Suite 304 RPA Medical Centre, 100 Carillon Avenue, Newtown NSW 2042
The Balance Clinic & Laboratory is an independent clinical and research laboratory that unifies vestibulo ocular and vestibulospinal reflex testing. Our translational research focuses on “capturing” acute vertigo in the frontline (emergency department and general practice), vestibular function testing, characterisation of intractable BPV and Atypical Positional Nystagmus. Among our staff are doctoral and postdoctoral fellows from the disciplines of Audiology, Engineering, Medicine, Nursing, and Psychology.
Marshall NS, Cho G, Toelle BG, Tonin R, Bartlett DJ, D'Rozario AL, Evans CA, Cowie CT, Janev O, Whitfeld CR, Glozier N, Walker BE, Killick R, Welgampola MS, Phillips CL, Marks GB, Grunstein RR. The Health Effects of 72 Hours of Simulated Wind Turbine Infrasound: A Double-Blind Randomized Crossover Study in Noise-Sensitive, Healthy Adults. Environ Health Perspect. 2023 Mar;131(3):37012. doi: 10.1289/EHP10757. Epub 2023 Mar 22. PMID: 36946580; PMCID: PMC10032045.
Halmagyi GM, Parker GD, Chen L, Welgampola MS, Watson JDG, Barnett MH, Todd MJ, El-Wahsh S, Rose V, Stoodley MA, Brennan JW. Progressive loss of hearing and balance in superficial siderosis due to occult spinal dural defects. Eur Arch Otorhinolaryngol. 2023 Feb;280(2):633-641. doi: 10.1007/s00405-022-07523-3. Epub 2022 Jul 16. PMID: 35841407; PMCID: PMC9849153.
Nham B, Wang C, Reid N, Calic Z, Kwok BYC, Black DA, Bradshaw A, Halmagyi G, Welgampola MS. Modern vestibular tests can accurately separate stroke and vestibular neuritis. J Neurol. 2023 Apr;270(4):2031-2041. doi: 10.1007/s00415-022-11473-5. Epub 2022 Dec 24. PMID: 36566345.
Thomas JO, Sharobeam A, Venkat A, Blair C, Ozalp N, Calic Z, Wyllie P, Middleton PM, Welgampola M, Cordato D, Cappelen-Smith C. Video head impulse testing to differentiate vestibular neuritis from posterior circulation stroke in the emergency department: a prospective observational study. BMJ Neurol Open. 2022 May 3;4(1):e000284. doi: 10.1136/bmjno-2022-000284. PMID: 35571585; PMCID: PMC9066478.
Halmagyi GM, Parker GD, Chen L, Welgampola MS, Watson JDG, Barnett MH, Todd MJ, El-Wahsh S, Rose V, Stoodley MA, Brennan JW. Progressive loss of hearing and balance in superficial siderosis due to occult spinal dural defects. Eur Arch Otorhinolaryngol. 2022 Jul 16. doi: 10.1007/s00405-022-07523-3. Epub ahead of print. PMID: 35841407.
Rosengren SM, Young AS, Taylor RL, Welgampola MS. Vestibular function testing in the 21st century: video head impulse test, vestibular evoked myogenic potential, video nystagmography; which tests will provide answers? Curr Opin Neurol. 2022 Feb 1;35(1):64-74. doi: 10.1097/WCO.0000000000001023. PMID: 34889807.
Pogson JM, Taylor RL, Bradshaw AP, McGarvie L, D'Souza M, Flanagan S, Kong J, Biggs N, Shivalingam B, Greenberg S, Croxson G, Halmagyi GM, Welgampola MS. The human vestibulo-ocular reflex and compensatory saccades in schwannoma patients before and after vestibular nerve section. Clin Neurophysiol. 2022 Jun;138:197-213. doi: 10.1016/j.clinph.2022.02.014. Epub 2022 Mar 1. PMID: 35370080.
Pogson JM, Taylor RL, Bradshaw AP, McGarvie L, D'Souza M, Flanagan S, Kong J, Biggs N, Shivalingam B, Greenberg S, Croxson G, Halmagyi GM, Welgampola MS. The human vestibulo-ocular reflex and compensatory saccades in schwannoma patients before and after vestibular nerve section. Clin Neurophysiol. 2022 Jun;138:197-213. doi: 10.1016/j.clinph.2022.02.014. Epub 2022 Mar 1. PMID: 35370080.
