29,558 results match your criteria march 2019


Trends in and Factors Associated With Episiotomy in the Setting of Nonoperative Vaginal Delivery, 2000-2018.

Obstet Gynecol 2021 Dec 2. Epub 2021 Dec 2.

Department of Obstetrics and Gynecology, Columbia University, New York, New York; and the Department of Obstetrics and Gynecology, University of California, San Francisco, San Francisco, California.

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December 2021

Pessary Plus Progesterone to Prevent Preterm Birth in Women With Short Cervixes: A Randomized Controlled Trial.

Obstet Gynecol 2021 Dec 2. Epub 2021 Dec 2.

Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Unicamp, Campinas, Centro Integrado de Saúde Amaury de Medeiros - CISAM-UPE, Recife, Pernambuco, the Department of Obstetrics and Gynecology, School of Medicine of Jundiaí, Jundiaí, and the Department of Obstetrics and Gynecology, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil; the Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia; and the Aberdeen Centre for Women's Health Research, University of Aberdeen, Aberdeen, United Kingdom.

Objective: To test the effectiveness of cervical pessary in addition to vaginal progesterone for the prevention of preterm birth in women with midpregnancy short cervixes.

Methods: We performed a multicenter, open-label, randomized controlled trial in 17 perinatal centers. Asymptomatic women with singleton or twin pregnancies and cervical lengths of 30 mm or less, measured at 18 0/7-22 6/7 weeks of gestation, were randomized to cervical pessary plus vaginal progesterone (pessary plus progesterone group) or vaginal progesterone only (progesterone-only group) (200 mg/day). Read More

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December 2021

Trends in and Maternal Outcomes of Delivery Hospitalizations of Patients With an Asthma Diagnosis.

Obstet Gynecol 2021 Dec 2. Epub 2021 Dec 2.

Department of Obstetrics and Gynecology, the Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, and the Department of Anesthesiology, Columbia University, New York, New York; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.

Objective: To characterize asthma prevalence and outcomes during U.S. delivery hospitalizations. Read More

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December 2021

COVID-19 versus Seasonal Influenza: Comparison of Profiles of Older Adults Hospitalized in a Short-Term Geriatric Ward in France.

Am J Trop Med Hyg 2021 Dec 2. Epub 2021 Dec 2.

Faculty of Medicine, University of the French West Indies, Fort-de-France, Martinique, France.

The objective was to compare the profile and outcomes of older adults admitted to a geriatric short-stay unit for COVID-19, to those of older adults admitted to the same unit for seasonal influenza infection. This was an observational study performed in a General Hospital in France. Patients ≥ 70 years admitted to a geriatric short-stay unit for COVID-19 between March 18 and November 15, 2020 were included. Read More

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December 2021

Global estimates of viral suppression in children and adolescents and adults on antiretroviral therapy adjusted for missing viral load measurements: a multiregional, retrospective cohort study in 31 countries.

Lancet HIV 2021 Dec;8(12):e766-e775

The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia.

Background: As countries move towards the UNAIDS's 95-95-95 targets and with strong evidence that undetectable equals untransmittable, it is increasingly important to assess whether those with HIV who are receiving antiretroviral therapy (ART) achieve viral suppression. We estimated the proportions of children and adolescents and adults with viral suppression at 1, 2, and 3 years after initiating ART.

Methods: In this retrospective cohort study, seven regional cohorts from the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium contributed data from individuals initiating ART between Jan 1, 2010, and Dec 31, 2019, at 148 sites in 31 countries with annual viral load monitoring. Read More

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December 2021

Cluster of SARS-CoV-2 Gamma Variant Infections, Parintins, Brazil, March 2021.

Emerg Infect Dis 2021 Dec 2;28(1). Epub 2021 Dec 2.

High case counts after the Gamma (P. 1) variant of severe acute respiratory syndrome coronavirus 2 emerged in Brazil raised concerns that previously infected persons might become reinfected. Investigation of a cluster of coronavirus disease cases in Parintins, in the Brazilian Amazon, suggested household transmission but did not identify high rates of reinfection. Read More

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December 2021

Observational study to estimate the proportion of surgical site infection following excision of ulcerated skin tumours (OASIS study).

