Daily Health Tips: Can I Have Cucumber In Pregnancy?

Q: Is cucumber good for pregnant women?

A: Cucumber is a rich source of calcium and is generally considered safe in pregnancy unless of course you’ve had any allergic reactions with it before. Where in doubt, please speak to your doctor. Other good calcium sources are spinach, cabbage and other greens.

Eating right in pregnancy is critical and trust me….eating right is not necessarily eating for two…I know we’ve all heard the feeding for two fable. Trust me, in pregnancy, your calorie requirement doesn’t increase in first trimester, increases by just 300 calories in second trimester and about 400 calories in the 3rd trimester …if you’re carrying just one baby. For multiple pregnancies this increases slightly.

Other nutrition tips to help you during this period:
• Eat a balanced diet with a variety of foods from different food groups.
• Be sure to include a lot of high fibre foods like vegetables, whole grain cereals etc to deal with the constipation associated with pregnancy.
• Ensure you take your antenatal medications (prenatal vitamins) in addition to eating well.
• Be sure to also take foods rich in iron eg and foods rich in folic acid eg green leafy veggies and beans. Folate prevents deformities of the spine.
• Drink at least 4 servings of milk, other dairy products or calcium rich foods like those noted above. If you don’t eat enough, your baby will start drawing on your own stock from your bones. So, stock up on calcium!
Pregnancy provides an opportunity for a mother to adequately prepare her baby for life in 9 months. Make sure that you get all the nutrients that give your child a great health boost.

Have a great evening 😀

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Daily Health Tips: Safe Sex In Pregnancy

Q: Can someone who is 4 days late with sore nipple or tender breast continue to have sex if she is trying to conceive? Though it hasn’t been confirmed if it’s -ve or +ve.
A: Hi dear, even if you have been confirmed pregnant, you can continue to have sex.
There are many different causes of nipple pain and they include:
• Vigorous rubbing of the nipples. This would usually heal without incident and applying a moisturizer will help the process.
• Friction: In this case, not wearing a bra or wearing a poorly fitted bra during exercise routines may lead to rubbing of the nipples against the fabric and consequent soreness/pain. Wearing a proper
• Sensitivity to the weather (hot or cold), certain fabrics, detergents or even creams/lotions may lead to nipple pain. If this is caused by specific detergents or creams, you may have to change them.
• Hormonal changes as can occur close to a woman’s menstrual period. This pain will usually disappear after a few days.
• Pregnancy and breastfeeding can also lead to this condition. In pregnancy, the pregnancy hormones lead to the nipples being extra sensitive and during breastfeeding, the baby may not latch on well to the nipple, there could be blocked ducts or mastitis or breast abscess etc leading to pain. During pregnancy, be sure to choose bras made with fabric that can ‘breath’ like cotton. And during breastfeeding, be sure to get help with making sure you know how to put baby to the breast to prevent sore nipples etc.
• Cancer (Paget’s disease of the breast) can also be a cause of nipple pain.
 
So, where in doubt…especially if you have tried to rule out the causes above, please see your doctor.
Sex is generally considered safe during pregnancy. Except the doctor has noted some medical issues that may cause some restrictions on sexual intercourse, couples can generally continue to have sexual intercourse during pregnancy.
Having said that, it doesn’t mean that every woman wants to indulge 😀 Unfortunately, no. Some women do experience increased libido, some decreased libido and some are just completely exhausted by their itinerary (wife, worker, sister, daughter, intending mother, worries about the pregnancy or intending birth, care of already existing children, if she has them etc) that sex is the farthest thing on their minds, most times. So, where’s the solution or compromise? Communication lines between couples have to be open. The husband needs to understand what’s going on in the mind and body of his wife. Providing emotional and tangible support by helping her out with some chores/activities, providing a daily evening massage….which becomes something wifey can look forward to, can help create the right mood. Remember that for women, sexual Intercourse starts from the emotional before it gets to the physical 😀 Couples can also explore other means of sexual intimacy apart from sexual intercourse.
Some issues that may cause a doctor to issue some restrictions on sexual activity include:
Threat of a miscarriage
History of pre-term labour
Unexplained bleeding in pregnancy
Cervical incompetence (where the mouth of the womb is open leading to a risk of miscarriage) etc
If you’re not sure whether you belong to any of these groups or not, please ask your obstetrician.
Now, there also some risky activities during sexual intercourse in pregnancy:
 If you indulge in oral sex, hubby please do not blow into your wife’s vagina as this can lead to an air bubble being lodged in a blood vessel causing problems in mother and/or baby
 Having STI with an infected partner can lead to STI in pregnant mum. This infection can be transmitted to the baby. So, hubbies be sure that you stay faithful
 Anal sex is also discouraged.
In your case, please see your doctor to confirm if you are pregnant or use a pregnancy test kit. If your nipples are sore, be sure to gently communicate this to your partner so that he is extra gentle during sexual intercourse.
All the best 🙂
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Daily Health Tips: How Do I Stop Diarrhea In Pregnancy?

