Syndrome of inappropriate secretion of antidiuretic hormone

E4_ANTIDIU

inappropriate ADH syndrome: A syndrome characterized by abnormal secretion of antidiuretic hormone in conjunction with neoplastic growth occurring anywhere in the body.

Suggest a new description

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E22.2
  • Hospital discharge: ICD-9 2536X
  • Cause of death: ICD-10 E22.2
  • Cause of death: ICD-9 2536X

2 out of 7 registries used, show all original rules.

176

4. Check minimum number of events

None

176

5. Include endpoints

None

176

6. Filter based on genotype QC (FinnGen only)

176

Control definitions (FinnGen only)

Control exclude
E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E22
Name in latin
Syndroma secretionis impropriae hormonis antidiuretici

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 1631 971 648
Only index persons 1405 854 551
Unadjusted period prevalence (%)
Whole population 0.02 0.03 0.02
Only index persons 0.03 0.03 0.02
Median age at first event (years)
Whole population 71.56 74.37 67.48
Only index persons 72.04 74.92 67.57

-FinnGen-

Key figures

All Female Male
Number of individuals 176 93 83
Unadjusted period prevalence (%) 0.03 0.03 0.04
Median age at first event (years) 69.29 69.51 69.05

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
157
Matched controls
1570
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E22.2
ICD-10 Finland
Syndrome of inappropriate secretion of antidiuretic hormone
+∞
210.6
151
*
E87.1
ICD-10 Finland
Hypo-osmolality and hyponatraemia
101.6
101.1
108
33
H02AB09
ATC
hydrocortisone; systemic
23.7
13.7
19
9
S06.5
ICD-10 Finland
Traumatic subdural haemorrhage
9.3
10.7
22
27
N03AX14
ATC
levetiracetam; systemic
14.7
9.9
16
12
G40.9
ICD-10 Finland
Epilepsy, unspecified
13.5
9.6
16
13
AA1AD
NOMESCO Finland
CT of head and brain
3.1
9.4
64
283
D35.2
ICD-10 Finland
Benign neoplasm: Pituitary gland
25.8
9.0
12
5
111
Kela drug reimbursment
Epilepsy and comparable convulsive disorders
6.5
9.0
23
40
S06.3
ICD-10 Finland
Focal brain injury
29.3
8.6
11
*
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
3.3
8.5
50
197
E22.1
ICD-10 Finland
Hyperprolactinaemia
+∞
8.4
8
*
G40.22
ICD-10 Finland
Complex partial epileptic seizure with secondary generalization
18.4
8.2
12
7
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
23.5
8.1
11
5
H01BA02
ATC
desmopressin; nasal, systemic, sublingual
12.7
7.7
13
11
AAE10
NOMESCO Finland
Transsphenoidal total or partial excision of intracranial lesion
83.8
7.5
8
*
N05BA04
ATC
oxazepam; oral
2.8
7.3
56
258
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
3.3
7.1
38
137
R11
ICD-10 Finland
Nausea and vomiting
4.3
7.1
26
69
N03AG01
ATC
valproic acid; systemic, rectal
6.2
7.0
18
32
N10
ICD-10 Finland
Acute tubulo-interstitial nephritis
3.4
7.0
37
132
D64.9
ICD-10 Finland
Anaemia, unspecified
3.8
6.9
29
88
S02.11
ICD-10 Finland
Fracture of base of skull, open
41.9
6.8
8
*
N06AX11
ATC
mirtazapine; oral
2.6
6.8
65
339
N05CF01
ATC
zopiclone; oral
2.5
6.6
68
369
W01
ICD-10 Finland
Fall on same level from slipping, tripping and stumbling
2.5
6.6
66
351
A06AD11
ATC
lactulose; oral
3.1
6.4
38
147
2536X
ICD-9 Finland
Disorders of the pituitary gland and its hypothalamic control, Other disorders of neurohypophysis
+∞
6.3
6
*
R53
ICD-10 Finland
Malaise and fatigue
2.6
6.1
48
224
JN3BD
NOMESCO Finland
Extensive abdominal CT
3.6
6.0
27
86

