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Cutting-Edge Developments in Military Vascular Surgery and Regenerative Medicine: Col. (Ret.) W. Darrin Clouse, MD, FACS
Manage episode 441747536 series 2964682
Join us for an enlightening discussion with Dr. Darrin Clouse, a retired Air Force Colonel and esteemed vascular surgeon, as we explore the modernization of military medicine. With over two decades of experience, including deployments to Iraq and Afghanistan, Dr. Clouse shares his invaluable insights on the complexity and multiplicity of vascular injuries in combat settings. Hear about his role in developing endovascular platforms, and the challenges he faced treating severe blast injuries with extensive vascular damage. Dr. Clouse also highlights the unmet needs in vascular surgery, emphasizing the necessity for infection-resistant conduits and advancements in temporary shunting techniques.
We also delve into Human Acellular Vessels (HAV) 's exciting potential in medical and military applications. Dr. Clouse discusses the successful implementation of HAVs in Ukraine and the upcoming FDA adjudication that could bring these life-saving technologies to trauma centers across the U.S. The conversation extends to the logistical challenges of deploying HAVs in battlefield settings and the future of regenerative medicine. Additionally, discover the significance of the WarDocs and OpMed TV partnership, which aims to document and preserve the rich history of military medicine. Don't miss Dr. Clouse's valuable advice for young individuals considering a career in military medicine, highlighting the unparalleled learning experiences and opportunities for growth in this field.
Chapters:
(00:04) Optimizing Military Medicine Through Modernization
(11:02) Advances in Military Medicine Technology
Chapter Summaries:
(00:04) Optimizing Military Medicine Through Modernization
This chapter features a conversation with Dr. Darrin Clouse, a retired Air Force Colonel and vascular surgeon currently leading the Vascular and Endovascular Surgery Division at the University of Virginia Health. We explore his military career, which spanned over two decades and included deployments to Iraq and Afghanistan, where he played a crucial role in developing endovascular platforms and addressing complex vascular injuries. Dr. Clouse contrasts the differences between military and civilian vascular injuries, emphasizing the complexity and multiplicity of wounds in a combat setting. He recounts a particularly challenging case involving a severe blast injury with extensive vascular and hollow viscous damage. Additionally, we discuss unmet needs in vascular surgery, such as the necessity for an off-the-shelf, infection-resistant conduit, highlighting the importance of timely revascularization and advancements in temporary shunting techniques.
(11:02) Advances in Military Medicine Technology
This chapter focuses on the current status and future potential of acellular vessels (HAV) in medical and military applications. We explore the promising results from recent uses in Ukraine, where HAVs have been successfully implemented in 18 patients with severe arterial injuries. The discussion touches on the regulatory landscape, highlighting an upcoming FDA adjudication that could make HAVs widely available in trauma centers across the U.S. We also consider the logistical aspects of deploying HAVs in battlefield settings, particularly within different roles of military medical care. The conversation extends to the future of regenerative medicine, envisioning a world where lab-grown vessels can seamlessly replace damaged arteries and veins. Finally, valuable advice is offered for young individuals considering a career in military medicine, emphasizing unparalleled learning experiences and opportunities for growth within the field.
Take Home Messages:
- Advancements in Battlefield Vascular Surgery: The episode highlights the unique challenges of treating vascular injuries in combat zones, particularly those caused by blasts. Significant progress has been made in developing endovascular platforms and temporary shunting techniques, which are critical for timely revascularization and improving patient outcomes in military settings.
- Innovative Use of Acellular Vessels: The discussion covers the promising future of human acellular vessels (HAV) in both military and civilian medical applications. These vessels, which are engineered to be infection-resistant and conducive to cell infiltration, have shown positive results in recent uses in Ukraine, with potential for broader application pending FDA approval.
- Logistical Challenges and Solutions: Deploying advanced medical technologies like HAVs in battlefield scenarios presents logistical hurdles. The episode explores how these technologies could be integrated into different roles of military medical care, emphasizing the need for definitive vascular reconstructions to be performed at more resourced medical facilities.
- Regenerative Medicine’s Potential: The episode envisions a future where lab-grown vessels could seamlessly replace damaged arteries and veins, marking a significant leap in regenerative medicine. The potential for bioengineered veins and arteries could revolutionize vascular surgery and trauma care.
- Career Insights in Military Medicine: For those considering a career in military medicine, the episode offers invaluable advice on the unique learning opportunities and personal growth it provides. The collaborative efforts and technological advancements discussed highlight the dynamic and impactful nature of this field.
Episode Keywords:
Military Medicine, Modernization, Vascular Surgery, Combat Injuries, Endovascular Platforms, Blast Injuries, Infection-Resistant Conduits, Temporary Shunting Techniques, Acellular Vessels, Regenerative Medicine, WarDocs, OpMed TV, Partnership, History, Legacy, Future Generations, Collaborative Project, Learning Experiences, Personal Growth
Hashtags:
#MilitaryMedicine, #Modernization, #VascularSurgery, #CombatInjuries, #EndovascularPlatforms, #BlastInjuries, #Infection-ResistantConduits, #TemporaryShuntingTechniques, #AcellularVessels, #RegenerativeMedicine, #WarDocs, #OpMedTV, #Partnership, #History, #Legacy, #FutureGenerations, #CollaborativeProject, #LearningExperiences, #PersonalGrowth
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: https://www.youtube.com/@wardocspodcast
