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Dr. Dr.Anjali Sharma

Gynaecologist, Delhi

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Dr. Dr.Anjali Sharma Gynaecologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Dr.Anjali Sharma
Dr. Dr.Anjali Sharma is a renowned Gynaecologist in Kamla Nagar, Delhi. She is currently practising at Girdharilal Hospital (MCD) in Kamla Nagar, Delhi. You can book an instant appointment online with Dr. Dr.Anjali Sharma on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi 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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How Much Do Your Nutritional Needs Change as You Grow Older?

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
How Much Do Your Nutritional Needs Change as You Grow Older?

A Quick Guide to Geriatric Nutrition

Special nutritional needs are often required in special circumstances. Unlike adults from 20 to 60, children and elderly people have specific needs as their physical requirements are different. Just like pregnant women need tailor-made diets for their specific needs, children and elderly people also require appropriate diets without too much variation.

The requirement for geriatric or elderly nutrition

As the body ages, certain functions within are slowed down and thus, the processes are not able to completely recuperate and replenish what was lost. Certain functions are affected more than others and hence, need specific nutrients to regenerate.

Tips for Geriatric Nutrition

Let's take a look at some of the specific diet requirements as well as certain items, which should be avoided.

1. Consumption of calcium rich foods - Bones are a part of the human body that tend to suffer a lot of wear and tear and they start showing signs of weakening after 60. It is thus, important to replenish calcium in the body to help the bones get their building blocks. Some examples of calcium-rich foods are almonds and green leafy vegetables like kale. Dairy products are also good as long as the fat content within them is low.

2. Keeping the body hydrated - Although physical activity reduces with age, dehydration can still occur within senior people and thus, it is important that they remain hydrated. Simply drinking water may not be enough and juices or other water-rich foods such as watermelons should be used to supplement for hydration.

3. Lessening sodium within the body - The presence of excess sodium in the body can cause blood pressure to shoot up and result in high blood pressure, which may then further result in more ailments like strokes. It is pertinent that foods rich in sodium such a red meats be lessened or cut out of the diet altogether.

4. Lessening sugar consumption or any other foods that may exacerbate diabetes - Another factor to consider is the consumption of sugar and sugar-filled products. Not just for diabetics, but elderly people have a tendency to develop high blood sugar and hence, it is prudent to reduce sugar intake.

If you would like to consult with me privately, please click on 'Consult'.

Related Tip: Dieting Vs Fad Dieting: How can you spot the FAD?

4224 people found this helpful

I am 9 month pregnant, in my sonography report-" two umbilical cord loop is seen around foetal neck. Please suggest possibilities- easily normal delivery or operation.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am 9 month pregnant, in my sonography report-" two umbilical cord loop is seen around foetal neck. Please suggest p...
Normal delivery is possible only if fetal heart rate remains normal and there is progress and decent during labor pains. C-section can be done in case of emergency or by choice.
1 person found this helpful
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I had sex with my boyfriend dt 02.02. 16 and had taken I pill on 04 /02/16 2.00 afternoon before 54 hours so please reply whether it will stop my pregnancy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
I had sex with my boyfriend dt 02.02. 16 and had taken I pill on 04 /02/16 2.00 afternoon before 54 hours so please  ...
Usually pills do work but in 20% cases pills doesn't works. So give details about your periods date.
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Health Tip for all except Diabetics.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Health Tip for all except Diabetics.

Gur(jaggery) is better than sugar and fresh cane juice if mixed with lemon juice and ginger juice kills most of the germs in case the roadside machine is carrying some germs. Cane juice is cheap, full of vitamins and minerals and can be taken by all classes of people by people of all age groups.

Go Desi, say No to MNC packed cold drinks and say Yes to Make in India while getting nourishment of canes grown by our farmers.

93 people found this helpful

I wife is 8 month pregnant (age-23 weigh-43. Last month after ultrasound Dr. told tht fetal weight is low. And prescribe gyargin powder. Im worried about baby conditions. Still 1.5 month remains in delivery. Will everything will be alright by then or is there any complications?

