Clinical Psychiatry News

Clinical Psychiatry News is a monthly medical and psychiatry tabloid published since 1973 by the International Medical News Group. Subjects for Clinical Psychiatry News include psychology and psychiatry. The executive editor is Denise Fulton, and Gina Henderson is a senior editor.

Articles from Vol. 34, No. 4, April

'Addiction Syndrome' Called Key to Recovery: For Better Treatment of the Problem, a Different Way of Assessing and Treating It Is Needed
COLORADO SPRINGS -- All addictions, whether chemical or behavioral, should be viewed as different manifestations of an underlying addiction syndrome--and addiction recovery programs will fail to achieve optimal outcomes until their protocols reflect...
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'Advocates' Make ED Addiction Referrals Easier
BETHESDA, MD. -- Personnel dedicated to screen, conduct brief interventions, and refer patients for alcohol and drug problems and other risky behaviors can make an important addition to the emergency department, according to investigators at Yale-New...
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Aggressive Interventions Backed to Prevent Suicide: Long-Term Care Facilities, Home Health Care Agencies, Aging Services Providers Are Possible Places to Intervene
STOCKHOLM -- Interventions aimed at preventing suicide in older adults should target asymptomatic individuals and groups at risk for becoming depressed and suicidal to save the greatest number of lives, Dr. Yeates Conwell said at the 12th Congress...
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Antidepressants Often Just a First Step in PTSD: Following Initial SSRIs, Adrenergic Antagonists, Anticonvulsants, Atypical Antipsychotics Often Used
Natural disasters, terrorism, and war make headlines against a day-to-day background of criminal violence and childhood abuse, and a substantial proportion of trauma victims go on to develop lasting symptoms, making posttraumatic stress disorder among...
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Antidepressants Raise Suicide Risk, Data Show
Antidepressants modestly heighten the risk of suicide in pediatric patients, according to Dr. Tarek A. Hammad and his associates at the Food and Drug Administration's Center for Drug Evaluation and Research in Rockville, Md. Noting the longstanding...
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Antidepressants Safe in End-Stage Liver Disease
SAN FRANCISCO -- Antidepressants were safe and moderately effective in a study of 368 patients with end-stage liver disease, Dr. Jayant A. Talwalkar reported. Little is known about the effects of antidepressants in patients with end-stage liver...
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Art and Madness: New Riffs on an Old Theme
"The Devil and Daniel Johnston," a documentary film directed by Jeff Feuerzeig that begins screening nationwide this month, is about a multitalented but severely troubled man. Daniel Johnston is a compulsively prolific cartoon artist, pop song writer,...
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Atrophy of Hippocampus and Amygdala Linked to Dementia
Hippocampal and amygdalar atrophy are predictive of dementia in the cognitively intact elderly, Dutch researchers reported. The investigators studied 511 community residents aged 60-90 years and free of dementia at baseline. The objective of the...
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Ban Smoking, Promote Acupuncture in Rehab, Expert Says
COLORADO SPRINGS -- Smoking defeats the purpose of drug and alcohol addiction recovery programs and therefore should be banned, said Dr. Elizabeth B. Stuyt, medical director of Circle Program at the Colorado Mental Health Institute in Pueblo, Colo....
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Can Juries Be Unbiased?
In the Enron case, lawyers for former bosses Ken Lay and Jeffrey Skilling tried for a change in venue, arguing that their clients could not get a fair trial in Houston. The judge in the case turned down their request and selected the jurors himself....
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Changes to Tolcapone Label Ease Liver Monitoring Advice
The Food and Drug Administration has approved new labeling that relaxes the liver enzyme monitoring recommendations for tolcapone, an adjunctive treatment for Parkinson's disease, according to the drug's manufacturer. The new label recommends monitoring...
