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Dr. Sangeetha Shah

MBBS

Radiologist, Mumbai

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Dr. Sangeetha Shah MBBS Radiologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Sangeetha Shah is an experienced Radiologist in Mumbai, Mumbai. She is a qualified MBBS . You can consult Dr. Sangeetha Shah at Dr. Sangeetha Shah@Apex Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Sangeetha Shah on Lybrate.com.

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Vaishali Heights , Chandavarkar Road , Borivali ( West ). Landmark: Near Standard Chartered BankMumbai Get Directions
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Excessive Uterine Bleeding - 9 Causes of It!

MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Excessive Uterine Bleeding - 9 Causes of It!

Are you experiencing excessive uterine bleeding? Excessive uterine bleeding may occur between a woman’s periods or before the periods, after having sex, or due to the development of spotting or bleeding after attaining menopause. Any menstrual cycle, which lasts longer than 21–35 days is called excessive, and this is an abnormal form of uterine bleeding.

Causes of Excessive Uterine Bleeding:

The various causes of excessive uterine bleeding are as follows:

  1. One of the main causes is hormonal imbalance, as the balance between estrogen and progesterone gets disrupted. This balance is required for the regulation and development of the lining of endometrium or uterus lining. Because of the hormonal imbalance, the endometrium develops excessively causing heavy bleeding.

  2. Uterine fibroids, which are non cancerous tumours, may lead to prolonged and excessive uterine bleeding.

  3. Polyps are small benign developments on the uterus lining which cause heavy bleeding. They occur because of high levels of hormones.

  4. Adenomyosis is a condition which develops when the endometrium glands get embedded in the uterine muscle, leading to excessive uterine bleeding.

  5. Using intrauterine devices or IUDs may cause side effects as well.

  6. Several pregnancy complications may also lead to excess bleeding. Ectopic pregnancy is a common cause.

  7. Several uterine cancers, ovarian cancers and cervical conditions may be responsible as well. Inherited bleeding disorders such as von Willebrand’s disease is another likely cause.

  8. Several medicines and drugs, including NSAIDs and anticoagulants are a common cause.

  9. Medical conditions such as pelvic inflammatory disease, endometriosis, liver and kidney disease or thyroid problems can also cause excessive uterine bleeding.

Treatment:

There are different ways of treating excessive uterine bleeding, depending upon the cause of bleeding and the patient’s age.

  1. Medications: Several medicines are used for the treatment of abnormal uterine bleeding. Hormonal medicines and birth control pills are used to improve the regularity of periods. Non steroidal anti-inflammatory drugs are also used to manage excessive uterine bleeding. Several antibiotics are also used.

  2. Surgery: In many cases, a woman has to undergo a surgery for the removal of polyps and fibroids, which cause excessive bleeding. Certain fibroids are removed via hysteroscopy and other techniques for treatment are used as well. Endometrial ablation can be carried out to manage the bleeding. This treatment aims at permanent reduction of the excess bleeding. Hysterectomy has to be carried out when other treatments are unsuccessful. This is a serious surgery and after it, a woman will no longer have periods, and she will not be able to conceive a child.

In case of excessive uterine bleeding, you must consult a doctor as soon as possible. This will enable early treatment and prevent the development of further complications.

