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Knowledge, attitudes, behaviors, education, and communication

Section edited by Carolyn Chew-Graham and Chris Burton

This section covers, though is not limited to, education in general practice, health literacy and communication skills, eHealth and medical record systems, patient reported outcomes and quality indicators, and patient-physician relations, within the context of primary care.

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  1. Content type: Research article

    Acute fever is the most common pediatric condition encountered in general practice and a source of parental concern that can result in inappropriate behavior. The main objective of this study was to describe a...

    Authors: Anthony Chapron, Marc Brochard, Chloé Rousseau, Anne-Charlotte Rousseau, Martine Brujean, Laure Fiquet and Virginie Gandemer

    Citation: BMC Family Practice 2018 19:7

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  2. Content type: Research article

    Depression is one of the most common mental disorders in old age and is associated with various negative health consequences for the affected individual. Studies suggest that patients’ views on depression have...

    Authors: Anne Stark, Hanna Kaduszkiewicz, Janine Stein, Wolfgang Maier, Kathrin Heser, Siegfried Weyerer, Jochen Werle, Birgitt Wiese, Silke Mamone, Hans-Helmut König, Jens-Oliver Bock, Steffi G. Riedel-Heller and Martin Scherer

    Citation: BMC Family Practice 2018 19:2

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  3. Content type: Research article

    Millions of people with substance use disorders (SUDs) need, but do not receive, treatment. Delivering SUD treatment in primary care settings could increase access to treatment because most people visit their ...

    Authors: Allison J. Ober, Katherine E. Watkins, Sarah B. Hunter, Brett Ewing, Karen Lamp, Mimi Lind, Kirsten Becker, Keith Heinzerling, Karen C. Osilla, Allison L. Diamant and Claude M. Setodji

    Citation: BMC Family Practice 2017 18:107

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  4. Content type: Research article

    Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting ...

    Authors: Kathrin Alber, Thomas Kuehlein, Angela Schedlbauer and Susann Schaffer

    Citation: BMC Family Practice 2017 18:99

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  5. Content type: Research article

    Despite recent guidelines suggesting that patients with chronic non-malignant pain might not benefit, there has been a significant rise in opioid prescription for chronic non-malignant pain. This topic is impo...

    Authors: Fran Toye, Kate Seers, Stephanie Tierney and Karen Louise Barker

    Citation: BMC Family Practice 2017 18:94

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  6. Content type: Research article

    Migrants are more likely to use out-of-hours primary care, especially for nonurgent problems. Their motives and expectations for help-seeking are as yet unknown. The objective of this study is to examine the m...

    Authors: Ellen Keizer, Peter Bakker, Paul Giesen, Michel Wensing, Femke Atsma, Marleen Smits and Maria van den Muijsenbergh

    Citation: BMC Family Practice 2017 18:92

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  7. Content type: Research article

    Gout is the most common form of inflammatory arthritis and is associated with considerable co-morbidity. It is usually managed in the primary care setting with a combination of lifestyle modification and pharm...

    Authors: Anthony Dowell, Caroline Morris, Lindsay Macdonald and Maria Stubbe

    Citation: BMC Family Practice 2017 18:91

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  8. Content type: Research article

    Effective management of people with knee osteoarthritis (OA) requires development of new models of care, and successful implementation relies on engagement of general practitioners (GPs). This study used a qua...

    Authors: Thorlene Egerton, Rachel Nelligan, Jenny Setchell, Lou Atkins and Kim L. Bennell

    Citation: BMC Family Practice 2017 18:85

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  9. Content type: Research article

    Diagnostic uncertainty is one of the largest contributory factors to the occurrence of diagnostic errors across most specialties in medicine and arguably uncertainty is greatest in primary care due to the undi...

    Authors: Rahul Alam, Sudeh Cheraghi-Sohi, Maria Panagioti, Aneez Esmail, Stephen Campbell and Efharis Panagopoulou

    Citation: BMC Family Practice 2017 18:79

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  10. Content type: Research article

    Blood transfusion in chronic anemia is not covered by guidelines specific to older adults. When they consider that this treatment is necessary in elderly patients, French general practitioners (GPs) contact a ...

