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Dr. V. Rangarajan

Dentist, Chennai

Dr. V. Rangarajan Dentist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. V. Rangarajan
Dr. V. Rangarajan is a trusted Dentist in Royapettah, Chennai. You can meet Dr. V. Rangarajan personally at Identity Dental Clinic in Royapettah, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. V. Rangarajan on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 33 years of experience on Lybrate.com. You can find Dentists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Identity Dental Clinic

#230, Avvai Shanmugam Salai Royapettah, ChennaiChennai Get Directions
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Sir, i'm 36 years old man. I have no habits of smoking, drinking and anything. Normally i'm taking all foods include non veg. I did not have sex before marriage. In my family no one having cancer. Is oral cancer common to all? Or people having these habits will affected? Kindly give me clear idea.

BDS
Dentist, Bangalore
oral cancer is not common to all.. factors like habits of smoking, drinking, tobacco chewing etc. increase the risk of cancer. .. do visit to a dentist regularly twice in a year for routine check up...if any signs of cancer is diagnosed, it can be cured at early stage easily. ..
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Dear doctor ,from last 12 days my mouth remains more watered than normal level. How can I care it with home made remedies.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Have started taking some med if yes could b one reason otherwise get scaling polishing done by a dentist than brush twice daily especially at night avoid keeping any thing in mouth for long like clove sounf etc.
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My teeth has been broken from front, so smile is not very fine, I want to do a treatment for the same for the smile improvement Kindly suggest the solution.

BDS
Dentist, Kolar
Treating your broken teeth may or may not require rct following which caps'll be placed. Cosmetic crowns of different quality n prices r available which wen placed mimics your natural tooth n thereby improved your present smile.
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I spit too much while jogging, & it spit is very salty, like we spit during common cold. I am having this problem from last 2 years. What should I do?

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
This is due to excessive saline content or mixing of sweat with spit. Reduce salt intake or else increase water intake to strike a positive balance.
1 person found this helpful
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First thanks all the doctors. Scaling was completed. Now I feel very good. Suggests me post scaling instructions to take care of my gum and teeth.

BDS
Dentist,
Brush your teeth twice daily after flossing. Use mouth washes as prescribed. Avoid eating dark pigmented foods tat stains your teeth. Its advised to scaling twice a yr.
1 person found this helpful
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Pain after Root Canal

BDS, Post Graduate Diploma in Clinical Research
Dentist, Kolkata
Pain after Root Canal
Some patients even after proper root canal may feel a bit of pain during chewing and get confused with the prognosis of rct or question the expertise of the doctor. In reality it is due to the inflammation persisting in the periapical tissues and alveolar bone. Give it some time it gradually gets healed up. Sometimes it might take even a couple of months but with proper antibiotic coverage and oral hygiene maintenance it does get cured.
29 people found this helpful

Teeth Whitening - Are You the Right Candidate for it?

BDS, FICOI, MDS
Dentist, Mumbai
Teeth Whitening - Are You the Right Candidate for it?

If we think about what attracts us to a person in general, the first thing that we can think of is a great, warm smile. A good set of well-aligned white teeth is an important aspect of this great smile. However, white teeth remain an elusive thing for most of us. Some of the common reasons for discolored teeth are as below.

  1. Ageing
  2. Hypo mineralized tooth structure
  3. Fluourosis
  4. Food habits
  5. Tobacco smoking/chewing (learn more for Smoking  Effect on Teeth)
  6. Side effects of medication (tetracyclines, for instance)

The degree of discoloration varies widely and also is hereditary. Whatever the reasons, there is the option of tooth whitening, which is effective with optimal oral health and good oral hygiene habits. Tooth whitening is not for everybody though, the following are the definite contraindications.

  1. Teeth with fillings: The bleaching agents work best on natural tooth structure. Whether it is a crown or a veneer or a bridge, the bleaching agent will not work on these tooth-colored fillings and composite resins. On the contrary, using bleaching agent on a tooth filling can produce uneven whitening. The teeth without fillings will appear lighter than those with fillings. If the person has discoloration due to fluorosis or any other reason, then it is ideal to complete any pending restorative work before initiating tooth whitening procedure. This should be allowed to settle in for about 2 weeks. After that, whitening should be undertaken which will ensure the best results and match with the composite filling/veneer/crowns. In people with multiple restorations, whitening can result in uneven coloration of the teeth and so veneers or crowns would be better suited than whitening.
  2. Sensitive teeth: Sensitivity is an indication that the dentin is exposed or is covered by a very thin layer of enamel. Whitening agents will not work very well in these cases.
  3. Poor oral health (gingivitis, worn enamel, cavities, and root decay): The whitening agent can irritate the gums or penetrate the existing decay or worn enamel leading to sensitivity. The tooth whitening agent works on the enamel, and as the tooth surfaces do not have enamel, they do not produce a whitening effect.
  4. Age: Hydrogen peroxide which is the most common bleaching agent is not safe for use in children below 16 years of age. The pulp chambers are quite high and the tooth is still forming, so bleaching agents are not to be used.

