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F o f a o j ~ h m l W l v ` o i } j i=2
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
6=
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F o f a o j ~ h m l W l v ` o i } j i=4
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
6>
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F o f a o j ~ h m l W l v ` o i } j i=?
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
68
Wlvl alulvij} aj} nohi~h} wjnhkj} hibvj}lv ha klibj nha mhwoaaj j x~oao+slv xij ham~vomj) Ij} wxhnh lyxnlv dlmhv ha kjuokohi~j lkwaoj! nh lvvofllflcj) 68
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F o f a o j ~ h m l W l v ` o i } j i>7
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
Wlvl whoilvij} mxlinj al kjuoaonln nha djkfvj ij h} kxy fxhil x~o+aoslvhkj} xi whoih mji ha klibj alvbj |xh ij} whvko~l dlmhvaj fohi wjvnh~v}) 65
65
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F o f a o j ~ h m l W l v ` o i } j i>6
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
L al djvl nh aluvij}aj} ~lkfoi hto}~h ximhwoaaj |xh ij} wxhnh elmoao~lv h}~l ~lvhl) 6?
Wlvl leho~lv}h h} khcjv xil kl|xoioaal ham+~voml! yl |xh huo~lvhkj} mjv~h}) ]o ij} mxh}~l
kjuhv al kxhml j ij} mli}lkj}! wjnhkj}wvjflv l leho~lvij} }okxa~ihlkhi~h lkfj}
alnj} nh al mlvl! hi axblv nh wvokhvj xi alnj
y axhbj ha j~vj) ^lkfoi wjnhkj} hkwahlv al}nj} klij})
Wxhnh }hv |xh jvoihkj} mji evhmxhimol! mji
aj |xh ~hinvhkj} |xh vhnxmov aj} a|xonj} wjv al~lvnh*ijmdh! oiejvklinj }ohkwvh l ixh}~vj k+nomj nh vhehvhimol) H}~lfahmhvhkj} vx~oil} yhinjla l}hj l oi~hvulaj} vhbxalvh}) Ij} wxhnhi }hv~oah} aj} wllah} nh}hmdlfah} y aj} wvj~hm~jvh}okwhvkhlfah} hi al mlkl)
Uh}~onj y mlaslnj
H} ha kjkhi~j nh uh}~ovij} y mlaslvij})
Ulkj} l wvjmxvlv dlmhvaj ij}j~vj} ko}kj}lxi|xh }hlkj} k} ahi~j} j ij} mxh}~h kxmdj)L uhmh} h} ihmh}lvoj |xh ij} }xwhvuo}hi y! hilabxij} ml}j}! ~hinvhkj} |xh whnov lyxnl)
Wlvl elmoao~lv h}~l} ~lvhl} ulkj} l3
]okwaoeomlval}) Dlmhval} wjv wl}j}) Nhclv wvhwlvlnj ~jnj aj |xh ihmh}o~hkj})
Nh~laalkj} labxij} mji}hcj} bhihvlah} |xh h}vhmjkhinlfah ~hihv hi mxhi~l3
Hkwhslv l uh}~ov}h mxlinj dlbl hehm~j alkhnomlmoi)
No}wjihv nh ~jnl al vjwl nh ejvkl jvnhil+nl y mjajmlnl }hbi ha jvnhi nh x}j)
6?
