The Health of Lesbian, Gay, Bisexual, and Transgender People

Building a Foundation for Better Understanding

Author: Institute of Medicine,Board on the Health of Select Populations,Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities

Publisher: National Academies Press

ISBN: 0309210658

Category: Medical

Page: 366

View: 5749

At a time when lesbian, gay, bisexual, and transgender individuals--often referred to under the umbrella acronym LGBT--are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.
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The Health of Sexual Minorities

Public Health Perspectives on Lesbian, Gay, Bisexual and Transgender Populations

Author: Ilan H. Meyer,Mary E. Northridge

Publisher: Springer Science & Business Media

ISBN: 0387313346

Category: Medical

Page: 731

View: 855

This is the first concise handbook on Lesbian, Gay, Bisexual and Transgender (LGBT) health in the past few years. It breaks the myths, breaks the silence, and breaks new ground on this subject. This resource offers a multidimensional picture of LGBT health across clinical and social disciplines to give readers a full and nuanced understanding of these diverse populations. It contains real-world matters of definition and self-definition, meticulous analyses of stressor and health outcomes, a extensive coverage of research methodology concerns, and critical insights into the sociopolitical context of LGBT individuals’ health and lives.
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The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health

A Practitioner's Guide to Service

Author: Michael Shankle

Publisher: Routledge

ISBN: 1136573550

Category: Medical

Page: 422

View: 5567

Get the comprehensive resource for LGBT public health issues! Public health services for sexual minorities have suffered from practitioners’ lack of knowledge about sexual or gender orientation, specific health concerns, and inherent system homophobia and heterosexism. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health: A Practitioner’s Guide to Service provides a unique focus on LGBT public health, offering positive direction for practitioners looking for guidance in methods to ensure a healthy community for all while taking into consideration the special needs of sexual minorities. Ignorance and fear by both practitioners and LGBT clients leads to less-than-optimum public health services. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health extensively discusses these issues clearly, working to foster cultural competency among public health professionals. This book lays the groundwork for better understanding of LGBT health issues and their relationship to overall public health, then delves into the research on how incorporating LGBT cultural competency can improve academic institutions and continuing education programs. The problem of providing health care access and the health issues burdening each segment of the LGBT community are discussed in detail, all with a focus on providing effective solutions to tough challenges. Clear strategies are also presented for improving city, county, state, and national public health infrastructures and policies. The issue of productive and safe work environments in business and the private sector for LGBT individuals is addressed, along with a close look at the advantages—and pitfalls—of media and Internet resources. Many chapters are illustrated with tables and diagrams; each chapter is exhaustively referenced, includes useful lists of selected resources, and asks questions to spark thought on the issues as they pertain to the reader's circumstances. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health discusses: the inequities in health care for LGBT people overt prejudice, discrimination, disdain, or outright denial of services assumption by health professionals of risk factors based on sexual or gender orientation rather than individual behaviors and health history unwitting expression of biases of many public health practitioners the effect of social stigma on public health care services LGBT cultural competency framework for institutions of higher learning and professional organizations LGBT awareness, sensitivity, and competency training sexually transmitted diseases reproductive cancers intimate partner violence noncommunicable diseases among gay and bisexual men ’down low’ behavior (avowed straight men with spouses having sex with other men) as public health issue AIDS-related malignancies transsexuals and transphobia hormonal therapy sex reassignment surgery (SRS) mental health needs of transsexuals, cross-dressers, and intersex individuals barriers to health care access insurance systems confidentiality of medical records substance use health care issues for LGBT youth and young adults health care needs of LGBT elders recommendations for improvement of health and welfare services The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health is a one-of-a-kind resource for LGBT public health issues, essential for public health professionals, practitioners, health services professionals, substance abuse counselors, disease intervention specialists, public health advisors, community health service administrators, community based agencies, and community health nurses. Educators in community hea
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Abuse: An Encyclopedia of Causes, Consequences, and Treatments

Author: Rosemarie Skaine

Publisher: ABC-CLIO

ISBN: 1610695151

Category: Psychology

Page: 330

View: 1908

This timely volume shows how abuse impacts every segment of society—and how society is seeking effective ways to respond. • Offers an introductory essay that places the subject in context and provides a framework within which to study and understand abuse • Features entries from leading scholars who provide a contemporary approach to the issues • Covers a wide range of types of abuse, individuals and organizations affected by abuse, and people working to reduce and eliminate abuse • Includes summaries of laws that apply to various forms of abuse • Provides a "topic finder" to assist readers in locating information relative to particular types of abuse
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Lesbian, Gay, Bisexual and Transgender Ageing

