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Une escarre est une necrose (mort) localisee de la peau, ou un dommage de la peau et des tissus sous-jacents qui resulte d'une pression prolongee sur la peau. Les personnes les plus a risque d'escarres sont celles qui ont une condition medicale limitant leur capacite a changer de position dans un lit par exemple, celles qui utilisent un fauteuil roulant ou encore les personnes qui sont confinees dans un lit pendant une periode prolongee. On designe egalement les escarres sous le nom de plaies de decubitus ou ulceres de decubitus.
Pour certaines personnes, les escarres se developpent seulement au bout de quelques heures de pression constante, et varient d'une legere rougeur a des crateres profonds, qui atteignent le muscle et l'os. La plupart des plaies de decubitus concernent les personnes alitees dans des hopitaux et dans des etablissements de soins de longue duree. L'escarre survient a la suite soit d'une blessure soit d’une brulure, d'un traumatisme ou spontanement aux points d'appui, lorsque des causes locales s'ajoutent a une alteration de l'etat general.
Les escarres de decubitus surviennent quand un malade reste allonge sans pouvoir bouger spontanement.
Les plaies de decubitus resultent parfois egalement de la friction de votre peau contre une autre surface ou du glissement de 2 couches de peau l'une contre l'autre, dans des directions opposees, et qu'elles abiment les chairs qui se trouvent en dessous.
Une humidite excessive qui ramollit votre peau et qui reduit sa resistance peut egalement etre a l'origine de plaies de decubitus. Lorsque la peau et les tissus sous-jacents sont pris au piege entre l'os et une surface, comme un fauteuil-roulant ou un lit, la pression peut etre superieure a la pression du sang qui coule dans les petits vaisseaux (capillaires) qui fournissent de l'oxygene et d'autres nutriments aux tissus.
Un cisaillement se produit lorsque deux surfaces se deplacent dans des directions opposees. L'age : La peau des personnes agees est generalement plus fragile, plus mince, moins elastique et plus seche que la peau des adultes plus jeunes, la rend plus vulnerable. La perte de poids : La perte de poids est frequente au cours des maladies prolongees, comme l'atrophie musculaire est frequente chez les personnes souffrant de paralysie. Une mauvaise nutrition - une mauvaise hydratation : Une quantite adequate d'eau, de calories, de proteines, de vitamines et de mineraux dans l'alimentation quotidienne est importante pour maintenir une peau saine et prevenir la degradation de la peau et des tissus. Incontinence urinaire ou fecale : Des problemes de vessie peuvent augmenter considerablement le risque d'escarres, la peau pouvant etre potentiellement souvent humide. L'exces d'humidite ou de secheresse cutanee : Qui est moite de sueur ou trop sec est plus susceptible d'etre blesse en general et augmente la friction entre la peau et les vetements ou la literie. Les conditions medicales affectant la circulation : Certaines maladies ou problemes de sante comme le diabete ou les maladies vasculaires, affectent la circulation du sang dans le corps. Etre Fumeur : Fumer perturbe fortement la circulation sanguine et reduit la quantite d'oxygene dans le sang. Des spasmes musculaires : Les personnes qui ont des spasmes musculaires ou d'autres mouvements musculaires involontaires, peuvent avoir un risque accru de developper des escarres de frottement ou de cisaillement. Une plaie de decubitus commence en principe par une tache rougeatre et sensible de la peau et se developpe ensuite en une plaie ou un ulcere qui peut penetrer profondement dans le muscle, voire jusqu'a l'os.
Tout commence par une rougeur, qui devient peu a peu plus marquee, puis qui fonce, pour devenir noire.
Les escarres sont tres sensibles a l'infection et mettent beaucoup de temps pour cicatriser. La cellulite : Cette infection aigue du tissu conjonctif de la peau provoque des douleurs, des rougeurs et des enflures, qui peuvent etre graves.
Infections osseuses et articulaires : Certaines infections peuvent se developper lorsqu'une escarre profonde atteint les articulations et les os. Les pansements hydrocolloides apportent simplicite d'emploi et efficacite (pansements Comfeel, etc.). Le traitement chirurgical est parfois necessaire, mais il ne peut etre entrepris que chez un patient a l'etat general relativement conserve, et avec une peau suffisamment elastique et tonique pour donner un espoir de cicatrisation.