BHMS
Homeopath, pathankot
I wife is 8 month pregnant (age-23 weigh-43. Last month after ultrasound Dr. told tht fetal weight is low. And prescr...
U don't worry about anything. Just take care of her and acquire positive attitude. Good diet and positivity, these are best modes of treatment.
1 person found this helpful
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We are planning a baby. Can you suggest that what time we should make relation that she can get pregnant.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
We are planning a baby. Can you suggest that what time we should make relation that she can get pregnant.
hi Amit if periods are regular 30days then you should have relations from day 8 to 18th day alternate day .
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Dr. I had a problem of not having an orgasm while having sex I get orgasm very easily when my husband used to lick and suck my breast earlier I used to have orgasm during sex also but from the period of a year I do not get an orgasm or that relieved satisfaction that earlier I used to get. Kindly suggest me some medication or something that has no bad affects on health if taken regularly or give me some medication to have orgasm during intercourse. I am 23 years old and I have recently diagnosed PCOS although my sex desires are no less I always have a desire to have sex where ever I am alone with my hubby but I do not get orgasm very rarely I get an orgasm.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
Dr. I had a problem of not having an orgasm while having sex I get orgasm very easily when my husband used to lick an...
Orgasm basically depends on the stimulation, during fore play or while having intercourse/masturbation. Meaning the sexual gratification depends on the external factors and the intensity of you being stimulated/aroused by the carassing/touch are pressure on the sexual organs. amongst them the breast and clitoris play major role. while performing the intercourse or manual during masturbation these need to be stimulated. having said this, there is another saying the arousal depends depends not between the thighs, meaning genitals but between ears, meaning brain. so every thing depends on your arousal due to the partner/self stimulation and imagination. But do not expect orgasm to occur every time you have intercourse, because arousal will become less and less as the frequency increase. all the best
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Vaginismus - 2 Associated Symptoms & Treatments

Vaginismus - 2 Associated Symptoms & Treatments

Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourses. This pain occurs on penetration due to the contraction of the vaginal muscles.

Causes-

The exact causes of Vaginismus are not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

Vaginismus can be primary or secondary depending on the concerned woman’s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause.

The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

Sometimes the pain might stem from underlying infections or any other underlying complications.

Symptoms-

The symptoms of Vaginismus are as follows:

  1. Severe pain during intercourse.

  2. Severe pain during insertion of tampons or during any medical check-ups.

Treatment-

The following treatments can be useful to treat Vaginismus:

  1. If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

  2. If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don’t experience any pain during sexual intercourse.

Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.

I wanted to know during fertile period having sex daily during those days will have active sperms since we are having intercourse once in 24 hrs. Please help.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, You always have active sperms. It's better to have intercourse on every alternate day. Increase the frequency of intercourse during the fertile period of your wife's cycle. Your wife' fertile period will be 12th-18th day of her periods.
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Hello, doctor.I got married before 4 years. But still I don't have baby. When we go treatment. Doctor said that I was wit pcod. My egg growth is normal. I'm having regular periods. I'm eat tablets and now drinking APCOD sachet. What is the next step to get pregnant.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hello, doctor.I got married before 4 years. But still I don't have baby. When we go treatment. Doctor said that I was...
Hi lybrate-user if you are known case of PCOD and taking tablets still not conceived in past 4 years it's better to move on for treatment options like IUI and ICSI.
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Pregnancy - Understanding Fertility After Early Miscarriage!

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Pregnancy - Understanding Fertility After Early Miscarriage!

Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.

Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.

The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.

Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.

The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.

Ways to Increase Fertility

If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-

  1. The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
  2. Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
  3. Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.

Talk to a Doctor

If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.

If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.

The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.

Bottom Line

Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.

The decision to try again is not an easy one. However, fertility won't typically be an issue.

Walking barefoot decreases loading on the lower extremity joints in knee

Master Of Surgery, DNB (Orthopedics)
Orthopedist, Agra
Walking barefoot decreases loading on the lower extremity joints in knee
So indian life style did have definite advantages.