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Children Suffer Long Term When Parent Has a Stroke
Children can be the silent victims of a parent's stroke, so stroke rehabilitation programs should be family centered to mitigate potential mental health and behavioral problems among children, said Dr. Anne Visser-Meily, of the Rehabilitation Center...
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Children with Anxiety, Depression More Likely to Use Ecstasy
Anxiety and depression increase a child's likelihood of eventually using ecstasy, according to the findings of a longitudinal investigation. Anja C. Huizink, Ph.D., and coinvestigators at Erasmus Medical Center in Rotterdam, the Netherlands, interviewed...
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Cognition Improves after Carotid Stenting
CHICAGO -- Carotid artery stenting appeared to improve cognitive function based on the results of what investigators said is the first study to look at perfusion and diffusion-weighted imaging before and after stenting. "We found that stenting of...
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Crossing Health Care's Quality Chasm
The safety and quality of health care today are far below the level we can and should achieve. The Institute of Medicine, part of the National Academies, is a private organization that offers advice and recommendations to policy makers, health care...
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Dearth of Evidence in Guiding TX of Bipolar Depression in Teens
NEW YORK -- Because of the current lack of data and consensus on the treatment of bipolar depression in children and adolescents, pharmacotherapeutic options need to be discussed with family members on a case-by-case basis, Dr. Gabrielle A. Carlson...
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Depression and Heart Disease: Link Is Clear
Despite mounting evidence that major depression is a major risk factor for heart disease, the American Heart Association has thus far refused to add the condition to its list of predisposing factors. This is a remarkable story. Studies in the literature...
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Depression Contagion: Parents Can Affect Children
WASHINGTON -- The role of parental depression is not a consistent, equivalent risk factor for youth depression, Benjamin L. Hankin, Ph.D., said at the annual meeting of the Association for Behavioral and Cognitive Therapies. Parental depression...
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Depression Seems to Intensify the Risk of Stroke in Elderly Patients
DALLAS -- Depression boosted the risk for stroke in a study of more than 4,000 elderly people followed for 10 years. People with the highest depression scores at baseline had twice the incidence of a cerebrovascular event or transient ischemic attack...
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Discharge Planning Is Key in Managing Headaches
LAS VEGAS -- A successful post-hospital discharge headache plan requires three strong pillars: good headache health, good physical health, and good psychological health, Dr. Todd D. Rozen said at a symposium sponsored by the American Headache Society....
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Donepezil for Traumatic Brain Injury
The Problem You work in a forensic/correctional setting, and your newest patient has been judged incompetent to stand trial on the basis of cognitive problems secondary to traumatic brain injury. The Question Can donepezil (Aricept), which...
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Drug-Induced Parkinsonism Often Missed by Experts: The Older, Conventional Antipsychotic Drugs Have Been Most Commonly Associated with the Problem
WASHINGTON -- Even neurologists are missing the diagnosis of drug-induced parkinsonism, according to an informal study of patients at one movement disorder clinic presented at the World Parkinson Congress. Overall, 8% (23 of 304 patients) of all...
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Expert Shares Tips for Assessment of Response Evaluations
SAN DIEGO -- Conducting an assessment of response style is tricky when the person being examined presents with mood or anxiety disorders, Randy K. Otto, Ph.D., said at the annual meeting of the American Neuropsychiatric Association. "We're limited...
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Insulin Sensitizers Cut Cognitive Decline in AD
SAN FRANCISCO -- A growing body of evidence suggests that insulin sensitizers may avert cognitive decline in people with Alzheimer's disease, Suzanne Craft, Ph.D., said at the Third World Congress on Insulin Resistance Syndrome. In one randomized,...
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Lamotrigine Effective Add-On for Seizures: Adjunctive Treatment Reduces Frequency of Primary Generalized Tonic-Clonic Seizures
LOS ANGELES -- Adjunctive therapy with lamotrigine significantly reduced the number of primary generalized tonic-clonic seizures in children and adolescents in whom such seizures are inadequately controlled with other antiepileptic drugs alone, judging...
