
CSSD/OT in Seychelles
Engineering Excellence & Technical Support
CSSD/OT solutions. High-standard technical execution following OEM protocols and local regulatory frameworks.
Advanced Sterilization Techniques
Our CSSD/OT utilizes state-of-the-art autoclaves and chemical sterilization methods, ensuring the highest standards of instrument decontamination and patient safety in accordance with international guidelines. This commitment minimizes the risk of healthcare-associated infections.
Real-time Instrument Tracking
Implemented a robust digital tracking system for all surgical instruments, from sterilization to surgical use. This enhances inventory management, reduces the risk of lost instruments, and provides complete traceability for quality assurance and regulatory compliance.
Rigorous Infection Control Protocols
Adherence to stringent, evidence-based infection control protocols throughout the CSSD and OT. This includes meticulous environmental monitoring, comprehensive staff training, and proactive surveillance to maintain a sterile and safe surgical environment for all patients.
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What Is Cssd/ot In Seychelles?
CSSD/OT in Seychelles refers to the Central Sterile Supply Department (CSSD) and Operating Theatre (OT) services within the local healthcare system. The CSSD is responsible for the decontamination, sterilization, and supply of medical devices and equipment used in patient care, particularly in surgical procedures. The OT is the specialized environment where surgical operations are performed. Together, these departments are crucial for ensuring patient safety, preventing infections, and facilitating effective surgical interventions. Their importance lies in maintaining the highest standards of hygiene and equipment readiness, directly impacting patient outcomes and the overall efficiency of surgical services. The scope of CSSD/OT in Seychelles encompasses all public and private healthcare facilities that perform surgical procedures, from minor surgeries to complex interventions. This includes ensuring a consistent supply of sterile instruments, maintaining the functionality of the operating rooms, and adhering to strict infection control protocols, all while operating within the specific resources and infrastructure available in Seychelles.
| Aspect | Description in Seychelles Context | Key Functions/Considerations |
|---|---|---|
| CSSD Role | Centralized unit for reprocessing reusable medical and surgical instruments. | Decontamination, cleaning, disinfection, sterilization, storage, and distribution of sterile supplies. |
| OT Role | The dedicated space within a hospital where surgical procedures are performed. | Preparation of the surgical field, provision of anesthesia, surgical intervention, and immediate post-operative care. |
| Interdependence | CSSD directly supports OT by providing sterile instruments and equipment essential for surgery. | Timely delivery of sterile items, effective communication between CSSD and OT teams. |
| Challenges in Seychelles | Limited access to advanced sterilization technologies and infrastructure, potential staffing shortages, maintaining consistent supply chains for consumables. | Investment in training, infrastructure upgrades, efficient inventory management, robust quality control measures. |
| Scope of Services | Covers a range of surgical specialties including general surgery, obstetrics and gynecology, orthopedics, and emergency procedures. | Ensuring availability of specialized instruments for different surgical needs. |
| Quality Assurance | Implementation of strict protocols and monitoring systems to ensure the effectiveness of sterilization processes. | Regular validation of sterilization equipment, biological and chemical monitoring, adherence to infection control guidelines. |
Importance of CSSD/OT in Seychelles Healthcare
- Patient Safety: Guarantees the sterility of surgical instruments and equipment, preventing surgical site infections (SSIs) and other healthcare-associated infections (HAIs).
- Infection Prevention and Control: Plays a vital role in breaking the chain of infection by properly cleaning, disinfecting, and sterilizing all reusable medical devices.
- Surgical Procedure Success: Ensures that surgeons have access to the necessary sterile instruments and a well-equipped, safe operating environment, leading to better surgical outcomes.
- Resource Optimization: Efficient management of sterile supplies reduces waste and ensures that essential equipment is available when needed, optimizing the use of limited healthcare resources.
- Compliance with Standards: Adherence to national and international guidelines for sterilization and operating theatre management is essential for quality healthcare delivery.
- Reduced Morbidity and Mortality: By preventing infections and ensuring successful surgeries, CSSD/OT services directly contribute to lowering patient morbidity and mortality rates.
- Trust and Confidence: The reliable functioning of these departments builds trust among patients and healthcare professionals in the quality of surgical care provided.
Who Benefits From Cssd/ot In Seychelles?
