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Erschienen in: Quality of Life Research 7/2014

01.09.2014

Sensory impairments and their associations with functional disability in a sample of the oldest-old

verfasst von: Verena R. Cimarolli, Daniela S. Jopp

Erschienen in: Quality of Life Research | Ausgabe 7/2014

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Abstract

Purpose

Research focusing on the consequences of sensory impairments for the everyday competence of the oldest-old is emerging. The two main goals of this study were to document the prevalence of self-reported vision, hearing, and dual sensory impairment and to explore associations of these impairments with functional disability in near-centenarians and centenarians.

Methods

Centenarians and near-centenarians (N = 119; average age = 99) were recruited, with about 80 % living in the community. In-person interviews included self-ratings of vision and hearing impairment and functional disability conceptualized as having difficulties performing personal and instrumental activities of daily livings (PADLs and IADLs).

Results

Based on self-report ratings, 17 % of participants were classified as having a visual impairment only, 18 % as having a hearing impairment only, and 38 % with both a visual and hearing impairment (dual sensory impairment). Regression analyses demonstrated that having a vision impairment only and being dual sensory impaired were the strongest predictors of functional disability. They were associated with higher levels of functional disability over and above higher levels of depressive symptomatology, interference of health with desired activities, and living in a nursing home.

Conclusions

Sensory impairments—especially dual sensory impairment—are prevalent in the oldest-old. Having dual sensory impairment or a single visual impairment among other factors are strongly associated with less-optimal everyday functioning in the oldest-old.
Literatur
1.
Zurück zum Zitat Crews, J. E., & Campbell, V. A. (2001). Health conditions, activity limitations and participation restrictions among older people with visual impairments. Journal of Visual Impairment and Blindness, 95, 453–467. Crews, J. E., & Campbell, V. A. (2001). Health conditions, activity limitations and participation restrictions among older people with visual impairments. Journal of Visual Impairment and Blindness, 95, 453–467.
2.
Zurück zum Zitat Horowitz, A., Brennan, M., & Reinhardt, J. P. (2005). Prevalence and risk factors for self-reported visual impairment among middle-aged and older adults. Research on Aging, 27, 307–326.CrossRef Horowitz, A., Brennan, M., & Reinhardt, J. P. (2005). Prevalence and risk factors for self-reported visual impairment among middle-aged and older adults. Research on Aging, 27, 307–326.CrossRef
3.
Zurück zum Zitat Ryskulova, A., et al. (2008). Self-Reported age-related eye diseases and visual impairment in the United States: Results of the 2002 National Health Interview Survey. American Journal of Public Health, 98, 454–461.PubMedCentralPubMedCrossRef Ryskulova, A., et al. (2008). Self-Reported age-related eye diseases and visual impairment in the United States: Results of the 2002 National Health Interview Survey. American Journal of Public Health, 98, 454–461.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Agrawal, Y., Platz, E. A., & Niparko, J. K. (2008). Prevalence of hearing loss and differences by demographic characteristics among US adults: Data from the National Health and Nutrition Examination Survey, 1999–2004. Archives of Internal Medicine, 168(14), 1522.PubMedCrossRef Agrawal, Y., Platz, E. A., & Niparko, J. K. (2008). Prevalence of hearing loss and differences by demographic characteristics among US adults: Data from the National Health and Nutrition Examination Survey, 1999–2004. Archives of Internal Medicine, 168(14), 1522.PubMedCrossRef