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
105
127
19.02
90.93
3.4
1.7
412.5
387.3
nmol/l
0.45
94
112
108
295
7.89
42.59
4.8
3.1
466.4
557.6
mosm/kgh2o
4.67
95
253
26
16
18.89
31.23
1.4
1.3
—
—
—
0
0
85
367
3.55
15.30
2.7
2.0
2.8
3.2
mg/l
1.19
69
314
124
725
3.40
12.80
9.0
6.4
1.2
1.2
mmol/l
0.45
95
606
19
29
7.22
12.18
2.8
2.8
—
—
—
0
0
102
560
2.95
11.24
3.0
2.5
122.7
123.2
ug/l
0.01
84
504
85
431
2.88
10.74
5.2
4.3
—
—
—
0
0
14
19
7.92
9.85
3.7
1.7
—
—
—
0
0
87
468
2.70
9.53
5.7
3.6
—
—
—
0
0
83
448
2.61
8.88
5.5
4.1
7.4
7.4
ph
0.22
29
77
16
30
5.77
8.37
3.9
3.1
4.6
5.0
kpa
1.46
16
30
16
30
5.77
8.37
3.9
3.1
8.9
8.2
kpa
1.12
16
30
102
621
2.53
8.30
7.2
5.7
2.4
2.6
%
0.48
94
571
102
624
2.51
8.17
7.3
6.1
9.3
8.6
%
1.05
94
578
108
681
2.52
8.06
9.1
5.6
1.2
1.2
mmol/l
0.29
98
606
102
633
2.45
7.79
7.6
6.0
23.2
27.0
%
2.99
95
578
120
804
2.55
7.72
11.0
9.1
5.0
4.2
e9/l
1.63
107
706
98
601
2.42
7.64
7.5
5.6
0.6
0.6
%
0.01
90
554
11
15
7.76
7.64
1.8
1.8
28.3
18.3
ug/l
0.34
11
15
107
697
2.37
7.08
7.6
5.6
0.2
0.2
e9/l
0.76
97
617
25
78
3.57
7.01
7.6
6.3
24.0
25.0
mmol/l
0.62
25
78
104
674
2.33
6.90
7.6
5.5
0.0
0.0
e9/l
0.02
94
587
100
638
2.31
6.88
4.2
4.5
33.4
35.3
g/l
2.85
91
593
105
684
2.33
6.87
7.8
5.6
1.6
2.0
e9/l
1.42
94
611
103
669
2.30
6.74
7.7
5.5
0.6
0.6
e9/l
1.08
94
582
15
33
4.88
6.59
2.4
7.4
—
—
—
0
0
98
629
2.26
6.53
7.0
5.6
60.9
57.9
%
1.56
91
577
36
147
2.82
6.46
4.9
3.9
—
—
—
0
0
15
34
4.73
6.37
1.9
2.1
15.8
15.1
%
—
6
17
11
19
6.11
6.19
1.7
1.6
—
—
—
0
0
11
19
6.11
6.19
1.8
1.5
92.3
89.2
%
1.30
11
19
12
24
5.29
5.83
1.7
1.5
1.8
1.5
mmol/l
0.34
12
24
77
464
2.17
5.83
2.7
2.5
50.8
56.1
u/l
0.80
70
427
25
88
3.15
5.79
4.0
2.6
1.3
1.3
%
0.13
25
88
111
779
2.15
5.57
6.4
6.2
10.8
10.9
umol/l
0.03
103
728
70
413
2.15
5.53
6.0
3.4
0.5
0.6
e6/l
0.14
65
315
58
318
2.23
5.50
2.2
1.7
1644.1
1218.2
nmol/l
1.71
34
229
10
19
5.52
5.10
4.7
3.6
5.6
4.7
e9/l
—
10
19
77
487
2.03
4.94
3.2
3.2
2.3
2.4
mmol/l
0.47
67
423
10
20
5.24
4.84
6.2
4.7
69.0
56.5
%
—
10
20
73
458
2.01
4.75
6.2
3.5
40.2
219.4
e6/l
0.69
68
358
40
199
2.31
4.71
7.0
5.9
1.0
1.5
mmol/l
0.44
27
156
22
82
2.92
4.62
4.9
3.0
25.4
25.0
mmol/l
0.25
22
82
92
631
1.96
4.60
12.3
9.2
1.3
1.3
inr
0.03
37
171
14
39
3.81
4.59
4.5
3.4
1.5
1.5
mmol/l
0.05
14
39
14
39
3.81
4.59
4.5
3.3
8.0
8.0
mmol/l
0.01
14
39
65
396
2.02
4.56
6.2
3.3
—
—
—
0
0
39
195
2.28
4.53
7.1
5.9
4.8
5.1
kpa
