[Ortho] Консервативное лечение артрозов?

[Александр Ларионов]

https://www.youtube.com/watch?v=EolOlZxN2Zo

26 п╬п╨я┌я▐п╠я─я▐ 2016 пЁ., 19:27 п©п╬п╩я▄п╥п╬п╡п╟я┌п╣п╩я▄ п░п╩п╣п╨я│п╟п╫п╢я─ п⌡п╟я─п╦п╬п╫п╬п╡ <
alarionov2011 на gmail.com> п╫п╟п©п╦я│п╟п╩:

> п╓п╒п⌡ - я└я┐я└п╩п╬? п·п©п╟, п╟ я┌я┐я┌ я├п╣п╩я▀п╧ п╦п╫я│я┌п╦я┌я┐я┌ п╡ п°п╬я│п╨п╡п╣ п╬я┌п╨я─я▀п╩п╦ п©п╬я│п╩п╣ я─п╣п╪п╬п╫я┌п╟! :)
> п■п╟ п╦ п≈п╟п©п╟п╢ п╫п╣ п╢я─п╣п╪п╩п╣я┌. HILT- therapy п╬я┌ я┌я┐п╢п╟ п╨ п╫п╟п╪ п©я─п╦я┬п╩п╟! :)
> https://meden.com.pl/upload/hilt-0c6c0199b05f9f33d-09263005032010.pdf
>
> п░п░п⌡
>
> 26 п╬п╨я┌я▐п╠я─я▐ 2016 пЁ., 16:17 п©п╬п╩я▄п╥п╬п╡п╟я┌п╣п╩я▄ п╕п╬п╧ п÷п╟п╡п╣п╩ п▓п╦п╨я┌п╬я─п╬п╡п╦я┤ <
> orthoforum на weborto.net> п╫п╟п©п╦я│п╟п╩:
>
> The summary of recommendations is not intended to stand alone. Medical
>> care should
>> always be based on a physicianБ─≥s expert judgment and the patientБ─≥s
>> circumstances,
>> values, preferences and rights. For treatment procedures to provide
>> benefit, mutual
>> collaboration with shared decision-making between patient and
>> physician/allied
>> healthcare provider is essential - п╡п╬!
>> п╜я┌п╬ я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦п╦ п©п╬ я│п╦п╪п©я┌п╬п╪п╟я┌п╦я┤п╣я│п╨п╬п╪я┐ п╩п╣я┤п╣п╫п╦я▌ п╬я│я┌п╣п╬п╟я─я┌я─п╦я┌п╟ (п╠п╬п╩я▄, п╬я┌п╣п╨,
>> п©п╬п╨я─п╟я│п╫п╣п╫п╦п╣, пЁп╦п©п╣я─я┌п╣я─п╪п╦я▐), п╫п╦ я│п╩п╬п╡п╟ п╬ п©п╟я┌п╬пЁп╣п╫п╣я┌п╦я┤п╣я│п╨п╬п╪.
>> 1 я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (я│п╦п╩я▄п╫п╟я▐): п⌡п╓п , п╬п╠я─п╟п╥ п╤п╦п╥п╫п╦ п╦ я┌.п╢. - я│п╬пЁп╩п╟я│п╣п╫.
>> 2 я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (я┐п╪п╣я─п╣п╫п╫п╟я▐): я│п╫п╦п╤п╣п╫п╦п╣ п╡п╣я│п╟ - я│п╬пЁп╩п╟я│п╣п╫
>> 3п░ я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (я│п╦п╩я▄п╫п╟я▐): п╫п╣ п╦я│п©п╬п╩я▄п╥п╬п╡п╟я┌я▄ п≤п═п╒ - я│п╬пЁп╩п╟я│п╣п╫, я│п╪я▀я│п╩п╟ п╫п╣я┌
>> п╬я│п╬п╠п╬.
