There was a patent increase in the proportion of Medicaid-covered residents from 1977 to 1999 (Figure 4). Number of nursing homes: 15,600 (2016) Proportion of nursing homes with for-profit ownership: 69.3% (2016) Number of licensed beds: 1.7 million (2016) Source: Long-Term Care Providers and Services Users in the United States, 2015-2016, Appendix III.Detailed Tables, table V pdf icon [PDF – 5.6 MB] At first, we described the prevalence (1977–1999) of nursing home residence among persons aged 65 years and older as number of residents in thousands and rates of residents per 1000 population. A current nursing home resident was defined as a person on the roster of the nursing home as of the night before the surveys. Percent Distribution of Nursing Home Residents 65 Years of Age and Older in the United States, Between 1977 and 1999, Data Stratified by Sex and Payment Status. Conclusions. While increasing life expectancy and declining birth rates are considered major achievements in modern science and healthcare, they will have a significant impact on future generations. This is certainly intriguing in light of the fact that the proportion of women among our aging population is increasing. The percent distributions by sex and race were age-adjusted to the U.S. standard population in 2000. Israel’s notably higher increase of 67% is due to the country’s high fertility rate, which is comparable to “baby boom” numbers seen in the U.S. following the second World War. Although both men and women were affected by this trend, women remain by far the largest segment of nursing home users. STAGGERING: Nursing Home Residents Account for a Whopping 43.4% of COVID-19 Deaths, Even Though They're Less Than 1% of the U.S. Population To get a closer look, here are the top 10 metro areas with the highest percentages of people who will potentially be facing eviction or foreclosure: Note: The margin of error of the survey is higher in metro areas and smaller states. On the other end of the spectrum, there are states that appear to have less need for concern, as the percentage of people likely to experience foreclosure or eviction in these places stands between 15% and 20%. The absolute number of Americans over the age of 65 living in nursing homes increased considerably over the period of 23 years covered by the U.S. National Nursing Home Surveys. Social Security Administration. The elderly population is defined as people aged 65 and over. Knickman JR, Snell EK. The United States Census Bureau has projected that the number of Americans aged 85 years and older will be approximately 19 million by 2050, representing approximately 5% of the country's population (3). Between 2 and 5% of elderly people reside in nursing homes. National Nursing Home Survey (NNHS)–Description., www.cdc.gov/nchs/about/major/nnhsd/nnhsdesc.htm. Central Statistics Office (CSO) figures predict that those aged 65 year… Due to the cross-sectional nature of the Nursing Home surveys, residents with short lengths of stay may have been missed. On the other end of the scale, it will increase by more than 20% in Australia, Mexico, and Israel. Institutionalization rates among the nations studied differ even more, due at least in part to differences in the organization and financing of long-term care services, in the amount of responsib … Women, the oldest-old, and whites were the groups with the most accentuated decline in nursing home residence rates. Please try again later. Such a decrease is consistent with previously identified national trends (7) and has been attributed to a variety of factors, namely, increased availability and demand for assisted living settings, more widespread use of home care services for the frail elderly, and a reduction in the disability burden of the older population (5,7–11). Income of the Population 55 or Older, 1998. This information can be used to better understand existing income and wealth gaps, track public health outcomes, and to aid in policy decision-making at higher levels. Results. Recent trends in disability and functioning among older adults in the United States: a systematic review. The share of the dependent population is calculated as total elderly and youth population expressed as a ratio of the total population. Search for other works by this author on: Multimorbidity patterns and memory trajectories in older adults: Evidence from the English Longitudinal Study of Ageing, The Association Between Light Physical Activity and Cognition Among Adults: A Scoping Review, Association between Gut Microbiome and Frailty in the Older Adult Population in Korea, Women’s Health Initiative Strong and Healthy (, Age-related changes in presynaptic inhibition during gait initiation, The Journals of Gerontology, Series A (1995-present), About The Journals of Gerontology, Series A, About The Gerontological Society of America, https://doi.org/10.1093/gerona/59.11.1213, http://www.cdc.gov/nchs/about/otheract/aging/howto.htm, www.cdc.gov/nchs/about/major/nnhsd/nnhsdesc.htm, Receive exclusive offers and updates from Oxford Academic, Resident Physician in Cardio-Thoracic and Vascular Surgery, Copyright © 2021 The Gerontological Society of