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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>An IoT system based on open APIs and geolocation for human health data analysis</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Oksana V. Klochko</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Vasyl M. Fedorets</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Maksym V. Mazur</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Yurii P. Liulko</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Vinnytsia Academy of Continuing Education</institution>
          ,
          <addr-line>13 Hrushevskoho Str., Vinnytsia, 21050</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Vinnytsia Mykhailo Kotsiubynskyi State Pedagogical University</institution>
          ,
          <addr-line>32 Ostrozkoho Str., Vinnytsia, 21001</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <fpage>87</fpage>
      <lpage>101</lpage>
      <abstract>
        <p>Development of applications based on open API is becoming increasingly popular today. Innovative projects using these technologies provide new opportunities for real-time human health monitoring. Such opportunities are also implemented using Internet of Things (IoT), artificial intelligence (AI) and cloud computing technologies. In the study, we developed an application based on open APIs using smart gadgets and meteorological geographic information system in the process of generating a message about the dangers to human health associated with: the presence of pollen in the air (grass pollen, birch pollen and olive pollen) indicating the level of its concentration in the air; problems with air quality, if the air quality indicator exceeds the permissible standards. The addition of such functions expands the possibilities to provide timely information about potential risks and threats and, accordingly, is an “anthropo-geo-sensor-digital” prerequisite for efective decision-making, prevailing. The implementation of this IoT system has significant methodological and technological potential that can be used to improve the eficiency of Healthcare, both in extreme conditions and in conditions of sustainable existence. First of all, this is relevant during and after the COVID-19 pandemic. The system we have developed can also be seen as one of the ways to innovate in Healthcare, in the educational process in institutions of higher education and in further scientific research on this topic. Further research in this area may be related to data processing in Healthcare systems based on machine learning, deep learning.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;IoT</kwd>
        <kwd>open API</kwd>
        <kwd>smart gadget</kwd>
        <kwd>smartphone</kwd>
        <kwd>Meteorological Geographic Information System</kwd>
        <kwd>cloud services</kwd>
        <kwd>cloud computing</kwd>
        <kwd>eHealth</kwd>
        <kwd>human health</kwd>
        <kwd>healthcare</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>At this stage of the development of Internet of Things (IoT) technologies, more and more
attention is paid to the development of health care applications in IoT systems, as they provide
an opportunity to remotely monitor the state of human health in real time.</p>
      <p>
        The demand for professional use of IoT systems for real-time health monitoring in relation to
environmental conditions, including environmental risks, is present in many fields of activity,
science and education [
        <xref ref-type="bibr" rid="ref1 ref2 ref3 ref4 ref5">1, 2, 3, 4, 5</xref>
        ].
      </p>
      <p>In this aspect, the presence of relationships between the specified technologies and the field
of health care is decisive. This is being realized thanks to the proliferation of medical and other
wearable devices, which have rapidly gained significant popularity over the past few years.
Numerous studies in this field show that such systems are efective and that their use does not
cause significant discomfort to patients. Another aspect that researchers are paying attention
to is the seamless operation of the IoT and the protection of patient data. Also, in modern
conditions, the development of IoT systems is carried out by combining the technologies of the
Internet of Things (IoT), artificial intelligence (AI), cloud computing, etc.</p>
      <p>Currently, there is a need to minimize risks to life and health and optimize the training
process by taking into account physiological indicators and environmental data in the work of
a coach, instructor, physical culture teacher by using IoT systems for monitoring the state of
health in real time.</p>
      <p>
        There is also a need to use these systems in rehabilitation to implement diferentiated and
individualized rehabilitation. For clinical medicine, including remote diagnostics and treatment,
these applications are particularly important, defining new opportunities for the objectification
and technologization of medical practices, which is especially important during the COVID-19
pandemic [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ].
      </p>
      <p>The use of these systems in ecology opens up new perspectives for considering the
environment systemically, holistically, technologically oriented consideration of the environment
related to human activity. This gives ecology an anthropological and humanistic orientation,
and determines the possibilities of developing digital anthropo-socio-ecological technologies.</p>
      <p>
        The concept of IoT, which allows “smart objects” to “communicate” with each other or with
the user [
        <xref ref-type="bibr" rid="ref7 ref8 ref9">7, 8, 9</xref>
        ], is becoming more and more popular. Thanks to IoT, we can get much more
information more easily than ever before and manage objects much more eficiently [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]. The
concept of IoT can be applied in many fields, including measurement, trafic control, smart
homes, etc. [
        <xref ref-type="bibr" rid="ref10 ref5">10, 5</xref>
        ]. Sensors, smartphones, fitness bracelets, household appliances, counters and
other similar devices can be used as such objects.