Biographical Approaches for Inclusive Care and Support

Author: Richard Ward,Ian Rivers,Mike Sutherland

Publisher: Jessica Kingsley Publishers

ISBN: 1849052573

Category: Social Science

Page: 223

View: 788

Lesbian, gay, bisexual and transgender (LGBT) people often face unique challenges as they grow older. This book demonstrates how biographical approaches can increase understanding about the distinct perspectives of older LGBT people, enhancing inclusive care and support.
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Collecting Sexual Orientation and Gender Identity Data in Electronic Health Records

Workshop Summary

Author: Institute of Medicine,Board on the Health of Select Populations

Publisher: National Academies Press

ISBN: 0309268044

Category: Medical

Page: 88

View: 5317

Collecting Sexual Orientation and Gender Identity Data in Electronic Health Records: Workshop Summary reviews the statement of task set to the committee which required them to collect sexual orientation and gender identity data in electronic health records. This report summarizes the invited presentations and facilitated discussions about current practices around sexual orientation and gender identity data collection, the challenges in collecting these data, and ways in which these challenges can be overcome. Areas of focus for the workshop include the clinical rationale behind collecting these data, standardized questions that can be used to collect these data, mechanisms for supporting providers and patients in the collection of these data, technical specifications involved in creating standards for sexual orientation and gender identity data collection and exchange, and policy considerations related to the health information technology (HIT) Meaningful Use process being overseen by the Department of Health and Human Services. This report summarizes the workshop agenda, select invited speakers and discussants, and moderate the discussions. Invited participants will include lesbian, gay, bisexual, and transgender (LGBT) health care consumer advocates, providers with experience working with LGBT populations, HIT vendors and other HIT specialists, health care administrators, and policy makers.
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Im Herzen der Gewalt

Roman

Author: Édouard Louis

Publisher: S. Fischer Verlag

ISBN: 3104902658

Category: Fiction

Page: 224

View: 4487

In seinem autobiographischen Roman ›Im Herzen der Gewalt‹ rekonstruiert der französische Bestsellerautor Édouard Louis die Geschehnisse einer dramatischen Nacht, die sein Leben auf den Kopf stellt. Auf der Pariser Place de la République begegnet Édouard in einer Dezembernacht einem jungen Mann. Eigentlich will er nach Hause, aber sie kommen ins Gespräch. Es ist schnell klar, es ist eine spontane Begegnung, Édouard nimmt ihn, Reda, einen Immigrantensohn mit Wurzeln in Algerien, mit in seine kleine Wohnung. Aber was als zarter Flirt beginnt, schlägt um in eine Nacht, an deren Ende Reda Édouard mit einer Waffe bedrohen wird. Indem er von Kindheit, Begehren, Migration und Rassismus erzählt, macht Louis unsichtbare Formen der Gewalt sichtbar. Ein Roman, der wie schon ›Das Ende von Eddy‹ mitten ins Herz unserer Gegenwart zielt – politisch, mitreißend, hellwach.
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Diversity and Cultural Competence in Health Care

A Systems Approach

Author: Janice L. Dreachslin,M. Jean Gilbert,Beverly Malone

Publisher: John Wiley & Sons

ISBN: 1118282167

Category: Medical

Page: 480

View: 9543

Major changes are occurring in the United States population and the nation's health care institutions and delivery systems. Significant disparities in health status exist across population groups. But the health care enterprise, with all its integrated and disparate parts, has been slow to respond. Written by three nationally known scholars and experts, Diversity and Cultural Competence in Health Care: A Systems Approach is designed to provide health care students and professionals with a clear understanding of foundations, philosophies, and processes that strengthen diversity management, inclusion, and culturally competent care delivery. Focusing on current practice and health care policy, including the recently passed Patient Protection and Affordable Care Act of 2010 (ACA), this textbook integrates strategic diversity management, self-reflective leadership, and the personal change process with culturally and linguistically appropriate care into a cohesive systems-oriented approach for health care professionals. The essentials of cultural competence and diversity management covered in this text will be helpful to a wide variety of students because they encompass principles and practices that can be realistically incorporated into the ongoing work of any health care field or organization. Each chapter contains learning objectives, summary, key terms, and review questions and activities designed to allow students to understand and explore concepts and practices identified throughout the text.
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The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health

