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What Are the Sonographic Outcomes of Acute Achilles Tendon Rupture? Nonoperative Versus Surgical Repair?

Surg Technol Int 2021 10 13;39. Epub 2021 Oct 13.

Department of Orthopaedic Surgery, University Hospital Centre of Saint-Etienne, Saint-Etienne, France.

Introduction: The objective was to compare the two-year ultrasonographic outcomes in a consecutive series of patients with acute Achilles tendon rupture (ATr), either treated surgically or nonoperatively.

Materials And Methods: This is a prospective, single-center, consecutive series. All patients presenting with acute ATr were included and divided into two groups: surgical or nonoperative groups. Read More

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October 2021

Nodular dermatofibrosis and cystic renal disease in three mixed-breed dogs and a Boxer dog.

Vet Dermatol 1998 Jun;9(2):119-126

Veterinary Teaching Hospital, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, 80523, USA.

Three mixed-breed dogs and a Boxer dog with nodular dermatofibrosis are described. The three mixed breed dogs had concurrent renal epithelial cysts (n = 2) or renal cystadenomas (n = 1); these lesions were visualized antemortem on ultrasonographic examination. One of these dogs was a 7-year-old Labrador Retriever-Gordon Setter mixed breed which survived 5 years after diagnosis, and was euthanized for unrelated causes. Read More

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Correlation between the natural infection by Corynebacterium pseudotuberculosis in goats and serum progesterone levels and corpus luteum development.

Domest Anim Endocrinol 2021 Sep 4;78:106677. Epub 2021 Sep 4.

Department of Agricultural Defense, Federal University of the Recôncavo of Bahia, Cruz das Almas, Bahia State 44380-000, Brazil.

Caseous Lymphadenitis (CLA) is an infectious disease that affects small ruminants, and the bacterium Corynebacterium pseudotuberculosis is its etiologic agent. This disease presents a high morbidity and a great economic impact on goat farming, leading to reduced milk and meat production and reproductive losses. The available data about the influence of C. Read More

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September 2021

Evaluating for a correlation between osteopathic examination and ultrasonography on thoracic spine asymmetry.

J Osteopath Med 2021 Oct 12. Epub 2021 Oct 12.

Department of Anatomy, Midwesetern University, Arizona College of Osteopathic Medicine, Glendale, AZ, USA.

Context: The thoracic spine is a common area of focus in osteopathic manipulative medicine (OMM) for a variety of conditions. Thoracic spine somatic dysfunction diagnosis is achieved by palpating for asymmetry at the tips of the transverse processes (TPs). Previous studies reveal that instead of following the rule of threes, the TPs of a given thoracic vertebra generally align with the spinous process (SP) of the vertebra above. Read More

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October 2021

Challenging diagnostic work-up of a massive fluid-filled structure in the cranial abdomen of a cat.

Tierarztl Prax Ausg K Kleintiere Heimtiere 2021 Oct 12. Epub 2021 Oct 12.

Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation.

A 9-year-old female, neutered European shorthair cat was presented with acute vomiting, obvious jaundice and painful enlargement of the abdomen. Icteric skin and mucous membranes in addition to severe bilirubinaemia (mainly direct bilirubin) and a large increase in liver enzyme activities were the main findings at the initial examination. Radio- and ultrasonographic evaluation revealed a massive fluid-filled structure caudal to the liver displacing abdominal organs, in particular the stomach. Read More

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October 2021

Usefulness of ultrasonography for dynamic evaluation of medial meniscus hoop function in early knee osteoarthritis.

Sci Rep 2021 Oct 11;11(1):20091. Epub 2021 Oct 11.

Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa-shi, Ishikawa-ken, 920-8641, Japan.

This study aimed to evaluate the dynamics of the medial meniscus during knee flexion-extension by ultrasonography and compare them with MRI findings to confirm the usefulness of ultrasonography for evaluating early knee osteoarthritis (KOA). In total, 100 patients were diagnosed with early KOA using clinical and radiographical findings. Dynamic ultrasonographic evaluation and MRI were performed in all patients. Read More

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October 2021

Case Report: Candidate Genes Associated With Prenatal Ultrasound Anomalies in a Fetus With Prenatally Detected 1q23.3q31.2 Deletion.

