How life in cancer prevention
mm Sohu health, reduce by half the
* male female anti-cancer anti-cancer do not drink liquor do not drink the wine * a high degree of mouth cancer, whether the truth?
but the causative factors of cancer is not contagious infectious * you are a high risk of cancer do?
* Please take the initiative each year to do a check * anti-cancer cancer sign it is difficult to self-discovery is transformed into a benign tumor
* cancer? * anti-cancer check a doctor after the first concern prompted
* Every person has cancer? * eat more meat are easy oil is equal to
4 23 cancer tumor on Interview: How life cancer prevention (2)
Moderator: Sohu users Hello everybody! Welcome to the Sohu interview between health, today we come to talk about guests, they are the Cancer Hospital of Chinese Academy of Medical Sciences Professor Zhao Ping. Zhaoyuan Zhang Hello.
Ping Zhao: Hello.
Moderator: Another guest was former Chinese Academy of Medical Sciences Cancer Hospital, Cancer Prevention Division Director Professor Yuan Fenglan, Professor Yuan Hello.
Yuan Fenglan: Hello.
Why more and more cancer patients?
Moderator: Welcome the arrival of two experts. Zhaoyuan Chang engaged in pancreatic cancer treatment and In the meantime, or knowledge. I believe the arrival of the two experts must be able to bring you the latest and most practical cancer prevention knowledge. Today I come to the site there are question, users have to pay if any problems can be raised in the comments. Next, we started the interview.
present, that cancer, we first think of the terrible consequences of it, cancer diagnosis in people's eyes to like a death notice. First of all I ask Zhaoyuan Zhang, now why cancer patients much more than before? cancer treatment has not kept pace with the development of the speed of onset do?
Ping Zhao: the incidence of cancer increase in this phenomenon is real. Now the average annual incidence of cancer in 22%, a figure in the international arena as well. but in fact in terms of cancer rates in China rise, the first reason to blame the aging population of, because after China entered the aging society, the population aged over 60 has more than 11% in the aging population ratio among the people who have cancer is much greater than other groups, this is the first reason. The second reason is that with the of industrialization, urbanization, urban pollution and poor people's living environment (with the standard of living which is opposite in some cases), due to environmental pollution, food contamination and other factors, have led to cancer to increase. In addition, some cancers and living habits are related, such as smoking, drinking, eating more animal fat. For example, in a way that smoking is a cause of lung cancer incidence in the first factor, that is, smoking among the population than non-smokers, had lung cancer to be more. As another example, in China itself, 30 years ago when the more difficult, we have not many patients with colon cancer, the main cancers are concentrated in the esophageal and gastric cancer, and now marked increase in the incidence of colon cancer, which is related with the food. Japanese gastric cancer incidence rate is very high, but the Japanese moved to the United States to change the composition of food, colon cancer the incidence is rising, while the incidence of gastric cancer decreased.
Moderator: the development of cancer treatment to what level?
Ping Zhao: speaking to the aspirations of the people, it is hoping to overcome cancer, cancer proposed by the United States in the 70's huge plan to spend hundreds of billions, and ultimately failed. For now, the fight against cancer, is a wish.
Moderator: Professor Yuan does, you have done so much lectures, you think people for the prevention of cancer you have enough attention?
Yuan Fenglan: cancer incidence continues to rise, but people in particular lack of awareness of cancer prevention. and that people talk about cancer now have a sense of discoloration not changed, I feel as long as got cancer, and would certainly be cured, like just chairpersons, received notice of cancer is death notice, especially fear. On this issue, we should be clear, cancer is preventable . In particular, wanted to use a number here, to illustrate: World Health Organization has talked about new issue every year to reach ten million cancer patients, died of cancer patients to reach eight million, our country, too, early 70s, when average mortality rate of cancer in our country only 70 million people, and now our national cancer mortality rate increased to 180 million by the figures show cancer into multiple, common diseases, but cancer is preventable. There is the prevention of cancer sense to rely on themselves, not by experts and doctors, their own consciousness, strengthening, and anti-cancer would be better today. Sohu hopes to increase the health of the people interviewed health awareness of cancer prevention and philosophy.
change lives habits cancer can reduce by half the
Moderator: What Zhaoyuan Zhang is now threatening men, women and children are what cancer?
