{"id":375,"date":"2020-12-04T13:00:05","date_gmt":"2020-12-04T04:00:05","guid":{"rendered":"http:\/\/spell.umin.jp\/thespellblog\/?p=375"},"modified":"2020-12-04T22:39:57","modified_gmt":"2020-12-04T13:39:57","slug":"%e6%96%b0%e5%9e%8b%e3%82%b3%e3%83%ad%e3%83%8a%e3%82%a6%e3%82%a4%e3%83%ab%e3%82%b9%e6%84%9f%e6%9f%93%e7%97%87%e3%81%a7%e5%8c%bb%e5%b8%ab%e5%9b%bd%e5%ae%b6%e8%a9%a6%e9%a8%93%e3%81%8c%e5%8f%97%e9%a8%93","status":"publish","type":"post","link":"https:\/\/spell.umin.jp\/thespellblog\/?p=375","title":{"rendered":"\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u3067\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u304c\u53d7\u9a13\u3067\u304d\u306a\u304f\u306a\u308b"},"content":{"rendered":"<div class=\"veu_autoEyeCatchBox\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"263\" src=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop.png?fit=500%2C263&amp;ssl=1\" class=\"attachment-large size-large 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\/><\/div>\n<p>11\u670830\u65e5\uff0c\u539a\u751f\u52b4\u50cd\u7701\u533b\u653f\u5c40\u306f\uff0c2021\u5e742\u67086\u65e5\uff5e7\u65e5\u306b\u884c\u308f\u308c\u308b\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306b\u3064\u3044\u3066\uff0c\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u306b\u611f\u67d3\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u53d7\u9a13\u3092\u8a8d\u3081\u305a\uff0c\u8ffd\u52a0\u8a66\u9a13\u3082\u884c\u308f\u306a\u3044\u3053\u3068\u3092\u6b63\u5f0f\u6c7a\u5b9a\u3057\u305f\uff0e\u3053\u308c\u306f\uff0c\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306b\u9650\u3089\u305a\uff0c\u4eca\u5e74\u5ea6\u306e\u533b\u7642\u95a2\u4fc2\u8077\u7a2e\u306e\u56fd\u5bb6\u8a66\u9a13\u306e\u5168\u3066\u306b\u9069\u7528\u3055\u308c\u308b\uff0e<\/p>\n\n\n\n<p><a href=\"https:\/\/www.mhlw.go.jp\/stf\/newpage_15202.html\">\u539a\u751f\u52b4\u50cd\u7701\u533b\u653f\u5c40\u306e\u767a\u8868<\/a>\u306e\u9aa8\u5b50\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3042\u308b\uff0e<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>\u25cb\u4f1a\u5834\u5165\u53e3\uff08\u539f\u5247\u65bd\u8a2d\u5916\uff09\u306b\u3066\u30b5\u30fc\u30e2\u30b0\u30e9\u30d5\u30a3\u30ab\u30e1\u30e9\u306b\u3088\u308b\u691c\u6e29\u3092\u5b9f\u65bd\u3057\u3001\uff13\uff17\uff0e\uff15\u5ea6\u4ee5\u4e0a\u306e\u8005\u306f\u518d\u5ea6\u63a5\u89e6\u578b\u4f53\u6e29\u8a08\u306b\u3088\u308a\u691c\u6e29\u3057\u3001\uff13\uff17\uff0e\uff15\u5ea6\u4ee5\u4e0a\u3042\u3063\u305f\u5834\u5408<sup>\u203b3<\/sup>\u306f\u3001\u8fc5\u901f\u6297\u539f\u691c\u67fb\u3092\u5b9f\u65bd\u3002\u967d\u6027\u53cd\u5fdc\u304c\u51fa\u305f\u5834\u5408\u306f\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u533b\u5e2b\u304c\u8a3a\u5bdf\u3092\u884c\u3044\u3001\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u8a3a\u65ad\u304c\u306a\u3055\u308c\u305f\u5834\u5408\u306f\u53d7\u9a13\u3092\u8a8d\u3081\u306a\u3044\u3002\u305d\u308c\u4ee5\u5916\u306e\u5834\u5408\u306f\u3001\u5225\u5ba4\u3067\u53d7\u9a13\u3055\u305b\u308b\u3002<br \/>\u203b3\u3000\uff13\uff17\uff0e\uff15\u5ea6\u4ee5\u4e0a\u306e\u767a\u71b1\u304c\u306a\u3044\u5834\u5408\u306b\u304a\u3044\u3066\u3082\u3001\u54b3\u7b49\u306e\u75c7\u72b6\u3092\u8a8d\u3081\u305f\u53d7\u9a13\u8005\u306f\u540c\u69d8\u306e\u53d6\u6271\u3068\u3059\u308b\u3002<\/p><p>\u25cb\u6fc3\u539a\u63a5\u89e6\u8005<sup>\u203b4<\/sup>\u3067\u3042\u3063\u3066\u3082\u3001\u8a66\u9a13\u5f53\u65e5\u306b\u7121\u75c7\u72b6\u3067\u3042\u308b\u7b49<sup>\u203b5<\/sup>\u306e\u6761\u4ef6\u3092\u6e80\u305f\u305b\u3070\u3001\u5225\u5ba4\u3067\u306e\u53d7\u9a13\u3092\u8a8d\u3081\u308b\u3002<br \/>\u203b4 \u3000\u4fdd\u5065\u6240\u304b\u3089\u6fc3\u539a\u63a5\u89e6\u8005\u306b\u8a72\u5f53\u3059\u308b\u3068\u3055\u308c\u305f\u8005\u3067\u300114\u65e5\u9593\u306e\u5065\u5eb7\u89b3\u5bdf\u671f\u9593\u4e2d\u306b\u53d7\u9a13\u65e5\u304c\u91cd\u306a\u308b\u53d7\u9a13\u8005\u3002\u306a\u304a\u3001\u904e\u53bb\uff12\u9031\u9593\u4ee5\u5185\u306b\u3001\u653f\u5e9c\u304b\u3089\u5165\u56fd\u5236\u9650\u3001\u5165\u56fd\u5f8c\u306e\u89b3\u5bdf\u671f\u9593\u3092\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u308b\u56fd\u30fb\u5730\u57df\u7b49\u304b\u3089\u65e5\u672c\u306b\u5165\u56fd\u3057\u305f\u8005\u3092\u542b\u3080\u3002<br \/>\u203b5\u3000\u4ee5\u4e0b\u306e\u6761\u4ef6\u3092\u6e80\u305f\u3059\u3053\u3068\u3002<br \/>\u30a2 \u3000\u521d\u671f\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff08\u81ea\u6cbb\u4f53\u7b49\u306b\u3088\u308b\uff30\uff23\uff32\u7b49\u691c\u67fb\uff09\u306e\u7d50\u679c\u3001\u9670\u6027\u3067\u3042\u308b\u3053\u3068<br \/>\u30a4 \u3000\u53d7\u9a13\u5f53\u65e5\u3082\u7121\u75c7\u72b6\u3067\u3042\u308b\u3053\u3068<br \/>\u30a6 \u3000\u516c\u5171\u306e\u4ea4\u901a\u6a5f\u95a2\u3092\u5229\u7528\u305b\u305a\u3001\u304b\u3064\u3001\u4eba\u304c\u5bc6\u96c6\u3059\u308b\u5834\u6240\u3092\u907f\u3051\u3066\u8a66\u9a13\u5834\u306b\u884c\u304f\u3053\u3068<br \/>\u30a8 \u3000\u7d42\u65e5\u3001\u5225\u5ba4\u3067\u306e\u53d7\u9a13\u3068\u306a\u308b\u3053\u3068<\/p><p>\u25cb\u8a66\u9a13\u5f53\u65e5\u306b\u4f53\u8abf\u4e0d\u826f\u7b49\u306b\u3088\u308a\u53d7\u9a13\u51fa\u6765\u306a\u304b\u3063\u305f\u8005\u306b\u3064\u3044\u3066\u306f\u3001\u3053\u308c\u307e\u3067\u3068\u540c\u69d8\u306b\u8ffd\u52a0\u8a66\u9a13\u306f\u884c\u308f\u306a\u3044\u3002<\/p><\/blockquote>\n<\/div><\/div>\n\n\n\n<p> \u611f\u67d3\u8005\u304c\u53d7\u9a13\u4f1a\u5834\u306b\u5165\u308b\u3053\u3068\u3092\u907f\u3051\u305f\u3044\u3068\u3044\u3046\u610f\u56f3\u306f\u7406\u89e3\u3067\u304d\u308b\u304c\uff0c  