Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad.
75 Páginas.
- Autores:
-
Vélez Álvarez, Carlos Alfonso
Escobar Maya, Mauricio Andrés
- Tipo de recurso:
- Fecha de publicación:
- 2010
- Institución:
- Universidad de la Sabana
- Repositorio:
- Repositorio Universidad de la Sabana
- Idioma:
- spa
- OAI Identifier:
- oai:intellectum.unisabana.edu.co:10818/4899
- Acceso en línea:
- http://hdl.handle.net/10818/4899
- Palabra clave:
- Corazón-Cirugía
Complicaciones postoperatorias
- Rights
- License
- http://purl.org/coar/access_right/c_abf2
id |
REPOUSABA2_2742555d635b1cdb99e200c4adb0bdae |
---|---|
oai_identifier_str |
oai:intellectum.unisabana.edu.co:10818/4899 |
network_acronym_str |
REPOUSABA2 |
network_name_str |
Repositorio Universidad de la Sabana |
repository_id_str |
|
dc.title.es_CO.fl_str_mv |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
title |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
spellingShingle |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. Corazón-Cirugía Complicaciones postoperatorias |
title_short |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
title_full |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
title_fullStr |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
title_full_unstemmed |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
title_sort |
Hiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad. |
dc.creator.fl_str_mv |
Vélez Álvarez, Carlos Alfonso Escobar Maya, Mauricio Andrés |
dc.contributor.advisor.none.fl_str_mv |
Buitrago Bernal, Ricardo Antonio |
dc.contributor.author.none.fl_str_mv |
Vélez Álvarez, Carlos Alfonso Escobar Maya, Mauricio Andrés |
dc.subject.es_CO.fl_str_mv |
Corazón-Cirugía Complicaciones postoperatorias |
topic |
Corazón-Cirugía Complicaciones postoperatorias |
description |
75 Páginas. |
publishDate |
2010 |
dc.date.created.none.fl_str_mv |
2010 |
dc.date.issued.none.fl_str_mv |
2010 |
dc.date.accessioned.none.fl_str_mv |
2012-12-10T22:37:29Z |
dc.date.available.none.fl_str_mv |
2012-12-10T22:37:29Z |
dc.type.none.fl_str_mv |
bachelorThesis |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
dc.type.local.none.fl_str_mv |
Tesis de especialización |
dc.type.hasVersion.none.fl_str_mv |
publishedVersion |
dc.identifier.citation.none.fl_str_mv |
. Jairo Iván Betancourt Rodríguez, MD. Manejo postoperatorio de cirugía cardiovascular del adulto. Jorge E. Lemus Lanziano, MD. Carlos García del Río, MD. Miguel Urina Triana, MD, editores. Cuidado Crítico Cardiovascular, primera Ed. Colombia: Sociedad Colombiana de Cardiología, Oficina de Publicaciones; 2003. P 193 – 206. H. Bryant Nguyen, MD, MS; Emanuel P. Rivers, MD, MPH; Bernhard P. Knoblich, MD; Gordon Jacobsen, MS; Alexandria Muzzin, BS; Julie A. Ressler, BS; Michael C. Tomlanovich, MD. Goal – Directed hemodynamic optimitation in high – risk Cardiac Surgery patients a tale from the past or a future obligation? Minerva Anestesiol 2008 ; 74: 251 – 8. Vincent J, Rapotec A, choque circulatorio. Atlee J, Gullo A, Sinagra G, Vincent J, editores. Cuidado Crítico cardiológico perioperatorio, traducido de la edición en inglés: perioperative Critical Care Cardiology. 