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Nutrition
all course content
299
Nursing
Undergraduate 3
12/08/2011

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Cards

Term
How many kcal/g in carbohydrates?
Definition
4 kcal/g
Term
How many kcal/g in protein?
Definition
4 kcal/g
Term
How many kcal/g in fat?
Definition
9 kcal/g
Term
Define Estimated Average Requirement (EAR)
Definition
amt of a nutrient needed to the meet the needs of 50% of the population
Term
The EAR is used to set
Definition
RDA
Term
Define RDA
Definition
level of a nutrient intake sufficient to meet the needs of 98% of the healthy population
Term
Define Adequate Intake (AI)`
Definition
used when there in insufficient eveidence to establish an EAR/RDA
Term
Define Tolerable Upper Intake Level (UL)
Definition
the highest intake level that can be tolerated without the possibility of causing ill effects (toxicity)
Term
What percent of calories should be from carbs?
Definition
45-65%
Term
What percent of calories should be from fat?
Definition
20-35%
Term
What % of calories should be from protein?
Definition
10-35%
Term
What contents in food decrease bacterial growth?
Definition
high sugar, high salt, high acidity
Term
If food is in the danger zone does it increase or decrease bacterial growth?
Definition
increase
Term
What is the maximum time a food can be in the danger zone?
Definition
2 hours
Term
How do oxygen and moisture affect bacterial growth on food?
Definition
both increase bacterial growth
Term
S&S of FBI
Definition
high fever, bloody stool, V/D lasting more than 2 days
Term
Stool cultures can test for FBI's caused by what types of bacteria?
Definition
campylobacter, salmonella, e. coli
Term
How are FBI's treated?
Definition
fluid/electrolyte replacement, bismuth salicylate
Term
Bismuth salicylate cannot be given if
Definition
the pt has a high fever or diarrhea
Term
Are antibiotics commonly given to treat FBI's?
Definition
NO
Term
What is the source of salmonella?
Definition
raw/undercooked eggs, poultry, meat, fruits, veggies. unpasteurized dairy products
Term
What is the source of campylobacter?
Definition
raw, undercooked poultry
Term
What is the source of e. coli?
Definition
undercooked/raw beef, unpasteurized juices/ciders, fecal contamination of foods, cross contamination
Term
What is the source of staph aureus?
Definition
humans (food handlers!!), often present on skin, nose or throat (cuts)
Term
What is the source of listeria?
Definition
unpasteurized dairy products, sliced deli meats, hot dogs, smoked fish, deli prepared salads
Term
What is the source of botulism?
Definition
improperly prepared canned foods
Term
Honey should not be fed to infants less than
Definition
12 mos --> may cause botulism!!
Term
What groups are at risk for FBI's?
Definition
-immunocomprimised
-elderly
-pregnant/nursing women
-bottle fed infants
-those with liver disease
Term
Bottle fed infants are specifically at risk for
Definition
salmonella (warm milk left at room temp for hours)
Term
Those with liver disease are specifically at risk for
Definition
vibrio vulnificus (from oysters)
Term
True or false: foods should be stored 6 inches above the floor
Definition
True
Term
Where should food be thawed?
Definition
-fridge, not counter
-cool water bath
-microwave
Term
What is the danger zone?
Definition
40-140 deg. F
Term
Cooking temp for ground beef
Definition
160 deg. F
Term
Cooking temp for chicken breast
Definition
170 deg. F
Term
Cooking temp for fish
Definition
145 deg. F
Term
Where should raw meat be stored in the fridge?
Definition
the lower shelf
Term
Simple sugars
Definition
-monosaccharides
-disaccharides
**Think -ose (glucose, fructose, sucrose, etc.)
Term
Complex sugars
Definition
-polysaccharides (think "amy")
-glycogen
Term
What is the function of carbs?
Definition
-to provide energy (brain/nerve tissue)
-provide fiber
-protein sparing effect
Term
Glucose can be stored as
Definition
glycogen
Term
Where is glycogen stored?
Definition
the muscle/liver
Term
glycogenolysis
Definition
liver/muscle glycogen is converted to glucose
Term
gluconeogenesis
Definition
fat/protein are converted to glucose
Term
what happens if you don't consume enough carbs?
