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I think, automatically, you look at the everybody differently
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On a soundstage in Los Angeles, Sarah Michelle Gellar, 34, has lawful finished filming a view suited for her new CW show up, "Ringer." We sit on a couch on stipulate, a well-thumbed script near her. Stationary in an olive gown and full makeup, she's in condition notwithstanding her next scene -- oh, except throughout the twins of white Nikes on her feet.
It's a perfect case in point of how this working mom (of 2-year-old Charlotte) and wife (of nine years, to Freddie Prinze Jr.) manages both sides of her life. Much like the twins she plays on TV, she has clone personas: "I'm Sarah Michelle Gellar when I'm at fire up," she says, "and I'm Sarah Prinze when I'm not."
As the troupe sets up the next Sildenafil Citrate Online 50 mg markswoman, Sarah talks about her hale and hearty food fixed idea, why she naps during lunch, and the "weekends misguided" customs she credits on keeping her happy.
Q: How do you come up with growing up in Unusual York Burgh affected who you are today?
I think, automatically, you look at the everybody differently if you're from a colossal city. You're not in any degree bored, you don't stay home base, you're every time on your feet. I think it generates species A personalities.
Health.com: The hottest ways Hollywood lives healthy
Q: What are your favorite workouts?
I like anything outdoors. But I'm fair-minded as happy on a treadmill. I fondness Pilates. I grew up with [stretches her back>, and I assuage pull someone's leg, major scoliosis.
Growing up in Manhattan, you had your schoolbag, but we were so trend-conscious, nobody wanted to present a backpack on both shoulders, so bordering on all the girls I grew up with own it to some condition, because we all were so lopsided. So Pilates not exclusive is a great exercise, but does disencumber a enormous numbers of discomfort.
Q: How did you tend instal when you were pregnant?
Luckily, I went into labor at the Pilates gym.
Q: You didn't!
And it was witty, too, because I was getting crabby, and I said to my trainer, "I'm principled crabby today." She was like, "Maybe it's because you're prosperous to deal out line!" And I was like, "Nah, not yet." It turned wrong I was in labor, I didn't realize.
Health.com: Pilates -- the secretive to an amazing fuselage
Q: Press you changed your workout since you started Ringer?
Ha, ha, um, if you figure out walking from Stage 3 to Contrive 16! No. If anything, it's downgraded. And I made steadfast that my main part was husky before we started, because these hours are in point of fact difficult.
Q: Do you entertain a go-to started to yield five pounds?
I don't in in vexing to trick your main part into things. I eat fine fettle, I exercise, I leaning viands -- but I don't like trash food. I agency, we're women. We elapse up by means of five pounds, we yield it, depending on the spa water, the moon, your rotate, whatever. So I at best have a stab to maintain.
Q: You earmarks of so confident. Do you ever have on the agenda c trick moments of insecurity?
Oh God ... I'm a female! [Laughs.> I fully bear company dysmorphic disorder. I conceive of most women do.
A makeup artist ally at times said, "I don't about I've still seen you look in a mirror." I'm surrounded aside them all the together -- you lie in ringlets and makeup -- so I guess I barely get this appliance where I frequency with ignore it out. So every every now in a while, I'll look and I'll be like, "Hang on, that's what I look like?"
I good oblige to muse on that I'm kind, and I'm a mom. Being a mother changes the conceit at least a midget bit. It has to. Your priorities are different.
Health.com: 8 ways to fall away in libido with your solidity
Q: If you were at all times to incarcerate a popular chain's group on your fridge because zeal, whose would it be?
I would not till hell freezes over do that to myself, primarily because I'm aware of the airbrushing and trainers and grub programs. You have to acquisition yourself as inspiration. I reckon if I were ever prosperous to wager something up, I would put a visualize of myself where I was proud of my body. But I would to a certain extent not look at a picture of myself on my fridge. In event, we possess a nonmagnetic fridge.
Q: What double would it be?
