The Mistake Your Doctor Might Be Making

You probably trust your doctor to diagnose and cure your symptoms. (It’s why you turn to her, not Dr. Google.) But even good doctors sometimes make mistakes—and it often happens right before your eyes: A recent study found that 80 percent of doctors’ diagnostic errors were made during the patient-doctor interaction.

Researchers from Baylor College of Medicine, Texas A&M, and University of Texas at Houston investigated the medical records of 190 patients at the Houston VA Health Services Research and Development Center of Excellence who ended up in the hospital or back at the doctor within two weeks of a primary care visit. Sixty-eight of the patients were diagnosed with previously-undetected health conditions as serious as cancer, heart disease, meningitis, dementia, iron deficiency anemia, asthma, and even HIV.

In 4 out of 5 of these cases, errors in the patient-practitioner encounter played a role in the missed diagnosis. For instance, doctors messed up diagnostic test orders and physical exams, and overlooked important parts of the patients’ medical records. And in 81 percent of cases, doctors skipped differential diagnosis, a routine but crucial part of the diagnostic process in which doctors reflect on their patient’s symptoms and exam, and record their thoughts on what the condition could be.

“It’s not that these doctors were negligible,” says lead study author Hardeep Singh, M.D., a research scientist at Baylor College of Medicine and chief of the Health Policy and Quality Program at the Houston VA Health Services Research and Development Center of Excellence. “It’s that the conditions that they’re treating are complex—even if they’re common.” Just think: Your pesky cough could be accompanied by any number of other symptoms. Plus, your aches and pains evolve over time: symptoms that scream bronchitis today could turn into pneumonia tomorrow.

And it doesn’t help that most doctors face the same work pressures as you. They, too, are pressed for time and pushed to be more productive—even though it’s your health that’s at stake.

While you can’t carve more time in your doctor’s day, you can help your physician help you with the best patient practices:

Bring a list of your symptoms
Doctors rely heavily on patient information, says Singh, so it’s important to present the most thorough picture of your health. If you’re on medication, feverish, or stressed, you might forget to mention the symptom that tips the scale toward the correct diagnosis. So make a list of your complaints before your exam, and whip it out when your doctor asks.

Answer questions thoroughly
During most medical exams, your doc should ask about your medications. The way she asks you is important–like, “Which medications do you take regularly?” or, “What meds have you taken today?”–but so is how you answer, says Singh. This is your time to take the mic and belt out a list of every pill you pop, from supplements to The Pill, and over-the-counter drugs. Even OTC cold medicines can quicken your heartbeat or disguise signs of sickness, says Singh.

Do your research
Spend too much time Googling your symptoms, and you’re bound to uncover a mild case of hypochondria (look it up!). But reliable, up-to-date resources like Medline Plus (not Wikipedia) can inform and empower you to ask smart questions (like, “Could I have strep?”). This creates a dialog that can ultimately help you and your doctor get to the root of your issue, together.

And if you have a preexisting health condition, or know of one that runs in your family? Stay abreast of its symptoms so you know what to look for. For instance, diabetics are prone to eye issues. If you have diabetes and haven’t had an eye exam in years, ask your doctor for an ophthalmologist referral.

Understand the plan
Before you leave the exam room, note your doctor’s answers to the following questions. Bring a pen and paper if it helps you remember.

• What do I have?
• What is the treatment and how long should it last?
• When should the treatment alleviate my symptoms?
• What should I do if I’m not feeling better then?
• What should I do if I feel worse?
• What’s the best way to reach you?
• Do I need any follow up tests, referrals, or visits?

Follow Doctor’s orders
If your doctor says to call or return if you’re not better in two days, do it, says Singh. And even if doctor doesn’t ask you to follow up, always call her if you’re not feeling better or feeling worse.

Be skeptical
“Doctors try their best, but we work in imperfect systems and are imperfect beings,” says Singh. “There’s a lot of uncertainty, and doctors make their best judgments. But mistakes happen.” If your doctor seems unsure about your diagnosis, it’s OK to return for a follow up visit or seek out a second opinion.

photo: beerkoff/Shutterstock

More from WH:
7 Signs of a Bad Doctor
13 Questions to Ask Your Doctor
Are You Honest With Your Doctor?

