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Erschienen in: Journal of Immigrant and Minority Health 2/2012

01.04.2012 | Original Paper

Communication and Cultural Issues in Providing Reproductive Health Care to Immigrant Women: Health Care Providers’ Experiences in Meeting Somali Women Living in Finland

verfasst von: Filio Degni, Sakari Suominen, Birgitta Essén, Walid El Ansari, Katri Vehviläinen-Julkunen

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 2/2012

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Abstract

Communication problems due to language and cultural differences between health care professionals and patients are widely recognized. Finns are described as more silent whereas one concurrent large immigrant group, the Somalis, are described as more open in their communication. The aim of the study was to explore physicians-nurses/midwives’ communication when providing reproductive and maternity health care to Somali women in Finland. Four individual and three focus group interviews were carried out with 10 gynecologists/obstetricians and 15 nurses/midwives from five selected clinics. The health care providers considered communication (including linguistic difficulties), cultural traditions, and religious beliefs to be problems when working with Somali women. Male and female physicians were generally more similar in communication style, interpersonal contacts, and cultural awareness than the nurses/midwives who were engaged in more partnership-building with the Somali women in the clinics. Despite the communication and cultural problems, there was a tentative mutual understanding between the Finnish reproductive health care professionals and the Somali women in the clinics.
Literatur
2.
Zurück zum Zitat Samovar LA, Porter RE, Stefani LA. Communication between cultures. Foreign Language Teaching & Research Press/Brooks/Cole/Thomson Learning Asia; 2000. Samovar LA, Porter RE, Stefani LA. Communication between cultures. Foreign Language Teaching & Research Press/Brooks/Cole/Thomson Learning Asia; 2000.
4.
Zurück zum Zitat Ting-Toomey S, Chung LC. Understanding intercultural communication. New York: Oxford University Press; 2005. Ting-Toomey S, Chung LC. Understanding intercultural communication. New York: Oxford University Press; 2005.
5.
Zurück zum Zitat Hughes PC, Baldwin JR. Communication and stereotypical impressions. The Howard Journal of Communication. 2002;68(1):40–56. Hughes PC, Baldwin JR. Communication and stereotypical impressions. The Howard Journal of Communication. 2002;68(1):40–56.
6.
Zurück zum Zitat Brown DJ. Ethnic identity in health care: intercultural health communication and physician-patient satisfaction. Thesis in communication studies. Graduate Faculty of Texas Tech University; 2006. Brown DJ. Ethnic identity in health care: intercultural health communication and physician-patient satisfaction. Thesis in communication studies. Graduate Faculty of Texas Tech University; 2006.
7.
Zurück zum Zitat Ulrey KL, Amason P. Intercultural communication between patients and health care providers. An exploration of intercultural communication effectiveness, cultural sensitivity, stress and anxiety. Health Commun. 2001;13(13):449–63.PubMedCrossRef Ulrey KL, Amason P. Intercultural communication between patients and health care providers. An exploration of intercultural communication effectiveness, cultural sensitivity, stress and anxiety. Health Commun. 2001;13(13):449–63.PubMedCrossRef
8.
Zurück zum Zitat Lowell A. Communication and cultural knowledge in Aboriginal health care: a review of two subprograms of the Cooperative Research Centre for Aboriginal and Tropical Health’s Indigenous Health and Education Research program. CRCATH; 1998. Lowell A. Communication and cultural knowledge in Aboriginal health care: a review of two subprograms of the Cooperative Research Centre for Aboriginal and Tropical Health’s Indigenous Health and Education Research program. CRCATH; 1998.
9.
Zurück zum Zitat Ong LM, de Haes JC, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med. 1995;40(7):903–18.PubMedCrossRef Ong LM, de Haes JC, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med. 1995;40(7):903–18.PubMedCrossRef
10.
Zurück zum Zitat Bruce J. Fundamental elements of quality of care: a simple framework. Stud Fam Plann. 1990;12(2):61–91.CrossRef Bruce J. Fundamental elements of quality of care: a simple framework. Stud Fam Plann. 1990;12(2):61–91.CrossRef
11.