      </p>
      <p>
        Remote monitoring of patients has become a popular area of research in recent years [
        <xref ref-type="bibr" rid="ref10 ref11 ref12 ref13 ref14 ref15 ref16 ref17 ref18">10,
11, 12, 13, 14, 15, 16, 17, 18</xref>
        ]. Remote monitoring based on personal medical devices is quite
often used in healthcare areas that use the IoT concept. Personal medical devices (PMDs)
are portable electronic medical devices that perceive and measure users’ biomedical signals
[
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]. To date, many personal medical devices have been developed that can be used for this
purpose: activity monitors, drug dispensers, pulse oximeters, ECG monitors, blood pressure
monitors, fall detectors, etc. [
        <xref ref-type="bibr" rid="ref18 ref19 ref20 ref21 ref22">18, 19, 20, 21, 22, 23</xref>
        ]. PMDs can be objects in IoT systems for
healthcare, and healthcare professionals can take advantage of most of the advantages of the
IoT system by monitoring patients remotely using IoT systems. There is an urgent need to
develop and implement such IoT systems that would expand the possibilities of air monitoring
for the presence of allergens in the environment and, accordingly, present data on the level
of their concentration in representative and user-friendly formats. Monitoring of allergens of
plant origin, which are represented by the pollen of some plants, is important in this regard.
      </p>
      <p>Also important is the analysis of big data in the field of health care, obtained with the help
of the Internet of Things (IoT), which today is used to detect and prevent the development of
various diseases. This direction has gained particular importance over the past three years
in connection with the COVID-19 pandemic. One of the possibilities of integration of these
technologies is their use to collect sensor data in real time by monitoring individuals, for
example, with the help of smart watches and other gadgets.</p>
      <p>The relevance of this study lies in the need to integrate the above technologies in order to
preserve human health. Currently, although the healthcare industry is actively implementing
applications based on IoT, cloud computing and the use of open APIs, the issue of using
applications that analyze sensor data and meteorological data for the purpose of timely detection
of threats to human health and their prevention remains relevant.</p>
      <p>Thus, the aim of the study is to design and implement an IoT system based on open APIs and
geolocation for human health data analysis.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Related work</title>
      <p>We consider the combination of Internet of Things (IoT), artificial intelligence (AI) and cloud
services technologies as an innovation that opens up new opportunities for real-time monitoring
of human health. We analyzed the works of scientists for five years from 2018 to 2022 according
to the joint use of the terms “Internet of Things” and “human health” in them (figure 1).
According to the results, scientists investigated the possibilities of using Internet of Things
(IoT) technologies to preserve human health in the areas of telemedicine, disease diagnosis,
sensor monitoring networks, biometric monitoring, sports fitness management, smart city,
cloud storage, Arduino hardware and software, etc. In this aspect, the existence of a relationship
between the specified technologies and the field of health care is decisive. This is being realized
thanks to the proliferation of medical and other wearable devices, which have rapidly gained
significant popularity over the past few years. Also important is the analysis of big data in the
ifeld of health care, obtained with the help of the Internet of Things, which today is used to
detect and prevent the development of various diseases.</p>
      <p>This direction has gained particular importance over the past three years in connection with
the COVID-19 pandemic. One of the IoT’s capabilities is the ability to use it to collect real-time
sensor data by monitoring individuals, such as through smart watches and other gadgets.</p>
      <p>
        Various aspects of the presented topic are studied by many foreign and domestic scientists,
in particular: the use of machine learning, big data and IoT from the point of view of
medical informatics [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]; application of IoT technologies and artificial intelligence in health care
during the COVID-19 pandemic [
        <xref ref-type="bibr" rid="ref11 ref12">11, 12</xref>
        ]; use of smart devices with IoT support in healthcare
[
        <xref ref-type="bibr" rid="ref12 ref13 ref14 ref15 ref16 ref17 ref18">12, 13, 14, 15, 16, 17, 18</xref>
        ]; analysis of security threats, data corruption in the network and
information security issues in health care related to IoT devices [
        <xref ref-type="bibr" rid="ref11">11, 25</xref>
        ]; the issues of
realtime data monitoring based on IoT, notifications software with geolocation, data analysis were
investigated by Konduru and Naga Surya [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ], Kotelianets [26].
      </p>
      <p>
        Chaouchi [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] conducted research to evaluate and apply clustering algorithms in healthcare
based on cloud services and Open API for data mining. Such models are essential for efective
decision-making in various healthcare domains, for providers and for patients. Data clustering
can help in disease prediction through early disease diagnosis and timely treatment.