2535 people found this helpful

I am 34 years old male. I am suffering from back pain for the last 3 years. I have done MRI. In MRI it is found that 1. MILD DIFFUSE DISC BULGE IS NOTED AT L3-4 LEVEL CAUSING ANTERIORTHECAL SAC indentation MINIMAL NARROWING OF BILATERAL NEURAL forminal AS WELL AS LATERAL RECESSES. 2. MILD DIFFUSE DISC BULGE IS NOTED AT L4-5LEVEL CAUSING ANTERIOR THECAL SAC INDENTATION AND NARROWING OF BILATERAL NEURAL forminal AS WELL AS LATERAL RECESSES. MILD facial ARTHROPATHY IS NOTED BILATERALLY. please MAKE ME UNDERSTAND WHAT IS THE PROBLEM AND WHAT IS THE SOLUTION.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
I am 34 years old male. I am suffering from back pain for the last 3 years. I have done MRI. In MRI it is found that ...
the problem is you have disc bulge at 2 intervertebral levels causing compression of the nerve root that comes out of the spinal canal at that level causing pain in the back and legs . (disc is like gelatinous cushion inbetween two vertebral bones and it acts like a shock absorber . sometimes the disc comes out of its normal position and presses on the nerve which comes from the spinal cord. depending on the nerve that is compressed you can get pain in the back and / or legs, numbness, weakness etc.
5 people found this helpful
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Lumbar Degenerative Disc Disease

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, mch
Orthopedist, Delhi
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Different methods to treat Disc problems

Hello friends, I am Dr Gaurav Khera. I am an orthopaedic surgeon, doing joint replacements and spine surgeries at the Access healthcare. Now today I will be talking about the lumbar degenerative disc disease. Now it sounds very big, but it is not as complicated as it sounds. It basically is what you people commonly know as a disc disease. So it is a fairly common problem that is seen in our population today. In fact about 30 or 40% of the patients who come to our OPD have lower back pains, some have other disc problems and very commonly seen after 40 years of age and this incidence gradually increases up to 60-70 years of age. The other ecological factors which are associated with this are, first of all smoking, secondly it is, mild to moderate trauma, thirdly its seen in people who lift heavy weights, fourth is obesity, especially central obesity, that is if you have a very heavy waistline.

Now what is Lumbar degenerative disc disease? Now, our spine is composed of multiple bones, which are starting from your neck and they come all the way down to your hip, divided into the cervical, dorsal, lumbar and sacral spine. And between these bones, there are these small pieces of discs, which act as cushions. When your body walks, these act as shock absorbers between your body’s bones. Now this discs, when these come out of their normal place, it gives or presses against the nerves which are passing through these areas and it causes pain. This is what happens in the disc disease. Basically, in the patient it will come as a lower back pain, and this pain will be travelling down to the hip, and it will also be coming down to the legs. Some people complain that as they walk, the pain increases.

They also complain of tingling numbness. They complain that sometimes their fingers or their toes are feeling numb. These are some of the very common symptoms which are being seen. Few people may have only lower back pain, and these are the people who do not have very significant disc disease. Now there are two main causes of the disc disease. First is an inflammatory reaction that occurs in the disc, and second is the micro motion instabilities that occur. Inflammatory reactions may occur as a result of some small traumas which may occur such as when you may injure your back. Such inflammatory reactions occur in the form of small swellings in the body. And micro motion instabilities are when the body ages, the disc which has an outer fibrous thick layer, that degenerates, and as it degenerates, the pulp which is there at the centre, of the discs, tends to degenerate. What I mean is it comes out of its normal space. And as it comes out of the normal place, it comes and tends to press on the nerves and these are the two most common causes.

All disc patients are not to be operated. When we get these patients, the first and foremost investigation that we do is a X-Ray. And if required, we go in for a MRI. Frankly MRI is the known standard to diagnose the disc disease. The findings of a MRI are always coordinated with the clinical findings. Once we have diagnosed that it is a disc problem, we have to establish that what the compression on the nerves is. If the nerve compression is a lot, and if we think that we cannot do anything other than surgery, then we take the patient for a surgery.

If not, we take the patient fro physiotherapy, lifestyle changes and few medications. These medications may carry on for few weeks to few months. And a lot of exercise has to be carried on regularly. Lifestyle changes such as weight loss, stoppage of smoking is very important. And if you can achieve this, then your problems are very easily solved. If you have any queries regarding your disc problems or back pains, then you can get in touch with me for the same.

You can reach me in my clinic, which is there in Indrapuri, by the name of Dr Khera’s Wellness Clinic or you can also contact me through Lybrate for the same. Thank You.
 