Clin Exp Dermatol 2021 Dec 2. Epub 2021 Dec 2.

Cardiff University Centre for Trials Research.

Background: Ulceration is a recognised risk factor for SSI, however the proportion of patients developing SSI after excision of an ulcerated skin cancer is unknown.

Objectives: To determine the proportion of participants with SSI after surgical excision of an ulcerated skin cancer. Secondary aims included feasibility outcomes to inform the design of a randomised controlled trial to investigate the benefits and harms of peri-operative antibiotics following excision of in ulcerated tumours. Read More

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December 2021

Improved HIV case finding among key populations after differentiated data driven community testing approaches in Zambia.

PLoS One 2021 2;16(12):e0258573. Epub 2021 Dec 2.

FHI 360, Durham, North Carolina, United States of America.

Introduction: Open Doors, an HIV prevention project targeting key populations in Zambia, recorded low HIV positivity rates (9%) among HIV testing clients, compared to national adult prevalence (12.3%), suggesting case finding efficiency could be improved. To close this gap, they undertook a series of targeted programmatic and management interventions. Read More

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December 2021

The Superior Mesenteric Artery Angle and Abdominal Main Vessel Diameters in Normovolemic Children: For Practical Sonographic Evaluation.

Authors:
Merter Keçeli

Ultrasound Q 2021 Dec;37(4):343-348

Pediatric Radiology Department, Konya Training and Research Hospital, Medical Sciences School, Konya, Turkey.

Background: Knowledge of the normal size of important abdominal vessels is important for determination of hydration status and intravascular volume. Knowing the normal value of superior mesenteric artery (SMA) exit angle from the aorta (SMA angle) is necessary for the diagnosis of clinical pathologies caused by SMA compression.

Objectives: The aim of this study was to determine the normal SMA angles and normal diameters of the main abdominal vascular structures of pediatric participants on ultrasonography (USG). Read More

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December 2021

Increased prevalence of eating disorders in Japan since the start of the COVID-19 pandemic.

Eat Weight Disord 2021 Dec 2. Epub 2021 Dec 2.

Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Purpose: The study aimed to investigate the effect of the COVID-19 pandemic on the prevalence of eating disorders in Japan.

Methods: We retrospectively reviewed the medical records of new patients with eating disorders who visited an outpatient eating disorders clinic of a single university hospital in Tokyo, Japan, from April 2020 to March 2021 (FY2020) and April 2019 to March 2020 (FY2019). We determined whether the onset or course in each patient in FY2020 was associated with the COVID-19 pandemic and classified COVID-19-associated medical histories into the following categories: (1) fatness phobia, (2) acceleration of dieting, (3) family relationships, (4) social factors, and (5) mood change. Read More

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December 2021

Proportionality of Clinical Outcome and Placental Changes to the Increasing Severity of Maternal Hypertension- An Observational Study.

Turk Patoloji Derg 2021 ;1(1)

Department of Pathology, Karnataka Institute of Medical Sciences, KARNATAKA, INDIA.

Objective: Preeclampsia and eclampsia remain the major causes of maternal and perinatal mortality and morbidity worldwide, causing 12-15% of direct maternal deaths. Although preeclampsia and related hypertensive disorders of pregnancy continue to affect 8% of all pregnancies, the incidence of preeclampsia has increased 40% in recent years. This study was carried out to analyse the different placental lesions and fetal outcome in different grades of maternal hypertension and to see if there is a linear relationship of the same. Read More

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January 2021

Laminectomy alone versus laminectomy with fusion for degenerative cervical myelopathy: a long-term study of a national cohort.

Eur Spine J 2021 Dec 1. Epub 2021 Dec 1.

Department of Surgical Sciences, Uppsala University Hospital, 75185, Uppsala, Sweden.

Purpose: To compare patient-reported 5-year clinical outcomes between laminectomy alone versus laminectomy with instrumented fusion in patients with degenerative cervical myelopathy in a population-based cohort.

Methods: All patients in the national Swedish Spine Register (Swespine) from January 2006 until March 2019, with degenerative cervical myelopathy, were assessed. Multiple imputation and propensity score matching based on clinicodemographic and radiographic parameters were used to compare patients treated with laminectomy alone with patients treated with laminectomy plus posterior-lateral instrumented fusion. Read More

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December 2021

A Virtual Wellness and Learning Communities Program for Medical Students during the COVID-19 Pandemic.

