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REFERENCES

151. Shrestha LB, Prince C, Baker DP, Salas E: Understanding situation awareness: Concepts, methods, and training. Human/Technology Interaction in Complex Systems 7:45–83, 1995.

152. New Trends in Cooperative Activities—Understanding System Dynamics in Complex Environments. Santa Monica, CA, Human Factors and Ergonomics Society, 2001.

153. Xiao Y, LOTAS Group: Understanding coordination in a dynamic medical environment: Methods and results, new trends in cooperative activities. In McNeese M, Salas E, Engbers FH (eds): Understanding System Dynamics in Complex Environments. Santa Monica, CA, Human Factors and Ergonomics Society, 2001.

154. Hazlehurst B: The cockpit multiple activity system: A computational model. Int J Aviat Psychol 13:1–22, 2003.

155. Altman EM, Preston JG: Memory for goals: An activation-based model. Cogn Sci 26:39–83, 2002.

156. Dismukes K: Cockpit interruptions and distractions. ASRS Directline 10:4–9, 1998.

157. Stone M, Dismukes K, Remington R: Prospective memory in dynamic environments: Effects of load, delay, and phonological rehearsal. Memory 9:165–176, 2001.

158. Marsh RL: The demands of an ongoing activity influence the success of event-based prospective memory. Psychon Bull Rev 9:604–610, 2002.

159. Chisholm CD, Collison EK, Nelson DR, Cordell WH: Emergency department workplace interruptions: Are emergency physicians "interrupt-driven" and "multitasking"? Acad Emerg Med 7:1239–1243, 2000.

160. DeKeyser V, Woods DD: Fixation errors: Failures to revise situation assessment in dynamic and risky systems. In Colombo AG, Bustamante AS (eds): Systems Reliability Assessment. Dordrecht, Germany, Kluwer Academic, 1990, p 231.

161. Prince C, Chidester TR, Bowers C, Cannon-Bowers J: Aircrew coordination—achieving teamwork in the cockpit. Norwood, NJ, Ablex Publishing, 1992, pp 329–353.

162. Federal Aviation Administration: Aeronautical Decision Making. Circular No. 60-22. Washington, DC, Federal Aviation Administration, 1991.

163. Cooper JB, Newbower RS, Kitz RJ: An analysis of major errors and equipment failures in anesthesia management: Considerations for prevention and detection. Anesthesiology 60:34–42, 1984.

164. Shapiro R, Berland T: Noise in the operating room. N Engl J Med 287:1236–1238, 1972.

165. Lewis P, Staniland J, Cuppage A, Davies JM: Operating room noise [abstract]. Can J Anesth 37:S79, 1990.

166. McIntyre JWR: Ergonomics: Anaesthetists' use of auditory alarms in the operating room. Int J Clin Monit Comput 2:47–55, 1985.

167. Quinn M: A Philosophy of Alarms. Boston, Butterworths, 1987, pp 169–173.

168. Stanford LM, McIntyre JWR, Hogan JT: Audible alarm signals for anaesthesia monitoring equipment. Int J Clin Monit Comput 1:251–256, 1985.

169. Stanford LM, McIntyre JWR, Nelson TM, Hogan JT: Affective responses to commercial and experimental auditory alarm signals for anaesthesia delivery and physiological monitoring equipment. Int J Clin Monit Comput 5:11–18, 1988.

170. Griffith RL, Raciot BM: A Survey of Practicing Anesthesiologists on Auditory Alarms in the Operating Room. Philadelphia, American Society for Testing and Materials, 1992, pp 10–18.

171. Schneider W, Detweiler M: The role of practice in dual-task performance: Toward workload modeling in a connectionist/control architecture. Hum Factors 30:539–566, 1988.

172. Paris CR, Salas E, Cannon-Bowers JA: Teamwork in multiperson systems: a review and analysis [review] [118 refs]. Ergonomics 43:1052–1075, 2000.

173. Salas E, Prince C, Bowers CA, et al: A methodology for enhancing crew resource management training. Hum Factors 41:161–172, 1999.

174. Salas E, Rhodenizer L, Bowers CA: The design and delivery of crew resource management training: exploiting available resources. Hum Factors 42:490–511, 2000.