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F o f a o j ~ h m l W l v ` o i } j i>=
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
Vh~ovlv al vjwl }xmol nh al uo}~l) X~oaoslv wvhinl} nh uh}~ov djablnl} y wvm~oml} $moi~l} ha}~oml}! fj~j+
ih} bvlinh} j uhamvj}/)
Wli~lai j elanl
L al djvl nh mjajmlvij} ha wli~lai j al elanl! ~hihkj} nj} wj}ofoaonlnh}3
Hkwhslv }hi~lnj} y nh}wx} wjihvij} nh woh) Lwjylvij} hi al wlvhn wjv al} ilabl}! huo~linj ha voh}bj nh mlnl)
H}~l lm~ouonln al wjnhkj} dlmhv hi moimj wl}j})
) ]xch~linj al wvhinl! ij} wjinvhkj} nh woh lwjyinjij} hi ha vh}wla+
nj nh al }oaal wlvl huo~lv mlhvij})
8) ]xfovhkj} al mvhklaahvl y lfj~jilvhkj} al wvhinl) ]o al elanl ~ohihxil mvhklaahvl nh~v}! al wjnhkj} lfvjmdlv wjv nhali~h y axhbj nlv aluxha~l l al elanl wlvl |xh |xhnh wjv nh~v})
Wjnhkj} lyxnlvij} khnoli~h lnlw~lmojih}3
]h wxhnh mjajmlv xi uhamvj hi al moi~xvoaal wlvl elmoao~lv ha mohvvh nhal wvhinl) Hi h}~h ml}j }h lfvjmdlv wvokhvj ha uhamvj y nh}wx} }h}xfov al mvhklaahvl)
Xil lvbjaal hi al mvhklaahvl elmoao~lv mjbhv khcjv ha mohvvh) Dly lfj~jilnjvh} mji }xfhmvhklaahvl}) J~vl wj}ofoaonln h} lyxnlv}h l }xfov al elanl j ha wli~lai mji xil}
woisl} nha wh}mlnj j wjihv nj} l}l} l mlnl alnj) ]o linlkj} labj mxvulnj}! wjnhkj} mj}hv ha njfalnoaaj nh al elanl j
uh}~onj nh ejvkl |xh }h mjkwhi}h al oimaoilmoi) ^lkfoi hto}~hi lyxnl} ~mioml} |xh ij} wxhnhi elmoao~lv al ~lvhl) =7
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F o f a o j ~ h m l W l v ` o i } j i>>
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
=7
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F o f a o j ~ h m l W l v ` o i } j i>8
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
J~vl} ejvkl} nh uh}~ov}h3
Wjihv}h al elanl wjv lvvofl mjkj }o exhvl xi chv}hy)
]o ~hihkj} wjml h}~lfoaonln! wjnhkj} wvjflv l wjihvij} ha wli~laij al elanl lmj}~lnj})
Ha chv}hy
Wjihv}h ha chv}hy
) Vhmjajmlv}h ha chv}hy) =>
=< =6
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F o f a o j ~ h m l W l v ` o i } j i>5
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
\xo~lv}h ha chv}hyDly ulvol} ejvkl}! xil nh haal} h} }x+
fov al wlv~h nh nh~v} nha chv}hy ~jnjaj |xh }h wxhnl) Mjbhv ha mxh+aaj nha chv}hy wjv al wlv~hnh l~v} y }lmlvaj nha~jnj wjv al mlfhsl)Nh}wx} }lmlv wvo+khvj al klibl nha
alnj khij} lehm~l+nj y nh}wx} al j~vl)
=8 =5 y =2
== =>
=8
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F o f a o j ~ h m l W l v ` o i } j i>2
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
=5
=2
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F o f a o j ~ h m l W l v ` o i } j i>4
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
Al mdl|xh~l
Wjihv}h al mdl|xh~l
Ij} wjihkj} wvokhvj al klibl |xh mjvvh}wjinh l ixh}~vj alnj k}noemoa y al lcx}~lkj} fohi la djkfvj y wjv nhflcj nh al }o}l) Nh h}~l ejvklij} nhcl al j~vl klibl k} mhvml nha j~vj fvlsj) ]o ij} dlmh ela~l! wjnhkj}hmdlv al mdl|xh~l k} dlmol l~v}) Nh}wx} yl wjnvhkj} oi~vjnxmov ha j~vjfvlsj y mjajmlv fohi al wvhinl) Ij} wjnhkj} lyxnlv! }o aj ihmh}o~lkj}! }x+ch~linj ha mxhaaj nh al mdl|xh~l mji al fjml) =4
\xo~lv}h al mdl|xh~l
Aj wvokhvj |xh ulkj} l dlmhv h} |xo~lv al mdl|xh~l nha djkfvj k}lehm~lnj! whvj }aj al wlv~h nha djkfvj) Nh}wx} }lmlvhkj} ha djkfvj nha
alnj }lij y! k} ~lvnh! ha mjnj) Nhclvhkj} mlhv al mdl|xh~l dlmol l~v} y! wjva~okj! }lmlkj} al klibl nha alnj mji~vlvoj) =? >7 >< >6 >= y >>
=4
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F o f a o j ~ h m l W l v ` o i } j i>?