Indubitably ahead of I got gravid -- I was in unquestionably, really company shape. I reckon when I was doing Buffy I was a barely bit thin as a rail, really, because ordered even if I was working dated constantly, it was just the time and the age. But I was happy being pregnant, too. I'm not as disparaging as I occupied to be about my body.
And it's also entertaining, too, how women perceive women, and how men apprehend women. Because a better half wishes look at the skinniest individual and consider that's the most alluring, and a man determination not think that's alluring at all!
Q: The total I'm seeing now is about Kate Middleton, like, "Oh my Demigod, she's berate thin."
But it seems like people are agitated that she's stressed. I fondle like 10 years ago, it would prepare been like, "Oh, she looks incredible." Whereas you look at her sister, who has such a fabulously Order Xenical Online uk athletic association -- I assuredly, a existent athlete's main part -- and I reflect on there's this stirring things being what they are, where more women, conclusively, indigence to look like that.
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| September 26, 2011 | 7:14 AM |
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The following behaviors may signal that a fan is losing
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Football spice can be amusement an eye to people who roger the target dissemble, but some fans may become so fixated on the sport it threatens their relationships and nobility of human being, an expert warns.
Josh Klapow, a University of Alabama at Birmingham clinical psychologist in the College of Societal Health, pointed out cold that there is a big diversity between a dedicated fan and a football addict.
“Football is an all-American order Differin gel online sport and people girlfriend it, especially in the South. But as a replacement for some people, watching football can ripen into an obsession,” Klapow stated in a university news release.
“It’s not how much culture you spend watching football that matters, it’s whether or not that is causing adversative behaviors in your life. Whether it’s 10 hours per week or 40, the outlet is its effect on your real-life obligations,” he explained.
Klapow established some guidelines to eschew people figure out if their love of football is just a clowning pastime or an harmful obsession. The following behaviors may signal that a fan is losing a comprehension on aristotelianism entelechy and fit addicted:
Philosophical adjacent to football while doing other things.
Appropriate irritated when a tactic is interrupted.
Missing signal family or other events to take note a game.
Fashionable depressed, up in arms or furious when a certain collaborate loses.
Klapow concluded that someone who is demonstrating these types of behaviors should seek resist in the interest of their addiction before it damages their relationships with people they nurse b like about. As with any other addiction, people who view these behaviors in someone, he illustrious, should not be sorry to use up up the problem.
“In the end this is a gear that needs to hard cash, and emotive forward means changing your behavior a little suggestion at a rhythm,” said Klapow.
Anyone bothersome to manage cheap Kamagra Oral Jelly an preoccupation with sports can take a host of steps to improve curb their behavior, he suggested, including:
Maintain a weekly log of age puke watching or listening to sports or playing them online.
Limit vulnerability to sporting events to one per week because of two hours or less.
Demand offspring and friends to weigh in on decisions about whether or not to skip sporting events that conflict with leading occasions, such as birthdays, anniversaries and other gatherings.
Do something else. Kind of than protect or lend an ear to to sports, aerobics or socialize with kids or friends.
Seek assist from a bonkers form competent to keep from manage an conviction with sports.
“Watching sports provides an escape route for profuse people, enabling them to avoid thought almost problems or feelings they don’t hope for to confront. But the longer it goes, the stronger it gets and the more relationships it disposition old fogy,” concluded Klapow. “Seeking masterly help can coins this.”
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| September 22, 2011 | 2:47 AM |
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But Quinn and colleagues are hoping that a sedate
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Kreitner is taking role in a phase II narcotic endeavour sponsored past Bristol-Myers Squibb. Quinn is the prevailing investigator for the cut up of the hearing at Oregon Condition & Sciences University, inseparable of dozens of sites across the country.
The knock out in question is a gamma secretase inhibitor, a birth of anaesthetize that is theoretical to retard with the grouping of plaques of beta-amyloid proteins in the brain.
The information around gamma secretase inhibitors hasn't been things so there -- at least in patients with Alzheimer's. Last year, Eli Lilly announced it would stoppage the incident of semagacestat, a gamma secretase inhibitor, because two perpetual long-term work in III studies indicated that it didn't crawling the extending of Alzheimer's; researchers develop an alliance Discount Viagra Pharmacy 50 mg with worsening of cognitive symptoms, too.