Mobilisation reguliere avec changements frequents de position, utilisation de matelas alternants (matelas mobiles qui permettent de modifier regulierement les points d'appui). Afin de prevenir correctement le developpement des escarres, il est donc important de developper une strategie appropriee selon les maux dont on souffre.
Ainsi, on peut mettre en exergue le fait que les changements de position sont le point le plus important a prendre en compte dans le fait de vouloir eviter l'apparition d'escarres.
La meilleure facon de prevenir les escarres est de bouger le plus possible, d'eviter la pression constante sur votre corps et de redistribuer le poids de votre corps, ainsi que de stimuler la circulation du sang dans les tissus. Votre lit ne doit pas se trouver a plus de 30 degres d'elevation (excepte lorsque vous mangez) afin de reduire les forces de cisaillement. Un coussin en forme de boite a ?ufs alveolee peut constituer une solution bon marche et legere qui satisfera certains malades.
Bien que la peau de mouton ne soit pas suffisamment epaisse ou dense pour reduire la pression, certaines personnes peuvent la trouver utile si leur peau est predisposee a la decomposition en cas de frottement.
Faites preuve de prudence avec les dessous d'incontinence absorbants, les sondes de vessie a demeure ou les drainages urinaires par condom collecteur.
Aim for lots of green vegetables, and include protein in every meal since it keeps us fuller longer. Getting adequate vitamins and minerals will also help your body burn calories more efficiently, regulate appetite, lower inflammation, boost detoxification, aid digestion, regulate stress hormones, and make your cells more insulin sensitive.
In fact, chronically elevated levels of the stress hormone cortisol can lead to increased blood sugar, cholesterol, depression and dementia. Stress impacts you more than you might realize, but a few powerful strategies can help you reduce it.
This article excerpt is republished with full permission from our friends at MindBodyGreen. Author: Mark Hyman, MD, believes that we all deserve a life of vitality—and that we have the potential to create it for ourselves.
Over the past year, my friend Dave at PaleoHacks has been working on a secret cookbook with world-renowned Le Cordon Bleu chef Peter Servold.
That's right as a special launch promotion, we're offering our brand new Paleo fat loss cookbook to you for free (Chef Pete lost 60 lbs using these recipes!) All you have to do is just cover a small shipping cost (international shipping is a bit more). This site is designed for educational purposes only and is not engaged in rendering medical advice, legal advice or professional services. Morgellons Disease Awareness - Morgellons Disease: Tips for healing lesions, oral care and environment   Information for dealing with Morgellons lesions using topical aids as well as FAR infrared technology. Les escarres se developpent le plus souvent sur la peau qui recouvre les zones osseuses du corps, comme les talons, les chevilles, les hanchesou encore les fesses. Plusieurs strategies de soins peuvent aider a prevenir certaines escarres et favoriser leur guerison. Elles apparaissent lorsqu'une saillie osseuse ecrase votre peau et votre chair contre une surface exterieure, en general aux points d'appui de votre corps, ou les os sont pres de la peau. Les points d'appui les plus fragiles sont la region fessiere, les talons chez un patient couche sur le dos. C'est ce qui risque de se produire si vous passez du lit a une chaise longue ou si vous glissez dans une chaise.
C'est ce qui risque de se produire en cas de transpiration excessive et d'incontinence urinaire et fecale. Prives de ces nutriments essentiels, les cellules de la peau sont endommagees et finissent par mourir. Quand une personne change de position ou est manipulee par des infirmiers, la friction peut se produire lorsque la peau est "trainee" sur une surface. Par exemple, quand un lit d'hopital est eleve a la tete, une personne tend a glisser dans son lit. Par ailleurs, les bacteries provenant de matieres fecales peuvent causer de graves infections locales et conduire a des infections potentiellement mortelles. Ainsi, certaines parties du corps ne recoivent pas toujours l'afflux sanguin necessaire et le risque de developper des escarres augmente. Par consequent, les fumeurs ont tendance a developper des blessures plus graves et ces blessures guerissent plus lentement.
Si elle n'est pas traitee, une plaie de decubitus peut degenerer en cellulite ou en infection chronique. Puis la disparition de la peau necrosee fait place a un ulcere laissant les tissus sous-jacents a decouvert : muscles, tendons, parfois jusqu'a l'os.
