Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    Symbolic effects capitalized by nurses from the National Institute of Cancer in Brazil (1980 – 1990)

    Revista Brasileira de Enfermagem. 2015;68(2):284-290

    Abstract

    Symbolic effects capitalized by nurses from the National Institute of Cancer in Brazil (1980 – 1990)

    Revista Brasileira de Enfermagem. 2015;68(2):284-290

    DOI 10.1590/0034-7167.2015680214i

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    ABSTRACT

    Objective:

    to describe the strategies of nurses in the National Institute of Cancer to disseminate its scientifi c capital and discuss the symbolic effects capitalized in the fi eld of oncology in the 1980s.

    Method:

    historical social studies, with primary sources consisting of written documents and oral reports, and as secondary sources, articles and books on the subject, based on the French sociologist Pierre Bourdieu’s concepts of scientifi c capital and habitus.

    Results:

    it revealed the effective performance of nurses in this Institute on policies of cancer prevention and control and strategies used in the teaching of oncology nursing at the undergraduate level. In conclusion, nursing stands out in this context, through the dissemination of its scientifi c knowledge, as a participant in the construction of a scientifi c fi eld of oncology nursing in Brazil, highlighting the occupation of important social areas.

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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.
  • 01-01-2015

    Perception of nursing undergraduate students on self-aging

    Revista Brasileira de Enfermagem. 2015;68(2):278-283

    Abstract

    Perception of nursing undergraduate students on self-aging

    Revista Brasileira de Enfermagem. 2015;68(2):278-283

    DOI 10.1590/0034-7167.2015680213i

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    ABSTRACT

    Objective:

    to analyze the perceptions of nursing undergraduate students on their self-aging process.

    Method:

    qualitative study carried out between August and September, 2011 with 18 nursing undergraduate students of a public university in Salvador, Bahia. The interviews were analyzed by means of the Content Analysis method.

    Results:

    the following thematic concept was apprehended: Perceptions of nursing undergraduates on their self-aging, which generated two subcategories: A) The “don’t think about it” process; B) The context infl uencing the process.

    Conclusion:

    undergraduates reveal that the aging process is an intrinsic factor to human development. Family ties, spirituality and physical activity would be key mechanisms toward active aging. However, students also reported that their accelerated and stressed social lifestyles led to inadequate habits, such as the consumption of fast food and alcohol, which become negative infl uences in their aging 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.
  • 01-01-2015

    Non-conventional technologies for data collection in Brazilian dissertations and theses

    Revista Brasileira de Enfermagem. 2015;68(2):269-277

    Abstract

    Non-conventional technologies for data collection in Brazilian dissertations and theses

    Revista Brasileira de Enfermagem. 2015;68(2):269-277

    DOI 10.1590/0034-7167.2015680212i

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    ABSTRACT

    Objective:

    to characterize non-conventional technologies used for data collection of dissertations and theses available in the Catalog of Theses and Dissertations (CEPEn) of the Brazilian Nursing Association (ABEn).

    Method:

    this is a documentary research, whose data were collected in the catalogs of theses and dissertations available at the ABEn website, from Volumes XIX to XXI. The indicators collected were: academic level; educational institution; year; qualification of the author; setting; non-conventional technology used; type of technology; association with conventional techniques; methodological design; benefi ts and methodological limitations.

    Results:

    from a total of 6346 studies, only 121 (1.91%) used non-conventional technologies for data collection, representing the fi nal sample of the study.

    Conclusion:

    it is concluded that Brazilian Nursing researches still need methodological innovations for data collection.

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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.
    Non-conventional technologies for data collection in Brazilian dissertations and theses
  • 01-01-2015

    Content analysis of a technology to the nursing diagnostic reasoning

    Revista Brasileira de Enfermagem. 2015;68(2):261-268

    Abstract

    Content analysis of a technology to the nursing diagnostic reasoning

    Revista Brasileira de Enfermagem. 2015;68(2):261-268

    DOI 10.1590/0034-7167.2015680211i

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    ABSTRACT

    Objective:

    to undergo a content analysis of a metacognitive strategy of indirect assessment in the pre-encounter with the client.

    Method:

    methodological study. Agreement and inter-rater reliability index for the criteria: relevance, adequacy, clarity, conciseness and accuracy of a technology to the nursing diagnosis reasoning for novices through an electronic form. The sample consisted of 13 raters. Data were analyzed using descriptive statistics.

