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Anzal (Alprazolam)

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Alprazolam, available under the trade name Xanax, is a potent, short-acting benzodiazepine anxiolytic—a minor tranquilizer. It is commonly used for the treatment of anxiety disorders, especially of panic disorder, but also in the treatment of generalized anxiety disorder (GAD) or social anxiety disorder. It was the 12th most prescribed medicine in the United States in 2010. Anzal, like other benzodiazepines, binds to specific sites on the GABAA receptor. It possesses anxiolytic, sedative, hypnotic, skeletal muscle relaxant, anticonvulsant, amnestic, and antidepressant properties. Anzal is available for oral administration as compressed tablets (CT) and extended-release capsules (XR).

Other names for this medication:
Alamflu, Alflux, Alprawin, Alzin, Alzopam, Anxicalm, Anzocalm, Aryalam, Ateez, Balzam, Benzolam, Berest, Cqlam, Depser, Dipra, Exiten, Exprex, Fluzolam, Imprax, Indolam, Mentolift, Normatine, Notence, Plaxid, Plxna, Pralam, Prazolam, Resolin, Sertamax, Synozolam, Tenfree, Trika, Xycalm, Zallpam, Zeprax, Zolin, Zoltweet

Similar Products:
Catapres, Revia, Plaquenil, Geodon, Pyridium, Naprosyn, Sovaldi

Also known as: Alprazolam


{name} (alprazolam) is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). It is thought that alprazolam works by enhancing the activity of certain neurotransmitters in the brain.

{name} is used to treat anxiety disorders and anxiety caused by depression.

{name} is also used to treat panic disorders with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).

It is dangerous to purchase {name} on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.


This section provides information on the proper use of a number of products that contain alprazolam. It may not be specific to Anzal. Please read with care.

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much of this medicine is used for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose.

This medicine should come with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

Swallow the extended-release tablet or tablet whole with a full glass of water. Do not break, crush, or chew it.

If you are using the orally disintegrating tablet, make sure your hands are dry before you handle the tablet. Do not remove the tablets from the bottle until you are ready to take it. Place the tablet immediately on the top of your tongue. It should melt quickly and be swallowed with saliva.

If you are using the oral liquid, measure the dose with a marked measuring spoon, oral syringe, or medicine cup.

Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For anxiety: For oral dosage forms (solution, tablets, or orally disintegrating tablets): Adults—At first, 0.25 to 0.5 milligram (mg) 3 times a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 4 mg per day. Older adults—At first, 0.25 mg 2 or 3 times a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor. For panic disorder: For oral dosage form (extended-release tablets): Adults—At first, 0.5 to 1 milligram (mg) taken in the morning once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 10 mg per day. Older adults—At first, 0.5 mg taken in the morning once a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor. For oral dosage forms (solution, tablets, or orally disintegrating tablets): Adults—At first, 0.5 milligram (mg) 3 times a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 10 mg per day. Older adults—At first, 0.25 mg 2 or 3 times a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor.


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of alprazolam can be fatal.

Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

It is very important to protect the orally disintegrating tablets from moisture. Remove and throw away any cotton packaging from the medicine bottle when you first use the medicine.

Detailed Anzal dosage information

Side effects

The most common side effects associated with Anzal are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine.

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Although this regime has been extensively studied, there is no agreement about whether the dropouts are deterministically or stochastically generated. The patient required 2 further resections after the lesion exhibited a rapid regrowth from residual tumor in the left transverse sinus. In a second experiment, a unilateral microinjection of bicuculline into the IC induced AGS susceptibility in normal rats. The distribution and morphology of mitochondria are dramatically affected during infection with rubella virus (RV). On the contrary, in recent years, better anesthetic management has evidently played an important role in improving surgical outcomes. The purpose of this paper is to describe these deformities, the modification of surgical approaches to avoid them, and the various techniques for secondary soft tissue reconstruction. Several useful conversion tools can convert genome interval files in browser extensible data or general feature format, but none have the functionality to convert files in sequence alignment map or BigWig format.