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class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>(7)\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u611f\u67d3\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306e\u5bfe\u5fdc\uff08\u4f53\u6e29\u304c37.5\u5ea6\u4ee5\u4e0a\u307e\u305f\u306f\u54b3\u7b49\u306e\u75c7\u72b6\u3092\u8a8d\u3081\u305f\u53d7\u9a13\u8005\uff09<br \/>\u3000\u8a66\u9a13\u76e3\u7763\u54e1\u306e\u6307\u793a\u306b\u3088\u308a\u8fc5\u901f\u6297\u539f\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u3001\u967d\u6027\u53cd\u5fdc\u304c\u51fa\u305f\u5834\u5408\u306f\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u533b\u5e2b\u304c\u8a3a\u5bdf\u3092\u884c\u3044\u3001\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u8a3a\u65ad\u304c\u306a\u3055\u308c\u305f\u5834\u5408\u306f\u53d7\u9a13\u3092\u8a8d\u3081\u306a\u3044\u307b\u304b\u3001\u8a66\u9a13\u4e2d\u3067\u3042\u3063\u3066\u3082\u53d7\u9a13\u3092\u505c\u6b62\u3055\u305b\u308b\u305f\u3081\u3001\u305d\u306e\u6307\u793a\u306b\u5f93\u3046\u3053\u3068\u3002<\/p><p>(8)\u8a66\u9a13\u76e3\u7763\u54e1\u306e\u6307\u793a\u306b\u5f93\u3046\u3053\u3068\u3002<br \/>\u3000\u6307\u793a\u306b\u5f93\u308f\u306a\u3044\u5834\u5408\u306b\u306f\u53d7\u9a13\u3092\u3055\u305b\u306a\u3044\u3001\u3042\u308b\u3044\u306f\u53d7\u9a13\u3092\u505c\u6b62\u3055\u305b\u308b\u5834\u5408\u304c\u3042\u308b\u3002<\/p><p><strong>\u8a66\u9a13\u65e5\u4ee5\u964d<\/strong><br \/>(9)\u4fdd\u5065\u6240\u7b49\u95a2\u4fc2\u6a5f\u95a2\u3068\u306e\u9023\u643a\u30fb\u5354\u529b<br \/>\u3000\u8a66\u9a13\u4f1a\u5834\u306b\u304a\u3044\u3066\u3001\u53d7\u9a13\u8005\u304b\u3089\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u8005\u304c\u51fa\u305f\u5834\u5408\u306b\u306f\u3001\u4fdd\u5065\u6240\u7b49\u95a2\u4fc2\u6a5f\u95a2\u306e\u8981\u8acb\u306b\u3088\u308a\u53d7\u9a13\u8005\u306e\u9023\u7d61\u5148\u7b49\u306e\u500b\u4eba\u60c5\u5831\u3092\u63d0\u793a\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3002<\/p><\/blockquote>\n\n\n\n<p>   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To\u30c8\u30e9\u30d9\u30eb\u3092\u5373\u523b\u4e2d\u6b62\u3057\uff0c\u591a\u4eba\u6570\u306e\u4f1a\u98df\u3092\u7981\u6b62\u3059\u308b\u306a\u3069\uff0c\u601d\u3044\u5207\u3063\u305f\u65bd\u7b56\u304c\u6c42\u3081\u3089\u308c\u308b\uff0e\u307e\u3057\u3066\u3084\u3053\u308c\u304b\u3089\u5fd8\u5e74\u4f1a\u30b7\u30fc\u30ba\u30f3\u3067\u3042\u308b\uff0e\u4e0d\u8981\u4e0d\u6025\u306a\u79fb\u52d5\u3084\u5916\u98df\u306f\u907f\u3051\u308b\u3079\u304d\u3060\u308d\u3046\u3057\uff0