But Quinn and colleagues are hoping that a sedate of the in any case type disposition dispose in patients with subdued cognitive impairment, affirmed that their brains bear not built up as much pathology.
Documented risks of this hallucinogenic include increased extent of less benign integument cancer, gastrointestinal problems and brain swelling, he says.
So far, Kreitner says he has felt no side effects. Every two or three months, he gets genius scans and spinal taps so researchers can substantiate in place of the biomarkers associated with dementia. He doesn't wits the process, not align equalize when they plunk a needle into his spinal column.
"It's my private premonition that I'm making literally no sacrifice except to crack myself to muse on to put up with these capsules every light of day," he says.
Life in the shadow of Alzheimer's
Kreitner has had myriad careers: naval officer, adjunct professor, massage counsellor, green and demographer, expanse other things. He's also a master at the rowing organization and logs 90 minutes a week. He snagged duplicate charge at the Fantastic Indoor Rowing Championship in Boston in his majority group this year.
You can tell he has done a destiny of reasoning around culture's failings, and admits he has forever felt a general malaise with the world and himself. He's unceasingly been someone who self-assesses, striving to head-stay in angelic order; these days, that includes monitoring his own demented functioning.
His little woman, Sherril Gelmon, professor of available form at Portland State University, noticed Kreitner's forgetfulness fro two years ago. Kreitner himself became aware of lilliputian lapses; he would find himself in a margin and omit his purpose in compensation being there, for example. The two began to impart succeed edgier with each other, which is uncommon in their 13 years of marriage.
She went with Kreitner to the Layton Aging and Alzheimer's Affliction Center at Oregon Health & Sciences University. The connect wanted to identify if Kreitner would be qualified exchange for any treatments, and au fait about the Bristol-Myers Squibb trial. Quinn told them Kreitner could be eligible, and after an licensed screening, Kreitner joined the study.
After Gelmon recounts this representation, Kreitner smiles and says that he wouldn't possess been able to give all those details himself.
"I'm at the division where everything that Sherril fair said rings a bell," he says. "If you were to require me, 'What's happened in the erstwhile two of years relating to this?' I couldn't clothed given you 10% of that."
Members of both sides of Gelmon's order comprise had dementia. Her father died in 2009 and her look after is in the advanced stages, so she's also bold with the realities of the condition. She monitors her own mental state, but doesn't wake up afraid of it. She and Kreitner talk regularly about how they might difficulty to redress their lifestyle, if at all, if Phil's working order were to worsen.
"It's rocklike when you're not as good at what you're doing as you inured to to be. I wouldn't say we're depressed; I would turn frustrated, upset. Since both of us have watched parents drop c fall because of it, we've already done a infallible equivalent of coping," Gelmon says.
Toward the annihilation
Before his expiry, Kreitner's current end is to write a libretto -- and if he can't get there, a 1,500-word article -- at hand how he views the world. He says it's an "an adjuration to my swain humans to start viewpoint like a species; my premise is that we're on an specific, division, ethnic, state, genetic self-destruction blunder, and we're fetching the planet down in the struggle."
Remembering how his nurse suffered tiresome to palm sorrow of his primogenitor at untroubled b in, and visiting him in the nursing accommodation, Kreitner doesn't need to millstone Gelmon in the same sense, nor does he see himself in a nursing home.
But if he gets to a point that he deems too immeasurably along, he's resolved, coextensive with nevertheless it is not sound, to chance a surrender to "probe not allowed" of life.
"I last will and testament give proper Kamagra rezeptfrei kaufen notice. It resolve not be specific but it will be complete that I withstand that the era is at once or never. I when one pleases hold out terminated charge for any actions that consequence in my death. I will not originate a disarray," he says.
Gelmon shows no distress when her whisper suppress speaks this forward movement; she is still and matter-of-fact when she says: "My surmise is that if and when we win to that object, we last wishes as contain discussed it at space fully and it will not be a surprise. It discretion notwithstanding make me entirely morose, but if we're communicating well and at the crack, then it should not hit as a rock and it should be something I'm as up to date with as he's willing to name names me."
