Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth
ABSTRACT: Background: The COVID-19 pandemic has had negative effects on mental health. Understanding sex and age differences in the perception of stressors, the use of coping strategies, and the prevalence of depression and anxiety can lead to detecting at-risk groups. Methods: A cross-sectional onl...
- Autores:
-
Palacio Ortiz, Juan David
Ulloa, Rosa Elena
de la Peña, Francisco R.
Apiquian, Rogelio
Díaz, Ricardo
Mayer, Pablo
Palacios Cruz, Lino
Hernández, Andrea
García, Pamela
Rosetti, Marcos F.
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2022
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/42115
- Acceso en línea:
- https://hdl.handle.net/10495/42115
- Palabra clave:
- COVID-19
Control de Enfermedades Transmisibles
Communicable Disease Control
Estudios Transversales
Cross-Sectional Studies
Salud Mental
Mental Health
Pandemias
Pandemics
Caracteres Sexuales
Sex Characteristics
Adulto Joven
Young Adult
Adolescente
Adolescent
América Latina - epidemiología
Latin America - epidemiology
https://id.nlm.nih.gov/mesh/D009483
https://id.nlm.nih.gov/mesh/D003140
https://id.nlm.nih.gov/mesh/D003430
https://id.nlm.nih.gov/mesh/D008603
https://id.nlm.nih.gov/mesh/D058873
https://id.nlm.nih.gov/mesh/D012727
https://id.nlm.nih.gov/mesh/D055815
https://id.nlm.nih.gov/mesh/D000293
https://id.nlm.nih.gov/mesh/D007843
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
| id |
UDEA2_46fdcee641c04d37a5bf2e1044d823c0 |
|---|---|
| oai_identifier_str |
oai:bibliotecadigital.udea.edu.co:10495/42115 |
| network_acronym_str |
UDEA2 |
| network_name_str |
Repositorio UdeA |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| title |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| spellingShingle |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth COVID-19 Control de Enfermedades Transmisibles Communicable Disease Control Estudios Transversales Cross-Sectional Studies Salud Mental Mental Health Pandemias Pandemics Caracteres Sexuales Sex Characteristics Adulto Joven Young Adult Adolescente Adolescent América Latina - epidemiología Latin America - epidemiology https://id.nlm.nih.gov/mesh/D009483 https://id.nlm.nih.gov/mesh/D003140 https://id.nlm.nih.gov/mesh/D003430 https://id.nlm.nih.gov/mesh/D008603 https://id.nlm.nih.gov/mesh/D058873 https://id.nlm.nih.gov/mesh/D012727 https://id.nlm.nih.gov/mesh/D055815 https://id.nlm.nih.gov/mesh/D000293 https://id.nlm.nih.gov/mesh/D007843 |
| title_short |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| title_full |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| title_fullStr |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| title_full_unstemmed |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| title_sort |
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth |
| dc.creator.fl_str_mv |
Palacio Ortiz, Juan David Ulloa, Rosa Elena de la Peña, Francisco R. Apiquian, Rogelio Díaz, Ricardo Mayer, Pablo Palacios Cruz, Lino Hernández, Andrea García, Pamela Rosetti, Marcos F. |
| dc.contributor.author.none.fl_str_mv |
Palacio Ortiz, Juan David Ulloa, Rosa Elena de la Peña, Francisco R. Apiquian, Rogelio Díaz, Ricardo Mayer, Pablo Palacios Cruz, Lino Hernández, Andrea García, Pamela Rosetti, Marcos F. |
| dc.contributor.researchgroup.spa.fl_str_mv |
Grupo de Investigación en Psiquiatría GIPSI |
| dc.subject.decs.none.fl_str_mv |
COVID-19 Control de Enfermedades Transmisibles Communicable Disease Control Estudios Transversales Cross-Sectional Studies Salud Mental Mental Health Pandemias Pandemics Caracteres Sexuales Sex Characteristics Adulto Joven Young Adult Adolescente Adolescent América Latina - epidemiología Latin America - epidemiology |