Ping Zhao: The adult male is concerned, the number one cancer is lung cancer, followed by cancer, liver cancer, esophageal cancer, colon cancer, cancer accounted for the five men, nearly 80% of cancer incidence for women, in addition to cancer, the first five just mentioned, there are breast cancer, cervical cancer, the seven types of cancer, women accounted for 78% of the incidence of cancer and more with children, mainly leukemia, multiple, and congenital malignant tumor.
Host: from the prevention point of view, which is easier to prevent cancer of?
Yuan Fenglan: In this issue, I want to tell you about bad habits. Zhaoyuan Zhang talked about the problem of smoking, the study found that half a century, smoking is not only with lung cancer, was kind enough to digest tract tumors, and cervical cancer, breast cancer have a relationship, therefore, change bad habits is very important. There is also drinking a lot of drinking susceptible to oral cancer, esophageal cancer, gastric cancer. too hot to eat too fast, also have damage. to change their lifestyles to promote you eat moldy food, eating smoked products, in addition to pickled products and leftovers. Here we must be changed to promote unhealthy living habits, can reduce the four-into Daowu Cheng cancer about.
male female anti-cancer anti-cancer do not drink liquor do not drink a high alcohol
Moderator: prevention of cancers, it is very important. As we detail a predisposing factor for cancer and prevention before . there is a problem should be pointed out that now, with people becoming more concerned about the increase in cancer, the cancer is more and more information, such as to do this interview today is the dissemination of such information, when faced with such a massive audience the information, how to identify its authenticity, Zhao Yuanzhang have any suggestions?
Ping Zhao: very difficult, even my very difficult to identify. as long as public concern about cancer, this time wants to issue various channels sound of each channel I want to give people some information, both expert and non expert, has this desire, and even some patients themselves, including the families themselves, they often guide people to eat this thing cancer, eat that thing can prevent cancer. I have talked about than any other infectious disease, trauma, inflammation, etc., the scariest aspect of cancer is that it is a genetic disease, involving knowledge is very deep. So read cancer very difficult thing, we lack such a professional team to introduce the real scientific knowledge of cancer.
Moderator: cancer information for the doctor to grasp, their advocacy to the public whether a difference?
Zhao Ping: not so easy. doctors to do the main work is the clinical diagnosis and treatment, they understand the disease, but the prevalence of the disease, the incidence of this disease is not the cause and mechanism were very clear.
Moderator: it can only rely on the media and scientists, doctors work together for everyone to provide scientific and practical information on prevention of cancer, at least in today's interview is to try to be useful to the public to provide information on cancer prevention. Here to talk about what factors caused cancer. Professor Yuan's work experience in your life there are factors which types of cancer?
Yuan Fenglan: detailed hard to say, some may say a few, such as the common tumor , beware of some of moldy food .2007 October 31 the World Health Organization and the World Cancer Foundation and the Cancer Foundation of China jointly issued the anti-cancer 10, online you can see, here to highlight a few: one is smoking and drinking, drinking to trace, drink some low degree, no more than 15% alcohol content, it is recommended to drink every day gay men should not exceed 20 grams, lesbian best not more than 10 grams, suggesting that most lesbians good not to drink liquor; promote health products we eat less; women breast-feeding time to ensure that not less than six months; cancer must be under the guidance of the doctor to do some treatment and care. this publicity on the Internet there, I hope everyone's attention .
cancer from the mouth with or without reason?
Moderator: Now a lot of users are more concerned about the lifestyle, especially diet and the link between cancer prevention. Having said that, Zhaoyuan Zhang has been the study of pancreatic cancer, said disease from the mouth, then the cancer is not like the digestive system a very close relationship with food?
Zhao Ping: This is a more complicated issue, in general, start with the mouth is The. Speaking of the relationship between food and cancer, and I hope that everyone can understand a few very key issue. The first key question is: in terms of cancer incidence overall, hundreds of thousands of people in China all cancers, the incidence rate of annual new 200 people; second key question is: carcinogenic factors, we have found, has been recognized, has been proven many, but not all of these factors make cancer appears cancer? This often misleading to the majority of people brought . For example, if there is a risk factor, is not under the conditions of the risk factors, who had cancer? is not only a very small part to get cancer. Professor Yuan also spoke earlier, for example, if there is a carcinogens, carcinogenic effects in this group of people, then only a small number of people have cancer. but I'll give you another number, if no such carcinogenic substances with the comparison, then the incidence of this population no carcinogenic substances are likely to damage than people, may exceed his double, triple, or even higher. Why must we talk about this truth? Because we often hear, Zhang lived a hundred years old, is not does not have cancer? have the probability of cancer.