Definition
fat is metabolized causing ketones
Term
What prevents ketosis?
Definition
min 100g/protein per day
Term
What happens if you eat too many carbs?
Definition
extra glucose is converted to triglycerides
Term
Where are triglycerides stored?
Definition
fat cells (adipocytes)
Term
Insulin
Definition
moves glucose into cells
Term
Glucagon and epinephrine
Definition
convert liver glycogen to glucose
Term
Fructose is the sugar in
Definition
honey, fruit
Term
What is the sweetest of all sugars?
Definition
Fructose
Term
Sucrose is also known as
Definition
table sugar
Term
Sucrose is found in
Definition
cane, beet sugar plants
Term
What happens when maltose ferments?
Definition
Alcohol is formed
Term
Lactose is also known as
Definition
milk sugar
Term
the average american consumes how many lbs of of sugar per day?
Definition
a quarter lb
Term
Recommended amount of sugar for men per day
Definition
36 grams
Term
Recommended sugar for women per day
Definition
24 grams
Term
Refined grains means
Definition
processed grains
Term
What is the only part left in refined grains?
Definition
endosperm
Term
Unrefined grain means
Definition
whole grains
Term
Refined grains contain
Definition
bran, wheat germ, endosperm
Term
What does insoluble fiber do?
Definition
helps with regularity, adds bulk to the stool
Term
Insoluble fiber sources
Definition
whole grains, brown rice, seeds, popcorn, oatmeal, nuts, wheat bran, leafy green beggies, broccoli
Term
What does soluble fiber do?
Definition
helps with cholesterol reduction
Term
What are some soluble fiber sources?
Definition
legumes, oatmeal, apples, grapes, citrus fruits, pears, banana
Term
AI for fiber
Definition
20-38 grams per day
Term
What are the functions of fat?
Definition
-energy
-structure
-insulation
Term
Saturated fats come from
Definition
animal fats
Term
Sources of saturated fat
Definition
meats, shortening, butterfat, vegetable oils, eggs, dairy, tropical oils
Term
Unsatured fats are made up by
Definition
-MUFA'S
-PUFA's
Term
MUFA sources
Definition
olive/canola oil, nuts, avocado
Term
PUFA sources
Definition
corn, safflower, canola, sesame, and sunflower oils, fish and margarine
Term
What do MUFA's and PUFA's do to blood cholesterol?
Definition
lower blood cholesterol
Term
What does saturated fat do to the blood cholesterol?
Definition
raises cholesterol
Term
PUFA;s are made up of
Definition
omega-3, omega-6
Term
Trans fats are
Definition
processed
Term
Trans fat does what to cholesterol?
Definition
increases it
Term
Omega-6 sources
Definition
vegetable oils, salad dressings, prepared foods
Term
Omega-3 sources
Definition
tuna, salmon, mackerel, sardines, rainbow trout, flaxseed and walnuts
Term
Do americans consume adequate amounts of Omega-3's and omega-6's?
Definition
the consume adequate omega-6's, not enough omega-3's
Term
Partially hydrogenated means the same thing as
Definition
trans fat
Term
Lecithin is an
Definition
emulsifier (holds fat and water in suspension)
Term
Lecithin sources
Definition
salad dressings, sauces, gravies, cheeses
Term
Cholesterol is the basis for
Definition
-steroid derivatives
-vitamin D
Term
Cholesterol sources
Definition
only from animal sources
Term
What 4 things transport lipoproteins?
Definition
-chylomicrons
-VLDL
-HDL
-LDL
Term
High fat intakes can be associated with
Definition
-cancer
-CHD
Term
How many servings of fatty fish should you eat per week?
Definition
2-3
Term
What percent of kcal should be from saturated fats?
Definition
less than 10%(less than 7% if at risk for CAD)
Term
How many mg of cholesterol per day?
Definition
less than 300 (less than 200 if at risk for CAD)
Term
nonessential amino acids
Definition
made by the body (11)
Term
essential amino acids
Definition
must be obtained from diet (9)
Term
What causes protein denaturation?
Definition
-heat
-light
-acid
-alcohol
-enzymes
-mechanical action
Term
protein function
Definition
-growth/maintenence
-enzymes
-hormones
-blood clotting
-immune response
-fluid/electrolyte replacement
-acid/base balance
-transportation
-energy
Term
Protein sources
Definition
Meat, poultry, fish, eggs, dairy products, and soy
Term
Highest quality protein sources
Definition
eggs, human milk
Term
Vegans may need to take which supplements?