Nham B, Reid N, Bein K, Bradshaw AP, McGarvie LA, Argaet EC, Young AS, Watson SR, Halmagyi GM, Black DA, Welgampola MS. Capturing vertigo in the emergency room: three tools to double the rate of diagnosis. J Neurol. 2022 Jan;269(1):294-306. doi: 10.1007/s00415-021-10627-1. Epub 2021 Aug 16. PMID: 34398269.
Nham B, Reid N, Bein K, Bradshaw AP, McGarvie LA, Argaet EC, Young AS, Watson SR, Halmagyi GM, Black DA, Welgampola MS. Capturing vertigo in the emergency room: three tools to double the rate of diagnosis. J Neurol. 2022 Jan;269(1):294-306. doi: 10.1007/s00415-021-10627-1. Epub 2021 Aug 16. PMID: 34398269.
Hannigan IP, Rosengren SM, Young AS, Bradshaw AP, Calic Z, Kwok B, Alraddy B, Gibson WPR, Kong J, Flanagan S, Halmagyi GM, Watson SRD, Welgampola MS. A Portrait of Menière's Disease Using Contemporary Hearing and Balance Tests. Otol Neurotol. 2022 Apr 1;43(4):e489-e496. doi: 10.1097/MAO.0000000000003479. PMID: 35085109.
Young AS, Nham B, Bradshaw AP, Calic Z, Pogson JM, Gibson WP, Halmagyi GM, Welgampola MS. Clinical, oculographic and vestibular test characteristics of Ménière's disease. J Neurol. 2022 Apr;269(4):1927-1944. doi: 10.1007/s00415-021-10699-z. Epub 2021 Aug 22. PMID: 34420063.
Nham B, Akdal G, Young AS, Özçelik P, Tanrıverdizade T, Ala RT, Bradshaw AP, Wang C, Men S, Giarola BF, Black DA, Thompson EO, Halmagyi GM, Welgampola MS. Capturing nystagmus in the emergency room: posterior circulation stroke versus acute vestibular neuritis. J Neurol. 2022 Jul 18. doi: 10.1007/s00415-022-11202-y. Epub ahead of print. PMID: 35849153.
Kwok BYC, Rosengren SM, Kong JHK, Birman CS, Hoskisson E, Young AS, Argaet EC, Fratturo L, Rivas C, Greenberg SL, Saxby AJ, Welgampola MS. Impact of Cochlear Implantation on Canal and Otolith Function. Otol Neurotol. 2022 Mar 1;43(3):304-312. doi: 10.1097/MAO.0000000000003459. PMID: 35061639.
Xie D, Welgampola MS, Miller LA, Young AS, D'Souza M, Breen N, Rosengren SM. Subjective Cognitive Dysfunction in Patients with Dizziness and Vertigo. Audiol Neurootol. 2022;27(2):122-132. doi: 10.1159/000518188. Epub 2021 Sep 10. PMID: 34518461.
Kabade V, Hooda R, Raj C, Awan Z, Young AS, Welgampola MS, Prasad M. Machine Learning Techniques for Differential Diagnosis of Vertigo and Dizziness: A Review. Sensors (Basel). 2021 Nov 14;21(22):7565. doi: 10.3390/s21227565. PMID: 34833641; PMCID: PMC8621477.
Pogson JM, Taylor RL, Thompson EO, Magnussen JS, Welgampola MS, Halmagyi GM. A Window Into the Whole Story: Temporal Bone Plasmacytoma Presenting With a Mobile Third Window. Laryngoscope. 2021 Mar;131(3):E966-E969. doi: 10.1002/lary.28951. Epub 2020 Aug 4. PMID: 32750153.
Young AS, Reddel SW, Jonker B, Thompson E, Welgampola MS. A dorsolateral medullary lesion causing persistent down-beating nystagmus. J Neurol. 2021 Nov;268(11):4371-4373. doi: 10.1007/s00415-021-10626-2. Epub 2021 Aug 9. PMID: 34370053.