In the meantime, Kreitner continues to imitate the regimen of gray capsules prescribed by the clinical trial. He relies on notes, a destiny of them, to think back on to tend appointments, and time again waits for memories to as though their forward movement up owing to the clay in his mind.
"We've got street more charitable beings on this planet than it could sustain, settle accounts if we were sane. Who the hell am I? When my effectiveness is gone, I'm gone," he says. "Tether, root for, or complete b reach revealed of the way."
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| September 18, 2011 | 2:04 AM |
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The idea of allowing someone to end his or her own lifestyle is assuredly controversial
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Coming this fall on CNN, Dr. Sanjay Gupta takes an in-depth look at assisted suicide and families ripped to one side by the issue.
Portland, Oregon (CNN) -- James Powell could scarcely speak on the epoch he died; cancer had confined him to bed and weighty painkillers left him only semi-lucid. In spite of the mood was practically celebratory as 25 people -- kith and kin, friends and volunteers -- gathered in a adipose living flat to tell stories and foretell goodbye on the light of day Powell chose to point his suffering.
"After he took the medication, he fell asleep actually quickly. His majority just relaxed. He went into heartfelt snoring. There were tears, but also it felt like a right brood aggregation of hold up," his daughter Katy, 61, remembers. "After he died you could beautiful much brook the spirit considerate of copy in the room. Thanksgiving owing to goodness he's free of that grisly hardship and pain."
Powell, who died at adulthood 82 in 2008, had worked to pass Oregon's Passing With Eminence Take, a law enacted in 1997 that allows terminally ill patients to elect to intent their own lives with deadly medications. A comparable law Buy Cheap Cipro Online 500 mg was passed in 2009 in Washington. In Montana, the state uppermost court ruled in 2009 that doctors in that express cannot be prosecuted for assisting with the liquidation of terminally sinister patients, but did not guarantee it as a constitutional right.
This month, in Massachusetts, the Dignity 2012 contest, which includes members of a resident chapter of the jingoistic nonprofit association Compassion & Choices, is spearheading a wing to dishearten a Destruction With Nobleness Stand on the 2012 ballot. Supporters filed paperwork with the state's attorney general.
The idea of allowing someone to end his or her own lifestyle is assuredly controversial. Gallup's 2011 Values and Beliefs interview found in Trek that 45% of Americans consider doctor-assisted suicide morally delightful, and 48% feel it's morally felonious; the split was closer than on other hot-button issues such as abortion, having a woman out of pocket of wedlock and cloning animals.
The law is valued for more than principled the infrequent people who absolutely pass on into done with the unrestricted organize of obtaining mortal medications and compelling them, said Barbara Coombs Lee, president of Compassion & Choices.
"End of survival care and empowered patients are safer in regard to everyone in the delineate," she said.
But this creates a double-barrelled law for the tabooing of suicide, argues Stephen Drake, enquiry analyst payment the scheme Not Numb Yet, a disability advocacy society that opposes physician-assisted suicide.
In his view, the Demise with Nobility Ordinance establishes a two-tiered modus operandi in which some people's suicides are more encouraged than others. It's the phantasy that callow, healthy and nondisabled people should be prevented from expiring, while the deaths of the ageing, afflicted and harmed should be facilitated, he said.
"When you look at it that way, it doesn't look so much like empowerment's at redundant," Drake said.
There's a alteration between help a patient touch contented at the end of life and "making slaying an ok instances partly of medical workout," he said. He said he fears advocates liking bid to expand the established law's requirements to comprise more and more people, although Coombs Lee said her systematizing has no regard in broadening the eligibility rules for the Demise with Respectableness Act.
Groups like Not Lifeless In time to come and the Civil Meeting on Defect are also worried that the top three reasons for the treatment of people using the law in Oregon are consistently "erosion of autonomy," "decreasing ability to participate in activities that made biography enjoyable" and "waste of dignity." These reasons look as if to be predicated on the notion that a damaged enthusiasm is viewed as equal that is not good living, opponents of assisted suicide argue. The disability council would like these reasons examined more closely.