2da edición, Colombia, Distribuna 2010, P 263 – 280. Emanuel Rivers, M.D., M.P.H., Bryant Guyen, M.D., Suzanne Havstad, M.A., Julie Ressler, B.S., Alexandria Muzzin, B.S., Bernhard Knoblich, M.D., Edward Peterson, PH.D., and Michael Tomlanovich, M.D., for the Early Goal - Directed Therapy Collaborative Group. Early Goal Directed Therapy in the treatment of the severe sepsis and septic shock. NEJM 2001; 345: 1368 – 77. H. Bryant Nguyen, MD, MS; Emanuel P. Rivers, MD, MPH; Bernhard P. Knoblich, MD; Gordon Jacobsen, MS; Alexandria Muzzin, BS; Julie A. Ressler, BS; Michael C. Tomlanovich, MD. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 2004; 32: 1637 – 1642. Marco Ranucci, Barbara De Toffol, Giuseppe Isgrò, Federica Romitti, Daniela Conti and Maira Vicentini. Hyperlactatemia during cardiopulmonary bypass: determinants and impact on postoperative outcome. Critical Care 2006, 10 : R 167. Mark E. Mikkelsen, MD, MS; Andrea N. Miltiades, BA; David F. Gaieski, MD; Munish Goyal, MD; Barry D. Fuchs, MD; Chirag V. Shah, MD, MS; Scarlett L. Bellamy, ScD; Jason D. Christie, MD, MS. Serum lactate is associated with mortality in severe sepsis independent of organ failure and shock. Crit care med 2009; 37:1670 – 1677. Rupert Pearse, Deborah Dawson, Jayne Fawcett, Andrew Rhodes, R Michael Grounds and E David Bennett. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomized, controlled trial. Critical Care 2005, 9:R687-R693. Poonam Malhotra Kapoor, Madhava Kakani, Ujjwal Choudhury, Minati Choudhury, Lakshmy R, Usha Kiran. Early Goal Directed Therapy in moderate to high risk cardiac surgery. Annals of Cardiac Anaesthesia. Vol 1: issue 11, January - June 2008, pag 27 – 33. Christopher Vernon, DOa, Jennifer L. LeTourneau, DO, MCR. Lactic Acidosis: Recognition, Kinetics, and Associated Prognosis; Crit Care Clin 26 (2010) 255 – 283. Fevzi Toraman, MD, Serdar Evrenkaya, MD, Murat Yuce, MD, Nazan Aksoy, MD, Hasan Karabulut, MD, Yildirim Bozkulak, Cem Alhan, MD. Lactic Acidosis after Cardiac Surgery Is Associated with Adverse Outcome. The Heart Surgery Forum 2004 april 1; 7 (2): E 155 – 9. Tim C. Jansen, MD; Jasper van Bommel, MD, PhD; Roger Woodward, MD; Paul G. H. Mulder, PhD; Jan Bakker, MD, PhD. Association between blood lactate levels, Sequential Organ Failure Assessment subscores, and 28-day mortality during early and late intensive care unit stay: A retrospective observational study. Crit Care Med 2009 Vol. 37, No. 8: 2369 – 74 S.A.M. Nashef, F. Roques, P. Michel, E. Gauducheau, S. Lemeshow, R. Salamon. The EuroSCORE study group. European system for cardiac operative risk evaluation (EUROSCORE). Eur j cardiothoracic Surg 1999; 16: 9 – 13 Jean-Michel Maillet, MD; Paul Le Besnerais, MD; Manuel Cantoni, MD;Patrick Nataf, MD; Alain Ruffenach, MD; Arrigo Lessana, MD; and Denis Brodaty, MD. Frequency, Risk Factors, and Outcome of Hyperlactatemia After Cardiac Surgery. Chest 2003; 123:1361–1366. Santosh B, Kumud K, Pawar K, Neela D. Blood lactate levels during cardiopulmonary Bypass for valvular heart surgery. Annals of cardic anaesthesia. 2005; 8: 39 – 44. Alistair D Nichol, Moritoki Egi, Ville Pettila, Rinaldo Bellomo, Craig French, Graeme Hart. Relative hyperlactatemia and hospital mortality in critically ill patients: a retrospective multi-centre study. Critical Care 2010, 14: R25 . Ruiz C, Hernandez G y Ince C. Diagnosis and Treatment of the septic microcirculation. Edited by J.L. Vincent. Year book of intensive care and Emergency medicine. Annual Update 2010. P 16 – 26. |
dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10818/4899 |
dc.identifier.local.none.fl_str_mv |
136746 TE03807 |
identifier_str_mv |