Ward BK, van de Berg R, van Rompaey V, Bisdorff A, Hullar TE, Welgampola MS, Carey JP. Superior semicircular canal dehiscence syndrome: Diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the Bárány Society. J Vestib Res. 2021;31(3):131-141. doi: 10.3233/VES-200004. PMID: 33522990.
Young AS, Nham B, Bradshaw AP, Calic Z, Pogson JM, D'Souza M, Halmagyi GM, Welgampola MS. Clinical, oculographic, and vestibular test characteristics of vestibular migraine. Cephalalgia. 2021 May 2:3331024211006042. doi: 10.1177/03331024211006042. Epub ahead of print. PMID: 33938251.
Shaikh AG, Bronstein A, Carmona S, Cha YH, Cho C, Ghasia FF, Gold D, Green KE, Helmchen C, Ibitoye RT, Kattah J, Kim JS, Kothari S, Manto M, Seemungal BM, Straumann D, Strupp M, Szmulewicz D, Tarnutzer A, Tehrani A, Tilikete C, Welgampola M, Zalazar G, Kheradmand A. Consensus on Virtual Management of Vestibular Disorders: Urgent Versus Expedited Care. Cerebellum. 2021 Feb;20(1):4-8. doi: 10.1007/s12311-020-01178-8. PMID: 32794025; PMCID: PMC7426203.
Pogson JM, Taylor RL, Thompson EO, Magnussen JS, Welgampola MS, Halmagyi GM. A Window Into the Whole Story: Temporal Bone Plasmacytoma Presenting With a Mobile Third Window. Laryngoscope. 2021 Mar;131(3):E966-E969. doi: 10.1002/lary.28951. Epub 2020 Aug 4. PMID: 32750153.
Taylor RL, Magnussen JS, Kwok B, Young AS, Ihtijarevic B, Argaet EC, Reid N, Rivas C, Pogson JM, Rosengren SM, Halmagyi GM, Welgampola MS. Bone-Conducted oVEMP Latency Delays Assist in the Differential Diagnosis of Large Air-Conducted oVEMP Amplitudes. Front Neurol. 2020 Oct 29;11:580184. doi: 10.3389/fneur.2020.580184. PMID: 33193031; PMCID: PMC7658177.
Pogson JM, Taylor RL, McGarvie LA, Bradshaw AP, D'Souza M, Flanagan S, Kong J, Halmagyi GM, Welgampola MS. Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss. PLoS One. 2020 Jan 15;15(1):e0227406. doi: 10.1371/journal.pone.0227406. PMID: 31940394; PMCID: PMC6961882.
Taylor RL, Winton RW, Rosengren SM, Argaet EC, Welgampola MS. Evidence of a Vestibular Origin for Crossed-Sternocleidomastoid Muscle Responses to Air-Conducted Sound. Ear Hear. 2020 Jul/Aug;41(4):896-906. doi: 10.1097/AUD.0000000000000813. PMID: 31688318.
Calic Z, Nham B, Bradshaw AP, Young AS, Bhaskar S, D'Souza M, Anderson CS, Cappelen-Smith C, Cordato D, Welgampola MS. Separating posterior-circulation stroke from vestibular neuritis with quantitative vestibular testing. Clin Neurophysiol. 2020 Aug;131(8):2047-2055. doi: 10.1016/j.clinph.2020.04.173. Epub 2020 Jun 8. PMID: 32600960.
Dyball AC, Govender S, Taylor RL, Young AS, Welgampola MS, Rosengren SM. Bone-conducted vestibular and stretch reflexes in human neck muscles. Exp Brain Res. 2020 May;238(5):1237-1248. doi: 10.1007/s00221-020-05798-8. Epub 2020 Apr 11. PMID: 32279086.
Taylor RL, Welgampola MS, Nham B, Rosengren SM. Vestibular-Evoked Myogenic Potential Testing in Vestibular Localization and Diagnosis. Semin Neurol. 2020 Feb;40(1):18-32. doi: 10.1055/s-0039-3402068. Epub 2020 Jan 14. PMID: 31935772.
Young AS, Rosengren SM, D'Souza M, Bradshaw AP, Welgampola MS. Nystagmus characteristics of healthy controls. J Vestib Res. 2020;30(6):345-352. doi: 10.3233/VES-200022. PMID: 33285657.