0.67
34
185
39
195
2.28
4.53
7.1
5.9
12.3
11.6
kpa
0.36
34
185
128
991
2.07
4.43
7.4
4.6
—
—
—
0
0
24
97
2.71
4.35
6.3
4.2
0.6
0.5
%
—
8
30
25
104
2.64
4.29
6.9
4.5
0.1
0.2
%
—
10
39
35
172
2.29
4.22
7.7
6.3
94.7
95.4
%
0.21
30
164
69
439
1.94
4.22
6.4
5.4
—
—
—
0
0
137
1098
2.12
4.17
9.5
7.5
81.1
77.7
u/l
0.40
131
1009
36
182
2.23
4.06
2.7
3.6
1.9
1.8
%
0.22
27
161
89
622
1.87
4.04
5.7
4.2
47.8
48.5
ng/l
0.01
81
474
25
109
2.51
3.90
7.6
3.9
—
—
—
0
0
128
1013
1.97
3.88
6.5
3.9
15.9
15.0
pmol/l
2.57
116
891
58
363
1.89
3.64
1.7
1.6
21.8
21.1
nmol/l
0.13
49
295
25
113
2.41
3.62
7.2
4.4
1.3
0.8
%
—
10
44
32
162
2.19
3.58
1.5
1.7
—
—
—
0
0
77
533
1.79
3.47
6.7
4.0
186.0
78.8
e6/l
0.50
68
385
24
109
2.39
3.44
2.5
3.3
—
—
—
0
0
26
126
2.25
3.22
2.2
4.0
75.8
70.9
e9/l
0.28
17
105
22
100
2.37
3.15
7.1
4.5
0.0
0.2
%
—
8
34
80
572
1.73
3.15
18.4
9.9
0.0
0.0
e9/l
0.39
70
469
57
370
1.80
3.13
7.6
3.8
—
—
—
0
0
26
128
2.21
3.11
10.0
7.4
—
—
—
0
0
10
29
3.60
3.09
4.8
2.7
—
—
—
0
0
10
29
3.60
3.09
4.8
2.7
4.3
4.1
mmol/l
—
10
29
10
29
3.60
3.09
4.8
2.7
94.3
105.7
mmol/l
—
10
29
18
76
2.52
3.00
1.6
1.3
—
—
—
0
0
93
701
1.69
2.96
7.2
4.3
0.0
0.0
estimate
0.00
30
111
24
117
2.22
2.94
5.8
5.9
24.4
24.3
mmol/l
0.01
19
109
9
22
4.25
2.92
3.9
2.2
—
—
—
0
0
83
609
1.69
2.91
2.5
2.0
97.7
94.4
pmol/l
0.23
37
303
6
9
6.85
2.89
1.5
2.2
—
—
—
0
0
12
43
2.92
2.70
2.7
2.3
24.7
24.7
mmol/l
0.01
12
33
15
61
2.59
2.70
1.3
1.3
—
57.6
—
0
5
123
1013
1.71
2.69
6.2
4.1
16.1
13.4
mm/h
1.00
115
909
91
695
1.64
2.66
9.2
5.7
0.0
0.0
estimate
0.00
30
116
46
293
1.77
2.65
9.6
5.2
—
—
—
0
0
57
386
1.71
2.65
8.3
4.5
0.0
0.0
estimate
0.00
30
112
90
690
1.62
2.56
7.3
4.2
0.0
0.0
estimate
0.00
30
118
10
35
2.97
2.34
1.9
2.8
—
—
—
0
0
23
121
2.04
2.34
1.2
1.5
—
—
—
0
0
28
159
1.90
2.31
1.9
3.0
6.2
8.6
umol/l
0.53
22
129
9
29
3.21
2.26
2.6
2.2
—
—
—
0
0
10
37
2.81
2.14
1.2
1.8
—
—
—
0
0
5
10
5.11
2.08
1.0
1.0
—
—
—
0
0
5
10
5.11
2.08
3.0
1.2
—
—
—
0
0
44
295
1.66
2.08
2.2
1.9
434.5
459.5
pmol/l
0.25
33
241
7
20
3.60
2.07
3.6
1.2
—
—
—
0
0
7
20
3.60
2.07
1.1
3.1
31.3
32.2
pg
—
7
20
44
296
1.65
2.05
3.4
3.0
2.5
2.5
mmol/l
0.13
39
259
15
70
2.25
2.05
2.8
2.5
—
—
—
0
0
48
333
1.61
1.98
1.3
1.3
—
—
—
0
0
12
52
2.40
1.92
1.4
1.3
78.0
162.3
u/ml
1.05
12
43
16
79
2.13
1.92
1.4
1.4
—
—
—
0
0
22
123
1.90
1.90
4.5
3.9
—
—
—
0
0
5
12
4.25
1.83
1.4
1.4
—
—
—
0
0
24
140
1.83
1.83
1.4
1.6
—
—
—
0
0
20
110