A Practitioner's Guide to Service

Author: Michael D. Shankle

Publisher: Haworth Press

ISBN: 9781560234968

Category: HEALTH & FITNESS

Page: 373

View: 4016

Get the comprehensive resource for LGBT public health issues! Public health services for sexual minorities have suffered from practitioners' lack of knowledge about sexual or gender orientation, specific health concerns, and inherent system homophobia and heterosexism. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health: A Practitioner's Guide to Service provides a unique focus on LGBT public health, offering positive direction for practitioners looking for guidance in methods to ensure a healthy community for all while taking into consideration the special needs of sexual minorities. Ignorance and fear by both practitioners and LGBT clients leads to less-than-optimum public health services. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health extensively discusses these issues clearly, working to foster cultural competency among public health professionals. This book lays the groundwork for better understanding of LGBT health issues and their relationship to overall public health, then delves into the research on how incorporating LGBT cultural competency can improve academic institutions and continuing education programs. The problem of providing health care access and the health issues burdening each segment of the LGBT community are discussed in detail, all with a focus on providing effective solutions to tough challenges. Clear strategies are also presented for improving city, county, state, and national public health infrastructures and policies. The issue of productive and safe work environments in business and the private sector for LGBT individuals is addressed, along with a close look at the advantages—and pitfalls—of media and Internet resources. Many chapters are illustrated with tables and diagrams; each chapter is exhaustively referenced, includes useful lists of selected resources, and asks questions to spark thought on the issues as they pertain to the reader's circumstances. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health discusses: the inequities in health care for LGBT people overt prejudice, discrimination, disdain, or outright denial of services assumption by health professionals of risk factors based on sexual or gender orientation rather than individual behaviors and health history unwitting expression of biases of many public health practitioners the effect of social stigma on public health care services LGBT cultural competency framework for institutions of higher learning and professional organizations LGBT awareness, sensitivity, and competency training sexually transmitted diseases reproductive cancers intimate partner violence noncommunicable diseases among gay and bisexual men 'down low' behavior (avowed straight men with spouses having sex with other men) as public health issue AIDS-related malignancies transsexuals and transphobia hormonal therapy sex reassignment surgery (SRS) mental health needs of transsexuals, cross-dressers, and intersex individuals barriers to health care access insurance systems confidentiality of medical records substance use health care issues for LGBT youth and young adults health care needs of LGBT elders recommendations for improvement of health and welfare services The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health is a one-of-a-kind resource for LGBT public health issues, essential for public health professionals, practitioners, health services professionals, substance abuse counselors, disease intervention specialists, public health advisors, community health service administrators, community based agencies, and community health nurses. Educators in community hea
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The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health

Author: Harvey J. Makadon

Publisher: ACP Press

ISBN: 9781930513952

Category: Health & Fitness

Page: 526

View: 8572

The Fenway Guide provides guidance, practical guidelines, and discussions of clinical issues pertinent to the LGBT patient and community. It also focuses on helping healthcare professionals gain a better understanding of the LGBT population, the LGBT life continuum, health promotion and disease prevention, transgender health, and patient communication and the office environment, The Fenway Guide is truly a one-of-a kind comprehensive resource!The healthcare issues surrounding sexual minorities is an area in which little research and few studies have been conducted. Written in conjunction with the world renowned Fenway Community Clinic, The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health is an invaluable resource for healthcare professionals seeking further knowledge and guidance on sexual minority health care.
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Das Schweigen brechen