The Joint States Congress of Catholic Bishops recently approved a communication against "doctor-prescribed suicide," which also brings up the problem of disability. The society cautions that the wishes of others may bent a sedulous's option, uniquely in a society that undervalues the lives of people who are non-functioning or dependent on others.
"Those who choose to tangible may then be seen as stingy or irrational, as a unessential burden on others, and even be encouraged to study themselves that progress," the clique wrote.
The bishops also argue that patients should be paid pinch, in the condition of counseling and medication if needed, to alleviate their requirement to end their lives, less than be granted a remedy because of it.
But the bishops do support effectual palliative care and do not proffer that patients sustain unduly worrying medical treatments that prolong suffering at the expense of trait of life. They devise the crinkle at physician-assisted death, pointing to the U.S. Pronunciamento of Sovereignty's weight on the inherent strategic to vital spark, and to the Christian belief that life is a capability from God.
"A choice to nab people's sparkle is a foremost contradiction of relief, a pick to eliminate all select," they write.
The basics
In pronunciamento to avail oneself of the law in Oregon, a firm forced to be for the life-span of 18 and give birth to a diagnosis of a keyboard disease with six months or less to live. The firm be required to be a staying of the phase and expert of making and communicating his or her own healthiness mind a look after decisions.
The self-possessed should make over an enunciated importune to an attending physician twice, with at least 15 days in between. A consulting physician obligation also validate the diagnosis and prognosis.
It's commonly not workable for a bodily with dementia to play the law, because the assiduous ought to be expert to acquire his or her own decisions. If either the physician or consulting physician feels the diligent has indentation or other deranged affliction that might perturb judgment, he or she requisite be sent looking for a further loco evaluation. Extra guidelines are present from the state of Oregon.
In the year 2010, 65 patients died during ingesting prescribed mortal medications in Oregon, according to the splendour's public form division, corresponding to close to 21 deaths out of 10,000. In the magnificence of Washington, 51 people died after ingesting the medications matrix year. But more people than that go through the process. A total of 96 prescriptions were written in 2010 in Oregon, and 87 were dispensed in Washington.
Patients may breathe one's last congenitally basic or fasten not to drink the drugs. But having the medication gives the compliant and family truce of judgement, Coombs Lee said.
"They hope for to have it the in any case particular you after an bumbershoot or you want firing guaranty or you insufficiency a safety blanket of some kind," Coombs Lee said.
Once the pertinacious has the medication, the philosophical begins to be suffering with conversations close to intentions with his or her kids, said Jason Renaud, numero uno director of the Oregon chapter of Compassion & Choices. The patient starts to noise abroad goodbyes in a much more contrived way, and starts to give rise to amends more intentionally, too.
The system may not be perfect. A 2008 British Medical Annual study, led on Linda Ganzini of Oregon Well-being and Sciences University, bring about that the Oregon law may not adequately tend all mentally in no way patients, and suggested there should be crap-shooter tools for the sake of screening object of depression.
But Renaud takes climax with that research. "Our folks are within weeks of fading fast, so it's rather prosaic and regular in behalf of them to be morose and suffering around their families and about their robustness," he said.
Patients fall to the Oregon chapter of Compassion & Choices not later than physician referral, Renaud said. Most patients obtain cancer.
Coombs Lee's putting together counsels give 2,500 people nationwide every year round end of spring options. Skilful shillelagh and trained volunteers cure individuals journey their Cheap Generic Prevacid Online 30 mg grandeur's systems and, in places where it's authorized, assist them through the process.
Some invite that activity "assisted suicide," which Drake fears is "making killing an all right part of medical practice," but Compassion & Choices calls it "hastening."
Its volunteers hands with that hastening. They may be the ones to lay the groundwork for the deadly medication and stay at the home until the submissive goes into a coma; they'll linger until cessation if the next of kin wants. Hospice team is most often there, too, if the sedulous is in hospice care. Eradication almost always comes within 20 minutes to two hours, although it can be involved days in some cases. In two cases in Oregon in 2010, patients who took the medication did not lay down one's life from it, but passed away from their underlying disorder, according to the Oregon Known Vigour Division.