5.
Zurück zum Zitat Gopinath, B., Rochtchina, E., Wang, J. J., Schneider, J., Leeder, S. R., & Mitchell, P. (2009). Prevalence of age-related hearing loss in older adults: Blue Mountains Study. Archives of Internal Medicine, 169(4), 415.PubMedCrossRef Gopinath, B., Rochtchina, E., Wang, J. J., Schneider, J., Leeder, S. R., & Mitchell, P. (2009). Prevalence of age-related hearing loss in older adults: Blue Mountains Study. Archives of Internal Medicine, 169(4), 415.PubMedCrossRef
6.
Zurück zum Zitat Brennan, M., Horowitz, A., & Su, Y. P. (2005). Dual sensory loss and its impact on everyday competence. The Gerontologist, 45(3), 337–346.PubMedCrossRef Brennan, M., Horowitz, A., & Su, Y. P. (2005). Dual sensory loss and its impact on everyday competence. The Gerontologist, 45(3), 337–346.PubMedCrossRef
7.
Zurück zum Zitat Caban, A. J., Lee, D. J., Gómez-Marín, O., Lam, B. L., & Zheng, D. D. (2005). Prevalence of concurrent hearing and visual impairment in US adults: The National Health Interview Survey, 1997–2002. Journal Information, 95(11), 1940. Caban, A. J., Lee, D. J., Gómez-Marín, O., Lam, B. L., & Zheng, D. D. (2005). Prevalence of concurrent hearing and visual impairment in US adults: The National Health Interview Survey, 1997–2002. Journal Information, 95(11), 1940.
8.
Zurück zum Zitat Wahl, H. W., Heyl, V., Drapaniotis, P. M., Hörmann, K., Jonas, J. B., Plinkert, P. K., & Rohrschneider, K. (2013). Severe vision and hearing impairment and successful aging: A multidimensional view. The Gerontologist, 53(6), 950–962. Wahl, H. W., Heyl, V., Drapaniotis, P. M., Hörmann, K., Jonas, J. B., Plinkert, P. K., & Rohrschneider, K. (2013). Severe vision and hearing impairment and successful aging: A multidimensional view. The Gerontologist, 53(6), 950–962.
9.
Zurück zum Zitat Cacciatore, F., Napoli, C., Abete, P., Marciano, E., Triassi, M., & Rengo, F. (1999). Quality of life determinants and hearing function in an elderly population: Osservatorio Geriatrico Campano Study Group. Gerontology, 45(6), 323–328.PubMedCrossRef Cacciatore, F., Napoli, C., Abete, P., Marciano, E., Triassi, M., & Rengo, F. (1999). Quality of life determinants and hearing function in an elderly population: Osservatorio Geriatrico Campano Study Group. Gerontology, 45(6), 323–328.PubMedCrossRef
10.
Zurück zum Zitat Carabellese, C., Appollonio, I., Rozzini, R., Bianchetti, A., Frisoni, G. B., Frattola, L., et al. (1993). Sensory impairment and quality of life in a community elderly population. Journal of the American Geriatrics Society, 41(4), 401.PubMed Carabellese, C., Appollonio, I., Rozzini, R., Bianchetti, A., Frisoni, G. B., Frattola, L., et al. (1993). Sensory impairment and quality of life in a community elderly population. Journal of the American Geriatrics Society, 41(4), 401.PubMed
11.
Zurück zum Zitat Kramer, S. E., Kapteyn, T. S., Kuik, D. J., & Deeg, D. J. (2002). The association of hearing impairment and chronic diseases with psychosocial health status in older age. Journal of Aging and Health, 14(1), 122–137.PubMedCrossRef Kramer, S. E., Kapteyn, T. S., Kuik, D. J., & Deeg, D. J. (2002). The association of hearing impairment and chronic diseases with psychosocial health status in older age. Journal of Aging and Health, 14(1), 122–137.PubMedCrossRef
12.
Zurück zum Zitat Dalton, D. S., Cruickshanks, K. J., Klein, B. E., Klein, R., Wiley, T. L., & Nondahl, D. M. (2003). The impact of hearing loss on quality of life in older adults. The Gerontologist, 43(5), 661–668.PubMedCrossRef Dalton, D. S., Cruickshanks, K. J., Klein, B. E., Klein, R., Wiley, T. L., & Nondahl, D. M. (2003). The impact of hearing loss on quality of life in older adults. The Gerontologist, 43(5), 661–668.PubMedCrossRef