Another example to pancreatic cancer, pancreatic cancer is not very high in terms of China, none of the top ten. But in the United States, the first four years have pancreatic cancer, because our Food structure is not the same. 30 years ago, that time we have only half a catty of oil, half a catty of meat, and now the Chinese diet change significantly increased the incidence of pancreatic cancer, and the rate of increase rapidly. China pancreatic cancer patients, if hundreds of thousands of people in three years ago, only three to four words, it is likely to have six, seven or even eight, Shanghai has reached ten, close to U.S. levels. Description of life conditions as possible, your intake of high fat, high protein the more the higher incidence of pancreatic cancer, from a macro, this is a very scientific relations. But in the individual speaking to hard to explain. You can be said that the father of so and so did not eat meat every day, get cancer, but to do so deprived the scientific factors. So now the information is so confusing and chaotic hard to let everyone know carcinogenic factors and cancers of the relations.
fact, are suffering from cancer, in addition to cancer-causing factors, there are factors that people own.'s own factor is the human memory in a tumor suppressor gene and oncogene, which is very complex, a person may Students will be negative factors because a cancer, some people will not grow no matter how cancer. give a very good example, if we all went to rural areas, scoop a spoonful of well water to drink, drink, and Diarrhea city people, rural Diarrhea people do not drink every day, the same bad things outside, reflected in every human body is not the same. So I came here today feeling very heavy because of individual differences too complicated.
exists?
Moderator: Just Zhaoyuan Zhang also talked about the cancer-causing factors in their own factors. We know that there is a character to say cancer, cancer experts do not know the character of this statement is scientific?
Zhao Ping: I know what you mean. The so-called cancer personality is what kind of person, what kind of mood susceptible to cancer. abroad have done an experiment, two groups of rats, push to put the two cages at the same time give them some carcinogenic factors problems, at this time a group of rats living under every day in the noise, there is a group of rats in a quiet living situation, resulting in noise rats living under the long build-up easily, but in a peaceful environment to long build-up is not easy, what was the reason for this? not made it very clear, but a person's life, Health status and cancers of cancer is not a relationship, especially when the immune system damage, cancer can occur, the probability of occurrence may be high. For example, they now often associated with AIDS incidence of cancer, because their immunity is low, their incidence is very high, even higher than the normal times or even more than a dozen times, which illustrates the problem.
habits which cause cancer?
Moderator: Now a lot of users are more concerned about some of the relationship between lifestyle and cancer, such as the long face of the computer will not lead to cancer happen?
Yuan Fenglan: You say the problem, there is no specific statistics, but the small amount of radiation effects on families and individuals, the international community have talked about the Internet in many countries. gotta speaking, I personally think that this trace radiation is always occurred in our family, such as computers, televisions, mobile phones, the United Kingdom recently raised the age of 12 not to use mobile phones because mobile phones easily lead to children with life-long deafness. This radiation on children, but on We also affect adults, it prompts people to use the time to be appropriate. now are electronic, and not because of the trace of radiation, we do not use it. Bill Gates once wrote an article of his two daughters sit on the computer hours after the activity must be down. I think we can learn from the television in front of the computer and not to take too long, should be appropriate to look at the activities, good. such as watch TV, you can open a window and let in the wind. computer radiation in the end nothing to do with the cancer, not sure, but some patients find clinical long-term face of the computer. here, especially to promote young people in the use of computers, play games, when to moderate, moderate, regular.
Moderator: Can you give us some tips, what should be done in life and what not to do?
Yuan Fenglan: Zhaoyuan Zhang talked about individual differences, the same people who do not smoke had cancer, the same people who do not have meat every day have cancer, this is the problem of individual functions. Here we suggest, the World Health Organization has also advocated so-called red meat a week to eat the best beef, pork, lamb should not exceed 700 grams, the planned economy, when one person a year to six pounds of meat, Which is a far more than six pounds of meat. Here we advocate, we improve the living conditions, pay more attention to a reasonable diet, appropriate exercise is very important. Eat more vegetables and less meat, smoked food less procurement, can not say do not eat, preserved foods should be appropriate and good health is most important. give you a hint.