Front Genet 2021 23;12:696624. Epub 2021 Sep 23.

Center for Medical Ultrasound, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.

Patients with deletions involving the long arm of chromosome 1 are rare, and the main aim of this study was to refine the genotype-phenotype correlation. In this report, a 28-year-old pregnant woman, gravida 2 para 1, at 25 weeks of gestation underwent ultrasound examination in our institute. The ultrasonographic findings of the fetus were as follows: (1) fetal growth restriction; (2) cleft lip and palate; (3) bilateral renal hypoplasia; (4) lateral ventriculomegaly; (5) single umbilical artery; (6) absent stomach; (7) coronary sinus dilatation with persistent left superior vena cava, ventricular septal defect and unroofed coronary sinus syndrome. Read More

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September 2021

[Correlation of conventional ultrasound features and related factors with BRAFV600E gene mutation in papillary thyroid carcinoma].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Oct;35(10):925-929

Department of Thyroid Surgery,First Affiliated Hospital of Jinzhou Medical University.

To investigate the correlation of conventional ultrasound features and related factors with BRAFV600E gene mutation in papillary thyroid carcinoma(PTC). A total of 266 nodules in 208 patients with PTC confirmed by operation and pathology in First Affiliated Hospital of Jinzhou Medical University from October 2019 to March 2021 were selected. BRAFV600E gene was detected by real-time fluorescence PCR quantitative technique after operation. Read More

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October 2021

Imaging of the medial collateral ligament of the knee: a systematic review.

Arch Orthop Trauma Surg 2021 Oct 10. Epub 2021 Oct 10.

Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Introduction: The primary aim of this investigation was to systematically review relevant literature of various imaging modalities (magnetic resonance imaging (MRI), stress radiography and ultrasonography) in the assessment of patients with a medial collateral ligament (MCL) injury.

Materials And Methods: A systematic literature review of articles indexed in PubMed and Cochrane library was performed. Original research reporting data associated with medial gapping, surgical, and clinical findings associated with MCL injuries were considered for inclusion. Read More

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October 2021

The relationship between ultrasound microcalcifications and psammoma bodies in thyroid tumours: a single-institution retrospective study.

Clin Radiol 2021 Oct 6. Epub 2021 Oct 6.

Radiology Department, University Hospital Galway, Newcastle Road, Galway, H91 YR71, Ireland.

Aim: To investigate the diagnostic accuracy of ultrasound microcalcifications for the detection of malignancy in thyroid nodules and determine the validity of the concept that ultrasound microcalcification reflects the presence of psammoma body calcification in thyroid nodules.

Materials And Methods: The laboratory information system at University Hospital Galway, a tertiary referral hospital, was used to compile a list of patients who underwent thyroid lobectomy or complete thyroidectomy over a continuous 12-month period with both preoperative ultrasound and postoperative histology available (n=106) from January to December 2019. The haematoxylin and eosin-stained histology slides of each case were sourced and reviewed under light microscopy by a histopathologist to determine the presence of psammoma body calcification within both benign and malignant thyroid nodules. Read More

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October 2021

A preliminary study on the quantification of soft palate movement using ultrasonography.

Congenit Anom (Kyoto) 2021 Oct 7. Epub 2021 Oct 7.

Department of Oral and Maxillofacial Surgery, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan.

Velopharyngeal incompetence (VPI) is a motor impairment of the soft palate that can result in functional disorders, such as stuttering. Therefore, therapeutic interventions for VPI should begin at an early stage. We examined the possibility of early detection of motor impairments of the soft palate with ultrasonographic observations. Read More

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October 2021

Postpartum Uterine Ultrasonographic Scale: a novel method to standardize the assessment of uterine postpartum involution.

J Med Life 2021 Jul-Aug;14(4):511-517

Department of Radiology, Elena Doamna Obstetrics and Gynecology University Hospital, Iasi, Romania.

Postpartum hemorrhage is a leading cause of maternal mortality. Various methods can be used to evaluate the postpartum uterine cavity volume. This work aims to introduce a simple method for uterine postpartum cavity volume evaluation, called Postpartum Uterine Ultrasonographic Scale (PUUS), which could be used routinely. Read More

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October 2021

Ultrasonographic measurement of tongue thickness to predict upper airway obstruction after palatoplasty: A preliminary cohort study.