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The Mind Trick That Boosts Your Mood

When you’re battling depression or feeling seriously bummed, it’s tough to recall happier moments from your past—tough, but not impossible. They key to looking on the bright side: Using the ‘method-of-loci’ memory strategy, where you train yourself to associate common objects with happy, detailed thoughts, according to a study published in the journal Clinical Psychological Science.

“People with depression have trouble bringing back memories that are positive in tone with self-affirming qualities,” says Tim Dalgleish, Ph.D., the director of the Cambridge Center for Affective Disorders and the lead author of the study. “This strategy gives them the option to remember the sorts of things they’d like to be able to remember to counteract how they’re feeling.”

The trick to this mind technique is training your brain to pair random objects you see daily–like a building or tree on your commute to work–with thoughts loaded with happy, detailed emotions. So, for instance: Every time you use your car, look at the steering wheel and think of a vacation you took that left you feeling invigorated and totally joyful. The more senses and details you can conjure, the better—so look at the steering wheel and think of the smell of the ocean, and the feeling of the breeze against your skin, and how happy you were to be there with the people you loved. The object and happy memories don’t have to be related (what does a steering wheel have to do with a beach vacation, anyway?), but you should bump into these items regularly. That way, you ultimately get to a point where you remember the happy moments just by seeing the object, and you don’t have to force yourself to be optimistic when you’re feeling anything but.

For other tips about how to pull yourself out of an emotional funk–and start smiling–read more about dealing with depression:

Antidepressant Information: How to Deal with Depression

The Easiest Way to Fight Depression

All-Natural Depression Fixes

How to Fight Depression and Stress with Meditation

How to Find a Good Therapist

photo: dotshock/Shutterstock

More from Women’s Health:

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How to Avoid a Missed Connection

Does this fun infographic that’s been floating around the Web recently look familiar? It illustrates where the highest number of Missed Connections happen in each state, and according to a recent analysis by Psychology Today, the most common place where Missed Connections across the country occur is at Walmart stores.

Of course, you don’t have to post a Missed Connection on Craigslist to know that shoulda-woulda-coulda feeling: Everyone’s kicked themselves after missing the chance to chat with a cute guy at a bar or a coffee shop. So the next time you find yourself in the presence of a Ryan Gosling lookalike, use these tips:

Catch his eye
You’re in a bar full of ladies, but you want the hottie across the room to notice you. Try this: Just tilt your head down a bit and look up at him through your eyelashes. Guys find it more attractive and feminine, according to a study out of the University of Newcastle in Ourimbah, New South Wales, Australia. Simple enough! (Bonus points if you wear something red; research shows that the color really gets guys going.)

OK, he noticed you—now make him feel welcome
Once you’ve made eye contact, move on to the next step: Smile. There’s a reason this combo is the oldest trick in the book: Research proves it’s the best way to let a man know you’re interested, according to Craig Malkin, PhD, a psychologist at Harvard Medical School. It’s basically the universal “come hither” signal to guys. If you’re feeling extra bold, flip your hair and nod in his direction. The tip may seem obvious, but if you’re having an intense conversation about Downton Abbey with your girlfriends, you’re not doing it.

If all else fails, head over!
You smiled and batted your eyelashes, and he seems into it—but he isn’t budging. Go for it yourself, and keep your intro simple and direct. “Hi” could work. “Most people hate corny openers and jokes,” explains Malkin. “It’s really the straightforward approach that’s best.” But: Tweak your tactic based on location. When you’re at a bar, the understanding is that one of the reasons you’re there is to meet people, Malkin says, so the approach is easy enough. But striking up a conversation on the train to work? Sort of weird. In a space like that, Malkin suggests sitting down next to him and bringing up something you observe, like a headline on the newspaper he’s reading.