Definition
Vitamin B12, vitamin D, Fe, Zn, Ca
Term
Average protein needed for a healthy adult
Definition
.8g/kg
Term
Too much protein can cause
Definition
-Obesity
-Heart disease
-Cancer
-Osteoporosis
Term
Do Americans eat enough protein?
Definition
Most eat too much protein
Term
Do vitamins provide energy?
Definition
NO
Term
Fat soluble vitamins
Definition
A, D, E, K
Term
What type of vitamins produced deficiencies that take longer to develop?
Definition
fat soluble vitamins
Term
Water soluble vitamins
Definition
B vitamins, C vitamins
Term
Water soluble vitamin deficiencies occur
Definition
rapidly
Term
Vitamin B1
Definition
Thiamin
Term
Thiamin sources
Definition
Whole or enriched grains and flours, lean pork, legumes, seeds, and nuts
Term
Vitamin B2
Definition
Riboflavin
Term
Riboflavin sources
Definition
mainly milk/milk products
Term
Symptoms of thiamin deficiency
Definition
Beriberi (Wet, Dry, Wernicke-Korsakoff syndrome)
Term
Riboflavin is very sensitive to
Definition
light
Term
Symptoms of riboflavin deficiency
Definition
Cheilosis, inflammation of mouth and tongue, dermatitis, sensitivity to sun
Term
Vitamin B3
Definition
Niacin
Term
Niacin is found in
Definition
protein-containing foods
Term
Niacin RDA
Definition
-16 mg men
-14 mg women
Term
What is a precursor to niacin?
Definition
Tryptophan
Term
Niacin deficiency symptoms
Definition
Pellagra 3 Ds (diarrhea, dermatitis, dementia) and eventually death
Term
Who is at risk for niacin deficiency?
Definition
-those who overconsume alcohol
-malabsorption
Term
What is the UL for niacin?
Definition
35mg/day
Term
B6 sources
Definition
whole grains and cereals, legumes, chicken, fish, pork, and eggs
Term
Recommended intake for B6
Definition
1.3mg per day
Term
AI for water
Definition
9 cups per day women
13 cups per day men
Term
Do minerals yield energy?
Definition
NO
Term
Do minerals remain stable when cooked?
Definition
YES
Term
What minerals are at suboptimal levels in the US?
Definition
-calcium
-iron
-magnesium
-zinc
Term
Calcium AI
Definition
1000-1300mg per day
Term
Calcium UL
Definition
2500mg
Term
Calcium sources
Definition
-dairy products
-green leafy veggies
Term
Recommended intake for phosphorus
Definition
700mg/day
Term
Phosphorus food sources
Definition
-meat, poultry, fish, eggs
-milk/milk products, nuts, legumes, cereal, grains
-convenience foods, soft drinks
Term
High phosphorus can cause decreased absorption of
Definition
calcium
Term
Symptoms of Mg deficiency
Definition
muscle twitching and weakness, convulsion
Term
Mg UL
Definition
350mg
Term
Causes of Mg deficiency
Definition
excessive vomiting and diarrhea, GI disorder, kidney disease, alcoholism, malnutrition
Term
Sulfur sources
Definition
Protein-containing foods
Term
DRI for sulfur
Definition
not established
Term
Is it possible too little/too much sulfur?
Definition
NO
Term
AI for sodium
Definition
1500mg/day
Term
What is the average intake of sodium per day?
Definition
6000mg
Term
Sodium UL
Definition
2300mg
Term
Symptoms of sodium deficiency
Definition
headache, muscle cramps, weakness, reduced ability to concentrate, memory and appetite loss
Term
AI for potassium
Definition
4700 mg
Term
Potassium food sources
Definition
Fruits, vegetables, fresh meat and dairy
Term
AI for chloride
Definition
2300 mg
Term
chloride sources
Definition
Table salt (sodium chloride), foods with sodium
Term
Iron RDA for men
Definition
8mg
Term
Iron RDA for women
Definition
18mg
Term
RDA for iron during pregnancy
Definition
27mg
Term
What helps aid the absorption of heme iron?