Eur J Anaesthesiol 2021 Nov;38(11):1196-1198

From the Department of Anaesthesia and Intensive Care (PJM, RB, VA, NB, SY), Department of Plastic Surgery (RKS), Post-Graduate Institute of Medical Education and Research, Chandigarh, India.

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November 2021

Diagnostic accuracy of ultrasonography to detect hepatic and splenic lymphomatous infiltration in dogs and cats.

J Small Anim Pract 2021 Oct 7. Epub 2021 Oct 7.

Centre Hospitalier Universitaire Vétérinaire d'Alfort, École Nationale Vétérinaire d'Alfort, Maisons-Alfort, 94700, France.

Objectives: To determine the diagnostic accuracy of ultrasonography in the detection of lymphomatous infiltration of the liver and spleen in a population of dogs and cats with lymphoma. To determine if specific ultrasonographic features of the liver and spleen in dogs are associated with lymphomatous infiltration or a specific immunophenotype of multi-centric lymphoma.

Materials And Methods: A blinded retrospective evaluation of ultrasonographic images of the liver and/or spleen in dogs and cats with cytologically or histologically confirmed lymphoma was performed by two board-certified veterinary radiologists. Read More

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October 2021

Computer-Analyzed Ultrasound Predictors of the Treatment Efficacy of Radiofrequency Ablation for Benign Thyroid Nodules.

World J Surg 2021 Oct 4. Epub 2021 Oct 4.

Department of Surgery, MacKay Memorial Hospital and Mackay Medical College, No. 92, Chung-Shan North Road, Section 2, Taipei, 104215, Taiwan.

Aim: Radiofrequency ablation (RFA) is a relatively safe and efficient alternative to surgery for patients with benign thyroid nodules. We investigated predictive factors associated with volume reduction using digital imaging analysis.

Methods: In this retrospective study, a prospectively maintained database containing the data of patients who received treatment from April 2019 to March 2020 was analyzed. Read More

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October 2021

Prenatal ultrasonographic markers for prediction of complex gastroschisis and adverse perinatal outcomes: a systematic review and meta-analysis.

Arch Dis Child Fetal Neonatal Ed 2021 Oct 4. Epub 2021 Oct 4.

Division of Fetal Therapy and Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA

Objective: We sought to perform a meta-analysis of the predictive value of antenatal ultrasonographic markers of bowel dilation, gastric dilation, polyhydramnios and abdominal circumference that predict complex gastroschisis and adverse perinatal outcomes DATA SOURCES: PubMed, Web of Science, Scopus and Embase were searched for relevant articles up to December 2020. Studies reporting prenatal ultrasonographic markers including intra-abdominal bowel dilation (IABD), extra-abdominal bowel dilation (EABD), bowel wall thickness, polyhydramnios, abdominal circumference <5th percentile, gastric dilation (GD) and bowel dilation not otherwise specified (BD-NOS) were included. The primary outcome was prediction of complex gastroschisis; secondary outcomes were length of hospital stay for newborn, time to full enteral feeding, postnatal mortality rate, incidence of necrotising enterocolitis and short bowel syndrome. Read More

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October 2021

Segmental Cervical Aplasia in a Colombian Creole Mare with Mosaic X-Chromosome Aneuploidy.

J Equine Vet Sci 2021 Oct 18;105:103720. Epub 2021 Jul 18.

Facultad de Medicina Veterinaria y de Zootecnia, Universidad Nacional de Colombia, Bogotá DC, Colombia. Electronic address:

A 4-year-old Colombian Creole mare was presented for diagnosis because the external orifice of her cervix was not detectable when a uterine lavage as therapy for uterine fluid accumulation was attempted. Clinical and ultrasonographic evaluation of the genital tract revealed that ovaries were of normal size and showed structures suggestive of regular ovarian activity. However, granular free-floating fluid material distending the uterus was detected by ultrasound. Read More

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October 2021

Ultrasonographic Features of Presumed Renal Telangiectasia in Three Pembroke Welsh Corgis.

J Am Anim Hosp Assoc 2021 Oct 4. Epub 2021 Oct 4.