    Authors: Sylvain Le Calvé, Dominique Somme, Joaquim Prud’homm and Aline Corvol

    Citation: BMC Family Practice 2017 18:76

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  11. Content type: Research article

    Depression is more prevalent in patients with heart failure (HF) than in those without, but its detection is complicated by the symptom overlap between the two diseases. General practitioners (GPs) are the fir...

    Authors: Marion Eisele, Anja Rakebrandt, Sigrid Boczor, Agata Kazek, Nadine Pohontsch, Magdalena Okolo-Kulak, Eva Blozik, Jens-Martin Träder, Stefan Störk, Christoph Herrmann-Lingen and Martin Scherer

    Citation: BMC Family Practice 2017 18:71

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  12. Content type: Research article

    The Electronic Health Record (EHR) is now widely used in clinical encounters. Because its use can negatively impact the physician-patient relationship, several recommendations on the “patient-centered” use of ...

    Authors: Cédric Lanier, Melissa Dominicé Dao, Patricia Hudelson, Bernard Cerutti and Noëlle Junod Perron

    Citation: BMC Family Practice 2017 18:69

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  13. Content type: Research article

    Rising dementia prevalence rates rise combined with the policy objective of enabling people with dementia to remain living at home, means that there will be a growing demand for dementia care in the community ...

    Authors: Tony Foley, Siobhán Boyle, Aisling Jennings and W. Henry Smithson

    Citation: BMC Family Practice 2017 18:66

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  14. Content type: Research article

    Good physician-patient communication can favor the adoption of healthy lifestyle habits, which is essential in high blood pressure (BP) management. More empathic physicians tend to have lower burnout and bette...

    Authors: Oriol Yuguero, Josep Ramon Marsal, Montserrat Esquerda and Jorge Soler-González

    Citation: BMC Family Practice 2017 18:63

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  15. Content type: Research article

    Our aim was to investigate patterns of health care resource use by patients before and after a diagnosis of CFS/ME, as recorded by Clinical Practice Research Datalink (CPRD) GP practices in the UK.

    Authors: Simon M. Collin, Inger J. Bakken, Irwin Nazareth, Esther Crawley and Peter D. White

    Citation: BMC Family Practice 2017 18:60

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  16. Content type: Research article

    Primary health-care professionals play an important role in the treatment and prevention of Sexually Transmitted Infections (STI). Continuing Medical Education (CME)-courses can influence the knowledge and beh...

    Authors: Linda H. A. Bos-Bonnie, Jan E. A. M. van Bergen, Ellen te Pas, Michael A. Kijser and Nynke van Dijk

    Citation: BMC Family Practice 2017 18:57

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  17. Content type: Research article

    Medical certificates influence the distribution of economic benefits in welfare states; however, the qualitative aspects of these texts remain largely unexplored. The present study is the first systematic inve...

    Authors: Guri Aarseth, Bård Natvig, Eivind Engebretsen and Anne Kveim Lie

    Citation: BMC Family Practice 2017 18:55

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  18. Content type: Research article

    Physicians’ clinical decision-making may be influenced by non‐analytical thinking, especially when perceiving uncertainty. Incidental gut feelings in general practice have been described, namely, as “a sense o...

    Authors: Marie Barais, Johannes Hauswaldt, Daniel Hausmann, Slawomir Czachowski, Agnieszka Sowinska, Paul Van Royen and Erik Stolper

    Citation: BMC Family Practice 2017 18:54

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  19. Content type: Research article

    Much research worldwide is focussed on cost containment and better adherence to guidelines in healthcare. The research focussing on professional behaviour is often performed in a well-controlled research setti...

    Authors: J. Trietsch, B. van Steenkiste, R. Grol, B. Winkens, H. Ulenkate, J. Metsemakers and T. van der Weijden

    Citation: BMC Family Practice 2017 18:53

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  20. Content type: Research article

    Swiss primary care (PC) is facing workforce shortage. Up to 2011 this workforce was supplied by two board certifications: general medicine and internal medicine. To strengthen them against subspecialties, they...

