Becker DV, Zanzonico P. Potassium iodide for thyroid blockade in a reactor accident: administrative policies that govern its use. Hi, ang doctor lamang ang pwedeng mag-advise kung babawasan o dadagdagan ang dosage ng gamot para sa thyroid problems. Importantly, once you have been treated with RAI, regular medical follow-up is lifelong. Some questions you may want to ask your care team before going home: To learn more, see Radiation Therapy Safety. Implants for Femoral Shaft Fracture/tibial fracture, 1. with avascular necrosis of the femoral head; OR, ii. Our patients depend on blood and platelet donations. StatPearls Publishing, Treasure Island (FL). Sperm banking is an option in a patient who is expected to need several doses of RAI for thyroid cancer. Tuttle RM. If your overactive thyroid symptoms persist six months after treatment, you may need a second dose. Nagpasurgery po nanay ko dahil may thyroid cyst DW po sya tapos pina biopsy po nmin ang result po at carcinoma pinap undergo po ulit sya ng surgery pr tanggalin n thyroid nya then radiation dw. Theres also a risk of radiation exposure to the people around a patient treated with radioactive iodine therapy. Thyroid. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer. However, we will update this list as soon as new info comes, covering all hospitals in the country. A small number of people may need a second treatment. Dont worry as there are hospitals that provide cheap and affordable RAI therapy for patients. http://creativecommons.org/licenses/by-nc-nd/4.0/. Its only used for patients with certain types of differentiated thyroid carcinomas specifically, papillary and follicular thyroid cancer. The other is called a thyroid scan. When is my follow-up? The risk is much lower for people over 40. In: StatPearls [Internet]. Do you have thyroid problems? Ioflupane I-123 is a radioactive agent that allows images of the brain to be detected by a gamma camera. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. May available po bang hospita dito sa bulacan na nagaadminister ng RAI Therapy. The American Cancer Society is a qualified 501(c)(3) tax-exempt organization. [4]Its action is dependant on the uptake of iodine from thyroid tissue and is ineffective in patients whohave ahyperfunctioning disease without iodine uptake. You are not required to obtain permission to distribute this article, provided that you credit the author and journal. 02/06/2019. Currently, radioactive iodine therapy is only used to treat hyperthyroidism (overactive thyroid gland) and certain types of thyroid cancer. Limaiem F, Rehman A, Anastasopoulou C, Mazzoni T. Mumtaz M, Lin LS, Hui KC, Mohd Khir AS. I-123 is the usual isotope used to take pictures and determine the activity of the intact thyroid gland (Thyroid Scan and Radioactive Iodine Uptake, RAIU), since it is harmless to thyroid cells. Ang surgery ay ginagawa para tanggalin ang kabuuan o parte ng thyroid. Ang radioactive iodine naman ay para matunaw ito at hindi na magdulot ng problema. [8][7]Thionomide therapy maydecreaseany storage of thyroid hormonesandensure a euthyroid statetoprevent possible complications of thyrotoxicosis. Azedra is currently the only drug approved by the FDA to treat this rare type of adrenal cancer. The thyroid absorbs iodine from the body in order to produce T4. A tracer dose of radioactive iodine can also be used to track remaining thyroid tissue and/or cancer that could have spread to other parts of the body. Patients diagnosed with malaria confirmed either through: Drugs and medicines, laboratory examinations, including Cluster Difference 4 (CD4) level determination test and test for monitoring of anti-retro viral drugs (ARV) toxicity and professional fees of providers. [8][9], During radioactive iodine therapy, agents containing iodine can hinderits uptake from the transporterof thyroid cells, as iodine is a natural precursor for thyroid hormones. Maaari ka ring kumuha ng second opinion. When is it safe for me to be around pets, children, and people who are pregnant or trying to get pregnant? Learn about our graduate medical education residency and fellowship opportunities. Get useful, helpful and relevant health + wellness information, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, Radioiodine or Radioactive Iodine Therapy, (http://www.thyroidawareness.com/sites/all/files/radioiodine-or-radioactive-iodine-therapy.pdf), Radioactive Iodine (Radioiodine) Therapy for Thyroid Cancer, (http://www.cancer.org/cancer/thyroid-cancer/treating/radioactive-iodine.html), (http://www.thyroid.org/wp-content/uploads/patients/brochures/Radioactive_iodine_brochure.pdf). See additional information. However, there is a very