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Mania TX Data Lacking; New Results Expected
NEW YORK -- Sparse evidence from double-blind, placebo-controlled trials backs the effectiveness of treatments for acute mania in children and adolescents with bipolar I disorder, but results from ongoing trials should be available soon, Dr. Gabrielle...
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Match Day Reveals Slip in Psychiatry Fill Rate
The fill rate for psychiatry positions dropped slightly for this year's resident match. But the number of available slots also increased, resulting in the same number of slots being filled this year as last year. This year, 1,037 psychiatry slots...
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Meth Epidemic Drains Resources, Pushes Up Costs at Public EDs
Asurvey from the National Association of Counties paints a bleak picture of the toll that methamphetamine abuse is taking on the nation's emergency departments, at least in public and regional hospitals. The survey of 200 emergency department officials...
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Meth Tie to Rare Disease a Public Health Concern
MONTREAL -- The association of methamphetamine use with an unusual manifestation of a rare immunologic disease challenges the accepted management of acute respiratory distress and signals a new and immediate public health concern, Dr. Carl Kaplan said...
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Minimize Drugs in Managing Patients with Alzheimer's
BALTIMORE -- Recent estimates suggest that by the year 2050, one in four Americans either will have Alzheimer's disease or will be caring for someone who does, Dr. Thomas Finucane said at a meeting sponsored by the American Geriatrics Society and Johns...
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More Alternative Therapies Enter Clinical Studies: Patients Getting Black Tea for Oral Leukoplakia and Pomegranate Juice for Coronary Artery Disease
LA JOLLA, CALIF. -- An emerging trend in complementary and alternative medicine is a shift away from animal-only studies and toward clinical trials involving the use of herbs for cancer treatment, Dr. Mary L. Hardy said at a meeting on natural supplements...
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Patch Approval: 'Big Moment' in Psychopharm: Resistant Depression Patients May Benefit
The Food and Drug Administration's approval of a transdermal patch containing selegiline, an irreversible monoamine oxidase inhibitor, for treating major depression could bring much-needed help to the large population of patients that has not responded...
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Pathology Shows Amnestic MCI Is Same Entity as Early Alzheimer's
Amnestic mild cognitive impairment is neuropathologically the same entity as early Alzheimer's disease and represents a transition from the normal aging brain to the profound pathology of Alzheimer's, according to Dr. William Markes-berry and colleagues....
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Pay-for-Performance Pact Ruffles Some Feathers: The AMA Defends Its Agreement with Congress, but Some Specialty Societies Complain They Were Left Out
Specialty organizations are concerned that the American Medical Association is unilaterally setting performance goals that doctors won't be able to meet. A recent agreement between the AMA and leaders in Congress outlines an ambitious 2-year time...
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Pediatric Epilepsy Surgery Fails to Aid Later Cognitive Function
WASHINGTON -- Childhood epilepsy surgery isn't associated with a long-term improvement in cognitive functioning, Janet Olds, Ph.D., and her colleagues reported in a poster at the joint annual meeting of the American Epilepsy Society and the American...
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Personality Traits May Predict High BP in Women
DENVER -- Age and low hostility are independent predictors of high blood pressure in women over a 10-year period, suggesting a link between certain personality traits and disease development, Jocelyne Leclerc reported in a poster presentation at the...
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Personal Resilience Staves off PTSD
NEW YORK -- Severe stress can have lasting effects, most dramatically in posttraumatic stress disorder. But many people undergo equally traumatic experiences--combat, natural disasters, imprisonment, torture--and emerge relatively intact. What's...
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Perspective
Considering the high morbidity and prevalence of eating disorders, it is remarkable that more money and research efforts are not targeted toward intervention and prevention of this major psychiatric problem. The absence of a vocal outcry for such...
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PFO Closure May Benefit Some Migraine Patients
ATLANTA -- Patent foramen ovale closure with a septal repair implant offers a modest benefit for individuals with migraine and PFO, according to preliminary results of a study presented at a conference sponsored by the American College of Cardiology....