241集单集
Manage episode 441747536 series 2964682
Join us for an enlightening discussion with Dr. Darrin Clouse, a retired Air Force Colonel and esteemed vascular surgeon, as we explore the modernization of military medicine. With over two decades of experience, including deployments to Iraq and Afghanistan, Dr. Clouse shares his invaluable insights on the complexity and multiplicity of vascular injuries in combat settings. Hear about his role in developing endovascular platforms, and the challenges he faced treating severe blast injuries with extensive vascular damage. Dr. Clouse also highlights the unmet needs in vascular surgery, emphasizing the necessity for infection-resistant conduits and advancements in temporary shunting techniques.
We also delve into Human Acellular Vessels (HAV) 's exciting potential in medical and military applications. Dr. Clouse discusses the successful implementation of HAVs in Ukraine and the upcoming FDA adjudication that could bring these life-saving technologies to trauma centers across the U.S. The conversation extends to the logistical challenges of deploying HAVs in battlefield settings and the future of regenerative medicine. Additionally, discover the significance of the WarDocs and OpMed TV partnership, which aims to document and preserve the rich history of military medicine. Don't miss Dr. Clouse's valuable advice for young individuals considering a career in military medicine, highlighting the unparalleled learning experiences and opportunities for growth in this field.
Chapters:
(00:04) Optimizing Military Medicine Through Modernization
(11:02) Advances in Military Medicine Technology
Chapter Summaries:
(00:04) Optimizing Military Medicine Through Modernization
This chapter features a conversation with Dr. Darrin Clouse, a retired Air Force Colonel and vascular surgeon currently leading the Vascular and Endovascular Surgery Division at the University of Virginia Health. We explore his military career, which spanned over two decades and included deployments to Iraq and Afghanistan, where he played a crucial role in developing endovascular platforms and addressing complex vascular injuries. Dr. Clouse contrasts the differences between military and civilian vascular injuries, emphasizing the complexity and multiplicity of wounds in a combat setting. He recounts a particularly challenging case involving a severe blast injury with extensive vascular and hollow viscous damage. Additionally, we discuss unmet needs in vascular surgery, such as the necessity for an off-the-shelf, infection-resistant conduit, highlighting the importance of timely revascularization and advancements in temporary shunting techniques.
(11:02) Advances in Military Medicine Technology
This chapter focuses on the current status and future potential of acellular vessels (HAV) in medical and military applications. We explore the promising results from recent uses in Ukraine, where HAVs have been successfully implemented in 18 patients with severe arterial injuries. The discussion touches on the regulatory landscape, highlighting an upcoming FDA adjudication that could make HAVs widely available in trauma centers across the U.S. We also consider the logistical aspects of deploying HAVs in battlefield settings, particularly within different roles of military medical care. The conversation extends to the future of regenerative medicine, envisioning a world where lab-grown vessels can seamlessly replace damaged arteries and veins. Finally, valuable advice is offered for young individuals considering a career in military medicine, emphasizing unparalleled learning experiences and opportunities for growth within the field.
Take Home Messages:
- Advancements in Battlefield Vascular Surgery: The episode highlights the unique challenges of treating vascular injuries in combat zones, particularly those caused by blasts. Significant progress has been made in developing endovascular platforms and temporary shunting techniques, which are critical for timely revascularization and improving patient outcomes in military settings.
- Innovative Use of Acellular Vessels: The discussion covers the promising future of human acellular vessels (HAV) in both military and civilian medical applications. These vessels, which are engineered to be infection-resistant and conducive to cell infiltration, have shown positive results in recent uses in Ukraine, with potential for broader application pending FDA approval.
- Logistical Challenges and Solutions: Deploying advanced medical technologies like HAVs in battlefield scenarios presents logistical hurdles. The episode explores how these technologies could be integrated into different roles of military medical care, emphasizing the need for definitive vascular reconstructions to be performed at more resourced medical facilities.
- Regenerative Medicine’s Potential: The episode envisions a future where lab-grown vessels could seamlessly replace damaged arteries and veins, marking a significant leap in regenerative medicine. The potential for bioengineered veins and arteries could revolutionize vascular surgery and trauma care.
- Career Insights in Military Medicine: For those considering a career in military medicine, the episode offers invaluable advice on the unique learning opportunities and personal growth it provides. The collaborative efforts and technological advancements discussed highlight the dynamic and impactful nature of this field.
Episode Keywords:
Military Medicine, Modernization, Vascular Surgery, Combat Injuries, Endovascular Platforms, Blast Injuries, Infection-Resistant Conduits, Temporary Shunting Techniques, Acellular Vessels, Regenerative Medicine, WarDocs, OpMed TV, Partnership, History, Legacy, Future Generations, Collaborative Project, Learning Experiences, Personal Growth
Hashtags:
#MilitaryMedicine, #Modernization, #VascularSurgery, #CombatInjuries, #EndovascularPlatforms, #BlastInjuries, #Infection-ResistantConduits, #TemporaryShuntingTechniques, #AcellularVessels, #RegenerativeMedicine, #WarDocs, #OpMedTV, #Partnership, #History, #Legacy, #FutureGenerations, #CollaborativeProject, #LearningExperiences, #PersonalGrowth
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: https://www.youtube.com/@wardocspodcast
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1 Charting a Course in Military Medicine and Academia- Col (Ret) Jessica Servey, MD, MHPE, FAAFP 48:07

