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The New Zealand Maternity Clinical Indicators present comparative maternity interventions and outcomes data across a http://4cproperties.co.uk/how-to-buy-viagra-in-usa/ set of 20 indicators for pregnant women and their babies by maternity facility and district health board region buy generic viagra online. One indicator applies to women who registered with a lead maternity carer (LMC). Eight indicators apply to standard primiparae (definition used to identify a group of women for whom interventions and outcomes should be similar). Seven indicators buy generic viagra online apply to all women giving birth in New Zealand.

Four apply to all babies born in New Zealand. This is the tenth year in the New Zealand Maternity Clinical Indicators series, with a focus on women giving birth and babies born in the 2018 calendar year. As the previous years’ data demonstrated, reported maternity service delivery and outcomes for women and babies vary between district health boards (DHBs) and between individual secondary buy generic viagra online and tertiary facilities. These findings merit further investigation of data quality and integrity as well as variations in local clinical practice management.

Since 2012, DHBs and maternity stakeholders have used national benchmarked data in their local maternity quality and safety programs to identify areas warranting further investigation. To support further investigation, the Ministry of Health provides unit record clinical buy generic viagra online indicators data to DHB maternity quality and safety programme coordinators. Access the data A web-based tool is available for you to explore the numbers and rates for 2018 and trends across the full 10-year time series. This includes numbers and rates of each indicator from 2009 to 2018 by ethnic group and DHB of residence, and by facility of birth.

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The web-based tool provides the full indicators dataset as tables and figures. Background, methodology and metadata are available in the following guide:Health care and support workers are an essential and valuable workforce. The nature of their occupation or workplace means they may be at buy generic viagra online increased risk of contracting erectile dysfunction treatment during a time of community transmission. The first case of erectile dysfunction treatment in a health care or support worker was reported on 17 March 2020.

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Médecins Sans Frontières (MSF), Khayelitsha, South Africa 4 does viagra increase blood pressure. Division of Infectious Diseases and HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, and Wellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University ofCape Town, Cape Town, South Africa 5. Eswatini National TB Control Programme, Manzini, Eswatini 6.

Global TB Program, Baylor College of does viagra increase blood pressure Medicine, Houston, TX, USA 7. Hinduja Hospital &. Research Centre, Mumbai, India 8.

MSF, Cape does viagra increase blood pressure Town, South Africa 9. Independent Consultant, Maputo, Mozambique 10. Republican Scientific and Practical Centre for Pulmonology and TB, Minsk, Belarus 11.

Department of Infectious Diseases, Imperial College London, UK, and Desmond Tutu TB Centre, Department does viagra increase blood pressure of Paediatrics and http://www.ec-saint-thomas-strasbourg.ac-strasbourg.fr/wp/?p=1973 Child Health, University of Stellenbosch, Tygerberg, South Africa 12. National Department of Health, Mahikeng, North West Province, South Africa 13. Partners In Health (PIH), Boston, MA, USA 14.

National Department does viagra increase blood pressure of Health, Johannesburg, Gauteng Province, South Africa 15. PIH, Maseru, Lesotho 16. MSF, Eshowe, South Africa 17.

National Tuberculosis and Leprosy Programme, does viagra increase blood pressure Ministry of Health, Lusaka, Zambia 18. Health Systems Research Unit, South African Medical Research Council, Durban, South Africa 19. Interactive Research and Development, Karachi 20.

Interactive Research and Development, Karachi, Pakistan, and Faculty of Infectious and Tropical does viagra increase blood pressure Diseases, London School of Hygiene &. Tropical Medicine, London, UK 21. Desmond Tutu TB Centre, Stellenbosch University, Cape Town, South Africa 22.

Center for Infectious Disease Epidemiology and Research, School of have a peek here Public Health and Family Medicine, University buy generic viagra online of Cape Town, Cape Town, Soauth Africa 2. Treatment Action Group, New York, NY, USA 3. Médecins Sans Frontières (MSF), Khayelitsha, South Africa 4. Division of Infectious Diseases and HIV Medicine, Department of Medicine, University buy generic viagra online of Cape Town, Cape Town, and Wellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University ofCape Town, Cape Town, South Africa 5.