175. Salas EC, Burke CS, Bowers CA, Wilson KA: Team training in the skies: Does crew resource management (CRM) training work? Hum Factors 43:641–674, 2001.

176. Improving Teamwork in Organizations—Applications of Resource Management Training. Mahwah, NJ, Lawrence Erlbaum, 2001.

177. Swezey RW, Owens JM, Bergondy ML, Salas E: Task and training requirements analysis methodology (TTRAM): An analytic methodology for identifying potential training uses of simulator networks in teamwork-intensive task environments. Ergonomics 41:1678–1697, 1998.

178. Wiener E, Kanki B, Helmreich R: Cockpit Resource Management. San Diego, CA, Academic Press, 1993.

179. Swezey RW, Salas E: Teams: Their Training and Performance. Norwood, NJ, Ablex Publishing, 1992.

180. Billings CE, Reynard WD: Human factors in aircraft incidents: Results of a 7-year study. Aviat Space Environ Med 55:960–965, 1984.

181. Jensen RS, Biegelski CS: Cockpit Resource Management. Aldershot, UK, Gower Technical, 1989, pp 176–209.

182. Helmreich RL: Theory underlying CRM training: Psychological issues in flight crew performance and crew coordination. Washington, DC, National Aeronautics and Space Administration, 1986, pp 15–22.

183. Davies JM: Medical applications of crew resource management. In Salas E, Bowers CA, Edens E (eds): Improving Teamwork in Organizations—Applications of Resource Management Training. Mahwah, NJ, Lawrence Erlbaum, 2001.


3068


184. Cognitive Task Analysis [Special Section]. Hum Factors 42:1–101, 2000.

185. Roizen MF, Foss JF, Fischer SP: Preoperative evaluation, In Miller RD (ed): Anesthesia, 5th ed. New York, Churchill Livingstone, 2000, pp 824–884.

186. Wolman RL, Lasecki M, Shapiro JH, et al: Should preoperative EKG's be officially interpreted by cardiologists prior to anesthesia? [abstract] Anesthesiology 73:A1026, 1990.

187. Mohamed S, Kaplan T, Mangar D, Guidi C: Interpretation of chest radiographs by anesthesiologists [abstract]. Anesth Analg 76:S268, 1993.

188. Gibby GL, Gravenstein JS, Layon AJ, Jackson KI: How often does the preoperative interview change anesthetic management? [abstract] Anesthesiology 77:A1134, 1992.

189. Buffington CW, Ramanathan S, Turndorf H: Detection of anesthesia machine faults. Anesth Analg 63:79–82, 1984.

190. Anesthesia apparatus checkout recommendations. Fed Reg 52:36–37, 1987.

191. March MG, Crowley JJ: An evaluation of anesthesiologists' present checkout methods and the validity of the FDA checklist. Anesthesiology 75:724–729, 1991.

192. Lees DE: FDA preanesthesia checklist being evaluated, revised. APSF 6:25–27, 1991.

193. FDA publishes final version of revised apparatus checkout. APSF Newsletter 9:35, 1994.

194. Manley R, Cuddeford JD: An assessment of the effectiveness of the revised FDA checklist. AANA J 64:277–282, 1996.

195. Blike G, Biddle C: Preanesthesia detection of equipment faults by anesthesia providers at an academic hospital: Comparison of standard practice and a new electronic checklist. AANA J 68:497–505, 2000.

196. Howard SK, Gaba DM, Smith B, et al: Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology 98:1345–1355, 2003.

197. Forrest JB, Cahalan MK, Rehder K: Multicenter study of general anesthesia. II. Results. Anesthesiology 72:262–268, 1990.

198. Cooper JB, Cullen DJ, Nemeskal R, et al: Effects of information feedback and pulse oximetry on the incidence of anesthesia complications. Anesthesiology 67:686–694, 1987.

199. Moller JT, Johannessen NW, Espersen K, et al: Randomized evaluation of pulse oximetry in 20,802 patients: II. Perioperative events and postoperative complications. Anesthesiology 78:445–453, 1992.