Definition
vitamin C
Term
Sources of heme iron
Definition
meat
Term
Sources of nonheme iron
Definition
-Dried beans
-Vegetables
-Whole grain and enriched breads
-Cereal
-Dried fruits
Term
Zinc RDA for men
Definition
11 mg
Term
zinc RDA for women
Definition
8mg
Term
zinc RDA during pregnancy/lactation
Definition
11-12 mg
Term
Zinc sources
Definition
Meat, fish, poultry, fortified cereals, whole grains, nuts, dried beans
Term
Symptoms of zinc deficiency
Definition
-Impaired growth and wound healing
-Reduced appetite, taste and smell
-Depressed immune response
Term
Zinc toxicity symptoms
Definition
Vomiting and diarrhea, fever, exhaustion
Term
Iodine sources
Definition
Salt fortified with iodine, seafood
sea salt is a poor source
Term
Average intake of iodine exceeds
Definition
RDA
Term
Iodine deficiency symptoms
Definition
Goiter, cretinism
Term
Vitamin B6 sources
Definition
whole grains and cereals, legumes, chicken, fish, pork, and eggs
Term
Folate recommended intake for adults
Definition
400 mcg
Term
Folate recommended intake in pregnancy
Definition
600 mcg
Term
folate recommended intake during lactation
Definition
500 mcg
Term
Sources of folate
Definition
Leafy green vegetables, legumes, orange juice, fortified cereal grains
Term
B12 RDA
Definition
2.4 mcg daily
Term
Sources of B12
Definition
only animal derived foods
Term
What does the absorption of B12 require?
Definition
intrinsic factor, stomach acid
Term
Does the average intake of B12 exceed the RDA?
Definition
YES
Term
B12 deficiency
Definition
-pernicious anemia
-nerve degeneration
-paralysis
Term
Sources of biotin
Definition
Liver, peanuts, egg yolks and a few vegetables
Term
Choline AI for men
Definition
550mg
Term
Choline AI for women
Definition
425 mg
Term
Choline sources
Definition
Milk, eggs, peanuts
Term
Vitamin C RDA for men
Definition
90mg
Term
Vitamin C RDA for women
Definition
75mg
Term
Vitamin C RDA for smokers
Definition
125mg
Term
Vitamin C sources
Definition
Fruits and vegetables (citrus fruits are excellent)
Term
Recommended intake for vitamin A
Definition
900 mcg men
700 mcg women
Term
Recommended intake for vitamin D
Definition
600IU
Term
Rickets and osteomalacia are both caused by?
Definition
Vitamin D deficiency
Term
Short-term, high intensity exercise involves mostly
Definition
carbs
Term
low to moderate exercise uses both
Definition
carbs and fats
Term
moderate intensity, long duration exercise uses
Definition
fat
Term
What are the three components of total energy expenditure?
Definition
-Resting energy expenditure
-thermic effect of food
-physical activity
Term
What is resting energy expenditure?
Definition
the energy a person expends at rest, 60-75%
Term
What percent of the energy needs does physical activity require?
Definition
20-30%
Term
What percent of total energy does thermic effect of food require?
Definition
7-10%
Term
What factors effect RMR?
Definition
-age
-gender
-body size
-body composition
-hormonal status
Term
What is the most major determinant of RMR?
Definition
body composition
Term
The 2008 physical activity guidelines for adults suggest muscle strengthening how many times per week?
Definition
2
Term
The 2008 physical activity guidelines for adults suggest working out how many muscle groups in one set?
Definition
8-12
Term
The 2008 physical activity guidelines for adults suggest how many minutes of moderate intensity exercise?
Definition
150 min
Term
The 2008 physical activity guidelines for adults suggest how many minutes of vigorous intensity activity?
Definition
75 min
Term
How often should PA be done?
Definition
3 days per week, at least 10 min bouts
Term
What does gynoid mean?
Definition
-pear shape
-less chronic disease risk
Term
What is android?
Definition
-apple shaped
-indicator or morbidity
Term
Waist circumference is an asessment of
Definition
-abdominal obesity
-disease risk
Term
Where is waist circumference measured?
Definition
the iliac crest
Term
High risk waist circumference for men
Definition
greater than 102 cm (40 inches)
Term
High risk waist circumference for women
Definition
greater than 88cm (35 inches)
Term
What medical conditions are associated with obesity?