Eswatini National TB Control Programme, Manzini, Eswatini 6. Global TB Program, Baylor College of Medicine, Houston, TX, USA 7. Hinduja Hospital & buy generic viagra online. Research Centre, Mumbai, India 8.

MSF, Cape Town, South Africa 9. Independent Consultant, buy generic viagra online Maputo, Mozambique 10. Republican Scientific and Practical Centre for Pulmonology and TB, Minsk, Belarus 11. Department of Infectious Diseases, Imperial College London, UK, and Desmond Tutu TB Centre, Department of Paediatrics and Child Health, University of Stellenbosch, Tygerberg, South Africa 12.

National Department of Health, Mahikeng, North buy generic viagra online West Province, South Africa 13. Partners In Health (PIH), Boston, MA, USA 14. National Department of Health, Johannesburg, Gauteng Province, South Africa 15. PIH, Maseru, Lesotho buy generic viagra online 16.

MSF, Eshowe, South Africa 17. National Tuberculosis and Leprosy Programme, Ministry of Health, Lusaka, Zambia 18. Health Systems Research Unit, South African Medical Research Council, Durban, South Africa 19. Interactive Research and Development, Karachi 20.

Interactive Research and Development, Karachi, Pakistan, and Faculty of Infectious and Tropical Diseases, London School of Hygiene &. Tropical Medicine, London, UK 21. Desmond Tutu TB Centre, Stellenbosch University, Cape Town, South Africa 22. MSF, Paris, France 23.

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€œThese new facilities with an emphasis on homeliness will offer more peace to patients, families and carers at their greatest time of need” Mr Fang said.The other facility in Murrumbidgee Local Health District to benefit is female viagra effects Hay Hospital, which will receive $40,000. The improvements at Hay Hospital will include an outdoor female viagra effects area with gazebo to support the existing Palliative Care space.Deniliquin and Hay Hospitals are among 34 palliative care facilities to be refurbished over the next two years, a total of $5.5 million investment across NSW. Every year, the NSW Government spends more than $220 million on palliative care services across the State. In addition to this funding, in 2020-21 a further $16 female viagra effects million of enhancement funding was spent to improve services, including a boost of $7.17 million for 35 allied health workers and 20 palliative care nurses across NSW.The latest round of funding follows the success of $4.5 million allocated for palliative care refurbishments in 2019-20 and 2020-21.

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Parents and carers will be able to book in for free mental health http://julieparticka.com/brand-levitra-online workshops buy generic viagra online hosted by headspace, thanks to a $1.2 million investment by the NSW Government. Minister for Mental Health Bronnie Taylor said the workshops will help parents and carers better understand the unique challenges facing young people and learn practical tips, strategies and skills to support them.“These sessions are for any parent or carer who is buy generic viagra online worried about their child and doesn’t know how to start a conversation about what’s going on in their lives,” said Mrs Taylor.“We’re building a safer, stronger NSW, and these workshops will address local challenges, point the way to local support services and allow the community to ask questions about what they can do to help young people who are struggling.”headspace CEO Jason Trethowan said understanding suicide will also be a key part of the training.“Many young people have thoughts of suicide when life seems unbearable and they can’t imagine another way out of what they are going through,” Mr Trethowan said.“The vast majority of these young people will not act on those thoughts, but we want parents and carers to be able to talk about such thoughts in a way that doesn’t inadvertently shame the young person or encourage them to stay silent.”The NSW Government is investing $1.2 million over two years for 200 workshops to be delivered across NSW. Parents, carers and community members supporting young people experiencing mental health challenges can register to attend upcoming events by visiting headspace National Youth Mental Health Foundation - Events.Patients, families and carers will soon benefit from refurbishments to palliative care facilities at Deniliquin Hospital thanks to a $210,000 boost from the NSW Government.NSW Minister for Mental Health, Regional Youth and Women Bronnie Taylor said the refurbishment project at Deniliquin will help bring comfort to people at the buy generic viagra online end of life, along with their families and carers.“Ensuring that patients, their families and carers receive quality palliative care in a safe, comfortable and home-like environment is a priority for this government,” Mrs Taylor said.“The refurbishment will include a kitchenette and dining area, as well as direct access to the outside garden area.