Zurück zum Zitat Ashford L, Makinson C. Reproductive health and practice: case studies from Brazil, India, Morocco, and Uganda. Washington, DC: Population Reference Bureau; 1999. Ashford L, Makinson C. Reproductive health and practice: case studies from Brazil, India, Morocco, and Uganda. Washington, DC: Population Reference Bureau; 1999.
12.
Zurück zum Zitat Murphy EM. Best practices in client-provider interactions in reproductive health services: a review of the literature. MAQ Initiative; 2001. Murphy EM. Best practices in client-provider interactions in reproductive health services: a review of the literature. MAQ Initiative; 2001.
13.
Zurück zum Zitat Mi Kim Y, Kols A, Thuo M, Mucheke S, Odallo D. Client-provider communication in family planning: assessing audiotaped consultations from Kenya. The Johns Hopkins School of Public Health. Center for Communication Programs; 1997. Mi Kim Y, Kols A, Thuo M, Mucheke S, Odallo D. Client-provider communication in family planning: assessing audiotaped consultations from Kenya. The Johns Hopkins School of Public Health. Center for Communication Programs; 1997.
14.
Zurück zum Zitat Gabe J, Bury M, Elston MA. Key concepts in medical sociology. London, Thousand Oaks: Sage Publication; 2004. Gabe J, Bury M, Elston MA. Key concepts in medical sociology. London, Thousand Oaks: Sage Publication; 2004.
15.
Zurück zum Zitat Harris M. Culture, man, and nature: an introduction to general anthropology. New York: Crowell Corporation; 1971. Harris M. Culture, man, and nature: an introduction to general anthropology. New York: Crowell Corporation; 1971.
16.
Zurück zum Zitat Shedlin MG. Assessment of body concepts and beliefs regarding reproductive physiology. Stud Fam Plann. 1979;10:393–7.PubMedCrossRef Shedlin MG. Assessment of body concepts and beliefs regarding reproductive physiology. Stud Fam Plann. 1979;10:393–7.PubMedCrossRef
17.
Zurück zum Zitat Scambler G. Sociology as applied to medicine. 5th edition. London, New York, Philadelphia, St Louis, Sydney, Toronto: Saunders; 2003. Scambler G. Sociology as applied to medicine. 5th edition. London, New York, Philadelphia, St Louis, Sydney, Toronto: Saunders; 2003.
18.
Zurück zum Zitat Barry CA, Bradley CP, Britten N, Stevenson FA, Barber N. Patients’ unvoiced agendas in general practice consultations: qualitative study. Brit Med J. 2000;320:1245–50.CrossRef Barry CA, Bradley CP, Britten N, Stevenson FA, Barber N. Patients’ unvoiced agendas in general practice consultations: qualitative study. Brit Med J. 2000;320:1245–50.CrossRef
19.
Zurück zum Zitat Degni F. The social and cultural determinants of the use of contraception among married Somali Women living in Finland. Doctoral thesis. Helsinki: Stakes Research Report 148; 2004. Degni F. The social and cultural determinants of the use of contraception among married Somali Women living in Finland. Doctoral thesis. Helsinki: Stakes Research Report 148; 2004.
20.
Zurück zum Zitat Andrews MM, Boyle JS. Transcultural concepts in nursing care. 4th ed. Philadelphia, Baltimore, New York, London; Buenos Aires, Hong Kong, Sydney, Tokyo: Lippincott Williams & Wilkind; 2003. Andrews MM, Boyle JS. Transcultural concepts in nursing care. 4th ed. Philadelphia, Baltimore, New York, London; Buenos Aires, Hong Kong, Sydney, Tokyo: Lippincott Williams & Wilkind; 2003.
21.
Zurück zum Zitat Benagiano G, Shedlin MG. Cultural factors in oral contraceptive compliance. Adv Contracept. 1992;8(1):47–56.PubMedCrossRef Benagiano G, Shedlin MG. Cultural factors in oral contraceptive compliance. Adv Contracept. 1992;8(1):47–56.PubMedCrossRef
22.