Menschenrechtsverletzungen aufgrund sexueller Orientierung

Author: Wolfgang Dinkelberg

Publisher: N.A

ISBN: 9783896560711

Category: Gays

Page: 159

View: 1294

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Quell der Einsamkeit

Author: Radclyffe Hall

Publisher: Verlag Krug & Schadenberg

ISBN: 3944576659

Category: Fiction

Page: 540

View: 3565

»Quell der Einsamkeit« erzählt die Geschichte von Stephen Gordon, einer Frau aus der britischen Oberschicht, die eigentlich ein Sohn hätte werden sollen. Von Kind an hat Stephen das Gefühl, dass mit ihr etwas nicht stimmt - dass sie anders ist: Sie trägt gern Männerkleidung, begeistert sich für Fuchsjagd und Fechtkunst und verliebt sich von früher Jugend an in Frauen - zunächst in das Hausmädchen Collins, später in die mondäne Angela Crossby, deren eifersüchtigen Ehemann Stephen durch ihre Bewunderung seiner Rosenzucht zu beschwichtigen sucht. Als Krankenwagenfahrerin im Ersten Weltkrieg lernt Stephen schließlich Mary Llewellyn kennen und lieben. Die beiden Frauen gehen in den zwanziger Jahren nach Paris, schaffen sich zusammen ein Heim und schließen Freundschaften, doch ihr gemeinsames Glück ist massivem gesellschaftlichen Druck ausgesetzt ... »Quell der Einsamkeit« ist ein bis heute faszinierender historischer Roman und kann als ein Vorläufer von Leslie Feinbergs »Stone Butch Blues« gelten. Er löste Debatten über Sexualität, Homosexualität und Geschlechterrollen aus, die noch immer andauern.
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Current Issues in Lesbian, Gay, Bisexual, and Transgender Health

Author: Jay Harcourt

Publisher: Routledge

ISBN: 113657607X

Category: Social Science

Page: 230

View: 4364

Learn what resources are needed for lesser-recognized LGBT health issues Most literature that explores LGBT health issues concentrates on HIV/AIDS while leaving research studies on other vital issues lacking. Current Issues in Lesbian, Gay, Bisexual, and Transgender Health addresses this inadequacy by presenting a broad range of LGBT health issues from an interdisciplinary and mixed-method perspective. Leading experts present both quantitative and qualitative descriptions of health issues among various population groups, focusing on those topics poorly represented in present-day literature. This book is a strong start to fill in the blanks about unrealized health issues of LGBT individuals and offers insights into the resources needed to address them. Methods to assess sexual orientation and gender identity are not normally found in most population-based research. Because of the diversity within the relatively small LGBT population, research has been forced to generalize, making it less likely to effectively contribute to quality health issue data for these individuals. The research presented in Current Issues in Lesbian, Gay, Bisexual, and Transgender Health takes particular care to specify how the orientation and sexual identity of study participants was measured. This book carefully mines previously unrevealed health disparities among LGBT populations across a broad spectrum of diseases—beyond the standard focus on HIV/AIDS. The most current and important studies are presented, including rare research on transgender health issues. The chapters are extensively referenced, and several include figures and tables to clarify and enhance understanding of the information. The wide range of topics in Current Issues in Lesbian, Gay, Bisexual, and Transgender Health include: the inclusion of sexual orientation questions in research studies comparison of mental health issues between women of different sexual orientations mental health issues among men of different sexual orientations and HIV status in Australia the impact of sexual identity distress and social support in GLBT youth issues transgender youth health issues female-to-male (FTM) transexuals’ experiences accessing health care research on LBT domestic violence survivors health needs of male-to-female (MTF) transgenders of color Current Issues in Lesbian, Gay, Bisexual, and Transgender Health is crucial, thought-provoking reading for researchers working in LGBT health, public health professionals working in community health and LGBT health, policymakers, advocates, public health and community health faculty, and students interested in LGBT health issues.
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Improving Health and Work

Changing Lives: The Government's Response to Dame Carol Black's Review of the Health of Britain's Working-Age Population

Author: N.A

Publisher: The Stationery Office

ISBN: 9780101749220

Category: Industrial hygiene

Page: 118

View: 8392

The costs of working-age ill-health to Britain are large by any standards. Dame Carol Black estimated that the annual economic cost of ill-health in terms of working days lost and worklessness was over £100 billion. The Confederation of British Industry (CBI) estimated that last year 172 million working days were lost due to absence, costing employers £13 billion. Against a backdrop of a wider economic downturn both taxpayers and businesses can ill afford to bear these largely unnecessary costs. But the cost of ill-health cannot be measured in pounds and pence alone. There are about 2.6 million people on incapacity benefits and 600,000 people make a new claim each year; of these, half had been working immediately before they moved onto benefit. Once out of work it is likely that an individual's health will worsen and they and their families are more likely to fall into poverty and become socially excluded. Therefore, health-related inactivity prevents individuals from fulfilling their potential, causes needless financial hardship, and damages the communities in which people live. This response is built around three key aspirations that demonstrate how the Government will rise to the challenges set by Dame Carol: creating new perspectives on health and work (chapter 2); improving work and workplaces (chapter 3); and supporting people to work (chapter 4). Chapter 5 details how the Government will measure progress against its targets, and chapter 6 sets out future steps that the Government intends to take: better integrating skills, health and employment provision; reviewing the incentives for individuals, employers and the state to tackle sickness absence to ensure they are optimally balanced; and continuing to develop strategies to address the specific needs of those with poor mental health.
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Handbook of Urban Health