high chance that the patient will only need one (1) Radioactive Iodine therapy treatment. In the Philippines, RAI is offered by a very limited number of hospitals. A radioactive iodine uptake (RAIU) test is one of two kinds of scans used to diagnose thyroid diseases. Radioactive iodine therapy is a systemic and targeted treatment. Medications can help address many cases of thyroiditis or hyperthyroidism. Research. Undifferentiated or medullary thyroid carcinomas will not benefit from iodine therapy. This is great info. For an updated cost, contact the facility using 7119491 NKTI Avoid eating for at least 1 hour after swallowing the radioactive iodine. Halow tapoz Napo kami sa total thyroidectomy sabi nang doctorag radio active iodine magkano po Ang kailangan budget dito? As of the moment, there are no clear details whether Philhealth will cover treatments for Radioactive Iodine. Pag natunaw na po ba ang bukol ng RAI. So, if papillary or follicular thyroid cancer has spread to any other part of the body, we can still use this therapy to find and destroy it. PhilHealth provides four packages to women who are about to give birth. Be sure you understand the instructions before you leave the hospital. Below are some of the resources we provide. Radioactive iodine treatment is a type of internal radiotherapy. In other words, you have hyperthyroidism. For thyroid tests, radioactive iodine is typically used. At these times, youll sit down, and a technician will place a device called a gamma probe over the outside of your neck. Hello po goodmorning, Meron na po kaya hospital na may RAI sa Santiago City, Isabela, Region 02. Men who receive RAI treatment for thyroid cancer may have decreased sperm counts and temporary infertility for periods of roughly two years. It uses a radioactive form of iodine called iodine 131 (I-131). The latter is actually quite common, but usually temporary. Both of these procedures will be able to remove/dissolve the thyroid. Your thyroid and most types of thyroid cancer absorb iodine naturally. If your thyroid has been removed, there are a couple of ways to raise TSH levels before being treated with RAI: Most doctors also recommend that you follow a low iodine diet for 1 or 2 weeks before treatment. Neuromuscular conditions characterized with any of the following: weakness or paralysis, imbalance, incoordination, sensory deficits classified into: 1. You may need to isolate yourself for a few days so that other people wont be exposed to your radioactive condition. Philadelphia, Pa. Elsevier: 2014. There are only a few hospitals in the Philippines that offer Radioactive Iodine Therapy. 1. Usually, only one treatment is needed. 10th ed. E89.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. [8] Methimazole is preferred over propylthiouracil(PTU) as it has a significant failure rate. Take care. Then you'll get a small diagnostic dose of radioactive iodine in a pill. How is radioactive iodine therapy used? As part of the RAIU, youll take a pill or liquid containing radioactive iodine. Last medically reviewed on July 21, 2022. The radiation then destroys the cancer cells. I-131 can also be used to take pictures of the thyroid gland, although it is rarely used due to the harmful effects it has on thyroid cells. The interprofessional team should also counsel patients on the adverse effects of therapy, and the early and late complications that may arise, and the severity of the complications. A negative pregnancy test should be a consideration before initiating therapy as pregnancy and breastfeeding are absolute contraindications. I-131 may occasionally cause mild pain in the neck that can be treated with aspirin, ibuprofen or acetaminophen. Mild pneumonia in the elderly or with co-morbidities. The price may not exactly be the same with each patient since the total cost will depend on the dosage, the number of sessions and professional fee of the doctor. One way is to stop taking thyroid hormone pills for several weeks. Thyroid function tests are to be observed every 4-6 weeks for six monthsuntilthe patient achieves a euthyroid or hypothyroid state. This treatment can be used to ablate (destroy) any thyroid tissue not removed by surgery or to treat some types of thyroid cancer that have spread to lymph nodes and other parts of the body. It involves the use of radioactive isotopes in this case, Iodine-131 (I-131) to diagnose or treat disease. https://www.uptodate.com/contents/differentiated-thyroid-cancer-radioiodine-treatment. About the Author: MedicalPinas has several years of experience in publishing articles to help Filipinos find medical services and prices. Medicare covers radiation therapy and other cancer