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
=?
>7
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F o f a o j ~ h m l W l v ` o i } j i87
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
>6
>
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F o f a o j ~ h m l W l v ` o i } j i8=
>>
8/2/2019 guia-parkinson-dia-a-dia
53/127
F o f a o j ~ h m l W l v ` o i } j i86
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
Khnol} j mlamh~oih}
H} mjiuhiohi~h |xh h}~hkj} }hi~lnj})
Aj wjnhkj} vhlaoslv nh noehvhi~h} ejvkl}3
Mjajmlv al wohvil k} lehm~lnl }jfvh al j~vl! lyxninjij} }o h} ihmh+}lvoj mji al} nj} klij})
^hihv xi fli|xoaaj nhali~h njinh lwjylv ha woh) Lyxnlvij} mji xi mlaslkhnol}) ]hi~lnj} hi xil }oaal! wvhwlvlv ha mla+
mh~i mjajminjaj nhvhmdj hi ha mlaslkhnol} y |xo~lv}h al slwl~oaal)Axhbj oi~vjnxmovhkj} ha woh y ~ovlvhkj} nha mlaslkhnol} mji al} nj}
klij} dlmol lvvofl)>8
>8
Mlamh~i mjajmlnj,
]o }xevokj} dowj~hi}oi jv~j}~~oml! wxhnhi }hv vhmjkhinlfah} al} kh+nol} nh wvh}oi l}mhinhi~h)
J~vj} mji}hcj} |xh ij} wxhnhi lyxnlv3
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F o f a o j ~ h m l W l v ` o i } j i8=
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
]x}~o~xov3
Chv}o} mhvvlnj} wjv lfohv~j})
Fj~jih} wjv uhamvj} j mvhklaahvl}) ]xch~lnjv mji mohvvh wjv nh~v} wjv xij mji mohvvh wjv nhali~h)
Mjajmlvij} djkfvhvl}) Lyxnlvij} mji xi lfj~jilnjv) >5
Slwl~j}
Hi mxli~j la mlaslnj! wjnhkj} dlmhv h}~l} vhmjkhinlmojih}3
]ji khcjvh} aj} kjml}oih} |xh aj} slwl~j} nh mjvnjih}) H} wvhehvofah ij x~oaoslv ~lmjih} la~j})
Al }xhal nh bjkl h} khcjv |xh al nh mxhvj)
>5
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F o f a o j ~ h m l W l v ` o i } j i8>
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
H} ihmh}lvoj aahulv ha mlaslnj fohi wxh}~j y lwvh~lnj) ]h wxhnhi x~oaoslv ~ovl} j lfvlslnhvl} nh ~jfoaaj hi hiehvkj} |xh mji}+
~li~hkhi~h ~vjwohsli j vh}flali)
Al} nhwjv~oul}! khcjv mji uhamvj) Hto}~hi ~lkfoi aj} mjvnjih} ha}~omj}) Mlaslnj mjkj sxhmj} j slwl~oaal} |xh ij }xch~li ha ~jfoaaj ij }ji vh+
mjkhinlfah}! yl |xh jfaobli l lvvl}~vlv k} aj} woh}) Ij} wjnhkj} lyxnlv mji xi mlaslnjv) >2
>2
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F o f a o j ~ h m l W l v ` o i } j i88
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
>4
Hto}~hi j~vl} lyxnl}! hi~vh al} |xh h}~i al} woisl} nh alvbj lamlimh! |xhij} lyxnlvi l vhmjbhv labj nha }xhaj mxlinj ij wjnlkj} lblmdlvij}) lk+foi }ovuhi wlvl mjbhv jfch~j} |xh h}~i la~j}) >4
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F o f a o j ~ h m l W l v ` o i } j i85
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
Khnomlkhi~j}
_ ldjvl ~jklvhkj} al khnomlmoi)
Al nj}o} y ha djvlvoj hi ha |xh aj} lehm~lnj} ~jkli al khnomlmoi ulvlinh xi wlmohi~h l j~vj! whvj l ~jnj} ah} wxhnhi uhiov fohi nouhv}j} ~owj} nhwl}~oaahvj} |xh hto}~hi hi ha khvmlnj! hi~vh aj} |xh h}~i3
Wlvl mjv~lv al} wl}~oaal}) >? y 87
>?