Got it? Go get ‘em!

photo (main): Psychology Today
photo (thumbnail): vgstudio/Shutterstock

More from Women’s Health:
How to Talk to a Man
Ask a Guy Out
Listen to His Body Language

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The STD You Haven’t Heard Of

You probably consider yourself pretty well versed in STDs—you use condoms, you schedule regular appointments with your gyno, and you take care of your sexual health. But there’s one super-common infection you may not even know about. Only 1 in 5 women have ever heard of the sexually transmitted infection trichomoniasis, but there are an estimated 7.4 million cases diagnosed in the U.S. each year, according to a new survey by the American Sexual Health Association (ASHA).

This under-the-radar infection (commonly known as trich) is caused by a parasite and transmitted through sexual contact with an infected partner. If left untreated, it can lead to an increased risk of acquiring other infections like HIV, as well as pregnancy complications including pre-term labor and low-birth weight. But here’s the good news: Trich is completely curable once it’s diagnosed, and treatment is as easy as a single-dose antibiotic.

Before you run to your gyno demanding a trich test, read on for all the crucial details:

What are the symptoms?
Unfortunately, only about 30 percent of people with trich will ever develop any symptoms, according to Lynn Barclay, President and CEO of ASHA. The women who do may experience unusual vaginal discharge, a foul odor, itching in or around the vagina, pain during sex, or pain when urinating. Men are less likely to be infected—and even fewer will experience symptoms—but their signs may include itching, irritation, or discomfort when urinating. Like many other STDs, trich can commonly be misdiagnosed as a yeast infection, says Mimi Secor, board-certified nurse practitioner. If you suspect a yeast infection, check in with your doctor just to be safe.

Who should get tested?
Unless you’ve had symptoms, your doctor probably hasn’t ever tested you for trich. That’s because it’s not routinely included with your annual pap smear and STD testing. “When patients say, ‘Test me for everything’ what they usually get tested for is gonorrhea or Chlamydia, and possibly HIV,” says Secor. “Everything isn’t always everything.” But the CDC recommends that any sexually active woman who is experiencing symptoms get tested for trich. So if you have symptoms, head to your gyno, stat. If you test positive, your doctor will give you a prescription to cure it.

How else can you stay safe?
The best way to prevent trich and other STDs is by using a condom every time. “It’s not transmitted through skin-to-skin contact like HPV and herpes, so condoms are going to be far more effective in this case,” says Barclay. And in the meantime, talk to your doctor about any other infections that you should be getting tested for at your next visit.

photo: iStockPhoto/Thinkstock

More from Women’s Health:
7 Surprising STD Facts
Why Isn’t Random Hooking Up Scary Anymore?
Scary News About STDs 

 

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3 Myths About Tanning Beds

The harmful effects of indoor tanning are well documented. But many tanning salons still give customers inaccurate—and seriously dangerous—information, according to a recent survey conducted by the Washington University School of Medicine in St. Louis. Some even go as far as to say there are zero risks associated with a bronzing habit.

For the survey, researchers called up 243 Missouri tanning salons, once in the morning and once in the evening. The researchers posed as potential customers and asked questions about the salons’ policies. The results were alarming, according to Lynn Cornelius, MD, a co-author of the study and chief of dermatology at the Washington University School of Medicine. “The risks were more than likely not being conveyed to the clients,” she says.

Women’s Health has previously reported on another study with similar findings, which just goes to show that this scary stuff is, unfortunately, par for the course. Here are some of the most common lies told by indoor tanning salons—along with the truth—so you’ll be armed with accurate information:

43 percent of salon operators say indoor tanning is risk-free
The World Health Organization classifies UV-emitting tanning devices as a Group 1 carcinogen—the same category that tobacco falls under. The beds can cause melanoma, non-melanoma skin cancer, and ocular melanoma, a cancer that develops in your eyes. “These are very dangerous devices,” Cornelius says.

56 percent allow customers to tan without eye protection
The FDA suggests completely avoiding tanning beds, but it calls indoor tanning without eye protection “especially dangerous.” UV rays can cause short- and long-term damage to both the outside and inside of the eye. And just like with your skin, the harm is cumulative. In addition to ocular melanoma, which usually develops in the cells of the uvea (the middle layer of tissue beneath the white of your eye), UV rays can cause cataracts and macular degeneration.