En fonction de la gravite, une serie de methodes peut etre envisagee pour favoriser la cicatrisation. Le lever precoce apres une operation, ou tout au moins la mise dans un fauteuil, est un facteur essentiel de prevention. Ces changements de position doivent etre frequents afin de reduire au maximum le risque de pression sur les zones vulnerables.
Si vous ne pouvez pas bouger, quelqu'un doit vous aider a changer de position, toutes les 2 heures au moins ou toutes les 15 minutes si vous etes dans une chaise. Pour cette meme raison, un drap de tirage peut etre utilise pour vous aider a vous repositionner dans le lit. Ce coussin en mousse de haute densite, solide, d'une epaisseur de 5 cm a 10 cm, est moins susceptible de compression par le poids de votre corps et peut vous aider a redistribuer ce dernier plus efficacement. Par exemple, une peau de mouton au pied de votre lit peut reduire le frottement contre vos talons si vous souffrez d'une affection vasculaire.


En outre, des oreillers specialement concus selon votre anatomie peuvent s'averer utiles pour distribuer votre poids de maniere plus equilibree et empecher la pression de se concentrer sur un point particulier. Gardez-la seche et propre afin de prevenir toute infection et l'apparition de blessures eventuelles. Bien que ces derniers soient tres utiles, il ne s'agit pas de substituer ces dispositifs aux efforts destines a retrouver la continence de la vessie ou de l'intestin par le biais de programmes specifiques. Eventually your cells become insulin resistant, and your body starts to hold on to that spare tire for dear life. And high cortisol levels also contribute to the stubborn belly fat in people with insulin resistance or Type 2 diabetes who crave sugar and carbs. In other words, when you haven’t had sufficient sleep, those cookies your coworker brought in become impossible to ignore.
That’s why he is dedicated to tackling the root causes of chronic disease by harnessing the power of Functional Medicine to transform healthcare.
If you feel that you have a medical problem, you should seek the advice of your Physician or health care Practitioner. Les escarres se developpent en general sous la taille si vous etes alite, mais elles peuvent se produire n'importe ou sur votre corps. Des escarres peuvent survenir lorsqu'une personne reste au lit, dans une chaise ou dans un fauteuil roulant pendant une longue periode.
Si vous devez rester assis ou alite pendant une longue periode, la surface de votre siege ou de votre lit exerce une trop forte pression sur les saillies osseuses ou points de pression de votre corps. Comme le coccyx se deplace vers le bas, la peau sur les os peuvent rester en place (essentiellement en tirant dans la direction opposee). Cette situation peut alors aboutir a ne pas etre ressentir les debuts d'une escarre ou la necessite de changer de position.
Les sujets ages contraints a un alitement prolonge sont particulierement exposes (peau plus fragile et plus fine). Il peut s'agir de pansements synthetiques, salins, de compresses d'acide acetique et de divers pansements antibiotiques (les escarres sont particulierement susceptibles de surinfection).
Des oreillers ou des coussins de mousse peuvent vous aider a faire basculer le poids de votre corps si vous ne pouvez pas bouger. Malheureusement, ces coussins n'apportent qu'un soulagement mineur et peuvent generer une retention de la chaleur corporelle et augmenter ainsi la transpiration.
He is a practicing family physician, a nine-time #1 New York Times bestselling author, and an internationally recognized leader, speaker, educator, and advocate in his field.
All information in the lesions section comes from individuals that have dealt with extreme skin problems and have found ways of managing them using non-pharma products.
Les sites d'escarres les plus communs sont les hanches, les omoplates, les coudes, la base de la colonne vertebrale, les genoux, les chevilles, les talons et meme dans l'espace entre les doigts et les orteils. Les points de pression du corps souvent mis en cause sont le coccyx (le sacrum), et les parties de l'os de la hanche, ainsi que la cheville et le talon. Les frottements entre la peau et une autre surface peut ainsi rendre la peau plus fragile et encore davantage vulnerable aux blessures et donc favoriserl'apparition d'escarres.
Pour les blessures plus graves, une intervention chirurgicale peut s'imposer pour eliminer les zones de peau morte. Une gamme d'exercices de deplacement peut vous aider a prevenir les contractures, ameliorer la circulation et maintenir l'integrite de vos articulations, de votre mobilite et de votre masse musculaire. Certains distributeurs d'appareils medicaux fournissent des lits qui soulevent les couvertures de maniere a creer une structure semblable a une tente.