1.92
1.82
1.6
2.5
0.2
0.2
g/l
0.57
15
103
71
548
1.50
1.80
5.9
4.1
—
—
—
0
0
5
13
3.92
1.72
1.8
1.2
—
—
—
0
0
12
56
2.23
1.65
2.1
1.2
—
—
—
0
0
14
70
2.09
1.64
6.1
3.7
—
—
—
0
0
5
14
3.64
1.62
1.6
2.0
—
—
—
0
0
8
33
2.49
1.56
1.7
1.2
0.2
0.2
g/l
—
8
33
17
94
1.89
1.53
3.0
3.4
69.3
82.7
ng/l
—
10
82
5
15
3.40
1.53
1.2
1.5
—
—
—
0
0
150
1374
1.62
1.46
30.4
16.0
26.1
25.3
mg/l
0.12
137
1111
27
175
1.64
1.45
1.8
1.6
—
—
—
0
0
15
81
1.93
1.45
6.5
4.8
—
—
—
0
0
49
365
1.47
1.44
7.4
7.4
—
—
—
0
0
24
152
1.67
1.41
1.5
1.3
365.7
481.1
titre
—
7
35
22
136
1.71
1.41
1.5
1.3
—
—
—
0
0
29
194
1.59
1.38
1.1
1.2
—
—
—
0
0
57
441
1.43
1.37
5.1
4.1
—
—
—
0
0
5
17
3.00
1.37
2.4
2.1
—
—
—
0
0
137
1247
1.45
1.21
7.4
4.7
2.0
2.0
mu/l
0.00
124
1099
21
134
1.64
1.21
3.9
4.1
—
—
—
0
0
6
26
2.35
1.19
1.2
1.3
—
—
—
0
0
154
1438
1.57
1.16
41.3
18.9
4.1
4.0
mmol/l
3.30
149
1391
5
20
2.54
1.16
1.2
1.5
—
—
—
0
0
13
74
1.82
1.10
5.9
3.8
—
—
—
0
0
9
45
2.05
1.06
2.9
3.4
—
—
—
0
0
25
174
1.51
1.02
2.0
1.4
—
—
—
0
0
13
76
1.77
1.02
1.4
1.4
—
—
—
0
0
9
49
1.88
1.00
9.2
6.1
—
—
—
0
0
35
263
1.41
0.98
1.4
1.5
4.8
2.7
g/l
0.42
19
151
0
32
0.00
0.96
0.0
1.1
—
—
—
0
0
12
71
1.74
0.91
3.8
2.8
—
—
—
0
0
29
215
1.42
0.88
1.8
1.7
—
—
—
0
0
8
44
1.86
0.87
18.4
11.9
—
—
—
0
0
67
567
1.29
0.87
2.3
2.2
—
—
—
0
0
41
324
1.35
0.86
1.5
1.7
1.7
1.5
mg/l
0.16
33
255
7
122
0.56
0.81
1.6
1.6
—
—
—
0
0
55
461
1.28
0.76
3.0
2.4
—
—
—
0
0
5
25
2.03
0.73
1.0
1.4
—
—
—
0
0
7
41
1.74
0.71
2.0
2.0
126.0
123.0
g/l
—
7
28
7
41
1.74
0.71
1.0
1.0
—
—
—
0
0
46
383
1.27
0.67
2.5
3.1
300.0
7964.9
umol/l
2.21
31
313
5
28
1.81
0.66
2.0
1.1
—
—
—
0
0
18
129
1.44
0.66
2.3
2.4
254.8
207.6
ng/l
0.17
18
111
22
288
0.73
0.66
2.4
2.9
0.6
0.7
ug/l
0.85
17
190
51
431
1.26
0.65
2.9
3.0
5.5
7.2
mmol/l
3.55
42
347
123
1306
0.81
0.60
4.5
4.6
1.5
1.5
mmol/l
1.25
110
1176
35
285
1.28
0.60
7.5
3.6
18.0
189.4
ng/l
1.59
30
235
34
276
1.29
0.60
1.3
1.2
1.4
0.8
u/ml
—
7
66
6
35
1.74
0.58
1.2
1.4
—
—
—
0
0
6
36
1.69
0.57
1.0
1.2
—
—
—
0
0
126
1183
1.23
0.57
28.6
17.3
33.9
39.1
%
3.34
77
797
17
126
1.39
0.54
5.3
3.9
—
—
—
0
0
52
450
1.22
0.54
3.8
3.8
3.6
7.8
mg/mmol
1.60
33
285
150
1438
1.29
0.54
15.0
10.9
26.0
24.4
u/l
0.23
145
1369
40
338
1.24
0.51
5.7
4.2
—
—
—
0
0
9
65
1.41
0.51
1.0
1.2
—
—
—
0
0
148
1419
1.27
0.51
28.1
14.7
—
—
—
0
0
49
424
1.22
0.51
2.9
3.0
21.0
193.8
mg/l
0.60
32
272
129
1349
0.84
0.44
5.1
5.3
2.4
2.6
mmol/l
