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Rheumatoid Arthritis
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Full list of topics
Discovery :
What is Rheumatoid Arthritis?
Original symptoms and visiting a GP
Referral to a rheumatologist, tests & diagnosis
Impact of the diagnosis
Ideas about causes
Impact of diagnosis on family & others
Tests and treatments :
Choosing treatments & taking part in trials
Painkillers
Anti-inflammatory drugs
Disease modifying anti-rheumatic drugs (DMARDs)
Steroid tablets, injections & intravenous pulses
Biologic treatments: anti-TNF and B-cell therapy
Long term use of drugs
Regular monitoring and other diagnostic tests
Physiotherapy & hydrotherapy
Occupational therapy
Other hospital specialists
Surgery - introduction
Surgery - upper limb and neck
Surgery - lower limb
Outpatient clinics
Complementary and alternative approaches
Living with rheumatoid arthritis :
Diet & food supplements
Exercise
Personal life and changes to the home
Social life & relationships
Mobility, driving & transport
Work
Financial implications & financial support
Sources of support
Body image
Attitude to RA & facing the future
Self-management
Ongoing symptoms- flares, stiffness & sleep disturbance
Ongoing symptoms- pain, fatigue, depression, weight change
Pregnancy & breastfeeding
Parenting & childcare
Messages to others with RA
Messages to health care professionals
Finding information about RA
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Rheumatoid Arthritis
Subject index
Clip
Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 10
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He had flares every day.
RA diagnosed after wrist problems & then overall disability. Some joint injections. RA medication: Gold 20mg/month, Diclofenac & Solpadol daily, Movelat (NSAID gel), Zopiclone (Sleep). Other drugs for ulcer, blood pressure, Emphysema, stroke and migraine.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 06
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She has experienced severe flares which start quickly and are very disabling.
RA began with stiff neck and initial severe flare lasting months; 11 yrs - no further symptoms; then 2 acute flares in 2 years. Steroid injections helped. Currently on Methotrexate 10mg /week & daily hydroxychloroquine 400mg, Ranitidine 300mg & folic acid.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 21-25 years
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Interview 05
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Her flare ups often come on over night, are very painful, restrict mobility and she has to rest.
RA diagnosed as significant symptoms after birth of 2nd child. Complementary treatments used. Takes Diclofenac 15mg & 2 Coproxamol daily. 10 operations: hips, knees & shoulder replacement/revision; neck, ankle & toe fusions, and removal of bone in 1 elbow.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 01
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Describes the tiredness, pain and swelling of a long term flare.
Psoriatic arthritis diagnosed at 15 then RA at 25 ('99) but delayed as negative blood tests. Initial treatments DMARDs and steroid pulses. Currently steroid tablets, NSAIDs, Methotrexate injected weekly & Anti-TNF Infliximab infusions began 2 months ago.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 26 years plus
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Interview 17
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Previously she had experienced joint flares but then a severe whole body flare 'crept' upon her which she didn't associate with RA.
Diagnosed 1970. After early years, had 15 yrs when relatively well on NSAIDs. Flared up 99/00. Methotrexate 25mg/wk, daily Rofecoxib 25mg, Tramadol 200mg, anti-depressants & HRT. Awaiting 1 hip & 2 elbow replacements, wrist & finger straightening surgery.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 6-10 years
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Interview 09
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Finds that cold helps relieve the pain of hand and joint flares.
After several months of wrist/hand pains treated with NSAIDs and physiotherapy by GP, RA diagnosis made by private consultant. Mother had RA. Currently RA controlled on Sulfasalazine. Has returned to being active, playing golf, tennis, dog walking etc.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 06
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Early morning stiffness made it difficult to dress herself and her children.
RA began with stiff neck and initial severe flare lasting months; 11 yrs - no further symptoms; then 2 acute flares in 2 years. Steroid injections helped. Currently on Methotrexate 10mg /week & daily hydroxychloroquine 400mg, Ranitidine 300mg & folic acid.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 16-20 years
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Interview 15
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Initially the 'pumping' pain she felt made it difficult to sleep for days on end.