200. Reason J: Managing the Risks of Organizational Accidents. Aldershot, Ashgate, UK, 1997.

201. Galletly DC, Mushet NN: Anaesthesia system errors. Anaesth Intensive Care 19:66–73, 1991.

202. Philip JH, Raemer DB: Selecting the optimal anesthesia monitoring array. Med Instrum 19:122–126, 1985.

203. Harrison GG: Deaths attributable to anesthesia: Its incidence and the commoner causes. Oxford, Blackwell, 1985, pp 15–31.

204. Reason J: Human error: Models and management. BMJ 320:768–770, 2000.

205. Weinger MB, Slagle J, Jain S, Ordonez N: Retrospective data collection and analytical techniques for patient safety studies. J Biomed Inform 36:106–119, 2003.

206. Slagle J, Weinger MB, Dinh MT, et al: Assessment of the intrarater and interrater reliability of an established clinical task analysis methodology. Anesthesiology 96:1129–1139, 2002.

207. Weinger MB, Ancoli-Israel S: Sleep deprivation and clinical performance. JAMA 287:955–957, 2002.

208. Weinger MB, Vredenburgh AG, Schumann CM, et al: Quantitative description of the workload associated with airway management procedures. J Clin Anesth 2:273–282, 2000.

209. Weinger MB: Vigilance, boredom, and sleepiness. J Clin Monit Comput 15:549–552, 1999.

210. Herndon CN, Weinger MB, Smith BE, et al: Use of task analysis to evaluate the effects of fatigue on performance during simulated anesthesia cases [abstract]. Anesthesiology 89:A1180, 1998.

211. Devitt JH, Kurrek MM, Cohen MM, et al: Testing internal consistency and construct validity during evaluation of performance in a patient simulator. Anesth Analg 86:1160–1164, 1998.

212. Forrest FC, Oram M: Training UK novice anaesthetists using a high fidelity simulator. 2001. Scottsdale, AZ, International Meeting on Medical Simulation, 2001.

213. Gaba DM: Simulators in anesthesiology. Adv Anesthesia 14:55–94, 1997.

214. Gordon JA: The human patient simulator: Acceptance and efficacy as a teaching tool for students. Acad Med 75:522, 2000.

215. Rosenblatt MAR, Abrams KJ, New York State Society of Anesthesiologists I, Education Remediation CoCM, Sub-Committee: The use of a human patient simulator in the evaluation of and development of a remedial prescription for an anesthesiologist with lapsed medical skills. Anesth Analg 94:149–153, 2002.

216. Byrne AJ, Jones JG: Responses to simulated anaesthetic emergencies by anaesthetists with different durations of clinical experience. Br J Anaesth 78:553–556, 1997.

217. Byrne AJ, Greaves JD: Assessment instruments used during anaesthetic simulation: Review of published studies. Br J Anaesth 86:445–450, 2001.

218. Forrest FC, Taylor MA, Postlethwaite K, Aspinall R: Use of a high-fidelity simulator to develop testing of the technical performance of novice anaesthetists. Br J Anaesth 88:338–344, 2002.

219. Gaba DM, Howard SK: Simulated anaesthetic emergencies. Br J Anaesth 79:689–690, 1997.

220. Gaba DM, Howard S, Smith B, Weinger MB: Simulators in anesthesiology education. Anesth Analg 89:805–806, 1999.

221. Halamek LP, Howard SK, Smith BE, et al: Development of a simulated delivery room for the study of human performance during neonatal resuscitation. Pediatrics 100(Suppl):513–524, 1997.

222. Howard SK, Keshavacharya S, Smith BE, et al: Behavioral evidence of fatigue during a simulator experiment [abstract]. Anesthesiology 89:A1236, 1998.

223. Howard SK, Rosekind MR, Katz JD, Berry AJ: Fatigue in anesthesia: Implications and strategies for patient and provider safety. Anesthesiology 97:1281–1294, 2002.

224. Issenberg SB, McGaghie WC, Hart IR, et al: Simulation technology for health care professional skills training and assessment. JAMA 282:861–866, 1999.

225. Morgan PJ, Cleave-Hogg D, MclIory J, Devitt JH: Simulation technology: A comparison of experimental and visual learning for undergraduate medical students. Anesthesiology 96:10–16, 2002.

226. Small SD, Wuerz RC, Simon R, et al: Demonstration of high-fidelity simulation team training for emergency medicine. Acad Emerg Med 6:312–323, 1999.