treatments. Request a quote from the hospital or doctor. Common thyroid disorders include Hashimoto's disease, Graves' disease, and goiter. Inquire about this from your care provider. Learn about clinical trials at MD Anderson and search our database for open studies. Consultation with an ophthalmologist may be necessary for patients suffering fromthyroid-associatedorbitopathy. Thanks. What are common side effects of radioactive iodine therapy? Musculoskeletal conditions characterized with any of the following: limb loss (amputation), limb deficiency, limb deformity and spine deformity (Cobbs angle 20 degrees and Risser 4) classified into: b.) Hyperthyroidism speeds up the bodys processes causing nervousness and anxiety, rapid heartbeat, missed or light menstrual periods, sleep problems, hand tremors and other problems. Youll have to fast for a few hours before the test, and you may need blood work to see how your thyroid works around the time of the scan. However, it is best to ask your doctor first about the dosage that you need as this will be a factor in the overall price. As of the moment, info about hospitals with RAI in Mindanao is not yet available. Karamihan pa sa mga meron nito ay nasa Metro Manila. Hello, Ang bukol sa leeg ay maraming posibleng dahilan. Pwede po magtanong, kung ano po ang unang gagawin ko, kasi po suggest po ng doktor ko operasyon lang dw ang paraan para matanggal ang bukol sa le-eg ko, kasi sa mga laboratory normal naman po ang results, at gusto ko po sana yong radoactive iodine po, nasa Brgy. Patients are asked to follow some radiation precautions after treatment in order to limit radiation exposure to others (see chart). How does radioactive iodine therapy work? The use of lemon drops, vitamin C or sour stimulation to potentially decrease the exposure of the salivary glands to RAI is controversial and should be discussed with your physician. If your symptoms are still there after six months, you may have to receive a second dose. Depending on the dose and where you are being treated, you might need to be in the hospital for a few days after treatment, staying in a special isolation room to prevent others from being exposed to radiation. We're improving the lives of cancer patients and their families through advocacy, research, and patient support to ensure that everyone has an opportunity to prevent, detect, treat, and survive cancer. The popular Peloton instructor shares how she learned to adopt an auto-amazing mindset after being diagnosed with a rare autoimmune disease. Hello, ang RAI ay madalas na ginagawa nang isang session lamang. There will be a special instruction by the doctor wherein the patient will have to isolate away from other family members due to radioactive components of the substance. 143,267. ), which permits others to distribute the work, provided that the article is not altered or used commercially. If you are pregnant or want to get pregnant within 6 months of treatment, or if you are breastfeeding, you cannot use radioactive iodine. Ang RAI ay nirerekomenda ng mga doctor para matunaw na ang lahat ng thyroid cells. Log in to our secure, personalized website to manage your care (formerly myMDAnderson). The thyroid cells job is to make hormones that govern various body processes, such as temperature regulation and metabolism. It strives to provide the most accurate info available through extensive research. It will take time for the iodine to make its way into your system so your thyroid can absorb it. Usually, patients wont have to isolate themselves for more than about five days. Radioiodine and the treatment of hyperthyroidism: the early history. What does it take to outsmart cancer? i. Any radioactive iodine not absorbed by the thyroid is excreted by the body within a few days. Inform your doctor if youre nursing or if theres any chance you may be pregnant. MANILA, Philippines The Philippine Health Insurance Corporation (PhilHealth) assured the public that policies in line with the COVID-19 pandemic are being reviewed, after complaints that patients' stay in emergency rooms and makeshift tents are not being covered. AMH levels decreased 45% at 3 months after treatment, and recovery was not complete after 1 year. Each scan takes about 5 minutes, although you may have to sit for additional images if the first ones are unclear. with avascular necrosis of the femoral head (FICAT Stage III and IV); OR, i. with no avascular necrosis of the femoral head; OR, i. without malignant/metastatic pathologic fracture: AND. In addition, let your doctor know if youve had diarrhea recently since it may affect your ability to absorb iodine. Tell your doctor if youve had other imaging tests with