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Hearing Loss Conditions

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Q. What causes hearing loss?

We've all experienced a cold where the congestion affected your ability to hear, or a concert that left everything sounding muffled for a day or two. For the most part, that hearing loss is temporary and should not overly concern you. Permanent hearing loss is also caused by:

   • Aging
   • Extended periods of noise exposure
   • Illness
   • Adverse drug reactions
   • Heredity
   • Certain chemotherapy and radiation treatments
   • Certain ototoxic antibiotics
   • Head trauma
   • Certain medical conditions
   • Earwax buildup

These causes are all reasons to make an appointment with an EarQ provider. Permanent hearing loss is typically more subtle and occurs over long periods of time, so listen when your friends and family tell you to get your hearing checked. It may be more noticeable to them than it is to you.

There are two primary types of hearing loss causes.

The first type is a technical term called presbycusis. What this means is aging and genetics are playing a role and your hearing is slowly declining over time, similar to many people's experience with their eyesight.

The second type is called noise-induced hearing loss. Just like it sounds, this hearing loss is a result of extended periods of noise exposure. For example, someone who drove an 18-wheeler for 30 years may suffer from noise-induced hearing loss due to the tiny hair cells in his inner ear being damaged repeatedly by the noise associated with that profession.

There are other less common causes of hearing loss such as high blood pressure, diabetes, medicinal reactions, etc. You should always consult your hearing healthcare provider if you have concerns that you may be experiencing hearing loss due to a medical condition.

Q. How common is hearing loss?

Almost 36 million Americans suffer from hearing loss. That's approximately 1 in 8 people! Keep in mind that 60% of those people who have hearing loss, believe it or not, are below retirement age.

Q. What are the common symptoms of hearing loss?

Everyone has a different lifestyle, so you may notice your hearing loss in different ways. However, most of the time, these are what people with hearing loss typically experience:

   • You're having a conversation with someone in a crowded room, and you're only able to catch every fourth or fifth word.
   • You have a lot of awkward moments where you confuse one word for another.
   • You're constantly getting frustrated with people mumbling.
   • People are always telling you to turn the TV down.
   • You dread telephone conversations because you can barely understand what they're saying on the other end.
   • It's been a while since you remember hearing the sound of the wind or birds chirping (ambient sounds).
   • You have a constant annoying ringing or buzzing in your ears.
   • Most importantly: friends and family members have asked you to get your hearing checked. They will often notice a problem before you do.

DISCLAIMER: If you are experiencing any of the following symptoms, seek medical attention as soon as possible:

   • Sudden hearing loss
   • Blood or fluid draining from your ears
   • Sudden onset of dizziness
   • Fluctuating hearing loss
   • Head trauma
   • Severe ear ache or feeling of intense pressure

Q. Are there different kinds of hearing loss?

Yes! There are different kinds of hearing loss. Essentially, the three types of hearing loss are separated by the portion of the ear that the problem resides in:

Conductive Hearing Loss: For conductive loss, the problem happens when sound isn't making it from the outer ear (the part you can see) to the inner ear (the part you can't see). This can be because of wax buildup (your hearing healthcare provider can help with that), trauma to the ear, or even ear infections. Typically, people who experience conductive loss are experiencing the volume being turned down, not issues with their ability to understand. Learn more about conductive hearing loss here.

Sensorineural Hearing Loss: Sensorineural hearing loss is a complicated way of saying that the problem lies in the hearing nerve. Most of the time, this nerve has deteriorated because of aging or noise-exposure. Sometimes cancer treatments or illness can create some deterioration as well. With sensorineural loss, it's not just that the volume is turned way down, but that your ability to understand speech suffers too. 90% of people with hearing loss have this kind, and the most effective treatment is hearing devices! They will turn up the volume, and also provide crystal clear speech sound so understanding is never a problem. Learn more about sensorineural hearing loss here.

Mixed Hearing Loss: Just like it sounds, this type of hearing loss is a mixture of conductive and sensorineural hearing loss. Learn more about mixed hearing loss here.

Q. How can I prevent my hearing loss from getting worse?

First, if you can identify that you might even have some hearing loss, get your hearing checked to be sure. On average it takes someone experiencing hearing loss 7-10 years before they make the decision to visit a hearing healthcare provider, and that's a lot of time to waste. If you have a hearing evaluation and are experiencing very mild hearing loss, your EarQ provider will discuss options on how to prevent any further damage.