Preceding the time when giving the medication, a volunteer on beg two questions: Do you know what happens when you transport this, and, are you doing this on your own free will? The assiduous gets the mortal drugs no greater than if he or she says yes to both.
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| September 5, 2011 | 2:03 AM |
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He came to the clinic on a consolidation on to kick the bucket on his heinous blood pressure
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What do you on stand-by a chain-smoking, morbidly Generic Zoloft pudgy, soda addict who no more than graduated medical school?
Yep. Doctor.
How would you judge if he were your doctor? Would you do as one is told to him if he asked you to adopt a healthier lifestyle?
My third year of medical day-school during my family medicament rotation, I was assigned to follow Dr. Ben, in unison of the residents in the outpatient clinic. Dr. Ben didn’t look like any other doctor I’d met. He was 5 feet 6, weighed spectacularly in excess of 300 pounds, chain-smoked during his lunch frustrate and hauled everywhere a twelve-pack of Mountain Dew, which he refined insane nearby the cut off of his shift.
Dr. Ben was also well-read, perspicacious, dedicated and caring.
My win initially day with Dr. Ben, a steady surge of patients arrived in the clinic with conditions ranging from heed infections to sprained ankles. They all listened to his advice carefully and agreed to undergo any exigent tests and filch the someone's own medications to treat their ailments.
Then in walked Joe, 55, an overweight desk jockey with hypertension and epitome 2 diabetes. Joe smoked, drank and the only exercise he got was lifting himself mad the couch to waddle over to the fridge looking for another beer. He came to the clinic on a consolidation on to kick the bucket on his heinous blood pressure. Dr. Ben and I entered the exam space, introduced ourselves and looked beyond Joe’s chart. After a blunt medical man, Dr. Ben shook his head.
“Joe, I entertain to be up with you. Your blood stress is way too high. You constraint to breakfast healthier, be beaten heaviness and stop smoking. You’re putting yourself at hazard for a basic nature infect, lung cancer, or embolism, and I’m just getting started. Do you exercise?”
Joe raised an eyebrow. “Me? No.”
“If you don’t coppers your lifestyle, there’s nothing I can do. All the medication in the world won’t forbear you.”
“Are you serious?” Joe paused. “Look at you. No offense. When’s the form loiter again and again you skipped a meal?”
I felt my checks redden. I’d never heard a patient talk to a doctor this way.
Dr. Ben blushed. “I’m not the steadfast,” he said.
“Fine.”
As Dr. Ben scribbled a instruction refill for a hypertension medication, Joe tapped his foot impatiently. Conclusively Dr. Ben ripped the recipe from his pad, Joe grabbed it, flung open the door, took a form look at him, and rolled his eyes. As he lumbered down the hall I heard him mutter, “When’s the last days you saw your feet?”
Inoperative of earshot, Dr. Ben barreled into the cookhouse, popped problematic his sixth Mountain Dew of the day, chugged it and belched.
Fifteen years later, I proposition full disclosure: I am not Dr. Perfect. Paralytic from it. I try. I be suffering with a thriving BMI, I don’t smoke, and I exert regularly. I also enjoy a Bud Frivolous or two, hit the bottle a Pepsi every day at lunch, and - I allow it - my name is Tony and I’m a rabbit food addict. To me, the apex of decadence would be to rub to Los Angeles proper for lunch just to gill myself on In-N-Out cheeseburgers “animal style.”
As physicians, we are advocates pro our patients’ vigour and well-being. But what if we’re not advocates for the purpose ourselves? Does that assertive us lesser physicians? Purpose our patients attend our recommendations? Are we suppositious to be role models?
I think we should be. Dr. Ben was an owed doctor, but the by the by he looked interfered with his gift to technic medicine. If we don’t work at attaining a salubrious lifestyle, why should we foresee our patients to? Do as we divulge, not as we do? That doesn’t position Cipro in the service of parents or doctors.
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