Diagnosed '85 after 2 hospital stays for groin pain; decreased mobility & sleep disruption. Side-effects on Gold injections & Methotrexate. Has steroid pulses/joint injections & daily Meloxicam 7.5mg & 2-4 co-codamol. Starts Anti-TNF in 2 wks. Operation on toes planned.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 20
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It was difficult to sleep with hot, swollen joints which hurt when she turned over and with the weight of the duvet.
Diagnosed September 2002 after few months of joint swelling/pain which was quite debilitating. Steroid injections helped and now pain and stiffness under control with Sulphasalazine (6 x 500mg/day) and Meloxicam (7.5mg/day). Life returned to fairly normal.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 02
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Describes some of the pain she has experienced with her RA and how sometimes you need to go through the pain barrier.
Polymyalgia/palindromic arthritis episodes '88-92, RA diagnosed '94 & OA. Daily Voltarol 75mg, Defalzacort 6mg, pain killers & Methotrexate 25mg/wk (folic acid 5/7 days). Some steroid pulses. 2 hips, 2 knees replaced due to OA & shoulder operation proposed.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 6-10 years
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Interview 30
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Describes feeling unwell, general tiredness and a resulting lack of motivation. He wished he had been better informed about these symptoms.
Diagnosed '95 after severe ankle pain (maybe virus triggered). Subject in Anti-TNF trial. Pneumonia due to RA. Regular steroid injections prior to ankle fusion. Methotrexate/folic acid, Celebrex, Tramadol, Diazapan, Tomazapan, Prozac, Atenolol, Dothiepin.
Topic
Bones & joints
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Rheumatoid Arthritis
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Ongoing symptoms- pain, fatigue, depression, weight change
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Ongoing symptoms- pain, fatigue, depression, weight change
Ongoing symptoms - pain, joint problems, fatigue, depression and weight changes
Bones & joints
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Rheumatoid Arthritis
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Ongoing symptoms- flares, stiffness & sleep disturbance
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Ongoing symptoms- flares, stiffness & sleep disturbance
Ongoing symptoms - flares, early morning stiffness and sleep disturbance
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 20
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The initial symptoms and disability she experienced before getting a diagnosis made her feel depressed but she tried to fight it.
Diagnosed September 2002 after few months of joint swelling/pain which was quite debilitating. Steroid injections helped and now pain and stiffness under control with Sulphasalazine (6 x 500mg/day) and Meloxicam (7.5mg/day). Life returned to fairly normal.
Bones & joints
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Rheumatoid Arthritis
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Original symptoms and visiting a GP
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Original symptoms and visiting a GP
Original symptoms and visiting a GP
Bones & joints
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Rheumatoid Arthritis
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Disease duration 6-10 years
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Interview 30
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He developed severe symptoms quite suddenly, with excruciating pain in one ankle.
Diagnosed '95 after severe ankle pain (maybe virus triggered). Subject in Anti-TNF trial. Pneumonia due to RA. Regular steroid injections prior to ankle fusion. Methotrexate/folic acid, Celebrex, Tramadol, Diazapan, Tomazapan, Prozac, Atenolol, Dothiepin.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 6-10 years
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Interview 26
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It began suddenly with a swollen ankle, pain in his knees and wrists, and aching all over as though he had flu.
Diagnosed '94 after flu like symptoms & joint problems for 6 weeks. Gold injections 50mg/week, slow release Voltarol 75mg/day, pain killers, Prozac 20mg/day (depression). Steroid injections when required. 3 bone removal operations from toes and ankle.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 29
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Before RA was diagnosed she found it hard to walk down stairs as her feet hurt and she had stiff hands on waking.
RA diagnosed '90 & Juvenile RA age 8-11. Significant DMARD side-effects. Had breast cancer '98 & drugs also relieved RA. Methotrexate 15mg/week, folic acid 5mg 6/7 days, daily Diclofenac, Tamoxifen 20mg & Nibedipine 20mg. Paracetemol & Zantac as required.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 07
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After several visits to the GP with painful wrists and swollen joints she was referred to a specialist.