87
]aj }h wxhnhi wlv+~ov al} wl}~oaal} |xh ~oh+ihi vlixvl) Al} nouo}oj+
ih} }hvi ~li~l} mjkjkxh}ml} ~hibli)
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F o f a o j ~ h m l W l v ` o i } j i82
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
Wlvl ~vo~xvlv3 8< y 86
Ij }ohkwvh }h wxhnh ~vo~xvlv al wl}~oaal! l} |xh! }o dly nxnl}! h} khcjv
mji}xa~lvaj li~h} nh dlmhvaj)
8
8=
8>
8/2/2019 guia-parkinson-dia-a-dia
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F o f a o j ~ h m l W l v ` o i } j i8?
L m ~ o u o n l n h } n h a l u o n l n o l v o l 3 w j v a l k l l i l
^lkfoi aj} dly nh kh}h}) 88
88
Wlvl |xh aj} lehm~lnj} }h lmxhvnhi nh }o dli ~jklnj al khnomlmoi wxh+nhi aahulv xi vhbo}~vj }himoaaj hi ha |xh lwxi~lvi! wjv hchkwaj! wjv xi alnj!
aj} nl} nh al }hklil y! wjv j~vj! kllil! khnojnl! ~lvnh y ijmdh) Mlnluhs |xh }h ~jkhi al khnomlmoi dlvi xil mvxs) ]o }ji ulvol} al} wl}~oaal}!}h wxhnhi dlmhv mvxmh} nh noehvhi~h} mjajvh}) H}~h vhbo}~vj dl nh mjajmlv}hhi xi axblv uo}ofah wlvl |xh }h vhmxhvnh }o al wl}~oaal }h dl oibhvonj j ij)Lm~oulv al lalvkl nha kuoa ~lkfoi wxhnh lyxnlv)
H} okwjv~li~h bxlvnlv }ohkwvh aj} khnomlkhi~j} hi ha ko}kj }o~oj)]o ha lehm~lnj ~ohih wvjfahkl} okwjv~li~h} nh khkjvol! ha elkoaolv nhfh
bxlvnlvaj} hi xi }o~oj }hbxvj y elmoao~v}haj} l al} djvl} wlx~lnl} wjv ha
ihxvajbj)
Nh}lyxij
Wjv eoi ha nh}lyxij,
^jnj} mjijmhkj} labxil} vhmh~l} nh al lfxhal |xh wjnhkj} ~hihv hi
mxhi~l nh}nh ha nh}lyxij y |xh ij} lyxnlvi l huo~lv ha h}~vhokohi~j|xh kxmdl} uhmh} }xevhi aj} wlv`oi}jiolij} wjv ~hihv no}koixonl al kj+
uoaonln oi~h}~oila y wjv aj} hehm~j} nh al khnomlmoi) L}! hkwhslvhkj}~jklinj3
8/2/2019 guia-parkinson-dia-a-dia
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F o f a o j ~ h m l W l v ` o i } j i57
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
A|xonj} wjv al kllil! wjv hchkwaj xi ul}j nh lbxl hi lyxil} y*jxi sxkj nh ilvlicl) Aj lmji}hclfah h} fhfhv l aj alvbj nha nl nh jmdjl nohs ul}j} nh lbxl)
@oro}! movxhal}! mhvhlah}))) Dly |xh wvjmxvlv oibhvov laokhi~j} vomj} hieofvl nxvli~h ~jnj ha nl)
Wjv j~vj alnj! hto}~hi noehvhi~h} ~owj} nh ul}j} |xh }h wxhnhi x~oaoslv }oha lehm~lnj nh wv`oi}ji ~ohih wvjfahkl} wlvl }xch~lvaj}3 85
Mji nj} l}l}! wlvl lblvvlvaj} khcjv) Mji ~lwl hi ejvkl nh womj wlvl elmoao~lv al oibh}~oi y huo~lv |xh }h
nhvvlkh ha a|xonj) Mji oimaoilmoi) H~m)
85
8/2/2019 guia-parkinson-dia-a-dia