| topic |
COVID-19 Control de Enfermedades Transmisibles Communicable Disease Control Estudios Transversales Cross-Sectional Studies Salud Mental Mental Health Pandemias Pandemics Caracteres Sexuales Sex Characteristics Adulto Joven Young Adult Adolescente Adolescent América Latina - epidemiología Latin America - epidemiology https://id.nlm.nih.gov/mesh/D009483 https://id.nlm.nih.gov/mesh/D003140 https://id.nlm.nih.gov/mesh/D003430 https://id.nlm.nih.gov/mesh/D008603 https://id.nlm.nih.gov/mesh/D058873 https://id.nlm.nih.gov/mesh/D012727 https://id.nlm.nih.gov/mesh/D055815 https://id.nlm.nih.gov/mesh/D000293 https://id.nlm.nih.gov/mesh/D007843 |
| dc.subject.meshuri.none.fl_str_mv |
https://id.nlm.nih.gov/mesh/D009483 https://id.nlm.nih.gov/mesh/D003140 https://id.nlm.nih.gov/mesh/D003430 https://id.nlm.nih.gov/mesh/D008603 https://id.nlm.nih.gov/mesh/D058873 https://id.nlm.nih.gov/mesh/D012727 https://id.nlm.nih.gov/mesh/D055815 https://id.nlm.nih.gov/mesh/D000293 https://id.nlm.nih.gov/mesh/D007843 |
| description |
ABSTRACT: Background: The COVID-19 pandemic has had negative effects on mental health. Understanding sex and age differences in the perception of stressors, the use of coping strategies, and the prevalence of depression and anxiety can lead to detecting at-risk groups. Methods: A cross-sectional online study surveyed perceived stressors, coping strategies, and the PHQ-9 and GAD-7 rating scales for symptoms of depression and anxiety. The study was open from Spring 2020 to Spring 2021 and was aimed at children, adolescents and young adults of Latin America. Results: The survey was completed by 3965 participants (63.8% females). The sample was divided into children (N = 621, 15.7%), adolescents (N = 1123, 28.3%) and young adults (N = 2021, 56%). Moderate to severe symptoms of depression and anxiety were found in 43.53% and 27%, respectively, being more frequent in females. Children of both sexes showed the lowest scores in rating scales. Adult females reported a higher level of stress in regards to pandemic news, having someone close diagnosed with COVID-19,the possibility of getting sick, academic delays, economic impact, and depression, while female adolescents reported a higher level of stress regarding the lockdown, losing contact with peers and anxiety. In juxtaposition, females also reported a higher frequency of positive coping strategies. A multivariate analysis confirmed the association of several variables with the presence of depression and anxiety. Conclusion: A high prevalence of depression and anxiety was found among young people. Specific intervention programs must be created taking into account age and sex differences. |
| publishDate |
2022 |
| dc.date.issued.none.fl_str_mv |
2022 |
| dc.date.accessioned.none.fl_str_mv |
2024-09-14T23:40:30Z |
| dc.date.available.none.fl_str_mv |
2024-09-14T23:40:30Z |
| dc.type.spa.fl_str_mv |
Artículo de investigación |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.type.redcol.spa.fl_str_mv |
https://purl.org/redcol/resource_type/ART |
| dc.type.coarversion.spa.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| status_str |
publishedVersion |
| dc.identifier.citation.spa.fl_str_mv |
Ulloa RE, Apiquian R, de la Peña FR, Díaz R, Mayer P, Palacio JD, Palacios-Cruz L, Hernández A, García P, Rosetti MF. Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth. J Psychiatr Res. 2022 Dec;156:372-378. doi: 10.1016/j.jpsychires.2022.10.005. Epub 2022 Oct 9. PMID: 36323139; PMCID: PMC9548050. |