The simplest way, however, is to limit your noise exposure. If you work in a noisy atmosphere or plan on attending an event that will have high volume levels (like a concert), then ear protection is a must. Your EarQ provider can provide custom ear plugs for maximum comfort. On an everyday basis, turn the volume down!

To find a hearing healthcare provider near you, click here.

Q. I don't understand my hearing test results

When an EarQ provider tests your hearing, they'll fill out a chart called an audiogram. The audiogram is a visual representation of your hearing loss.The audiogram illustrates the pitches (high pitched to low pitched) that you have difficulty hearing, and how loud sound needs to be for you to pick up on it. Pitch is measured in Hertz, loudness is measured in Decibels. Based on where your hearing falls on the audiogram, your hearing loss will be categorized into normal, mild, moderate, moderately severe, severe or profound. The category you fall in will determine the type of hearing instrument that will work the best for you.

Q. Can my family practice doctor test my hearing?

The simple answer is, of course you can. Some family practice doctors even make a hearing evaluation part of a yearly physical. However, if you are experiencing hearing loss, your doctor will have to refer you to a hearing healthcare provider for treatment. If you'd prefer making one appointment instead of going to your doctor then to your EarQ provider, you can come directly to us for your hearing evaluation.

Q. What are the degrees of hearing loss?

The degree of hearing loss is determined during your hearing evaluation, and the results are shown in an audiogram. Your hearing evaluation rates the highness or lowness in pitch that is difficult for you to hear, and how loud sounds have to be before you can pick up on them. Based on that, your EarQ provider will figure out your degree of hearing loss.

The different levels of hearing loss are:

Mild: This means that you may have some trouble hearing conversations in a noisy room or when someone is speaking quietly. In quiet environments, mild hearing loss is manageable.

Moderate: This degree of hearing loss makes it even harder to hear conversation in group settings. People with moderate loss are those that have the TV and radio turned up too loud for comfort.

Moderately Severe: Hearing and understanding speech is significantly reduced at this level and group environments are an extreme challenge.

Severe: This degree of hearing loss means that normal conversation is not audible. Even shouting can be challenging to comprehend.

Profound: This is the greatest degree of hearing loss. Only the loudest sounds are audible and even shouting may not be heard at all.

Q. Why can't I understand speech in crowded environments?

Most speaking voices are in the mid-to-high frequency range of sound, which coincidentally is the range that goes first. A result of hearing loss in this range is that any loud or distracting noises are going to make it harder for you to comprehend what is being said. EarQ hearing aids feature innovative technology that has the ability to reduce background noise in the tiny pauses between syllables of speech, making it much easier to understand a conversation in a noisy environment.

Q. Why can't I hear women and children's voices clearly?

The problem here is similar to the situation where you can't hear conversations in a noisy environment. It's most likely due to experiencing some hearing loss in high frequencies. Women and children have higher pitched voices than men, so a lot of their speech may be falling right in the range of your hearing loss.

Q. Is it possible to have hearing loss in only one ear?

If the most common cause of hearing loss is overexposure to loud noise, then it doesn't make sense that only one ear would have hearing loss. Most of the time, the answer is yes. But sometimes unilateral loss, or hearing loss in one ear while the other ear has normal hearing can occur. Some causes of unilateral loss may be:

   • Genetics
   • Illness or infection
   • Head or ear trauma

If you think you may be experiencing unilateral loss, make an appointment with your local EarQ provider.

Q. I only miss a word or two occasionally... Do I have hearing loss?

Yes and no. A small amount of hearing loss is pretty normal, especially during the aging process. And of course the time when people are going to be more aware of difficulty hearing is during conversation. It could be that you still fall in the normal range of hearing loss. But if it is more serious than that, waiting to have your hearing checked is extremely counterproductive. Without being aware of it, you could become more socially isolated and find yourself getting frustrated all the time. The simple answer is that if there is any question, you should visit an EarQ provider and have your hearing checked. One simple examination can ease your mind, either way.

Q. I can't hear high-pitched sounds well. Can hearing aids help?

While each and every hearing loss experience is unique—namely, how it affects your life—high frequency hearing loss makes up the vast majority of those with loss today. Many people can hear lower tones with no difficulty, but when it gets high pitched, they lose it.