Moderator: In the face of job stress, we should pay attention to what the problem?
Yuan Fenglan: Every generation of young all the pressure, such as when we are young and Zhaoyuan Zhang has pressure, but not the same. how to deal with stress? is self-regulation. always remember that happy day, healthy life every day life to more humor, and his only happy, to learn self-extracting. Now young people, middle-aged people than a lot of decompression method, you have a gym, a karaoke, a gathering of friends, a picnic, these are the way to relax. Some people say too busy Act to, in fact, cooking at home, while wiping the floor while singing, you can also extract the movement is multifaceted. proposed youth activity for at least an hour a day, preferably a large volume of activity, to sweat; like the words of the elderly , suggest that you walk, took eight thousand steps a day, drink eight glasses of water a day, every day to cook eight exercises, so that is good for the body. a reasonable diet, adequate exercise, good attitude is a sound basis.
cancer risk factors, but is not contagious infectious
Moderator: There are many users concerned about hereditary cancer have no family, there are immediate relatives of a family has cancer, there is no family problems.
Zhao Ping : Cancer gene mutation itself, produce the cancer gene itself can be defective, this defective gene are prone to disease. I saw a patient two weeks ago, breast cancer, five sisters, she told me that five sisters, all breast cancer. some people's genes decided to have breast cancer lesions, and some disease genes determined by other cancers. family problem will certainly exist, such as colon cancer patients, in general, familial polyps.
Another problem is that cancer is not contagious infection, which is something that friends and people are concerned, I can clearly tell you that cancer is not contagious, but some causes of cancer transmission. such as the liver because hepatitis and cirrhosis caused by viral infection, leading to genetic lesions, there liver cancer. hepatocellular carcinoma patients themselves will not pass another person, but if a person is infected as hepatitis, can lead to liver cancer. like women cervical cancer is due to HPV (human papilloma virus caused), the virus is contagious, especially through sexual transmission will be. Once infected the virus to cancer risks may exist.
chair by: Speaking of cervical human papillomavirus infection, whether with the relationship between people's health habits, such as women washed their hands before the toilet can also be very effective in preventing it, and do not know if there is no such argument?
Yuan Fenglan : It all boils down, cleaning should be done, but will not say no hand washing infection HPV. wash your hands not only has a relationship with the tumor, have a relationship with any infectious disease, wash your hands before eating is inevitable. Zhaoyuan Zhang said that now the virus infection One is liver cancer, hepatitis B virus, and hepatitis C, hepatitis B, human papilloma virus as well. These viral infections are related to health-related. We have to remember to wash their hands during the SARS epidemic not only wash thirty-four times, as now remember to wash hands before meals every day, it is human nature lifestyle.
Ping Zhao: I add that I very much agree to wash their hands before meals and after, from the very young school, parents told us before meals Wash your hands after using, but do not wash their hands will not get cervical cancer, because if too cautious, and people will live very happy, not only she did not live happy, her family will live unhappy.
you are a cancer high-risk groups do?
Moderator: Gene mentioned genetic, family occurrence of cancer patients, family is the other person is susceptible?
Zhao Ping: We are not called susceptible populations, called high-risk groups, that is, speak the disease more likely. but not that your mother had cancer, you must quest for cancer. get cancer some family factors, family factors, some not. So some people get cancer in the family , do not have too heavy ideological burden. If the fear of cancer, then to the society and the social environment, in terms of the family are also very scary.
Moderator: should not we be that easy to get tips high risk of cancer, but also should pay attention to the prevention of these cancers.
Ping Zhao: I'm in a few days ago, and the Ministry of Health officials and insurance companies are doing a larger project to build the city anti-cancer system, and the city including anti-cancer system for monitoring high-risk groups of urban control system. What is the monitoring of the control system? using simple words is commonly found in sick patients, and if found to be cancerous, most of the middle and late, and the consequences very poor. Therefore, we hope to identify a high risk, high-risk groups for active monitoring should tell them what to do when you check when you do check, in other words, at least before the onset of symptoms does not let you to do some checking, the next time you go to the doctor than the cancer, to early prevention.
Moderator: How to determine high-risk populations?