3714 people found this helpful

My MRI report of LS Spine is as: Diffuse Disc bulge at L3 /L4 indenting the thecal sac Partial desiccation of L4 / L5 with diffuse posterior disc bulge Indenting the thecal sac encroaching bilateral neural foramina (left>right) Partial desiccation of L5 / S1 Please tell. Me the seriousness of the problem with precautions Is this normal.

MBBS
General Physician, Bangalore
My MRI report of LS Spine is as:
Diffuse Disc bulge at L3 /L4 indenting the thecal sac
Partial desiccation of L4 / L5...
hello, this means a part of your spine is bulging out and in later cases it may compress your nerve roots and may cause pain of your lower back and your one or both of your lower limbs causing sciatica. but then, there are two things one is simple bulging of the disc and another is herniation of the disc where there is a tear in the cartilage, the later condition more often causes pain. bulging usually causes no pain. i would like to advice you to have a good posture, sit straight. prefer chairs without cushion. your mattress should not be too soft. sleep on a regular less bulky mattress where you can keep your spine straight. while trying to get up from a lying down position do it from one side. never try to sit up straight from the lying down position. change your position to left or right lateral then take support with your hands and get up. do a set of spinal exercises at least 20 minutes a day. you can do twice a day of 10 minutes duration too. you can consult me for the types and instructions of the exercises. if you have not get pain yet, consider yourself fortunate and start making these lifestyle changes.the pain you get in sciatica is ugly. prevention is better than cure. wish you a very good health.
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I am suffering from slip disc. Its been more than 4 months now. I have sciatica nerve pain as well. Taking homeopathic treatment from last one month. I still have pain. I can notice swelling on my left hip. Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Hello Ms. lybrate-user As you asked about your problems related to your slip disc and sciatica pain I would like to advise you to follow regular daily routines of getting all dietary measures and daily behaviours as well as yoga and exercise every day two times daily. You may consult local Yoga teacher and learn particular exercise for slip disc and sciatica pain. In such case only yoga and exercise is valuable treatment for your problems. You may consult any Acupressure specialist also for your your problems. Regular acupressure treatment for 15 days will help you also. You could not get any relief from medicines.
1 person found this helpful
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Is homeopathic medicine helpful for disc extrusion (L5-S1) neurosurgeon is saying surgery is must otherwise you may loose control over foot movement and urine, please HELP.

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
disc problems are mechanical one due associated with ur action like weight lifting. jumping.riding. forward flexion.etc. prognosis is depending entirely on radiological finding as well as clinical presentation too. a single criteria shouldn't be implement in every case. as in my opinions up to certain extent conservative management be institute. afterwards six week to six months. if ur ur bowl.bladder or motor powers affected. immediately go for minimal invasive technique. avoid open surgery. because its associated with failed back surgery syndrome in 30%case worldwide.
3 people found this helpful
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Brain Structure May Help Boost Care

DIABETES EDUCATOR, PGDND, RMP -ALTERNATIVE MEDICINE, MEDICAL TRANSCRITPTINIST, M.SC, Msc nutrition
Dietitian/Nutritionist, Bangalore
Brain Structure May Help Boost Care

Becoming a mum can lay down a whole lot of stress on you. But now you know that your brain is going to help you with all the adjustment s! ah ah a relief you get when your baby gives you a hug by kissing your cheecks the joy you get is amazing and gratitude to the almighty creater