    Authors: Nathalie Scherz, Stefan Markun, Vera Aemissegger, Thomas Rosemann and Ryan Tandjung

    Citation: BMC Family Practice 2017 18:52

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  21. Content type: Research article

    Early diagnosis and treatment of prediabetes and type 2 diabetes mellitus (T2DM) can prevent future health problems, yet many individuals with these conditions are undiagnosed. This could be due, in part, to p...

    Authors: Dina Hafez, Daniel B. Nelson, Evan G. Martin, Alicia J. Cohen, Rebecca Northway and Jeffrey T. Kullgren

    Citation: BMC Family Practice 2017 18:50

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  22. Content type: Research article

    Current literature describes the limits and pitfalls of using opioid pharmacotherapy for chronic pain and the importance of identifying alternatives. The objective of this study was to identify the practical i...

    Authors: Lauren S. Penney, Cheryl Ritenbaugh, Lynn L. DeBar, Charles Elder and Richard A. Deyo

    Citation: BMC Family Practice 2017 17:164

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  23. Content type: Research article

    Exercise is an important component of a healthy lifestyle, the development of which is a relapse prevention strategy for those with alcohol use disorder. However, it is a challenge to create exercise intervent...

    Authors: Sengül Sari, Ashley Elizabeth Muller and Kirsten K. Roessler

    Citation: BMC Family Practice 2017 18:45

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  24. Content type: Research article

    Chlamydia trachomatis (chlamydia) is the most commonly diagnosed sexually transmitted infection (STI) in England; approximately 70% of diagnoses are in sexually active young adults age...

    Authors: R. Allison, D. M. Lecky, K. Town, C. Rugman, E. J. Ricketts, N. Ockendon-Powell, K. A. Folkard, J. K. Dunbar and C. A. M. McNulty

    Citation: BMC Family Practice 2017 18:43

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  25. Content type: Research article

    Detection of cancer in general practice is challenging because symptoms are diverse. Even so-called alarm symptoms have low positive predictive values of cancer. Nevertheless, appropriate referral is crucial. ...

    Authors: Berit Skjødeberg Toftegaard, Flemming Bro, Alina Zalounina Falborg and Peter Vedsted

    Citation: BMC Family Practice 2017 18:44

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  26. Content type: Research article

    There is a growing emphasis on self-monitoring applications that allow patients to measure their own physical health parameters. A prerequisite for achieving positive effects is patients’ willingness to self-m...

    Authors: Martine W. J. Huygens, Ilse C. S. Swinkels, Judith D. de Jong, Monique J. W. M. Heijmans, Roland D. Friele, Onno C. P. van Schayck and Luc P. de Witte

    Citation: BMC Family Practice 2017 18:40

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  27. Content type: Research article

    Support for self-management (SSM) is a prominent strand of health policy internationally, particularly for primary care. It is often discussed and evaluated in terms of patients’ knowledge, skills and confiden...

    Authors: John Owens, Vikki A. Entwistle, Alan Cribb, Zoë C. Skea, Simon Christmas, Heather Morgan and Ian S. Watt

    Citation: BMC Family Practice 2017 18:39

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  28. Content type: Research article

    Acute respiratory tract infections (ARTIs) are a common reason for antibiotic overuse worldwide. We previously showed that over 80% of outpatients presenting to a tertiary care hospital in Sri Lanka with influ...

    Authors: L. Gayani Tillekeratne, Champica K. Bodinayake, Thushani Dabrera, Ajith Nagahawatte, Wasantha Kodikara Arachchi, Anoji Sooriyaarachchi, Kearsley Stewart, Melissa Watt, Truls Østbye and Christopher W. Woods

    Citation: BMC Family Practice 2017 18:37

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  29. Content type: Research article

    Although largely preventable, Australia has one of the highest rates of bowel cancer in the world. General Practitioners (GPs) have an important role to play in prevention and early detection of bowel cancer, ...