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Crosstalk between various nematode resistance-related elements can be seen as an integrated signaling network regulated by transcription factors and small RNAs at the transcriptional, posttranscriptional, and/or translational levels. To investigate the clinical characteristics, treatment and the effectiveness of sinonasal inverting papilloma with recurrence and malignant transformation. Electron-rich heteroaromatic conjugated polypyridine ruthenium sensitizers for dye-sensitized solar cells. This study was undertaken to investigate whether enzymatic matrix digestion can be used to stimulate integrative cartilage repair via a mechanism of local increase in the amount of vital chondrocytes in cartilage wound edges. As budgets get squeezed the pharmaceutical Industry has been looking at how to contain or reduce cost and support an increased number of projects. Grafting the anterior maxilla after tooth loss from external resorption. Micropropagation and hairy root culture of Ophiorrhiza alata Craib for camptothecin production. Where gonorrhoea is concerned, no documentation exists in the literature for non-sexual infection in children. To better understand how holobiont microbial populations interact with corals during health and disease and to evaluate whether selective pressures in the holobiont or neutral assembly shape microbial composition, we have examined the microbiota structure of Mussismilia corals according to coral lineage, environment, and disease/health status. Several methods have been proposed to make such a reference RNA, such as pooling RNAs isolated from multiple cell lines or tissues, amplifying pooled RNAs, or synthesizing RNAs or DNAs complementary to microarray features.

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Central versus peripheral airway obstruction in bronchial responsiveness due to exercise. This work provides information on the mechanism of spore resistance to, and spore killing by, the disinfectant, OPA. Evaluation and treatment of other comorbid sleep disorders are recommended, as is cognitive-behavioral therapy for insomnia. Reaching a decision was correlated with activations in the medial frontal cortex as well as the posterior cingulate and the precuneus. Interaction and adhesion properties of polyelectrolyte multilayers. Relationship between permeability and luminal concentrations of lactate and glycerol in the small intestine?. Median changes in distance and near visual acuities and reading speed at 12 months after surgery were analyzed with respect to lesion size and composition. The kidney function in patients with hypertension during long-term follow-up and treatment in a polyclinic.

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Geographic disparities in declining rates of heart disease mortality in the southern United States, 1973-2010. On the basis of its synergy with chemotherapy in preclinical studies, we evaluated the antitumor activity of amatuximab plus pemetrexed and cisplatin in patients with unresectable MPM. Anterior segment examination of the right eye revealed subconjunctival hemorrhage, 3 corneal subepithelial peripheral infiltrates separated from the limbus by a clear zone, and mild anterior chamber reaction. European caregivers of children/adolescents with ADHD identified multiple unmet needs, which persist despite treatment. But, the existing literature about the physiological and nutritional status of the undergraduate college students of Kolkata is insufficient. Web-based self-management for young cancer survivors: consideration of user requirements and barriers to implementation.

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A one-year retrospective analysis of all UGB episodes was performed. Hematological profile in children with congenital heart disease. Perhaps the greatest impact has resulted from the cloning of genes corresponding to the five mouse monogenic obesity syndromes and the subsequent characterization of the human counterparts to these syndromes. The variable CYP3A expression suggests the existence of a marked interindividual variability in drug metabolism during the intrauterine life and in perinatal period. This specificity has proven effective in determining the involvement of many proteins in neuronal function where specific agonists and antagonists do not exist, e.g. Perinatal salt restriction: a new pathway to programming insulin resistance and dyslipidemia in adult wistar rats. Additional guidelines are available to guide management in patients requiring triple antithrombotic therapy but do not provide definitive recommendations on NOACs. Effect of management, marketing, and certified health programs on the sale price of beef calves sold through a livestock video auction service from 1995 through 2009. 5S rRNA extends from the central protuberance of the large ribosomal subunit, through the A-site finger, and down to the GTPase-associated center. Human serum albumin (HSA) and L-alpha-dimyristoylphosphatidic acid (DMPA) were applied as a pair to encapsulate ibuprofen microcrystals by means of a technique based on the layer-by-layer (LbL) assembly of oppositely charged species, for the purpose of controlling drug release.

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Transfection of wtp53 and Rb94 genes into retinoblastomas of nude mice by ultrasound-targeted microbubble destruction. plantarum DSM 15313 has anti-diabetic properties when fed together with an HFD. A new water-soluble uranyl-salophen complex incorporating two glucose units has been synthesized. We designed this study to determine whether hematogenous spread has a role in the etiology of port site metastases following laparoscopic surgery. Therapy for mucopolysaccharidosis VI: (Maroteaux-Lamy syndrome) present status and prospects.