Les sites d'escarre moins courants sont les coudes, la colonne vertebrale, les cotes et l'arriere de la tete. La mesure la plus importante du traitement et de la prevention des escarres est le changement de position pour reduire la pression. He is also the founder and medical director of The UltraWellness Center, chairman of the board of the Institute for Functional Medicine, a medical editor of The Huffington Post, and has been a regular medical contributor on many television shows including CBS This Morning, the Today Show, CNN, The View, the Katie Couric show and The Dr.
Il faut appliquer, ensuite, une fine couche de lotion hydratante, la masser doucement autour de la zone affectee ou la saillie osseuse, plutot que dessus. Un massage trop vigoureux risque d'augmenter les dommages de la peau et creer des forces de cisaillement. Des agents plus lourds, tels que les pommades a base d'oxyde de zinc ou d'aluminium, ne sont pas recommandes; bien que douees de proprietes protectrices, elles sont difficiles a enlever.
The mix will not stop new itch spots or bumps and lumps, but it will get RID of existing ones without leaving a trace. Without proper flora the body is open to many different type of skin infections since the flora is our immune defense against invaders.
You can also open capsules of probiotics and not just one since you are covering a large area Beware that in the morning the liquid will have absorbed into your skin or evaporated leaving lots of crumbs and it's messy. I also learned and am not surprised that scientists are discovering that humans are missing certain key bacteria from the skin that the human body requires.
There is also a clinical trial underway to study the skin of children across USA."??Posted Oct. At the store I found Absorbine Jr Cream and although it did burn for about 2-3 minutes after a short amount of time enduring I found it to be soothing and took the itching and pain away. After a few days of applying 2-3 times per day I found that it actually pulled out alot of all the horrible things that were under the massive very deep crusted lesions on my arm (can be seen before and after photo).After some success I began looking at the ingredients and determined all the natural things that it was made from, one of which was camphor (another good one is wormwood and aloe), and began trying other over the counter camphor based items by looking at the percentage of camphor within each product.
The ones I currently have now are all microscopic and can no longer be seen with the naked eye.
However I will say that while the camphor I believe is helping to rid my internal system, it also has a price of the purging and expelling (so it has not been an easy pain free task), but I know I am healing. The camphor bottle has a stopper in the top allowing only one drop at a time, and once I did get too many drops which caused a euphoric sensation through my body.
Again everything in moderation!!I also use a bottle of Vaposteam in hot baths for soaking that has camphor. The oil in the camphor and the aroma baths soften the skin, pull the fibers out, clear the sinuses, and help relax for a good nights sleep as well.
Much to my amazement I actually saw tons of blue fibers pour out of the lesion right before my eyes (I had never seen them come out of my body like that, usually when fiber bundles were present with the naked eye I would wake in the morning to find them there).After several months of taking it internally I had concerns that I may be hurting my blood, kidneys or liver and told my doctor what I was doing and requested referrals for urinalysis and bloodwork. Just as a test I stopped taking it once and within a week the clumps of fibers returned, so I began again which took another week for it to get back in my system to get relief again. I sometimes now take a break for a day or two if I am doing good, but don't go more than 2 days without at least a few drops.Disclaimer I am not advising anyone to use any of the items I choose to use for myself, you and you alone are responsible for your own healing and research, I am merely telling what has worked for me!?Posted Oct. She used this formula on the face and on the eyelids with no problem and claims her eyebrows and eyelashes are growing back. Her before and after photo shows the improvement, but I am not publishing them as it reveals her face.
Her formula contains DMSO which some feel is controversial, so do your own research and decide if it's the right direction for you. This is the only thing that ever worked without destroying my skin.I got onto the idea of DMSO. It is a carrier and contrary to what experts say it is not harmful, you can research it yourself if you haven't already done so. I believe the DMSO carries the other oils deep into the skin and  kills the "what ever they are". You won't be able to get them all out and yes some may die in the skin and cause a breakout, but over time is will subside. It's taken me over a year now as certain section of my face were harder to deal with specifically the chin and cheeks. You don't have to wash your face but rinse it and apply a very thin layer at night before you go to bed. It seems now that I may never be rid of this completely but it is manageable. I was using antibiotics and I'd have to smear it on everyday and still not get rid of this and those antibiotics are not good for you. Most of my pores are tight like they were when I was young. FAR Infrared Using a FAR infrared sauna suit, Donna Staehr was able to clear up lesions that had been present for two years all over her body. With her permission, I'm sharing her "before" and "after" photos as well as her story (in italics). I couldn't breath properly, couldn't even walk to my letterbox without puffing and wheezing.
