Serveur d'exploration sur l'automédication dans le monde francophone

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Predictive testing for hereditary non-polyposis colorectal cancer: motivation, illness representations and short-term psychological impact.

Identifieur interne : 001D33 ( Main/Exploration ); précédent : 001D32; suivant : 001D34

Predictive testing for hereditary non-polyposis colorectal cancer: motivation, illness representations and short-term psychological impact.

Auteurs : Erna Claes [Belgique] ; Lieve Denayer ; Gerry Evers-Kiebooms ; Andrea Boogaerts ; Eric Legius

Source :

RBID : pubmed:15530764

Descripteurs français

English descriptors

Abstract

This paper describes the motivation, recall of cancer risks, and illness representations of 40 individuals who had a predictive test for hereditary non-polyposis colorectal cancer (HNPCC) as well as the short-term impact of predictive testing by means of a semi-structured interview and self-report questionnaires. The main motives for predictive testing were early detection of cancer, knowledge of the children's risk and reduction of uncertainty. Overall, recall of cancer risks was good. Measurements of illness representations revealed low perceptions of "threat" of cancer and high confidence in the controllability of the disease. Distress was within normal ranges. Distress decreased significantly from pre- to post-test in non-carriers and did not in carriers. It also decreased in individuals for whom "reducing uncertainty" was a very important motive for the test, not in the others. Although part of the carriers did not have colonoscopies, all carriers intended to have regular colonoscopies in the future.