13.
Zurück zum Zitat Bookwala, J., & Lawson, B. (2011). Poor vision, functioning, and depressive symptoms: A test of the activity restriction model. The Gerontologist, 51, 798–808.PubMedCentralPubMedCrossRef Bookwala, J., & Lawson, B. (2011). Poor vision, functioning, and depressive symptoms: A test of the activity restriction model. The Gerontologist, 51, 798–808.PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Burmedi, D., Becker, S., Heyl, V., Wahl, H. W., & Himmelsbach, I. (2002). Behavioral consequences of age-related low vision: A narrative review. Visual Impairment Research, 4, 15–45.CrossRef Burmedi, D., Becker, S., Heyl, V., Wahl, H. W., & Himmelsbach, I. (2002). Behavioral consequences of age-related low vision: A narrative review. Visual Impairment Research, 4, 15–45.CrossRef
15.
Zurück zum Zitat Horowitz, A. (2004). The prevalence and consequences of vision impairment in later life. Topics in Geriatric Rehabilitation, 20(3), 185–195.CrossRef Horowitz, A. (2004). The prevalence and consequences of vision impairment in later life. Topics in Geriatric Rehabilitation, 20(3), 185–195.CrossRef
16.
Zurück zum Zitat Kempen, G. I., Ballemans, J., Ranchor, A. V., van Rens, G. H., & Zijlstra, G. R. (2012). The impact of low vision on activities of daily living, symptoms of depression, feelings of anxiety and social support in community-living older adults seeking vision rehabilitation services. Quality of Life Research, 21, 1405–1411.PubMedCentralPubMedCrossRef Kempen, G. I., Ballemans, J., Ranchor, A. V., van Rens, G. H., & Zijlstra, G. R. (2012). The impact of low vision on activities of daily living, symptoms of depression, feelings of anxiety and social support in community-living older adults seeking vision rehabilitation services. Quality of Life Research, 21, 1405–1411.PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Casten, R. J., Rovner, B. W., & Tasman, W. (2004). Age-related macular degeneration and depression: A review of recent research. Current Opinions Ophthalmology, 15, 181–183.CrossRef Casten, R. J., Rovner, B. W., & Tasman, W. (2004). Age-related macular degeneration and depression: A review of recent research. Current Opinions Ophthalmology, 15, 181–183.CrossRef
18.
Zurück zum Zitat Horowitz, A., & Reinhardt, J. P. (2000). Depression among low vision elders. In C. Stuen, A. Arditi, A. Horowitz, M. A. Lang, B. Rosenthal, & K. Seidman (Eds.), Vision rehabilitation. Assessment, intervention and outcomes (pp. 655–658). Lisse, The Netherlands: Swets & Zeitlinger Publishers. Horowitz, A., & Reinhardt, J. P. (2000). Depression among low vision elders. In C. Stuen, A. Arditi, A. Horowitz, M. A. Lang, B. Rosenthal, & K. Seidman (Eds.), Vision rehabilitation. Assessment, intervention and outcomes (pp. 655–658). Lisse, The Netherlands: Swets & Zeitlinger Publishers.
19.
Zurück zum Zitat Mitchell, J., & Bradley, C. (2006). Quality of life in age-related macular degeneration: A review of the literature. Health and Quality of Life Outcomes, 4, 97.PubMedCentralPubMedCrossRef Mitchell, J., & Bradley, C. (2006). Quality of life in age-related macular degeneration: A review of the literature. Health and Quality of Life Outcomes, 4, 97.PubMedCentralPubMedCrossRef
20.
Zurück zum Zitat Wang, S. Y., Singh, K., & Lin, S. C. (2012). Prevalence and predictors of depression among participants with glaucoma in a nationally representative population sample. American Journal of Ophthalmology, 154(3), 436–444. Wang, S. Y., Singh, K., & Lin, S. C. (2012). Prevalence and predictors of depression among participants with glaucoma in a nationally representative population sample. American Journal of Ophthalmology, 154(3), 436–444.
21.