c\u3069\u3046\u3057\u3066\u3082\u907f\u3051\u3089\u308c\u306a\u3044\u306e\u3067\u3042\u308c\u3070\uff0c\u63a5\u89e6\u98db\u6cab\u611f\u67d3\u4e88\u9632\u3092\u5fb9\u5e95\u3057\u3066\u884c\u3046\u3088\u3046\uff0c\u3088\u308a\u4e00\u5c64\u6ce8\u610f\u559a\u8d77\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\uff0e\u3055\u3082\u306a\u3044\u3068\uff0c\u7d50\u679c\u7684\u306b\u5236\u9650\u304c\u9577\u671f\u5316\u3059\u308b\u3060\u308d\u3046\uff0e\u3059\u3067\u306b\u300c\u30cf\u30f3\u30de\u30fc\u30fb\u30a2\u30f3\u30c9\u30fb\u30c0\u30f3\u30b9\u300d\u306e\u300c\u30c0\u30f3\u30b9\u300d\u304c\u8e0a\u308c\u3066\u3044\u306a\u3044\u306e\u3060\uff0e<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/image-1.png?resize=584%2C308\" alt=\"\" class=\"wp-image-379\" width=\"584\" height=\"308\" srcset=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/image-1.png?w=475&amp;ssl=1 475w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/image-1.png?resize=300%2C158&amp;ssl=1 300w\" sizes=\"auto, (max-width: 584px) 100vw, 584px\" \/><figcaption><a href=\"https:\/\/www.mhlw.go.jp\/stf\/covid-19\/kokunainohasseijoukyou.html\">\u539a\u751f\u52b4\u50cd\u7701\u3000\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u3000\u56fd\u5185\u306e\u767a\u751f\u72b6\u6cc1\u3000\u91cd\u50b7\u8005\u6570\uff082020\u5e7412\u67084\u65e5\uff09<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<p>\u53d7\u9a13\u8005\u306b\u306f\u3068\u306b\u304b\u304f\uff0c\u3053\u308c\u304b\u3089\u53d7\u9a13\u5f53\u65e5\u307e\u3067\uff0c\u7279\u306b\u53d7\u9a13\u65e5\u306e2\u9031\u9593\u524d\u304b\u3089\u306f\uff0c\u3067\u304d\u308b\u9650\u308a\u4eba\u3068\u306e\u63a5\u89e6\u3092\u907f\u3051\uff0c\u81ea\u5b85\u306b\u7c60\u3082\u3063\u3066\u53d7\u9a13\u52c9\u5f37\u306b\u52b1\u307f\uff0c\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u3084\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306b\u611f\u67d3\u3057\u306a\u3044\u3088\u3046\u7d30\u5fc3\u306e\u6ce8\u610f\u3092\u6255\u3063\u3066\u904e\u3054\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\uff0e\u5916\u51fa\u6642\u306b\u306f\uff0c\u30de\u30b9\u30af\uff0c\u624b\u6d17\u3044\uff0c\u9069\u5207\u306a\u30d5\u30a3\u30b8\u30ab\u30eb\u30c7\u30a3\u30b9\u30bf\u30f3\u30b9\u3092\u5fd8\u308c\u305a\u306b\uff0e<\/p>\n\n\n\n<p> \u3010\u5229\u76ca\u76f8\u53cd\uff08COI\uff09\u306e\u958b\u793a\u3011<br \/>\u5b66\u8853\u7684COI\uff1a\u611f\u67d3\u75c7\u5c02\u9580\u533b\u3067\u306f\u306a\u3044\uff0c\u516c\u8846\u885b\u751f\u5c02\u9580\u5bb6\u3067\u306f\u306a\u3044\uff0c\u6d77\u5916\u306e\u5927\u5b66\u9662\u5728\u7c4d\u6b74\u306a\u3057\uff0c\u5e02\u4e2d\u75c5\u9662\u533b\u5e2b\uff0c\u7dcf\u5408\u8a3a\u7642\u533b \uff0cEBMer\uff0fEBM educator\uff0cCOVID-19 \u8a3a\u7642\u7d4c\u9a13\u306f\u8efd\u75c7\u4f8b\u306e\u307f\uff0c2012\uff5e2018\u5e74\u539a\u751f\u52b4\u50cd\u7701\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u59d4\u54e1\uff0c\u914d\u5076\u8005\u3084\u4e00\u89aa\u7b49\u306e\u89aa\u65cf\u306b\u56fd\u5bb6\u8a66\u9a13\u3084\u5165\u5b66\u8a66\u9a13\u306e\u53d7\u9a13\u8005\u306f\u3044\u306a\u3044<br \/>\u7d4c\u6e08\u7684COI\uff1a\u88fd\u85ac\u4f1a\u793e\uff0c\u533b\u7642\u6a5f\u5668\u30e1\u30fc\u30ab\u30fc\u304b\u3089\u306e\u5229\u76ca\u4f9b\u4e0e\u306f\u4e00\u5207\u306a\u3044 <\/p>\n\n\n\n<ol class=\"wp-block-list\"><li> <a href=\"http:\/\/www.kansensho.or.jp\/uploads\/files\/topics\/2019ncov\/covid19_kensakekka_201012.pdf\">\u4e00\u822c\u793e\u56e3\u6cd5\u4eba\u65e5\u672c\u611f\u67d3\u75c7\u5b66\u4f1a\u7406\u4e8b\u9577 \u8218\u7530\u4e00\u535a\uff0eCOVID-19 \u691c\u67fb\u6cd5\u304a\u3088\u3073\u7d50\u679c\u306e\u8003\u3048\u65b9\uff082020\u5e7410\u670812\u65e5\uff09<\/a><\/li><\/ol>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-1024x768.jpg?resize=1024%2C768\" alt=\"\" class=\"wp-image-382\" srcset=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-scaled.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-scaled.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-scaled.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-scaled.jpg?resize=1536%2C1152&amp;ssl=1 1536w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-scaled.jpg?resize=2048%2C1536&amp;ssl=1 2048w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2020\/12\/PC010921-scaled.jpg?w=2280&amp;ssl=1 2280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption> \uff08<a href=\"https:\/\/www.google.com\/maps\/place\/%E6%9D%BE%E5%B4%8E%E6%96%B0%E6%B8%AF\/@34.7617664,138.7730098,17z\/data=!3m1!4b1!4m5!3m4!1s0x6019f97306a43ad5:0xc55b8c18811833c0!8m2!3d34.761762!4d138.7751985\">\u897f\u4f0a\u8c46<\/a>\u306e\u5915\u66ae\u308c\uff0c2018\/12\/1\u64ae\u5f71\uff09 <\/figcaption><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>11\u670830\u65e5\uff0c\u539a\u751f\u52b4\u50cd\u7701\u533b\u653f\u5c40\u306f\uff0c2021\u5e742\u67086\u65e5\uff5e7\u65e5\u306b\u884c\u308f\u308c\u308b\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306b\u3064\u3044\u3066\uff0c\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u306b\u611f\u67d3\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u53d7\u9a13\u3092\u8a8d\u3081\u305a\uff0c\u8ffd\u52a0\u8a66\u9a13\u3082\u884c\u308f\u306a\u3044\u3053\u3068\u3092\u6b63\u5f0f\u6c7a\u5b9a\u3057\u305f\uff0e\u3053\u308c\u306f\uff0c\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306b\u9650\u3089\u305a\uff0c\u4eca\u5e74\u5ea6\u306e 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