Ping Zhao: high-risk groups identified several principles, which is more complicated . Because of the census to 13 million people do, almost impossible. how to identify high-risk groups it is assumed that the basis of age, 45 years old people tend to get cancer, and 45 people over the age of only 30 among the entire population % and more, we can man-to high-risk group of people, giving them both active monitoring, so 5.5 million urban people were less than two hundred million people. In addition, we have other indicators, based on these indicators, and who The closer a long cancer, to whom we are more closely monitored. From the economy and efficiency, compared with the least money we can get the most benefits, this is a very complex system engineering problem, but we are thinking about being.
Please take the initiative each year to do a anti-cancer check
Moderator: You said the monitoring system is tantamount to a national practice from the top down, what Professor Yuan, you also have been engaged in cancer screening, from the masses self-starting, how do we targeted some tests and prevention.
Yuan Fenglan: Zhaoyuan Zhang say the information is very good, also the new information, I have just heard. from the public point of view, I give you a hint so many years engaged in the prevention and control work, but found that 90% of the early detection of cancer, 90% of the cancers found by the professional survey. cancer generally do not sign, but as soon as symptoms, went to the middle and late. we all know, is the cancer of the pancreatic Wang, pancreatic cancer is usually from discovery to death about six months to a year is pretty long. However, early detection still survive, in our hospital was once a family five years ago, surgery was done personally Zhaoyuan Zhang , when it is very difficult, Zhaoyuan Chang to do the surgery done, the patient is still alive, five years, this is a very rare case. as long as three early pancreatic cancer, early detection, early diagnosis, early treatment, the prognosis is good.
Here we suggest that regular anti-cancer examination is very important. Our hospital has anti-cancer families, specialize in anti-cancer detection, and here I give you the help Sohu A Tip: To learn to see a doctor, and remember attending specialist expertise, the doctor is 隔行如隔山. You remember the bad eye on colleagues, Fu Wai Hospital, on a bad heart, a lot of people to become soft calf into the cancer hospital, I said, do not soft, if it is benign, it does not matter; if it is cancer early can save a life, do not wait until symptoms have thought of treatment. I suggest that a family history of cancer patients have the best two year investigation body, if the economy allowed, but also to promote you once a year; suggested as a health check once a year, give your life to bring substantial gains. Now many people there are some errors: I did not symptoms, my body very well, I do not check the body, or that I checked the body is a unit of matter, units of money to the investigation, I do not check their money. But some of our comrades often forget that when you drive once a year maintenance forget to live five years painting the house not forget, people like a machine, using three years, four years, five years, how can it not be willing to pay for maintenance. Here to remind you to remember that investment in health is among the smallest investment of our lives However, the most important investment. to learn to manage their own health.
Moderator: anti-cancer screening is different from the normal routine physical What?
Yuanfeng Lan: Yes, do have a professional anti-cancer checkup doctors are engaged in cancer professional. Beijing Cancer Hospital, there are two, one in Beijing Cancer Hospital, there is the Cancer Hospital of Chinese Academy of Medical Sciences, China Cancer Center, the brand will soon fall into our hospital, the Director is Zhaoyuan Zhang. hope that we can have the opportunity to do clinics or specialist expertise to the cancer hospital, cancer prevention into the medical center.
cancer, but it is difficult aura of self-discovery
Moderator: Professor Yuen said that a precursor to cancer is little or hard to find, as if silently taken place, will Zhaoyuan Zhang, cancer is not the slightest sign of not?
Ping Zhao: Cancer is a sign should say most, and why Professor Yuan that there is no aura, more precisely speaking, when the first basically in the early, middle and late sign is not clear when, for example, I now stomach a little uncomfortable, is not long stomach cancer, if the blood in the stool, is not length of the cancer, the precursor to the lack of specificity that you can not have this trouble is long cancer. Again, the vast majority of people think I eat drink, no matter, this is the second misunderstanding. Third Professor Yuan is just a misunderstanding spoken, the difference between specialists and non-specialist, who is now a lot of examination he did not know how to find the cancer, cancer had their own do not know. Cancer is the scientific examination Strong, professional and very strong, and is a very difficult process of exploration. We early diagnosis is very difficult, but just can not do it. give two examples, to tell you can do, for example, do we cervical cancer in Shanxi census, women's health in rural areas is poor, the difference of two poor, one is the personal life of health problems, one is specific to the health of women. The two poor sanitation to the HPV infection rate is very high, so in this area They continuously survey for over ten years, indeed a very high rate of early diagnosis, can reach 80%, 90%, and finally they provide treatment for these people, their survival time is very long, five-year survival rates are also very impressive. revisit a city, Shanghai of 2,000 people over the age of 60 years of follow-up examination done, they found nearly 70% of 88 early cancer, the treatment effect is very good after . So not to say that not as the key is how do you go to these groups pooled, how can these people to accept your check, the city is a very complex issue, while in rural areas the problem is who will buy it.