South Med J 2021 Dec;114(12):807-811

From the Departments of Pediatrics and Plastic Surgery, Vanderbilt University Medical Center, and the Vanderbilt University School of Medicine, Nashville, Tennessee.

Objectives: Numerous studies have demonstrated the high risk for burnout and mental illness in medical students. Because of the coronavirus disease 2019 (COVID-19) pandemic, our medical school transitioned to an all-virtual learning environment from March to June 2020, which raised concerns among student leaders and administrators, as reduced interpersonal attachments have known associations with decreased mental health. In an effort to facilitate student well-being during the pandemic, the Virtual Wellness and Learning Communities (VWLC) program was established. Read More

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December 2021

Prevalence of, Qualities, and Barriers Associated with Mentoring Relationships from Medical Students' Perspective: A Multi-Institutional Cross-Sectional Study.

South Med J 2021 Dec;114(12):789-796

From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa.

Objectives: Reports of medical student mentorship prevalence range between 26% and 77%. This broad range likely reflects the tendencies of studies to focus on specific populations of medical students. There is little consensus about the characteristics of mentoring relationships among medical students. Read More

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December 2021

Impact of the SARS-CoV-2 Pandemic on Primary Percutaneous Coronary Intervention for Patients with ST-Elevation Myocardial Infarction.

Int Heart J 2021 ;62(6):1230-1234

Department of Cardiology, Sakurakai Takahashi Hospital.

During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, patients with ST-elevation myocardial infarction (STEMI) should be treated as possibly infected individuals. Therefore, more time is considered necessary to conduct primary percutaneous coronary intervention (PCI). In this study, we sought to evaluate the impact of the SARS-CoV-2 pandemic on primary PCI for STEMI. Read More

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January 2021

Prescribing pattern of proton pump inhibitors among patients admitted to medical ward at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A retrospective study.

Saudi Med J 2021 Dec;42(12):1313-1319

From the Department of Pharmacy, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia.

Objectives: To determine the prescription pattern of proton pump inhibitors (PPIs) at a tertiary hospital in Saudi Arabia.

Methods: This study was a retrospective cohort design using medical records at the medical ward of King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. Data were collected from medical records of all patients admitted to the ward from October 2019 to March 2020. Read More

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December 2021

Immediate postoperative care on high dependency unit or ward following microvascular free tissue transfer: lessons learnt from a change in practice imposed during the COVID-19 pandemic.

Br J Oral Maxillofac Surg 2021 Aug 26. Epub 2021 Aug 26.

Regional Maxillofacial Unit, Liverpool Head and Neck Centre, Liverpool University Hospital NHS Foundation Trust, Lower Lane, Liverpool, UK; Faculty of Health and Social Care, Edge Hill University, Ormskirk L39 4QP, UK. Electronic address:

The COVID-19 pandemic resulted in sudden changes to the established practice of using the high dependency unit (HDU) for the first night of postoperative care following microvascular free tissue transfer. Patients were managed instead on the head and neck ward. This retrospective case-note review aimed to report outcomes in consecutive patients treated before and during the pandemic, and to reflect on the implications of ward-based rather than HDU care. Read More

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Developing practical clinical tools for predicting neonatal mortality at a neonatal intensive care unit in Tanzania.

BMC Pediatr 2021 12 1;21(1):537. Epub 2021 Dec 1.

Boyd Orr Centre for Population and Ecosystem Health and Institute of Biodiversity, Animal health and Comparative Medicine, University of Glasgow, Glasgow, G12 8QQ, UK.

Background: Neonatal mortality remains high in Tanzania at approximately 20 deaths per 1000 live births. Low birthweight, prematurity, and asphyxia are associated with neonatal mortality; however, no studies have assessed the value of combining underlying conditions and vital signs to provide clinicians with early warning of infants at risk of mortality. The aim of this study was to identify risk factors (including vital signs) associated with neonatal mortality in the neonatal intensive care unit (NICU) in Bugando Medical Centre (BMC), Mwanza, Tanzania; to identify the most accurate generalised linear model (GLM) or decision tree for predicting mortality; and to provide a tool that provides clinically relevant cut-offs for predicting mortality that is easily used by clinicians in a low-resource setting. Read More

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December 2021

Surgical decompression via the unilateral intervertebral foraminal approach with local anesthesia for treating elderly patients with lumbar central canal stenosis.