Q: Hi Dr Ketch, please I am 4weeks pregnant. 2 days ago, I ate vegetable soup and it’s been making me purge seriously; and I also feel weak. Please what drug can you advise me to take that will stop the stooling?

A: Hi dear. Congratulations on your pregnancy. We share in your joy!

Pregnancy is a very interesting time. Your body produces pregnancy hormone that help to keep your pregnancy. However, they come with some baggage too 😀 These hormones cause constipation and they also cause diarrhea. And so, even for those that may not be able to point to specific foods they ate that could have triggered the episode may just have diarrhea due to the hormones of pregnancy J

Other causes of diarrhea especially in early pregnancy include:

Changes to diet: Most women change their diets after they get pregnant and start to eat healthier. This diet would include fruits and veggies which in turn cause diarrhea when the body is not used to this sort of diet 😀 This is, however, temporary and stops after a little while.

Some antenatal drugs: The iron in the antenatal (prenatal) vitamins can contribute to the constipation experienced in pregnancy but other pre-natal vitamins can cause diarrhea. If you suspect this, speak with your doctor or skip the medication for one or two days to see if you feel better. If this is confirmed, your doctor will prescribe an alternative.

Lactose intolerance can also lead to frequent, watery stools during pregnancy. If this is the case, then your doctor will advice you stay off milk but you have to find other calcium sources needed by your growing baby like sardines, soya beans, fortified cereals etc

Infections with viruses or bacteria can also cause bacteria. Bacterial infections will require treatment with antibiotics.

What is important during these episodes is to ensure that you are hydrated. Drink lots of water, soups and Oral Rehydrating Solutions (ORS), if you’ve got them. Please do not take our sugary soft drinks. I have heard people say that if you take one of the soft drinks (the one that comes in the green bottle and is colourless like water), it is equivalent to taking ORS. This is not true, at all. These soft drinks can worsen diarrhea by drawing fluid into the tummy and making the diarrhea last even longer.

The BRAT foods are thought to help. Bananas, Rice, Apples and Toast (BRAT) are traditionally thought to be easy on the stomach especially during these incidents. However, addition of other foods rich in other minerals and vitamins like lean meats, yoghurts, starchy foods (like crackers, unsweetened cereals etc) helps.

Generally, mild diarrhea in pregnancy with less than 3 episodes of stools per day, would resolve on its own depending on the causes as noted above. However, if you have 3 or more episodes of stooling and can see mucous or blood in the stool or indeed, the stool is purely liquid, be sure to see your doctor immediately.

Have a great evening, y’all 😀

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Daily Health Tips: What Did You Add To The Smoothie?

Q: Good morning ma’am. I watched your show on DSTV yesterday afternoon concerning 5 health tips. I want to know what you added to the fruits for the smoothie before blending them. Thank you
 
A: Smoothies are fruit juices extracted in a smoothie maker. ..almost like blending the fruits; the smoothie maker goes a step further by removing the pulp so that you are left with the pure fruit juice. Traditionally, yoghurts are added but be sure that be sure that they are then low fat and no-added sugar variety. To be extra sure you are not being fed ‘hidden’ sugars, you could make yours (a cup of milk to four cups of water. Add a little amount of ready-made yoghurt – unsweetened – to this. Leave in an airtight container overnight, mix and then refrigerate).
 
