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Trial registered on ANZCTR
Registration number
ACTRN12610000727044
Ethics application status
Approved
Date submitted
27/08/2010
Date registered
1/09/2010
Date last updated
15/02/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Anxiolysis and Pain Associated with Retrobulbar Eye Block for Cataract Surgery : Melatonin versus Gabapentin ( A randomized, double-blind, placebo-controlled study)
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Scientific title
Evaluation of Anxiolysis and Pain Associated with Retrobulbar Eye Block for Cataract Surgery : Melatonin versus Gabapentin (A randomized, double-blind, placebo-controlled study)
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Secondary ID [1]
252586
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nil
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Universal Trial Number (UTN)
U1111-1116-7564
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
pain during performance retrobulbar block and cataract surgery
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anxiety during performance retrobulbar block and cataract surgery
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Tolerance of retrobulbar injection
and comfort during the surgical procedure
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Condition category
Condition code
Anaesthesiology
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0
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Anaesthetics
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Eye
258270
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0
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Diseases / disorders of the eye
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Surgery
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
ninety patients scheduled for cataract surgery by phacoemulsification were randomly allocated to three study groups to receive melatonin 6
mg (Group M, n = 30) , gabapentin 600mg(GroupG, n = 30)or placebo(GroupP, n=30) orally 90 minutes before retrobulbar injection( for all of three groups).
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Intervention code [1]
257109
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Prevention
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
received placebo tab (without active ingredient and Taste which is prepared by Pharmacist ) orally
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Control group
Placebo
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Outcomes
Primary outcome [1]
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pain will be assessed by verbal pain score (VPS) of 10 (0 = no pain and 10 = worst pain imaginable)
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Assessment method [1]
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Timepoint [1]
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one minute after retrobulbar block placement,during the operation period(At the end of surgery the patients were asked about average level of their pain during the operation period according to the VPS explained to them before premedication) , and postoperatively before discharging the patient from the recovery room
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Primary outcome [2]
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anxiety will be assessed by verbal anxiety score (VAS) of 10 (0 = completely calm and 10 = the worst possible anxiety)
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Assessment method [2]
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Timepoint [2]
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before premedication (T1), ninety minutes after premedication, on arrival in the operating room (T2), one minute after retrobulbar block placement (T3)during the operation period, (T4)[At the end of surgery, the patients were asked about average level of their anxiety during the operation period according to the VAS explained to them before premedication ]and postoperatively before discharge of the patient from the recovery room (T5)
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Secondary outcome [1]
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mean arterial blood pressure will be assessed by noninvasive automatic blood pressure measurement
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Assessment method [1]
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Timepoint [1]
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before premedication (T1), ninety minutes after premedication, on arrival in the operating room (T2), one minute after retrobulbar block placement (T3)during the operation period(five minutes after beginning of surgery) (T4) and postoperatively before discharge the patient from the recovery room (T5)
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Secondary outcome [2]
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heart rate will be assessed by echocardiogram monitoring
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Assessment method [2]
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Timepoint [2]
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before premedication (T1), ninety minutes after premedication, on arrival in the operating room (T2), one minute after retrobulbar block placement (T3)during the operation period(five minutes after beginning of surgery) (T4) and postoperatively before discharge the patient from the recovery room (T5)
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Secondary outcome [3]
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satisfaction of surgeon according to three degree scale as very bad, moderate, good will be assessed
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Assessment method [3]
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Timepoint [3]
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the surgeon was asked about average level of his satisfaction during performance of block and operation period one minute after retrobulbar block placement and at the end of surgery
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Eligibility
Key inclusion criteria
patients who were aged 25 years or older, American
Society of Anesthesiologists (ASA) physical status I-III scheduled to undergo retrobulbar eye block for cataract surgery
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Minimum age
25
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with ASA status IV, history of hepatic or renal disease, confusion, dementia, or
communication difficulty resulting from deafness or
language barrier, chronic use of narcotics, barbiturates or psychotropic medications , allergy or contraindications to any of the study drugs , visual impairment of the
non operative eye and weight < 40 kg or > 100 kg
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Enrollment is decided and permission of the patient is obtained by the same anesthesiologist during preoperative rounding,.This is a double blinded clinical trial, with blinding of both the patient and the administrating practitioner to the anesthetic type. Allocation will be managed by a Resident external to the project.study drugs will be give by nurse that is non-involved in this project