      </p>
      <p>
        The issue of using machine learning, big data and IoT from the point of view of medical
informatics was considered by Tawhid et al. [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]. Scientists also focus on the issues of preserving
the confidentiality of medical data.
      </p>
      <p>
        The use of IoT technologies and artificial intelligence in health care during the COVID-19
pandemic was investigated by Chatterjee et al. [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ]. The researchers reviewed the main aspects
of eHealth services during COVID-19 and modern tools and solutions. In particular, they
investigated the possibilities of using mobile applications for the purpose of conducting virtual
consultations.
      </p>
      <p>
        Mitchell [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ] also reviewed the possibilities of online patient engagement for the treatment
of COVID-19 using IoT-enabled smart devices, healthcare body sensor networks, and online
patient engagement for the prevention, screening and treatment of COVID-19. He analyzed the
data, determining the curve of the infection of COVID-19.
      </p>
      <p>A feature of the research by Liu et al. [27] is the use of geodata to monitor social and structural
determinants of human health, especially during the COVID-19 pandemic, to find strategies to
improve health care. The authors proposed a geospatial and ML-based approach (GMLTrace)
for finding indicators of diferences in the health status of patients and analyzing them taking
into account various determinants, for example, the elderly age of patients, racial and ethnic
afiliation of patients, etc.</p>
      <p>
        Also, the use of smart devices with IoT support in the field of health care from the point of
view of information security of health care organizations was investigated by Graham [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
The study considered approaches to identify any new patterns and external threats associated
with the use of IoT devices, both technical and behavioral. One of the important aspects of the
research is new questions related to not knowing how IoT devices work and the consequences
of trusting IoT providers, ways to reduce these risks.
      </p>
      <p>
        Analysis of security threats, data corruption in the network and information security issues in
health care related to IoT devices were investigated by Höller et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ], Park et al. [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ], Tawhid
et al. [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
      </p>
      <p>
        The issue of real-time data monitoring based on IoT, geolocation notification system, data
analysis was investigated by Konduru and Naga Surya [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ]. They proposed a remote pulse
monitoring system. Their proposed engineering solution involves collecting information from
the sensor through a microcontroller and transferring it to databases, where it is further
processed for consideration. The authors note that in this way medical workers can track
changes in the patient’s health indicators.
      </p>
      <p>Despite the significant interest of scientists in the issue of using human health monitoring
systems based on applications that work using an IoT-based application, cloud computing, open
APIs, the issue of developing and using applications based on open APIs using Smart gadgets
and Meteorological Geographic Information System (MGIS) for preserving human health has
not been studied enough.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Selection of methods and diagnostics</title>
      <p>In the process of work, research methods were used: analysis, synthesis, method of system
analysis, methods of communication theory (development of a system that supports Internet of
Things (IoT) technologies), modeling using the unified modeling language UML (in particular, to
build a UML diagram of precedents), mathematical modeling, computer modeling (monitoring
and data analysis).</p>
      <p>In the process of solving the tasks, the method of system analysis was used in order to develop
a system that supports the technologies of the Internet of Things (IoT), artificial intelligence
(AI), cloud computing, open API, wireless access.</p>
      <p>A method of combining devices based on open APIs using smart gadgets and meteorological
geographic information system, a smartphone with wireless technologies was proposed. It has
been used to track and analyze data related to human health, anywhere and anytime, interfacing
with meteorological data to provide operational data (warnings) in real time about the likely
presence of threats for human health.</p>
      <p>The study considered two main groups of environmental factors as elements of the
environmental system that influence the human body [28]:
1) abiotic (temperature, humidity, solar radiation, atmospheric pressure, chemical air pollution,
etc.)
2) biotic (pollen).</p>
      <p>For the purpose of data analysis, sensor data and indicators about the state of human health,
as well as the state of the surrounding environment, were used:
• btotalDistance – total distance covered;
• btotalSteps – total number of steps;
• blastThousandSteps – the number of steps taken in the last 1000 m;
• baverageHeartRate – average heart rate;
• btemperature now – air temperature;
• bwind Speed now – wind speed;
• rainspot – rain spot area;
• pollen_birch – pollen birch;
• pollen_grass – pollen grass;
• pollen_olive – pollen olive;
• airqualityindex – air quality index.</p>
      <p>Meteorological GIS Meteoblue [29] was used to quantify environmental factors using open
APIs (figure 2).</p>
    </sec>
    <sec id="sec-4">
      <title>4. Designing an IoT system based on open APIs and geolocation</title>
      <p>In accordance with the research goal, the task was set to develop and implement a new
“anthropodigital” system for preserving human health by building an IoT system based on open APIs for
monitoring and analyzing data related to human health, with taking into account geolocation.