Neurosurg Focus 2021 Dec;51(6):E5

4Department of Orthopedics, Taizhou Orthopedics Hospital, Wenling, Zhejiang, China.

Objective: Surgical decompression via a posterior interlaminar approach is widely used for treating lumbar central canal stenosis (LCCS). However, this surgical approach poses a challenge for elderly patients with comorbidities. Thus, the authors tried a new surgical decompression via the unilateral intervertebral foraminal approach with local anesthesia to treat such patients. Read More

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December 2021

Assessment of anthropogenic-causing-agents act on waterbirds-diversity in the vicinity of Tarbela Dam, Indus River, Pakistan.

Braz J Biol 2021 26;84:e251197. Epub 2021 Nov 26.

Department of Wildlife Management, PMAS-Arid Agriculture University Rawalpindi, Rawalpindi, Pakistan.

Birds are among the best bio-indicators, which can guide us to recognize some of the main conservation concerns in ecosystems. Anthropogenic impacts such as deforestation, habitat degradation, modification of landscapes, and decreased quality of habitats are major threats to bird diversity. The present study was designed to detect anthropogenic causative agents that act on waterbird diversity in Tarbella Dam, Indus River, Pakistan. Read More

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November 2021

Nurses' stress and resilience before and after evaluation for hospital accreditation.

Rev Bras Enferm 2021 29;75(3):e20201341. Epub 2021 Nov 29.

Universidade Regional do Noroeste do Estado do Rio Grande do Sul. Ijuí, Rio Grande do Sul, Brazil.

Objectives: to analyze and compare levels of stress and resilience in nurses before and after the assessment for maintenance of the Hospital Accreditation Certification.

Methods: quantitative, observational, and longitudinal research, with 53 nurses from a philanthropic hospital, in the Rio Grande do Sul. Data collected in two stages, March, and July 2019, before the assessment visit and 60 days after, using the Bianchi Stress Scale and Resilience Scale. Read More

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November 2021

Exclusive breastfeeding and professionals from the family health strategy.

Rev Bras Enferm 2021 29;75(3):e20200545. Epub 2021 Nov 29.

College of Nursing, University of Kentucky. Lexington, Kentucky, United States of America.

Objectives: to analyze the perception of health professionals about exclusive breastfeeding in Family Health Strategy units in the city of Macaé.

Methods: qualitative study carried out in four units of the Family Health Strategy in the city of Macaé, Rio de Janeiro. Thirty health professionals were interviewed from March to May 2019. Read More

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November 2021

Prolonged corrected QT interval in hospitalized patients with coronavirus disease 2019 in Dubai, United Arab Emirates: a single-center, retrospective study.

J Int Med Res 2021 Nov;49(11):3000605211056834

Rashid Hospital, Dubai, U.A.E.

Objective: To evaluate the association of a prolonged corrected QT (QTc) interval in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and its association with in-patient mortality.

Methods: A cohort of 745 patients were recruited from a single center between 1 March 2020 and 31 May 2020. We analyzed the factors associated with a prolonged QTc and mortality. Read More

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November 2021

Improving Hospital Infant Safe Sleep Compliance by Using Safety Prevention Bundle Methodology.

Pediatrics 2021 Dec;148(6)

Pediatrics, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania.

Background And Objectives: Sudden unexpected infant death often results from unsafe sleep environments and is the leading cause of postneonatal mortality in the United States. Standardization of infant sleep environment education has been revealed to impact such deaths. This standardized approach is similar to safety prevention bundles typically used to monitor and improve health outcomes, such as those related to hospital-acquired conditions (HACs). Read More

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December 2021

Patient- and Surgeon-Level Variation in Patient-Reported Sexual Function Outcomes Following Radical Prostatectomy Over 2 Years: Results From a Statewide Surgical Improvement Collaborativep.