| dc.identifier.issn.none.fl_str_mv |
0022-3956 |
| dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/10495/42115 |
| dc.identifier.doi.none.fl_str_mv |
10.1016/j.jpsychires.2022.10.005 |
| dc.identifier.eissn.none.fl_str_mv |
1879-1379 |
| identifier_str_mv |
Ulloa RE, Apiquian R, de la Peña FR, Díaz R, Mayer P, Palacio JD, Palacios-Cruz L, Hernández A, García P, Rosetti MF. Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth. J Psychiatr Res. 2022 Dec;156:372-378. doi: 10.1016/j.jpsychires.2022.10.005. Epub 2022 Oct 9. PMID: 36323139; PMCID: PMC9548050. 0022-3956 10.1016/j.jpsychires.2022.10.005 1879-1379 |
| url |
https://hdl.handle.net/10495/42115 |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.ispartofjournalabbrev.spa.fl_str_mv |
J. Psychiatr. Res. |
| dc.relation.citationendpage.spa.fl_str_mv |
378 |
| dc.relation.citationstartpage.spa.fl_str_mv |
372 |
| dc.relation.citationvolume.spa.fl_str_mv |
156 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
Journal of Psychiatric Research |
| dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/2.5/co/ |
| dc.rights.uri.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
| dc.rights.coar.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/2.5/co/ https://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.extent.spa.fl_str_mv |
7 páginas |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
Pergamon Press Elsevier |
| dc.publisher.place.spa.fl_str_mv |
Oxford, Inglaterra |
| institution |
Universidad de Antioquia |
| bitstream.url.fl_str_mv |
https://bibliotecadigital.udea.edu.co/bitstreams/6efb6141-5f5d-4832-997c-6d8bbb232483/download https://bibliotecadigital.udea.edu.co/bitstreams/7a40f28c-6c03-4a9f-8d53-be546d2ed86a/download https://bibliotecadigital.udea.edu.co/bitstreams/bd925543-dca4-47e8-9a8e-e659857ddf3d/download https://bibliotecadigital.udea.edu.co/bitstreams/1a786675-4360-4f62-8a80-b4289b807bca/download https://bibliotecadigital.udea.edu.co/bitstreams/55a79f2e-c0f3-4f42-b8dd-d640552857e3/download |
| bitstream.checksum.fl_str_mv |
57b8fd8209adcc050e437505b74426d3 b88b088d9957e670ce3b3fbe2eedbc13 8a4605be74aa9ea9d79846c1fba20a33 0a34e0e0e74f143b303b60902061c8c6 193de9fc3d6f500a1c70736d78588f85 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Institucional de la Universidad de Antioquia |
| repository.mail.fl_str_mv |
aplicacionbibliotecadigitalbiblioteca@udea.edu.co |
| _version_ |
1851052656585342976 |
| spelling |
Palacio Ortiz, Juan DavidUlloa, Rosa Elenade la Peña, Francisco R.Apiquian, RogelioDíaz, RicardoMayer, PabloPalacios Cruz, LinoHernández, AndreaGarcía, PamelaRosetti, Marcos F.Grupo de Investigación en Psiquiatría GIPSI2024-09-14T23:40:30Z2024-09-14T23:40:30Z2022Ulloa RE, Apiquian R, de la Peña FR, Díaz R, Mayer P, Palacio JD, Palacios-Cruz L, Hernández A, García P, Rosetti MF. Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth. J Psychiatr Res. 2022 Dec;156:372-378. doi: 10.1016/j.jpsychires.2022.10.005. Epub 2022 Oct 9. PMID: 36323139; PMCID: PMC9548050.0022-3956https://hdl.handle.net/10495/4211510.1016/j.jpsychires.2022.10.0051879-1379ABSTRACT: Background: The COVID-19 pandemic has had negative effects on mental health. Understanding sex and age differences in the perception of stressors, the use of coping strategies, and the prevalence of depression and anxiety can lead to detecting at-risk groups. Methods: A cross-sectional online study surveyed perceived stressors, coping strategies, and