While choosing to go for tooth whitening, one thing to bear in mind is that it is not a permanent solution to discolored teeth and might require repetition of the treatment. Having a detailed discussion will help set realistic expectations and achieve optimal results.
 

4629 people found this helpful

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

International Academy of Classical Homeopathy, BHMS
Homeopath,
Homeopathic tips-


Gingivits –acute ulcerative

With heavily coated tongue, Mercurius col 30 thrice daily.
3 people found this helpful

BDS
Dentist, Cuttack
Denture often are the best friends of chewing food without teeth.
1 person found this helpful

My teeth are out. Please tell me the expenses and duration of braces? Also tell me will it be effective or not? Please do tell me. It makes me feel ugly sometimes.

Dentist, Mumbai
Teeth being out looks ugly on the extent of its mal alignment. Also treatment charges vary in different places and also based on the severity of alignment problem. It can start from as low as 15 - 18 thousand to 1 -1.5 lakh treatment time varies on the severity of your case.
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Dr. I'm 30 year old woman. .dr mera stomach bina sapplemant ke saaf nahi hota aur mujhe bad breath ki problem bhi hai. please advice me!!

BDS
Dentist, Bhopal
Bad breath k lie ap kisi doctor k pass jaye aur unse scaling and polishing k ilaaz karwaye apko aram milega aur apki takleef khatm ho jayegi.
1 person found this helpful
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I am a man 33 years of age. I keep getting a lot of decays in my teeth. Although I have got a 6 of them filled a couple of years back new decays have developed. I'd also like to add that I brush my teeth properly thrice a day. I have started experiencing sensitivity in two of my cavities now for which my dentist suggested I get root canal treatment done. I do not want to go through the pain of all that. I want an end to these problems and would like to know if I have an alternate to RCT. Be it in Ayurveda or homeopathy.

BDS
Dentist, Jaipur
There is no any alternative of RCT . If u take any medicine whether ayurvedic or allopathic it will give u only temporary relief not cure you permanantly. So better you go with Rct.Relief from sensitivity I would like to add that either you use your brush vigrously or either using hard brush. Always use soft brush. Do mouthwash regularly. Untill that u can use sensitive paste like hiora k or thermosealRA. Sensitivity will be ok..twice daily affected area.
1 person found this helpful
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Sir, I have problem in my teeth. When I sit near my friends they tell me that from. My teeth stench creates. please help me sir.

MDS, BDS
Dentist, Bangalore
You may be having deposits on your teeth. Causing gum problem and bad smell. This can be treated with a simple round of cleaning. Get it checked.
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Hello doctor, I often get mouth ulcers badly and it pains very much , I need to get rid of it permanently , please provide me a solution for it , waiting for your feedback Now days I have started using B complex Capsule also , is there any other prevention method , please confirm. Also if any tablet the let me know when should I have before food or after food and also let me know what all time I should have , (morning , noon and night ) please confirm me all this urgent.

BDS
Dentist, Delhi
Hi lybrate-user, instead of b-complex you should have neutrolin-b for about 10to15 days at night once daily. And if you arehaving spicy food or fast food than reduce th consuption. Try having lot of liquid fluidlot of tender coconot, water, juices that wil solve your problem.
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What is the procedure to treat the problem where the soft tissue above the big teeth (daadh) comes out from its place due to the cavity of the daadh.

BDS
Dentist, Jaipur
Hello, if there is a cavity in your molars (daadh) then you need to visit a dentist to fill it soon also for gum problem you need to ask for cleaning of mouth.
2 people found this helpful
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I didn't have 1 moral because of cavities I removed from doctor in earlier age 15 and one have lot of cavities what I do which teeth feeling is best dental implant is good?

