Ratunanda, Sinta Sari; Wijana, Wijana
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.605

Abstract

Introduction Mouth breathing, the process of air entry from the mouth to the lungs without passing through the nose, is an abnormal behaviour that may imply the presence of a comorbidity. Mouth breathing in children, teenagers, and adults leads to numerous pathological consequences, especially in children. There are several methods available to diagnose mouth breathing, one of them being the provision of questionnaires, however, there is yet any mouth breathing questionnaire that has been translated into Indonesian. Therefore, this research aims to translate the MBD-MBS questionnaire in Indonesian, and conduct a validity and reliability test for the translated questionnaire. Hence, this translated questionnaire may be used as a tool to diagnose the presence of mouth breathing. Methods This cross-sectional study was conducted to 33 parents of children in day-cares or preschools in Bandung city that fulfilled the inclusion and exclusion criteria. Translation of the questionnaire was conducted by a sworn translator after permission was granted by the original author through email. The questionnaire was then distributed to the subjects after being given consent. Afterwards, the validity and reliability test were then conducted using Spearman and Cronbach-α formulas respectively.   Results All six questions in the Indonesian translated MBD-MBS questionnaire is validated (rcount > rtable, which is 0.355) and reliable (Cronbach’s Alpha 0.643 > 0.6). Conclusion Based on both validity and reliability tests, all questions in the Indonesian-translated MBD-MBS questionnaire are considered valid and reliable. Hence, this questionnaire is suitable to be utilized for further studies about mouth breathing.
Foreign body of fractured tracheal cannula in the bronchus after tracheostomy Handoko, Cavin; Murdiyo, Mohammad Dwijo
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.607

Abstract

Background: Foreign body of fractured tracheal cannula in tracheobronchial tract is one of rarecomplication of tracheostomy. Symptoms appear in the form of respiratory distress and if not properlytreated may threaten patient’s life. Objective: To know the causative factors, management, and preventionof tracheal cannula foreign body in tracheobronchial tract. Case report: A 3-year-old boy reported with a foreign body of fractured tracheal cannula in his bronchus after tracheostomy. Method: Review of evidence-based literatures with keywords ”foreign body” AND ”tracheal cannula” on Google Scholar. Result: Extraction of foreign body of fractured tracheal cannula was performed by rigid bronchoscopy via the stoma, under general anesthesia, in all of the case reports in the literatures. After the procedure, the respiratory distress improved and patients could be discharged from the hospital. Conclusion: The definitive management of foreign body of fractured tracheal cannula in tracheobronchial tract by using rigid bronchoscopy transtracheostomy under general anesthesia is effective. Education and knowledge about post-tracheostomy care and follow up, are the keys to prevent such incidents. Keywords: foreign body, tracheal cannula, bronchoscopy
Analisis Klinis Hidung Penderita Sindrom Down pada Suku Minangkabau Furqan, Muhammad Afif; Lestari, Yuniar; Irvandy, Dolly; Amir, Arni; Ihsan, Indra
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.609

Abstract

Background: Down's syndrome (DS) is a congenital disorder due to prenatal trisomy 21 which causes malformations of organs and body shape, including the nose. The variables measured are the points that determine the aesthetics of the nose. Purpose: This study aimed to describe primary data thus obtained from nose anthropometry of Down syndrome in the Minangkabau tribe can be used as a reference in nose reconstruction in patients with Down syndrome to restore physiological function and add aesthetic value. Methods: This research is a descriptive type study with a cross-sectional method using primary data as subjects. The sample of this study were people with Down syndrome who have Minangkabau ethnicity, totaling 22 samples with an age range of 13-25 years from special schools in Padang city. The study was conducted by observation and anthropometry of the nose using graphical images computerized by software called rhinobase software. Results: The results of this study showed that the nose width is 15.25 mm ± 2.07, the ala nasi width is 41.41 mm ± 3.47, the nasofrontal angle was 133.59° ± 5.89, the nasolabial angle was 109.24° ± 13.60 , the nose length is 32.16 mm ± 3.24. Conclusion: From this study, various results were found on the size of the aesthetic points of the nose of Down syndrome patients in the Minangkabau ethnic group when compared to DS patients in different race, ethnic, or non DS patients.
Ko-Insiden Rhinosinusitis Kronis dengan Polip Hidung dan Neurofibroma Irfandy, Dolly; Budiman, Bestari Jaka; Ikhlas, Khairani Ayunanda; Mayorita, Pamelia
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.611