1 “You Belong at the Table”- Conquering Self-Doubt and Overcoming Imposter Syndrome in Military Medicine. 57:32

1 Combat Neurosurgery: Expert Insights on Managing Head Trauma and Surgical Techniques While Deployed-LTC Ryan Morton, MD. 25:43

1 Navigating the Frontlines of Military Neurosurgery: Innovations and Challenges- LTC Ryan Morton, MD 45:44

1 The Heart of Healthcare Leadership with Maj Gen (Ret) Paul Friedrichs, MD- Ten Good Minutes on Leadership 18:59

1 Dr. Stephen Ferrara's Strategic Vision for Military Medicine: Enhancing Care and Maintaining Readiness 41:45

1 Breaking Barriers: COL(R) Pauline Gross, PA-C, on Transforming Military Medicine and Empowering Women 49:15

1 Healing from Trauma and Finding Hope- Spiritual Support in Combat- Chaplain MAJ Paul Belcher 1:02:58



1 From Combat to the Capitol: Innovations in Prev Med, Mental Health and Federal Healthcare Leadership- Dr. Leith States. 57:15





1 Navigating Leadership Challenges in Military and VA Healthcare: COL(R) Steven Braverman, MD 1:05:13

1 Leading Transformative Change in Military Medicine and Special Operations: LTC(R) Stephen M. DeLellis, PA-C 1:16:35

1 Military Medicine's Pediatric Evolution: Col (Ret) Eric M. Flake, MD, on Telehealth, Culture, and Collaboration 43:11

1 From Battlefield to Breakthroughs: The Dynamic Evolution of Eye Care Technology in Warfare- COL(R) Robert A. Mazzoli, MD, FACS 1:07:24

1 Navigating Military Emergency Medicine: Leadership, Challenges, and Opportunities with Navy CDR Sean Stuart, DO, MA, FAWM 9:07

1 Transformative Leadership Through Trust and Connection: BG(R) William T. Bester, RN, MSN, FAAN 12:58


1 Trailblazing in Military Medicine: Col. Vik Bebarta, MD, on Innovation, Research, and Leadership 49:54

1 Is Prehospital Ketamine Associated with the Prognosis of PTSD: Ted Melcer, PhD-- Military Medicine Article of the Year 2025 13:43