Renal telangiectasia has been reported in Pembroke Welsh corgis with chronic hematuria; however, the sonographic features of these lesions have never been described. Two dogs with confirmed renal telangiectasia and one dog with presumptive renal telangiectasia were identified in a medical record search. All dogs had one or more variably sized renal nodules identified on abdominal ultrasound. Read More

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October 2021

Ultrasonography of Shoulder in Rheumatoid Arthritis: A Reliability Exercise Using Consensual Definitions among Maghrebian Rheumatologists.

Ultrasound Med Biol 2021 Sep 29. Epub 2021 Sep 29.

Comité d'Experts Maghrébins en Imagerie Rhumatologique, Rabat, Morocco; Rheumatology Department, Mohamed V University, El Ayachi Hospital, Rabat-Salé, Morocco.

The shoulder may be affected in a large portion of patients with rheumatoid arthritis (RA) worldwide. However, this joint does not receive the attention required during follow-up. Indeed, although numerous clinical tests for diagnosis of a painful shoulder are available, differentiating articular from peri-articular lesions may be difficult in daily practice. Read More

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September 2021

A practical means of evaluating the prognosis of acute pancreatitis, as measurement of carotid artery intima-media thickness.

Acta Gastroenterol Belg 2021 Jul-Sep;84(3):437-442

Department of Internal Medicine, Alaaddin Keykubat University, Alanya, Turkey.

Background And Study Aims: Factors such as age, obesity, diabetes mellitus and hyperlipidemia that cause adverse prognosis in acute pancreatitis also cause an increase in carotid intima-media thickness. In this study, we aimed to investigate the usability of the measurement of carotid intima-media thickness, which is an easy to apply, cost-effective means of measurement applied to the patients, in predicting AP prognosis, apart from the criteria currently utilized to predict AP prognosis.

Patients And Methods: 101 patients diagnosed with acute pancreatitis were prospectively enrolled into the study. Read More

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October 2021

Hypertrophic Pyloric Stenosis.

Pediatr Rev 2021 Oct;42(10):539-545

Division of Pediatric Surgery, Cohen Children's Medical Center, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY.

Hypertrophic pyloric stenosis is a common condition seen in the first 1 to 3 months after birth. Patients typically present with nonbilious projectile emesis after feeds that may result in hypokalemic, hypochloremic metabolic alkalosis. Although inability to tolerate feeds is frequently seen with self-limited conditions such as reflux, a low threshold to obtain an ultrasonographic image is important to prevent a delay in diagnosis. Read More

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October 2021

Ultrasonographic measurements of plantar fascia thickness and echogenicity in individuals with and without plantar fasciitis: Reliability and group differences.

Foot (Edinb) 2021 Jul 8;49:101849. Epub 2021 Jul 8.

Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. Electronic address:

Objective: Imaging techniques such as ultrasonography are beneficial for diagnosis of plantar fasciitis. The purpose of this study was to investigate intra-rater reliability of plantar fascia thickness and echogenicity in subjects with and without plantar fasciitis and to compare the measurements between the two groups.

Design: Sonographic evaluation of the plantar fascia was performed in prone position in 20 subjects without plantar fasciitis and 20 subjects with plantar fasciitis. Read More

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Reply to: Correspondence on "Predicting portal thrombosis in cirrosis: A prospective study of clinical, ultrasonographic and hemostatic factors".

J Hepatol 2021 Sep 28. Epub 2021 Sep 28.

Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Barcelona, Spain(†); Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain. Electronic address:

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September 2021

Abdominal ultrasound and clinicopathologic findings in 22 cats with exocrine pancreatic insufficiency.

J Vet Intern Med 2021 Oct 1. Epub 2021 Oct 1.

Research Computing Support, University of Tennessee, Knoxville, Tennessee, USA.

Background: Awareness of exocrine pancreatic insufficiency (EPI) in cats has increased since the development of an assay for feline trypsin-like immunoreactivity (fTLI). Ultrasound findings in cats with EPI have only been reported rarely and described as nonspecific.

Hypothesis/objectives: To describe the ultrasonographic findings, clinical signs, and concurrent diseases in cats with EPI. Read More

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October 2021

Medullary thyroid carcinoma in children: current state of the art and future perspectives.

J Pediatr Endocrinol Metab 2021 Sep 30. Epub 2021 Sep 30.