The furniture and fittings and overall décor will provide a more homely and comfortable space for patients, families, carers and friends.” The garden area at Deniliquin Hospital will also be redesigned and will include elements that reflect the cultural diversity of the region.Duty MLC for Murray, Wes Fang, has welcomed the announcement as an important step in ensuring vulnerable loved ones at the end of life are as comfortable as possible. €œThese new facilities with an emphasis on homeliness will offer more peace to patients, families and carers at their greatest time of need” buy generic viagra online Mr Fang said.The other facility in Murrumbidgee Local Health District to benefit is Hay Hospital, which will receive $40,000. The improvements at Hay Hospital will include an outdoor area with gazebo to support the existing Palliative Care space.Deniliquin and Hay Hospitals are among 34 palliative care facilities to be refurbished over the next buy generic viagra online two years, a total of $5.5 million investment across NSW.

Every year, the NSW Government spends more than $220 million on palliative care services across the State. In addition to this funding, in 2020-21 a further $16 million of enhancement funding was spent to improve services, including a boost of $7.17 million for 35 allied health workers and 20 palliative care nurses across NSW.The latest round of funding follows the success of $4.5 million allocated for palliative buy generic viagra online care refurbishments in 2019-20 and 2020-21. Both funding rounds were a part of a $45 million enhancement for palliative care announced in buy generic viagra online the 2019-20 NSW Budget.This enhancement and a further $56 million announced in late 2020 support an additional 5,000 End of Life home support packages available across NSW from July 2021.

The recruitment of 100 new buy generic viagra online palliative care nurses. More Aboriginal Health Workers. Digital health to improve access to palliative buy generic viagra online care.

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NCHS Data Brief No viagra foods. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk for chronic conditions such as cardiovascular disease viagra foods (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition.

Menopause is “the permanent cessation of menstruation that occurs after the loss of ovarian viagra foods activity” (3). This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of women are premenopausal, viagra foods 3.7% are perimenopausal, and 22.1% are postmenopausal.

Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, viagra foods in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a 24-hour period (35.1%) (Figure 1). Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period.

Figure 1 viagra foods. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, viagra foods 2015image icon1Significant quadratic trend by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual viagra foods cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure viagra foods 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had viagra foods trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week.

Figure 2 viagra foods. Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend viagra foods by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had viagra foods a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 2pdf icon.SOURCE viagra foods.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble staying asleep four times viagra foods or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week.

Figure 3 viagra foods. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p viagra foods <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were viagra foods perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 3pdf icon.SOURCE viagra foods.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more in the viagra foods past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week.

Figure 4 viagra foods. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 4pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5).

Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion. DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?.

€. 2) “Do you still have periods or menstrual cycles?. €. 3) “When did you have your last period or menstrual cycle?.

€. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less.

Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?.

€ Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis. NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS.

For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States. The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS.

Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics. The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report.

ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No.

141. Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF.

Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon. 2016.Santoro N. Perimenopause.

From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult.

A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software].

2012. Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286.

Hyattsville, MD. National Center for Health Statistics. 2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J.

Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J. Blumberg, Ph.D., Associate Director for Science.

NCHS Data Can i buy cialis in uk Brief buy generic viagra online No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is buy generic viagra online associated with an increased risk for chronic conditions such as cardiovascular disease (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is “the permanent cessation of menstruation that occurs buy generic viagra online after the loss of ovarian activity” (3).

This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of buy generic viagra online women are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on buy generic viagra online average, in a 24-hour period (35.1%) (Figure 1).

Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period. Figure 1 buy generic viagra online. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic buy generic viagra online trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no buy generic viagra online longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table buy generic viagra online for Figure 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant buy generic viagra online women aged 40–59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week. Figure 2 buy generic viagra online.

Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by buy generic viagra online menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last buy generic viagra online menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data buy generic viagra online table for Figure 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble staying asleep four times buy generic viagra online or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women.

Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week. Figure 3 buy generic viagra online. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p buy generic viagra online <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was buy generic viagra online 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 3pdf buy generic viagra online icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more in the past week increased from 47.0% among buy generic viagra online premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week. Figure 4 buy generic viagra online. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status.

United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle.

Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion.

DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. €. 2) “Do you still have periods or menstrual cycles?.