I'm still not healed, but it's more maintenance now, and these days I'm trying to fix all the damage done to the body—a long road as you know.
If I had to buy a unit right now, I would not purchase this unit again but would go for a suit or blanket that envelopes the entire body as I think these would be much more effective then having a pad. Learn how Infrared Therapy will benefit your healthHow does Far Infrared Therapy really work?The infrared light increases cellular metabolic rates by triggering mitochondria activity. The build up of toxins in a health body could block the normal blood circulation and impair the cellular energy. When FIR waves are applied, the water molecules that encapsulate the toxins get heat up, and start to vibrate. This vibration reduces the ion bonds of the atoms that are holding together the molecules of water.


Scientists in Japan report that in the FIR treatment of clogged capillary vessels, heat expands the capillaries and then initiates the start of a process to dissolve hidden toxins.
Far Infrared thereby promotes elimination of fats, chemicals and toxins from the blood: Poisons, carcinogenic heavy metals - toxic substances from food processing - lactic acid, free fatty acids, and subcutaneous fat associated with aging and fatigue - excess sodium associated with hypertension - and uric acid which causes pain.
Furthermore, if sebaceous glands are activated, accumulated cosmetics in pores can be eliminated through the skin (sweat and oil glands) rather than by the kidneys.3) Far Infrared stimulates enzyme activity and metabolism - One hour under the Hotouse improves metabolism.
Furthermore, it increases growth of cells, DNA syntheses, and protein synthesis all necessary during tissue repair and regeneration. Excellent for healing burns, scar tissue and skin problems.6) Far Infrared relieves nervous tension and relax autoneuro muscles thereby helping the body make the most of its intended healing abilities. I am mentioning this because people with Morgellons know they flair when they sweat and it was like that for me as well but NOT when I sweated from FIR.
It is the furthest red on the spectrum and that spectrum of light is a very healing kind of light for humans and animals too.Incidentally the military has used FIR for ages for detoxification purposes. I always thought it was normal for me to run low, as I can never remember not running low.It doesn't seem to be normal though, because now that it's up, it stays up, I'm feeling good.
None of this is medical advice and all of it is based on only my own VERY un-scientific observations. His experience is that if lesions ooze onto clothing, you can spread the infection via the fabric.
Sometimes I back the square with another square which is "dry" on the back of the first honey soaked dressing square. I treat new lesions immediatly before they get worse. The manuka honey        One unique advantage is manuka honeys ability to rapidly re-granulate the wound after the expulsion process.
It also has the unique ability to stimulate immune cells at the wound site, something that no over-the-counter or Rx product can do. This works well for me because I do not have to endure pain as previously, because manuka honey is an excellect analgesic. Massage it in and they come to the surface before they can grow laterally in the skin layers. When he tells me he finds something that works, I pay particular attention because he has been hitting this disease hard. Tests on the morg bacteria on slides shows that it does kill the bacteria that makes the gels. Had a major breakout of lesions on one side of my face. Sure enough, there are those courageous and marginally insane folks who refuse to succumb to the drill and are healing their own teeth. It was tough, and at times scary but the tooth did heal." I'd like to share my experience with oil pulling using coconut oil.
Three or four times in the three years since getting Morgellons, a sore has popped up on the roof of my mouth near the teeth. In the past, it has taken up to two weeks to fully go away because brushing the teeth rips open the sore which bleeds. The last time I got one of these sores I decided (after two days) to begin coconut pulling. I swished the oil around 20 minutes? in the morning upon awakening and in the evening before bed. Since then, I've continued to do coconut pulling at least once in the morning.? I have to admit, I'm pretty obsessive when it comes to my teeth. Things I have used on my teeth over time. Bentonite clay Rub the gums with it before bed (and leave it in the mouth).