DOI: 10.1016/j.pec.2003.11.002
PubMed: 15530764


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Predictive testing for hereditary non-polyposis colorectal cancer: motivation, illness representations and short-term psychological impact.</title>
<author>
<name sortKey="Claes, Erna" sort="Claes, Erna" uniqKey="Claes E" first="Erna" last="Claes">Erna Claes</name>
<affiliation wicri:level="1">
<nlm:affiliation>Psychosocial Genetics Unit, Center for Human Genetics, University of Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Psychosocial Genetics Unit, Center for Human Genetics, University of Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Denayer, Lieve" sort="Denayer, Lieve" uniqKey="Denayer L" first="Lieve" last="Denayer">Lieve Denayer</name>
</author>
<author>
<name sortKey="Evers Kiebooms, Gerry" sort="Evers Kiebooms, Gerry" uniqKey="Evers Kiebooms G" first="Gerry" last="Evers-Kiebooms">Gerry Evers-Kiebooms</name>
</author>
<author>
<name sortKey="Boogaerts, Andrea" sort="Boogaerts, Andrea" uniqKey="Boogaerts A" first="Andrea" last="Boogaerts">Andrea Boogaerts</name>
</author>
<author>
<name sortKey="Legius, Eric" sort="Legius, Eric" uniqKey="Legius E" first="Eric" last="Legius">Eric Legius</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PubMed</idno>
<date when="2004">2004</date>
<idno type="RBID">pubmed:15530764</idno>
<idno type="pmid">15530764</idno>
<idno type="doi">10.1016/j.pec.2003.11.002</idno>
<idno type="wicri:Area/Main/Corpus">001D24</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001D24</idno>
<idno type="wicri:Area/Main/Curation">001D24</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001D24</idno>
<idno type="wicri:Area/Main/Exploration">001D24</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en">Predictive testing for hereditary non-polyposis colorectal cancer: motivation, illness representations and short-term psychological impact.</title>
<author>
<name sortKey="Claes, Erna" sort="Claes, Erna" uniqKey="Claes E" first="Erna" last="Claes">Erna Claes</name>
<affiliation wicri:level="1">
<nlm:affiliation>Psychosocial Genetics Unit, Center for Human Genetics, University of Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Psychosocial Genetics Unit, Center for Human Genetics, University of Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Denayer, Lieve" sort="Denayer, Lieve" uniqKey="Denayer L" first="Lieve" last="Denayer">Lieve Denayer</name>
</author>
<author>
<name sortKey="Evers Kiebooms, Gerry" sort="Evers Kiebooms, Gerry" uniqKey="Evers Kiebooms G" first="Gerry" last="Evers-Kiebooms">Gerry Evers-Kiebooms</name>
</author>
<author>
<name sortKey="Boogaerts, Andrea" sort="Boogaerts, Andrea" uniqKey="Boogaerts A" first="Andrea" last="Boogaerts">Andrea Boogaerts</name>
</author>
<author>
<name sortKey="Legius, Eric" sort="Legius, Eric" uniqKey="Legius E" first="Eric" last="Legius">Eric Legius</name>
</author>
</analytic>
<series>
<title level="j">Patient education and counseling</title>
<idno type="ISSN">0738-3991</idno>
<imprint>
<date when="2004" type="published">2004</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adaptation, Psychological (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Avoidance Learning (MeSH)</term>
<term>Colonoscopy (MeSH)</term>
<term>Colorectal Neoplasms, Hereditary Nonpolyposis (diagnosis)</term>
<term>Colorectal Neoplasms, Hereditary Nonpolyposis (genetics)</term>
<term>Female (MeSH)</term>
<term>Genetic Predisposition to Disease (genetics)</term>
<term>Genetic Testing (psychology)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Heterozygote (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Internal-External Control (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Models, Psychological (MeSH)</term>
<term>Motivation (MeSH)</term>
<term>Patient Acceptance of Health Care (psychology)</term>
<term>Patient Education as Topic (standards)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Risk Assessment (MeSH)</term>
<term>Socioeconomic Factors (MeSH)</term>
<term>Stress, Psychological (etiology)</term>
<term>Stress, Psychological (prevention & control)</term>
<term>Stress, Psychological (psychology)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Uncertainty (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acceptation des soins par les patients (psychologie)</term>
<term>Adaptation psychologique (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Apprentissage par évitement (MeSH)</term>
<term>Appréciation des risques (MeSH)</term>
<term>Coloscopie (MeSH)</term>
<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
<term>Contrôle interne-externe (MeSH)</term>
<term>Dépistage génétique (psychologie)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Facteurs socioéconomiques (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hétérozygote (MeSH)</term>
<term>Incertitude (MeSH)</term>
<term>Modèles psychologiques (MeSH)</term>
<term>Motivation (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Prédisposition génétique à une maladie (génétique)</term>
<term>Stress psychologique (prévention et contrôle)</term>
<term>Stress psychologique (psychologie)</term>
<term>Stress psychologique (étiologie)</term>
<term>Tumeurs colorectales héréditaires sans polypose (diagnostic)</term>
<term>Tumeurs colorectales héréditaires sans polypose (génétique)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Éducation du patient comme sujet (normes)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Colorectal Neoplasms, Hereditary Nonpolyposis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Tumeurs colorectales héréditaires sans polypose</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Colorectal Neoplasms, Hereditary Nonpolyposis</term>
<term>Genetic Predisposition to Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Prédisposition génétique à une maladie</term>
<term>Tumeurs colorectales héréditaires sans polypose</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr">
<term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Stress psychologique</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Acceptation des soins par les patients</term>
<term>Dépistage génétique</term>
<term>Stress psychologique</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Genetic Testing</term>
<term>Patient Acceptance of Health Care</term>
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Patient Education as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Stress psychologique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Avoidance Learning</term>
<term>Colonoscopy</term>
<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Internal-External Control</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Psychological</term>
<term>Motivation</term>
<term>Predictive Value of Tests</term>
<term>Risk Assessment</term>
<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
<term>Uncertainty</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Apprentissage par évitement</term>
<term>Appréciation des risques</term>