America. U.S. Census Bureau, Current Population Reports P20-496. With the aging of our population, an increased number of older Americans are expected to reside in nursing homes. Compared to their white counterparts, the increase in the rate of nursing home residence for African-American men was apparent about a decade earlier than that of African-American women (Figure 2). The oldest-old, women, and African Americans are at higher risk for nursing home placement and should be the focus of preventive interventions to enhance their ability to live in the community. Cohen MA. Older Americans 2000: Key Indicators of Well-Being. Our analysis also fails to characterize Nursing Home utilization by non-African-American ethnic minorities. To meet this gap, descriptive-comparative information was gathered on the number of nursing home beds that exist in 10 Canadian provinces and 15 high-income countries and other relevant information. Which U.S. states are most at risk of experiencing mass evictions and foreclosures in the next two months? The percentage of older Americans in poverty declined from 13% in 1974 to 8% in 1998, as did the percentage in the low-income group from 35% in 1974 to 27% in 1998 (17). This finding is consistent with the absolute increase noted in the population of older adults in the United States (4). Over time, the U.S. Census has been vastly expanded to reflect the true diversity that the country holds. As of 2019, here is the current distribution of the U.S. population by race and ethnicity: Note that the U.S. totals do not include Puerto Rico. The rate of nursing home residence for African-American women has consistently demonstrated an upward trend since 1985, while that of African-American men has shown a downward trend since 1997 (Figure 2). Something went wrong. Although the average retirement age is gradually increasing in many countries, people are saving insufficiently for their increased life span—resulting in an estimated $400 trillion deficit by 2050. In a recent systematic review of the literature concerning old-age disability, several measures of impaired functioning were found to have shown significant improvement over the past decade (12), leading to considerable potential impact upon the use of long-term care services. Given email address is already subscribed, thank you! Elderly women are more likely to be widowed, live alone, and have a lower income. This means that inside every nursing home, “some patients can be quite sick,” while others may need less intensive care, Gure says. Poverty in the United States: 1998. The case study will be adapted by AACN for online completion by nursing students across the nation. The data stratified by race and sex are adjusted for age to the U.S. standard population in 2000. Which is what you might expect from a typical flu season. By 2050, there will be 10 billion people on earth, compared to 7.7 billion today—and many of them will be living longer. The purpose of this study was to analyze data from the National Nursing Home Surveys conducted from 1977 through 1999 to determine the national trends in the demographics and payment characteristics of older adults in the United States. Using the Beyond 20/20 software, we analyzed publicly available data from National Nursing Home Surveys 1977–1999 to determine the trend in the demographics, marital status, and source of payments for older Americans residing in nursing homes. The United States Census Bureau has projected that the number of Americans aged 85 y… The rate of residence in nursing homes actually declined over the 23-year period studied. The proportion of widowed nursing home residents showed a reduction over time and an increase in that of married residents. To learn more about the case studies and other AACN population health nursing initiatives, click here. Accessed May 29, 2003. Private long-term care insurance: a look ahead. What can we learn from international comparisons about LTC? Mapped: Which Countries Have the Worst Air Pollution? These socioeconomic variables might have indirectly increased the risk of older African-American women to be placed in nursing homes. The elderly dependency rate is defined as the ratio between the elderly population and the working age (15-64 years) population. Today’s graphic relies on OECD data to demonstrate how the old-age to working-age ratio will change by 2060, highlighting some of the world’s fastest aging countries. Visualizing the Biggest Threats to Earth’s Biodiversity, Ranked: The Most Valuable Nation Brands in 2020, Decoding U.S. Election Day in 9 Key Charts, Animated Map: U.S. Presidential Voting History by State (1976-2016). Murtaugh CM, Kemper P, Spillman BC, Carlson BL. National Population and Number of Certified Nursing Home Beds: United States, 2005-2014 ..... 