227. Weller JM, Bloch M, Young S, et al: Evaluation of high fidelity patient simulator in assessment of performance of anaesthetists. Br J Anaesth 90:43–47, 2003.

228. Schwid HA, Rooke GA, Carline J, et al: Evaluation of anesthesia residents using mannequin-based simulation: A multiinstitutional study. Anesthesiology 97:1434–1444, 2002.

229. Held J, Krueger H: FIT für die Mensch-Maschine-Schnittstelle. In Landau K (ed): Mensch-Maschine-Schnittstellen. Stuttgart, IfAO, 1998, pp 130–134.

230. Loeb RG: Monitor surveillance and vigilance of anesthesia residents. Anesthesiology 80:527–533, 1994.

231. Gurushanthaiah K, Weinger MB, Englund CE: Visual display format affects the ability of anesthesiologists to detect acute physiologic changes. A laboratory study employing a clinical display simulator. Anesthesiology 83:1184–1193, 1995.

232. Wiener EL: Cockpit automation. San Diego, CA, Academic Press, 1988, pp 433–461.
3069


233. Dzwonczyk R, Allard J, McDonald JS, et al: The effect of automatic record keeping on vigilance and record keeping time [abstract]. Anesth Analg 74:S79, 1992.

234. Loeb RG: Manual record keeping is not necessary for anesthesia vigilance. J Clin Monit 11:9–13, 1995.

235. O'Donnell RD, Eggemeier FT: Workload Assessment Methodology. New York, Wiley Interscience, 1986, p 42.

236. Gaba DM, Lee T: Measuring the workload of the anesthesiologist. Anesth Analg 71:354–361, 1990.

237. Loeb RG: A measure of intraoperative attention to monitor displays. Anesth Analg 76:337–341, 1993.

238. Foushee HC, Lauber JK, Baetge MM, Acomb DB: Crew factors in flight operations: III. The operational significance of exposure to short-haul air transport operations. NASA Techl Mem 88322. Washington, DC, National Aeronautics and Space Administration, 1986.

239. Toung TJK, Donham RT, Rogers MC: The stress of giving anesthesia on the electrocardiogram (ECG) of anesthesiologists [abstract]. Anesthesiology 61:A465, 1984.

240. Toung TJK, Donham RT, Rogers MC: Effect of previous medical training on the stress of giving anesthesia [abstract]. Anesthesiology 65:A473, 1986.

241. Azar I, Sophie S, Lear E: The cardiovascular response of anesthesiologists during induction of anesthesia [abstract]. Anesthesiology 63:A76, 1985.

242. Bitetti J, Hartwell P, Chin ML, et al: Stress in the attending anesthesiologist [abstract]. Anesthesiology 73, 1990.

243. Buerschaper C, Harms H, Hofinger G, Rall M: Problemlösefähigkeiten in der Anästhesie. Forum Qualitative Sozialforschung Forum: Qualitative Social Research [On-line Journal] 4, 2003.

244. Mackie RR: Vigilance research—are we ready for countermeasures? Hum Factors 29:707–723, 1987.

245. Adams JA: Criticisms of vigilance research: A discussion. Hum Factors 29:737–740, 1987.

246. Beatty J, Ahern SK, Katz R: Sleep deprivation and the vigilance of anesthesiologists during simulated surgery. New York, Plenum, 1977, pp 511–527.

247. Denisco RA, Drummond JN, Gravenstein JS: The effect of fatigue on the performance of a simulated anesthetic monitoring task. J Clin Monit 3:22–24, 1987.

248. Gaba DM, DeAnda A: The response of anesthesia trainees to simulated critical incidents. Anesthes Analg 68:444–451, 1989.

249. Kay J, Neal M: Effect of automatic blood pressure devices on vigilance of anesthesia residents. J Clin Monit 2:148–150. 1986.

250. Cooper JO, Cullen BF: Observer reliability in detecting surreptitious random occlusions of the monaural esophageal stethoscope. J Clin Monit 6:271–275, 1990.

251. Schwartz S, Griffin T: Medical Thinking: The Psychology of Medical Judgment and Decision Making. New York, Springer-Verlag, 1986, pp 191–214.

252. Patel VL, Groen GJ, Frederiksen CH: Differences between medical students and doctors in memory for clinical cases. Med Educ 20:3–9, 1986.