Abstract

Background: Nasal polyps are painless inflammatory lesions originated from around the middlemeatus or paranasal sinus cavity; while neurofibroma is benign peripheral nerve sheath tumor. Purpose:To report a rare case of neurofibroma concurrently with nasal polyps in chronic rhinosinusitis. Casereport: A 64-year-old female with chief complaint congestion on the right nose cavity. There was a mass on both nasal cavities. Patient diagnosed with benign mass at right nasal cavity and chronic rhinosinusitis with nasal polyps at left nasal cavity; with a differential diagnosis of chronic rhinosinusitis with bilateral nasal polyps. Computer tomography scan results showed homogeneous isodense lesion in the right nasal cavity, and mucosal thickening in left nasal cavity and maxillary sinus. Patient was managed with total extirpation of the bilateral nasal cavity mass and functional endoscopic sinus surgery. Pathological examination revealed neurofibroma in the right nasal cavity and polyps in the left nasal cavity. Clinical question: “How to differentiate inflammation with tumor of nasal and paranasal sinuses? Is there a causal relationship?” Review method: Literature searching was performed with the keywords “nasal cavity neurofibroma”, AND “nasal polyps”, AND ”chronic rhinosinusitis” through database Google Scholar, PubMed, and hand searching/e-book. Result: There were 11 literatures published in the last 5 years, and 7 articles relevant with the subject. Conclusion: Chronic rhinosinusitis with nasal polyps, along with neurofibroma on nasal cavity is a rare co-incidence, and there was no correlation between those lesions. Pathological examination is a gold standard in differentiating a definite diagnosis of neurofibromas and polyps.Keywords: nasal cavity neurofibroma, nasal polyps, chronic rhinosinusitis
Correlation of Tympanomastoidectomy Pathological Findings With Hearing Loss In Chronic Suppurative Otitis Media Patients Nasution, Nurhalimah; Zahara, Devira; Lubis, Yuliani M.; Harahap, Pahala Hanafi; Herwanto, H.R. Yusa; Ashar, Taufik
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.614

Abstract

Background: Patients with chronic suppurative otitis media (CSOM) often experience hearing loss from mild to very severe degrees. In addition, patients with CSOM often have intraoperative pathological findings. Aims of this study is to determine the correlation between intraoperative tympanomastoidectomy pathological findings with the type and degree of hearing loss using pure tone audiogram images in CSOM patients. Methods: This study is an analytic type study that uses a cross-sectional design. This research was conducted in three hospitals during October 2021 to December 2021. The sample size in this study was 37 patients who would undergo tympanomastodectomy surgery. Results: The most common pathological finding was granulation in 36 patients (97.3%) and followed by sclerotic in 31 patients (83.8%). The average patient had more than 2 pathological findings. Most of patients (78.4%) had conductive hearing loss and most of patients had moderate degree of hearing loss in 25 patients (67.6%). Based on type of hearing loss, there were significant associations with several pathological findings, namely cholesteatoma (p=0.003), defect ossicles (p=0.009), ossicular defects (p=0.001), facial nerve defects (p=0.009). In terms of the number of pathological findings, there was a significant correlation with hearing loss (p=0.004, r=0.467) and the degree of hearing loss (p=0.029, r=0.360). Conclusion: Among the pathological findings by type of hearing loss, a significant correlation was found.
Comparing Voice Related Quality of Life scores between fenestrated and speaking valve cannula users Yanti, Lisa Apri; Dewi, Veni Rosita; Bahar, Erial
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.616

Abstract

Background: Tracheostomy is a procedure that aims to maintain the airway so that air can enter the lungs and bypass the upper airway. Tracheostomy causes physiological changes, especially in terms of communication, which leads to reduced voice-related quality of life. Fenestrated tracheal cannula and speaking valve can assist patients in generating voice. Objective: To compare the V-RQOL scores of the fenestrated tracheal cannula and speaking valve users. Methods: Analytic observational study using a cross-sectional design. Data collection was done through interviews with the V-RQOL questionnaire guide. The study was conducted in September-December 2022 at the THTBKL Polyclinic of Dr. Mohammad Hoesin Hospital Palembang. Data were analyzed with IBM SPSS 26. Results: 42 patients were using tracheal cannula, with 21 patients each with a fenestrated and speaking valve tracheal cannula. Patients with fenestrated tracheal cannula had lower quality of life in the physical, social, and total domains than those in the speaking valve group (poor QoL in the physical domain: 66.67% vs. 9.52%; social domain: 85.71% vs. 57.14%; total domain: 76.19% vs. 4.76%; p<0.001). From the multivariate analysis, the tracheal cannula type influenced the patient's quality of life was (p<0.001). The probability of someone with a fenestrated tracheal cannula will experience a poor QoL is 76.2%, while speaking valve is 4.7%. Conclusion: The quality of life of patients with a fenestrated type of tracheal cannula is significantly lower than that of speaking valve tracheal cannula users in both the physical, social, and total domains as measured by the V-RQOL.

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