Hearing instrument developers specifically address high frequency hearing loss. Since these tones are the ones that contribute to hearing and comprehending speech, especially in noisy environments.

While no one can promise that every pitch or tone will be restored by hearing devices, we can assure you that it will improve. There is even a specific style of hearing instrument designed with high frequency loss in mind. By visiting an EarQ provider and having your hearing checked, you will be offered a range of devices that are ideal for your needs.

Q. Why do I hear better when I look at the speaker?

Without even realizing it, you are engaging in some natural lipreading. When a person is speaking, there are vocalized sounds and non-vocalized sounds. Vocalized sounds require a combination of air passing through the vocal cords and mouth shapes. Non-vocalized sounds are created strictly from mouth shapes. Vowels are vocalized, consonants are non-vocalized. When a person is speaking, the quietest sounds (consonants, non-vocalized) are the ones that are actually easier to visually detect. Lipreading is the process of visually detecting non-vocalized sounds. Often people who are generally unaware of their hearing loss will notice that when they can see someone speak, they understand them better. A combination of what you can hear and what you can see is contributing to better understanding!

Q. Will my hearing loss get worse over time?

It really depends on the type of hearing loss you're experiencing. For the vast majority of people out there with hearing loss, it will get worse with time. Whether you have hearing loss from continued noise exposure or it's simply a combination of aging and genetics, time is not on your side. This is why it's important to visit an EarQ provider at your earliest convenience and treat hearing loss you may be experiencing.

Q. Does ear wax cause hearing loss?

Absolutely. Earwax, referred to in the industry as cerumen, could definitely create some hearing loss. It can build up or become impacted and actually get to the point where it partially or completely blocks your ear canal. Your EarQ provider can quickly and easily deal with the issue. If you are worried that you are producing too much earwax and it's affecting your hearing ability, make an appointment.

*Note – the use of cotton swabs to clean your ear canals is NOT recommended by hearing healthcare professionals. It can actually be the cause of earwax buildup.


Sensorineural Hearing Loss

Sensorineural hearing loss occurs when there is damage to the cochlea in the inner ear or damage to the nerve pathways from the inner ear to the brain. Sensorineural hearing loss is the most common type of permanent hearing loss.

Sudden sensorineural hearing loss is also called sudden deafness, and this means there is a rapid loss of hearing. This can happen to a person all at once or over a period of up to three days. It should be considered a medical emergency so if someone experiences this type of hearing loss suddenly, he or she should visit a doctor immediately.

Causes & Risk Factors

There are several causes of sensorineural hearing loss including:

• Illnesses
• Drugs that are toxic
• Hearing loss that runs in the family (genetic or hereditary)
• Aging
• Head trauma
• Malformation of the inner ear
• Exposure to loud noise


With sensorineural hearing loss, the ability to hear even faint sounds is reduced. And, when speech is loud enough to hear, it may still sound unclear or muffled.

Treatment Options

Treatment options for people with sensorineural hearing loss include the use of devices like hearing aids and cochlear implants.

Hearing aids are an effective treatment for people with this type of hearing loss. Hearing aids can turn up the volume and also provide crystal clear speech sound so understanding what someone is saying is no longer as difficult.

A cochlear implant provides direct electrical stimulation to the auditory nerve in the inner ear. Children and adults with a severe to profound hearing loss who cannot be helped with hearing aids may be candidates for cochlear implants.

When a sudden sensorineural hearing loss occurs, some patients recover completely without treatment, often within the first few days. Others may get better slowly over a period of 1-2 weeks.


According to the National Institute on Deafness and Other Communication Disorders, approximately 4,000 new cases of sensorineural hearing loss occur each year in the United States. It can affect anyone, but it typically happens to people 30 - 60 years of age.

The simplest way to prevent further damage is to limit or avoid noise exposure. If you work in a noisy environment or plan on attending a concert or event with high volume levels, then ear protection is critical!


Conductive Hearing Loss

Conductive hearing loss occurs when sound is not conducted well from the outer ear, through the canal to the eardrum and the ossicles (tiny bones) of the middle ear.