253. Patel VL, Evans DA, Kaufman DR: Reasoning strategies and the use of biomedical knowledge by medical students. Med Educ 24:129–136, 1990.

254. Patel VL, Groen GJ, Arocha JF: Medical expertise as a function of task difficulty. Mem Cognit 18:394–406, 1990.

255. Lesgold AM, Feltovich PJ, Glase, R, Wang Y: The acquisition of perceptual diagnostic skill in radiology (Technical Report No. PDS-1). Pittsburgh, PA: University of Pittsburgh Learning Research and Development Center, 1981.

256. DeAnda A, Gaba DM: Unplanned incidents during comprehensive anesthesia simulation. Anesthes Analg 71:77–82, 1990.

257. Loeb RG, Fitch WT: A laboratory evaluation of an auditory display designed to enhance intraoperative monitoring. Anesth Analg 94:362–368, 2002; table.

258. Runciman WB, Webb RK, Barker L, Currie M: The Australian Incident Monitoring Study. The pulse oximeter: applications and limitations—an analysis of 2000 incident reports. Anaesth Intensive Care 21:543–550, 1993.

259. Morris RW, Montano SR: Response times to visual and auditory alarms during anaesthesia. Anaesth Intensive Care 24:682–684, 1996.

260. Craven RM, McIndoe AK: Continuous auditory monitoring—how much information do we register? Br J Anaesth 83:747–749, 1999.

261. Schwid HA, Rooke GA, Michalowski P, Ross BK: Screen-based anesthesia simulation with debriefing improves performance in a mannequin-based anesthesia simulator. Teach Learn Med 13:92–96, 2001.

262. Schwid HA, Rooke GA, Ross BK, Sivarajan M: Use of a computerized advanced cardiac life support simulator improves retention of advanced cardiac life support guidelines better than a textbook review. Crit Care Med 27:821–824, 1999.

263. Fletcher G, Flin R, McGeorge P, Glavin R, et al: Anaesthetists' Non-Technical Skills (ANTS): Evaluation of a behavioural marker system. Br J Anaesth 90:580–588, 2003.

264. Fletcher GC, McGeorge P, Flin RH, et al: The role of non-technical skills in anaesthesia: A review of current literature. Br J Anaesth 88:418–429, 2002.

265. Reznek M, Smith-Coggins R, Howard S, et al: Emergency medicine crisis resource management (EMCRM): Pilot study of a simulation-based crisis management course for emergency medicine. Acad Emerg Med 10:386–389, 2003.

266. Gaba DM: Two examples of how to evaluate the impact of new approaches to teaching [editorial]. Anesthesiology 96:1–2, 2002.

267. Gaba DM, Howard SK, Fish KJ, et al: Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience. Simulat Gam 32:175–193, 2001.

268. Smith BE, Howard SK, Weinger MB, Gaba DM: Performance of the pre-anesthesia equipment checkout: A simulator study. 23. 1999. Meeting of the Society for Technology in Anesthesia. San Diego, CA, 1999.

269. Weinger MB, Vora S, Herndon CN, et al: Evaluation of the effects of fatigue and sleepiness on clinical performance of on-call anesthesia residents during actual nighttime cases and in simulated cases. Proceedings of Enhancing Patient Safety and Reducing Errors in Health Care. Rancho Mirage, CA, National Patient Safety Foundation, 1999, pp 306–310.

270. Glavin RJ, Maran NJ: Development and use of scoring systems for assessment of clinical competence. Br J Anaesth 88:329–330, 2002.

271. Neisser U: Cognition and Reality: Principles and Implications of Cognitive Psychology. San Francisco, WH Freeman, 1976.

272. Mackenzie CF, Craig GR, Parr MJ: Video analysis of two emergency tracheal intubations identifies errors in decision making [abstract]. J Clin Monit 9:227–228, 1993.

273. Mackenzie CF, Hu PF, Horst RL, Group LOTA: An audio-video system for automated data acquisition in the clinical environment. J Clin Monit 11:335–341, 1995.

274. Mackenzie CF, Martin P, Xiao Y: Video analysis of prolonged uncorrected esophageal intubation. Level One Trauma Anesthesia Simulation Group. Anesthesiology 84:1494–1503, 1996.