Nham B, Young AS, Garsia R, Halmagyi GM, Welgampola MS. A treatable cause of vertigo. Pract Neurol. 2020 Aug;20(4):338-342. doi: 10.1136/practneurol-2020-002533. Epub 2020 May 6. PMID: 32376683.
Nham B, Welgampola MS, Halmagyi GM. Contralesional subjective visual horizontal predicts endolymphatic hydrops. Acta Otolaryngol. 2020 Oct;140(10):833-837. doi: 10.1080/00016489.2020.1774650. Epub 2020 Jun 18. PMID: 32552133.
Hardy TA, Taylor RL, Qiu J, O'Brien B, Gopinath S, Trewin B, Spring PJ, Shaffi M, Bolitho SJ, Garsia RJ, Roxburgh R, Mason DF, Ip J, Chan F, Chen L, Wilson I, Beadnall HN, Barnett MH, Parratt JDE, Watson JDG, Welgampola MS, Reddel SW, Tsang B, Halmagyi GM. The neuro-otology of Susac syndrome. J Neurol. 2020 Dec;267(12):3711-3722. doi: 10.1007/s00415-020-10086-0. Epub 2020 Jul 21. PMID: 32696340.
Rosengren SM, Colebatch JG, Young AS, Govender S, Welgampola MS. Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications. Clin Neurophysiol Pract. 2019 Feb 26;4:47-68. doi: 10.1016/j.cnp.2019.01.005. eCollection 2019.
Young AS, Jonker B, Welgampola MS. Vestibular paroxysmia presenting with irritative nystagmus. Neurology. 2019 Apr 9;92(15):723-724. doi: 10.1212/WNL.0000000000007273.
Pogson JM, Taylor RL, Bradshaw AP, McGarvie L, D'Souza M, Halmagyi GM, Welgampola MS. The human vestibulo-ocular reflex and saccades: normal subjects and the effect of age. J Neurophysiol. 2019 Jul 1;122(1):336-349. doi: 10.1152/jn.00847.2018. Epub 2019 May 1.
Rosengren SM, Weber KP, Govender S, Welgampola MS, Dennis DL, Colebatch JG. Sound-evoked vestibular projections to the splenius capitis in humans: comparison with the sternocleidomastoid muscle. J Appl Physiol (1985). 2019 Jun 1;126(6):1619-1629. doi: 10.1152/japplphysiol.00711.2018. Epub 2019 Mar 28.
Nham B, Reid N, Argaet E, Young A, Bein K, Halmagyi MG, Welgampola MS. 004 Vestibular event monitoring in the emergency department. Journal of Neurology, Neurosurgery & Psychiatry 2019;90:A2.
Calic Z, Nham B, Taylor R, Young A, Anderson C, Cappelen-Smith C, Cordato D, Welgampola M. 084 Separating stroke from vestibular neuritis by vestibular function test parameters. Journal of Neurology, Neurosurgery & Psychiatry 2019;90:A27.
Sharpe L, Dudeney J, Williams ACC, Nicholas M, McPhee I, Baillie A, Welgampola M, McGuire B. Psychological therapies for the prevention of migraine in adults. Cochrane Database Syst Rev. 2019 Jul 2;7:CD012295. doi: 10.1002/14651858.CD012295.pub2.
Welgampola MS, Young AS, Pogson JM, et al. Dizziness demystified. Practical Neurology Published Online First: 20 July 2019. doi: 10.1136/practneurol-2019-002199
Argaet EC, Lechner C, Bradshaw AP, et al. 021 Profiles of benign positional vertigo tested on the epley omniax chair. Journal of Neurology, Neurosurgery & Psychiatry 2019;90:A8.
Young AS, Lechner C, Bradshaw AP, MacDougall HG, Black DA, Halmagyi MG, Welgampola MS. 022 Patient-initiated event monitoring for acute vertigo. Journal of Neurology, Neurosurgery & Psychiatry 2019;90:A8.
Triplett JD, Buzzard KA, Lubomski M, Riminton DS, Barnett MH, Welgampola MS, Halmagyi GM, Nguyen M, Landau K, Lee AG, Plant GT, Fraser CL, Reddel SW, Hardy TA. Immune-mediated conditions affecting the brain, eye and ear (BEE syndromes). J Neurol Neurosurg Psychiatry. 2019 Aug;90(8):882-894. doi: 10.1136/jnnp-2018-319002. Epub 2019 Mar 9.