Zurück zum Zitat Adler NJ. International dimensions of organizational behavior. 3rd ed. Cincinnati, OH: Shout-Western College Publishing 1997. In: Livonen M Analyzing and understanding cultural dimensions: experiences from education in library and information studies. 64th IFLA General Conference; 2009; 16–21. Adler NJ. International dimensions of organizational behavior. 3rd ed. Cincinnati, OH: Shout-Western College Publishing 1997. In: Livonen M Analyzing and understanding cultural dimensions: experiences from education in library and information studies. 64th IFLA General Conference; 2009; 16–21.
26.
Zurück zum Zitat Lehtonen J, Sajavaara K. The silent Finn. In: Tannen D, Saville-Troike M, Norwood NJ, editors. Perspectives on silence. Norwood, NJ: Abler Publishing; 1985. p. 193–201. Lehtonen J, Sajavaara K. The silent Finn. In: Tannen D, Saville-Troike M, Norwood NJ, editors. Perspectives on silence. Norwood, NJ: Abler Publishing; 1985. p. 193–201.
27.
Zurück zum Zitat Ahmed AJ. Daybreak is near: literature, clan, and the Nation-State in Somalia. Trenton: The Red Sea Press; 1996. Ahmed AJ. Daybreak is near: literature, clan, and the Nation-State in Somalia. Trenton: The Red Sea Press; 1996.
28.
Zurück zum Zitat Sorbye I, Leigh B. Reproductive health: National strategy & action plan 2010–2015. SOMALIA: UNFPA, WHO, UNICEF; 2009. Sorbye I, Leigh B. Reproductive health: National strategy & action plan 2010–2015. SOMALIA: UNFPA, WHO, UNICEF; 2009.
29.
Zurück zum Zitat Asmani LI, Abdi SM. De-linking female genital mutilation/cutting from Islam. New York: Population Council, Frontiers; 2008. Asmani LI, Abdi SM. De-linking female genital mutilation/cutting from Islam. New York: Population Council, Frontiers; 2008.
30.
Zurück zum Zitat Jaakkola M. Immigrant and ethnic relationships [In Finnish: Maahanmuutto ja etniset suhteet] Työpoliittinen tutkimus 213. Helsinki: Finnish Ministry of Interior; 1990. Jaakkola M. Immigrant and ethnic relationships [In Finnish: Maahanmuutto ja etniset suhteet] Työpoliittinen tutkimus 213. Helsinki: Finnish Ministry of Interior; 1990.
31.
Zurück zum Zitat Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23:334–40.PubMedCrossRef Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23:334–40.PubMedCrossRef
32.
Zurück zum Zitat Rehnstöm J. Reproductive health and health care in Finland: an overview. Helsinki, Finland: National Research and Development Centre for Welfare and Health; 1997. Rehnstöm J. Reproductive health and health care in Finland: an overview. Helsinki, Finland: National Research and Development Centre for Welfare and Health; 1997.
33.
Zurück zum Zitat Adjadjihoue S, Ali MA. Somali immigrants’ needs and expectations towards health care services in Helsinki metropolitan. Otaniemi, Helsinki: Thesis of Master of Health Care; 2009. Adjadjihoue S, Ali MA. Somali immigrants’ needs and expectations towards health care services in Helsinki metropolitan. Otaniemi, Helsinki: Thesis of Master of Health Care; 2009.
34.
Zurück zum Zitat Nour A. The health status of the Somali population in Finland. A survey of Helsinki and Espoo Cities. Unpublished Master’s Thesis. Kuopio, University of Kuopio; 2004. Nour A. The health status of the Somali population in Finland. A survey of Helsinki and Espoo Cities. Unpublished Master’s Thesis. Kuopio, University of Kuopio; 2004.
35.