€. 3) “When did you have your last period or menstrual cycle?. €. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?. € Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis.

NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics.

The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report. ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF. Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon.

2016.Santoro N. Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al.

Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software]. 2012.

Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD. National Center for Health Statistics.

2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J. Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

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Shutterstock An event in Smyrna, Del., provided opioid rescue kits to residents and free training Wednesday taking viagra without ed. The event was aimed at those who are at risk of experiencing an overdose or for the loved ones of those at risk.Each rescue kit contained two doses of Naloxone, an opioid overdose reversal drug.The training lasted approximately 10 minutes. Attendees were taking viagra without ed taught how to recognize and respond to an opioid overdose emergency. They also were informed about local treatment and support resources.“Amidst the erectile dysfunction treatment viagra, we can’t forget about the opioid epidemic. Addiction has its grip on our community, and with this event and others, we can make sure that taking viagra without ed Naloxone gets to individuals and families who may need it during an opioid overdose emergency,” Trinidad Navarro, the insurance commissioner, said.

€œWhile we continue to work to ensure that treatment for those with drug dependencies is affordable and accessible, events like these offer an opportunity to increase awareness and education life-saving techniques and tools.”Navarro hosted the event in collaboration with Public Health’s Kent County Community Response Team, the First Presbyterian Church of Smyrna, and the Smyrna-Clayton Ministerium. The event taking viagra without ed was outdoors and offered drive-through and walk-up options.Shutterstock The International Association of Fire Fighters (IAFF) recently launched a 10-segment video and podcast series on the opioid epidemic.The Responding to the Opioid Epidemic series provides firefighters with an in-depth understanding of opioid addiction and treatment and addiction treatment options. It also provides firefighters living with pain with responsible approaches to pain management.“The series features stories and experiences from IAFF members living in recovery from opioid addiction, provides best practices for addressing substance use among fire service personnel through comprehensive behavioral health programming and offers tools for EMS personnel on the frontlines responding to the opioid crisis, including how to increase situational awareness and manage exposure risks and how to cope with compassion fatigue and burnout,” IAFF said.The 10 topics covered in the series include opioid use disorder is a disease, addressing substance abuse within a fire department, situational awareness when responding to opioid incidents, managing exposure risks, managing compassion fatigue, and community approaches to the crises.The National Institute of Occupational Safety and Health, the National Institute of Environmental Health Sciences, and the Department of Energy supported the series. An estimated 130 people die daily from an opioid overdose in the United States.Shutterstock A partnership started by West Virginia University has received funding to develop and distribute materials to help state teachers support their students who may be dealing with a family member’s substance use disorder. Called the Project TRAIN initiative – Teacher Resources taking viagra without ed for Addiction Impact Now – is part of a collaboration with the Region 5 Comprehensive Center at Westat.

The funding will allow two educators at WVU College of Education and Human Services (Jessica Troilo, associate dean for academic affairs, and Frankie Tack, clinical assistant professor and program coordinator of the addiction studies minor) to provide online training for teachers covering four different topics – an addictions overview, a review of family systems and their impact on students’ classroom behaviors, strategies for interacting with parents and students, and teacher self-care.A report from the United Hospital Fund found that West Virginia has the highest rate of children being affected by the opioid crisis – 54 out of every 1,000 children. €œWe hope to build the capacity of teachers taking viagra without ed in responding to the challenges of the opioid crisis,” Troilo said. €œWhat that means is increasing the confidence of teachers in managing and working with students impacted by substance use disorders in the home. We want to provide them with the tools they need to be successful.”Troilo and Tack, along with Lauren Prinzo, an assistant professor and Extension Specialist incommunity taking viagra without ed and economic development in WVU Extension Service’s Family and Community Development Unit, will develop the training modules and then deliver them to educators throughout the state and surrounding states. €œWVU Extension is working across units to find ways that we impact substance misuse across the state.

When this project came along, and we talked about partnering, it was a perfect fit,” Prinzo taking viagra without ed said. €œWe have county-based faculty in all 55 counties of West Virginia, and there’s a lot of interest among our faculty in working directly with schools and youth to address this issue and support people in recovery.”The content is based on information received by Troilo and Tack during a 2019 survey of teachers. In the survey, teachers reported never having received training on what to do for students whose parents or caregivers have substance use issues. Additionally, 70 percent of the teachers reported some taking viagra without ed level of burnout every month.Shutterstock New York Gov. Andrew Cuomo announced Tuesday the state would provide nearly $853,000 in funding for healthcare providers in five regions to expand mobile addiction treatment services.