iodine-based contrast in the last 2 months. Promoting thyroid health. Until the test is over, youll have to follow the same dietary restrictions you did in preparation for the test. How much would be the total estimated cost of RAI therapy in PGH. When can I go out in public or use public transportation? May iinumin pa po ba na maintenance? An RAIU shows how well your thyroid functions, while a . Radioactive iodine is an effective type of treatment for cancer of the thyroid gland. [11]Treatment with RAI may predispose patients to permanent hypothyroidism as it causes definitive destruction of thyroid tissue. Hi just want to ask is it requires to undergo RAI since I already done for total thyroidectomy any percentage it is needed and would it be fine if there is delay undergo RAI. So now, were leaning more towards giving less radioactive iodine therapy and doing less aggressive surgeries. RAI po ba ang solusyon para hindi na sya uminom ng tapdin, na masama din po ang effect kung matagal nang iniinom? Sawin CT, Becker DV. Moderate pneumonia. Providers involved in the patients' direct care, such as nurses, should be familiar with the clinical signs and symptoms of treatment complications such as thyroid storm, ophthalmopathy, and transient hypothyroidism. Discuss your risks and benefits of RAI therapy with your doctor. Ahad F, Ganie SA. Good day po. So, the unique advantage to using this material is knowing that it will eventually end up in the thyroid gland. However, these are rare and your doctor may assure you that they are mild and part of the treatment process. Some people wont require treatment, at least not immediately. Policy. PhilHealth posted Thursday, August 19, on its Facebook page its circular 2021-0014 known as the COVID-19 Home Isolation Package (CHIBP). Accredited Ambulatory Surgical Clinics (ASCs), Accredited HCIs including Primary Care Facilities, Accredited hospitals, ambulatory surgical clinics (ASCs) and Primary care facilities, PhilHealth accredited Animal Bite Treatment Centers, 4. However, as an added precautionary measure, the test isnt recommended for pregnant or nursing people. Also, is there possibility that healthcard like Philcare would cover such cost, I dont know if PGH is accredited by such HMO. The scan will show how much of this radioactive iodine is absorbed by the thyroid. And we wouldnt do it if we ever thought the risks outweighed the benefits. You dont need to be hospitalized unless the dose is very high, which is rarely needed. Details should be discussed with a physician prior to, and at the time of, the RAI treatment. You won't have to follow any precautions (safety measures) after getting this small diagnostic dose of radioactive . You can use radioactive iodine after you have been treated with antithyroid medicine. Ninety percent of thyroid cancers are well-differentiated and can take up radioactive iodine. You may want to inquire its availability from your local hospitals outside of NCR. Hi, Most hospitals will honor senior citizen or PWD to apply discounts on their regular rates. The most likely causes of hyperthyroidism are Graves disease (an autoimmune condition) or hyperactive thyroid nodules. You will simply go to the hospital based on the instructions of your doctor. As of the moment, there are no clear details whether Philhealth will cover treatments for Radioactive Iodine. You may need to inquire from the service provider. Your doctor may speak with you about temporarily stopping them before your scan. Short-term side effects of RAI treatment may include: Chewing gum or sucking on hard candy may help with salivary gland problems. Fortunately, most patients experience reduced symptoms about a month after treatment. Advertising on our site helps support our mission. Babies and young children are at highest risk. . [8]Although contraindicated, treatment with antithyroid agent methimazole (MTZ) may be initiated before radioactive iodine therapy in select patients with severe hyperfunctioning thyroid disease or cardiac disease. Gud day po! Usually, the standard discounts are applied to senior citizens and PWD card holders. In our experience, a single (1) RAI therapy is usually successful in dissolving the thyroid gland. Philhealth's new COVID-19 hospitalization coverage. A decade ago, we gave radioactive iodine therapy to everybody even someone with the smallest papillary carcinoma. Physical and biological basis. Your thyroid, a butterfly-shaped gland located in the lower front of your neck, produces hormones that regulate your bodys metabolism and other functions. Patients should receive clear instructionsregarding radiation toxicity and avoidance of household contacts, pregnant women, and