Facing the digital divide into a dementia clinic during COVID-19 pandemic: caregiver age matters.
Identifieur interne : 000426 ( Main/Exploration ); précédent : 000425; suivant : 000427Facing the digital divide into a dementia clinic during COVID-19 pandemic: caregiver age matters.
Auteurs : Andrea Arighi [Italie] ; Giorgio Giulio Fumagalli [Italie] ; Tiziana Carandini [Italie] ; Anna Margherita Pietroboni [Italie] ; Milena Alessandra De Riz [Italie] ; Daniela Galimberti [Italie] ; Elio Scarpini [Italie]Source :
- Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [ 1590-3478 ] ; 2021.
Abstract
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has dramatically stressed the health care system and has provoked changes in population use of digital technologies. Digital divide is any uneven distribution in Information and Communications Technologies between people.
AIMS
The purpose of this work was to describe the digital divide of a population of patients with dementia contacted by telemedicine during Italian lockdown for COVID-19 pandemic.
METHOD
One hundred eight patients with cognitive impairment were contacted by video call to perform a telemedicine neurological evaluation. Information on patients and caregivers attending the televisit were recorded.
RESULTS
Seventy-four patients connected with neurologist (successful televisit, 68.5%) and 34 patients were not able to perform televisit and were contacted by phone (failed televisit, 31.5%). No significant differences were observed among the two groups concerning age, gender, and education, but the prevalence of successful televisit was higher in the presence of younger caregivers: televisits performed in the presence of subjects of younger generation (sons and grandsons) had a successful rate higher (86% successful, 14% failed) than the group without younger generation caregiver (49% successful, 51% failed). This difference is mainly due to the ability of technological use among younger people.
DISCUSSION
The most impacting factors on digital divide in our population are the social support networks and the experience with the technology: the presence of a digital native caregiver. The COVID-19 pandemic is unmasking an emerging form of technology-related social inequalities: political and community interventions are needed to support the most socially vulnerable population and prevent social health inequalities.
DOI: 10.1007/s10072-020-05009-w
PubMed: 33459891
PubMed Central: PMC7811944
Affiliations:
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Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy. andrea.arighi@policlinico.mi.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Fumagalli, Giorgio Giulio" sort="Fumagalli, Giorgio Giulio" uniqKey="Fumagalli G" first="Giorgio Giulio" last="Fumagalli">Giorgio Giulio Fumagalli</name><affiliation wicri:level="3"><nlm:affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Carandini, Tiziana" sort="Carandini, Tiziana" uniqKey="Carandini T" first="Tiziana" last="Carandini">Tiziana Carandini</name><affiliation wicri:level="3"><nlm:affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Pietroboni, Anna Margherita" sort="Pietroboni, Anna Margherita" uniqKey="Pietroboni A" first="Anna Margherita" last="Pietroboni">Anna Margherita Pietroboni</name><affiliation wicri:level="3"><nlm:affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="De Riz, Milena Alessandra" sort="De Riz, Milena Alessandra" uniqKey="De Riz M" first="Milena Alessandra" last="De Riz">Milena Alessandra De Riz</name><affiliation wicri:level="3"><nlm:affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Galimberti, Daniela" sort="Galimberti, Daniela" uniqKey="Galimberti D" first="Daniela" last="Galimberti">Daniela Galimberti</name><affiliation wicri:level="3"><nlm:affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Scarpini, Elio" sort="Scarpini, Elio" uniqKey="Scarpini E" first="Elio" last="Scarpini">Elio Scarpini</name><affiliation wicri:level="3"><nlm:affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, "Dino Ferrari" Center, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j">Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology</title><idno type="eISSN">1590-3478</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The coronavirus disease 2019 (COVID-19) pandemic has dramatically stressed the health care system and has provoked changes in population use of digital technologies. Digital divide is any uneven distribution in Information and Communications Technologies between people.