Argaet EC, Bradshaw AP, Welgampola MS. Benign positional vertigo, its diagnosis, treatment and mimics. Clin Neurophysiol Pract. 2019;4:97–111. Published 2019 Apr 6. doi:10.1016/j.cnp.2019.03.001
Argaet EC, Young AS, Bradshaw AP, Welgampola MS. Cerebellar arteriovenous malformation presenting with recurrent positional vertigo. J Neurol. 2019 Jan;266(1):247-249. doi: 10.1007/s00415-018-9103-5. Epub 2018 Oct 30.
Hannigan IP, Welgampola MS, Watson SRD. Dissociation of caloric and head impulse tests: a marker of Meniere's disease. J Neurol. 2019 Jun 20. doi: 10.1007/s00415-019-09431-9.
Young AS, Lechner C, Bradshaw AP, MacDougall HG, Black DA, Halmagyi GM, Welgampola MS. Capturing acute vertigo: A vestibular event monitor. Neurology. 2019 Jun 11;92(24):e2743-e2753. doi: 10.1212/WNL.0000000000007644. Epub 2019 May 15.
Eggers SDZ, Bisdorff A, von Brevern M, Zee DS, Kim JS, Perez-Fernandez N, Welgampola MS, Della Santina CC, Newman-Toker DE. Classification of Vestibular Signs and Examination Techniques: Nystagmus and Nystagmus-like Movementsresearch. J Vestib Res. 2019 Jun 14. doi: 10.3233/VES-190658.
Taylor RL, McGarvie LA, Reid N, Young AS, Halmagyi GM, Welgampola MS. Vestibular Neuritis affects both superior and inferior vestibular nerves. Neurology. 2016 Oct 18;87(16):1704-1712. Epub 2016 Sep 30.
Pogson JM, Taylor RL, Young AS, McGarvie LA, Flanagan S, Halmagyi GM, Welgampola MS. Vertigo with sudden hearing loss: audio-vestibular characteristics. J Neurol. 2016 Jul 19.
Govender S, Fernando T, Dennis DL, Welgampola MS, Colebatch JG. Properties of 500Hz air- and bone-conducted vestibular evoked myogenic potentials (VEMPs) in superior canal dehiscence. Clin Neurophysiol. 2016 Jun;127(6):2522-31.
Young AS, Taylor RL, McGarvie LA, Halmagyi GM, Welgampola MS. Bilateral sequential peripheral vestibulopathy. Neurology. 2016 Apr 12;86 (15):1454-6.
Welgampola MS, Croxson GR, McGarvie LA, Halmagyi GM. Head-shaking nystagmus and vertigo cured by lateral semicircular canal occlusion. J Neurol. 2016 Mar;263(3):588-90.
Welgampola MS, Bradshaw AP, Halmagyi GM. Assessment of the Dizzy patient. (Review) Advancements in Otolaryngology 2016; in press.
Welgampola MS, Taylor RL, Halmagyi GM. Head Impulse Testing: Brevity is the Soul of HIT. Advancements in Otolaryngology. 2016 (in press).
Taylor RL, Welgampola MS. Otolith Function Testing. Advances in Otolaryngology 2016 (in press).
Colebatch JG, Rosengren SM, Welgampola MS. Vestibular Evoked Myogenic Potentials. Handbook of Clinical Neurology 2016 (in press).
Welgampola MS, Bradshaw AP, Lechner C, Halmagyi GM. Bedside Assessment of Acute Dizziness and Vertigo. Neurol Clin. 2015 Aug;33(3):551-64.
Taylor RL, Kong J, Flanagan S, Pogson J, Croxson G, Pohl D, Welgampola MS. Prevalence of vestibular dysfunction in patients with vestibular schwannoma using video head-impulses and vestibular-evoked potentials. J Neurol. 2015 May;262(5):1228-37.
Taylor RL, Schulin M, Goonetilleke S, Welgampola MS. Does electrode impedance affect the recording of ocular vestibular-evoked myogenic potentials? J Am Acad Audiol. 2014;25(10):969-74.