Central Sterile Supply Department (CSSD) and Operating Theatre (OT) services are crucial components of healthcare delivery in Seychelles, ensuring patient safety and infection prevention. Understanding who benefits and which healthcare facilities rely on these services is essential for resource allocation and service planning. The primary beneficiaries are patients who undergo surgical or invasive procedures, as well as healthcare workers who are protected from healthcare-associated infections. The infrastructure and expertise of CSSD/OT are vital for maintaining the sterility of surgical instruments and equipment, thereby minimizing the risk of post-operative complications.
| Healthcare Facility Type | Services Provided | Reliance on CSSD/OT |
|---|---|---|
| Public Hospitals (e.g., Victoria Hospital, Anse Royale Hospital) | Comprehensive surgical services, emergency care, outpatient procedures | High, as these facilities house the majority of surgical capacity and require robust CSSD/OT services for all invasive procedures. |
| Specialized Clinics (e.g., dental clinics, eye clinics, dermatology clinics) | Outpatient surgical and diagnostic procedures | Moderate to High, depending on the invasiveness of procedures. Sterilization of instruments is critical. |
| Primary Healthcare Centers (requiring minor procedures) | Minor wound care, minor surgical interventions (where applicable) | Low to Moderate, typically for basic sterilization needs for minor instruments if procedures are performed on-site. |
| Private Healthcare Providers (hospitals and clinics) | Surgical services, diagnostic procedures | High, mirroring the needs of public hospitals, with a focus on maintaining high standards for patient care and attracting clientele. |
Target Stakeholders and Healthcare Facility Types for CSSD/OT in Seychelles
- Patients undergoing surgical and invasive procedures
- Healthcare professionals (surgeons, nurses, technicians, etc.)
- Healthcare facilities
- Ministry of Health (Seychelles)
- Medical equipment suppliers and maintenance providers
Cssd/ot Implementation Framework
This document outlines a comprehensive lifecycle framework for the implementation of a Central Sterile Supply Department (CSSD) and Operating Theatre (OT) solution. It details the key phases, activities, and deliverables required for a successful and efficient implementation, from initial assessment through to final sign-off.
| Phase | Key Activities | Key Deliverables | Primary Stakeholders |
|---|---|---|---|
| Phase 1: Assessment and Planning | Define project scope and objectives, conduct needs analysis, assess current state (workflows, infrastructure, technology), identify requirements (functional, non-functional), develop business case, create project plan, resource allocation, risk assessment. | Project Charter, Needs Analysis Report, Requirements Specification Document, Project Plan, Risk Register. | Project Sponsor, Hospital Management, Clinical Leads (CSSD/OT), IT Department, Procurement. |
| Phase 2: Design and Configuration | Develop detailed system design based on requirements, configure software modules (CSSD management, OT scheduling, inventory), define user roles and permissions, design workflows and process automation, develop interface specifications for integrated systems. | Detailed Design Document, System Configuration Specifications, Workflow Diagrams, Interface Design Documents. | Project Team, Technical Leads, Business Analysts, Subject Matter Experts (SMEs) from CSSD/OT. |
| Phase 3: Development and Integration | Custom development (if required), integration with existing hospital systems (EHR, PACS, Inventory), data migration planning and execution, development of reports and dashboards. | Developed Modules, Integrated Systems, Data Migration Plan & Scripts, Reports & Dashboards. | Development Team, Integration Specialists, Data Migration Specialists, IT Department. |
| Phase 4: Testing and Validation | Unit testing, system integration testing (SIT), user acceptance testing (UAT), performance testing, security testing, validation against regulatory requirements, defect tracking and resolution. | Test Plans, Test Cases, Test Reports, Defect Log, UAT Sign-off. | Project Team, QA Team, End-Users (CSSD/OT Staff), IT Security. |
| Phase 5: Training and Deployment | Develop training materials, conduct end-user training, prepare deployment environment, create go-live checklist, finalize data migration, establish support structure. | Training Materials, Training Attendance Records, Deployment Plan, Go-Live Checklist, Support Model Documentation. | Training Team, Project Team, End-Users, IT Operations. |
| Phase 6: Go-Live and Support | Execute go-live plan, monitor system performance, provide immediate post-go-live support (hypercare), address critical issues, transition to ongoing support. | Live System, Incident Reports, Support Tickets, Post-Go-Live Performance Metrics. | Project Team, IT Support Team, End-Users, Vendor Support (if applicable). |
| Phase 7: Post-Implementation Review and Optimization | Conduct post-implementation review, gather user feedback, identify areas for improvement, implement optimizations and enhancements, measure ROI, plan for future upgrades. | Post-Implementation Review Report, Optimization Plan, Lessons Learned Document, ROI Analysis. | Project Management, Hospital Management, Clinical Leads, IT Department. |
CSSD/OT Implementation Lifecycle Phases
- Phase 1: Assessment and Planning
- Phase 2: Design and Configuration
- Phase 3: Development and Integration
- Phase 4: Testing and Validation
- Phase 5: Training and Deployment
- Phase 6: Go-Live and Support
- Phase 7: Post-Implementation Review and Optimization
Cssd/ot Pricing Factors In Seychelles
The pricing for Central Sterilization Supply Departments (CSSD) and Operating Theatre (OT) services in Seychelles is influenced by a complex interplay of factors. These can be broadly categorized into direct operational costs, indirect support costs, and market-driven considerations. Understanding these variables is crucial for accurate budgeting, resource allocation, and establishing competitive pricing structures.