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Definition of Electronic Health Records and its association with the terminology, classification and coding is presented. These findings highlight the need to consider the potential for multiple scale- and state-dependent interaction effects when examining the ecology of fish-coral associations. Oral administration of oxygenated water has been shown to improve blood oxygenation and could be an alternate way for oxygen (O2) supply. Analysis of the epidermal growth factor receptor specific transcriptome: effect of receptor expression level and an activating mutation. The aim was to assess the past trends in PubMed-indexed medical publications from Mansoura Faculty of Medicine and to have an idea about the current situation in medical research. This provides a metric on which Australian institutions and disciplines are ranked for international competitiveness. The SFS also showed good internal consistency and test-retest reliability. The European Academy of Pediatric Dentistry criteria were followed for MIH diagnosis. Our objective was to review the safety, indications, technique, and results of endovascular management of graft problems. At least for the tests examined, the common practice of reading diagnostic tests with clinical information seems justified.

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Hence, it is important for emergency physicians to identify the presence of strangulation, while making the diagnosis of closed loop small bowel obstruction. The providers themselves were less clear about which indicators best lent themselves to the purpose of performance monitoring. Pregnancy influences the plasma cytokine response to intraperitoneal administration of bacterial endotoxin in rats. The rate of reendothelialization is critical in neointima formation after arterial injury. Delayed cutaneous wound closure in HO-2 deficient mice despite normal HO-1 expression. The patient subsequently exhibited other signs of KD and was diagnosed with KD and retropharyngeal edema. Probing the dielectric environment surrounding poly(N-isopropylacrylamide) in aqueous solution with covalently attached spirobenzopyran. Body weight, liver weight, and liver weight/body weight ratio was calculated.

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For a fixed guest diameter, the Lennard-Jones well-depth is found to systematically shift the guest-host potential-of-mean force to lower free energies, however, the optimal guest size is found to be insensitive to increasing well-depth. The results suggest that relying on private insurance companies to deliver public programs in middle-income settings may impact provider responsiveness and indicate the need for continuous monitoring and regulation. The landscape structure that determines the density and distribution of cats may thus impact the spatial distribution of T. Oxygen-sensitive HIF-1alpha is subjected to post-translational modifications such as hydroxylation, ubiquitination, and acetylation, which are related to the regulation of its stability. At the start of treatment with cetuximab and panitumumab, the proper patient education about the skin rash associated with these mAbs and the implementation of a pre-emptive, comprehensive skin toxicity program significantly contribute to improve adherence to therapy, optimize anti-EGFR therapy and maintain quality-of-life. The incidence and severity of POST at 0, 2, 4, 6, 12 and 24 hours postoperatively were assessed. Analysis of macrophages from p50 and BCL-3 knock-out mice revealed that both transcription factors negatively regulate TNFalpha expression and that BCL-3 inhibits IL-1alpha and IL-1beta. The remainder of the connections was with areas 3a and 5 and the medial bank and fundus of the IPS.

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The approach is based on the equation of motion for the current-current response function and considers both spin and charge disorder and electron-electron interaction on an equal footing. Pt-Ni alloy nanoparticles as superior counter electrodes for dye-sensitized solar cells: experimental and theoretical understanding. A hand-held impactor is described that is generic zantac ranitidine safe to take allows secure impaction of retropulsed vertebral body bone fragments in burst fractures of the thoracic or lumbar spine. GTP-bound ARL2 inactivates RhoA and BART prevents ARL2 from regulating RhoA activity. This study in rural Uganda relates surgical output to number of hospital beds, number of in-patient admissions, number of new out-patient visits, estimated catchment area population and number of doctors and nurses.

