Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2018

    Phytotherapy in pediatrics: the production of knowledge and practices in Primary Care

    Revista Brasileira de Enfermagem. 2018;71:637-645

    Abstract

    RESEARCH

    Phytotherapy in pediatrics: the production of knowledge and practices in Primary Care

    Revista Brasileira de Enfermagem. 2018;71:637-645

    DOI 10.1590/0034-7167-2017-0436

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    ABSTRACT

    Objective:

    To demonstrate the use of phytotherapy as a therapy adopted in the context of Primary Care to Childhood.

    Method:

    Observational and analytical field research, with quantitative-qualitative approach. A semi-structured survey was used on socio-demographic and ethnopharmacological variables, audio interview and daily observation.

    Results:

    The production of knowledge about phytotherapy constitutes a family heritage, but incorporated data resulting from the daily experiences shared by the community. The main factors were: easy access to this resource, high costs of conventional treatment, difficulty in accessing medical services and belief in the power of plants. The attributed meanings were: prevention and treatment of injuries, rescue of memory and of experiences, factor integrative with nature and aggregative among members of the community.

    Final considerations:

    Rescuing this tradition brings a new meaning to health care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Phytotherapy in pediatrics: the production of knowledge and practices in Primary Care
  • RESEARCH01-01-2018

    Perception of nurses who perform rapid tests in Health Centers

    Revista Brasileira de Enfermagem. 2018;71:631-636

    Abstract

    RESEARCH

    Perception of nurses who perform rapid tests in Health Centers

    Revista Brasileira de Enfermagem. 2018;71:631-636

    DOI 10.1590/0034-7167-2017-0298

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    ABSTRACT

    Objective:

    Learn about the perception of health professionals who perform rapid tests in Health Centers (HCs).

    Method:

    This is a descriptive and qualitative study conducted in nine HCs in Recife. Data were collected through individual interviews and evaluated using Bardin’s content analysis, in its thematic category.

    Results:

    Challenges were observed in rapid tests related to the supply of products, physical structure, training for pre- and post-test counseling, and the need for improvements in permanent education actions.

    Final considerations:

    These issues can be resolved with management improvements, systematization of permanent education activities, and definition of care flows that enable early diagnosis. Besides the diagnosis, care lines should be created for people living with HIV and AIDS who use the HCs for early health care process.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Social support of people with HIV/AIDS: the Social Determinants of Health Model

    Revista Brasileira de Enfermagem. 2018;71:625-630

    Abstract

    RESEARCH

    Social support of people with HIV/AIDS: the Social Determinants of Health Model

    Revista Brasileira de Enfermagem. 2018;71:625-630

    DOI 10.1590/0034-7167-2017-0346

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    ABSTRACT

    Objective:

    To analyze the social support of people with HIV/AIDS from the perspective of the Social Determinants of Health Model.

    Method:

    This was a cross-sectional study conducted in 2015 in an infectious disease outpatient clinic. The sample was made up of 116 people with HIV/AIDS. The data was collected through interviews, using a sociodemographic form and a social support scale. The data was analyzed using descriptive statistics, and Student’s t-tests and Mann-Whitney tests were performed to determine the association between social support and the social determinants of health.

    Results:

    Total social support was satisfactory, emotional support was influenced by smoking (p=0.0432) and instrumental support, by the number of people in the household (p=0.0003). The main source of instrumental and emotional support was relatives living outside the household, corresponding to 66.7% and 56.1%, respectively.

    Conclusion:

    It was found that smokers havelower emotional support and people living alone received less instrumental support.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Evaluation study of the National Immunization Program Information System

    Revista Brasileira de Enfermagem. 2018;71:615-624

    Abstract

    RESEARCH

    Evaluation study of the National Immunization Program Information System

    Revista Brasileira de Enfermagem. 2018;71:615-624

    DOI 10.1590/0034-7167-2017-0601

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    ABSTRACT

    Objective:

    To carry out the National Immunization Program Information System (SIPNI) accessability assessment (EA), considering the description of the intervention, the elaboration of the theoretical-logical model and the identification of the evaluative questions.

