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Olander, Ewy
Publications (10 of 27) Show all publications
Tell, J., Olander, E., Anderberg, P. & Sanmartin Berglund, J. (2020). Nurses´ use and ways of understanding web-based national guidelines for child healthcare. Computers, Informatics, Nursing, 38(2), 62-70
Open this publication in new window or tab >>Nurses´ use and ways of understanding web-based national guidelines for child healthcare
2020 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 38, no 2, p. 62-70Article in journal (Refereed) Published
Abstract [en]

The national Rikshandbokenfor child healthcare, is a web-based guideline for child health care in Sweden containing knowledge- and methodological guidance and a national child health care program in progress to be implemented. The aim with the study was to examine child health care nurses use and ways of understanding the national web-basedRikshandbokenfor child health care.  Mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistic followed by telephone interviews with phenomenographic analysis. The study showed variations in use and contribute with deeper knowledge of child healthcare nurse´s ways of understanding the unit RHB whose varied parts interact with each other. To be reliable, useful and relevant for nurses in their context, Rikshandbokenmust be kept updated and involve the end-users in the development process. Access to technical devices and optimal use of the possibilities with information and communication technology, the national web-based Rikshandbokencan be a resource for continuing learning and a tool in everyday work and a possible determinant to an equal child healthcare. The study contributes with valuable knowledge when designing web-based clinical practice guidelines for healthcare, making them useful and relevant for the end-users

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2020
Keywords
Child healthcare nurses, national guidelines, information and communication technology, mixed method, phenomenography
National Category
Engineering and Technology Nursing
Identifiers
urn:nbn:se:bth-17321 (URN)10.1097/CIN.0000000000000578 (DOI)000513579100003 ()31688092 (PubMedID)
Note

open access

Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2020-03-06Bibliographically approved
Håkansson, L., Derwig, M. & Olander, E. (2019). Parents' experiences of a health dialogue in the child health services: a qualitative study. BMC Health Services Research, 19(1), Article ID 774.
Open this publication in new window or tab >>Parents' experiences of a health dialogue in the child health services: a qualitative study
2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 774Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The Child Health Services in Sweden is a well-attended health promoting setting, and thereby has an important role in promoting healthy living habits in families with young children. Due to lack of national recommendations for health dialogues, a Child Centred Health Dialogue (CCHD) model was developed and tested in two Swedish municipalities. The aim of this study was to explore parents' experiences of health dialogues based on the CCHD model focusing on food and eating habits during the scheduled child health visit at four years of age. METHODS: A qualitative design with purposeful sampling was used. Twelve individual interviews with parents were conducted and analysed with qualitative content analysis. RESULTS: The analysis resulted in three categories: The health dialogue provides guidance and understanding; Illustrations promote the health dialogue; and Space for children and parents in the health dialogue. In addition, analysis of the latent content resulted in a single theme reflecting the parents' voice on the importance of having a health dialogue on food and eating habits. The health dialogue, promoted by illustrations, provided guidance and understanding, and gave space for children's and parents' involvement. CONCLUSIONS: The results indicate that health dialogues using the CCHD- model create supportive conditions for family members' active participation in the visits, which may strengthen empowerment and health literacy. The study provides knowledge and guidance for further development, evaluation and implementation of the model.

Place, publisher, year, edition, pages
BMC, 2019
Keywords
Child health care nurses, Child health services, Health dialogue, Health promotion, Parents’ experiences, Participation, Qualitative interviews, article, child, child health care, content analysis, eating habit, empowerment, health literacy, human, interview, nurse, preschool child, qualitative research, voice
National Category
Nursing
Identifiers
urn:nbn:se:bth-18918 (URN)10.1186/s12913-019-4550-y (DOI)000499102800003 ()2-s2.0-85074375305 (Scopus ID)
Note

Open access

Available from: 2019-11-18 Created: 2019-11-18 Last updated: 2019-12-13Bibliographically approved
Ringsberg, K., Olander, E., Tillgren, P., Thualagant, N. & Trollvik, A. (2018). Concerns and future challenges of health literacy in the Nordic countries: From the point of view of health promotion practitioners and researchers. Scandinavian Journal of Public Health, 46(20_suppl), 107-117
Open this publication in new window or tab >>Concerns and future challenges of health literacy in the Nordic countries: From the point of view of health promotion practitioners and researchers
Show others...
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 107-117Article in journal (Refereed) Published
Abstract [en]