Zurück zum Zitat Burmedi, D., Becker, S., Heyl, V., Wahl, H.-W., & Himmelsbach, I. (2002). Emotional and social consequences of age-related low vision: A narrative review. Visual Impairment Research, 4, 47–71.CrossRef Burmedi, D., Becker, S., Heyl, V., Wahl, H.-W., & Himmelsbach, I. (2002). Emotional and social consequences of age-related low vision: A narrative review. Visual Impairment Research, 4, 47–71.CrossRef
22.
Zurück zum Zitat Patino, C. M., McKean-Cowdin, R., Azen, S. P., Allison, J. C., Choudhury, F., Varma, R., et al. (2010). Central and peripheral visual impairment and the risk of falls and falls with injury. Ophthalmology, 117, 199–206.PubMedCentralPubMedCrossRef Patino, C. M., McKean-Cowdin, R., Azen, S. P., Allison, J. C., Choudhury, F., Varma, R., et al. (2010). Central and peripheral visual impairment and the risk of falls and falls with injury. Ophthalmology, 117, 199–206.PubMedCentralPubMedCrossRef
23.
Zurück zum Zitat Cummings, S. R., Nevitt, M. C., Browner, W. S., Stone, K., Fox, K. M., Ensrud, K. E., et al. (1995). Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. New England Journal of Medicine, 23, 767–773.CrossRef Cummings, S. R., Nevitt, M. C., Browner, W. S., Stone, K., Fox, K. M., Ensrud, K. E., et al. (1995). Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. New England Journal of Medicine, 23, 767–773.CrossRef
24.
Zurück zum Zitat Nguyen, H. T., Black, S. A., Ray, L. A., Espino, D. V., & Markides, K. S. (2002). Predictors of decline in MMSE scores among older Mexican Americans. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57(3), M181–M185.CrossRef Nguyen, H. T., Black, S. A., Ray, L. A., Espino, D. V., & Markides, K. S. (2002). Predictors of decline in MMSE scores among older Mexican Americans. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57(3), M181–M185.CrossRef
25.
Zurück zum Zitat Lee, D. J., Gómez-Marín, O., Lam, B. L., & Zheng, D. D. (2002). Visual acuity impairment and mortality in US adults. Archives of Ophthalmology, 120, 1544–1550.PubMedCrossRef Lee, D. J., Gómez-Marín, O., Lam, B. L., & Zheng, D. D. (2002). Visual acuity impairment and mortality in US adults. Archives of Ophthalmology, 120, 1544–1550.PubMedCrossRef
26.
Zurück zum Zitat Capella-McDonnall, M. E. (2005). The effects of single and dual sensory loss on symptoms of depression in the elderly. International Journal of Geriatric Psychiatry, 20(9), 855–861.PubMedCrossRef Capella-McDonnall, M. E. (2005). The effects of single and dual sensory loss on symptoms of depression in the elderly. International Journal of Geriatric Psychiatry, 20(9), 855–861.PubMedCrossRef
27.
Zurück zum Zitat Keller, B. K., Morton, J. L., Thomas, V. S., & Potter, J. F. (1999). The effect of visual and hearing impairments on functional status. Journal of the American Geriatrics Society, 47(11), 1319.PubMed Keller, B. K., Morton, J. L., Thomas, V. S., & Potter, J. F. (1999). The effect of visual and hearing impairments on functional status. Journal of the American Geriatrics Society, 47(11), 1319.PubMed
28.
Zurück zum Zitat Reuben, D. B., Mui, S., Damesyn, M., Moore, A. A., & Greendale, G. A. (1999). The prognostic value of sensory impairment in older persons. Journal of the American Geriatrics Society, 47(8), 930.PubMed Reuben, D. B., Mui, S., Damesyn, M., Moore, A. A., & Greendale, G. A. (1999). The prognostic value of sensory impairment in older persons. Journal of the American Geriatrics Society, 47(8), 930.PubMed
29.
Zurück zum Zitat Andersen-Ranberg, K., Schroll, M., & Jeune, B. (2001). Healthy centenarians do not exist, but autonomous centenarians do: A population-based study of morbidity among Danish centenarians. Journal of the American Geriatrics Society, 49(7), 900–908.PubMedCrossRef Andersen-Ranberg, K., Schroll, M., & Jeune, B. (2001). Healthy centenarians do not exist, but autonomous centenarians do: A population-based study of morbidity among Danish centenarians. Journal of the American Geriatrics Society, 49(7), 900–908.PubMedCrossRef