RA diagnosed 1998 after months of wrist pain and early morning stiffness. Initial steroid injections. Currently: Methotrexate 7.5mg /week & folic acid 5mg/day, Hydroxychloroquine 400mg/day and Ibuprofen as necessary. Exercise helps so swims 5 days a week.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 38
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She delayed going to the GP for advice because she had nothing specific to show.
Diagnosed 2 years ago but symptoms for 4 years. Currently on no medication but did take Sulphasalazine for 5 months before stopping because of side-effect of flaky skin. She has also had steroid joint injections and taken NSAIDs.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 12
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The symptoms of RA developed quite suddenly, with excruciating pain in his left arm and right hand.
Diagnosed mid-2000 after rapid onset. Side-effects from sulphasalazine with hydroxychloriquine. Currently Methotrexate, NSAID, Losec, Celeximab and Paracetemol. Some steroid pulses and planned knee replacement.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 35
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Thought his symptoms were rheumatism but did not visit a GP for 2 months which in hindsight was too long to put up with the pain.
Polymyalgia Rheumatica diagnosed 2000 and various doses of oral steroids taken for 2 years. Swollen hand prompted visit to Rheumatologist Dec 2003 when RA diagnosis made. Depomedrone injection given and once since. Currently only on Fossamax (calcium).
Bones & joints
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Rheumatoid Arthritis
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Disease duration 26 years plus
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Interview 22
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Aged two she had painful joints, developed a rash and high fever. Juvenile Chronic Arthritis was diagnosed.
Diagnosed 1964 Juvenile Chronic Arthritis. 11 years of steroids limited growth. NSAIDs 'til age 37. Now Methotrexate 10mg/wk + folic acid, daily Prednisolone 5mg, Naproxin 100mg, Niozadadine (anti-ulcer) & iron. 2 hips replaced age 26 & 2 knees, age 30.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 20
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She was hiding the symptoms of RA from friends and family and they were shocked on realising its effects.
Diagnosed September 2002 after few months of joint swelling/pain which was quite debilitating. Steroid injections helped and now pain and stiffness under control with Sulphasalazine (6 x 500mg/day) and Meloxicam (7.5mg/day). Life returned to fairly normal.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 26 years plus
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Interview 27
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Breastfed both her children for a time before needing to take medication again for her RA symptoms.
RA diagnosed 1975 after stiff fingers. Elbow replacement '91 and 2 toe operations. Currently Methotrexate 10mg/week & folic acid 6/7 days, daily Cyclosporin 150mg, Diclofenac 100mg suppository, co-codamol as required and Losarlyn 100mg (blood pressure).
Bones & joints
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Rheumatoid Arthritis
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Disease duration 26 years plus
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Interview 27
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The symptoms were not bad during her two pregnancies but after the births they came back with a vengeance.
RA diagnosed 1975 after stiff fingers. Elbow replacement '91 and 2 toe operations. Currently Methotrexate 10mg/week & folic acid 6/7 days, daily Cyclosporin 150mg, Diclofenac 100mg suppository, co-codamol as required and Losarlyn 100mg (blood pressure).
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Janet - Interview 56
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She wants children but is concerned about her age and worried of the prospect of stopping her medication before conception and during pregnancy.
Diagnosed in 2006. Janet takes Methotrexate 15 mg but experiences severe sickness and nausea. She will start taking Methotrexate in injection form and hopes this will reduce its side effects. She also takes: Tramadol with paracetamol; folic acid and amitriptyline at night when needed.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Charlotte - Interview 55
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Thinks that before diagnosis her boyfriend thought she might be pretending to get out of doing work. Says that after diagnosis her family, boyfriend a
Charlotte was diagnosed with rheumatoid arthritis in July 2007. The first time she saw her consultant was as a private patient because on the NHS there was a waiting period of three months. She is on Methotrexate. She feels more tired than before her diagnosis.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 6-10 years
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Christine - Interview 64
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Christine is convinced that the drug methrotrexate is responsible for her current breathing problems. Before taking it she never experienced shortness
On anti-TNF therapy; Cimzia and on medication for breathlessness. She attributes her breathing difficulties to another RA drug, methotrexate. Christinesays that living with RA is not her main health issue, but breathing problems do affect her physically and sometimes emotionally.
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