| Cost Variable Category | Description | Estimated Range (SCR - Seychelles Rupee) | Notes |
|---|---|---|---|
| CSSD Consumables (per cycle/instrument set) | Detergents, disinfectants, wraps, indicators, packaging. | 50 - 500 SCR | Highly dependent on instrument type and cycle complexity. |
| OT Consumables (per procedure) | Gloves, gowns, drapes, sutures, blades, etc. | 300 - 5,000+ SCR | Varies significantly with procedure type (e.g., basic vs. complex orthopedic). |
| Major CSSD Equipment Depreciation (annual) | Autoclaves, washer-disinfectors (amortized over lifespan). | 50,000 - 500,000+ SCR | Based on capital cost and lifespan. Can be amortized over many years. |
| Major OT Equipment Depreciation (annual) | Anesthesia machines, surgical lights, monitors (amortized over lifespan). | 100,000 - 1,000,000+ SCR | Similar to CSSD, dependent on capital investment and lifespan. |
| CSSD Technician Salary (monthly) | Skilled personnel for sterilization processes. | 8,000 - 20,000+ SCR | Includes benefits. Varies with experience and qualifications. |
| OT Nursing/Support Staff Salary (monthly) | Anesthesia techs, scrub nurses, circulating nurses. | 10,000 - 25,000+ SCR | Includes benefits. Higher for specialized roles. |
| Surgeon/Anesthesiologist Fee (per procedure) | Professional fees for medical practitioners. | 5,000 - 50,000+ SCR | Highly dependent on specialty and procedure complexity. |
| Utility Costs (per month) | Electricity, water for CSSD/OT operations. | 15,000 - 100,000+ SCR | Significantly influenced by equipment usage and efficiency. |
| Surgical Instrument Purchase/Rental (per procedure) | Specialized or high-cost instruments, implants. | 500 - 100,000+ SCR | Implants can be the largest single cost item in some procedures. |
| Waste Management (per month) | Disposal of biohazardous and general waste. | 2,000 - 10,000+ SCR | Specialized disposal for medical waste is more costly. |
| Overhead Allocation (per procedure/day) | Rent, administration, general maintenance. | 500 - 5,000+ SCR | A general allocation, can be complex to precisely calculate. |
| Cost of a Basic Sterilization Cycle (CSSD) | Estimates for a standard steam sterilization cycle. | 100 - 300 SCR | Primarily covers consumables and utilities. |
| Cost of a Standard Appendectomy (OT) | Procedure including surgeon, anesthesia, nursing, consumables. | 15,000 - 40,000+ SCR | Excludes major implants, if any are required. |
Key Factors Influencing CSSD/OT Pricing in Seychelles
- Direct Material Costs: This encompasses consumables directly used in sterilization and surgical procedures. For CSSD, it includes cleaning agents, disinfectants, sterilization wraps, indicators, and packaging materials. For OT, it involves surgical drapes, gowns, gloves, masks, sutures, blades, and specialized instruments for specific procedures.