Causes & Risk Factors

There are several causes of conductive hearing loss including:

• Buildup of earwax/impacted earwax (cerumen)
• Fluid in the middle ear from colds
• Ear infections (otitis media)
• Allergies
• Perforated eardrum


Conductive hearing loss usually involves a reduction in sound level (reduction in the ability to hear faint sounds)

Treatment Options

This type of hearing loss can often be corrected with the use of hearing aids or other devices that are surgically inserted to allow sound waved to be passed to the inner ear.


The simplest way to prevent further damage is to limit or avoid noise exposure. If a person plans on being in a noisy environment, then utilizing ear protection is critical.


Mixed Hearing Loss

Mixed hearing loss occurs when there is damage in the outer or middle ear and in the inner ear with the cochlea or auditory nerve. It is a mixture of conductive hearing loss and sensorineural hearing loss.

Causes & Risk Factors

There are several causes of mixed hearing loss including those for sensorineural hearing loss:

• Illnesses
• Drugs that are toxic to hearing
• Hearing loss that runs in the family (genetic or hereditary)
• Aging
• Head trauma
• Malformation of the inner ear
• Exposure to loud noise

Causes for conductive hearing loss include:

• Buildup of earwax/impacted earwax (cerumen)
• Fluid in the middle ear from colds
• Ear infections (otitis media)
• Allergies
• Perforated eardrum


With sensorineural hearing loss, the ability to hear even faint sounds is reduced. And, when speech is loud enough to hear, it may still sound unclear or muffled. With conductive hearing loss, sound is not conducted well from the outer ear, through the canal to the eardrum and the ossicles (tiny bones) of the middle ear.

Treatment Options

A conductive hearing loss can often be corrected with medical or surgical treatment, while sensorineural hearing loss usually cannot be reversed--but hearing aids make a difference!

Hearing aids are particularly useful in improving the hearing and speech comprehension of people with sensorineural hearing loss. When choosing a hearing aid, healthcare professionals will consider your hearing ability, activity level, physical limitations, medical conditions, and cosmetic preferences.

The most effective treatment for people with sensorineural hearing loss is the use hearing devices. Most of the time, this type of hearing loss cannot be medically or surgically corrected but hearing devices can turn up the volume, and also provide crystal clear speech sound so understanding is never a problem.


The simplest way to prevent further damage is to limit or avoid noise exposure.


Noise-Induced Hearing Loss

Noise-induced hearing loss affects children, teenagers, and adults who are exposed to harmful noises. It can happen after only one time of being around an intense "impulse" sound, such as an explosion. It can also occur by continuous exposure to loud sounds over time.

Sensitive structures in the inner ear that convert energy into signals that travel to the brain can be permanently damaged.

According to the NIDCD, approximately 15 percent of Americans between the ages of 20 and 69—or 26 million Americans—have high frequency hearing loss that may have been caused by exposure to loud sounds or noise at work or in leisure activities.

Causes and Risk Factors

Recreational activities that may be risk factors include target shooting and hunting, snowmobile riding, woodworking and other hobbies, playing in a band, and attending rock concerts. Harmful noises at home may come from lawnmowers, leaf blowers, and shop tools.

Damaging noise from work environments is also a large concern. The Centers for Disease Control and Prevention recently reported that occupational hearing loss is the most common work-related injury in the United States. Approximately 22 million U.S. workers are exposed to hazardous noise levels at work, and an additional nine million are exposed to ototoxic chemicals. An estimated $242 million is spent annually on workers' compensation for hearing loss disability.

Additional facts on occupational hearing loss from the National Institute for Occupational Safety and Health (NIOSH) website include:

• Four million workers go to work each day in an environment with damaging noise. Ten million people in the U.S. have a noise-related hearing loss.
• In 2007, approximately 23,000 cases of occupational impairment-causing hearing loss were reported.
• Cases of hearing loss accounted for 14% of occupational illness in 2007.
• Approximately 82% of the cases involving occupational hearing loss in 2007 were reported among workers in the manufacturing sector.

More recent data is being compiled by NIOSH, and the numbers are increasing significantly, some experts fear. NIOSH recommends removing hazardous noise from the workplace whenever possible and using hearing protection in those situations where dangerous noise exposures have not yet been controlled or eliminated.