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F o f a o j ~ h m l W l v ` o i } j i5
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
Mji aj} mjnj} njfalnj} y whblnj} la mxhvwj! bovlv aj} li~hfvlsj} $wla+kl} dlmol lvvofl + wlakl} dlmol lflcj/) 56 y 5=
Wlvl al kjuoaonln nh aj}nhnj}3
Dlmhv xi fxmah mjiha nhnj inomh y hawxablv) Wj}~hvojvkhi+
~h! ovhkj} dlmohinjfxmah} mji ha vh}~j nhaj} nhnj} $mjvlsi+wxablv! lixalv+wxablv!kho|xh+wxablv/) 5>
5
2=
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F o f a o j ~ h m l W l v ` o i } j i2
8/2/2019 guia-parkinson-dia-a-dia
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F o f a o j ~ h m l W l v ` o i } j i26
W v ` o i } j i n l l n l 3 L i ~ h } n h n h m o v i j w x h n j ! o i ~ i ~ l a j ,
^lvhl} njk}~oml}
L al djvl nh vhlaoslv al} ~lvhl} nha djblv ~hihkj} |xh mxonlv |xh ixh}~vl
h}wlanl h}~ hi xil fxhil wj}omoi huo~linj dlmhv bovj} fvx}mj} j lblmdlv+ij} eahtojilinj al h}wlanl) H} okwjv~li~h |xh ~hiblkj} hi mxhi~l ixh}~vlwj}~xvl hi ~jnl} al} lm~ouonlnh} hi al} njk}~oml} ~lkfoi y al mjvvocl+kj} }ohkwvh |xh aj ihmh}o~hkj})
Wlvl walimdlv wjnhkj} wjihv xi woh hi xi ~lfxvh~h wh|xhj! }ohkwvh ymxlinj ~hiblkj} fxhi h|xoaofvoj) ]o ij wjnhkj}! aj dlvhkj} }hi~lnj})
Mj}hv h} xil lm~ouonln mjkwahcl mxlinj }h ~ohih wv`oi}ji) Ij} wxhnhlyxnlv x}lv noehvhi~h} ~owj} nh ~ochvl} j xi hidhfvlnjv nh lbxcl})
Wlvl evhblv wjnhkj} wjihv! }o ixh}~vj h|xoaofvoj ij} aj whvko~h! xiwoh hi al wlv~h flcl nha lvklvoj nh al evhblnhvl h ov la~hviinjaj) lk+foi lyxnlv l ixh}~vl h}wlanl)
Wlvl kh~hv al vjwl hi al alulnjvl! aj dlvhkj} khcjv }hi~lnj}) _ l al djvl
nh ~hinhval wjnhkj} x~oaoslv xil} woisl} lnlw~lnl} |xh elmoao~li ha lblvvh!wlvl ij ~hihv |xh hchvmhv nhkl}olnl exhvsl) 28
28
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F o f a o j ~ h m l W l v ` o i } j i2=
La khnojnl
Mjkonl
Nh}wx} nha h}exhvsj wjv aj} hchvmomoj}! al mjkwvl y al} ~lvhl} nh al ml}l!fohi ij} khvhmhkj} xil fxhil mjkonl! |xh nhfhv }hv ulvolnl y voml hieofvl y a|xonj})
Hi al }oaal
H} ihmh}lvoj }hi~lv}h fohi) Wlvl haaj3
Huo~lvhkj} aj} l}ohi~j} flcj} y falinj}) lkwjmj h}mjbhvhkj} l|xh+aaj} hi aj} |xh ij} wjnlkj} vh}flalv)
Wvjmxvlvhkj} |xh al} }oaal} }hli la~l} wlvl ahuli~lvij} khcjv! mji havh}wlanj la~j uhv~omla! l al la~xvl nh aj} jkwal~j} $elmoao~l ha nh}mli}j/y |xh ~hibli vhwj}lfvlsj} wlvl wjnhv lwjylvij})
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