</p></div><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>The purpose of this work was to describe the digital divide of a population of patients with dementia contacted by telemedicine during Italian lockdown for COVID-19 pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>One hundred eight patients with cognitive impairment were contacted by video call to perform a telemedicine neurological evaluation. Information on patients and caregivers attending the televisit were recorded.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Seventy-four patients connected with neurologist (successful televisit, 68.5%) and 34 patients were not able to perform televisit and were contacted by phone (failed televisit, 31.5%). No significant differences were observed among the two groups concerning age, gender, and education, but the prevalence of successful televisit was higher in the presence of younger caregivers: televisits performed in the presence of subjects of younger generation (sons and grandsons) had a successful rate higher (86% successful, 14% failed) than the group without younger generation caregiver (49% successful, 51% failed). This difference is mainly due to the ability of technological use among younger people.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>The most impacting factors on digital divide in our population are the social support networks and the experience with the technology: the presence of a digital native caregiver. The COVID-19 pandemic is unmasking an emerging form of technology-related social inequalities: political and community interventions are needed to support the most socially vulnerable population and prevent social health inequalities.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33459891</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1590-3478</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>18</Day></PubDate></JournalIssue><Title>Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology</Title><ISOAbbreviation>Neurol Sci</ISOAbbreviation></Journal><ArticleTitle>Facing the digital divide into a dementia clinic during COVID-19 pandemic: caregiver age matters.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10072-020-05009-w</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The coronavirus disease 2019 (COVID-19) pandemic has dramatically stressed the health care system and has provoked changes in population use of digital technologies. Digital divide is any uneven distribution in Information and Communications Technologies between people.</AbstractText><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">The purpose of this work was to describe the digital divide of a population of patients with dementia contacted by telemedicine during Italian lockdown for COVID-19 pandemic.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">One hundred eight patients with cognitive impairment were contacted by video call to perform a telemedicine neurological evaluation. Information on patients and caregivers attending the televisit were recorded.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Seventy-four patients connected with neurologist (successful televisit, 68.5%) and 34 patients were not able to perform televisit and were contacted by phone (failed televisit, 31.5%). No significant differences were observed among the two groups concerning age, gender, and education, but the prevalence of successful televisit was higher in the presence of younger caregivers: televisits performed in the presence of subjects of younger generation (sons and grandsons) had a successful rate higher (86% successful, 14% failed) than the group without younger generation caregiver (49% successful, 51% failed). This difference is mainly due to the ability of technological use among younger people.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The most impacting factors on digital divide in our population are the social support networks and the experience with the technology: the presence of a digital native caregiver. The COVID-19 pandemic is unmasking an emerging form of technology-related social inequalities: political and community interventions are needed to support the most socially vulnerable population and prevent social health inequalities.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Arighi</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-2865-3970</Identifier><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy. andrea.arighi@policlinico.mi.it.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy. andrea.arighi@policlinico.mi.