For this purpose, it was planned to use smart gadgets (fitness bracelet and smartphone) and
meteorological geographic information system.</p>
      <p>The software application based on open API provides:
• collection and analysis of sensor data using Smart gadgets;
• real-time data processing – analysis of environmental factors in order to identify threats
to human health;
• generation of a warning message to the user’s mobile phone.</p>
      <p>This system implements a warning about the threat of a person being in an environment
with polluted air. Such notification is necessary for the timely prevention of the development
of various diseases, determination of the influence of environmental factors on the working
capacity and life expectancy of a person [30, 31].</p>
      <p>Let’s build a specialized UML diagram of precedents for implementing the process of modeling
a wireless IoT system based on open APIs for monitoring and analyzing data related to human
health, taking into account geolocation (figure 3). The UML diagram of precedents describes
the IoT system at the conceptual level and presents a scheme of relations between the Actor
and the precedents that characterize the capabilities of the IoT system (figure 3):
1. Relative indication of heart rate, number of steps and distance covered.
2. Obtaining data on the state of the external environment.
3. Monitoring of geolocation sensor data.
4. Processing and analysis of the state of the external environment based on geolocation
data in order to detect threats to human health.
5. Receiving warning signals about threats to human health.
6. Receiving a notification about taking actions aimed at preserving health.</p>
      <p>Thus, the architecture of the IoT system proposed by us is a network model (figure 4). It is
assumed that the following are integrated in this model:
1) smart gadget (fitness tracker/smart watch). We used the Apple Watch 4 fitness tracker as a
smart gadget;
2) smartphone;
3) scale-independent integrated meteorological geoinformation system;
4) cloud services used to host a software application for monitoring and data analysis.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Results and discussion</title>
      <p>In accordance with the goal of developing an IoT system based on open APIs and geolocation
for human health data analysis, meteorological data was monitored and analyzed.</p>
      <p>Data monitoring can be carried out anywhere and at any time by establishing a relationship
with a fitness tracker and a person’s smartphone, provided they are connected to a
communication channel (Wi-Fi network, mobile network, etc.). Also, for meteorological data monitoring
and analysis, we have developed a software application based on open APIs, which parses
the data of the meteorological geoinformation system. Data analysis is carried out to provide
real-time operational warnings about the probable presence of threats to human health.</p>
      <p>The quantitative assessment of environmental factors is carried out automatically online,
taking into account human geolocation data and data on the state of the surrounding environment,
which can be obtained using open APIs of the geoinformation system (figure 2).</p>
      <p>A software application based on open APIs that analyzes sensor data and geolocation data
of smart gadget and MGIS, analyzes them and generates messages about possible threats to
human health, developed in the Python programming language [32] (figure 5).</p>
      <p>In order to evaluate performance, we conducted functional testing of the IoT system.
Performance of the IoT system was tested on various test data: geographic coordinates; state of air
pollution; concentration of pollen in the air.</p>
      <p>As a result of the test, it was assessed whether the IoT system returns the expected result in
response to the specified entered parameters.</p>
      <p>The system showed a high eficiency of 100% on the specified test geographic data, various
parameters of the air pollution state, including the limit parameters.</p>
      <p>As a result of testing the IoT system according to the air quality index, it was determined
that the MGIS Meteoblue [29] system shows only an hourly “background” index [33]. This IoT
system does not define a “roadside” or “trafic” index [ 33]. Therefore, as a result of its testing
near highways, it was found that the system is not efective in use.</p>
      <p>For the purpose of testing the system, data obtained previously from a similar Apple Watch 4
iftness tracker, which determines a person’s geolocation, was used (figure 6).</p>
      <p>If there is pollen in the air (pollen grass, pollen birch, pollen olive), the system issues a message
about this danger, indicating the level of pollen concentration in the air. The concentration of
pollen in the air can be increased by the wind. Also, the pollen becomes more allergenic if the
air is polluted.</p>
      <p>The use of the developed IoT system can have preventive, and in certain cases, therapeutic
value (as prevention of disease exacerbations). This is necessary for the prevention of
pathologies related to the state of the external environment, in particular, the presence and level of
concentration of substances that can be allergens (substances that cause allergies). It is
important to use the developed IoT system for the prevention of allergic diseases, including, first
of all, pollinosis (diseases caused by plant pollen), as well as other pathologies in which an
allergic component is present. Among such disorders with an allergic component, we single out
bronchial asthma. It is important to prevent its attacks and exacerbations (the active phase of
the disease that manifests itself against the background of relative well-being). Thus, bronchial
asthma is presented not only as a medical, but also as an ecological problem, the important
preventive aspect of which can be solved by the developed IoT system.</p>