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PHQ-9 Detects Depression after Traumatic Brain Injury
SANTA ANA PUEBLO, N.M. -- The Patient Health Questionnaire is a simple, reliable tool that any clinician can use to screen patients for depression after traumatic brain injury, Dr. Jesse R. Fann reported at the annual meeting of the Academy of Psychosomatic...
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Physicians Fall Short on Stop-Smoking Counseling
ORLANDO -- Cigarette sales may be at a 55-year low, but such favorable news is probably not due to efforts among physicians to counsel patients to stop smoking. In fact, physicians broach the topic with smokers during only 1 in 5 office visits,...
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Physician Writers Share Their Zeal for Storytelling
Dr. Robert H. Bartlett was so mad I that he had to find a way to channel his anger--he chose written words. It was the late 1970s and Dr. Bartlett was on the surgery faculty at the University of California, Irvine. He also directed the university's...
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Placebo Effect in Depression Underappreciated: New Research Shows That Patients' Prior Experiences with Treatment Can Help Predict Future Responses
WASHINGTON -- The placebo effect in the treatment of depression is often viewed negatively or disregarded in clinical practice and trials, Dr. Helen S. Mayberg said at the annual meeting of the Society for Neuroscience. New research suggests that...
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Potentially Inappropriate Meds Prescribed for 39% of Managed-Care Elderly
ORLANDO -- Up to 39% of geriatric patients are taking potentially inappropriate medications, and this trend is associated with increased drug-related problems and health care costs, according to a recent study. The findings should encourage physicians...
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Providers Called to Account on Health Disparities
WASHINGTON -- Health disparities won't go away until the people and institutions that play a role in creating them are held accountable, Dr. Anne C. Beal said at a meeting sponsored by the Department of Health and Human Services and the Office of Minority...
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Quetiapine May Ease Mania in Teens
Quetiapine was at least as effective as divalproex in alleviating manic symptoms in adolescents in a randomized, double-blind pilot study, wrote Dr. Melissa P. DelBello and her colleagues at the University of Cincinnati, Ohio. The 28-day pilot study...
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Quetiapine May Help Manage Depression in Bipolar Adolescents
TORONTO -- Quetiapine appears to improve symptoms of depression and suicidal ideation in adolescents with bipolar disorder, mood disorder, and those at familial risk of developing bipolar disorder, according to a poster presented at the joint annual...
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Restless Legs Patients Have High Depression Rate: Both Conditions Have Similar Prevalences, Present with Diurnal Variation, and Tend to Run in Families
SANTA ANA PUEBLO, N.M. -- People with restless legs syndrome were three times more likely to have a major depressive disorder in a study of 1,071 Baltimore residents reported by Dr. Hochang Benjamin Lee at the annual meeting of the Academy of Psychosomatic...
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Rollout of Drug Benefit Provides Political Fodder
WASHINGTON -- Does your Medicare patient need a drug not on the drug plan formulary? Be forewarned: You may have to fill out pages of forms. "There continue to be widespread reports of drug plans requiring prior authorization for beneficiaries to...
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School-Based Project Improves Girls' Coping Skills
TORONTO -- A pilot program aimed at building resiliency and coping skills in teenage girls appears to decrease symptoms of depression and increase self-esteem in those at risk for major depressive disorder. Researchers also hope that the skills...
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Sodium Oxybate Reduces Daytime Sleepiness in Medicated Narcoleptics
MIAMI BEACH -- Sodium oxybate significantly lessened daytime sleepiness and decreased frequency of sleep attacks in people with narcolepsy concurrently taking stimulants, compared with placebo, according to study findings presented at the annual meeting...
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Survey Shows Partial PTSD Is More Common in Primary Care
TORONTO -- A significant portion of primary care patients may have partial posttraumatic stress disorder and appear to have health and physical functioning problems and medical care utilization similar to patients with the full-blown disorder, according...