Definition
-CAD
-type 2 dm
-osteoarthritis
-gallbladder
-cancers of breast, colon, prostate, endometrium
-PCOS
-sleep apnea, resp problems
-fatty liver
Term
What defines metabolic syndrome?
Definition
-abd obesity
-high FPG
-impaired glucose tolerance
-elevated TG's
-low HDL
-HTN
Term
What amount of weight loss can decrease the severity of obesity associated disease risks?
Definition
5-10% weight loss
Term
A 5-10% weight loss has what positive effects?
Definition
-improved glycemic control
-reduced BP
-improved lipid profile
Term
NWRC
Definition
-78% eat bfast daily
-75% weigh themselves at least once a week
-62% watch less than 10 hrs of tv per week
-90% exercise 1 hour per day
Term
What are some modifiable factors to reduce low birth weight?
Definition
-underweight prioir to pregnancy
-low pregnancy weight gain
-smoking during pregnancy
-certain maternal infections
-iron deficiency anemia early in pregnancy
Term
What vitamin in given to manage N/V in pregnant women?
Definition
vitamin B6
Term
Are laxatives recommended to treat constipation in pregnant women?
Definition
NO
Term
How grams of fiber should a pregnant woman consume per day to control constipation?
Definition
30 grams/day
Term
Recommended weight gain for a pregnant woman with a normal BMI (18.5-24.9)?
Definition
25-25 pounds
Term
What is the normal weight gain for a pregnant woman with an underweight BMI? (less than 18.5)
Definition
28-40 pounds
Term
What is the normal weight gain for a pregnant woman with an overweight BMI (25-29.9)?
Definition
15-20 pounds
Term
What is the normal weight gain for a pregnant woman with an obese BMI (greater than 30)?
Definition
11-20 pounds
Term
How much should calorie needs be increased during pregnancy?
Definition
300kcal/day
Term
How much should calorie needs be increased during lactation?
Definition
750kcal/day
Term
What type of fat is important during pregnancy?
Definition
Omega-3's
Term
What foods/minerals help to treat preeclampsia?
Definition
-4 or more servings of fruits/veggies per day
-increase whole grain intake
-adequate intake of calcium, folic acid
Term
What happens to the birth weight in 6 mos.?
Definition
it doubles
Term
What happens to birth weight in 1 year?
Definition
it triples
Term
What happens to a baby's length/height in the first year?
Definition
it increases by 50%
Term
All breastfed infants need a supplement of
Definition
vitamin D
Term
What needs to be monitored in formula-fed babies but is usually not supplemented?
Definition
iron
Term
Why is vitamin K given at birth?
Definition
newborns lack the intestinal bacteria that synthesizes vitamin K
Term
Total cholesterol should be less than
Definition
200
Term
HDL should be over
Definition
45 men
55 women
Term
LDL should be less than
Definition
100, 70 if CAD/diabetes
Term
TG's should be less than
Definition
150
Term
TLC: sat fat
Definition
less than 7% of total energy intake
Term
TLC: dietary cholesterol
Definition
less than 200 mg/day
Term
TLC: plants/sterol
Definition
2g/day
Term
TLC: soluble fiber
Definition
10-25g/day
Term
What type of protein lowers LDL?
Definition
soy protein
Term
A cardiac diet involves
Definition
-lower sat fat
-lower sodium
-no caffeine
Term
CHF sodium restriction
Definition
1-2gm
Term
CHF pts are usually on what type of restriction in addition to sodium restriction
Definition
fluid restriction
Term
cardiac cachexia is due to
Definition
SOB
Term
less than 1500mg/day of sodium is usually only needed for severe
Definition
CHF
Term
COPD/emphysema pts need
Definition
small, frequent feedings
Term
How much protein per day should pts with ARF expected to resolve in a few days consume?
Definition
0.6 g/kg/d
Term
How much protein should ARF pt's on HD consume?
Definition
1.2 g/kg/day
Term
How many kcals for ARF pts?
Definition
30-40kcal/kg
Term
Fluid needs for ARF pts
Definition
500CC+UO
Term
What electrolytes are usually elevated in pts with ARF?