you will be transformed into cancer, benign tumor?
Moderator: This is our media for the publicity is duty-bound to make you want attention from the anti-cancer examination. In addition, some users are more concerned about, too easy to be benign Malignant you?
Ping Zhao: benign and malignant tumors mainly in the nuclear division and there is no recurrence. malignancies its growth is very rapid, and there migratory. Cancer is like a big crab, there migratory, can be transferred to the liver, lung and bone and so on. The tube length principle, how benign, it is a benign tumor on the world's first case of ovarian tumor, cut off 10 kg, cut off after the live 20 years no problem, no recurrence and metastasis. This is the difference between benign and malignant, the vast majority will not be transformed into malignant tumor benign tumor, but part of the benign tumor with malignant characteristics, a small number of benign tumors can be malignant. For example, We found that many clinical tubulovillous adenoma colon high rate of malignant transformation occurs more than 30%. such a high malignancy rate, we must be very careful, or do preventive resection, can cut altogether cut off, cut off to prevent malignant transformation.
attention after the first anti-cancer check a doctor tips
Moderator: Back just said the anti-cancer screening questions, for example, I went to check, the doctor gave me a copy of the inspection report, how should I treat this copies of inspection reports, in general, the inspection report will tell me what?
Yuan Fenglan: This report will be examination of the project because of distinction, such as do all the checks are made to your liver hemangioma, About how much by how much, or you have gallbladder polyps or rectal polyps, which indicates that we should further check, because, as just Zhaoyuan Zhang told, some polyps can cause cancer, especially in gall bladder and rectal polyps. so get report, also need regular checks for problems. If the inspection is over, the doctor said that polyps do not care, but may later be found bleeding after a year and found that the polyps.
in particular, suggest that a certain body of doctors to pay attention to each search tips, such as a person 30 years old, fatty liver test results, the doctor will ask him more exercise, reduce high-calorie foods absorb, do not take some more medicine and other health-care, If the older these problems, the doctor will be the case with lipids and cholesterol, high to see what the situation, giving advice. pay attention to the doctor's tips, I feel complete body check, the doctor said not to pay attention to what is proposed, so far good. hope all of you pay attention, do not check over care. can tell you that this year's examination results not necessarily represent the next year, perhaps this year's examination all right, next year something was wrong. We have been in a regional examination, there is a teacher first Physical examination did not come one year, the second year, and said there is no proliferation of breast examination two years ago this year, so much proliferation, check how long a body in the end tube, no one could say it has a relationship with the individual differences in immunization. suggest that you examination process, both in units of physical examination, as long as the recommendations must be strictly adhered to, not too much to think about, and do not pay too much
Ping Zhao: the public is the lack of medical knowledge, so 99.9% After people get the inspection report will be particularly pleased to tell others what I have normally. what the paper inspection reports are normal, does not mean these people normal. or I had cancer, many of your check indicator can also be normal, normal index does not mean you do not have such a crisis. Second, how to interpret the indicators of it abroad, I am abroad, I have been in the family doctor, my control does not send people to their index patient, were sent to me, I am their family doctor, I will explain to patients what indicators mean? I will be very clear to him, your liver function properly, does not mean you can not cancer. we are now out of a guide them, this is done is difficult, we are now thinking, through what mechanism, part of the crowd from the start, people who care about their health need to have a protection of God, we can provide this protection of God, some people say I have money, I would like to hire health-care doctor, I said, as long as pay this money, we will provide. But is this talking about it, we have the system, there is no mechanism. We open the seminar that the hospital can not do this kind of thing, we can do. can be family health adviser, it can be private, it can be public, so I am afraid to help.
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