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Development of substrate-selective probes for affinity pulldown of histone demethylases. Continuous and isolated 3D structures can be selectively fabricated with the assistance of thermo-mechanical deformation of the polymer stamp. Taken together with previous MD analysis of alpha-helices and beta-hairpins, the present simulation results indicate that the free energy surface and folding mechanism of structured peptides have a weak temperature dependence. Limitation of infarct size by beta blockers and its potential role for prognosis. Women with newly diagnosed stage I or II breast cancer from 1992 to 2000 in the Surveillance, Epidemiology, and End Results program. PBL were obtained from 43 AS patients with asthma and rhinosinusitis, 35 AT asthmatics and 17 healthy control (HC) subjects. The present study examined the effect of kolaviron on acetylcholinesterase activities in the hippocampus and striatum of adult Wistar rats. Our system uses a combination of an optical laser guide and a virtual guide in the augmented image to provide intuitive guidance for the needle placement. Other fetal variables, and all measured maternal variables, were unaffected.

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We report a case of multiple magnet ingestion who presented with peritonitis. RASSF1A expression was also detected by reverse-transcription polymerase chain reaction (RT-PCR) in 28 glioma tissues. For both subfamilies there was evidence of a disproportionate increase in predation on aphids once Collembola populations had declined. Then, it presents a detailed review of some related projects, systems, techniques, approaches and algorithms. The codons chosen for the NAP1 sequence correspond almost exclusively to those most frequently occurring in highly expressed yeast genes. Relationship between plasma concentration and arousal in normal subjects after single oral and parenteral doses of melperone, a butyrophenone neuroleptic. These results were compared with the pretreatment data within the IHH group.

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AngII-mediated EGFR autophosphorylation was inhibited by losartan and AG1478. Effect of rapid-eye-movement sleep deprivation on rat hypothalamic prostaglandins. Silent information regulator 2 homolog 1 counters cerebral hypoperfusion injury by deacetylating endothelial nitric oxide synthase. Therefore the effect of the long acting agent ranitidine on pH and volume of gastric secretion after a single administration at 22.00 h on the previous evening has been investigated. Probiotic therapy is based on the concept of normal healthy microflora. In summer, during a period of marked stratification with low dissolved oxygen near the bottom, the organisms avoided the deepest layers, and migration was nocturnal or undetectable, in both periods. Spending less time with friends and more time with their parents constituted a threat to independence and development.

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Exposure rate as a determinant of the synergistic interaction of heat combined with ionizing or ultraviolet radiation in cell killing. Coexpression of SIP1 with Pc2 can partially relieve E-cadherin repression by SIP1. Thus, we conclude that the encoding of communication signals is modulated by ear mechanics. In the past 20 years a large number of studies have been made in order to investigate what is associated with the severity ofperimenopausal symptoms and large interindividual differences in their manifestation. Apparent kinetic constants k(cat allopurinol et zyloprim 300 mg oral tablet ) and K(m) were determined for tyrocidine thioesterase (TycC TE) using randomized peptide N-acetylcysteamine thioesters as substrate analogues. Utility of a limited panel of calretinin and Ber-EP4 immunocytochemistry on cytospin preparation of serous effusions: A cost-effective measure in resource-limited settings. Surfactant therapy in infants and children: three years experience in a pediatric intensive care unit. She was treated for pneumonia for 7 days and was successfully extubated. Toward bicelle stability with ether-linked phospholipids: temperature, composition, and hydration diagrams by 2H and 31P solid-state NMR.

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The formula is most useful when applied within a specific institution and primarily for comparative purposes. Mathematical model based analyses should supplement, but should not replace, direct data analyses. Although some centers have reported equivalent results for retransplantation as for primary transplantation, this strategy remains controversial. Major differences occurred in the percent of bedding which was retained or passed through the different sieves, when the shake time was varied from 0.5 to 5 minutes. To determine the proportion of patients with monosymptomatic optic neuritis who manifest new brain MRI lesions without having developed clinically definite multiple sclerosis 10 to 14 years after enrollment in the ONTT. Here, we found that higher plasma FGF23 was independently associated with decreased heart rate variability in stage 5 CKD patients and parathyroidectomy may reverse these abnormal indicators. The frozen section analysis of common iliac lymph nodes can develop the accuracy of the para-aortic lymphadenectomy and metastasis rate of para-aortic lymph node in patients with stage IB1 and IIA1 cervical cancer. Sodium consumption patterns over time were examined using linear mixed models.