    Results:

    high agreement and inter-rater reliability for 85 items related to data collection stage and the strategy description. Only fi ve items did not reach the validation criteria and must be rewritten.

    Conclusion:

    indirect assessment of the pre-encounter is relevant to the diagnostic reasoning process, being possible to develop competencies and diagnostic skills in the novice through strategies, proposals on innovative technology in the form of a diagram.

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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.
  • 01-01-2015

    Manual for monitoring the quality of nursing home care records

    Revista Brasileira de Enfermagem. 2015;68(2):253-260

    Abstract

    Manual for monitoring the quality of nursing home care records

    Revista Brasileira de Enfermagem. 2015;68(2):253-260

    DOI 10.1590/0034-7167.2015680210i

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    ABSTRACT

    Objective:

    to build and validate an instrument aimed at monitoring the quality of nursing records in the Home Care Program (HCP) of a university hospital.

    Method:

    methodological study involving the elaboration of a manual, whose content was later submitted to six experts for validation, reaching a ≥ 80% consensus. The data collection process was carried out in 2012 by means of a questionnaire comprised of the following issues: nursing evolution, nursing diagnosis, and nursing prescription, and standards for the nursing team recommended by the Regional Nursing Council of São Paulo and by the assessed institution. Manual items were judged according to the following variables: relevance, pertinence, clarity and simplicity.

    Results:

    of the 39 propositions, 100% achieved ≥ 80% agreement in the relevance, pertinence and clarity variables; 92.3% in the simplicity variable. Sleep/rest, Mobility and Check-out variables did not reach a favorable minimum consensus in the prescribed activities and were improved following suggestions from the experts.

    Conclusion:

    we believe that the instrument will enable the improvement of the HCP’s work 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.
  • 01-01-2015

    Vulnerability of families of elderly citizens cared for by the Family Health Strategy

    Revista Brasileira de Enfermagem. 2015;68(2):244-252

    Abstract

    Vulnerability of families of elderly citizens cared for by the Family Health Strategy

    Revista Brasileira de Enfermagem. 2015;68(2):244-252

    DOI 10.1590/0034-7167.2015680209i

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    ABSTRACT

    Objective:

    the present descriptive, exploratory, cross-sectional study aimed to identify the vulnerability of families of elderly citizens cared for by the Family Health Strategy (FHS).

    Method:

    the research employed home interviews and was developed with a sample of 500 families of aged people cared for by 32 FHS teams in the city of Dourados, MS, Brazil. The Family Development Index (FDI) was adapted in order to classify the families according to their degree of vulnerability.

    Results:

    the results revealed the presence of multigenerational families with low educational levels among individuals over the age of 20 and high illiteracy rates among elderly citizens. There were 403 families whose vulnerability was acceptable, 95 in severe vulnerability, and two families in a condition of very severe vulnerability. The most critical dimensions of the FDI were the access to knowledge and to work.

    Conclusion:

    the study identifi ed that there is still a need for further investments that can assist these aged people and their families in the Primary 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.
  • 01-01-2015

    The work in prison: reflections on the health of prison officers

    Revista Brasileira de Enfermagem. 2015;68(2):235-243

    Abstract

    The work in prison: reflections on the health of prison officers

    Revista Brasileira de Enfermagem. 2015;68(2):235-243

    DOI 10.1590/0034-7167.2015680208i

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    ABSTRACT

    Objective:

    to understand the working conditions of prison offi cers and the repercutions of labor activity on their health.

    Method:

    qualitative and descriptive research. Data were collected through open interviews with the prison offi cers of a regional prision and the speeches were submitted to content analysis.

    Results:

    the results showed unsatisfactory working conditions due to poor material resources and neglect of governmental regarding rehabilitation of convicts, resulting in workers’ exposure to psychosocial risks, dissatisfaction, and emotional distress.

    Conclusion:

    investments on the security of workers may contribute to their health promotion.

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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.
  • 01-01-2015

    Mother recognition in the Neonatal Intensive Care Unit

    Revista Brasileira de Enfermagem. 2015;68(2):228-234

    Abstract

    Mother recognition in the Neonatal Intensive Care Unit

    Revista Brasileira de Enfermagem. 2015;68(2):228-234

    DOI 10.1590/0034-7167.2015680207i

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    ABSTRACT

    Objective:

    analyze the maternal experience in a neonatal intensive care unit, focusing on relations of recognition.

    Method:

    a qualitative study, built on the perspective of Gadamer’s hermeneutics, based on Honneth’s concept of recognition. In-depth interviews were conducted with 10 mothers of children admitted to a neonatal intensive care unit.