The federal grant money will allow the providers to purchase and operate mobile treatment vehicles, which will expand taking viagra without ed availability and access to addiction treatment services in underserved regions of the state. Awards were given to St. Lawrence County Community Services taking viagra without ed in Central New York. Outreach Development Corporation in the Long Island region. Bridge Back to Life Center in the Mid-Hudson region.

And Promesa, taking viagra without ed Inc. In the Capital region and the New York City region. The funding can be used to either taking viagra without ed buy modified vans that have the ability to provide counseling services one-on-one or in a small group, and that have the capability to do telemedicine or full “mobile clinics” that provide an array of outpatient services while having space for bathrooms, examination rooms, and telemedicine. Administered by the New York State Office of Addiction Services and Supports, the funds are part of the federal State Opioid Response Grant provided to the state. The latest funding round joins another $972,000 taking viagra without ed awarded previously, bringing the total awarded to $1,825,000.

€œDespite the many challenges caused by the current erectile dysfunction treatment viagra, we must continue to remain vigilant in our fight against the ongoing opioid epidemic,” Governor Cuomo said. €œThis critical investment for addiction treatment services will help to ensure that we are improving access to taking viagra without ed care and meeting the treatment needs of all New Yorkers no matter where they live while enhancing our innovative and multi-pronged approach to the opioid epidemic.”Shutterstock Bicameral legislation introduced Oct. 9 would expand access to Harm Reduction Centers throughout New Jersey.Harm Reduction Centers provide sterile syringes and supplies to drug users. They also provide screening for HIV and other sexually transmitted s. Screening Hepatitis taking viagra without ed C.

Treatment and pre- and post-exposure prophylaxis services. Naloxone and overdose taking viagra without ed prevention education. And resources for critical services such as HIV care.In addition, they provide connections to housing, counseling, support groups, and essential health services such as medication for opioid-use disorder, substance use disorder treatment, and prenatal care.New Jersey made its state syringe-access program permanent in 2016, but there are few centers statewide.The bill would remove regulations that often prevent the establishment of Harm Reduction Centers.“The current battle against erectile dysfunction treatment makes Harm Reduction expansion even more urgent, as we are facing the viagra on top of the existing overdose crisis, rising Hepatitis C s, and the ongoing HIV Epidemic,” Axel Torres Marrero, Hyacinth AIDS Foundation Senior Director of Public Policy and Legal Services, said. Sen. Joseph Vitale (D-Middlesex) and Assemblywoman Valerie Vainieri Huttle (D-Bergen) introduced the bill.

According to studies, drug users with access to Harm Reduction Centers are five times more likely to stop chaotic- substance use and 50 percent less likely to acquire Hepatitis C or HIV..

Shutterstock An event in Smyrna, Del., provided opioid rescue kits http://imayotv.com/buy-generic-amoxil-online/ to residents buy generic viagra online and free training Wednesday. The event was aimed at those who are at risk of experiencing an overdose or for the loved ones of those at risk.Each rescue kit contained two doses of Naloxone, an opioid overdose reversal drug.The training lasted approximately 10 minutes. Attendees were taught how to recognize and buy generic viagra online respond to an opioid overdose emergency.

They also were informed about local treatment and support resources.“Amidst the erectile dysfunction treatment viagra, we can’t forget about the opioid epidemic. Addiction has its grip on our community, and with this event and others, we can make sure that Naloxone gets to individuals and families who may need it during an opioid overdose emergency,” Trinidad Navarro, the buy generic viagra online insurance commissioner, said. €œWhile we continue to work to ensure that treatment for those with drug dependencies is affordable and accessible, events like these offer an opportunity to increase awareness and education life-saving techniques and tools.”Navarro hosted the event in collaboration with Public Health’s Kent County Community Response Team, the First Presbyterian Church of Smyrna, and the Smyrna-Clayton Ministerium.

