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Diabetic Med:FreeStyle Libre ™葡萄糖传感器数据可以对安全驾驶进行决策吗?

2018-10-23 MedSci MedSci原创

许多国家要求糖尿病患者遵守血糖检测标准,以获得或保留驾驶执照。目前,间质液葡萄糖结果可能不被认可使用。近日,国际杂志 《Diabetic Med》上在线发表一项关于FreeStyle Libre ™葡萄糖传感器数据可以对安全驾驶进行决策的研究。本研究的目的是确定使用快速葡萄糖传感技术测量间质葡萄糖是否可以为增强安全驾驶提供额外信息。 研究人员通过获得FreeStyle Libre Glu

许多国家要求糖尿病患者遵守血糖检测标准,以获得或保留驾驶执照。目前,间质液葡萄糖结果可能不被认可使用。近日,国际杂志 《Diabetic Med》上在线发表一项关于FreeStyle Libre ™葡萄糖传感器数据可以对安全驾驶进行决策的研究。本研究的目的是确定使用快速葡萄糖传感技术测量间质葡萄糖是否可以为增强安全驾驶提供额外信息。

研究人员通过获得FreeStyle Libre Glucose Monitoring System ™的两项欧洲研究(NCT02232698NCT02082184)中的241224名胰岛素治疗的1型和2糖尿病参与者传感器数据,用于确定低间质传感器葡萄糖结果(<3.9mmol/l)(在白天(0700-2100h)之后长达4小时的毛细血管血糖结果≥5mmol/ l的频率。

1糖尿病患者的22.0%(11 706血糖读数中2573)和2型糖尿病患者的8.4%(699/8352)中出现毛细血管血糖结果在4小时内≥5mmol / L传感器葡萄糖结果<3.9 mmol / l; 在2小时内为13.8%(1610/11 628)和4.4%(365/8203),在1.5小时内为10.0%(1160/11601)和3.1%(254/8152)。分析葡萄糖传感器结果5-7 mmol / l表明葡萄糖趋势在14.7%(1163/78941型糖尿病)和9.4%(305/32332型糖尿病)的情况下会下降。

研究表明基于传感器的具有趋势性的葡萄糖信息具有支持评估与驾驶相关的安全葡萄糖水平的潜力,并且对于患有1型和2型糖尿病的个体与驾驶安全标准一致的血糖测试提供明显的优势。

原始出处:

G. Rayman J. Kröger J. Bolinder. Could FreeStyle Libre™ sensor glucose data support decisions for safe driving?

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    2019-04-09 lsj640
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  5. [GetPortalCommentsPageByObjectIdResponse(id=1970607, encodeId=91ba19e06079e, content=<a href='/topic/show?id=fa5d5919df' target=_blank style='color:#2F92EE;'>#Diabetic#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5919, encryptionId=fa5d5919df, topicName=Diabetic)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8949377, createdName=chenzhuanggui, createdTime=Fri Nov 02 02:03:00 CST 2018, time=2018-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1760814, encodeId=92051e608149b, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Nov 01 15:03:00 CST 2018, time=2018-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1755789, encodeId=37911e55789ea, content=<a href='/topic/show?id=6460e65996' target=_blank style='color:#2F92EE;'>#freestyle#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7659, encryptionId=6460e65996, topicName=freestyle)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d23d37034528, createdName=lsj640, createdTime=Tue Apr 09 08:03:00 CST 2019, time=2019-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2051267, encodeId=2041205126e0e, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Tue Jan 15 00:03:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1638771, encodeId=625b1638e7123, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sun Mar 10 14:03:00 CST 2019, time=2019-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493683, encodeId=b71f149368365, content=<a href='/topic/show?id=e3a72586595' target=_blank style='color:#2F92EE;'>#传感器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25865, encryptionId=e3a72586595, topicName=传感器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06f59086560, createdName=mjldent, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541827, encodeId=4e1d154182e0d, content=<a href='/topic/show?id=e8ca3108823' target=_blank style='color:#2F92EE;'>#决策#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31088, encryptionId=e8ca3108823, topicName=决策)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e76e13331157, createdName=ms2999106592497887, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1609208, encodeId=fbb31609208d1, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1970607, encodeId=91ba19e06079e, content=<a href='/topic/show?id=fa5d5919df' target=_blank style='color:#2F92EE;'>#Diabetic#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5919, encryptionId=fa5d5919df, topicName=Diabetic)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8949377, createdName=chenzhuanggui, createdTime=Fri Nov 02 02:03:00 CST 2018, time=2018-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1760814, encodeId=92051e608149b, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Nov 01 15:03:00 CST 2018, time=2018-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1755789, encodeId=37911e55789ea, content=<a href='/topic/show?id=6460e65996' target=_blank style='color:#2F92EE;'>#freestyle#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7659, encryptionId=6460e65996, topicName=freestyle)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d23d37034528, createdName=lsj640, createdTime=Tue Apr 09 08:03:00 CST 2019, time=2019-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2051267, encodeId=2041205126e0e, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Tue Jan 15 00:03:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1638771, encodeId=625b1638e7123, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sun Mar 10 14:03:00 CST 2019, time=2019-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493683, encodeId=b71f149368365, content=<a href='/topic/show?id=e3a72586595' target=_blank style='color:#2F92EE;'>#传感器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25865, encryptionId=e3a72586595, topicName=传感器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06f59086560, createdName=mjldent, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541827, encodeId=4e1d154182e0d, content=<a href='/topic/show?id=e8ca3108823' target=_blank style='color:#2F92EE;'>#决策#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31088, encryptionId=e8ca3108823, topicName=决策)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e76e13331157, createdName=ms2999106592497887, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1609208, encodeId=fbb31609208d1, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=)]
    2018-10-25 mjldent
  7. [GetPortalCommentsPageByObjectIdResponse(id=1970607, encodeId=91ba19e06079e, content=<a href='/topic/show?id=fa5d5919df' target=_blank style='color:#2F92EE;'>#Diabetic#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5919, encryptionId=fa5d5919df, topicName=Diabetic)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8949377, createdName=chenzhuanggui, createdTime=Fri Nov 02 02:03:00 CST 2018, time=2018-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1760814, encodeId=92051e608149b, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Nov 01 15:03:00 CST 2018, time=2018-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1755789, encodeId=37911e55789ea, content=<a href='/topic/show?id=6460e65996' target=_blank style='color:#2F92EE;'>#freestyle#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7659, encryptionId=6460e65996, topicName=freestyle)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d23d37034528, createdName=lsj640, createdTime=Tue Apr 09 08:03:00 CST 2019, time=2019-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2051267, encodeId=2041205126e0e, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Tue Jan 15 00:03:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1638771, encodeId=625b1638e7123, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sun Mar 10 14:03:00 CST 2019, time=2019-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493683, encodeId=b71f149368365, content=<a href='/topic/show?id=e3a72586595' target=_blank style='color:#2F92EE;'>#传感器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25865, encryptionId=e3a72586595, topicName=传感器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06f59086560, createdName=mjldent, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541827, encodeId=4e1d154182e0d, content=<a href='/topic/show?id=e8ca3108823' target=_blank style='color:#2F92EE;'>#决策#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31088, encryptionId=e8ca3108823, topicName=决策)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e76e13331157, createdName=ms2999106592497887, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1609208, encodeId=fbb31609208d1, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=)]
  8. [GetPortalCommentsPageByObjectIdResponse(id=1970607, encodeId=91ba19e06079e, content=<a href='/topic/show?id=fa5d5919df' target=_blank style='color:#2F92EE;'>#Diabetic#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5919, encryptionId=fa5d5919df, topicName=Diabetic)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8949377, createdName=chenzhuanggui, createdTime=Fri Nov 02 02:03:00 CST 2018, time=2018-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1760814, encodeId=92051e608149b, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Nov 01 15:03:00 CST 2018, time=2018-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1755789, encodeId=37911e55789ea, content=<a href='/topic/show?id=6460e65996' target=_blank style='color:#2F92EE;'>#freestyle#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7659, encryptionId=6460e65996, topicName=freestyle)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d23d37034528, createdName=lsj640, createdTime=Tue Apr 09 08:03:00 CST 2019, time=2019-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2051267, encodeId=2041205126e0e, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Tue Jan 15 00:03:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1638771, encodeId=625b1638e7123, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sun Mar 10 14:03:00 CST 2019, time=2019-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493683, encodeId=b71f149368365, content=<a href='/topic/show?id=e3a72586595' target=_blank style='color:#2F92EE;'>#传感器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25865, encryptionId=e3a72586595, topicName=传感器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06f59086560, createdName=mjldent, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541827, encodeId=4e1d154182e0d, content=<a href='/topic/show?id=e8ca3108823' target=_blank style='color:#2F92EE;'>#决策#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31088, encryptionId=e8ca3108823, topicName=决策)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e76e13331157, createdName=ms2999106592497887, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1609208, encodeId=fbb31609208d1, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Oct 25 07:03:00 CST 2018, time=2018-10-25, status=1, ipAttribution=)]

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严格的葡萄糖需求使得大脑容易受到这种主要能量供应的干扰,并且慢性压力可能构成这种破坏。然而至今为止,压力相关的认知障碍是否可能由扰乱的葡萄糖调节引起仍不清楚。

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Science:科学家阐明机体细胞糖酵解与基因转录之间的神秘关联

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Gut:肠道微生物代谢产物、氨基酸代谢物与胰岛素敏感性和葡萄糖代谢!

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JACC:天选之人!哈佛科学家在人体内发现神奇的基因突变,与肥胖发生率降低57%、糖尿病发病率降低42%、死亡风险降低34%有关

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