People with untreated hearing loss may have a difficult time in their careers—often earning thousands of dollars less than their hearing colleagues. However, once treated and using hearing aids, those with hearing loss cut that wage difference by half.

For more information on occupational hearing loss, please visit the NIOSH website.

If you'd like to find a hearing healthcare provider in your area to schedule a hearing evaluation, click here.


When a person is exposed to loud noise over a long period of time, symptoms will increase gradually. Over time, the sounds a person hears may become distorted or muffled, and it may be difficult for the person to understand speech. People with noise-induced hearing loss may not even be aware of the loss, but it can be detected with a hearing test.

Treatment Options

If this type of hearing loss is suspected, see a doctor or an otolaryngologist (a physician who specializes in diseases of the ears, nose, throat, head, and neck). A person should get his/her hearing tested by an audiologist (a health professional trained to measure and help individuals deal with hearing loss) as soon as possible.


Noise-induced hearing loss can be prevented by considering these things:

• Know which noises can cause damage (85 dB or higher)
• Wear earplugs or other protective hearing aids when involved in a loud activity
• Be aware of dangerous levels of noise in the environment
• Tell family, friends, and colleagues about dangerous noise levels

The simplest way to prevent further damage is to limit or avoid noise exposure. If you work or are in a noisy environment with high volume levels, then ear protection with earplugs or earmuffs is critical. There are many types of earplugs and earmuffs that are specially designed for musicians, swimmers, hunters, or others. It all depends on the activity and environment!



If you hear "ringing in the ears" or roaring, clicking, hissing, or buzzing sounds, it could be tinnitus. Tinnitus can happen in one or both ears and can be soft, loud, low, or high.

Experts estimate that approximately 10 percent of the adult population in the United States (22.7 million people) experience tinnitus for more than three months. According to the American Tinnitus Association, 50 million Americans experience tinnitus to some degree.

For 16 million people, it is severe enough that they seek medical attention, and for 2 million people, it is very serious and impacts their ability to function on a daily basis.

Causes and Risk Factors

Tinnitus is not a disease, but the symptom of a problem that affects hearing. Causes of tinnitus include hearing loss, exposure to loud noises, or medicines taken for other health issues. Over 200 drugs are known to cause tinnitus, but it can also be linked to earwax that is blocking the ear canal or a number of other health conditions, including the following:

• Noise-induced hearing loss
• Ear and sinus infections
• Diseases of the heart or blood vessels
• Ménière's disease
• Brain tumors
• Hormonal changes in women
• Thyroid abnormalities

Tinnitus Symptoms

Symptoms include a ringing, roaring, clicking, or hissing sound in the ears that may impact the ability to hear, work, or even sleep.

Treatment Options

Treatments may include hearing aids, sound machines that provide a steady background of comfort sound, sound-masking devices, medicines, and even learning new ways to cope with noise with counseling, relaxation therapy, or biofeedback.

There are even applications for portable media players (iPod or MP3 players) to help reduce tinnitus that offer masking sounds. Fish tanks, fans, low-volume music, and indoor waterfalls may also be helpful ways to manage tinnitus.


The best way to prevent tinnitus is to avoid loud noise whenever possible. If a person has to shout to be heard, the environment that he/she is in is probably too loud and should be avoided.

It's also good to be mindful of the amount of time a person spends listening to loud sounds. If possible, try not to listen to loud sounds for long periods of time. Wearing earmuffs or earplugs will also help to limit hearing loss.

Another way to limit exposure is to look for noise ratings on appliances, sporting equipment, power tools, and hair dryers so that quieter products can be purchased. It's good to take a break from loud sound or lower it, if possible.

Living With Tinnitus

Living with tinnitus may be challenging at times. Ongoing noise is disruptive and affects a person's ability to hear, work, or even sleep. It is a growing problem for musicians and people in the military. According to the American Tinnitus Association, tinnitus is the number one service-connected disability for veterans from all periods of service.

If a person thinks he/she is living with tinnitus, talking with a healthcare provider about hearing aids, sound machines, medicines, and even techniques to help cope with noise are the best options to aid in management.

Additional Tinnitus Resources

Visit the American Tinnitus Association website to join their support network, read articles in their magazine, and find out more about their commitment to a cure for tinnitus. They are invested in research and the site is a terrific resource for people living with tinnitus.