Lea J, Lechner C, Halmagyi GM, Welgampola MS. Not So Benign Positional Vertigo. Otol Neurotol. 2014 Jul;35(6)
Lechner C, Taylor RL, Halmagyi GM, Welgampola MS. Causes and Characteristics of Horizontal Positional Nystagmus. J Neurol 2014 (in press)
Taylor RL, Blaivie C, Bom AP, Holmeslet B, Pansell T, Brantberg K, Welgampola MS. Ocular vestibular-evoked myogenic potentials (oVEMP) to skull taps in normal and dehiscent ears: mechanisms and markers of superior canal dehiscence. Exp Brain Res. 2014 Apr;232(4):1073-84.
Park SH, Kim HJ, Kim JS, Koo JW, Oh SW, Kim DU, Kim JT, Welgampola MS, Deriu F. Mastication-induced vertigo and nystagmus. J Neurol. 2014 Mar; 261(3):480-9.
White AS, Taylor RL, McNeill C, Garsia R, Welgampola MS. Behçet's disease presenting as a peripheral vestibulopathy. J Clin Neurosci. 2013 Oct 30. pii: S0967-5868(13)00559-6
Taylor RL, Xing M, Black DA, Halmagyi GM, Welgampola MS. Ocular vestibular evoked myogenic potentials: The effect of head and body tilt in the roll plane. Clin Neurophysiol. 2013 S1388-2457(13)01097-3.
Tax CM, Bom AP, Taylor RL, Todd N, Cho KK, Fitzpatrick RC, Welgampola MS.The galvanic whole-body sway response in health and disease. Clin Neurophysiol. 2013 Oct;124(10):2036-45.
Taylor RL, Chen L, Lechner C, Aw ST, Welgampola MS.Vestibular schwannoma mimicking horizontal cupulolithiasis. J Clin Neurosci. 2013 Aug;20(8):1170-3.
Welgampola MS, Ramsay E, Gleeson MJ, Day BL. Asymmetry of balance responses to monaural galvanic vestibular stimulation in subjects with vestibular schwannoma. Clin Neurophysiol. 2013 Sep;124(9):1835-9.
Janky KL, Nguyen KD, Welgampola MS, Zuniga MG, Carey JP. Air-Conducted oVEMPs Provide the Best Separation Between Intact and Superior Canal Dehiscent Labyrinths. Otology Neurotology. (2013) 34 (1)127 - 134
Zuniga MG, Janky KL, Nguyen KD, Welgampola MS, Carey JP. Ocular versus cervical VEMPs in the diagnosis of superior semicircular canal dehiscence syndrome. Otol Neurotol. 2013 Jan;34(1):121-6
Chen L, Welgampola MS. Evaluation of Acute Vertigo. Medicine Today (2012) (13) 6 - 12
Taylor RL, Bradshaw AP, Magnussen JS, Gibson WP, Halmagyi GM, Welgampola MS. Augmented ocular vestibular evoked myogenic potentials to air-conducted sound in large vestibular aqueduct syndrome. Ear Hear. 2012 Nov-Dec;33(6):768-71
Taylor RL, Bradshaw AP, Halmagyi GM, Welgampola MS. Tuning characteristics of ocular and cervical vestibular evoked myogenic potentials in intact and dehiscent ears. Audiol Neurootol. 2012;17(4):207-18.
Taylor RL, Zagami AS, Gibson WP, Black DA, Watson SR, Halmagyi MG, Welgampola MS. Vestibular evoked myogenic potentials to sound and vibration: characteristics in vestibular migraine that enable separation from Meniere's disease. Cephalalgia. 2012 Feb;32(3):213-25.
Welgampola MS, Bradshaw A, Halmagyi GM. Practical neurology 4: Dizziness on head movement. Med J Aust. 2011 Nov 7;195(9):518-22.
Day BL, Ramsay E, Welgampola MS, Fitzpatrick RC. Human semicircular canal model of galvanic vestibular stimulation. Exp Brain Res. 2011 May; 210(3-4):561-8.
Taylor RL, Wijewardene AA, Gibson WP, Black DA, Halmagyi GM, Welgampola MS. The vestibular evoked-potential profile of Ménière's disease. Clin Neurophysiol. 2011 Jun;122(6):1256-63
Suite 304 RPA Medical Centre
100 Carillon Avenue
Newtown NSW 2042
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