>> 3п▒ я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐): п╓п╒п⌡ п╫п╦ п╥п╟, п╫п╦ п©я─п╬я┌п╦п╡ - п╥п╟п╨п╩я▌я┤п╣п╫п╦п╣ п©п╬
>> п╦я│я│п╩п╣п╢п╬п╡п╟п╫п╦я▐п╪ я┌п╨п╟п╫п╣п╡п╬п╧ я█п╩п╣п╨я┌я─п╬я│я┌п╦п╪я┐п╩я▐я├п╦п╦ (п╫п╣п©п╩п╬я┘п╦п╣ я─п╣п╥я┐п╩я▄я┌п╟я┌я▀),
>> п╨п╬я─п╬я┌п╨п╬п╡п╬п╩п╫п╬п╡п╬п╧ п╢п╦п╟я┌п╣я─п╪п╦п╦, п╦п╪п©я┐п╩я▄я│п╫п╬п╧(п©п╣я─п╣п╪п╣п╫п╫п╟я▐) я█п╩п╣п╨я┌я─п╬я┌п╣я─п╟п©п╦п╦ п╦
>> п╪п╟пЁп╫п╦я┌п╬я┌п╣я─п╟п©п╦п╦, п©п╣я─п╦п╬я│я┌п╟п╩я▄п╫п╬п╧ я│я┌п╦п╪я┐п╩я▐я├п╦п╦ п╦ п▓п║п∙. п╓я┐я└п╩п╬я┌п╣я─п╟п©п╦я▐)))))))) -
>> я┌п╣я─п╪п╦п╫ я│я┐п©п╣я─!)))))) п║п©п╟я│п╦п╠п╬ п╢п╬п╨я┌п╬я─я┐ п║п╣я─п╣п╢п╣!)))))п²п╟ п╢п╫я▐я┘ я│п╨п╟п╥п╟п╩ я█я┌п╬
>> п╫п╟я┬п╣п╪я┐ я└п╦п╥п╦п╬я┌п╣я─п╟п©п╣п╡я┌я┐, я┌п╟п╨ п╬п╫п╟ п╠п╣п╢п╫п╟я▐ я┤я┐я┌я▄ п╫п╣ п©п╬п©п╣я─я┘п╫я┐п╩п╟я│я▄ п╥п╟
>> п╬п╠п╣п╢п╬п╪)))))))п÷п╬я┌я─п╣п╠п╬п╡п╟п╩ п╬я┌ п╫п╣п╣ я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫я▀я┘ п╢п╬п╨п╟п╥п╟я┌п╣п╩я▄я│я┌п╡ п©п╬
>> я█я└я└п╣п╨я┌п╦п╡п╫п╬я│я┌п╦ п╓п╒п⌡ п©я─п╦ п╬я│я┌п╣п╬п╟я─я┌я─п╬п╥п╟я┘ п╦ я┐п╡п╦п╢п╣п╩ п╫п╣я─п╡п╫п╬п╣ п╫п╟п©я─я▐п╤п╣п╫п╦п╣ п╦
>> п©п╬п╢п╣я─пЁп╦п╡п╟п╫п╦п╣)))) п╢п╬я│я┌п╟п╩ я┤п╣п╩п╬п╡п╣п╨п╟, п╡п╦п╢п╦п╪п╬ я│п╨п╬я─п╬ п╪п╣п╫я▐ я┐п╡п╬п╩я▐я┌)))))
>> 3п║ я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐): п╪п╟п╫я┐п╟п╩я▄п╫п╟я▐ я┌п╣я─п╟п©п╦я▐ - п╫п╦ п╥п╟, п╫п╦ п©я─п╬я┌п╦п╡
>> (п╡ п╬я│я┌я─я▀п╧ п©п╣я─п╦п╬п╢ я▐ я┐п╤ я┌п╬я┤п╫п╬ п©я─п╬я┌п╦п╡).