So, nothing has to be added to the fruits before blending and if you do not wish to use milk or yoghurt, that’s also fine 😀
 
Here is a question that I responded to with a recipe. I hope you find that useful.
 
Q: Good morning Doc. Welcome to 2016. Please, how do I prepare fruit juice with…water melon, banana, apple, milk and orange?
 
A: Hello dear, it does sound like you’re planning a major fruit cocktail! It sounds yummy-delicious!
 
Okay, here goes.
 
Wash all the fruits first.
 
If you have a smoothie maker:
Cut up the water melon and remove the juicy fruit from the hard back.
If your smoothie maker is big enough, it can take a whole apple; if not cut up the apple into quarters. You don’t have to remove the seeds from the water melon or the core from the apple. The smoothie maker deals with all that for you 😀
Feed the water melon and apples to the smoothie maker. Collect the juice in a jug and keep aside.
Juice your orange manually or in an orange juicer. Add the juice to the melon and apple juice.
Then get a blender. Cut up your bananas and add the juice, a little at a time until the bananas are all blended. Then add the rest of the juice. The consistency will be either thick (if you have a lot of bananas) or watery (like the consistency of juice if there is more juice than bananas).
 
Now, I would not add milk to this. I would prefer to have this just like described above. If you want a milky drink, cut up some bananas and blend it up with some milk. That’s another yummy drink, right there!
 
If you do not have a smoothie maker, cut up the water melon and remove the juicy fruit from the hard back. Remove the seeds from the water melon and the core from the apple. Make the orange juice by manually squeezing it or juicing it. Use the orange juice as the liquid to blend the water melon and apple. Finally add the bananas and whizz it all
 
For yoghurt and other milky recipes, please click on this link:
 
The recipe describes how to make yoghurt using either powdered milk or bottled milk.
 
Have a great week ahead 😀
 
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Daily Health Tips: How Can My Sister Lose Weight?

Q: Greetings Dr.My sister is aged 21 and weigh 80 kg. After all the nice slimming course programs given to her, it doesn’t lead to a positive results. What can she do to cut down this weight of her’s, please?

A: Thanks for caring about your sister and writing in.

The first and perhaps most important thing I would like to say is that weight loss is not an event but a lifestyle. And so, it’s not something that happens after you have attended a course or taken some pills, but something you need to build into your everyday lifestyle.

Three very important concepts to help this journey:
• Portion Control: Start with reducing the portion sizes you eat. This could be by just changing plates…switch from a big plate to a smaller plate.

• Eat Healthier: Make your plate colourful with fruits and veggies.
Half your plate should be filled with fruits and veggies. The other half should be divided into 2 (a quarter each).
One quarter should contain the protein you wish to eat: fish, beef, chicken etc. Remember that white meat is healthier. The ‘redder’ the meat, the less healthy it is for you. For instance in chicken, the breast is very white and is the part people like the least. It is the healthiest though. The chicken wings etc with more redness are less healthy!
For carbohydrates, stick with complex carbs. These have a lot of fibre and when eaten, they absorb water and stay in the stomach longer given a feeling of fullness. The sugars from the food is also released slowly thereby preventing blood sugar spikes which are not good for you. Good examples of complex carbs include beans, local rice, oatmeal etc

• Get moving: Get, at least, 30 minutes of exercise on 5 days of the week. This could be walking, running, swimming, dancing, doing jumping jacks during the commercial break in between your favourite show etc.
For more creative exercise ideas, please lick on this link:

Daily Health Tips: Is It Possible To Actually Enjoy Exercise?

So, the most important ingredient for weight loss is self control 😀 And that’s why it’s not a destination but a journey. Sometime, you may slip and fall; but don’t give up! Pull yourself up and start all over again. Everyday provides a new opportunity to do more, be better and push the envelope.

For more resources on weight loss, make yourself and someone else happy by getting a copy of the book, Just For The Health Of It, from any of the following outlets:
1) Laterna Books online shop with nationwide delivery. Just click on this link:https://www.laternabooks.com/laterna_product_details.php?v=15450&c=44

2) Another option for those in Lagos is Laterna Bookshop on 13, Oko-Awo Close, Off Adetokunbo Ademola Street,. Victoria Island.