Walking barefoot decreases loading on the lower extremity joints in knee osteoarthritis.
Shakoor n1, block ja.
Author information
Abstract
Objective:

To evaluate the effects that modern shoes have on gait and lower extremity joint loads in osteoarthritis (oa).

Methods:
Gait analyses were performed on 75 subjects with knee oa while they were wearing their everyday walking shoes and while they were walking barefoot. The trials involved optoelectronic detection of external markers during ambulation over a multi component force plate, and were matched for speed. Comparisons were made of gait parameters and joint loading during trials in which the subjects walked while wearing shoes and while barefoot.

Results:
Peak joint loads at the hips and knees significantly decreased during barefoot walking, with an 11.9% reduction noted in the knee adduction moment. Stride, cadence, and range of motion at the lower extremity joints also changed significantly, but these changes could not explain the reduction in the peak joint loads.

Conclusion:
Shoes may detrimentally increase loads on the lower extremity joints. Once factors responsible for the differences in loads between with-shoe and barefoot walking are better delineated, modern shoes and walking pra.

Top 10 Ginger Health Benefits

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Top 10 Ginger Health Benefits

Top 10 ginger health benefits


 

Here are the top ginger health benefits proven by medical studies:


 

1. Stroke and heart disease

Two of the biggest killers on the planet may be kept at bay with regular ginger use, especially when eaten with other key superfoods. Garlic, ginger and onions all have an anti-blood-clotting ability, yet when they’re eaten together they’re a powerful mainstay against heart attacks and stroke!


 

2. Indigestion and nausea

Whether we’re talking about curing a simple tummy ache or severe morning sickness, ginger has been used for thousands of years as an effective digestive aid and natural remedy for nausea. Recently, taiwanese researchers discovered that three capsules (1.2 grams total) of ginger can actually help the stomach release its contents into the small intestines in people with dyspepsia — a condition in which 40 percent of patients suffer from abnormally delayed gastric emptying.


 

This is one reason why ginger helps people who are bloated, constipated and have other gastrointestinal disorders. It relaxes the smooth muscle in your gut lining and helps food move along throughout the system.


 

Key takeaway: eating whole ginger, drinking fresh ginger juice and inhaling diffused ginger essential oil are all highly effective ways to curb stomach disorders.


 

3. Malabsorption

Proper food transport (and nutrient absorption) from the mouth out through your colon is the mainstay to health. If food gets stuck somewhere in between, it can ferment, rot or (even worse) cause obstruction, which is a life-threatening emergency.


 

Improper digestion can also cause improper assimilation of the nutrients in your food. Either way, both cause malabsorption, and your body suffers from nutrient deficiencies. This is why ginger is so important. Like we’ve seen above, it helps promote regular digestion and metabolism of your food and is largely responsible for promoting a strong immune system.


 

4. Compromised immunity and respiratory function

Ayurvedic medicine has praised ginger’s ability to boost the immune system before recorded history. It believes that because ginger is so effective at warming the body, it can help break down the accumulation of toxins in your organs. It’s also known to cleanse the lymphatic system, our body’s sewage system.


 

Dr. Oz says, “by opening up these lymphatic channels and keeping things clean, ginger prevents the accumulation of the toxins that make you susceptible to infections, especially in the respiratory system.” combining ginger oil and eucalyptus oil is an effective remedy to boost immunity and improve breathing.


 

5. Bacterial infections

The journal of microbiology and antimicrobials published a study in 2011 that tested just how effective ginger is in enhancing immune function. Comparing the ability of ginger to kill staphylococcus aureus and streptococcus pyogenes with conventional antibiotics, nigerian researchers discovered that the natural solution won every time!


 

The drugs — chloramphenicol, ampicillin and tetracycline — just couldn’t stand up to the antibacterial prowess of the ginger extract. This is important because these two bacteria are extremely common in hospitals and oftentimes cause complications to an already immune-compromised patient.