80 percent say tanning can prevent future sunburns
Seeing as how it’s the tail-end of winter, you’re probably pretty pale right now. But if you’re planning to head somewhere warm anytime soon, forget the idea that a tanning bed could be your ticket to burn-free vacation. “A typical ‘tan’ that people develop from either outside or from indoor tanning devices gives you a UV-protective factor—an SPF—of about a 2 or a 4, which is negligible,” Cornelius says. So much for that theory…

photo: iStockphoto/Thinkstock

More from Women’s Health:
Timeline of a Tan
Skin Cancer Kills
The Un-Sexy Side of an Indoor Tan

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Another Reason to Love Organic Tomatoes

Bigger isn’t necessarily better—at least when it comes to tomatoes. According to a new study published in the journal PLOS ONE, organic tomatoes are smaller than conventionally-grown tomatoes. But what they lack in size they make up for in nutrients: Organic tomatoes are packed with more vitamins and minerals than their conventionally-grown counterparts.

Researchers from the Federal University of Ceara in Brazil evaluated both organic and conventional tomatoes (from 30 different plants each) at three different stages of maturity: immature, mature, and at harvesting stage. In the final state, they discovered that organic tomatoes contain 55 percent more vitamin C and 139 percent more phenolic content—compounds that may help fight disease. Exactly why this might be the case is unclear. “Conventional farmers use fertilizer and synthetic pesticides and herbicides, whereas organic  farmers often rotate the crops, manage the weeds, and use environmentally-generated compounds,” says Lisa Young, PhD, RD, CDN, a nutritionist who was not involved in the study. All of these factors might affect the nutritional outcome of the crops, Young says.

The findings are a great excuse to load up on organic tomatoes the next time you hit the grocery store. Here are plenty of great recipes that’ll help you put them to good use:

Winter Tomato Soup

Balsamic Tomato and Roasted Pepper Salad

Linguine with Fresh Tomato Sauce

Grilled Cheese and Tomato

Halibut with Tomatoes and Olives

Marinated Tomato and Mozzarella Pasta

Tomato Shrimp Risotto

Rustic Tomato and Roasted Corn Pizza

photo: iStockphoto/Thinkstock

More from WH:
Antioxidants: The 13 Healthiest Foods
How to Boost Your Mood with Food
10 (More) Things You Can Do with Tomatoes
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Doing THIS Damages Your Reputation At Work

work conflictsWhether you and your cube-mate are debating the best approach to use on a big project or how obnoxious her perfume choices have been recently, your coworkers see the same thing: a catfight. Workplace conflicts between two women are judged to have more negative consequences than conflicts between two men or one woman and one man, according to a new study in the journal Academy of Management Perspectives.

Researchers gave participants one of three conflict scenarios that were identical except for the names of the people involved (one scenario was between two men, the second involved a woman and a man, and the third involved two women). They then asked participants to judge the likelihood that these individuals would be able to repair the relationship and whether they thought it would lead to decreased job satisfaction.

The results revealed a bias against women in the workplace. Overall, participants thought that two women would be 15 percent less likely to repair their relationship than either of the other pairs. They also said that the female pair would be 25 percent more likely to let this affect their job satisfaction than a male-female pair, and 10 percent more likely than a male-male pair. “It’s very salient when there is a conflict between two women, and it’s automatically labeled a ‘catfight,’” says lead study author Leah Sheppard, a PhD candidate at the University of British Columbia. “These perceptions have spilled over into the workplace.”

The participants’ stereotypical assumptions are definitely annoying, but these findings serve as a reminder that colleagues might misinterpret even minor squabbles you have on the job. To avoid tarnishing your reputation, defuse work conflicts with these tips:

Don’t work and vent
Sure, it’s tempting to lean over your coworker’s cube and say, “Can you believe she did that?” Feel free to bring the incident up with the offending party or your manager—but leave your coworker out of it (particularly if you just feel like ranting). “If you’re venting at work, you’re reinforcing this stereotype that you’re never going to get over it,” Sheppard says. Instead, text your boyfriend about it or wait until you get home to rehash it with a friend. Chances are, you’ll be over it by then anyway.