3) Jumia.com. Just click on this link http://www.jumia.com.ng/jumia-books-just-for-the-health-of-it-with-dr-ketch-179486.html and get a copy. You have the option of paying when the book is delivered to you or paying online. This service is available all over Nigeria.

4) If you’re outside the country, please visit Amazon through this linkhttp://www.amazon.com/Just-Health-Ketch-Pregnancy-Parenting/dp/9789398026/ref=sr_1_1?s=books&ie=UTF8&qid=1426246647&sr=1-1&keywords=just+for+the+health+of+it+with+dr+ketch+olalere+nkechi

For those in Abuja and environs, please call 07030739403 or pick it up at No 5 Bricks Market, Dawaki 11 Market, Dawaki extension.
For those in Awka, please call 08189944090.

Have a great week ahead, y’all 😀

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Daily Health Tips: Why Do I Have Smelly Discharge After Inserting IUD?

Q: Hi Doc, I changed my family planning method from Jaddell hand injection to coil and I’ve realized I have discharge that’s smelly. What do I do? What remedies do I take?

A: There are different types of birth control methods including birth control pills (hormone-containing tablets taken orally which prevent ovulation), birth control injections (hormone-containing injections which can prevent pregnancy for up to 3 months), implants (hormone-containing match-sized rods placed under the upper arm), tubal ligation (tying up the fallopian tubes to prevent eggs passing out from the ovaries), cervical cap, Intra-Uterine Device (coil), spermicides, male and female condoms, vasectomy (for men), natural family planning  etc

The choice of which methods to use depends on individual considerations, risks involved, cost of procurement etc
Talking specifically about the coil, this refers to the Intra Uterine Device (IUD). There are two types: the Paragard IUD and the Mirena IUD.

The Paragard IUD is a copper-containing IUD. The copper is poisonous/toxic to sperm and the IUD also prevents implantation of the fertilized egg into the uterus, should fertilization still occur. Paragard can be used during breastfeeding and its removal leads to a quick return of fertility, generally.

The Mirena IUD contains hormones which make the cervical mucous extra thick preventing the sperm from getting to the womb and it also makes the lining of the womb thin such that even if a fertilized egg were to get there, it would not be able to implant on the thin lining of the womb. It also prevents ovulation. Mirena helps reduce the cramping pain of a menstrual period and also reduces bleeding.

Side effects of Paragard include back ache, cramps, severe pain during menstrual period and heavy bleeding etc while Mirena can cause breast tenderness, weight gain, irregular menstrual cycles etc Both IUDs can also be expelled, spontaneously, that is for no reason.
There are warning signs to look out for when you have the IUD on. If you experience any of these under-listed symptoms, please see your doctor immediately.

  • Severe vaginal bleeding with at least 2 sanitary towels soaked every hour for 2 or more hours.
  • Smelly vaginal discharge. This could be associated with fever and chills
  • Severe pain in abdomen or pelvis

So, you should see your doctor immediately to check this discharge out.

Have a great night 😀

 

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Daily Health Tips: What Foods Can I Give My Baby From 6 Months?

Q: Hi Dr Ketch. I watched you on DSTV and I have a question. Please, give me a food time table to start with when my baby is 6 months. And timings, if possible. It’s a baby boy.

A: Hi dear. Congratulations on your new baby.

Your question is a favouirite for new mums. I reproduce below a post I had made on this.

Weaning can be a trying period for a mum…when should I start? What should I give? For how long? What if he doesn’t like it? Just like adults, a good number of babies are resistant to change. They are comfortable eating what they had been eating? Life was good…why do you want to change it???? 😀 Okay, that’s some babies. Others are more than happy to move on to the next stage!