1 Lifelong Learning and Leadership: Pie’s Pontifications from Brig Gen (Ret) Susan Pietrykowski 13:45

1 Global Health Engagement and Strategic Collaboration in Military Medicine: Colonel Elizabeth Erickson, MD. 52:21

1 Transforming Military Medicine with Data and AI- COL Jeremy C. Pamplin, MD, TATRC Commander 1:03:16



1 Air Force Medicine Evolution: Insights & Innovations with Lt. Gen. John J. DeGoes, MD, USAF Surgeon General 57:52

1 Transformation and Innovation in Tactical Combat Casualty Care: CAPT(Ret) Frank Butler, MD 1:02:22


1 Redefining Casualty Care and Evacuation with Drones, Wearables, and Telemedicine: COL(R) Ronald Poropatich, MD 26:34

1 Navigating Military Pharmacy: Insights into TRICARE Pharmacy Benefits with Navy CAPT(Ret) Ed Norton 18:10


1 From Combat Medic to PA: Inside the World of Elite Military Medical Care with COL(R) John Detro, PA-C 1:01:40

1 Legacy and Mastery: Navy Independent Duty Corpsman Mike Shoener's Journey in Military Medicine 55:52

1 Navigating War and Healthcare: The Inspiring Story of Trauma Surgeon, Air Force Lt. Col. Timothy Woods, MD 51:56

1 Elevating Military Healthcare Through Enlisted Leadership- Air Force Chief Master Sgt. Thomas J. Wigington, Senior Enlisted Advisor to the Joint Staff Surgeon 20:43

1 Modernizing Military Medicine: A Neurointensivist’s Journey from Physics to Battlefield Innovation: Lt Col Adam Willis, MD 48:43

1 Revolutionizing Military Medical Transportation: Col Joseph Maddry, MD, on Combat Casualty Aeromedical Evacuation 14:04




1 Pioneering MILMED Approaches in Treating Traumatic Brain Injuries- CAPT Carlos D. Williams, MD 29:08

1 Cutting-Edge Developments in Military Vascular Surgery and Regenerative Medicine: Col. (Ret.) W. Darrin Clouse, MD, FACS 18:34

1 Revolutionizing Military Medicine: Navy CDR Jean-Paul Chretien, MD on DARPA Innovations and Preventive Health 1:00:01


1 Trailblazing in Military Medicine: Army BG Bill Soliz, PA-C on Combat Medics, Physician Assistants, Leadership, and Innovation 42:27

1 Enhancing Operational Readiness: Maj. Gen. (Ret.) Byron Hepburn, MD, on Cutting-Edge Military Health Research 19:33

1 Optimizing Military Physical Therapy: MAJ Jon Umlauf DPT, DSc on MSK Ultrasound and Dual Military Life 50:50

1 Navigating Military Medicine Challenges in the Indo-Pacific with Rear Admiral Guido Valdes, MD 31:28

1 From Combat Operations to Humanitarian and Stateside Missions: The National Guard's Role in Military Medicine: MG Jill Faris 19:53

1 Enhancing Military Medicine Through Leadership, Education, Technology and Joy: BG Deydre Teyhen, DPT, PhD, FAPTA 46:53

1 Navigating Leadership Challenges in Military Medicine: Insights from Maj Gen (Ret) Sean Murphy, MD 9:28

1 From POW to Lifelong Friend: A Desert Storm Reunion – MG(R) Mudhafer Habboush, an Iraqi Physician and BG(R) Rhonda Cornum, MD 38:03

1 Abraham Boxx’s Remarkable Journey from Rural Australia to Combat Flight Paramedic and Critical Care Nurse in the US Army National Guard 43:52

1 Operational Medicine in the Modern Era: A Strategic Evolution with Maj Gen Tom Harrell, USAF, MC, CFA 25:54

1 Insights into Military Health System Modernization with Dr. Michael Malanoski, Deputy Director of the DHA 49:53

1 Battlefield Bacteria: Combating Resistant Pseudomonas Infections-MILITARY MEDICINE Article of the Year. MAJ Mary B. Ford, MD 19:41


1 Enhancing Battlefield Readiness and Medical Team Integration in Military Healthcare: CSM Timothy Sprunger 45:55

1 Ten Good Minutes on Leadership: Successfully Accomplish the Mission AND Take Care of Our People- Good Leaders Do Both- MG(R) Jeffrey Clark, MD 12:14


1 Life, Learning, and Surgery on the High Seas: Insights into Navy Medicine with CAPT Matthew Tadlock, MD, FACS 43:06

1 Journey of a War Zone Surgeon and Beyond: Blending AI and Compassionate Human Care with CAPT(Ret.) Hassan Tetteh, MD 1:02:03