1 person found this helpful

I am male aged 57 years. In 1998, I had l4-l5 disc prolapse. After getting treatment for 5 years I was alright. But now since last 3 years, my calf muscles have become very stiff, unable to walk freely, developed gait problem (body disbalance) and sleeplessness. Presently I am using ropark 1 mg. Tab. Every night, but of no much help. Please Advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 42 year old female .After slip disc L1toL4 problem, pain in left heel and becomes severe at times. Is it spur in the foot ,slip disc or something else.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 42 year old female .After slip disc L1toL4 problem, pain in left heel and becomes severe at times. Is it spur in...
Do Take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist and need to be with Clinical examination.
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I have diagnosed with infiltrating ductal carcinoma, NOS, in right breast (in biopsy report, triple negative (ER-negative, PR-NEGATIVE, HER 2-NEGATIVE). The tumor measures 4 cm* 3 cm mammographically. After giving 3 no. Of chemo My doctor suggest me for modified radical mastectomy. Please tell me if I go for complete breast removal & subsequent chemotherapy Radiotherapy is must or optional?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Surgery is the definitive treatment for carcinoma breast. After surgery, remaining cycles of chemotherapy needs to be completed. Whether radiotherapy will be given or not depends on postoperative histopathology report.
1 person found this helpful
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I am 22 year running. I am suffering from slip disc problem since last 1 & half year. My pain is increasing day by day. Its start with lower back and now its come in my left leg. I am done many things for it but still I am suffering for with this. What can I do I cant understood.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again. Contact your family doctor or nearest hospital for emergency help.
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Neck Pain - Health Tip

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Neck Pain - Health Tip
Herniated disks or bone spurts in the vertebrae of the neck may become the reason behind severe neck pain. They sometimes take too much space and compress the nerves branching out from the spinal cord.
10 people found this helpful

Due to night fall my nerve system is very week and now I am suffering from disk in my back please suggest me some medicine fr improvement of nerves.

BHMS
Homeopath, Chennai
Nocturnal Emissionis defined as the involuntary ejaculation of semen during a night without sexual intercourse allied with sexual dreams. Furthermore, nocturnal emission is commonly known as "Nightfall" or "Wet dream". Nightfall or nocturnal emissions are simply a reaction of reproductive system to chuck out the excessively produced fluid in it and male’s reproductive organ ejaculates this excess fluid when he is sleeping. Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat night emission but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat night emission that can be selected on the basis of cause, sensations and modalities of the complaints. A homeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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Breast Cancer - Evaluate The Risk Before Development

Speciality Birthing Care
Gynaecologist, Bangalore
Breast Cancer - Evaluate The Risk Before Development

Medical science constantly challenges the boundaries by finding not only the cures to the most dangerous diseases, but finds a way to prevent them even before they occur. With years of research, practice and data available for analysis, scientists are using advanced technology in combination with years of research to create a predicting mechanism for often fatal diseases like cancer.

Breast cancer screening has always been done with mammography. The fact is that this method is only 75% accurate, laden with false positives and misses a whole set of women totally- and that too when cancer has already developed. Part of the problem comes from the dense breast tissue which one in three women have. This tissue masks the lumps, which makes it difficult for mammograms to accurately screen cancer.

Some breakthrough scientific methods are changing this by drawing on years of research to predict this deadly disease, years before it can manifest itself.

A genetic test to predict cancer 10-11 years ahead of time
This test was performed to see how environmental factors could influence cancer, along with habits like smoking, abusing alcohol or hormones, genetic changes that occur and are put a large percentage of the women at a high risk of developing this disease.

A simple blood test is used for the genetic analysis of hereditary cancer. Researchers found a biological marker, methylation of the ATM gene, which has a very high ability to predict the risk of developing cancer, several years before diagnosis. 'Methylation' concluded that when one biological indicator is exposed to carcinogenic substances, or other abusive substances like tobacco and alcohol, it may trigger the development of cancer. On the flip side, this test will take time to reach the commercial market and even then cannot give an exact timeline as to when someone may develop the disease.

A simple blood test to predict breast cancer 5 years before it develops
This is the kind of medical miracle the world is looking for. Last year in April, researches in Denmark identified a simple blood test that can predict breast cancer five years before it actually develops with an accuracy of a whopping 80%.