    Results:

    failures were reported in the process of mother recognition in the unit, with consequent feelings of insecurity and obligation to child care, resulting in fragility of self-esteem.

    Conclusion:

    interactions with health professionals in the NICU and its standards and protocols cause vulnerabilities and affect maternal recognition and 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.

  • REVIEW09-18-2020

    Allocation of resources for health care in COVID-19 pandemic times: integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20200244

    Abstract

    REVIEW

    Allocation of resources for health care in COVID-19 pandemic times: integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20200244

    DOI 10.1590/0034-7167-2020-0244

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    ABSTRACT

    Objective:

    To analyze information on resource allocation in the context of the COVID-19 pandemic, published in indexed scientific journals, from December 2019 to March 2020.

    Methods:

    This is an integrative literature review, which took place in March 2020. All databases were investigated and studies were found only in MEDLINE. After applying the established criteria, six articles were selected.

    Results:

    It was evident that the allocation of resources is carried out as the demands emerge. The fragility in presenting scientific-methodological evidence that can guide decision makers for assertive allocation of available resources is highlighted. The results showed that studies on this subject are incipient and need to be expanded.

    Final considerations:

    The need for health organizations and area authorities to be better prepared for the proper use of available resources, with allocation based on scientific evidence and maximization of resources is indicated.

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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.
    Allocation of resources for health care in COVID-19 pandemic times: integrative review
  • ORIGINAL ARTICLE02-10-2020

    Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers

    Revista Brasileira de Enfermagem. 2020;73(1):e20180214

    Abstract

    ORIGINAL ARTICLE

    Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers

    Revista Brasileira de Enfermagem. 2020;73(1):e20180214

    DOI 10.1590/0034-7167-2018-0214

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    ABSTRACT

    Objective:

    To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência).

    Method:

    Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis.

    Results:

    The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions.

    Final considerations:

    Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.

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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

    Playful educational intervention with schoolchildren on intestinal parasitosis

    Revista Brasileira de Enfermagem. 2019;72(5):1203-1210

    Abstract

    ORIGINAL ARTICLE

    Playful educational intervention with schoolchildren on intestinal parasitosis

    Revista Brasileira de Enfermagem. 2019;72(5):1203-1210

    DOI 10.1590/0034-7167-2017-0551

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    ABSTRACT

    Objective:

    To analyze the playful educational interventions in the knowledge of schoolchildren about intestinal parasitosis.

    Method:

    This is a quasi-experimental, non-randomized study, based on pre- and post-intervention, conducted in a public elementary school in a peripheric neighborhood in the city of Ribeirão Preto (SP). The study population consisted of 101 students enrolled in the 5th and 6th grade. For comparison, we used the generalized version of the McNemar chi-squared test.

    Results:

    Of the 101 schoolchildren who participated in the study, 48 (47.5%) were female and 53 (52.5%) were male, aged from 9 to 14 years. Students’ knowledge on intestinal parasitic infections has increased significantly after the playful educational intervention.

    Conclusion:

    Playful educational interventions are an excellent didactical resource in the teaching-learning process of schoolchildren.

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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.
  • REFLECTION07-10-2020

    In defense of the Unified Health System in the context of SARS-CoV-2 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200247

    Abstract

    REFLECTION

    In defense of the Unified Health System in the context of SARS-CoV-2 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200247

    DOI 10.1590/0034-7167-2020-0247

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    ABSTRACT

    Objective:

    To discuss the political and structural conditions for establishing the Unified Health System (UHS – Sistema Único de Saúde, SUS) in coping with the SARS-CoV-2 pandemic.

    Methods:

    Theoretical-reflection study.

    Results:

    At the first moment named “The global and the local in facing the SARS-CoV-2 pandemic” is presented the health crisis that took place worldwide and the government actions to combat COVID-19. A second moment named “Between dismantling actions and resistance, the UHS is the best way to face the SARS-CoV-2 pandemic”, reflects on the neoliberal attacks on the health system and how it resists, remaining the main pandemic response strategy.

    Conclusion:

    The strengthening of democracy and the defense of the UHS are the way out of the crisis. It is believed that this reflection generates – in everyone who deals with caretaking – the political action, the ethical attitude, the desire for valorization and the spirit of struggle in defense of the UHS and human life.