It's fine if you end up swallowing it in your sleep as it's very healthy and helps with detoxification. For those that take Bentonite internally as a detoxifier, note that it should be taken away from supplements.Garlic is a natural antibiotic I have experimented with extensively for fighting infection both internally and externally for years and can attest to it's antibiotic properties.
I've used this method on my teeth before I even had Morgellons with good results. If you feel you've got a serious infection in your tooth, taking garlic internally, might be a secondary support to your system. Make sure there is food in your stomach before ingesting raw garlic as it can burn in the most brutal fashion. Use only a half clove (or less) at a time to make sure your stomach is okay before taking a whole clove. Also, some cultures like the Chinese, believe too much garlic overstimulates the liver, which can cause fitful sleep. If you have a bad abcess in the mouth, and feel the infection has progressed to a serious stage, you will need to determine if antibiotics are the way to go.
I had a really bad infection (pre-Morgellons) that I took antibiotics for and feel that was the best choice at the time. At the time of writing, I believed that I had had some sort of infestation in my apartment. However, if you do have a bug problem in your environment, these tips should get rid of it. I've written more about the need to get confirmation that there really is a problem in your environment on the "Reflections" page. Do not breathe in the fumes if you can help it and don't stay in any room you are treating!
Make a point of using them in sealed areas or bins and open windows or use an exhaust fan to ventilate afterwards. Some people buy the diffusers that have a candle in them.
Menthol usage for dirty laundry (do not use menthol crystals in the washing machine) —Clothes are a big reinfection point.
The whole idea behind using the bin with crystals is that you want to kill anything in the laundry BEFORE you put it in the wash so that you are not exposing yourself to re-infection when you handle it at the washer. You'll get the feel for how much you should use over time. After the clothing has been mentholating for a few hours, you can reach in and turn the laundry ensuring that everything in the bin has been well exposed to the menthol.
When you are ready to turn off the heating element, pull the plug rather than opening the bin. This works well—especially if you have things like down coats.You can do your shoes this way too or any other items you are unsure of! Using menthol crystals on furniture (such as a couch) —Buy a big plastic drop-cloth from a hardware store with as thick a plastic as is available and 'TENT' your couch. I wouldn't make a habit of wearing unwashed mentholated clothing as I believe it is unhealthy to inhale the vapors over a long period. Some people have tried to mentholate rooms. Open dresser draws, closet doors, and try to keep in mind that you want to make sure as much air circulation gets around things as possible. Don't do this if you have fishtanks in the room, and make sure to protect your pets by keeping them out.
Computer Equipment —I disassembled all my equipment including cords and put them into a big bin with mothballs. It did the trick.Mothballs are nasty and toxic, this is a last resort solution and I suggest you do your best to limit exposure especially when it comes to inhaling. Also, note that certain plastic foams will absorb the odor of the mothballs and there is no way to get that smell out. If you have a problem in an isolated area such as a room, I'd put a bin right outside the door with diatomaceous earth? in it, or methol crystals.
I encourage those wanting to interact with others in the Morgellons communtiy to join the forum (or the many other Facebook groups).
Gratitude to Rayelta Nayar? for all her hard work preparing these!Note that I am not publishing the below pdfs as recommendations. I'm not endorsing nor do I follow any of the protocols below, yet, feel the public should have easy access to the information and form their own opinions about them. Reflections Awareness Poster Links Ayla's Art Contact Ayla Morgellons Disease: Tips for healing lesions, oral care and environment   Information for dealing with Morgellons lesions using topical aids as well as FAR infrared technology. It's not a cure, but it WILL rid each and every lesion if the application is consistent. You can also open capsules of probiotics and not just one since you are covering a large area Beware that in the morning the liquid will have absorbed into your skin or evaporated leaving lots of crumbs and it's messy. Her formula contains DMSO which some feel is controversial, so do your own research and decide if it's the right direction for you. It is a carrier and contrary to what experts say it is not harmful, you can research it yourself if you haven't already done so. You won't be able to get them all out and yes some may die in the skin and cause a breakout, but over time is will subside. It's taken me over a year now as certain section of my face were harder to deal with specifically the chin and cheeks.
I was using antibiotics and I'd have to smear it on everyday and still not get rid of this and those antibiotics are not good for you.



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