The event was outdoors and offered drive-through and walk-up options.Shutterstock buy generic viagra online The International Association of Fire Fighters (IAFF) recently launched a 10-segment video and podcast series on the opioid epidemic.The Responding to the Opioid Epidemic series provides firefighters with an in-depth understanding of opioid addiction and treatment and addiction treatment options. It also provides firefighters living with pain with responsible approaches to pain management.“The series features stories and experiences from IAFF members living in recovery from opioid addiction, provides best practices for addressing substance use among fire service personnel through comprehensive behavioral health programming and offers tools for EMS personnel on the frontlines responding to the opioid crisis, including how to increase situational awareness and manage exposure risks and how to cope with compassion fatigue and burnout,” IAFF said.The 10 topics covered in the series include opioid use disorder is a disease, addressing substance abuse within a fire department, situational awareness when responding to opioid incidents, managing exposure risks, managing compassion fatigue, and community approaches to the crises.The National Institute of Occupational Safety and Health, the National Institute of Environmental Health Sciences, and the Department of Energy supported the series. An estimated 130 people die daily from an opioid overdose in the United States.Shutterstock A partnership started by West Virginia University has received funding to develop and distribute materials to help state teachers support their students who may be dealing with a family member’s substance use disorder.

Called the Project TRAIN initiative – Teacher Resources for buy generic viagra online Addiction Impact Now – is part of a collaboration with the Region 5 Comprehensive Center at Westat. The funding will allow two educators at WVU College of Education and Human Services (Jessica Troilo, associate dean for academic affairs, and Frankie Tack, clinical assistant professor and program coordinator of the addiction studies minor) to provide online training for teachers covering four different topics – an addictions overview, a review of family systems and their impact on students’ classroom behaviors, strategies for interacting with parents and students, and teacher self-care.A report from the United Hospital Fund found that West Virginia has the highest rate of children being affected by the opioid crisis – 54 out of every 1,000 children. €œWe hope to build the capacity of teachers in buy generic viagra online responding to the challenges of the opioid crisis,” Troilo said.

€œWhat that means is increasing the confidence of teachers in managing and working with students impacted by substance use disorders in the home. We want to provide them with the tools they need to be successful.”Troilo and Tack, along with Lauren Prinzo, an assistant professor buy generic viagra online and Extension Specialist incommunity and economic development in WVU Extension Service’s Family and Community Development Unit, will develop the training modules and then deliver them to educators throughout the state and surrounding states. €œWVU Extension is working across units to find ways that we impact substance misuse across the state.

When this project came along, and we talked about partnering, it was a buy generic viagra online perfect fit,” Prinzo said. €œWe have county-based faculty in all 55 counties of West Virginia, and there’s a lot of interest among our faculty in working directly with schools and youth to address this issue and support people in recovery.”The content is based on information received by Troilo and Tack during a 2019 survey of teachers. In the survey, teachers reported never having received training on what to do for students whose parents or caregivers have substance use issues.

Additionally, 70 percent of the teachers reported some level of burnout every month.Shutterstock New York buy generic viagra online Gov. Andrew Cuomo announced Tuesday the state would provide nearly $853,000 in funding for healthcare providers in five regions to expand mobile addiction treatment services. The federal grant money will allow the providers to purchase and operate mobile treatment vehicles, which buy generic viagra online will expand availability and access to addiction treatment services in underserved regions of the state.

Awards were given to St. Lawrence County Community Services in buy generic viagra online Central New York. Outreach Development Corporation in the Long Island region.

Bridge Back to Life Center in the Mid-Hudson region. And Promesa, buy generic viagra online Inc. In the Capital region and the New York City region.

The funding can be used to either buy modified vans that buy generic viagra online have the ability to provide counseling services one-on-one or in a small group, and that have the capability to do telemedicine or full “mobile clinics” that provide an array of outpatient services while having space for bathrooms, examination rooms, and telemedicine. Administered by the New York State Office of Addiction Services and Supports, the funds are part of the federal State Opioid Response Grant provided to the state. The latest buy generic viagra online funding round joins another $972,000 awarded previously, bringing the total awarded to $1,825,000.