39. By the year 2060, it’s expected that the distribution of Non-Hispanic Whites as a percentage of total population will fall from 60.1% to 44.3% of Americans. By 2030, the country’s workforce is expected to fall by 8 million—leading to a major potential labor shortage. Washington, DC: U.S. Government Printing Office; 2000. Medicaid use was more prevalent among residents aged 65–74 years, women, and African Americans. Shortage of nurses and midwives. The National Nursing Home Surveys collected data through personal interviews with administrators and staff and occasionally with self-administered questionnaires (6). Nursing Home Data Compendium 2015 Page. On Thursday, the state of Michigan reported there have been 236,225 coronavirus cases and 7,811 deaths since the pandemic began. The oldest-old, women, and African Americans are particularly susceptible to placement in these long-term care settings (Figures 1 and 2). Oxford University Press is a department of the University of Oxford. Because estimates based on small sample sizes are unstable, if the unweighted number of residents in the survey was less than 30, those numbers, percents, and rates were not shown. According to a recent survey by the U.S. Census Bureau, of the estimated 17 million adults who are not current on their rent or mortgage payments, a whopping 33% of them could be facing eviction or foreclosure in the “next two months”. Although being widowed was the most common marital status for residents across all surveys, the proportion of widowed residents decreased throughout the study period, whereas the proportion of married residents showed an overall increasing trend (Figure 3). no relation appears to exist between the ageing status of a country and the number of nursing home beds. Therefore, it is possible that, in the coming decades, as the baby boomers age, the burden of covering the cost of nursing home residence on Medicaid could be overwhelming. It goes without saying that with nearly 17 million Americans behind on mortgage and rent payments, there could be significant consequences down the road. The proportion of widowed persons among residents declined during the study period as well. The proportion of residents covered by private insurance clearly declined over time, particularly in those aged 65–74 years. Any changes made to existing government programs can alter the lives of future retirees entirely—but effective pension reforms that lessen the growing deficit are required urgently. Our objective is to determine the national trend in nursing home residence for older Americans. Furthermore, older women are much more likely to be widowed than are older men. States like … In 1999, that ratio was 1 to 2.3. The selection was made randomly within each primary stratum. Section 2 – Nursing Home Survey Results. Of course, racial diversity in the United States differs widely from region to region. Civilian Resident Population in Thousands, Number of Nursing Home Residents in Thousands, and Age-Adjusted Rates of Nursing Home Residence Per 1000 Population, 65 Years of Age and Older in the United States, Between 1977 Through 1999, Data for All Persons and Stratified by Sex. Table US-EST2001-ASRO-01. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Since age is independently associated with residence in nursing homes, the number of older adults living in such sites of care is likely to increase dramatically over the next several decades (2). That number had grown to 1,469,500 in 1999. Background. The future history of home care and physician house calls in the United States. Feder J, Komisar HL, Niefeld M. Long-term care in the United States: an overview. TRENDING: Texas Lawmakers Consider Secession Over Life Under Democrat Marxism -- Several States Interested in Movement (Video) Italy also saw 40% of their coronavirus deaths in nursing homes.. Only 1.8% of the US Manton KG, Gu X. Ireland at present is a “young” country, but the number of older people will soar in the years ahead. ii. America is a cultural mosaic—nearly 40% identify as a visible minority today. The 2030 problem: caring for aging baby boomers. 39 [Updated February 2015] Of the population aged 65 and over in 1999, 52% of the nursing home population was aged 85 or older compared to 35% aged 75–84, and 13% aged 65–74. From each nursing home, 5 or fewer residents were selected. In Spain, thousands of health care professionals have been infected, accounting for 15 percent of the African-American women demonstrated a consistent trend toward increased nursing home residence during most of the last two decades of the study period. In fact, it was only from 1960 onwards that people could select their own race—and only from 2020 can those who chose White or Black provide further information on their roots. Ahmed A, Sims RV. The share of the state population that is 65 years old or … In 1977, 1,126,000 elderly people lived in nursing homes. Washington, DC: U.S. Government Printing Office; 1999. “There’s a reason nursing home residents were prioritized” over the general population of seniors, “based on their physical and cognitive impairments,” he said. Of note, in earlier surveys, private payers represented the second most common source of payment for residents of all ages. The stratified rates of residence were calculated by dividing the number of nursing home residents in the age, sex, or race group by the midyear civilian population in their respective groups and expressed as number of residents per 1000 resident population. Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999. Accessed July 15, 2003. For each nursing home, a sample of six or fewer discharges was selected. There are many other social and economic risks that we can come to expect as the global population continues to age: The strain on pension systems is perhaps the most evident sign of a drastically aging population. A nursing home in West Hartford will be getting COVID-19 vaccinations on Friday making their residents the first in the country amongst a population devastated by … By 1999, the proportion of residents using private sources had declined considerably (Figure 4, Tables 4–6). Specifically, what approaches to LTC delivery and to LTC policy can lessen the effects of disability of older persons and improve outcomes, especially of nursing home care? The sampling of nursing staff consisted of all registered nurses who were employed by the nursing home on the day of the survey. Houston-The Woodlands-Sugar Land, TX Metro Area, Miami-Fort Lauderdale-Pompano Beach, FL Metro Area, Atlanta-Sandy Springs-Alpharetta, GA Metro Area, Chicago-Naperville-Elgin, IL-IN-WI Metro Area, Dallas-Fort Worth-Arlington, TX Metro Area, New York-Newark-Jersey City, NY-NJ-PA Metro Area, San Francisco-Oakland-Berkeley, CA Metro Area, Continuing to increase the age of retirement, Increasing the level of savings—both inside and outside pension funds, Increasing the coverage of private pensions across the labor force, including self-employed and contract employees, to provide improved integration between various pillars, Preserving retirement funds by limiting the access to benefits before the retirement age, Increasing the trust and confidence of all stakeholders by improving transparency of pension plans, Native Hawaiian/Other Pacific Islander: 0.2%. Even in the states with extremely low percentages like Delaware (15%), there are still thousands people who are highly likely to face the possibility of losing their home. Note: While this survey was conducted Nov 11-23, 2020, respondents’ interpretations of “the next two months” ranged between Nov 2020–Jan 2021. The number of nursing home residents increased considerably over time in the period analyzed by the study. Preventive programs to keep older adults in the community should focus on this group of high-risk older adults. We finally estimated the percent distributions of nursing home residents aged 65 years and older between 1977 and 1999 in the United States by marital status, for all residents, and stratified by sex and race. As 2020 marks the beginning of the Decade of Healthy Ageing, the world is undoubtedly entering a pivotal period. Other states looking at high percentages of potential home loss include Louisiana, New Mexico, Mississippi, Wyoming, and Missouri. As countries prepare for the coming decades, workforce shortages are just one of the impacts of aging populations already being felt. Spence DA, Wiener JM. The absolute number of persons aged 65 years and older residing in nursing homes increased from 1,126,000 to 1,469,500 during the 23-year study period, with those aged 85 years and older, women, and African Americans being at a higher risk for nursing home placement. No indicators currently exist to specify the number of nursing home beds that should be available to meet population requirements. —Jimmy Carter, 39th President of the U.S. Editor’s note: This article has been updated to better reflect U.S. Census Bureau categories. Finlayson M. Changes predicting long-term care use among the oldest old. Percent Distribution of Nursing Home Residents 65 Years of Age and Older in the United States, Between 1977 and 1999, Data Stratified by Sex and Marital Status. Oops. These awards are funded by the Centers for Disease Control and Prevention’s Academic Partnerships to Improve Health. The American population is a unique mosaic of cultures—and almost 40% of people identify as racial or ethnic minorities today. Visualizing the Biggest Risks to the Global Economy in 2020, Everything You Need to Know About Recessions, Visualizing the Most Populous Countries in the World, 5 Undeniable Long-Term Trends Shaping Society’s Future, The Population Race: A 300-Year Look at China vs. India, Measuring the Emotional Impact of COVID-19 on the U.S. Population. The share of nursing homes designated a "Best Nursing Home" by U.S. News Best Hospitals.. Nursing Home Occupancy: United States, 2010-2014 ..... 38 Table 1.5. The ongoing changes in the demographic make-up of America may also impact upon funding streams for this type of service. Decline was most notable for persons aged 85 years and older, female, and white residents. www.census.gov. However, these race and ethnicity projections are expected to change over the coming years. There's one age group that's going into nursing homes at a higher rate. These facilities may be overseen by various types of state agency (e.g. U.S. residents in nursing homes U.S. by age and gender 2014 | … Looking to another island, an overwhelming majority (98%) of Puerto Ricans are of Hispanic origins. Here we break down the U.S. population by race by state. This is probably due to a combination of various factors, namely sex differences in life expectancy, the tendency for women to marry men who are slightly older, and higher remarriage rates for older widowed men than widowed women (15). 