>> 4 я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐): п╡п╟п╩я▄пЁп╦п╥п╦я─я┐я▌я┴п╦п╣ п╠я─п╣п╧я│я▀ п╫п╦ п╥п╟, п╫п╦
>> п©я─п╬я┌п╦п╡(п©я─п╦ п╫п╟пЁя─я┐п╥п╨п╟я┘, п╫п╟ п╪п╬п╧ п╡п╥пЁп╩я▐п╢, п╫п╣п©п╩п╬я┘п╦)
>> 5 я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐(я┐п╪п╣я─п╣п╫п╫п╟я▐): п╫п╣ я─п╣п╨п╬п╪п╣п╫п╢я┐я▌я┌ п╬я─я┌п╬п©п╣п╢п╦я┤п╣я│п╨п╦п╣ я│я┌п╣п╩я▄п╨п╦ я│
>> п╡п╟я─п╦п╥п╦я─я┐я▌я┴п╦п╪п╦ п╨п╬я│п╨п╟п╪п╦ п©п╬п╢ п©я▐я┌п╨п╦ п©я─п╦ п╪п╣п╢п╦п╟п╩я▄п╫п╬п╪ п╬я│я┌п╣п╬п╟я─я┌я─п╬п╥п╣, п╫п╬ п╫п╣
>> п©я─п╬я│я┌п╬ я│я┌п╣п╩я▄п╨п╦ я│ я│я┐п©п╦п╫п╟я┌п╬я─п╟п╪п╦ я─п╣я│я│п╬я─п╫п╬пЁп╬ я┌п╦п©п╟. п·я│п╫п╬п╡п╟п╫п╬ п╫п╟ 5
>> п╦я│я│п╩п╣п╢п╬п╡п╟п╫п╦я▐я┘ я│п╬-я│я─п╣п╢п╫п╣п╧ п╢п╬п╨п╟п╥п╟я┌п╣п╩я▄п╫п╬я│я┌я▄я▌.
>> 6. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (я│п╦п╩я▄п╫п╟я▐): п╨п╟я┌п╣пЁп╬я─п╦я┤п╣я│п╨п╦ п╫п╣ я─п╣п╨п╬п╪п╣п╫п╢я┐п╣я┌я│я▐ п©я─п╦п╪п╣п╫я▐я┌я▄
>> пЁп╩я▌п╨п╬п╥п╟п╪п╦п╫ п╦ я┘п╬п╫п╢я─п╬п╦я┌п╦п╫. п²п╟ п╬я│п╫п╬п╡п╟п╫п╦п╦ п╬я┌я│я┐я┌я│я┌п╡п╦я▐ я─п╟п╥п╫п╦я├я▀ п╪п╣п╤п╢я┐ п╫п╦п╪п╦ п╦
>> п©п╩п╟я├п╣п╠п╬. п■п╩я▐ я│п╦п╪п©я┌п╬п╪п╟я┌п╦я┤п╣я│п╨п╬п╧ я┌п╣я─п╟п©п╦п╦ п╨п╬п╫п╣я┤п╫п╬, п╟
>> я│я┌я─я┐п╨я┌я┐я─п╫п╬-п╪п╬п╢п╦я└п╦я├п╦я─я┐я▌я┴п╣п╣ п╢п╣п╧я│я┌п╡п╦п╣ п╫п╣ п╢п╬п╨п╟п╥п╟п╫п╬, п╫п╬ п╦ п╫п╣ п╬п©я─п╬п╡п╣я─пЁп╫я┐я┌п╬.
>> п∙я│п╩п╦ я─п╟п╠п╬я┌п╟п╣я┌ п╨п╟п╨ п©п╩п╟я├п╣п╠п╬ п╢п╩я▐ п©п╟я├п╦п╣п╫я┌п╟, я┤я┌п╬ п╤, п©я┐я│я┌я▄ я─п╟п╠п╬я┌п╟п╣я┌, п╡ п©п╣я─п╦п╬п╢
>> я─п╣п╪п╦я│я│п╦п╦.