Background: Health literacy is an essential social determinant for promoting and maintaining the health of a population. Aim: From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. Methods: Data were collected in a workshop at the 8th Nordic Health Promotion Conference, and in a literature review, with articles from five databases. The search included title and abstract with the search terms health literacy* and health literacy as a MeSH term and all the Nordic countries. Qualitative and quantitative analysis were used. Results: Twenty-five persons participated in the workshop. The discussions were summarized in six themes: concept of health literacy in national language; risk of victim blaming; measuring health literacy; content in school curricula on health literacy; new technologies for information and communication; communication and collaboration between different actors in support of health. Forty-three articles on health literacy were identified, mainly conducted within three fields: development, test and adaptation of instruments for measuring health literacy; measurement of health literacy among patients, or other defined target groups and on populations; and developing and evaluating methods/tools for the training of personnel groups or different target groups. Conclusions: There is a need for further studies providing a more in-depth understanding of the health literacy concept, knowledge on how to measure health literacy, ethical aspects, application in intersectoral collaboration as well as the adaptation to new technologies for information and communication in education supporting health literacy. As health literacy is an essential social health determinant, a concern and a future challenge must be, to make the health literacy concept familiar and visible in health promotion policies, research and practice such as health education. © 2018, © Author(s) 2018.

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2018
Keywords
Empowerment, health literacy, health promotion, literature review, Nordic research, workshop, forecasting, health personnel attitude, human, literature, organization, organization and management, personnel, psychology, Scandinavia, Attitude of Health Personnel, Congresses as Topic, Humans, Research Personnel, Review Literature as Topic, Scandinavian and Nordic Countries
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-16084 (URN)10.1177/1403494817743903 (DOI)000428758300016 ()2-s2.0-85044107460 (Scopus ID)
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2018-04-19Bibliographically approved
Tell, J., Olander, E., Anderberg, P. & Sanmartin Berglund, J. (2018). Implementation of a web-based national child health-care programme in a local context: A complex facilitator role. Paper presented at 8th Nordic Health Promotion Research Conferences (NHPRC) on 20 Years of Health Promotion Research in the Nordic Countries - Health, Wellbeing and Physical Activity, Jyvaskyla, FINLAND, JUN 20-22, 2016. Scandinavian Journal of Public Health, 46(20_suppl), 80-86, Article ID suppl. 20.
Open this publication in new window or tab >>Implementation of a web-based national child health-care programme in a local context: A complex facilitator role
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 80-86, article id suppl. 20Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context. © 2018, © Author(s) 2018.

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2018
Keywords
Child health care, decision support, facilitators, guidelines, ICT, implementation, child, human, infant, Internet, newborn, organization and management, preschool child, professional standard, psychology, public health, Sweden, Child Health Services, Child, Preschool, Humans, Infant, Newborn, National Health Programs, Professional Role
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-16085 (URN)10.1177/1403494817744119 (DOI)000428758300012 ()2-s2.0-85044172782 (Scopus ID)
Conference
8th Nordic Health Promotion Research Conferences (NHPRC) on 20 Years of Health Promotion Research in the Nordic Countries - Health, Wellbeing and Physical Activity, Jyvaskyla, FINLAND, JUN 20-22, 2016
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2019-01-11Bibliographically approved
Tell, J., Anderberg, P., Olander, E. & Sanmartin Berglund, J. (2018). The usage of web-based national guidelines for child healthcare: A web analytic study.
Open this publication in new window or tab >>The usage of web-based national guidelines for child healthcare: A web analytic study
2018 (English)In: Article in journal (Refereed) Submitted
Abstract [en]

The development and dissemination of information- and communication technologies in healthcare is rapid. The purpose of web-based national guidelines is to support professionals in everyday work providing equivalent, safe and qualitative healthcare. Web-based national guidelines are often not implemented effectively in healthcare why studies reflecting different aspects of use and implementation is needed. The aim of this study was to investigate the usage of web-based national guidelines for child healthcare, Rikshandboken i barnhälsovård. In this case study with cross-sectional design, usage pattern of the web-based guidelineswas studied for one year using the web analytic tool, Google Analytics. The usage data were analysed with descriptive statistics. The study showed the general usage pattern of RHB, changes in usage through the year and various usage pattern in different user groups. The usage of RHB had increased, the web-based guidelines was used in all county councils/regions and the most common visited web-page was the new national child healthcare programme. This tendency suggests a positive direction towards the RHB aim to contribute to equal , equitable and high-qualitative CHC.The result also showed the importance to study different user groups as the usage pattern differs. This provide valuable knowledge in the development of web-based national guidelines making them useful and relevant for all its users. 