BDS
Dentist, Bangalore
Yes you will be suggested for implants if you have the required bone depth in that region. You may also consider bridging the gap metal or pfm bridges.
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Mera teeth bahut kharab hai. Mere danth main payoria ho gya. Main metronidazoleDG Gel use karta but mujhe koi faida nahi mila. Kya karoon. Please help.

BDS, D.pharm
Dentist, Chennai
1. Proper Brushing One of the easiest steps to do to help your teeth keep clean. When brushing your teeth, position the bristles at an angle of 45 degrees near the gum line. Both the gum line and the tooth surface should be in contact with the bristles. Brush the outer surfaces of the teeth using a back-and-forth, up-and-down motion, making sure to be done gently in order to avoid bleeding. To clean the inside surfaces of the teeth and gums, place the bristles at a 45-degree angle again and repeat the back-and-forth, up-and-down motion. Lastly, brush the surfaces of your tongue and the roof of your mouth to remove bacteria, which might cause bad breath. Try to brush at least twice a day to prevent acid buildup from the breakdown of food by bacteria. However, if your work or activities prevent you from doing this, thoroughly rinse your mouth with water after eating to minimize the amount of food that would serve as substrate for the bacteria. 2. Flossing! We know, it’s a chore and alot of times forgetful after brushing if rushing out the door or heading to bed. However, flossing can help you remove food particles and other detrimental substances that brushing regularly cannot. Flossing allows you to reach deep between your teeth where the toothbrush bristles cannot reach or even mouthwash cannot wash away. We recommend flossing at least once a day. 3. Avoid Tobacco This will be a big favor to your teeth. One, it will save you from oral cancer and periodontal complications. Two, it will save you from the countless ill effects caused by the agents used to mask the smell of tobacco. For example, if you smoke a cigarette, you may use candies, tea or coffee to mask the smoky breath and odor. This doubles the amount of damage caused. 4. Limit Sodas, Coffee and Alcohol Although these beverages contain a high level of phosphorous, which is a necessary mineral for a healthy mouth, too much phosphorous can deplete the body’s level of calcium. This causes dental hygiene problems such as tooth decay and gum disease. Beverages containing additives such as corn syrup and food dye can make pearly white teeth appear dull and discolored. Therefore, it is best to choose beverages like milk, which helps strengthen teeth and build stronger enamel, giving you a healthy, beautiful smile and water which hydrates your body longer than sugary drinks. 5. Consume Calcium and other Vitamins that are good for the body You need plenty of calcium for your teeth. It is essential for the teeth as well as your bones. It is better to drink milk, fortified orange juice and to eat yogurt, broccoli, cheese, and other dairy products. You can also take a calcium supplement, taking different doses according to your age and necessity as per prescription. Calcium and Vitamin D are necessary for maintaining the health of gums and teeth. Vitamin B complex is also essential for the protection of gums and teeth from cracking and bleeding. Copper, zinc, iodine, iron and potassium are also required for maintaining healthy dental hygiene. 6. Visit Your Dentist You should visit your dentist at least twice a year to have a full hygiene treatment performed. Also at these appointments, a comprehensive exam is taken with x-rays to help detect and prevent future dental treatments from occurring. 7. Use Mouthwash along side brushing and flossing Mouthwash is not particularly necessary and not all mouthwashes are useful. Mouthwashes containing Listerine our chlorine dioxide are very helpful because they help to kill and maintain the bacteria in your mouth. It can help maintain good breath as well as help maintain strong teeth. Mouthwash cannot do all the work but if your are already brushing, flossing, visiting the dentist and eating well, mouthwash is the cherry on top that will make your dental health great. 8. Having a toothache or noticing other dental symptoms If you are having tooth and jaw pain make an appointment as soon as possible. Your dentist needs to diagnose the underlying cause and correct it before it turns into a greater problem. 9. Look at the Big Picture Everyone understands that you should take care of your teeth to avoid toothaches, maintain your looks and keep dental bills at bay. Many people, however, don’t understand how crucial oral health is to our total health picture. Tooth problems can lead to diabetes, heart disease, systemic infections, an inability to eat or speak properly and other maladies – some life-threatening. Crooked or crowded teeth can contribute to gum disease that can eventually lead to tooth loss. Straight teeth are no longer just for looks. 10. Clean your tongue Clean the surface of your tongue daily. By using a professional tongue cleaner you remove countless bacteria that otherwise live, particularly on the rougher top surface of your tongue. These can contribute to bad breath (halitosis) and negatively affect your dental health.
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