Keep conflicts task-oriented
Your coworker dropped the ball—again—and all you really want to do is go off on her for being so careless. Warning: A personal dig won’t get you anywhere. “The research on conflicts show that when it’s just about the task, it can be quite productive,” Sheppard says. “But as soon as it gets personal, that’s when the negative implications come out.” Focus on being as specific as possible about what went wrong and how to prevent similar problems from cropping up in the future. That way, you’ll actually fix the issue—rather than drawing it out.

Dial back your voice
Women’s naturally higher tone of voice can also lead to negative assumptions about how they’re handling an office conflict, says workplace communication expert Joyce Weiss, author of Communicate With Impact! Females generally raise their tone and pitch when they’re passionate about something, which can come off as overly emotional to outsiders. Weiss recommends stopping and taking a breath before you speak—it’ll automatically help lower the tone of whatever comes out of your mouth next.

Hit pause
One crucial thing to keep in mind with work conflicts: Someone’s obnoxious behavior might have nothing to do with you. Before you take a remark or action personally, remind yourself that the person may just be having an awful day. “You don’t need to react to everything,” Weiss says. “If this isn’t typical behavior, leave them alone and give them space.” If it happens again, then you can bring it up. No clue where to start? Try the parrot technique, which Weiss explains as rephrasing what the other person said in the form of a question (for instance, “This presentation is all wrong?”). You’re throwing it back to them, which should get you more constructive feedback (or maybe even a confession that they’re upset about something that has nothing to do with you).

Avoid the gossip
One of the most interesting findings from this study was that women were just as likely as men to think that all-female conflicts would have the most negative consequences. Help squash the stereotype by shutting down gossip whenever it reaches you. “It’s very tempting to say you agree, but that’s not going to help,” Weiss says. Instead, encourage them to deal with the problem directly. Have a short and simple response ready, like: “Yeah, I hear you. You should definitely go talk to them about it.” You’re acknowledging what your coworker says without adding to the drama.

photo: iStockPhoto/Thinkstock

More from Women’s Health:
The Nasty New Workplace Epidemic
The Bad Habit That Hurts You Job Performance
How to Have a Life Outside of Work

 

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The Best Foods For a Healthy Heart

Do your heart a favor and reach for the olive oil: People who eat a Mediterranean diet high in extra virgin olive oil and nuts are 30 percent less likely to suffer from heart disease, according to The New England Journal of Medicine.

Researchers from the University of Barcelona recruited 7,500 people from Spain with pre-existing health conditions such as diabetes, obesity, and other heart-related diseases for their study. The participants were then assigned to one of three groups: two that followed variations on the Mediterranean diet (one added four tablespoons of olive oil per day to their diets, while the other group added 30 grams of nuts per day to theirs) and a third group that was put on a low-fat diet. Both Mediterranean diet groups were discouraged from consuming baked sweets, red and processed meats, and soda. Over the five-year study, the low-fat dieters were more likely to abandon the program than either of the Mediterranean diet groups.

Some experts worry the results might be skewed because participants were also taking medications for their conditions. But Robert Eckel, MD, a professor at the University of Colorado Denver, says that’s not the case.

“This shows that, even in a high-risk group with a lot of hypertension, ultimately a healthy diet works,” he says. “Many people think that if a patient is on a medication they may not need a good diet—not true.”

Add some staples of the Mediterranean diet into your meal plan with these fast and simple recipes:

Top off grilled salmon with an herb-infused olive oil dressing.

Mix pine nuts and olive oil into nutrient-packed couscous.

Up your veggie intake with these roasted Mediterranean vegetables.

Invite some friends over for some party-ready Greek-salad skewers.

photo: Hemera/Thinkstock

More from Women’s Health:
Spotlight: Heart Health
Prevent Cardiovascular Disease: Have a Healthy Heart
Change Your Fate—Starting Now

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Do You Nickname Your Dates?

First there was Alaska (from Juneau), followed by Crocs (the accountant who doesn’t seem to own any real shoes), followed by Scruffy Ginger (self-explanatory). As online dating sites make it increasingly common to see several men at once, more women are referring to the guys they date by code names when chatting about them with friends.