>> 7п░. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (я│п╦п╩я▄п╫п╟я▐): п╬п╠я▐п╥п╟я┌п╣п╩я▄п╫п╬п╣ п╫п╟п╥п╫п╟я┤п╣п╫п╦п╣ п²п÷п▓п║ п╦п╩п╦ я┌я─п╟п╪п╟п╢п╬п╩п╟ -
>> п╨п╬п╫п╣я┤п╫п╬ п╡ я│п╦п╪п©я┌п╬п╪п╟я┌п╦я┤п╣я│п╨п╬п╪ п╩п╣я┤п╣п╫п╦п╦ п╬п╫п╦ пЁп╩п╟п╡п╫я▀п╣, я│ я┌я─п╟п╪п╟п╢п╬п╩п╬п╪ п©я─п╟п╡п╢п╟ я┐
>> п╫п╟я│ п╠п╣п╢п╟, п╡я▀ я┤п╟я│я┌п╬ п╡я▀п©п╦я│я▀п╡п╟п╣я┌п╣ я─п╣я├п╣п©я┌я▀ п╫п╟ п╫п╟я─п╨п╬я┌п╦я┤п╣я│п╨п╦п╣ п╟п╫п╟п╩я▄пЁп╣я┌п╦п╨п╦?
>> п⌠п╬я│п╫п╟я─п╨п╬п╨п╬п╫я┌я─п╬п╩я▄ п╫п╣ п©я─п╬п╡п╣я─я▐п╣я┌ п╬п╠п╬я│п╫п╬п╡п╟п╫п╫п╬я│я┌я▄ п╦я┘ п╫п╟п╥п╫п╟я┤п╣п╫п╦п╧? п≤ п╨п╟п╨ п╢п╬п╩пЁп╬
>> п╡я▀ я│п╪п╬п╤п╣я┌п╣ п©я─п╬я┌я▐п╫я┐я┌я▄ п╫п╣п╦п╪я┐я┴п╣пЁп╬ п©п╟я├п╦п╣п╫я┌п╟ я│ п╬я│я┌п╣п╬п╟я─я┌я─п╦я┌п╬п╪ п╦ п╠п╬п╩п╣п╡я▀п╪
>> я│п╦п╫п╢я─п╬п╪п╬п╪ п╫п╟ п²п÷п▓п║ п╦ я┌я─п╟п╪п╟п╩п╣ п╢п╬ я┌п╬пЁп╬ п╪п╬п╪п╣п╫я┌п╟, п╨п╬пЁп╢п╟ п©п╬п╢п╬п╧п╢п╣я┌ п╣пЁп╬ п╬я┤п╣я─п╣п╢я▄
>> п╫п╟ я█п╫п╢п╬п©я─п╬я┌п╣п╥п╦я─п╬п╡п╟п╫п╦п╣? п▓п╬п©я─п╬я│я▀ п╡п╣п╢я▄ п╫п╟я│я┐я┴п╫я▀п╣ п╦ я─п╣п╟п╩я▄п╫я▀п╣.
>> 7п▓. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐): п╟я├п╣я┌п╟п╪п╦п╫п╬я└п╣п╫ (п©п╟я─п╟я├п╣я┌п╟п╪п╬п╩) п╫п╦ п╥п╟, п╫п╦
>> п©я─п╬я┌п╦п╡ - п╫я┐ я┤я┌п╬ п╤, п╦п╫п╬пЁп╢п╟ п╪п╬п╤п╣я┌ п©п╬п╪п╬я┤я▄.