- Equipment Depreciation and Maintenance: The significant capital investment in CSSD autoclaves, washer-disinfectors, and ultrasonic cleaners, as well as OT surgical lights, anesthesia machines, electrosurgical units, and monitoring equipment, necessitates factoring in depreciation costs. Regular maintenance, calibration, and repair services also contribute to operational expenses.
- Staffing and Labor Costs: This is a substantial component, including salaries, benefits, and training for qualified CSSD technicians, nurses, surgeons, anesthesiologists, and support staff. The skill level, experience, and shift patterns of personnel directly impact pricing.
- Utility Consumption: Sterilization processes and OT procedures are energy-intensive. Costs associated with electricity (for equipment, lighting, HVAC), water (for cleaning and processes), and sometimes specialized gases (like medical air or oxygen for OTs) are significant.
- Sterilization Cycle Parameters and Complexity: The type of sterilization method used (e.g., steam, ethylene oxide, hydrogen peroxide plasma) and the duration and temperature of the cycle directly affect utility consumption and instrument wear. More complex or specialized sterilization needs will incur higher costs.
- Surgical Procedure Complexity and Duration: Simple procedures require fewer consumables and shorter operating times than complex surgeries. The duration of OT occupancy and the types of instruments and equipment used are direct cost drivers.
- Type and Cost of Surgical Instruments and Implants: The price of specialized surgical instruments, implants (e.g., prosthetics, screws), and disposable surgical kits varies widely. The cost of these items is often directly passed on or factored into the overall procedure pricing.
- Infection Control and Waste Management: Stringent infection control protocols, including specialized cleaning, waste segregation, and disposal of biohazardous materials, add to operational costs for both CSSD and OT.
- Quality Assurance and Regulatory Compliance: Maintaining high standards of quality assurance, adhering to national and international regulations (e.g., for medical device reprocessing), and ongoing audits contribute to overheads.
- Facility Overhead and Infrastructure: This includes the cost of maintaining the physical space, including rent/mortgage, cleaning, security, and general administrative expenses. Dedicated CSSD and OT facilities require specialized infrastructure to meet hygiene and safety standards.
- Technology and Innovation Adoption: Investment in newer, more efficient sterilization technologies or advanced surgical equipment can lead to higher initial costs but may reduce long-term operational expenses or improve patient outcomes.
- Patient Volume and Throughput: Higher patient volumes can lead to economies of scale, potentially reducing per-unit costs. However, it also necessitates robust staffing and resource management.
- Market Demand and Competition: The presence of other healthcare providers offering similar services can influence pricing. Demand for specific procedures or specialized sterilization capabilities can also affect pricing power.
- Insurance and Payer Reimbursement Rates: In systems where insurance or government bodies are major payers, their reimbursement rates can significantly influence the publicly advertised or billed prices.
- Geographic Location and Local Economic Conditions: While Seychelles is a specific location, general economic factors like inflation, cost of imports (many medical supplies are imported), and local labor market conditions can influence the overall cost base.
Value-driven Cssd/ot Solutions
Optimizing budgets and ROI for Central Sterile Services Department (CSSD) and Operating Room (OR) solutions requires a strategic approach focused on efficiency, technology adoption, and risk management. This category is critical for patient safety and operational throughput, making every investment impactful. By understanding the key cost drivers and identifying opportunities for savings and value creation, organizations can significantly enhance their financial performance and clinical outcomes.