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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 ARTICLE08-19-2019

    Psychosocial risks related to the nurse in the psychiatric hospital and management strategies

    Revista Brasileira de Enfermagem. 2019;72(4):834-840

    Abstract

    ORIGINAL ARTICLE

    Psychosocial risks related to the nurse in the psychiatric hospital and management strategies

    Revista Brasileira de Enfermagem. 2019;72(4):834-840

    DOI 10.1590/0034-7167-2017-0311

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    ABSTRACT

    Objective:

    To characterize the presence of psychosocial risks related to the work of the nurse in a psychiatric hospital and the strategies for managing these risks.

    Methods:

    Qualitative, in which 25 nurses from a psychiatric hospital participated using semi-structured interviews from November 2014 to January 2015. Data analysis was performed using the thematic method.

    Results:

    The results showed psychosocial risks related to the work of psychiatric nurses, such as: insufficient academic training; lack of preparation and maintenance of equipment; poor relationship with colleagues; shortage of human resources and lack of capacity building; conflict between the demands of the home and work, as well as strategies for managing psychosocial risks such as family, cinema, music, reading, among others.

    Final considerations:

    This study should provoke the reflection of managers and future nurses regarding the working conditions in a psychiatric hospital and possible psychosocial risks to which they are exposed.

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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 ARTICLE03-30-2020

    Implication of the training ad continuing education process for the interprofessional performance

    Revista Brasileira de Enfermagem. 2020;73(2):e20180359

    Abstract

    ORIGINAL ARTICLE

    Implication of the training ad continuing education process for the interprofessional performance

    Revista Brasileira de Enfermagem. 2020;73(2):e20180359

    DOI 10.1590/0034-7167-2018-0359

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    ABSTRACT

    Objetives:

    to analyze the implication of the training/continuing education process of professionals of the Expanded Nucleus of Family Health and Basic Care (Portuguese acronym: Nasf-AB) for their interprofessional performance.

    Methods:

    a qualitative case study performed with Nasf-AB teams representative of four macro-regions of health of the state of Santa Catarina. Participation of 43 professionals, who answered collective interviews. The results were later submitted to thematic analysis.

    Results:

    the training is strongly influenced by the Biomedical Model, which acts as an obstacle to interprofessional performance, given the challenges in the daily routine of Nasf-AB professionals. Continuing education emerges as a potential for the successful collaborative work among teams, and between the teams and Family Health professionals.

    Final considerations:

    there are important limits in the training of professionals. However, the constant interprofessional development promoted by strategies of continuing education contributes to broaden the support and collaborative practices that qualify services and strengthen Basic 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.
  • ORIGINAL ARTICLE02-25-2022

    Diabetes mellitus type 2: factors related to adherence to self-care

    Revista Brasileira de Enfermagem. 2022;75(4):e20210260

    Abstract

    ORIGINAL ARTICLE

    Diabetes mellitus type 2: factors related to adherence to self-care

    Revista Brasileira de Enfermagem. 2022;75(4):e20210260

    DOI 10.1590/0034-7167-2021-0260

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    ABSTRACT

    Objectives:

    to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2.

    Methods:

    quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão.

    Results:

    the adherence to self-care was greater when it comes to medications (Md=7.0) and foot care (Md= 6.0), but lower in regard to blood sugar testing (Md=1.0), exercise (Md=2,0), and diet (general) (Md=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities.

    Conclusions:

    identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.

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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 ARTICLE12-04-2020

    “The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents

    Revista Brasileira de Enfermagem. 2020;73:e20200578

    Abstract

    ORIGINAL ARTICLE

    “The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents

    Revista Brasileira de Enfermagem. 2020;73:e20200578

    DOI 10.1590/0034-7167-2020-0578

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    ABSTRACT

    Objective:

    to describe the risk factors that influence the self-injury behavior of adolescents assisted at a Psychosocial Care Center for Children and Adolescents, according to subjects’ own perceptions.

    Method:

    a descriptive, exploratory, qualitative study carried out through medical records and a focus group with 07 adolescents. The statements were submitted to thematic content analysis.

    Results:

    in the risk factors category, four subcategories emerged: Family adversity factors; Social contagion; Adverse life events; Personal characteristics. Conflicts, lack of support, drug use in the family, meeting someone who cuts themselves, social networks, religiosity, history of sexual violence and bullying were identified as risk factors that influence self-injury.

    Final Considerations:

    adolescents pointed out the need for prejudice-free dialogues in schools, in health and family devices, configuring protective factors to avoid this practice that comes from several negative events throughout life.

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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.
    “The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents

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