Zurück zum Zitat Hassinen-Ali AT. Terveys ja lapset ovat jumalan lahjoja. Etnografia somalialaisten terveyskäsityksistä ja perhe-elämä hoitokäytännöistä suomalaiseen kulttuurin siirtymävaiheessa. In: English Health and children are God’s gifts. An ethnography of health concepts of Somali people and family life practices in transition into Finnish culture. Kuopio: University of Kuopio Publications number 95; 2002. Hassinen-Ali AT. Terveys ja lapset ovat jumalan lahjoja. Etnografia somalialaisten terveyskäsityksistä ja perhe-elämä hoitokäytännöistä suomalaiseen kulttuurin siirtymävaiheessa. In: English Health and children are God’s gifts. An ethnography of health concepts of Somali people and family life practices in transition into Finnish culture. Kuopio: University of Kuopio Publications number 95; 2002.
36.
Zurück zum Zitat Degni F, Ojanlatva A, Essen B. Factors associated with married Iranian women’s contraceptive use in Turku, Finland. Journal of the International Society for Iranian Studies. 2006;43(3):379–90.CrossRef Degni F, Ojanlatva A, Essen B. Factors associated with married Iranian women’s contraceptive use in Turku, Finland. Journal of the International Society for Iranian Studies. 2006;43(3):379–90.CrossRef
37.
Zurück zum Zitat Holloway I, Wheeler S. Qualitative research in nursing. Oxford: Blackwell Science; 2002. Holloway I, Wheeler S. Qualitative research in nursing. Oxford: Blackwell Science; 2002.
38.
Zurück zum Zitat Silverman D. Qualitative research: theory, method and practice. 2nd ed. Sage: London; 2004. Silverman D. Qualitative research: theory, method and practice. 2nd ed. Sage: London; 2004.
39.
Zurück zum Zitat Street RL Jr. Gender differences in health care provider-patient communication: are they due to style, stereotypes, or accommodation? Journal of Patient Education and Counseling. 2002;48:201–6.CrossRef Street RL Jr. Gender differences in health care provider-patient communication: are they due to style, stereotypes, or accommodation? Journal of Patient Education and Counseling. 2002;48:201–6.CrossRef
40.
Zurück zum Zitat Fletcher CM. Communication in medicine. London: Nuffield Provincial Hospital Trust; 1971. Fletcher CM. Communication in medicine. London: Nuffield Provincial Hospital Trust; 1971.
41.
Zurück zum Zitat Bennett AE. Communication between doctors and patients. London: Nuffield Provincial Hospital Trust; 1976. Bennett AE. Communication between doctors and patients. London: Nuffield Provincial Hospital Trust; 1976.
43.
Zurück zum Zitat Tuominen R, editor. Cultural encounters in health care (Kulttuurien kohtaaminen terveydenhuollossa). Juva: WSOY; 1998. Tuominen R, editor. Cultural encounters in health care (Kulttuurien kohtaaminen terveydenhuollossa). Juva: WSOY; 1998.
44.
Zurück zum Zitat Hahn SR. Physician symptoms and physician-experienced difficulty in the physician-patient relationship. Ann Intern Med. 2001;134(9):897–905.PubMed Hahn SR. Physician symptoms and physician-experienced difficulty in the physician-patient relationship. Ann Intern Med. 2001;134(9):897–905.PubMed
45.
Zurück zum Zitat Hahn SR, Thompson KS, Wills TA, Stern V, Budner NS. The difficult doctor-patient relationship; personality and psychology. J Clin Epidemiol. 1994;47:647–57.PubMedCrossRef Hahn SR, Thompson KS, Wills TA, Stern V, Budner NS. The difficult doctor-patient relationship; personality and psychology. J Clin Epidemiol. 1994;47:647–57.PubMedCrossRef
46.
Zurück zum Zitat Lin EH, Katon W, Von Korff M, Bush T, Lipscomb P, Russo J. Frustrating patients: physician and patient perspectives among distressed high users of medical services. JGIM. 1991;6(3):241–6.PubMedCrossRef Lin EH, Katon W, Von Korff M, Bush T, Lipscomb P, Russo J. Frustrating patients: physician and patient perspectives among distressed high users of medical services. JGIM. 1991;6(3):241–6.PubMedCrossRef
47.
48.