Department of Pediatric Surgery, University General Hospital "ATTIKON", National and Kapodistrian University of Athens School of Medicine, Athens, Greece.

Medullary thyroid carcinoma (MTC) is a distinct type of malignant thyroid tumor in cell origin, biological behavior, and natural history. It accounts for 1.6% of all thyroid cancers and presents either sporadically or as a hereditary disease, the latter occurring as a part of multiple endocrine neoplasia (MEN) 2A and MEN2B syndromes or as a familial MTC disease with no other manifestations. Read More

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September 2021

Biliary Atresia With Extrahepatic Cyst: A Diagnostic Dilemma.

Cureus 2021 Aug 25;13(8):e17447. Epub 2021 Aug 25.

Pediatrics, Arya Care and Cure Hospital, Janakpur, NPL.

Biliary atresia (BA) is a rare disorder that usually presents with cholestatic symptoms such as jaundice, pale stool, and dark urine shortly after birth. Intracranial hemorrhage is a rare manifestation. BA may sometimes be associated with a cyst in the biliary tree. Read More

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Reliability of ultrasonographic measurement of muscle architecture of the gastrocnemius medialis and gastrocnemius lateralis.

PLoS One 2021 29;16(9):e0258014. Epub 2021 Sep 29.

Holsworth Research Initiative, La Trobe University, Bendigo, Victoria, Australia.

Ultrasonography is widely used to measure gastrocnemius muscle architecture; however, it is unclear if values obtained from digitised images are sensitive enough to track architectural responses to clinical interventions. The purpose of this study was to explore the reliability and determine the minimal detectable change (MDC) of gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) muscle architecture using ultrasound in a clinical setting. A trained sonographer obtained three B-mode images from each of the GM and GL muscles in 87 volunteers (44 males, 43 females; 22±9 years of age) on two separate occasions. Read More

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September 2021

Peripheral Nerve Blockade for Patients With Raynaud Phenomenon and Other Causes of Digital Ischemia: A Case Report and Practice Implications.

AANA J 2021 Oct;89(5):391-395

is a director of research and clinical assistant professor in the University of Kansas Department of Nurse Anesthesia Education. Email:

Raynaud phenomenon can be an idiopathic benign disease, or it can be associated with vascular insufficiency due to arterial disease caused by other processes. Medical management of Raynaud phenomenon can be difficult, and digital ischemia, gangrene, and ulcers may occur secondary to vascular insufficiency. This case report describes the anesthetic management of a patient with a diagnosis of Raynaud phenomenon who presented to the perioperative area for débridement and distal amputation of the right third finger, which had become necrotic and gangrenous. Read More

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October 2021

Tissue predictability of elastography is low in collagenase induced deep digital flexor tendinopathy.

Vet Radiol Ultrasound 2021 Sep 28. Epub 2021 Sep 28.

Department of Clinical Sciences, Orthopaedic Research Center, C. Wayne McIlwraith Translational Medicine Institute, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA.

Elastography is an emerging imaging modality for characterizing tendon injury in horses, but its ability to differentiate tissue deformability relative to treatment group and biochemical properties using a prospective, experimental study design remain unknown. Objectives of the current study were to (a) to investigate differences in glycosaminoglycan, DNA, and soluble collagen levels in mesenchymal stem cell (MSC) treated limbs compared to untreated control limbs utilizing a collagenase model of tendinopathy; (b) compare elastographic features between treatment groups; and (c) determine tissue-level predictive capabilities of elastography in relation to biochemical outcomes. Bone marrow was collected for MSC culture and expansion. Read More

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September 2021

Limited condylar mobility by ultrasonography predicts difficult direct laryngoscopy in morbidly obese patients: An observational study.

Indian J Anaesth 2021 Aug 25;65(8):612-618. Epub 2021 Aug 25.

Department of Surgical Gastroenterology, PGIMER, Chandigarh, India.

Background And Aims: Unpredictable difficult laryngoscopy remains a challenge for anaesthesiologists, especially in morbidly obese patients. The present study aimed to determine the efficacy of different sonographic measures as predictors of difficult laryngoscopy in morbidly obese patients undergoing elective surgery.

Methods: This observational study evaluated 70 morbidly obese adult patients (body mass index >35 kg/m) undergoing elective surgery under general anaesthesia with tracheal intubation. Read More

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