Keywords
National guidelines, information and communication technology, child healthcare, user experiences, user engagement, Google Analytics
National Category
Engineering and Technology Nursing
Identifiers
urn:nbn:se:bth-17323 (URN)
Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2018-12-13Bibliographically approved
Tell, J., Olander, E., Anderberg, P. & Sanmartin Berglund, J. (2016). Nurses’ Use of a Web-Based National Guide for Child Health Care. Computers, Informatics, Nursing, 34(5), 197-205
Open this publication in new window or tab >>Nurses’ Use of a Web-Based National Guide for Child Health Care
2016 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 5, p. 197-205Article in journal (Refereed) Published
Abstract [en]

Rikshandboken i BarnhÀlsovård is a Swedish Web-based guide for child healthcare, providing quality-ensured guidelines and support contributing to equality in child healthcare among all children. In 2015, a new child healthcare program was implemented and made available in this Web-based guide. The aim of this study was to investigate how child healthcare nurses use Rikshandboken i BarnhÀlsovård and factors affecting its use. The study was a comprehensive Web survey of 2376 child healthcare nurses in Sweden answered by 1309. Statistical processing was performed using descriptive and analytical methods. Rikshandboken i BarnhÀlsovård was widely used by the respondents, but regional differences and number of years in the profession affected the use. Almost all nurses were satisfied with the usability, content, and design and felt that a national guide for child healthcare is important. This indicates that an established Web-based national guide is an appropriate setting when a new national program is implemented. In order to achieve an equal and equitable child healthcare, it is essential that all nurses use the national guide to provide evidence-based practice. The value of main child healthcare units as regional facilitators in the innovation process of Rikshandboken i BarnhÀlsovård should not be underestimated.This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2016
Keywords
analytic method; child; child health care; evidence based practice center; human; licence; major clinical study; nurse; occupation; Sweden
National Category
Nursing
Identifiers
urn:nbn:se:bth-11785 (URN)10.1097/CIN.0000000000000229 (DOI)000376462300002 ()2-s2.0-84960172285 (Scopus ID)
Available from: 2016-04-01 Created: 2016-04-01 Last updated: 2018-11-22Bibliographically approved
Ringsberg, k. C., Olander, E. & Tillgren, P. (Eds.). (2014). Health literacy. Teori och praktik i hälsobefrämjande arbete. Lund: Studentlitteratur
Open this publication in new window or tab >>Health literacy. Teori och praktik i hälsobefrämjande arbete
2014 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2014
National Category
Nursing
Identifiers
urn:nbn:se:bth-6398 (URN)oai:bth.se:forskinfo3A27FFEB813B8B15C1257E060038BBFB (Local ID)978-91-44-08915-7 (ISBN)oai:bth.se:forskinfo3A27FFEB813B8B15C1257E060038BBFB (Archive number)oai:bth.se:forskinfo3A27FFEB813B8B15C1257E060038BBFB (OAI)
Available from: 2015-03-12 Created: 2015-03-12 Last updated: 2017-04-03Bibliographically approved
Jama Mahmud, A., Olander, E., Eriksén, S. & Haglund, B. (2013). Health communication in primary health care -A case study of ICT development for health promotion. BMC Medical Informatics and Decision Making, 13(17), 1-15
Open this publication in new window or tab >>Health communication in primary health care -A case study of ICT development for health promotion
2013 (English)In: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 13, no 17, p. 1-15Article in journal (Refereed) Published
Abstract [en]

Background Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel. Methods A qualitative case study, with a multi-methods approach was applied. Field notes, document study and focus groups were used for data collection. Data was then analyzed using qualitative content analysis. Results Health communication is an integral part of health promotion practice in PHC in this case study. However, there was a lack of consensus among health professionals on what a health promotion approach was, causing discrepancy in approaches and practices of health communication. Two themes emerged from the data analysis: Communicating health and environment for health communication. The themes represented individual and organizational factors that affected health communication practice in PHC and thus need to be taken into consideration in the development of the planned health channel. Conclusions Health communication practiced in PHC is individual based, preventive and reactive in nature, as opposed to population based, promotive and proactive in line with a health promotion approach. The most significant challenge in developing an ICT supported health communication channel for health promotion identified in this study, is profiling a health promotion approach in PHC. Addressing health promotion values and principles in the design of ICT supported health communication channel could facilitate health communication for promoting health, i.e. ‘health promoting communication’.