    Method:

    A single case study with a qualitative approach, based on the system of seven elements proposed by Thurston and Ramaliu (2005). The SIPNI and the context of analysis, the vaccination rooms, were defined as the case.

    Results:

    The SIPNI description, based on documents and scientific evidence, made it possible to understand its operationalization, the main events that characterize it. The theoretical-logical model visually and systematically configured the SIPNI organization with details of the inputs, activities, products and expected effects. The evaluative questions were evaluated and validated to evaluate the SIPNI.

    Final considerations:

    The SIPNI is evaluable and presented a favorable scenario for its development. EA is an important strategy for planning subsequent evaluations, maximizing their potentials.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Evaluation study of the National Immunization Program Information System
  • RESEARCH01-01-2018

    Gender, sexuality and violence: perception of mobilized adolescents in an online game

    Revista Brasileira de Enfermagem. 2018;71:607-614

    Abstract

    RESEARCH

    Gender, sexuality and violence: perception of mobilized adolescents in an online game

    Revista Brasileira de Enfermagem. 2018;71:607-614

    DOI 10.1590/0034-7167-2017-0561

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    ABSTRACT

    Objective:

    To identify and analyze the perception of high school students about violence in intimacy relations in adolescence, in the light of the category Gender.

    Method:

    A qualitative, descriptive and exploratory study, based on the comments of 27 adolescents participating in the online game, Papo Reto. The discourses were submitted to the analysis of thematic content and discussed in the light of the category Gender.

    Results:

    Adolescents naturalize violence in their relationships of intimacy, but when they recognize it, they react in several ways: with aggressions, dialoguing with the partner or seeking support from third parties.

    Final considerations:

    There were discordant perceptions regarding the phenomenon, most of which reiterated gender stereotypes. However, they reveal attitudes favorable to overcoming mainly related to the attainment of autonomy.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Evaluation of the satisfaction of users of a service specialized in diabetes mellitus

    Revista Brasileira de Enfermagem. 2018;71:599-606

    Abstract

    RESEARCH

    Evaluation of the satisfaction of users of a service specialized in diabetes mellitus

    Revista Brasileira de Enfermagem. 2018;71:599-606

    DOI 10.1590/0034-7167-2017-0554

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    ABSTRACT

    Objective:

    to evaluate the satisfaction of users of a service that specializes in diabetes mellitus.

    Method:

    evaluative research, with mixed approach, developed at the Integrated Center for Diabetes and Hypertension of Barbalha-CE, in the period from 2011 to 2014, with 97 users. Data concerning the characterization and satisfaction of users in relation to the dimensions of infrastructure, accessibility and the user-health team relationship were collected.

    Results:

    77.3% were older adults, 88.7% women and 84.8%, retired. 63.9% of the users were satisfied with the service; however, dissatisfaction with the dimensions of infrastructure (offices, equipment and medicines) and accessibility (laboratory tests and medical consultations) was reported.

    Final considerations:

    most users revealed be satisfied with the service received considering the dimensions analyzed. However, studies that assess the satisfaction of users need to contemplate the participants’ reports and not rely on the use of previously structured forms only.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Aging demographic profile in municipalities in the state of Pará, Brazil

    Revista Brasileira de Enfermagem. 2018;71:591-598

    Abstract

    RESEARCH

    Aging demographic profile in municipalities in the state of Pará, Brazil

    Revista Brasileira de Enfermagem. 2018;71:591-598

    DOI 10.1590/0034-7167-2017-0070

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    ABSTRACT

    Objective:

    To investigate socioeconomic and demographic differences regarding population aging in municipalities of the state of Pará, Brazil.

    Method:

    Ecological study with secondary demographic, socioeconomic and health data from the 144 municipalities of the state of Pará, Brazil. Data were treated with segmentation analysis, the Mann-Whitney U test and logistic regression models, with a significance level of p ≤ 0.05.