| Strategy | Budget Optimization Impact | ROI Enhancement Drivers | Key Considerations |
|---|---|---|---|
| Automated Instrument Tracking (RFID/Barcodes) | Reduced lost instruments, minimized manual data entry, optimized instrument utilization. | Faster turnaround times, reduced instrument replacement costs, improved OR efficiency. | Initial hardware/software investment, staff training, integration with existing systems. |
| Advanced Sterilization Technologies (e.g., Hydrogen Peroxide Plasma) | Reduced reliance on high-temperature steam, potentially lower energy consumption, faster cycle times for some instruments. | Increased throughput, ability to sterilize heat-sensitive instruments, reduced instrument damage. | Capital expenditure, validation costs, compatibility with instrument materials, consumable costs. |
| Consolidated Surgical Tray Management | Reduced number of unique instrument sets, improved inventory accuracy, fewer missing instruments. | Lower instrument purchasing costs, faster tray assembly, enhanced OR readiness. | Standardization protocols, staff buy-in, initial re-instrumentation costs. |
| Data Analytics Platforms for OR/CSSD | Identification of inefficient processes, accurate cost allocation, predictive maintenance scheduling. | Optimized resource allocation, reduced downtime, improved decision-making for capital investments. | Data integration challenges, need for skilled analysts, clear reporting metrics. |
| Strategic Sourcing for Consumables | Negotiated pricing for surgical wraps, detergents, disposables, etc. | Lower direct material costs, improved profit margins on procedures, reduced stockouts. | Supplier relationship management, volume commitments, quality assurance. |
Key Areas for CSSD/OT Budget Optimization and ROI Enhancement
- Technology Integration & Automation: Implementing advanced sterilization technologies (e.g., low-temperature sterilization alternatives), automated instrument tracking systems, and smart OR scheduling software can reduce manual labor, minimize errors, and improve turnaround times. The initial investment is offset by long-term savings in labor, reprocessing costs, and reduction in instrument damage or loss.
- Inventory Management & Standardization: Standardizing instrument sets, optimizing inventory levels to avoid overstocking or stockouts, and leveraging just-in-time (JIT) delivery for consumables can significantly reduce waste and holding costs. Real-time inventory tracking systems are crucial for this.
- Preventative Maintenance & Equipment Lifespan: A robust preventative maintenance program for sterilization equipment and OR technology is paramount. Proactive maintenance reduces costly emergency repairs, extends equipment lifespan, and minimizes downtime that impacts surgical schedules and revenue. Service contracts should be evaluated for cost-effectiveness and scope.
- Staff Training & Skill Development: Investing in comprehensive training for CSSD and OR staff on new technologies, best practices, and efficient workflows directly translates to reduced errors, improved productivity, and better instrument care. This reduces rework and improves overall throughput.
- Data Analytics & Performance Monitoring: Utilizing data from tracking systems, sterilization cycles, and OR utilization to identify bottlenecks, inefficiencies, and areas of high cost is essential. This data-driven approach allows for targeted interventions and continuous improvement, maximizing ROI on existing and future investments.
- Consumables & Reagents Procurement: Negotiating favorable contracts with suppliers for surgical consumables, sterilization wraps, detergents, and other essential items is vital. Group purchasing organizations (GPOs) can be leveraged. Exploring bulk purchasing and evaluating alternative, cost-effective suppliers without compromising quality is also important.
- Energy Efficiency & Sustainability: Implementing energy-efficient sterilization equipment and OR lighting, as well as optimizing water usage, can lead to substantial operational cost savings over time. Sustainability initiatives can also enhance organizational reputation and attract environmentally conscious talent.
- Interdepartmental Collaboration & Workflow Streamlining: Enhancing communication and collaboration between CSSD, OR, nursing, and materials management can eliminate delays, reduce redundant processes, and optimize the flow of instruments and equipment. This interconnectedness is key to maximizing overall efficiency and value.
Franance Health: Managed Cssd/ot Experts
Franance Health stands as a premier provider of Managed CSSD (Central Sterile Supply Department) and Operating Theatre (OT) services. Our expertise is underpinned by a robust combination of highly qualified personnel, comprehensive training, and strategic partnerships with Original Equipment Manufacturers (OEMs). This ensures that our clients receive the highest standards of sterility, efficiency, and technological integration in their critical healthcare environments.
| OEM Partner | Areas of Collaboration | Benefits to Clients |
|---|---|---|
| Stryker | Instrument reprocessing technologies, sterilization equipment, surgical instrumentation management. | Access to cutting-edge technology, expert maintenance, optimized instrument lifecycle management, enhanced sterilization efficacy. |
| Getinge | Sterilization and disinfection equipment, decontamination solutions, CSSD workflow optimization. | Ensured compliance with disinfection standards, efficient decontamination processes, streamlined CSSD operations, reduced turnaround times. |
| Ecolab | Cleaning and disinfection chemistries, infection prevention protocols, specialized cleaning solutions for medical devices. | Validated cleaning efficacy, prevention of cross-contamination, extended equipment lifespan, adherence to strict hygiene standards. |
| Aesculap (B. Braun) | Surgical instruments, sterilization containers, comprehensive sterile supply chain solutions. | High-quality instrumentation, reliable sterilization outcomes, integrated supply chain efficiency, reduced risk of instrument damage. |
| Olympus | Endoscope reprocessing systems, infection control for flexible endoscopes, specialized cleaning agents. | Safe and effective reprocessing of endoscopes, minimized risk of patient infection, compliance with guidelines for flexible scopes, extended endoscope utility. |
Our Credentials and OEM Partnerships
- Extensive experience in CSSD and OT management and operations.