the PHQ-9 and GAD-7 rating scales for symptoms of depression and anxiety. The study was open from Spring 2020 to Spring 2021 and was aimed at children, adolescents and young adults of Latin America. Results: The survey was completed by 3965 participants (63.8% females). The sample was divided into children (N = 621, 15.7%), adolescents (N = 1123, 28.3%) and young adults (N = 2021, 56%). Moderate to severe symptoms of depression and anxiety were found in 43.53% and 27%, respectively, being more frequent in females. Children of both sexes showed the lowest scores in rating scales. Adult females reported a higher level of stress in regards to pandemic news, having someone close diagnosed with COVID-19,the possibility of getting sick, academic delays, economic impact, and depression, while female adolescents reported a higher level of stress regarding the lockdown, losing contact with peers and anxiety. In juxtaposition, females also reported a higher frequency of positive coping strategies. A multivariate analysis confirmed the association of several variables with the presence of depression and anxiety. Conclusion: A high prevalence of depression and anxiety was found among young people. Specific intervention programs must be created taking into account age and sex differences.COL00291477 páginasapplication/pdfengPergamon PressElsevierOxford, Inglaterrahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youthArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionCOVID-19Control de Enfermedades TransmisiblesCommunicable Disease ControlEstudios TransversalesCross-Sectional StudiesSalud MentalMental HealthPandemiasPandemicsCaracteres SexualesSex CharacteristicsAdulto JovenYoung AdultAdolescenteAdolescentAmérica Latina - epidemiologíaLatin America - epidemiologyhttps://id.nlm.nih.gov/mesh/D009483https://id.nlm.nih.gov/mesh/D003140https://id.nlm.nih.gov/mesh/D003430https://id.nlm.nih.gov/mesh/D008603https://id.nlm.nih.gov/mesh/D058873https://id.nlm.nih.gov/mesh/D012727https://id.nlm.nih.gov/mesh/D055815https://id.nlm.nih.gov/mesh/D000293https://id.nlm.nih.gov/mesh/D007843J. Psychiatr. Res.378372156Journal of Psychiatric ResearchPublicationORIGINALPalacioJuan_2022_Age_Sex_COVID19.pdfPalacioJuan_2022_Age_Sex_COVID19.pdfArtículo de investigaciónapplication/pdf2379129https://bibliotecadigital.udea.edu.co/bitstreams/6efb6141-5f5d-4832-997c-6d8bbb232483/download57b8fd8209adcc050e437505b74426d3MD51trueAnonymousREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823https://bibliotecadigital.udea.edu.co/bitstreams/7a40f28c-6c03-4a9f-8d53-be546d2ed86a/downloadb88b088d9957e670ce3b3fbe2eedbc13MD52falseAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/bd925543-dca4-47e8-9a8e-e659857ddf3d/download8a4605be74aa9ea9d79846c1fba20a33MD53falseAnonymousREADTEXTPalacioJuan_2022_Age_Sex_COVID19.pdf.txtPalacioJuan_2022_Age_Sex_COVID19.pdf.txtExtracted texttext/plain56153https://bibliotecadigital.udea.edu.co/bitstreams/1a786675-4360-4f62-8a80-b4289b807bca/download0a34e0e0e74f143b303b60902061c8c6MD54falseAnonymousREADTHUMBNAILPalacioJuan_2022_Age_Sex_COVID19.pdf.jpgPalacioJuan_2022_Age_Sex_COVID19.pdf.jpgGenerated Thumbnailimage/jpeg14188https://bibliotecadigital.udea.edu.co/bitstreams/55a79f2e-c0f3-4f42-b8dd-d640552857e3/download193de9fc3d6f500a1c70736d78588f85MD55falseAnonymousREAD10495/42115oai:bibliotecadigital.udea.edu.co:10495/421152025-03-27 01:44:52.214http://creativecommons.org/licenses/by-nc-nd/2.5/co/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.coTk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo= |