Place, publisher, year, edition, pages
BioMed Central, 2013
Keywords
Health communication, Health promotion, Case study, Health promoting, Communication, EHealth, Information communication technology, Primary health care
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-7004 (URN)10.1186/1472-6947-13-17 (DOI)000314819100001 ()oai:bth.se:forskinfoFFA5FBFDBD2C2FAEC1257B16003AFBE3 (Local ID)oai:bth.se:forskinfoFFA5FBFDBD2C2FAEC1257B16003AFBE3 (Archive number)oai:bth.se:forskinfoFFA5FBFDBD2C2FAEC1257B16003AFBE3 (OAI)
Note

The article is published in BMC Medical Informatics & Decision Making http://www.biomedcentral.com/1472-6947/13/17

Available from: 2013-03-18 Created: 2013-02-18 Last updated: 2017-12-04Bibliographically approved
Olander, E. & Olsen, A. (2012). Optimus-modellen stärker egenmakt och trygghet med bibehållen vårdkvalitet.. Vasculär medicin, 28(2), 85-89
Open this publication in new window or tab >>Optimus-modellen stärker egenmakt och trygghet med bibehållen vårdkvalitet.
2012 (Swedish)In: Vasculär medicin, ISSN 2000-3188, Vol. 28, no 2, p. 85-89Article in journal (Other (popular science, discussion, etc.)) Published
Alternative title[en]
The Optimus model strengthens empowerment and security with maintained quality of care.
Abstract [en]

Sammanfattning: Hypertoni är en vanligt förkommande riskfaktor för hjärt-kärl sjukdomar. Internationellt genomförs alltfler blodtrycksmätningar i hemmet. En utvärderingsrapport av SBU fastställer att hemblodtrycksmätning kan vara lika tillförlitlig som traditionell blodtrycksmätning om patienten har tillräcklig kunskap och fungerande utrustning. Denna artikel beskriver en pilotstudie av en ny modell för blodtrycksbehandling med blodtrycksskola, hemblodtrycksmätning och individuell support. Syftet var att undersöka deltagarnas erfarenheter av Optimus-modellen och dess betydelse för deltagarnas egenmakt och hälsobildning i blodtrycksrelaterade frågor, samt om blodtrycksvärdena förändrades vid hemblodtrycksmätning. Studien skall ge underlag för vidare modellutveckling och långsiktiga studier av modellens värde ur ett patient-, hälso- och sjukvårds- samt hälsoekonomiskt perspektiv. Studien omfattade patienter med högt blodtryck som deltog i ny form av blodtrycksbehandling enligt Optimus-modellen med blodtrycksskola, hemblodtrycksmätning och individuellt support. Datamaterialet bestod av blodtrycksprotokoll med hemblodtrycksvärden registrerade av deltagarna, två deltagarenkäter som bearbetades kvantitativt och kvalitativt samt två uppföljningssamtal i respektive deltagargrupp. Resultatet visar att Optimus-modellen stärkte deltagarnas helhetsförståelse för faktorer som påverkar deras hälsa och blodtryck, trygghetskänsla vid HBTM samt möjligheterna att ha kontroll och ta ansvar för sitt blodtryck och hälsotillstånd. Studien visar att Optimus-modellen har potential att kunna skapa det underlag med kunskap, färdigheter och trygghet för blodtrycksmätning som behövs enligt SBU för att HBTM skall kunna genomföras på ett tillförlitligt sätt. Studien visar också att modellen stödjer den utveckling av egenmakt (empowerment) och hälsobildning som hälsopolitiska dokument och riktlinjer framhåller som angelägen i insatser som avser att stödja människors förändring till mer hälsofrämjande livsstilar och att förebygga hjärt- kärlsjukdomar samt en mer hälsofrämjande hälso- och sjukvård.