Zurück zum Zitat Betancourt JR, Maina AW. The institute of medicine report “Unequal treatment” implications for academic health centers. Mt Sinai J Med. 2004;71:314–21.PubMed Betancourt JR, Maina AW. The institute of medicine report “Unequal treatment” implications for academic health centers. Mt Sinai J Med. 2004;71:314–21.PubMed
49.
Zurück zum Zitat Bernzweig J, Takayama JI, Phibbs C, Lewis C, Pantell RH. Gender differences in physician-patient communication: evidence from pediatric visits. Arch Pediat Ado Med. 1997;151:586–91.CrossRef Bernzweig J, Takayama JI, Phibbs C, Lewis C, Pantell RH. Gender differences in physician-patient communication: evidence from pediatric visits. Arch Pediat Ado Med. 1997;151:586–91.CrossRef
50.
Zurück zum Zitat Roter DL, Hall JA. Why physician gender matters in shaping the physician-patient relationship. J Womens Health. 1998;7:1093–7.PubMedCrossRef Roter DL, Hall JA. Why physician gender matters in shaping the physician-patient relationship. J Womens Health. 1998;7:1093–7.PubMedCrossRef
51.
Zurück zum Zitat Roter DL, Geller G, Berhard BA, Larson SM, Doksum T. Effects of obstetrician gender on communication and patient satisfaction. Obstet Gynaecol. 1999;93:635–41.CrossRef Roter DL, Geller G, Berhard BA, Larson SM, Doksum T. Effects of obstetrician gender on communication and patient satisfaction. Obstet Gynaecol. 1999;93:635–41.CrossRef
52.
Zurück zum Zitat Tervalon M, Murray-Garcia J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor U. 1998;9(2):117–25. Tervalon M, Murray-Garcia J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor U. 1998;9(2):117–25.
53.
Zurück zum Zitat DiMatteo MR. A social psychologist analysis of physician-patient report: toward a science of the art of medicine. J Soc Issues. 1979;35(1):12.CrossRef DiMatteo MR. A social psychologist analysis of physician-patient report: toward a science of the art of medicine. J Soc Issues. 1979;35(1):12.CrossRef
54.
Zurück zum Zitat Gámez GG. The nurse-patient relationship as a caring relationship. Nurs Sci Quart. 2009;22(2):126–7.CrossRef Gámez GG. The nurse-patient relationship as a caring relationship. Nurs Sci Quart. 2009;22(2):126–7.CrossRef
55.
Zurück zum Zitat López E, Vargas R. Interpersonal communication in relation to the ill patient. Nurse IMSS. 2002;10(2):93–102. López E, Vargas R. Interpersonal communication in relation to the ill patient. Nurse IMSS. 2002;10(2):93–102.
56.
Zurück zum Zitat Fry S, Johnstone MJ. Ethics in nursing practice. A guide to ethical decision making. Oxford, UK: Wiley; 2008. Fry S, Johnstone MJ. Ethics in nursing practice. A guide to ethical decision making. Oxford, UK: Wiley; 2008.
57.
Zurück zum Zitat Act on Equality between women and men, Ministry of Social Affairs and Health, Gender Equality Brochure 2, Helsinki; 2005. Act on Equality between women and men, Ministry of Social Affairs and Health, Gender Equality Brochure 2, Helsinki; 2005.
59.
Zurück zum Zitat Daphne WN. Female education in Somalia: a survey to assess the situation and needs of women. Paris: Unesco; 1987. Daphne WN. Female education in Somalia: a survey to assess the situation and needs of women. Paris: Unesco; 1987.
61.
Zurück zum Zitat Dearborn JL, Victoria PP, Burleson JA, Hornung FE, Waite H, Into FH. Gender affects communication between health care provider and patient. J Am Geriatr Soc. 2006;54(4):637–41.PubMedCrossRef Dearborn JL, Victoria PP, Burleson JA, Hornung FE, Waite H, Into FH. Gender affects communication between health care provider and patient. J Am Geriatr Soc. 2006;54(4):637–41.PubMedCrossRef
63.