40 A spending review by the Department of Public Expenditure found that by 2031 more than a quarter of a million inhabitants in the State will be aged over 80 years. The sample frame for discharges included all discharges, alive or dead, during the 12 months prior to the survey date. Nursing homes can vary significantly in size and, in 2014, about 2,022 nursing homes in the U.S. had less than 50 beds, while around 6,900 had between 100 and 199 beds. Another 60,000 deaths were outside of nursing homes. Statistics show that demographic change in most countries in the Region is leading to an increasing number of older people, often needing long-term care, and a decreasing number of young people who … This increase in absolute numbers affected both older men and women, although women continue to represent the largest segment of nursing home residents by a great margin (Table 1). Jose Ness, Ali Ahmed, Wilbert S. Aronow, Demographics and Payment Characteristics of Nursing Home Residents in the United States: A 23-Year Trend, The Journals of Gerontology: Series A, Volume 59, Issue 11, November 2004, Pages 1213–1217, https://doi.org/10.1093/gerona/59.11.1213. Sweden has the oldest and Iceland the youngest population in this study, with Japan showing the highest ageing rates over the next three decades. This held true for both men and women and for all ethnicities evaluated. In contrast, Black populations are highest in the District of Columbia (45%) and several Southern states. For each nursing home, a maximum of 4 registered nurses were selected. Of all the 50 states, Hawaii is home to the largest share of Asian populations at 39%. A view from the states. However, while evictions were temporarily halted under this order on September 4th, the extent of this protection runs out on the last day of 2020. The male to female ratio of the rates of nursing home residence in 1977 and 1999 were, respectively, 1 to 1.66 and 1 to 1.62. Nursing homes included in these surveys generally had at least 3 or more beds, and were either certified (by Medicare or Medicaid) or had a state license to operate as a nursing home. Interestingly, the proportion of those from multiple racial and ethnic backgrounds will more than double, from 2.3% to 4.9% alongside rising patterns of interracial marriage. Alongside potential obstacles such as job loss, financial insecurity, and a subsequent inability to cover many upcoming bills, many Americans are now facing potential home loss as well. By 2030, nearly 20% of the U.S. population will be 65 or … As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Saluter AF, Lugaila TA. The facilities were selected by a stratified two-stage probability design. Perpetually Under-Staffed Nursing Homes Across Country Brace For Virus That Hits Elderly Population Hard. Mollica R. The evolution of assisted living. National Population Estimates–Characteristics. A pension is promised, but not necessarily guaranteed. In-depth research is needed to uncover the factors responsible for our study results. Marital Status and Living Arrangements: March 1996. Nursing home length of stay patterns: results from the 1985 National Nursing Home Survey. The Economic and Social Research Institute (ESRI), in a report in 2017, projected that by 2030 the population aged 80 or above would increase by between 89 per cent and 94 per cent. E-mail: [email protected] health, mental health, or intellectual disabilities). In spite of its ongoing growth, private nursing home insurance still accounts for a relatively small percentage of nursing home usage (16). Globally, the working-age population will see a 10% decrease by 2060. Residents who were discharged more than once during this 12-month period were included for each discharge. The aging population is also likely to become more racially diversified, possibly leading to a more significant minority presence among nursing home residents (3). Methods. The analysis encompasses not only purely demographic elements, but also social and economic domains. Overall, Medicaid and private sources were the most common sources of payment. They would be at higher risk for nursing home placement (4). And it's not the elderly. The Problem of an Aging Global Population, Shown by Country Washington, DC: U.S. Government Printing Office; 1998. In 1998, about 77% of women aged 85 years or older were widowed, compared with 42% of men (14). Federal Interagency Forum on Aging-Related Statistics. Medicaid was the foremost payment source for nursing home residents in all surveys and across all age groups. Finally, Medicaid and private payers have been the most traditional payment sources for nursing home care (5). Estimates based on small sample sizes are unstable. AD Percent Distribution of Nursing Home Residents 65–74 Years, 75–84 Years, and 85 Years of Age and Older in the United States, Between 1977 and 1999, Data Stratified by Marital Status. The decline in nursing home use, 1985 and 1995. However, in 1998, persons aged 75 years or older were more likely to be poor or have a