    Results:

    Segmentation analysis provided a single variable to describe aging in the municipalities of Pará and originated two clusters, the high and low aging rate ones, with 104 (72.22%) and 40 (27.78%) municipalities in each, respectively. The fitted model revealed an association between aging and per capita income (p = 0.021), vulnerability to poverty (p = 0.003), rich to poor ratio (p = 0.012) and density of people (p = 0.019).

    Conclusion:

    There is heterogeneity in the population aging among the municipalities of Pará, mainly regarding socioeconomic conditions and number of people living in the municipalities.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2018

    Decline of mortality from cervical cancer

    Revista Brasileira de Enfermagem. 2018;71:585-590

    Abstract

    Decline of mortality from cervical cancer

    Revista Brasileira de Enfermagem. 2018;71:585-590

    DOI 10.1590/0034-7167-2016-0530

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    ABSTRACT

    Objective:

    To describe occurrences of mortality due to cervical cancer in Recife (PE), in northeastern Brazil.

    Method:

    This was a time-series ecological study using data from the Mortality Information System (SIM) regarding the total number of deaths due to cervical cancer (C53 ICD10) that occurred between 2000 and 2012.

    Results:

    It was observed that the risk of death due to this form of cancer was higher among women over 60 years of age, those of mixed skin color (53.24%), those who only worked at home (63.16%) and those who did not have a partner (44.32%).

    Conclusion:

    Additional efforts towards maintaining early detection and health education programs and towards using therapeutic strategies of greater efficiency are needed, given that mortality due to this form of cancer is considered avoidable when diagnosed early.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • ORIGINAL ARTICLE07-13-2020

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    Abstract

    ORIGINAL ARTICLE

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    DOI 10.1590/0034-7167-2020-0434

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    ABSTRACT

    Objective:

    to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

    Methods:

    a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

    Results:

    there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

    Conclusion:

    we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION04-22-2020

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    Abstract

    REFLECTION

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    DOI 10.1590/0034-7167-2019-0250

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    ABSTRACT

    Objective:

    to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

    Method:

    It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

    Results:

    historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

    Final considerations:

    The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
  • REFLECTION10-26-2020

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    Abstract

    REFLECTION

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    DOI 10.1590/0034-7167-2020-0683

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    ABSTRACT

    Objective:

    To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

    Methods:

    Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

    Results:

    Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

    Final considerations:

    The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-13-2020

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    DOI 10.1590/0034-7167-2020-0673

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    ABSTRACT

    Objective:

    To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

    Methods:

    Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

    Results:

    In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

    Conclusion:

    Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE02-27-2020

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    Abstract

    ORIGINAL ARTICLE

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    DOI 10.1590/0034-7167-2018-0287

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    ABSTRACT

    Objectives:

    to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

    Methods:

    this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

    Results:

    prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

    Conclusions:

    fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-10-2020

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    Abstract

    ORIGINAL ARTICLE

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    DOI 10.1590/0034-7167-2019-0413

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    ABSTRACT

    Objective:

    To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

    Methods:

    A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

    Results:

    The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

    Conclusion:

    The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW03-24-2021

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    Abstract

    REVIEW

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    DOI 10.1590/0034-7167-2020-0130

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    ABSTRACT

    Objectives:

    to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

    Methods:

    integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

    Results:

    among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

    Final Considerations:

    the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-16-2019

    Validation of educational booklet: an educational technology in dengue prevention

    Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

    Abstract

    ORIGINAL ARTICLE

    Validation of educational booklet: an educational technology in dengue prevention

    Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

    DOI 10.1590/0034-7167-2018-0771

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    ABSTRACT

    Objective:

    to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population.

    Method:

    methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out.

    Results:

    the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization.

    Conclusion:

    the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Validation of educational booklet: an educational technology in dengue prevention

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