<term>Coloscopie</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Contrôle interne-externe</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hétérozygote</term>
<term>Incertitude</term>
<term>Modèles psychologiques</term>
<term>Motivation</term>
<term>Mâle</term>
<term>Valeur prédictive des tests</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">This paper describes the motivation, recall of cancer risks, and illness representations of 40 individuals who had a predictive test for hereditary non-polyposis colorectal cancer (HNPCC) as well as the short-term impact of predictive testing by means of a semi-structured interview and self-report questionnaires. The main motives for predictive testing were early detection of cancer, knowledge of the children's risk and reduction of uncertainty. Overall, recall of cancer risks was good. Measurements of illness representations revealed low perceptions of "threat" of cancer and high confidence in the controllability of the disease. Distress was within normal ranges. Distress decreased significantly from pre- to post-test in non-carriers and did not in carriers. It also decreased in individuals for whom "reducing uncertainty" was a very important motive for the test, not in the others. Although part of the carriers did not have colonoscopies, all carriers intended to have regular colonoscopies in the future.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">15530764</PMID>
<DateCompleted>
<Year>2005</Year>
<Month>02</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0738-3991</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>55</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2004</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Patient education and counseling</Title>
<ISOAbbreviation>Patient Educ Couns</ISOAbbreviation>
</Journal>
<ArticleTitle>Predictive testing for hereditary non-polyposis colorectal cancer: motivation, illness representations and short-term psychological impact.</ArticleTitle>
<Pagination>
<MedlinePgn>265-74</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText>This paper describes the motivation, recall of cancer risks, and illness representations of 40 individuals who had a predictive test for hereditary non-polyposis colorectal cancer (HNPCC) as well as the short-term impact of predictive testing by means of a semi-structured interview and self-report questionnaires. The main motives for predictive testing were early detection of cancer, knowledge of the children's risk and reduction of uncertainty. Overall, recall of cancer risks was good. Measurements of illness representations revealed low perceptions of "threat" of cancer and high confidence in the controllability of the disease. Distress was within normal ranges. Distress decreased significantly from pre- to post-test in non-carriers and did not in carriers. It also decreased in individuals for whom "reducing uncertainty" was a very important motive for the test, not in the others. Although part of the carriers did not have colonoscopies, all carriers intended to have regular colonoscopies in the future.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Claes</LastName>
<ForeName>Erna</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Psychosocial Genetics Unit, Center for Human Genetics, University of Leuven, Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Denayer</LastName>
<ForeName>Lieve</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Evers-Kiebooms</LastName>
<ForeName>Gerry</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Boogaerts</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Legius</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo>
<Country>Ireland</Country>
<MedlineTA>Patient Educ Couns</MedlineTA>
<NlmUniqueID>8406280</NlmUniqueID>
<ISSNLinking>0738-3991</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>N</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001362" MajorTopicYN="N">Avoidance Learning</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003113" MajorTopicYN="N">Colonoscopy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003123" MajorTopicYN="Y">Colorectal Neoplasms, Hereditary Nonpolyposis</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D020022" MajorTopicYN="Y">Genetic Predisposition to Disease</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005820" MajorTopicYN="N">Genetic Testing</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006579" MajorTopicYN="N">Heterozygote</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007389" MajorTopicYN="N">Internal-External Control</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008960" MajorTopicYN="N">Models, Psychological</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009042" MajorTopicYN="Y">Motivation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D035501" MajorTopicYN="N">Uncertainty</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2003</Year>
<Month>04</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2003</Year>
<Month>10</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2003</Year>
<Month>11</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2004</Year>
<Month>11</Month>
<Day>9</Day>
<Hour>9</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2005</Year>
<Month>2</Month>
<Day>3</Day>
<Hour>9</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2004</Year>
<Month>11</Month>
<Day>9</Day>
<Hour>9</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">15530764</ArticleId>
<ArticleId IdType="pii">S0738399103003045</ArticleId>
<ArticleId IdType="doi">10.1016/j.pec.2003.11.002</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Belgique</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Boogaerts, Andrea" sort="Boogaerts, Andrea" uniqKey="Boogaerts A" first="Andrea" last="Boogaerts">Andrea Boogaerts</name>
<name sortKey="Denayer, Lieve" sort="Denayer, Lieve" uniqKey="Denayer L" first="Lieve" last="Denayer">Lieve Denayer</name>
<name sortKey="Evers Kiebooms, Gerry" sort="Evers Kiebooms, Gerry" uniqKey="Evers Kiebooms G" first="Gerry" last="Evers-Kiebooms">Gerry Evers-Kiebooms</name>
<name sortKey="Legius, Eric" sort="Legius, Eric" uniqKey="Legius E" first="Eric" last="Legius">Eric Legius</name>
</noCountry>
<country name="Belgique">
<noRegion>
<name sortKey="Claes, Erna" sort="Claes, Erna" uniqKey="Claes E" first="Erna" last="Claes">Erna Claes</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/AutomedicationFrancoV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001D33 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001D33 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    AutomedicationFrancoV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:15530764
   |texte=   Predictive testing for hereditary non-polyposis colorectal cancer: motivation, illness representations and short-term psychological impact.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:15530764" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a AutomedicationFrancoV1 

Wicri

This area was generated with Dilib version V0.6.38.
Data generation: Mon Mar 15 15:24:36 2021. Site generation: Mon Mar 15 15:32:03 2021