It works by "measuring all of the compounds in the blood to build a 'metabolic profile' of an individual, in order to detect changes in the way chemicals are processed, during a pre-cancerous stage," says Laura Donnelly, health editor at The Telegraph, which covered this development. Danish researchers observed 57,000 participants over 20 years, gathering blood samples along the way, specifically comparing a set of 800 women who remained healthy or developed breast cancer within 7 years of their first blood sample. The researchers found they were able to predict, with 80 percent accuracy, which patients would be affected by the disease, just by looking at the metabolic profiles they built from the participants' blood samples. The results have been published in Metabolomics. If you wish to discuss about any specific problem, you can consult a Gynaecologist.


 

5721 people found this helpful

What is the reason and precautions for Lumbo Sacral pain in having Disk Slip problem?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
1 person found this helpful
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I have a herniated disk (bulged disk/slip disk) at c7 and the c7 nerve is compressed for last 2 months. Do you have treatment in ayurveda ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
However you may try sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again. Contact your family doctor or nearest hospital for emergency help.
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MRI SCAn report. There is a partial fusion of C5 C6 VERTEBRAL BODIES. C6 C7 BROAD BASED LEFT posture LATERAL DISC PROTRUSION is noted INDENTING the THECAL SAC CAUSING LEFT NEURAL forminal & impinging LEFT C7 Existing NERVE ROOT. What's the cure for this. Will physical therapy help?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck
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Breast Cancer - Risk Factors Associated With It!

MS - General Surgery, MCH - Oncology , MBBS
Oncologist, Pune
Breast Cancer - Risk Factors Associated With It!

Detecting a lump on your breasts can be stressful for any women. Breast cancer is a common type of cancer and is said to affect primarily affect women though 1% of breast cancer cases affect men. Breast cancer can be categorized into different types based on their capability to affect surrounding tissues.

The most common amongst these are:

  • Ductal carcinoma in situ
  • Invasive ductal carcinoma
  • Invasive lobular carcinoma

Breast cancer is caused by mutations of a person’s DNA cells. This could be inherited from one’s parents or acquired by an unhealthy lifestyle. These DNA mutations cause cells in the breast tissue to multiply rapidly and turn cancerous. The risk factors for breast cancer can be categorized as modifiable and non-modifiable.

Modifiable risk factors:

Non-modifiable risk factors:

  • Age
  • Family Medical History
  • Personal Medical History
  • Atypical hyperplasia
  • Early start of menstruation cycle
  • Presence of dense breast tissue
  • Inherited genetic mutations

As with any other type of cancer, the earlier it is diagnosed, the easier it is to treat. In its early stages, breast cancer is not painful and has negligible symptoms. In most cases, it is detected only by finding a lump on the breast or through a mammography. This lump may also be present in the armpit or above the collar bone. Some of the other symptoms of breast cancer include:

  • Nipple inversion
  • Discharge from the nipples
  • Changes in the colour and texture of skin covering the breast

Breast cancer has five stages beginning from 0 and going up to 4. This is based on the size of the tumour, involvement of lymph nodes and whether or not metastasis has occurred.

  • Stage 0: At this stage, the tumour does not affect the lymph nodes and has not metastasized. Thus at this stage, it is noninvasive.
  • Stage I:  In this case the tumour is smaller than 2 cm in diameter and has not spread to any of the surrounding tissues.
  • Stage II: In this stage, the cancerous tumours are still fairly small in size but also affect the surrounding lymph nodes.
  • Stage III: These tumours are larger than 5 cm in diameter and involve the lymph nodes to a greater extent.
  • Stage IV: This is also known as metastatic breast cancer. In this stage, the cancer cells metastasize to other parts of the body.

Surgery is the most preferred form of treatment for breast cancer. This may be combined with radiation, chemotherapy, targeted therapy or hormone therapy depending on the stage and type of cancer, the patient's overall health, age and personal preferences. In case you have a concern or query you can always consult an expert & get answers to your questions!

My rt. Breast surgery for breast cancer had done and presently from last 3-4 months rt. Hand and full arm are swelling.

MS - General Surgery
General Surgeon, Kanpur
You probably having lymphoedema, so apply compression bandage and keep your part high, over the pillows, consult your operating surgeon. This will go slowly.
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