    Authors: Greer Dawson, Melanie Crane, Claudine Lyons, Anna Burnham, Tara Bowman, Donna Perez and Joanne Travaglia

    Citation: BMC Family Practice 2017 18:36

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  30. Content type: Research article

    Children’s exposure to domestic violence is a type of child maltreatment, yet many general practice clinicians remain uncertain of their child safeguarding responsibilities in the context of domestic violence....

    Authors: Natalia V. Lewis, Cath Larkins, Nicky Stanley, Eszter Szilassy, William Turner, Jessica Drinkwater and Gene S. Feder

    Citation: BMC Family Practice 2017 18:33

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  31. Content type: Research article

    Traditionally, drug prescription and follow up have been the sole responsibility of physicians. However, interprofessional medication reviews (IMRs) have been developed to prevent drug discrepancies and patien...

    Authors: H. T. Bell, A. G. Granas, I. Enmarker, R. Omli and A. Steinsbekk

    Citation: BMC Family Practice 2017 18:30

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  32. Content type: Research article

    The development of end-of-life primary care is a socio-medical and ethical challenge. However, general practitioners (GPs) face many difficulties when initiating appropriate discussion on proactive shared pall...

    Authors: Agnès Oude Engberink, Mélanie Badin, Philippe Serayet, Sylvain Pavageau, François Lucas, Gérard Bourrel, Joanna Norton, Grégory Ninot and Pierre Senesse

    Citation: BMC Family Practice 2017 18:27

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  33. Content type: Research article

    Several disease specific instruments have been developed to identify and assess diabetes distress. In Malaysia, the Problem Areas in Diabetes Scale has been validated in Malay, but it does not have specific do...

    Authors: Ying Woei Chin, Pauline Siew Mei Lai and Yook Chin Chia

    Citation: BMC Family Practice 2017 18:25

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  34. Content type: Research article

    Potentially inappropriate medication (PIM) is defined as medication with uncertain therapeutic effects and/or potential adverse drug reactions outweighing the clinical benefits. The prescription rate of PIM fo...

    Authors: Nadine Janis Pohontsch, Kathrin Heser, Antje Löffler, Britta Haenisch, Debora Parker, Tobias Luck, Steffi G. Riedel-Heller, Wolfgang Maier, Frank Jessen and Martin Scherer

    Citation: BMC Family Practice 2017 18:22

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  35. Content type: Research article

    The management of sore throat varies widely in Europe. The objective of this study was to gain insight into clinicians’ perceptions on the current management of sore throat in Spain.

    Authors: Carl Llor, Isabel Vilaseca, Eduardo Lehrer-Coriat, Xavier Boleda, José L. Cañada, Ana Moragas and Josep M. Cots

    Citation: BMC Family Practice 2017 18:21

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  36. Content type: Research article

    Delayed antibiotic prescribing reduces antibiotic use for acute respiratory infections in trials in general practice, but the uptake in clinical practice is low. The aim of the study was to identify facilitato...

    Authors: Lucy Sargent, Amanda McCullough, Chris Del Mar and John Lowe

    Citation: BMC Family Practice 2017 18:20

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  37. Content type: Research article

    Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients’ perspectives on the role of primary care in obesity management an...

    Authors: Jacqueline Torti, Thea Luig, Michelle Borowitz, Jeffrey A. Johnson, Arya M. Sharma and Denise L. Campbell-Scherer

    Citation: BMC Family Practice 2017 18:19

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    The Erratum to this article has been published in BMC Family Practice 2017 18:58

  38. Content type: Research article

    Oral anticoagulation therapy (OAT) is a challenge in general practice, especially for high-risk groups such as the elderly. Insufficient patient knowledge about safety-relevant aspects of OAT is considered to ...

    Authors: Verena Maikranz, Andrea Siebenhofer, Lisa-R. Ulrich, Karola Mergenthal, Sylvia Schulz-Rothe, Birgit Kemperdick, Sandra Rauck, Gudrun Pregartner, Andrea Berghold, Ferdinand M. Gerlach and Juliana J. Petersen

    Citation: BMC Family Practice 2017 18:15

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  39. Content type: Research article

    Transient Ischaemic Attack (TIA) requires urgent investigation and management. Urgent management reduces the risk of subsequent stroke markedly, but non-presentation or delays in patient presentation to health...