children. So, we warn those patients to avoid pregnant women and children, stay a certain number of feet away from everyone else, and take other precautions, such as washing their own clothing, eating with separate utensils, and not sharing a bed or a bathroom with anyone else until their treatment is complete. However, you may avail of the the benefits of coverage in relation to doctors fees, confinement and other tests. Padda IS, Nguyen M. Radioactive Iodine Therapy. Review the appropriate monitoring for patients receiving iodine therapy. When thyroid cells absorb too much radioactive iodine, it can cause thyroid cancer to develop several years after the exposure. Can any other organs or cancers be treated with radioactive iodine therapy? Severe pneumonia. V.3.2018. It can be taken by mouth as a pill or liquid or injected into a vein. Radioactive iodine therapy (RAI) is contraindicated in the following: The radioactive substance can pass through the placenta andmay causedefinitive thyroid damage and irreversible mental retardation to the developing fetus. Accessed at https://www.cancer.gov/types/thyroid/hp/thyroid-treatment-pdq#_313_toc. Our team is made up of doctors andoncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. The price of RAI may start from Php 10,000. Counseling and discontinuation of treatment are strongly advised during pregnancy. Cleveland Clinic is a non-profit academic medical center. how many numbers can you remember test; sunday riley saturn dupe; amsterdam biking in winter; have sarah and jacob hoggle been found No special radiation precautions are necessary after a thyroid scan or RAIU using I-123. Bhat M, Mozzor M, Chugh S, Buddharaju V, Schwarcz M, Valiquette G. Dosing of radioactive iodine in end-stage renal disease patient with thyroid cancer. They could interfere with your ability to take this test. From Autoimmune to Auto-Amazing: Pelotons Hannah Corbin on Living with Hashimotos Disease, Hims vs. Roman 2023: What to Know About These Mens Health Services, some vitamins and nutritional supplements, such as ones that offer thyroid support, over-the-counter (OTC) medications containing red dye, Lugols solution, an iodine-based antiseptic. Kung ito ay may kinalaman sa thyroid, ang doctor ang makakapagsabi kung ano ang mas mainam gawin. This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) No. We couldnt do what we do without our volunteers and donors. http://creativecommons.org/licenses/by-nc-nd/4.0/ An RAIU shows how well your thyroid functions, while a thyroid scan shows the glands size, shape, and position. Children with Low-risk Thyroid Cancer Can Skip Radioactive Iodine Andrew J. Bauer, MD A retrospective cohort study from CHOP researchers provides the first evidence in pediatric patients to support the 2015 guidelines from the American Thyroid Association that recommends children should not get radioactive iodine (RAI) therapy when their . To learn more about this highly effective and well-established tool, we spoke with Jeena Varghese, M.D.,who specializes in endocrine tumors. 05-5302. More invasive measures, such as fluid drainage or surgery, may be used to shrink or remove bothersome nodules. 333,519. Sleep alone in a separate bed (at least 6 feet away from another adult). Be careful and always remember your doctors instructions as this is a very sensitive material. Although the treatments with 131-I are generally safe, RAI produces radiation so patients must do their best to avoid radiation exposure to others, particularly to pregnant women and young children. Loss of taste and dry mouth due to salivary gland damage may be seen. Iodine, in the form of iodide, is made into two radioactive forms of iodine that are commonly used in patients with thyroid diseases: I-123 (harmless to thyroid cells) and I-131 (destroys thyroid cells). On the day of the therapy, you will be allowed to take a rest for a few minutes. Fortunately, hypothyroidism is much easier to treat than hyperthyroidism using hormone replacement therapy. The packages for the prevention of preterm delivery are availed exclusive of each other, with or without the coordinated referral and transfer package. Diagnostic malaria smears and other laboratory procedures; drugs and medicines & consultation services, including patient education & counseling. In some radiation emergencies, usually nuclear power plant accidents, radioactive iodine may be released into the environment and enter the body through breathing or eating it. salamat po! It is usually available in some hospitals in Metro Manila. 