€œDespite the many challenges caused by the current erectile dysfunction treatment viagra, we must continue to remain vigilant in our fight against the ongoing opioid epidemic,” Governor Cuomo said. €œThis critical investment for addiction treatment services will help to ensure that we are improving access to care and meeting the treatment needs of all New Yorkers no matter where buy generic viagra online they live while enhancing our innovative and multi-pronged approach to the opioid epidemic.”Shutterstock Bicameral legislation introduced Oct. 9 would expand access to Harm Reduction Centers throughout New Jersey.Harm Reduction Centers provide sterile syringes and supplies to drug users.

They also provide screening for HIV and other sexually transmitted s. Screening Hepatitis C buy generic viagra online. Treatment and pre- and post-exposure prophylaxis services.

Naloxone and overdose prevention buy generic viagra online education. And resources for critical services such as HIV care.In addition, they provide connections to housing, counseling, support groups, and essential health services such as medication for opioid-use disorder, substance use disorder treatment, and prenatal care.New Jersey made its state syringe-access program permanent in 2016, but there are few centers statewide.The bill would remove regulations that often prevent the establishment of Harm Reduction Centers.“The current battle against erectile dysfunction treatment makes Harm Reduction expansion even more urgent, as we are facing the viagra on top of the existing overdose crisis, rising Hepatitis C s, and the ongoing HIV Epidemic,” Axel Torres Marrero, Hyacinth AIDS Foundation Senior Director of Public Policy and Legal Services, said. Sen.

Joseph Vitale (D-Middlesex) and Assemblywoman Valerie Vainieri Huttle (D-Bergen) introduced the bill. According to studies, drug users with access to Harm Reduction Centers are five times more likely to stop chaotic- substance use and 50 percent less likely to acquire Hepatitis C or HIV..

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By Robert buy generic viagra online PreidtHealthDay Reporter FRIDAY, Jan. 15, 2021 (HealthDay News) -- The erectile dysfunction treatment viagra significantly shortened life expectancy in the United States, especially among Black people and Hispanics, a new study says. With more than 336,000 erectile dysfunction treatment deaths nationwide last year, researchers decided to buy generic viagra online examine the viagra's impact on life expectancy. The projection. Due to viagra deaths, life expectancy at birth buy generic viagra online for Americans will shrink by 1.13 years, to 77.48 years.

That's the largest single-year decline in at least 40 years, resulting in the lowest estimated life expectancy since 2003, according to the authors. Their findings buy generic viagra online revealed significant racial differences that underscore the viagra's heavy toll on racial and ethnic minority groups. The study projects a 0.68-year decline in life expectancy for white Americans to 77.84 years, compared to a 2.1-year decline for Black people, to 72.78 years, and a 3.05-year drop among Hispanics to 78.77 years. "The erectile dysfunction treatment viagra's disproportionate effect on the life expectancy of Black and Latino Americans likely has to do with their greater exposure through their workplace or extended family contacts, in addition to receiving poorer health care, leading to more s and worse outcomes," study author Theresa Andrasfay said in a news release buy generic viagra online from the University of Southern California. She is a postdoctoral fellow in gerontology at the university.

The researchers project the gap between Black Americans and white Americans to widen from 3.6 years buy generic viagra online to more than 5 years. That's more proof that minorities are especially hard hit by the viagra, according to the findings, published Jan. 14 in the journal Proceedings buy generic viagra online of the National Academy of Sciences. "The bigger reductions in life expectancy for the Black and Latino populations result in part from a disproportionate number of deaths at younger ages for these groups," said study co-author Noreen Goldman, a professor of demography and public affairs at Princeton University. "These findings underscore the need for protective behaviors and programs to reduce potential viral exposure among younger individuals who may not perceive themselves to be at high risk," Goldman added in the release buy generic viagra online.

Continued Life expectancy is an important indicator of a population's health and helps assess the impact of erectile dysfunction treatment on survival, according to the researchers. The 1918 influenza viagra shortened life expectancy by 7 to 12 years, buy generic viagra online they noted. "While the arrival of effective treatments is hopeful, the U.S. Is currently experiencing more daily erectile dysfunction treatment deaths than at any other point in the viagra," Andrasfay buy generic viagra online said. "Because of that, and because we expect there will be long-term health and economic effects that may result in worse mortality for many years to come, we expect there will be lingering effects on life expectancy in 2021." More information The U.S.

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