Definition
K, Mg, P
Term
CRF is measured by
Definition
GFR
Term
ESRD causes decreased kidney clearance of
Definition
P, K
Term
ESRD causes impaired synthesis of
Definition
vitamin D
Term
True or False: ESRD also causes fluid overload and anemia
Definition
True
Term
How many kcals for ESRD MNT?
Definition
30-35 kcal/kg
Term
Protein for ESRD MNT
Definition
.6g/kg
Term
Sodium for ESRD MNT
Definition
1-2g/d
Term
Phosphorus for ESRD MNT
Definition
8-12mg/kg
Term
Potassium for ESRD MNT depends on
Definition
labs
Term
Protein for pts on HD
Definition
1.2g/kg
Term
Kcal for pts on HD
Definition
35 kcal/kg
Term
Fluid for pts on HD
Definition
urine output + 500cc
Term
Sodium for HD patients
Definition
2-3gm/day
Term
Potassium for HD patients
Definition
2-3gm/day
Term
Calcium for HD patients
Definition
1000-1500 mg/day
Term
Phosphorus for HD patients
Definition
.8-1.2g/kg
Term
What vitamin do patients on HD need to take?
Definition
vitamin D (calcitrol)
Term
energy for CAPD
Definition
30-35 kcal/kg
Term
Protein for patients on CAPD
Definition
1.2-1.3g/kg
Term
Sodium for patients on CAPD
Definition
2-4g/day
Term
Potassium for patients on CAPD
Definition
3-4 g/day
Term
Phosphorus for CAPD patients
Definition
.8-1.2g/day
Term
Calcium for patients on CAPD
Definition
1000-1500mg/day
Term
Phosphorus binders should be given at every
Definition
meal/snack
Term
Calcium/Aluminum free phosphorus binders
Definition
-renagel
-fosrenol
Term
Calcium containing phosphorus binders
Definition
-calcium carbonate
-calcium acetate (PhosLo)
Term
Water for patients with renal calculi?
Definition
2-3L/day
Term
Is there a calcium restriction for patients with renal calculi?
Definition
NO
Term
What should be moderately restricted for patients renal calculi?
Definition
oxalates
Term
Oxalate sources
Definition
spinach, rhubarb, beets, nuts, chocolate, tea, wheat bran, strawberries
Term
Why do patients with renal calculi need to make sure that they do not exceed the vitamin C DRI?
Definition
because vitamin C increases urinary oxalate excretion
Term
Protein for renal calculi
Definition
normal
Term
Salt for renal calculi
Definition
less than 2300mg/day
Term
Potassium for renal calculi
Definition
generous
Term
Level one dysphagia diet
Definition
pureed
Term
Level two dysphagia diet
Definition
mechanical soft
Term
Level 3 dysphagia diet
Definition
dysphagia advanced,regular w no hard, crunchy or sticky foods
Term
Level 4 diet
Definition
REGULAR
Term
Dysphagia diet-liquids
Definition
-thin
-nectar-thick
-honey-thick
-spoon thick (like pudding)
Term
For patients with gastric surgery, liquids and meals should be consumed
Definition
seperately
Term
What should the patient do if dumping occurs?
Definition
lie down 15-30 minutes after the meal
Term
What delays gastric emptying?
Definition
pectin
Term
True or False: post gastric surgery patients should avoid simple carbs
Definition
true, they should only consume complex carbs
Term
Lactose intolerance is a common problem for what patients?
Definition
post-gastrectomy patients
Term
Post-gastrectomy patients may need what supplements?
Definition
iron, vitamin d, b12
Term
Energy for IBD
Definition
35-40kcal/kg
Term
protein for IBD
Definition
1-1.5g/kg
Term
In an IBD flare up, what type of diet
Definition
low residue, low fiber
Term
What type of diet for IBD in remission?
Definition
high fiber
Term
Fat restricted diets
Definition
Pancreatitis
Cholecystitis (pre-op and shortly post-op)
IBD--based on tolerance
Radiation enteritis
Short Bowel Syndrome
GERD
Term
Fiber restricted diet
Definition
IBD, radiation enteritis, acute diverticulitis
Term
Pacreatitis PO diet
Definition
low fat, high cholesterol/protein
Term
What type of feeding for pancreatitis?
Definition
low fat, elemental
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