1 Forging a Future in Military Medicine and Beyond- Army 2LT Ryan Leone, HPSP Scholarship Student 41:18


1 United Front: The Crucial Role of Military-Civilian Partnerships in Trauma Medicine- Peggy Knudson, MD FACS 47:40

1 A Surgeon's Story: COL(R) Norman M. Rich, MD, FACS and the Evolution of Battlefield Vascular Surgery 1:04:36

1 Pioneering Pre-Hospital Blood Transfusion in Trauma and Combat Care: Randi Schaefer, DNP, RN, ACNS-BS 43:05



1 Military Experience Promotes Medical Advancement and Innovation- CDR (Ret) Ramon Cestero, MD, MBA, FCCM 39:49


1 Medical Decision Making Under Fire: Military Medical Ethics in War Zones- LTC Jeanne Krick, MD. 58:07



1 The Cutting Edge of Military Medicine in Sports- From the Deck to the Field: CAPT(R) Matthew Provencher, MD, MBA 1:00:28

1 Saving Lives on the Battlefield: Pioneering Progress in Combat Care- Col(Ret) Warren Dorlac, MD 32:52

1 Combat Surgery Series Episode 3: Pediatric Trauma Care in Military Medicine with COL John Horton 22:25

1 Innovations in Hemorrhage Control- Inside the World of Tactical Medicine: John M. Croushorn, MD, FACEP 54:30



1 Exploring the Intersection of Civilian and Military Medicine: A Story of Dedication and Leadership- MG(R) Joseph Caravalho, Jr. M.D. 1:00:47

1 Charting Unconventional Career Paths: From Navy Enlisted to America’s Medical School- ENS Alexius Russell 33:32


1 An Inside Look into General Surgery training in the Military with Recent Graduate Dr. Alexis Lauria 47:32


1 Exploring Military and Diplomatic Medicine with State Department Regional Medical Officer Andrew P. Hyatt, DO, FAAFP 40:12




1 A Deep Dive into the Rigorous Training of Combat Paramedics: LTC Brandi M. Dupoux, MSN, RN, CEN, ECCN 32:23


1 Combat Surgery Series: Hemorrhagic Shock and Damage Control Resuscitation with Col Jeremy Cannon 24:38


1 Leadership, Readiness and Taking Care of Warriors: Reflections from Navy TSG VADM(Ret) Matthew L. Nathan, MD, FACP, FACHE 1:28:55

1 Celebrating the Life of COL(R) Anthony Johnson, MD- An Amazing Man, A Remarkable Journey (1965-2022) 1:02:19

1 The Intersection of Military Service and Trauma Surgery- Air Force Reserve Colonel Jeremy W. Cannon, MD, FACS 51:15

1 Advancements and Evolution of Combat Casualty Care with DHA Trauma Medical Director Colonel Stacy Shackelford, MD, FACS 32:01

1 Understanding the Intricacies of Military Trauma Care and Combat Casualty Mortality Analysis- COL(R) Russ S. Kotwal, MD, MPH 40:29

1 Life on the Edge: Inside the High-Stakes World of an Air Force Pararescueman with CMSgt (Ret) Chad McCoy 56:38


1 Military Medicine through the Lens of a Navy Optometrist and Strategic Leader- RADM (Ret) Michael Mittelman, O.D., MPH, MBA, FAAO, FACHE 46:49




1 Celebrating Military Medical Spouses and Families: Strength, Resilience, and Support Systems 53:01

1 Capt. Sidney Zven, MD: Innovations and Education to Win the Battle Against Food Insecurity in the Military 26:52

1 COL(R) Kimberlie Biever, MS, RN, ANP-BC, ACNP-BC, CCNS, CCRN- Nursing Considerations in Operational Medicine- Past, Present and Future 17:09

1 Battles, Bandages and Beyond- The Evolution of Military Medicine from an AF Medic’s Perspective- CMSgt (Ret) Steve Cum 46:40

1 Major General Tim Hodgetts, CBE, KHS, OStJ, MBBS, PhD, MBA- UK Surgeon General: Transforming Battlefield Medical Care and Leading Change in Military Medicine 47:39

1 Battlefield Transfusion Medicine: Evolution, Lessons, and Future of Hemostatic Resuscitation- LTC(R) Philip C. Spinella, MD 46:32

1 RADM Pamela C. Miller, DO, MHA- Leadership, Mentorship, Innovation: Providing Medical Support to the US Marine Corps Around the Globe 50:48

1 LTC Christian A. Labra, MD- Warfighter to Healer: A Soldier’s Inspiring Journey from Injury to Medical Practice 48:17

1 SCPO David Shepardson: Expert Advice on Training Medics and Corpsmen for Real-World Scenarios 56:18

1 COL(R) Laura R. Brosch, PhD, RN: Ethical Challenges and Advancements in Combat Casualty Care Research 48:46
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