The Atlantic covered the trend in a recent online article, and author Sara Ashley O’Brien says she thinks women do it to keep men at an emotional arm’s length—so it’s not as painful if the relationship fizzles out (especially when you have to tell your girlfriends that, no, you haven’t heard from Bowling Guy in more than two weeks).

But Ian Kener, PhD, sex and relationship counselor and author of She Comes First, says nicknaming the men you date isn’t necessarily a bad thing—it’s just an emotional shorthand for summing up what resonates with you about a particular guy. Find out how using cute nicknames can help you bond with your man.

More interesting than why women give men monikers? What kind of insight the pseudonym can provide about your potential future with the guy. “It can reveal something you like about him,” Kerner says, “but very often women choose nicknames based on something that got under their skin, something that stood out and that they’re making fun of a little bit.”

If you’re not sure whether to go out on another date with a man, it can be helpful to ask yourself whether the name you’ve bestowed upon him is a term of endearment—a good sign about your gut reaction to him—or a little more insulting. For example, Kerner remembers one woman who called a guy she was dating “The Dutch” because he always wanted to split the check when they went out to dinner. “Clearly this was something that bothered her,” he says.

Does the alias you’ve given your man of the moment fall into the second category? It’s not necessarily a deal-breaker—but ask yourself if you could honestly see yourself getting over the hang-up.

For men who you do decide to continue seeing, keep this in mind: “It’s very natural when you meet somebody to kind of want to simplify them and label them,” Kerner says, “but know that the nickname you give them today will not be the nickname you have for them down the road. People become more complex as you get to know them better.”

TELL US: Do you give the men you date code names? What are some of the more creative one you’ve come up with? Share the details in the comments!

photo: Digital Vision/Thinkstock

More from Women’s Health:
Does He Like You?
Understanding Men
Sex in the USA

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How Celebs Stay Bloat-Free

If you watched the Oscars, then you know how awesome Amanda Seyfried looked onstage. But she didn’t just wake up with a perfectly slim figure: Stars go to a lot of trouble to stay 100 percent bloat-free.

“Bloating is a lot of times a build-up of gas, or undigested—or badly digested—foods in your stomach,” says Dalton Wong, founder of TwentyTwo Training, and personal trainer to celebs like Seyfried (while she was in London filming Les Misérables) and Alice Eve. Here, his tips to deflate a bloated belly—no red carpet required.

Take an Epsom salt bath
Wong recommends adding a minimum of two heaping cups of Epsom salt to your bath and soaking in it for 20 to 30 minutes.  ”The salt pulls the water out of your body,” he says. “It takes all the toxins and the excess water out of your system so that you’re looking the best that you can.” One caveat: This isn’t something you should do every day. If you have a big event coming up, take an Epsom salt bath two to three days beforehand, Wong says. Otherwise, it’s a great once-a-week ritual that’ll help you relax, heal, and slim down on the reg.

Break a sweat
When you’re sweating, water is leaving your body—which helps any existing bloat vanish. There’s no need to do crazy workouts to reap these benefits, Wong says. Just perform your regular exercise routine, do some stretching, and follow it up with an Epsom salt bath as noted above.

Tweak your diet
Food allergies are the most common causes of bloating, Wong says. “What happens on your inside affects what you look like on the outside.” When you need to get rid of excess puffiness, he recommends cutting out gluten and dairy and filling up on fiber- and magnesium-rich foods. That way, you’ll make sure your digestive system is working as efficiently as possible.

Hydrate properly
Chugging liquids is a vital part of the battle against bloat—but you shouldn’t just stick with water. Wong recommends drinking a trio of teas throughout the day: green tea in the morning, mint tea after meals, and chamomile tea at night. The green tea will help wake you up and hydrate you first thing in the morning. Mint tea, which Wong calls digestion “insurance,” is known for soothing upset stomachs. The chamomile tea helps you get a good night’s sleep, which will in turn keep your digestive system work properly, Wong says.  Enjoy a cup before hitting the sheets to wake up with a puff-free body.

photo: Hemera/Thinkstock

More from WH:
Foods for a Flat Belly
The Tummy-Taming Smoothie Recipe
The PMS Diet
Want a flatter belly, thinner thighs, and toned arms? To transform your body, buy The Spartacus Workout 2-DVD program now!

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