2023 Healthline Media LLC. Two years na pong nainom ng tapdin ang daughter ko, normal na po ang TSH at FT4 nya. This drug is given daily for 2 days, followed by RAI on the 3. [14]Precautions should be advised to patients post-RAI therapy, as radiation may be harmful around others. Your doctor may have suggested you to undergo RAI or radioactive iodine therapy. TFTcan be monitored at six to twelve-month periods after achieving the treatment outcome. This means avoiding foods that contain iodized salt and red dye #3, as well as dairy products, eggs, seafood, and soy. Your gift will help make a tremendous difference. Because iodine is taken into thyroid cells, radioactive iodine, usually the isotope 1-131, can be used in just such a manner to treat some types of thyroid cancers, or for Applicable To Postirradiation hypothyroidism You will be interviewed first and you will get a schedule day and time. Learn more about thyroid testing, parts of Medicare that may pay for it, and what you can. Marcocci C, Bartalena L, Tanda ML, Manetti L, Dell'Unto E, Mazzi B, Rocchi R, Barbesino G, Pinchera A. Graves' ophthalmopathy and 131I therapy. NIH Publ. The bigger the thyroid tumor or nodules are, the more radioactive iodine is needed which will eventually increase the price. Based on our experience and the info we gathered, you can either choose RAI or total thyroidectomy for benign thyroid problems. On the second day, you'll get another thyrotropin alfa injection. This activity will highlight the mechanism of action, adverse event profile, and other key factors pertinent to members of the interprofessional team in the treatment of patients with hyperthyroidism. Dizziness and balance issues can be symptoms of untreated thyroid disorders such as hyperthyroidism and hypothyroidism. The doctor will analyze your results in context with your blood work and the other tests you may have had, such as a thyroid scan. Ive undergone Thyroidectomy. The RAI treatment may take up to several months to have its effect. It's actually pretty rare to find someone who has issues with iodized salt by itself. Nung binawasan po ang tapdin, nag hahyperthyrodism n naman po ulit sya. Radioactive iodine is taken up by the thyroid, and destroys the cells in the thyroid gland. Some Metro Manila hospitals have facilities offering RAI. Radioactive iodine (I-131) has been used to treat overactive thyroid disorders (hyperthyroidism) since the early 1940s. [6][10]The damage to thyroid tissue during radioactive iodine therapy can release thyroid antigens, which may travel to the TSH autoantibodies located in the orbital, causing inflammatory and osmotic effects. Whether you or someone you love has cancer, knowing what to expect can help you cope. You will not be allowed to go near another person because your body is radioactive. 2. saan po pwed dito s mindanao pwed mgpa-RAI anung name ng hospital at mgkano po ang bayad lahat dala n ang doctors pay kasi need po tlaga ng pamangkin k ngaunslamat and Godbless. Hi, based on our experience, the Php 16,000 was performed at FEU NRMF hospital in Fairview QC. Thank you po. Then you will be administered with the liquid form of the materials through mouth. RAI excretion is mainly within the kidneys. Thyroid function tests measure how well your thyroid gland is working. This intentional hypothyroidism is temporary, but it often causes symptoms like tiredness, depression, weight gain, constipation, muscle aches, and reduced concentration. Request an appointment at MD Anderson online or by calling 1-877-632-6789. Making Strides Against Breast Cancer Walks, ACS Center for Diversity in Research Training, Radioactive Iodine (Radioiodine) Therapy for Thyroid Cancer, External Beam Radiation Therapy for Thyroid Cancer, Treatment of Thyroid Cancer, by Type and Stage. THYROID TISSUE I-131 is given to destroy overactive thyroid tissue (see Hyperthyroidism brochure) or to shrink thyroid glands that are functioning normally but are causing problems because of their size (see Goiter brochure). RAI is usually given in a special radiology department called nuclear medicine, either at an outpatient clinic or in the hospital. The test reveals how well your thyroid is functioning. Talk to your health care team if you have any questions about the possible risks and benefits of your treatment. If you received an injection, the scan will take place about 30 minutes after the injection. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Treatment can be started a few days after RAI therapy and should continue for 1 to 3 months. But everyone who gets radioactive iodine therapy has to follow these guidelines, so if a patient is unable to do so for any reason whether space constraints or some other issue well likely admit them to the hospital.

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