30.
Zurück zum Zitat Jopp, D., & Rott, C. (2006). Adaptation in very old age: Exploring the role of resources, beliefs, and attitudes for centenarians’ happiness. Psychology and Aging, 21(2), 266–280.PubMedCrossRef Jopp, D., & Rott, C. (2006). Adaptation in very old age: Exploring the role of resources, beliefs, and attitudes for centenarians’ happiness. Psychology and Aging, 21(2), 266–280.PubMedCrossRef
31.
Zurück zum Zitat Sachdev, P. S., Levitan, C., Crawford, J., Sidhu, M., Slavin, M., Richmond, R., et al. (2013). The Sydney centenarian study: Methodology and profile of centenarians and near-centenarians. International psychogeriatrics/IPA, 1–13. Sachdev, P. S., Levitan, C., Crawford, J., Sidhu, M., Slavin, M., Richmond, R., et al. (2013). The Sydney centenarian study: Methodology and profile of centenarians and near-centenarians. International psychogeriatrics/IPA, 1–13.
32.
Zurück zum Zitat Samuelsson, S. M., Alfredson, B. B., Hagberg, B., Samuelsson, G., Nordbeck, B., Brun, A., et al. (1997). The Swedish Centenarian Study: A multidisciplinary study of five consecutive cohorts at the age of 100. The International Journal of Aging and Human Development, 45(3), 223–253.CrossRef Samuelsson, S. M., Alfredson, B. B., Hagberg, B., Samuelsson, G., Nordbeck, B., Brun, A., et al. (1997). The Swedish Centenarian Study: A multidisciplinary study of five consecutive cohorts at the age of 100. The International Journal of Aging and Human Development, 45(3), 223–253.CrossRef
33.
Zurück zum Zitat Andersen, S. L., Sun, J. X., Sebastiani, P., Huntly, J., Gass, J. D., Feldman, L., et al. (2012). Personality factors in the long life family study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(5), 739–749. Andersen, S. L., Sun, J. X., Sebastiani, P., Huntly, J., Gass, J. D., Feldman, L., et al. (2012). Personality factors in the long life family study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(5), 739–749.
34.
Zurück zum Zitat Kim, H., Lee, T., Lee, S., Kim, K., Lee, S., Kam, S., et al. (2012). Factors Associated with ADL and IADL Dependency among Korean Centenarians: Reaching the 100-Year-Old Life Transition. The International Journal of Aging and Human Development, 74, 243–264.CrossRef Kim, H., Lee, T., Lee, S., Kim, K., Lee, S., Kam, S., et al. (2012). Factors Associated with ADL and IADL Dependency among Korean Centenarians: Reaching the 100-Year-Old Life Transition. The International Journal of Aging and Human Development, 74, 243–264.CrossRef
35.
Zurück zum Zitat Martin, P., MacDonald, M., Margrett, J., Siegler, I., & Poon, L. W. (2013). Correlates of functional capacity among centenarians. Journal of Applied Gerontology, 32(3), 324–346.CrossRef Martin, P., MacDonald, M., Margrett, J., Siegler, I., & Poon, L. W. (2013). Correlates of functional capacity among centenarians. Journal of Applied Gerontology, 32(3), 324–346.CrossRef
36.
Zurück zum Zitat Andersen-Ranberg, K., Christensen, K., Jeune, B., Skytthe, A., Vasegaard, L., & Vaupel, J. W. (1999). Declining physical abilities with age: A cross-sectional study of older twins and centenarians in Denmark. Age and Ageing, 28(4), 373–377.PubMedCrossRef Andersen-Ranberg, K., Christensen, K., Jeune, B., Skytthe, A., Vasegaard, L., & Vaupel, J. W. (1999). Declining physical abilities with age: A cross-sectional study of older twins and centenarians in Denmark. Age and Ageing, 28(4), 373–377.PubMedCrossRef
37.
Zurück zum Zitat World Health Organization. (2001). International classification of functioning, disability and health: ICF. Geneva: World Health Organization. World Health Organization. (2001). International classification of functioning, disability and health: ICF. Geneva: World Health Organization.