      <p>The recommended scales of the air quality index (dimensionless) and the European Common
Air Quality Index (CAQI) were used to generate the messages [33] (table 1).</p>
      <p>According to the value of the air quality index, the system issues a message about a threat to
human health and recommendation for actions in this situation (figure 7).</p>
      <p>Excellent Neutral, without threats or health consequences.</p>
      <p>Good In the case of existing weather sensitivity, it is</p>
      <p>necessary to limit outdoor physical activity.</p>
      <p>Lightly polluted Slight irritations may occur, people with pathologies of
the respiratory and cardiovascular systems should
minimize outdoor physical activity.</p>
      <p>Moderately polluted Some irritations may occur, people with pathologies of
the respiratory and cardiovascular systems should
minimize outdoor physical activity.</p>
      <p>Heavily polluted In healthy people, the risk of developing diseases
increases significantly. In people with diseases of the
respiratory and cardiovascular systems, endurance in
conditions of activity will decrease. It is recommended
that individuals and elders stay indoors and minimize
physical activity.</p>
      <p>Severely polluted A decrease in endurance for motor activity is
determined in healthy people. Signs of irritation may
appear and the risk of various diseases may increase.</p>
      <p>Sick and elderly people should minimize physical
activity and avoid being outdoors. Healthy people need
to minimize physical activity outdoors.</p>
    </sec>
    <sec id="sec-6">
      <title>6. Conclusion</title>
      <p>The IoT human health data monitoring system was designed and developed to provide real-time
operational alerts anywhere, taking into account meteorological data on likely threats to human
health, as well as generating notifications about human sensory data (total distance, total
steps, last thousand steps, average heart rate) and the state of the surrounding environment
(temperature now, wind speed now, rain spot). The developed application based on open APIs
using smart gadgets and meteorological GIS in the process of work generates a message about
the danger to human health related to: the presence of pollen in the air (pollen grass, pollen
birch, pollen olive), indicating its level concentrations in the air; the presence of air quality
problems, if the air quality indicator exceeds the permissible standards.</p>
      <p>Functional testing of the IoT system was conducted on various test data: geographical
coordinates; state of air pollution; concentration of pollen in the air. Based on the given test
geographic data, various parameters of the state of air pollution, including the limit parameters,
the system showed high eficiency. However, as a result of testing the IoT system according to
the Air quality index, it was determined that the MGIS Meteoblue system shows a “background”
index, therefore, the system is not efective in use along with roads.</p>
      <p>Further goals towards which the development of this application is planned are of great
importance for scaling in many other possible use cases. The IoT system for tracking data
related to human health is aimed at prevention – preventing the problems of negative efects of
environmental factors on human health, which is implemented by generating warning signals
about possible threats and reminders to take actions aimed at preserving health. The addition
of such functions expands the possibilities of timely provision of concise and clear information
about probable risks and threats and, accordingly, represents an “anthropo-geo-sensory-digital”
prerequisite for making efective decisions in the current situation.</p>
      <p>The implementation of this IoT system has significant methodological and technological
potential, which can be used to improve the efectiveness of health care, both in extreme
conditions and in conditions of sustainable existence. First of all, it is relevant during and after
the COVID-19 pandemic. This development is significant for improving the quality of life. The
system developed by us can also be considered as one of the ways of introducing innovations in
the field of health care.</p>
      <p>Further research in this direction may be related to data processing in healthcare systems
based on machine learning and deep learning.</p>
      <p>The novelty of the obtained results is that: the architecture of the IoT system was designed
taking into account geolocation for tracking data related to human health; developed and
implemented an IoT system, taking into account geolocation, for tracking data related to human
health; improved IoT system for monitoring and analyzing data related to human health, based
on the use of meteorological geoinformation systems; technologies for the development of IoT
systems based on open APIs, taking into account geolocation, gained further development.</p>
      <p>The practical significance of the research results is that the developed IoT system based
on open APIs for analyzing data related to human health, taking into account geolocation,
has significant methodological and technological potential, which can be used to improve
the eficiency of the health care system. Both theoretical and practical results, conclusions,
proposals and recommendations formulated in the study can be used: to improve and increase
the efectiveness of the human health care system (in extreme conditions, in conditions of
sustainable existence), for example, during and after the COVID-19 pandemic; in the educational
process of training and retraining of teachers of informatics, physical culture, ecology, health
basics, doctors, rehabilitators, trainers; in practices and technologies of rehabilitation, medicine,
ecology; in scientific research on this topic; as one of the ways of introducing innovations in
the IT sphere and the sphere of health care; in everyday life.
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