    Authors: Parker Magin, Terry Joyce, Christopher Levi and Daniel Lasserson

    Citation: BMC Family Practice 2017 18:14

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  40. Content type: Research article

    Self-treatment of acute exacerbations of COPD with antibiotics and/or oral corticosteroids has emerged as a promising strategy to reduce hospitalization rates, mortality and health costs. However, for reasons ...

    Authors: Johanna Laue, Hasse Melbye and Mette Bech Risør

    Citation: BMC Family Practice 2017 18:8

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  41. Content type: Research article

    Oral anticoagulant therapy reduces the risk of stroke in patients with atrial fibrillation, but many patients are still not prescribed this therapy. The causes of underuse of vitamin K antagonists oral anticoa...

    Authors: Gemma Mas Dalmau, Elisenda Sant Arderiu, María Belén Enfedaque Montes, Ivan Solà, Sandra Pequeño Saco and Pablo Alonso Coello

    Citation: BMC Family Practice 2017 18:3

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  42. Content type: Research article

    Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an ...

    Authors: Emma L. Healey, Chris J. Main, Sarah Ryan, Gretl A. McHugh, Mark Porcheret, Andrew G. Finney, Andrew Morden and Krysia S. Dziedzic

    Citation: BMC Family Practice 2016 17:173

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  43. Content type: Research article

    Exercise is a recommended ‘core’ treatment for chronic knee pain (CKP), however it appears to be underused by general practitioners (GPs). While behavioural theories suggest that attitudes and beliefs influenc...

    Authors: Elizabeth Cottrell, Edward Roddy, Trishna Rathod, Mark Porcheret and Nadine E. Foster

    Citation: BMC Family Practice 2016 17:172

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  44. Content type: Research article

    It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally in...

    Authors: Helle Riisgaard, Jørgen Nexøe, Jette V. Le, Jens Søndergaard and Loni Ledderer

    Citation: BMC Family Practice 2016 17:168

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  45. Content type: Research article

    We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret.

    Authors: Maria-Margarita Becerra-Perez, Matthew Menear, Stephane Turcotte, Michel Labrecque and France Légaré

    Citation: BMC Family Practice 2016 17:156

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  46. Content type: Research article

    Identifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this ...

    Authors: Anne Marie Henihan, Geoff McCombe, Jan Klimas, Davina Swan, Dorothy Leahy, Rolande Anderson, Gerard Bury, Colum P. Dunne, Eamon Keenan, John S. Lambert, David Meagher, Clodagh O’Gorman, Tom P. O’Toole, Jean Saunders, Gillian W. Shorter, Bobby P. Smyth…

    Citation: BMC Family Practice 2016 17:153

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  47. Content type: Research article

    General Practitioners (GPs) are responsible for primary prescribing decisions in most settings. Elderly patients living in Advanced Care Facilities (ACFs) often have significant co-morbidities to consider when...

    Authors: Beata Borgström Bolmsjö, Anna Palagyi, Lisa Keay, Jan Potter and Richard I. Lindley

    Citation: BMC Family Practice 2016 17:152

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  48. Content type: Research article

    Patients’ expectations can influence antibiotic prescription by primary healthcare physicians. We assessed knowledge, attitude and practices towards antibiotic use for upper respiratory tract infections (URTIs...

    Authors: Darius Shaw Teng Pan, Joyce Huixin Huang, Magdalene Hui Min Lee, Yue Yu, Mark I-Cheng Chen, Ee Hui Goh, Lili Jiang, Joash Wen Chen Chong, Yee Sin Leo, Tau Hong Lee, Chia Siong Wong, Victor Weng Keong Loh, Adrian Zhongxian Poh, Tat Yean Tham, Wei Mon Wong and Fong Seng Lim

    Citation: BMC Family Practice 2016 17:148

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