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fumagalli</LastName><ForeName>Giorgio Giulio</ForeName><Initials>GG</Initials><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carandini</LastName><ForeName>Tiziana</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pietroboni</LastName><ForeName>Anna Margherita</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Riz</LastName><ForeName>Milena Alessandra</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Galimberti</LastName><ForeName>Daniela</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Scarpini</LastName><ForeName>Elio</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Neurodegenerative Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Milan, "Dino Ferrari" Center, Milan, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Neurol Sci</MedlineTA><NlmUniqueID>100959175</NlmUniqueID><ISSNLinking>1590-1874</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Caregiver</Keyword><Keyword MajorTopicYN="N">Dementia</Keyword><Keyword MajorTopicYN="N">Digital divide</Keyword><Keyword MajorTopicYN="N">Digital native</Keyword><Keyword MajorTopicYN="N">Telemedicine</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>09</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>12</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>18</Day><Hour>12</Hour><Minute>16</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33459891</ArticleId><ArticleId IdType="doi">10.1007/s10072-020-05009-w</ArticleId><ArticleId IdType="pii">10.1007/s10072-020-05009-w</ArticleId><ArticleId IdType="pmc">PMC7811944</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Health Informatics J. 2016 Jun;22(2):304-11</Citation><ArticleIdList><ArticleId IdType="pubmed">25391849</ArticleId></ArticleIdList></Reference><Reference><Citation>Telemed J E Health. 2003 Spring;9(1):25-39</Citation><ArticleIdList><ArticleId IdType="pubmed">12699605</ArticleId></ArticleIdList></Reference><Reference><Citation>Otolaryngol Head Neck Surg. 2020 Jul;163(1):104-106</Citation><ArticleIdList><ArticleId IdType="pubmed">32366162</ArticleId></ArticleIdList></Reference><Reference><Citation>Comput Human Behav. 2020 Oct;111:106424</Citation><ArticleIdList><ArticleId IdType="pubmed">32398890</ArticleId></ArticleIdList></Reference><Reference><Citation>Comput Human Behav. 2020 Oct;111:106357</Citation><ArticleIdList><ArticleId IdType="pubmed">32362721</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Arighi, Andrea" sort="Arighi, Andrea" uniqKey="Arighi A" first="Andrea" last="Arighi">Andrea Arighi</name></region><name sortKey="Arighi, Andrea" sort="Arighi, Andrea" uniqKey="Arighi A" first="Andrea" last="Arighi">Andrea Arighi</name><name sortKey="Carandini, Tiziana" sort="Carandini, Tiziana" uniqKey="Carandini T" first="Tiziana" last="Carandini">Tiziana Carandini</name><name sortKey="Carandini, Tiziana" sort="Carandini, Tiziana" uniqKey="Carandini T" first="Tiziana" last="Carandini">Tiziana Carandini</name><name sortKey="De Riz, Milena Alessandra" sort="De Riz, Milena Alessandra" uniqKey="De Riz M" first="Milena Alessandra" last="De Riz">Milena Alessandra De Riz</name><name sortKey="De Riz, Milena Alessandra" sort="De Riz, Milena Alessandra" uniqKey="De Riz M" first="Milena Alessandra" last="De Riz">Milena Alessandra De Riz</name><name sortKey="Fumagalli, Giorgio Giulio" sort="Fumagalli, Giorgio Giulio" uniqKey="Fumagalli G" first="Giorgio Giulio" last="Fumagalli">Giorgio Giulio Fumagalli</name><name sortKey="Fumagalli, Giorgio Giulio" sort="Fumagalli, Giorgio Giulio" uniqKey="Fumagalli G" first="Giorgio Giulio" last="Fumagalli">Giorgio Giulio Fumagalli</name><name sortKey="Galimberti, Daniela" sort="Galimberti, Daniela" uniqKey="Galimberti D" first="Daniela" last="Galimberti">Daniela Galimberti</name><name sortKey="Galimberti, Daniela" sort="Galimberti, Daniela" uniqKey="Galimberti D" first="Daniela" last="Galimberti">Daniela Galimberti</name><name sortKey="Pietroboni, Anna Margherita" sort="Pietroboni, Anna Margherita" uniqKey="Pietroboni A" first="Anna Margherita" last="Pietroboni">Anna Margherita Pietroboni</name><name sortKey="Pietroboni, Anna Margherita" sort="Pietroboni, Anna Margherita" uniqKey="Pietroboni A" first="Anna Margherita" last="Pietroboni">Anna Margherita Pietroboni</name><name sortKey="Scarpini, Elio" sort="Scarpini, Elio" uniqKey="Scarpini E" first="Elio" last="Scarpini">Elio Scarpini</name><name sortKey="Scarpini, Elio" sort="Scarpini, Elio" uniqKey="Scarpini E" first="Elio" last="Scarpini">Elio Scarpini</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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