2.17
116
1219
5
32
1.58
0.42
1.2
1.1
—
—
—
0
0
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
32
374
0.82
0.41
1.6
1.7
1.2
1.3
mmol/l
0.28
27
309
0
17
0.00
0.41
0.0
1.0
—
—
—
0
0
19
152
1.28
0.39
3.1
2.6
5.1
5.1
ug/l
0.00
14
135
9
68
1.34
0.38
1.2
1.3
—
—
—
0
0
9
69
1.32
0.38
1.2
1.6
—
—
—
0
0
121
1262
0.87
0.34
4.0
4.2
1.1
1.3
mmol/l
2.40
108
1132
126
1310
0.87
0.33
4.3
4.7
4.3
4.5
mmol/l
2.23
113
1191
154
1499
1.22
0.33
43.4
23.2
264.4
244.6
e9/l
3.15
149
1452
14
111
1.28
0.31
1.1
1.5
—
—
—
0
0
154
1501
1.21
0.31
43.4
23.2
4.1
4.4
e12/l
9.73
147
1446
154
1502
1.20
0.30
43.4
23.2
7.0
6.9
e9/l
0.31
147
1447
13
106
1.24
0.24
3.0
2.8
—
—
—
0
0
5
37
1.36
0.23
1.8
1.6
—
—
—
0
0
5
38
1.32
0.23
1.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
1.7
—
—
—
0
0
10
80
1.27
0.21
16.5
8.7
—
—
—
0
0
0
14
0.00
0.20
0.0
1.2
—
—
—
0
0
11
90
1.24
0.19
6.1
2.7
4.2
4.2
e9/l
—
6
64
38
413
0.90
0.19
3.1
3.3
—
—
—
0
0
6
52
1.16
0.19
2.7
2.1
—
—
—
0
0
9
106
0.84
0.13
1.2
1.4
—
—
—
0
0
11
96
1.16
0.10
1.3
1.1
—
—
—
0
0
18
164
1.11
0.10
1.2
1.3
—
—
—
0
0
49
508
0.95
0.07
4.5
5.1
1.7
2.3
ug/l
1.07
43
441
134
1323
1.05
0.07
5.6
5.0
6.2
6.1
mmol/l
0.17
119
1186
34
327
1.05
0.05
7.8
4.6
1.0
1.0
kg/l
—
7
43
21
203
1.04
0.01
1.3
1.3
18.6
31.8
iu/ml
—
10
66
16
161
0.99
0.00
1.3
1.2
—
—
—
0
0
129
1289
1.00
0.00
7.1
6.3
41.3
40.8
mmol/mol
0.20
118
1188
100
1001
1.00
0.00
4.8
4.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
0.00
0.0
1.5
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint E4_ANTIDIU and mortality.

Females

Parameter HR [95% CI] p-value
E4_ANTIDIU 2.117 [1.65, 2.72] < 0.001
Birth year 0.994 [0.98, 1.0] 0.177

During the follow-up period (1.1.1998 — 31.12.2019), 348 out of 767 females with E4_ANTIDIU died.

Males

Parameter HR [95% CI] p-value
E4_ANTIDIU 3.366 [2.32, 4.88] < 0.001
Birth year 0.984 [0.97, 0.99] 0.002

During the follow-up period (1.1.1998 — 31.12.2019), 270 out of 507 males with E4_ANTIDIU died.

Mortality risk

Mortality risk for people of age

years, who have E4_ANTIDIU.

N-year risk Females Males
1 0.198% 0.597%
5 1.064% 3.778%
10 2.882% 8.794%
15 5.999% 16.438%
20 10.228% 26.295%

Relationships between endpoints

Index endpoint: E4_ANTIDIU – Syndrome of inappropriate secretion of antidiuretic hormone

GWS hits: 1

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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