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization was based on computer-generated codes
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
14/09/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Iran, Islamic Republic Of
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State/province [1]
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qazvin
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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marzieh khezri
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Address [1]
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Marzieh Beigom Khezri, , Department of Anesthesiology ,Qazvin University of Medical Science. Iran ,qazvin-boulvar bahonar postal code:34188 99578
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Country [1]
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Iran, Islamic Republic Of
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Primary sponsor type
University
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Name
Qazvin university of medical science
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Address
shahid bahonar,Ave3419759811 Qazvin ,Iran
postal code:34197/59811
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Booali hospital
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Address [1]
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booali street,Qazvin ,Iran
postal code:34137-86165
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Country [1]
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Iran, Islamic Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Qazvin Medical University Science
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Ethics committee address [1]
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shahid bahonar,Ave3419759811 Qazvin ,Iran postal code:34197/59811
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Ethics committee country [1]
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
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25/07/2010
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Approval date [1]
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23/08/2010
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Ethics approval number [1]
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d/20/1718
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Summary
Brief summary
Principle goals of sedation for eye surgery are to provide patient comfort and to allow the patient to stay calm during both retrobulbar injection and surgery. Insufficient sedation may not prevent the patient from moving during retrobulbar injection, whereas very deep sedation may result in respiratory complications during surgery .We compared the effect of melatonin and gabapentin on the hemodynamic parameters, sedation ,anxiety, and pain and satisfaction profile in cataract surgery. After approval by the Hospital Evaluation Committee of Scientific Studies for ethical purpose and written informed consent, ninety patients scheduled for cataract surgery by phacoemulsification were randomly allocated to three study groups to receive melatonin 6 mg (Group M, n = 30) , gabapentin 600mg(GroupG, n = 30)or placebo(GroupP, n=30) 90 minutes before retrobulbar injection. . Hemodynamic parameters ,anxiety, sedation score , and pain during block and surgery, satisfaction of surgeon were assessed. . At the preoperative visit verbal pain score (VPS) of 10 (0 = no pain and 10 = worst pain imaginable) and verbal anxiety score (VAS) ranging from 0 to 10 (0= completely calm, 10 = the worst possible anxiety) were explained to patients. Then a 20 gauge cannula was inserted into one of the two hands. Patients were monitored with electrocardiogram, noninvasive measurement of blood pressure, and pulse oximetry (SPO2). Retrobulbar nerve block was performed by the same ophthalmic surgeon who was unaware of group allocation with 1.5 ml of solution that prepared by nurse( lidocaine 2%and 0.5 ml bupivacaine) via the percutaneous route with a 25 G, 38 mm Atkinson needle (John Weiss & Son Limited, Milton Keynes,England), at inferotemporal site. No patient received an additional facial nerve block. We assessed the pain immediately after block and surgery. Anxiety score and pain score was recorded in each patient before premedication (T1), ninety minutes after premedication, on arrival in the operating room (T2), one minute after retrobulbar block placement (T3)during the operation period) (T4) and postoperatively before discharging the patient from the recovery room (T5) .At the end of surgery, the patients were asked about average level of their anxiety and pain during the operation period according to the VAS and VPS explained to them before premedication.`. The surgeon was also asked to verbally rate their level of satisfaction according to three degree scale as “very bad, , moderate, good after the operation. The sedation level of patients during performance of block was assessed as Sedation scores were obtained on a 3 point scale with 0 =movements of the head, arms and trunk ,1 =slightly movement of arms,2=slightly change in face,3=complete calm. If sedation was inadequate, fentanyl could be given 0.25microgram/kg as needed.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Marzieh Beigom Khezri
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Address
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Marzieh Beigom Khezri, , Department of Anesthesiology , Qazvin University of Medical Science Iran ,qazvin-boulvar bahonar
postal code:34188 99578
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Country
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Iran, Islamic Republic Of
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Phone
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+98-912-3811009
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Fax
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+98-281-2236378
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Email
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[email protected]
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Contact person for scientific queries
Name
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Marzieh Beigom Khezri
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Address
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Marzieh Beigom Khezri, , Department of Anesthesiology , Qazvin University of Medical Science Iran ,qazvin-boulvar bahonar
postal code:34188 99578
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Country
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Iran, Islamic Republic Of
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Phone
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+98-912-3811009
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Fax
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+98-281-2236378
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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