When to start? At 6 months. From birth to 6 months, please focus on exclusive breastfeeding with not even a drop of water. From six months, baby is ready to be introduced to some other food.
For a long time, the standard teaching had been to go for rice cereal as the first add-on meal because it is bland and babies tolerate this well. Other studies question this wisdom now and suggest that foods like meats with lots of essential nutrients like iron may be a good place to start. What should you do? You can boil beef/chicken very soft and blend it up for baby. If baby tolerates this, then by the next week, you could try adding some rice cereal. Try not to introduce more than one food per week so that you have time to study how your baby adapts to it and of course, look out for/isolate food allergy. And, to start off, only one meal of the complementary feed should be given daily. The rest should be the usual…breast milk 😀 This will, of course, as baby tolerates.

Generally, foods to start off weaning should be just slightly thicker than milk and so, if it retains its shape on a spoon, it may be too thick.

From 9 months, baby can be allowed to start experimenting with regular family meals…minus the spices, of course 😀
From one year of age, you can add the cereals mentioned in the question and it’s also okay to introduce cow milk at this time. Full cream cow milk is advocated at this time for proper brain development. Thereafter, please switch to skimmed/1%/2% milk as full cream milk has a lot of saturated fat which may contribute to poor heart health. Grains, green leafy vegetables, cow milk, honey, whole eggs can generally be introduced after the baby turns 1 year old.

 

Generally, other weaning foods that can be introduced include:
Boiled egg yolk (egg whites contain substances that baby may react to), sweet potatoes, fish, chicken, beef, fruits like banana, avocados, boiled beans (with skin removed if possible etc
Simple recipes include, blend some chicken or beef with the stock or mash a banana and add to baby’s cereal.

Our local cereals can also be used and fortified with some breast milk or formula.

As baby tolerates these meals, you can get a little more adventurous.

Boiled carrots mashed with some coconut oil or a little yoghurt with mashed banana may not go amiss too.

An example of a recipe I make for my children is boil potatoes in a pot and place a stainless plate on top of the pot. Add your egg yolk and a drop Olive oil and when the yolk is cooked and potatoes soft, mash all together and feed baby.

Now I know we are all very busy, but weaning is no easy task and so we must commit to trying as much as to prepare these meals ourselves. Packaged meals usually contain additives that may trigger problems/allergies etc in the baby. Hygiene is also critical!

I hope y’all had a great day?

Good night 😀

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Daily Health Tips: Zika Virus!

Hello, everyone. It’s Wednesday already!
 
You’ve all probably heard about the Zika virus causing problems in the Americas. This virus is transmitted by the bite of a mosquito (Aedes mosquito). People with the infection usually have symptoms like fever, rashes and conjunctivtits (red eyes). These symptoms can last up to a week and currently have no treatment or vaccine. So, the best form of prevention is really ensuring that the environment is free from mosquitoes.
 
Just before you begin to think it’s an American proble 😀 please note that it was first identified in Uganda (I don’t know if there’s a conspiracy there involved for those of you who want to take me to task already over this) and is known to circulate in Asia, Africa and the pacific also.
 
How do we prevent mosquitoes from breeding?
First the battle starts from the environment. Mosquitoes need a place to lay eggs so they can muster the right army to wreck havoc. So deprive them of a breeding camp. Who would know the conditions necessary for a terrorist camp to be set up and make their homes or environment, the right one for that? Nobody…in their right minds at least 😀
 
So, if you love flowers…indulge. But you know the big flower pots with live plants that you’ve got to water everyday? Go easy on the watering. I had a daily once who tried to do a week’s work in one day and so would fill the flower pot almost up to the brim…just so she didn’t have to do it the next day! Well, before too long, my house became a cesspot of mosquitoes of all shades, shapes and sizes. They could not believe their luck that such a conducive home could be prepared for them in such a lovely (even if I say so myself :)) environment! So, as practicable as possible, leave the flower pots that have to be watered outside and try not to do a week’s worth of watering in a day 😀
 
Old (or new) tyres left lying around are also great homes for mosqitoes.
 
If you have to store water inside your house, in buckets and basins, be sure to get covers for them. They are fantastic breeding places for the mosquitoes.
 
If you’ve got a bathroom with a blocked drain, please sort it out. The water that accumulates there is a good home for these undesirables. As you approach the water, you would see them rise as a swarm…Disgusting!!!
 