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Excellent results of en-bloc resection in 8 cases of humerus bone cyst are reported. The molecular mechanics simulations reveal that there exists an optimum functionalization degree at which lipitor 20 mg obat apa the critical curvatures of the functionalized carbon nanotubes reaches its maximum value. We found that ZFX inhibition resulted in significantly impaired proliferation and colony formation as well as mitigated invasiveness of Saos-2 cells. The first known attempts to take photographs below the surface of the water were carried out shortly after the appearance of the daguerreotype in 1839. The expression of znuABC was reduced in response to increased zinc in a dose-dependent manner, and zinT had a less pronounced but similar pattern of zinc-regulated expression. Concomitants of perceived trust in hospital and medical services following Hurricane Sandy. The main goal of this agreement has been cooperation in development and running of joint education and training of young researchers. A comparison of methods is used to analyse refractive powers using individual powers and aggregate data. Cerebral white matter lesions and lacunar brain infarcts are caused by small-vessel disease and are commonly observed on MRI scans in elderly people.

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The flow rate of the mobile phase was set at 1.5mL/min and the effluent was monitored at 280nm. More competition among physicians is related to lower prices paid by private PPOs for office visits. PNPLA6 mutations cause Boucher-Neuhauser and Gordon Holmes syndromes as part of a broad neurodegenerative spectrum. Indeed, the factors regulating mitochondrial dynamics during 3D cell culture remain unclear. Both sets of results are thus consistent with a specific defect of DC maturation in these mice. Effect of soil bradyrhizobia on the success of soybean inoculant strain CB 1809. We report a case of severe biliary complication, associating main bile duct stricture and biliary pleural fistula, arising after extensive RFA for unresectable liver metastasis of central location.

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Activities of hepatic carbamoylphosphate synthase-I (CPS-I) and ornithine transcarbamoylase (OTC) were significantly lower in vitamin A--deficient animals than in control rats at the end of 13 wk of feeding. The development of NK cell activity in thymectomized bone marrow chimaeras. Female hyperandrogenemia and normal serum levels of testosterone and sex hormone binding globulin. In order to determine the distribution of isomeric structures in the PI and PB samples, the samples are fractionated by ThFFF in cyclohexane and subsequently analyzed by (1) H NMR. REVIEW FOCUS: A small number of studies are used in this article, as examples, to demonstrate the range of researcher safety issues in nursing. Whereas genetically reduced PPARgamma activity in adipose tissue leads to reduction of total fat mass in humans and in mice, mutations in the ligand-binding domain of PPARgamma cause abnormal body fat distributions. The two modes are interfaced with the same virtual reality platform, thus SimMentor allows a seamless transition between the modes. To characterise the epidemiological and clinical features of genital herpes and the diagnostic role of HSV-2 specific serology in an ethnically diverse cohort of genitourinary medicine (GUM) attendees in inner London. Comparative studies on lactate dehydrogenase activity of saliva and serum in childhood.

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This process was tested with cyclotron-produced (99m)Tc using an automated system and disposable kits. In cryptorchid animals, conversion of available substrate to various metabolites by testicular tissue comprised of Leydig and Sertoli cells was comparable to that of intact controls. The presence of concomitant posterior malleolus fractures in these cases shifts treatment preference further towards open reduction with internal fixation. Retinal twin cones or retinal double cones in fish: misnomer or different morphological forms?. Cardiovascular disease symptoms in Norway--a study of prevalence and a mortality follow-up. A high level of awareness but a poor control of hypertension among elderly Greeks. Atropine reduced, but did not abolish, the response to neural stimulation. CPMN also showed alterations earlier than CML cells, but this difference was not as prominent as in the case of lymphocytes and was observed for a maximum of 3 min of dialysis. Gender had no significant effect on either EEG power or cortical coupling. To analysis the nutrient and effective ingredients of in Cordyceps militaris and make the best use of its medical value.

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Visceral aneurysm and vascular anomaly involving the splenic artery. Were utilized 70 adult male Wistar rats that received daily oral or what antibiotic is stronger than bactrim topic green or mate tea treatment during exposed to radiation by seven days. There are significant differences in the attitudes, opinions, and referral patterns between physicians who have and have not taken an A/I rotation. A cerebrospinal analysis showed slight elevation of protein without pleocytosis. Their electrochemical behaviors and contents in 0.15 mol x L(-1) NaCl aqueous solutions were obtained by cyclic voltammetry (CV) and square wave voltammetry (SWV) methods.

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