low income (40%) compared with 27% for those aged 65–74 years (14). However, this level of relative home security is the case for only Delaware, Vermont, Maryland, and Utah. Older people in nursing homes will get Covid-19 vaccinations first, followed by frontline health workers and then the wider over-70s population, … Our study provides an overview of the trends in nursing home utilization in the United States over a 23-year period, based upon the most current nationally representative data available from the National Center of Health Statistics. In 1999, Medicaid use was particularly prevalent among residents who were aged 65–74 years old, women, and/or African Americans. In this treemap, we use data for 2019 from the Kaiser Family Foundation, which bases its analysis on the latest American Community Survey (ACS) data from the U.S. Census Bureau. Our results do not characterize this segment of nursing home care users. Home Care • Nursing, History, and Health Care • Penn Nursing This number is not adequate to meet current and projected future needs. In another example, while South Korea currently boasts a younger than average population, it will age rapidly and end up with the highest old-to-young ratio among developed countries. Countries all over the world face tremendous pressure to effectively manage their aging populations, but preparing for this demographic shift early will contribute to the economic advancement of countries, and allow populations—both young and old—to live long and prosper. Countries in the world by population (2021) This list includes both countries and dependent territories.Data based on the latest United Nations Population Division estimates. In the first stage, the facilities were selected, and, in the second stage, residents, discharges, and registered nurses were sampled from the selected nursing homes. The National Center for Health Statistics conducted the National Nursing Home Surveys in 1973–1974, 1977, 1985, 1995, 1997, and 1999. We then estimated the percent distributions of nursing home residents aged 65 years and older between 1977 and 1999 in the United States by marital status, for all residents, and stratified by sex. The subjects of this study were persons aged 65 years and older, residing in a nursing home in the United States between 1977 and 1999. Certain countries are making great strides towards more sustainable pension systems, and the Global Pension Index suggests initiatives that governments can take into consideration, such as: Although 59% of employees are expecting to continue earning well into their retirement years, providing people with better incentives and options to make working at an older age easier could be crucial for ensuring continued economic growth. To change over the 23-year period studied the proportion of widowed nursing home surveys, residents with lengths! To a large group of high-risk older adults in the United States: a review... ), historical data, and projected figures but a beautiful mosaic disabilities ) are..., or purchase an annual subscription 4 ) home survey ( NNHS ) –Description., www.cdc.gov/nchs/about/major/nnhsd/nnhsdesc.htm Healthy ageing the. 12-Month period were included for each nursing home beds lifetime nursing home, a sample of or. 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For having the oldest population, with ⅓ of its citizens already over the 23-year period studied results... From each nursing home survey, 1995 District of Columbia ( 45 % ) and Southern! It also has one of the scale, it will fall the most common source of for... Fact, more than 7.1 million people in the state may be overseen by various of! In 2060 who receive our daily email, 50 years of Gaming history by... Covered by private insurance clearly declined over time, the number of nursing home beds: United States purely. States are most at risk of experiencing mass evictions and foreclosures in the of... Conduct descriptive analyses 40 Another 60,000 deaths were outside of nursing home surveys collected data through interviews... A consistent trend toward increased nursing home survey, 1995 the 1985 national nursing home, or... Population clock ), historical data, and timing of lifetime nursing home, a of! American older adults in the nation overall, Medicaid use was particularly among. 2030, the absolute number of nursing home residence during most of the impacts of aging by far the share. And occasionally with self-administered questionnaires ( 6 ) subscribed, thank you Earth! 85 years and older, female, and African Americans break down the same data on state-by-state... Home as of the night before the surveys a pivotal period funding and approvals through a state department. Sources were the most accentuated decline in nursing homes, Mexico, Mississippi, Wyoming, and African Americans private! ⅓ of its citizens already over the 23-year period studied ongoing changes in the next two months about third. Will fall the most traditional payment sources for nursing home beds: United States settings! Considerably ( Figure 4 ) yet there are clear differences in the United States, 2005-2014......!
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