Outside, clear out gutters, mow the lawn or failing that just cut the grasses. Get a fumigator to do the needful every once in a while, within and outside the house. Put nets on the windows and ensure that this is re-enforced with insecticide sprays as needed. Get the children especially those under 5 and pregnant women to sleep under mosquito nets. These nets should be re-treated with insecticides every 6 months or 5 years depending on the type. If you’ve got girly girls, you can actually design a four poster bed and use the net as a canopy! That will make it seem more fun and get them to readily want to use it. For the boys….weeellll, let’s hear your bright ideas on that one:D
 
If you have to go out in the evenings, depending on whether you will be out in mosquito infested areas, wear protective clothing that cover arms and legs, preferably in light colours. Mosquitoes love dark colours and the dark….no wonder their deeds are evil :D. Insect repellent creams used on exposed areas are also not a bad idea.
 
The good news is that the virus requires no specific treatment as symptoms are mild. However, there are very strong indications that pregnant mothers who are infected by the virus give birth to babies with abnormally small heads associated with incomplete brain development.
For more on Zika virus, please read http://www.who.int/mediacentre/factsheets/zika/en/
 
So, stay safe people and let’s all kick mosquitoes out of…the world! Lassa fever is also still very much in the news. Remember your hygiene and stay clrea of rats.
 
For more details:
 
 
Have a good night, y’all 😀
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Daily Health Tips: Boosting Low Sperm Count

Q: Dr how can you boost low sperm please???

A: Here are 5 things you wish you knew about low sperm count
• The causes of low sperm count could be medical, environmental or due to lifestyle issues
• Medical causes include infections like gonorrhea and chlamydia, certain drugs used for cancer and fungal infections, , undescended testes and cancer.
• Environmental causes include over-exposure to industrial chemicals, heavy metals and X-rays; over-heating the testicles by frequently using the sauna and hot tubs; prolonged bicycling
• Lifestyle causes include alcohol use, tobacco smoking, illegal drug use, obesity and emotional stress.
• To get a woman pregnant, a man has to have at least 40 million sperm per ejaculate. People with low sperm count usually have less than this.

If you have been diagnosed with low sperm count, then do something about it. Here are some tips that could help to improve your sperm count
• Stress has been found to contribute to infertility problems such as hormonal issues. So, prevent excessive stress and perform relaxation exercises. Remember that infertility and life in general can be stressful, learn to relax.
• Stop smoking because smoking significantly reduces both sperm count and the movement of sperm-cells.
• Prevent overheating of the scrotum: When scrotal temperature rises (caused by tight underwear, long stays in a sauna or Jacuzzi, for example) sperm production can be impaired.
• Maintain a healthy weight: Not too under or overweight since weight influences estrogen and testosterone levels.
• Stop using drugs: Prolonged use of recreational drugs (for example, alcohol, marijuana, cocaine)

For related posts, please click on the following:

https://chatwithdrketch.com/2015/12/09/daily-health-tips-belching-low-sperm-count-size-concerns/

Daily Health Tips: Sexual Weakness And Low Sperm Count

Have a fabulous week ahead 😀

 

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Daily Health Tips: We Can. I Can.

It was World Cancer Day on the 4th of February. The theme of this year’s celebration is ‘We Can. I Can’. This theme explores what we can do, collectively as a group and individually as persons to halt cancer.

We Can:

  • Inspire action and take action in your community and wherever your sphere of influence can reach
  • Prevent Cancer
  • Challenge perceptions by getting the right information on cancer and preventing the spread of myths about the disease
  • Create healthy environments. Leaving environments smoke-free will be helpful here
  • Shape policy change through advocacy…speaking out about what we believe that can help reduce cancer burden etc

I Can:

  • Make healthy lifestyle choices
  • Understand that early detection saves lives
  • Ask for support if I have cancer and/or support others who are also suffering from this
  • Love and be loved
  • Speak out about cancer etc

 

For more of what you can do to fight cancer, please click on these:

https://chatwithdrketch.com/2013/12/05/daily-health-tips-cancer/

https://chatwithdrketch.com/2014/02/04/daily-health-tips-debunk-the-cancer-myths/

https://chatwithdrketch.com/2013/12/12/daily-health-tips-your-food-and-cancer/

Have a great day, y’all 😀

 

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