Populations, Methods, and Practice

Author: Sandro Galea,David Vlahov

Publisher: Springer Science & Business Media

ISBN: 0387258221

Category: Medical

Page: 600

View: 7901

The editors are two of the most prominent researchers in this area. Both are at the Center for Urban Epidemiologic Studies. David Vlahov is particularly visible and known as the editor of the Journal of Urban Health. Sandro Galea is very prominent for his research on urban health; in particularly, research done on PTSD and children post-9/11. Thorough analysis of different populations in urban settings and specific health considerations Useful section on methods for the research audience. Applied in nature with section on prevention and interventions There are over 100 urban health centers in North America and there are no thorough, up-to-date ressources.
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Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States

Author: National Research Council,Institute of Medicine,Committee on Law and Justice,Board on Children, Youth, and Families,Committee on the Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States

Publisher: National Academies Press

ISBN: 0309286581

Category: Social Science

Page: 478

View: 5354

Every day in the United States, children and adolescents are victims of commercial sexual exploitation and sex trafficking. Despite the serious and long-term consequences for victims as well as their families, communities, and society, efforts to prevent, identify, and respond to these crimes are largely under supported, inefficient, uncoordinated, and unevaluated. Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States examines commercial sexual exploitation and sex trafficking of U.S. citizens and lawful permanent residents of the United States under age 18. According to this report, efforts to prevent, identify, and respond to these crimes require better collaborative approaches that build upon the capabilities of people and entities from a range of sectors. In addition, such efforts need to confront demand and the individuals who commit and benefit from these crimes. The report recommends increased awareness and understanding, strengthening of the law's response, strengthening of research to advance understanding and to support the development of prevention and intervention strategies, support for multi-sector and interagency collaboration, and creation of a digital information-sharing platform. A nation that is unaware of these problems or disengaged from solutions unwittingly contributes to the ongoing abuse of minors. If acted upon in a coordinated and comprehensive manner, the recommendations of Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States can help advance and strengthen the nation's emerging efforts to prevent, identify, and respond to commercial sexual exploitation and sex trafficking of minors in the United States.
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Handbook of Health Survey Methods

Author: Timothy P. Johnson

Publisher: John Wiley & Sons

ISBN: 1118594746

Category: Medical

Page: 840

View: 5032

A comprehensive guidebook to the current methodologiesand practices used in health surveys A unique and self-contained resource, Handbook of HealthSurvey Methods presents techniques necessary for confrontingchallenges that are specific to health survey research. Thehandbook guides readers through the development of sample designs,data collection procedures, and analytic methods for studies aimedat gathering health information on general and targetedpopulations. The book is organized into five well-defined sections: Design andSampling Issues, Measurement Issues, Field Issues, Health Surveysof Special Populations, and Data Management and Analysis.Maintaining an easy-to-follow format, each chapter begins with anintroduction, followed by an overview of the main concepts,theories, and applications associated with each topic. Finally,each chapter provides connections to relevant online resources foradditional study and reference. The Handbook of Health SurveyMethods features: 29 methodological chapters written by highly qualified expertsin academia, research, and industry A treatment of the best statistical practices and specificmethodologies for collecting data from special populations such assexual minorities, persons with disabilities, patients, andpractitioners Discussions on issues specific to health research includingdeveloping physical health and mental health measures, collectinginformation on sensitive topics, sampling for clinical trials,collecting biospecimens, working with proxy respondents, andlinking health data to administrative and other external datasources Numerous real-world examples from the latest research in thefields of public health, biomedicine, and health psychology Handbook of Health Survey Methods is an ideal reference foracademics, researchers, and practitioners who apply survey methodsand analyze data in the fields of biomedicine, public health,epidemiology, and biostatistics. The handbook is also a usefulsupplement for upper-undergraduate and graduate-level courses onsurvey methodology.
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