- Highly trained and certified technicians and clinical staff.
- Commitment to infection prevention and control best practices.
- Adherence to international standards and regulatory compliance (e.g., ISO, FDA, local health authorities).
- Proven track record of optimizing workflow, reducing costs, and enhancing patient safety.
- Continuous professional development and ongoing training programs for our team.
- Dedicated project management for seamless transitions and implementations.
- Robust quality assurance and performance monitoring systems.
Standard Service Specifications
This document outlines the standard service specifications, including minimum technical requirements and deliverables for the successful execution of the provided service. Adherence to these specifications is mandatory for all service providers.
| Requirement Category | Minimum Technical Requirement | Description | Verification Method |
|---|---|---|---|
| System Uptime | 99.9% | The service must be available and operational for at least 99.9% of the scheduled operational hours. | Monitoring logs and incident reports. |
| Data Security | Compliance with ISO 27001 | All data processed and stored must adhere to ISO 27001 standards for information security management. | Third-party audit reports and internal security policies. |
| Performance | Response time < 2 seconds | All user-initiated requests should receive a response within 2 seconds under normal load conditions. | Performance testing reports and load simulation results. |
| Scalability | Handle 1000 concurrent users | The service infrastructure must be capable of supporting 1000 concurrent users without degradation in performance. | Scalability testing and capacity planning documentation. |
| Backup and Recovery | Daily backups, RTO < 4 hours | Daily data backups must be performed, with a Recovery Time Objective (RTO) of less than 4 hours in case of data loss. | Backup logs, disaster recovery plan, and recovery test results. |
| API Availability | 99.5% | All provided APIs must be available and functional for at least 99.5% of the time. | API monitoring tools and uptime reports. |
| Documentation | Comprehensive and up-to-date | All technical and user documentation must be comprehensive, accurate, and kept up-to-date throughout the service lifecycle. | Review of documentation by designated personnel. |
Key Deliverables
- Project Kick-off Meeting Summary Report
- Detailed Project Plan (including timelines, resources, and milestones)
- Regular Status Update Reports (bi-weekly)
- User Acceptance Testing (UAT) Plan and Results
- Final Service Delivery Report
- Post-Implementation Support Plan
- Knowledge Transfer Documentation
Local Support & Response Slas
Our commitment to reliable service delivery is underscored by our robust Local Support and Response Service Level Agreements (SLAs). These SLAs ensure consistent uptime and rapid response times across all operational regions, guaranteeing that your critical applications and services are available when you need them.
| Region | Uptime Guarantee (Example) | Critical Incident Response Time (Example) | High Priority Incident Response Time (Example) |
|---|---|---|---|
| North America | 99.95% | 15 minutes | 1 hour |
| Europe | 99.98% | 10 minutes | 45 minutes |
| Asia-Pacific | 99.9% | 20 minutes | 1 hour 15 minutes |
| South America | 99.92% | 18 minutes | 1 hour |
Key Features of Local Support & Response SLAs
- Regionalized Support Teams: Dedicated support personnel are strategically located within each region, ensuring faster, more culturally aware, and linguistically appropriate assistance.
- Guaranteed Uptime: We provide specific uptime percentages for different service tiers, outlining the minimum availability you can expect. This is often presented as a percentage (e.g., 99.9%, 99.99%).
- Response Time Commitments: Clearly defined maximum response times for critical incidents are established, ensuring that our teams address issues promptly based on their severity.
- Escalation Procedures: Detailed escalation paths are in place to ensure that issues are addressed efficiently, involving higher levels of technical expertise and management as needed.
- Proactive Monitoring: Continuous monitoring of your services allows us to identify and address potential issues before they impact your operations.
- Regular Reporting: Transparent reporting on uptime and incident resolution times provides clear visibility into our performance against the agreed-upon SLAs.
Frequently Asked Questions

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