>> 8. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐) (я│я┌я─п╟п╫п╫п╬): п╡п╫я┐я┌я─п╦я│я┐я│я┌п╟п╡п╫п╬п╣ п╡п╡п╣п╢п╣п╫п╦п╣ п⌠п п║
>> я│ я│п╬п╪п╫п╦я┌п╣п╩я▄п╫п╬п╧ я█я└я└п╣п╨я┌п╦п╡п╫п╬я│я┌я▄я▌? (я│я┌я─п╟п╫п╫п╬ - п╡п╬п╥п╫п╦п╨п╟я▌я┌ я│п╬п╪п╫п╣п╫п╦я▐ п╡
>> п╦я│я│п╩п╣п╢п╬п╡п╟п╫п╦я▐я┘)
>> 9. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (я│п╦п╩я▄п╫п╟я▐): п╨п╟я┌п╣пЁп╬я─п╦я┤п╣я│п╨п╦ п╫п╣ я─п╣п╨п╬п╪п╣п╫п╢я┐я▌я┌ п╡п╡п╬п╢п╦я┌я▄
>> п╡/я│я┐я│я┌п╟п╡п╫п╬ пЁп╦п╟п╩я┐я─п╬п╫п╬п╡я┐я▌ п╨п╦я│п╩п╬я┌я┐ (п╬я│п╫п╬п╡п╟п╫п╬ п╫п╟ п╟п╫п╟п╩п╦п╥п╣ я█я└я└п╣п╨я┌п╦п╡п╫п╬я│я┌п╦
>> п╫п╦п╥п╨п╬п╪п╬п╩п╣п╨я┐п╩я▐я─п╫я▀я┘ пЁп╦п╟п╩я┐я─п╬п╫п╬п╡я▀я┘ п╨п╦я│п╩п╬я┌ п╦ п╡ я│я─п╟п╡п╫п╣п╫п╦п╦ я│ п⌠п п║, п╨п╟п╨п╦п╣-я┌п╬
>> я─п╟п╠п╬я┌я▀ п╠я▀п╩п╦ п╬я┌я│я┌я─п╟п╫п╣п╫я▀ п©п╬ п©я─п╦я┤п╦п╫п╣ п╢п╣я└п╣п╨я┌п╬п╡ п╦ п©я─п╦п╥п╫п╟п╨п╬п╡ п©я─п╣п╢п╡п╥я▐я┌п╬я│я┌п╦)-
>> п╪п╬п╫п╬я┌п╣я─п╟п©п╦я▐ пЁп╦п╟п╩я┐я─п╬п╫п╬п╡п╬п╧ п╨п╦я│п╩п╬я┌п╬п╧ п╪п╬п╤п╣я┌ п╦ п╫п╣ п╢п╟п╣я┌ я█я└я└п╣п╨я┌п╟ п╥п╫п╟я┤п╦п╪п╬пЁп╬ п©п╬
>> я┬п╨п╟п╩п╣ WOMAC, п╫п╬ п╡ п╨п╬п╪п©п╩п╣п╨я│п╫п╬п╪ п╩п╣я┤п╣п╫п╦п╦ - п╬п©я─п╣п╢п╣п╩п╣п╫п╫п╬ п╦пЁя─п╟п╣я┌ п©п╬п╩п╬п╤п╦я┌п╣п╩я▄п╫я┐я▌
>> я─п╬п╩я▄.
>> 10. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐): я┌я─п╬п╪п╠п╬я├п╦я┌п╟я─п╫п╟я▐ п╟я┐я┌п╬п©п╩п╟п╥п╪п╟
>> п╫п╣п╢п╬я│я┌п╟я┌п╬я┤п╫п╬ п╦п╥я┐я┤п╣п╫п╫я▀п╧ п╪п╣я┌п╬п╢ п╩п╣я┤п╣п╫п╦я▐ п©п╬-п╪п╫п╣п╫п╦я▌ п╟п╡я┌п╬я─п╬п╡, я┌п╟п╨ п╫п╟п╢п╬ п╦п╥я┐я┤п╟я┌я▄
>> п╦ п╦я│я│п╩п╣п╢п╬п╡п╟я┌я▄, п©я─п╦п╪п╣п╫я▐я▌ п╣п╣ я│ 2013 пЁп╬п╢п╟, п╟п╫п╟п╩п╦п╥ я█я└я└п╣п╨я┌п╦п╡п╫п╬я│я┌п╦ п╫п╣
>> п©я─п╬п╡п╬п╢п╦п╩, я┌.п╨. п©я─п╦п╪п╣п╫я▐п╩ п╡ п©п╣я─п╦п╬п╢ я─п╣п╪п╦я│я│п╦п╦ п╦ п©я─п╦ 1-2 я│я┌п╟п╢п╦п╦ п╬я│я┌п╣п╬п╟я─я┌я─п╬п╥п╟
>> п╫п╣ п╨п╟п╨ п╪п╬п╫п╬я┌п╣я─п╟п©п╦я▌.