38.
Zurück zum Zitat Folstein, M. (1975). A practical method for grading the mental state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.PubMedCrossRef Folstein, M. (1975). A practical method for grading the mental state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.PubMedCrossRef
39.
Zurück zum Zitat Holtsberg, P. A., Poon, L. W., Noble, C. A., & Martin, P. (1995). Mini-mental state exam status of community dwelling cognitively intact centenarians. International Psychogeriatrics, 7, 417–427.PubMedCrossRef Holtsberg, P. A., Poon, L. W., Noble, C. A., & Martin, P. (1995). Mini-mental state exam status of community dwelling cognitively intact centenarians. International Psychogeriatrics, 7, 417–427.PubMedCrossRef
40.
Zurück zum Zitat Yesavage, J. A. (1988). Geriatric depression scale. Psychopharmacological Bulletin, 24, 709–711. Yesavage, J. A. (1988). Geriatric depression scale. Psychopharmacological Bulletin, 24, 709–711.
41.
Zurück zum Zitat Pfeiffer, E. (Ed.). (1975). Multidimensional functional assessment, the OARS methodology: A manual. Center for the Study of Aging and Human Development, Duke University. Pfeiffer, E. (Ed.). (1975). Multidimensional functional assessment, the OARS methodology: A manual. Center for the Study of Aging and Human Development, Duke University.
42.
Zurück zum Zitat Schönemann-Gieck, P., Rott, C., Martin, M., d’Heureuse, V., Kliegel, M., & Becker, G. (2003). Übereinstimmungen und Unterschiede in der selbst-und fremdeingeschätzten Gesundheit bei extrem Hochaltrigen. Zeitschrift für Gerontologie und Geriatrie, 36, 429–436.PubMedCrossRef Schönemann-Gieck, P., Rott, C., Martin, M., d’Heureuse, V., Kliegel, M., & Becker, G. (2003). Übereinstimmungen und Unterschiede in der selbst-und fremdeingeschätzten Gesundheit bei extrem Hochaltrigen. Zeitschrift für Gerontologie und Geriatrie, 36, 429–436.PubMedCrossRef
43.
Zurück zum Zitat Almeida da Silva, S., Scazufca, M., & Menezes, P. R. (2013). Population impact of depression on functional disability in elderly: Results from “São Paulo Ageing & Health Study” (SPAH). European Archives of Psychiatry and Clinical Neuroscience, 263, 153–158.CrossRef Almeida da Silva, S., Scazufca, M., & Menezes, P. R. (2013). Population impact of depression on functional disability in elderly: Results from “São Paulo Ageing & Health Study” (SPAH). European Archives of Psychiatry and Clinical Neuroscience, 263, 153–158.CrossRef
44.
Zurück zum Zitat Brody, B. L., Gamst, A. C., Williams, R. A., Smith, A. R., Lau, P. W., Dolnak, D., et al. (2001). Depression, visual acuity, comorbidity, and disability associated with age-related macular degeneration. Ophthalmology, 108, 1893.PubMedCrossRef Brody, B. L., Gamst, A. C., Williams, R. A., Smith, A. R., Lau, P. W., Dolnak, D., et al. (2001). Depression, visual acuity, comorbidity, and disability associated with age-related macular degeneration. Ophthalmology, 108, 1893.PubMedCrossRef
45.
Zurück zum Zitat Furner, S. E., Rudberg, M. A., & Cassel, C. K. (1995). Medical conditions differentially affect the development of IADL disability: Implications for medical care and research. The Gerontologist, 35, 444–450.PubMedCrossRef Furner, S. E., Rudberg, M. A., & Cassel, C. K. (1995). Medical conditions differentially affect the development of IADL disability: Implications for medical care and research. The Gerontologist, 35, 444–450.PubMedCrossRef
Metadaten
Titel
Sensory impairments and their associations with functional disability in a sample of the oldest-old
verfasst von
Verena R. Cimarolli
Daniela S. Jopp
Publikationsdatum
01.09.2014
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 7/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0657-0

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