JAMA Surg 2021 Dec 1. Epub 2021 Dec 1.

Department of Urology, Henry Ford Health System, Detroit, Michigan.

Importance: Of patient-reported outcomes for individuals undergoing radical prostatectomy, sexual function outcomes are among the most reported and the most detrimental to quality of life. Understanding variations at the patient and surgeon level may inform collaborative quality improvement.

Objective: To describe patient- and surgeon-level sexual function outcomes for patients undergoing radical prostatectomy in the Michigan Urological Surgery Improvement Collaborative (MUSIC) and to examine the correlation between surgeon case volume and sexual function outcomes. Read More

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December 2021

Case Report: First Confirmed Case of Coinfection of SARS-CoV-2 With .

Front Trop Dis 2021 10;2:769330. Epub 2021 Nov 10.

Department of Research in Emerging and Zoonotic Infectious Diseases, Gorgas Memorial Institute for Health Studies, Panama City, Panama.

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused a major international public health concern. The World Health Organization (WHO) declared the pandemic of coronavirus disease 2019 (COVID-19) on March 11, 2020. In Panama, the first SARS-CoV-2 infection was confirmed on March 9, 2020, and the first fatal case associated to COVID-19 was reported on March 10. Read More

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November 2021

Assessing the utility of the Xpert Mycobacterium tuberculosis/rifampin assay for analysis of bronchoalveolar lavage fluid in patients with suspected pulmonary tuberculosis.

J Clin Lab Anal 2021 Dec 1:e24154. Epub 2021 Dec 1.

Department of Clinical Laboratory Medicine, Key Laboratory of precision medicine of Wenzhou, Wenzhou Central Hospital, Wenzhou, China.

Background: There is limited research assessing the utility of the Xpert Mycobacterium tuberculosis/rifampin (MTB/RIF) assay for the analysis of bronchoalveolar lavage fluid (BALF) in Chinese patients with suspected pulmonary tuberculosis (PTB). Thus, our objective was to determine the diagnostic accuracy of the Xpert MTB/RIF assay and evaluate its utility for the determination of rifampicin resistance.

Methods: We retrospectively analyzed BALF from 214 patients with suspected PTB between January 2018 and March 2019. Read More

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December 2021

Current status of hepatitis C virus among people living with human immunodeficiency virus in Egypt.

Trans R Soc Trop Med Hyg 2021 Nov 24. Epub 2021 Nov 24.

Endemic Medicine and Hepatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Background: Human immunodeficiency virus (HIV)-hepatitis C virus (HCV) co-infection is increasing due to their similar routes of transmission. Co-infection poses a big challenge. Information on the prevalence of HCV infection in Egyptian HIV individuals is scarce. Read More

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November 2021

Risk factors and incidence of Long-COVID syndrome in hospitalized patients: does remdesivir have a protective effect?

QJM 2021 Nov 26. Epub 2021 Nov 26.

Unit of Infectious Diseases, Saint Andrea Hospital, Vercelli, Italy.

Background: The definition of "Long-COVID syndrome" (LCS) is still debated and describes the persistence of symptoms after viral clearance in hospitalized or non-hospitalized patients affected by coronavirus disease 2019 (COVID-19).

Aim: In this study we examined the prevalence and the risk factors of LCS in a cohort of patients with previous COVID-19 and followed for at least six months of follow-up.

Design: We conducted a prospective study including all hospitalized patients affected by COVID-19 at our center of Infectious Diseases (Vercelli, Italy) admitted between 10th March 2020 to 15th January 2021 for at least six months after discharge. Read More

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November 2021

Teamwork, Targets, Technology, and Tight Control in Newly Diagnosed Type 1 Diabetes: Pilot 4T Study.

J Clin Endocrinol Metab 2021 Nov 28. Epub 2021 Nov 28.

Department of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, CA.

Context: Youth with type 1 diabetes (T1D) do not meet hemoglobin A1c (HbA1c) targets.

Objective: To assess HbA1c outcomes in children with new onset T1D enrolled in the Teamwork, Targets, Technology and Tight Control (4T) Study.

Method: HbA1c levels were compared between the 4T and Historical cohorts. Read More

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November 2021