Place, publisher, year, edition, pages
Svensk förening för stroke, hypertoni och vasculär medicin., 2012
Keywords
primärvård, blodtrycksskola, hemblodtrycksmätning
National Category
Medical Laboratory and Measurements Technologies Nursing
Identifiers
urn:nbn:se:bth-6880 (URN)oai:bth.se:forskinfo92560F878CA23977C1257BE200430FB9 (Local ID)oai:bth.se:forskinfo92560F878CA23977C1257BE200430FB9 (Archive number)oai:bth.se:forskinfo92560F878CA23977C1257BE200430FB9 (OAI)
Available from: 2013-09-16 Created: 2013-09-10 Last updated: 2015-06-30Bibliographically approved
Virveus, A., Olander, E. & Eggers, T. (2012). "Småprat" är inget hälsosamtal: En modell för att implementera hälsosamtal med stöd i motiverande samtal.
Open this publication in new window or tab >>"Småprat" är inget hälsosamtal: En modell för att implementera hälsosamtal med stöd i motiverande samtal
2012 (Swedish)Report (Refereed)
Abstract [sv]

Bakgrund: Kravet om att hälso- och sjukvården skall arbeta hälsofrämjande beskrivs i åtskilliga policy- och styrdokument. Trots detta visar forskning att det hälsofrämjande arbetet är föga genomslaget i den kliniska verksamheten. Forskning visar också att patienter önskar samtal om sina levnadsvanor i mötet med hälso- och sjukvårdspersonal. Följaktligen förväntas personal inom Hälso- och sjukvården bedriva någon form av samtal om hälsa. Primärvården har haft problem med att leva upp till åtagandet om hälsofrämjande insatser. Resurser, kompetens och mandat för det hälsofrämjande arbetet har brustit men framför allt har det saknats strategier för hur insatserna skall implementeras. Syfte: Syftet med studien var att identifiera förutsättningar och hinder i den lokala kontexten för implementering av hälsosamtal med stöd i motiverande samtal (MI) och utifrån dessa utveckla en strategi som kan utgöra en grund för implementering. Metod: Fyra fokusgruppintervjuer genomfördes med personal vid en vårdcentral som är ålagda att genomföra hälsosamtal. Intervjuerna transkriberades och analyserades med en kvalitativ innehållsanalys. Resultat: Analysen visade såväl förutsättningar som hinder i implementeringsprocessen av hälsosamtal med stöd i motiverande samtal. Två teman med dess tillhörande kategorier och underkategorier kunde urskiljas. Det ena temat fokuserade på att skapa förutsättningar och undanröja hinder inför implementering av hälsosamtal och det andra på temat på att skapa förutsättningar och undanröja hinder i genomförandet av hälsosamtal. Diskussion: Analysen visade att tiden utgör ett hinder för att bedriva samtal med stöd i motiverande samtal. Forskning påvisar dock att det inte krävs mer tid i mötet med patienten för att tillämpa MI. Förmodligen förutsätts det då att personalen känner sig bekväm och har vana av att arbeta med MI för att kunna uppleva metoden som mindre tidskrävande. Utbildning i MI och med träning i tillämpning kan då tolkas vara en förutsättning för en hållbar implementering, vilket också denna studie visar. Organisationsklimatet som bland annat utgörs av relationer, värderingar och samarbete inom organisationen är också påverkar implementeringsprocessen. Föreliggande resultat påvisar att det finns en del otydligheter avseende organisationsklimatet som bör beaktas i implementeringen av MI. Slutsats: För att lyckas med implementering av hälsosamtal med stöd i MI och därmed kunna erbjuda patienter hälsosamtal som utgår från evidensbaserad kunskap, är det väsentligt att följa en strategi som utgår från befintligt kunskapsunderlag och är förankrad i den lokala kontexten.

Series
Blekinge Tekniska Högskola Forskningsrapport, ISSN 1103-1581 ; 3
Keywords
hälsosamtal, strategi, implementering, fokusgrupp, motiverande samtal
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-00532 (URN)oai:bth.se:forskinfoC1315F1D9DE94914C12579FB003F5FAB (Local ID)oai:bth.se:forskinfoC1315F1D9DE94914C12579FB003F5FAB (Archive number)oai:bth.se:forskinfoC1315F1D9DE94914C12579FB003F5FAB (OAI)
Available from: 2015-06-25 Created: 2012-05-11 Last updated: 2017-03-16Bibliographically approved
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