Use our provider locator tool to find a hearing healthcare professional nearby who can help.


Hearing Loss In Children

At birth, most children can hear sounds and in time learn to talk by imitating the sounds they hear. However, two or three out of every 1,000 newborns in the United States is born with hearing loss. Children can also lose hearing during childhood.

The key to managing hearing loss in a child has everything to do with timing. The earlier it is detected, the better the outcome. Hearing loss in a child affects not only the child, but all those with whom the child interacts, including family, friends, coaches and teachers. Hearing aids for children can help keep a child with speech and language development as well.

Newborn Hearing Screenings

There are programs to screen a newborn’s hearing in every state in America. The screening happens shortly after birth. If the child does not pass the screening, follow-up testing must happen as soon as possible to confirm the type of hearing loss and find out the best ways to manage it. Children actually begin learning speech and language in the first six months of life so the earlier the hearing loss is detected, the sooner plans can be made to help him or her learn to communicate with spoken words or sign language, if necessary.

Cochlear Implants

According to the FDA, as of December 2012, in the U.S. approximately 38,000 children have cochlear implants.

Cochlear implants can help children as young as 12 months of age. They are small electronic devices that are placed behind the ear and also surgically placed under the skin. They help people with severe or profound hearing loss or deafness. Cochlear implants work by avoiding damaged portions of the ear and directly stimulating the auditory nerve. The implant signals are sent by the auditory nerve to the brain and get recognized as sound.

Hearing experts recommend cochlear implants for children who may not be able to benefit from hearing aids. The use of one or even two cochlear implants may be important to help children identify where sound may be coming from.

Bone Anchored Hearing Aid

Infants as young as 4 weeks of age can benefit from hearing aids. The bone anchored hearing aid (BAHA) is a type of hearing aid that attaches to the bone behind the ear. This small device transmits sound vibrations directly to the inner ear through the skull. It avoids transmitting sound through the middle ear. If a child has issues with hearing due to middle ear problems, the BAHA may be an option. Surgery is required to attach the device to the bone behind the ear.

How to Identify if Your Child Has Hearing Loss

A parent may notice hearing loss in a child before anyone else does. A parent should pay attention to the child’s reaction to loud noises and whether or not the child can imitate sounds. Can he or she respond to voices, his or her name, say two-word sentences, or follow simple instructions?

Parents can speak with the pediatrician about what is observed or seek out options from an audiologist or otolaryngologist. Some specialists are trained to work just with babies and children. A parent may also want to discuss the child’s hearing issues with teachers or other social service professionals.

Use this checklist from the National Institute on Deafness and Other Communication Disorders to help monitor a baby’s progress as he or she grows. Show the checklist to the child’s doctor and begin or continue the discussion about hearing loss.


Ménière’s Disease

Ménière’s disease affects the inner ear and our vestibular system, the system that helps us to maintain our balance. Part of the cochlea called the organ of Corti becomes swollen, leading to a loss of hearing that may come and go over time.

Approximately 615,000 individuals have been diagnosed with Ménière's disease in the United States. Another 45,500 are newly diagnosed each year.

Causes & Risk Factors

Unfortunately, doctors don’t know what causes Ménière’s disease—and there is no cure. Researchers think that it may have to do with fluid levels in the inner ear or the closing up of blood vessels similar to what happens for people with migraine headaches. There are also theories that Ménière’s disease occurs because of viral infections, allergies, or autoimmune reactions.

The disease tends to run in families so there could be a genetic link to the amount of fluid in parts of the ear.


Symptoms include severe dizziness, lack of balance, tinnitus (roaring sound in the ears), ear pain and pressure. The disease can exist in mild or severe forms.

Treatment Options

Treatment for people with Ménière’s disease includes medicines to help you control dizziness and fluid retention in your body, and devices that deliver air pulses to the middle ear. Surgery may also be required. There is no cure for Ménière’s disease yet, but some of these treatments may alleviate symptoms.


Estimates are that 6 out of 10 people will get better on their own or can control the symptoms with diet, drugs, or devices. Limiting salt intake and taking water pills (diuretics) may help to reduce the amount of fluid pressure in the inner ear. Some people limit or avoid caffeine, chocolate, alcohol and smoking as these things tend to make symptoms worse.

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