275. Mackenzie CF, Jefferies NJ, Hunter WA, et al: Comparison of self-reporting of deficiencies in airway management with video analyses of actual performance. LOTAS Group. Level One Trauma Anesthesia Simulation. Hum Factors 38:623–635, 1996.

276. Xiao Y, Mackenzie CF, Patey R, LOTAS Group: Team coordination and breakdown in a real-life stressful environment. Proceedings of the Human Factors and Ergonomics Society 42nd annual meeting, 1998.

277. Xiao Y, MacKenzie C, Orasanu J, et al: Information acquisition from audio-video-data sources: An experimental study on remote diagnosis. The LOTAS Group. Telemed J 5:139–155, 1999.

278. Schafer HG: How do we communicate in the induction room? Paper presented at the 13th Myron B. Laver International Postgraduate Course: Impact of Human Factors on Patient Safety. Basel, Department of Anaesthesia, University of Basel, 1993.
3070


279. Sexton B, Marsch S, Helmreich R, et al: Jumpseating in the Operating Room [abstract]. New York, Plenum, 1996, pp 107–108.

280. Devitt H, Kurrek M, Cohen M, et al: Testing the instrument: Internal consistency during evaluation of performance in an anesthesia simulator [abstract]. Anesthesiology 85:A931, 1996.

281. Reason J: The contribution of latent human failures to the breakdown of complex systems. Philos Trans R Soc Lond [Biol] 327:475–484, 1990.

282. Maurino DE, Reason J, Johnston N, Lee RB: Beyond Aviation Human Factors. Aldershot, Ashgate, UK, 1995.

283. Woods DD, Johannesen LJ, Cook RI, Sarter NB: Behind Human Error: Cognitive System, Computers, and Hindsight. Wright Patterson Air Force Base, Crew Systems Ergonomics Information Analysis Center, 1994.

284. Columbia Accident Investigation Board Report, Vol 1, 2003.

285. Reason J: Human Error. Cambridge, Cambridge University Press, 1994.

286. Rall M, Schaedle B, Zieger J, et al: [Innovative training for enhancing patient safety. Safety culture and integrated concepts] Neue Trainingsformen und Erhöhung der Patientensicherheit—Sicherheitskultur und integrierte Konzepte. Unfallchirurg 105:1033–1042, 2002.

287. Helmreich RL: On error management: Lessons from aviation. BMJ 320: 781–785, 2000.

288. Eagle CJ, Davies JM, Reason J: Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J Anaesth 39:118–122, 1992; see comments.

289. Berwick DM, Leape LL: Reducing errors in medicine—It's time to take this more seriously. BMJ 319:136–137, 1999.

290. Leape LL, Berwick DM: Safe health care: Are we up to it? [editorial]. BMJ 320:725–726, 2000.

291. Error Reduction in Health Care—A Systems Approach to Improving Patient Safety. San Francisco, Health Forum AHA Press, Jossey-Bass, 2000.

292. Gaba DM, Howard SK, Jump B: Production pressure in the work environment: California anesthesiologists' attitudes and experiences. Anesthesiology 81:488–500, 1994.

293. Perrow C: The limits of safety: The enhancement of a theory of accidents. J Conting Crisis Manage 2:212–220, 1994.

294. Perrow C: Normal Accidents. Princeton, Princeton University Press, 1999.

295. Sagan SD: The Limits of Safety. Princeton, Princeton University Press, 1993.

296. La Porte TR: A strawman speaks up: Comments on "The Limits of Safety: Organizations, Accidents, and Nuclear Weapons." J Conting Crisis Manage 2:207–211, 1994.

297. La Porte TR, Rochlin G: A rejoinder to Perrow. J Conting Crisis Manage 2:221–227, 1994.

298. Roberts KH: Some characteristics of high reliability organizations. Org Sci 1:160–177, 1990.

299. Roberts KH, Stout SK, Halpern JJ: Decision dynamics in two high reliability military organizations. Manage Sci 40:614–624, 1994.

300. Roberts KH, Rousseau DM, La Porte TR: The culture of high reliability: Quantitative and qualitative assessment aboard nuclear powered aircraft carriers. J High Tech Manage Res 5:141–161, 1994.

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