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Talk Therapy: East Meets West
Two Eastern forms of psychotherapy have an important place in the development and influence of many types of current behavioral therapies. The Morita and Naikan therapies, both developed in the first half of the 20th century in Japan, are directed...
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The Art of James De Blas
On his way to becoming an author of children's books, James de Blas also became an actor, a comedian, and a self-described mythical surrealist artist. Mr. de Blas, who lives in Myocum, Australia, finds inspiration in the surrounding landscape and...
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The Many Ironies of Eating Disorders
The media are fascinated with eating disorders: Countless articles in consumer publications, made-for-television movies, and documentaries are devoted to the topic. But attention given to the problem rarely addresses some of the most troubling ironies....
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Tool Helps Spot Bipolar Prodrome in Children: Questionnaire Asks Patients to Rate 39 Symptoms That Can Emerge before the First Manic Episode
TORONTO -- Many children with bipolar disorder experience a lengthy prodromal phase of clinically significant symptoms before their first manic episode; in almost 70% of these children, the prodrome begins with a drop in school functioning, often accompanied...
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Too Many Migraineurs Shortchanged
Although the trip-tans are now by far the most widely recommended medications for acute migraine treatment, barbiturates, opioids, and nonspecific sedative drugs are still widely used and are causing problems for some headache patients. It's hard...
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Treating Parkinsonism in HIV-Positive Patients Can Spur Infection, Psychosis
WASHINGTON -- Treating HIV infection may be more likely to ease symptoms of Parkinson's disease in patients with both conditions, said one expert speaking at the World Parkinson Congress. Using levodopa to treat Parkinson's symptoms in an HIV-positive...
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Treatment Adherence Varies by Asian/Pacific Island Ancestry
SANTA ANA PUEBLO, N.M. -- Insured patients of Asian and Pacific Island descent were less likely to adhere to prescribed antidepressants than whites in a large Hawaiian database, Dr. Junji Takeshita reported at the annual meeting of the Academy of Psychosomatic...
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Treatments for Sleepiness Vary in Cost, Side Effects
SAN DIEGO -- All three main treatments for problem sleepiness can perk patients up, but they differ in cost and side effects, Dr. Milton Erman said at a psychopharmacology congress sponsored by the Neuroscience Education Institute. Caffeine is the...
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Use of Potassium-Sparing Diuretics Cuts AD Risks
Elderly patients who took potassium-sparing diuretics had a 70% lower rate of developing Alzheimer's disease than those who did not take antihypertensive drugs in a population-based study of dementing illnesses, reported Ara S. Khachaturian, Ph.D.,...
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Use of Traditional Medicine Appears Ubiquitous among Chinese Immigrants
SAN FRANCISCO -- Nearly all Chinese immigrants living in San Francisco have used at least one form of traditional Chinese medicine in the past 12 months, Amy Wu and Dr. Samuel LeBaron reported in a poster session at the annual meeting of the American...
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Views Mixed on Benefits of Health Savings Plans
As President Bush puts health savings accounts higher on his agenda, experts continue to debate whether they are a good idea for solving the problems of the uninsured. "The more I think about these proposals, the more troubling I find them to be,"...
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Virtual Reality Exposure Touted for PTSD Tx: At 6 Months, 78% of Vietnam Veterans Who Participated in the Therapy Had Good Functioning
SAN JUAN, P.R. -- Virtual reality exposure therapy shows promise for relieving symptoms of posttraumatic stress disorder in Vietnam veterans, according to a study. Based on those findings, the principal investigator is now field testing the same...
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Will New Meth Law Curb Abuse?
Over-the-counter drugs containing pseudoephedrine will go behind the counter beginning in late September under a new law passed by Congress and signed by President Bush in March. The Combat Methamphetamine Epidemic Act of 2005--passed as part of...
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