 

Key takeaway: if you ever need to go to the hospital for surgery or to visit a friend, make sure you bring some ginger essential oil with you and add a couple drops to your water. You’re less likely to get a dangerous staph infection, and it can help speed the healing process! other healing remedies that are effective against infections include oregano oil, clove oil and melaleuca oil.


 

6. Fungal infections

One of the trickier issues to control because they’re increasingly resistant to conventional medicine, fungal infections don’t stand a chance against ginger. Of the 29 plant species evaluated in a carleton university study, ginger won the prize for having the extract most effective at killing fungus.


 

Key takeaway: for a powerful antifungal punch, mix several drops of pure ginger essential oil with tea tree oil with one teaspoon of coconut oil, and apply up to three times a day.


 

7. Ulcers and gerd

Since the 1980s, researchers have known that ginger can cure stomach ulcers. More recently, indian scientists have been able to more closely quantify this medicinal effect. In a study published in the journal molecular nutrition and food research, they discovered the ginger was six to eight times more potent than prevacid, the drug of choice to treat gerd!


 

8. Pain

Ginger is known for its anti-pain property. Very similar to how capsaicin works to relieve pain, gingerol acts on vanilloid receptors, which are located on sensory nerve endings. Similar to the initial intense burning feel you get when you consume spicy pepper, ginger’s burn only lasts but a second, and researchers discovered that it “affects the pain pathways directly but also relieves the inflammation, which in itself causes pain.”


 

9. Cancer

Working with mice without immune systems, university of minnesota scientists discovered that three weekly feedings of [6]-gingerol delayed the growth of colorectal cancer cells. University of michigan researchers confirmed these results with ovarian cancer. In fact, they found that “ginger treatment of cultured ovarian cancer cells induced profound growth inhibition in all cell lines tested.”


 

Key takeaway: the executive director of the herbal medicine research and education centre, basil roufogalis, advised that, “the most likely way to administer ginger as a painkiller would be in the form of a tea taken several times a day, but more work needs to be done on the amount of ginger powder needed per dose to take effect, and the time required between doses.” for most people, taking 1,000 milligrams of powdered ginger root is effective — or two drops two times daily of ginger essential oil.


 

10. Diabetes

Gingerols are widely known to naturally improve diabetes and enhance insulin sensitivity. Building off this knowledge, a 2006 study out of the journal of agricultural and food chemistry discovered that they could also suppress sorbitol accumulation in human blood cells and sugar-fed rats. Simply put, ginger not only helps prevent and reverse diabetes itself — it protects against and improves diabetic complications like diabetic retinopathy!

28 people found this helpful

I have read in internet that white vaginal discharge is early symptom of pregnancy. Is this true?

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi White vaginal discharge usually is there during time of ovulation. It can be because of some infection. During pregnancy also it increases but it can't be taken as a sign of pregnancy.
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Hello Doctor, Please Help me with this. I had only entered very little amount of my penis inside her vagina. And had 2-3 stokes only. Is there chances of pregnancy? What should I do? Please help.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Hello Doctor, Please Help me with this.
I had only entered very little amount of my penis inside her vagina. And had ...
Hi chances of pregnancy are very less. Nonetheless, unprotected intercourse is always risky, even precum can also make female pregnant. Use of condom is ecommended.
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Alcohol in Pregnancy: Is it Safe?

Certification in IVF & Infertility, Diplomate Gynae Laparoscopy, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Ghaziabad
Alcohol in Pregnancy: Is it Safe?

Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

4228 people found this helpful

She is four week pregnant, our doc took first hcg test which came around 305, so I need to know is it normal? We underwent 2nd hcg test also whose report we will get on monday. So is it compulsory tht hcg should double after 48 hours. Our gynac also recommended to take hcg injection. So it viable to take that.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
She is four week pregnant, our doc took first hcg test which came around 305, so I need to know is it normal? We unde...
Hello, yes it is necessary for hcg levels to increase by 65% to double in 48 hrs as this confirms the viability of the foetus whether the foetus shall survive/ grow further or not.
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