>> 11. я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐ (п╫п╣я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╟я▐): п╬я│п╫п╬п╡п╟п╫п╫п╟я▐ п╫п╟ 2-я┘ п╦я│я│п╩п╣п╢п╬п╡п╟п╫п╦я▐я┘
>> п©п╬п╥п╦я├п╦я▐, я┤я┌п╬ п©я─п╦ п╡я▀я─п╟п╤п╣п╫п╫я▀я┘ я│п╦п╫п╬п╡п╦я┌п╟я┘, я┐п╢п╟п╩я▐я┌я▄ п╤п╦п╢п╨п╬я│я┌я▄ п╫п╣ п╫п╟п╢п╬.
>> п²п╣п╬п╢п╫п╬п╥п╫п╟я┤п╫п╬. п║п╦п╫п╬п╡п╦я┌я▀ я┤п╟я│я┌п╬ п╫п╣ п╨я┐п©п╦я─я┐я▌я┌я│я▐ я┌п╬п╩я▄п╨п╬ п╦п╪п╪п╬п╠п╦п╩п╦п╥п╟я├п╦п╣п╧ п╦ п²п÷п▓п║.
>> п÷я┐п╫п╨я├п╦я▐ п╦ п╡п╡п╣п╢п╣п╫п╦п╣ п⌠п п║ п╫п╟ я└п╬п╫п╣ я└я┐я└п╩п╬я┌п╣я─п╟п©п╦п╦))) п╢п╟п╣я┌ я┘п╬я─п╬я┬п╦п╧ я█я└я└п╣п╨я┌ (п╫п╣
>> п╠п╬п╩п╣п╣ 2-3-я┘ я─п╟п╥ п╦ п©я─п╦ п╬я┌я│я┐я┌я│я┌п╡п╦п╦ п©я─п╬я┌п╦п╡п╬п©п╬п╨п╟п╥п╟п╫п╦п╧)
>>
>> п≤п╒п·п⌠п·: п©п╬ п╟п╪п╣я─п╦п╨п╟п╫я│п╨п╦ п╟я─я┌я─п╬п╥ п╩п╣я┤п╦п╪ п⌡п╓п , я│п╫п╦п╤п╣п╫п╦п╣п╪ п╡п╣я│п╟, п²п÷п▓п║, я┌я─п╟п╪п╟п╩п╬п╪ -
>> я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫п╬ п╦ п╢п╬я│я┌п╬п╡п╣я─п╫п╬.
>> п·я┌п╢п╟п╩п╣п╫п╫я▀п╧ п╥п╟п©п╟я┘ п╠п╬я│я│п╬п╡ п╨п╬я─п©п╬я─п╟я├п╦п╧ п╠я─п╣п╫п╢п╬п╡ п≈п╦п╪п╪п╣я─-п°я▌п╩п╣я─, п■п╣п÷я▌п╦, п▒п╦п╬п╪п╣я┌,
>> п■п╤п╬п╫я│п╬п╫ п╦ п■п╤п╬п╫я│п╬п╫ п©п╬п©п╟я┘п╦п╡п╟п╣я┌ п╡ я█я┌п╦я┘ я─п╣п╨п╬п╪п╣п╫п╢п╟я├п╦я▐я┘)))))))
>> п╕п╬п╧ п÷п╟п╡п╣п╩ п▓п╦п╨я┌п╬я─п╬п╡п╦я┤
>>
>>
>>
>>
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