Zurück zum Zitat Beine K, Fullerton J, Palinkas L, Anders B. Conceptions of prenatal care among Somali women in San Diago. J Nurse-Midwifery. 1995;40:376–81.PubMedCrossRef Beine K, Fullerton J, Palinkas L, Anders B. Conceptions of prenatal care among Somali women in San Diago. J Nurse-Midwifery. 1995;40:376–81.PubMedCrossRef
64.
Zurück zum Zitat Rööst M, Altamirano VC, Liljestrand J, Essén B. Does antenatal care facilitate utilization of emergency obstetric care? A case referent study of near-miss in Bolovia. Acta Obstet Gyn Scan. 2010;89(3):335–42.CrossRef Rööst M, Altamirano VC, Liljestrand J, Essén B. Does antenatal care facilitate utilization of emergency obstetric care? A case referent study of near-miss in Bolovia. Acta Obstet Gyn Scan. 2010;89(3):335–42.CrossRef
65.
Zurück zum Zitat Schenker JG, Rabenou V. Contraception: traditional and religious attitudes. Eur J Obstet Gyn. 1993;49(1–2):15–8.CrossRef Schenker JG, Rabenou V. Contraception: traditional and religious attitudes. Eur J Obstet Gyn. 1993;49(1–2):15–8.CrossRef
67.
Zurück zum Zitat Strasser R. The doctor-patient relationship in general practice. Med J Australia. 1992;156:334–8.PubMed Strasser R. The doctor-patient relationship in general practice. Med J Australia. 1992;156:334–8.PubMed
68.
Zurück zum Zitat Garcia EA, Lonnie RC, Okada PJ, Perkins SD, Wiebe RA. A comparison of the influence of hospital-trained, ad hoc and telephone interpreters on perceived satisfaction of limited English-proficient parent presenting to a pediatric emergency department. Pediatr Emerg Care. 2004;20:373–8.PubMedCrossRef Garcia EA, Lonnie RC, Okada PJ, Perkins SD, Wiebe RA. A comparison of the influence of hospital-trained, ad hoc and telephone interpreters on perceived satisfaction of limited English-proficient parent presenting to a pediatric emergency department. Pediatr Emerg Care. 2004;20:373–8.PubMedCrossRef
69.
Zurück zum Zitat Betancourt JR, Jacobs EA. Language barriers to informed consent and confidentiality: the impact on women’s health. J Am Med Womens Assoc. 2000;55:294–5.PubMed Betancourt JR, Jacobs EA. Language barriers to informed consent and confidentiality: the impact on women’s health. J Am Med Womens Assoc. 2000;55:294–5.PubMed
70.
Zurück zum Zitat Green AR, Ngo-Metzger Q, Legedza ATR, Massagli MP, Phillips RS, Lezzoni LI. Interpreter services, language concordance, and health care quality. Experiences of Asian Americans with limited English proficiency. J Gen Inter Med. 2005;20:1050–6.CrossRef Green AR, Ngo-Metzger Q, Legedza ATR, Massagli MP, Phillips RS, Lezzoni LI. Interpreter services, language concordance, and health care quality. Experiences of Asian Americans with limited English proficiency. J Gen Inter Med. 2005;20:1050–6.CrossRef
71.
Zurück zum Zitat Betancourt JR, Green AR, Carrillo JE, Firempong AO. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118:293–302.PubMed Betancourt JR, Green AR, Carrillo JE, Firempong AO. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118:293–302.PubMed
72.
Zurück zum Zitat Gilliam ML, Hernandez M. Providing contraceptive care to low income African American Teens: the experience of urban community health. J Commun Health. 2007;32(4):231–44.CrossRef Gilliam ML, Hernandez M. Providing contraceptive care to low income African American Teens: the experience of urban community health. J Commun Health. 2007;32(4):231–44.CrossRef
Metadaten
Titel
Communication and Cultural Issues in Providing Reproductive Health Care to Immigrant Women: Health Care Providers’ Experiences in Meeting Somali Women Living in Finland
verfasst von
Filio Degni
Sakari Suominen
Birgitta Essén
Walid El Ansari
Katri Vehviläinen-Julkunen
Publikationsdatum
01.04.2012
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 2/2012
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-011-9465-6

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