. Jairo Iván Betancourt Rodríguez, MD. Manejo postoperatorio de cirugía cardiovascular del adulto. Jorge E. Lemus Lanziano, MD. Carlos García del Río, MD. Miguel Urina Triana, MD, editores. Cuidado Crítico Cardiovascular, primera Ed. Colombia: Sociedad Colombiana de Cardiología, Oficina de Publicaciones; 2003. P 193 – 206. H. Bryant Nguyen, MD, MS; Emanuel P. Rivers, MD, MPH; Bernhard P. Knoblich, MD; Gordon Jacobsen, MS; Alexandria Muzzin, BS; Julie A. Ressler, BS; Michael C. Tomlanovich, MD. Goal – Directed hemodynamic optimitation in high – risk Cardiac Surgery patients a tale from the past or a future obligation? Minerva Anestesiol 2008 ; 74: 251 – 8. Vincent J, Rapotec A, choque circulatorio. Atlee J, Gullo A, Sinagra G, Vincent J, editores. Cuidado Crítico cardiológico perioperatorio, traducido de la edición en inglés: perioperative Critical Care Cardiology. 2da edición, Colombia, Distribuna 2010, P 263 – 280. Emanuel Rivers, M.D., M.P.H., Bryant Guyen, M.D., Suzanne Havstad, M.A., Julie Ressler, B.S., Alexandria Muzzin, B.S., Bernhard Knoblich, M.D., Edward Peterson, PH.D., and Michael Tomlanovich, M.D., for the Early Goal - Directed Therapy Collaborative Group. Early Goal Directed Therapy in the treatment of the severe sepsis and septic shock. NEJM 2001; 345: 1368 – 77. H. Bryant Nguyen, MD, MS; Emanuel P. Rivers, MD, MPH; Bernhard P. Knoblich, MD; Gordon Jacobsen, MS; Alexandria Muzzin, BS; Julie A. Ressler, BS; Michael C. Tomlanovich, MD. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 2004; 32: 1637 – 1642. Marco Ranucci, Barbara De Toffol, Giuseppe Isgrò, Federica Romitti, Daniela Conti and Maira Vicentini. Hyperlactatemia during cardiopulmonary bypass: determinants and impact on postoperative outcome. Critical Care 2006, 10 : R 167. Mark E. Mikkelsen, MD, MS; Andrea N. Miltiades, BA; David F. Gaieski, MD; Munish Goyal, MD; Barry D. Fuchs, MD; Chirag V. Shah, MD, MS; Scarlett L. Bellamy, ScD; Jason D. Christie, MD, MS. Serum lactate is associated with mortality in severe sepsis independent of organ failure and shock. Crit care med 2009; 37:1670 – 1677. Rupert Pearse, Deborah Dawson, Jayne Fawcett, Andrew Rhodes, R Michael Grounds and E David Bennett. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomized, controlled trial. Critical Care 2005, 9:R687-R693. Poonam Malhotra Kapoor, Madhava Kakani, Ujjwal Choudhury, Minati Choudhury, Lakshmy R, Usha Kiran. Early Goal Directed Therapy in moderate to high risk cardiac surgery. Annals of Cardiac Anaesthesia. Vol 1: issue 11, January - June 2008, pag 27 – 33. Christopher Vernon, DOa, Jennifer L. LeTourneau, DO, MCR. Lactic Acidosis: Recognition, Kinetics, and Associated Prognosis; Crit Care Clin 26 (2010) 255 – 283. Fevzi Toraman, MD, Serdar Evrenkaya, MD, Murat Yuce, MD, Nazan Aksoy, MD, Hasan Karabulut, MD, Yildirim Bozkulak, Cem Alhan, MD. Lactic Acidosis after Cardiac Surgery Is Associated with Adverse Outcome. The Heart Surgery Forum 2004 april 1; 7 (2): E 155 – 9. Tim C. Jansen, MD; Jasper van Bommel, MD, PhD; Roger Woodward, MD; Paul G. H. Mulder, PhD; Jan Bakker, MD, PhD. Association between blood lactate levels, Sequential Organ Failure Assessment subscores, and 28-day mortality during early and late intensive care unit stay: A retrospective observational study. Crit Care Med 2009 Vol. 37, No. 8: 2369 – 74 S.A.M. Nashef, F. Roques, P. Michel, E. Gauducheau, S. Lemeshow, R. Salamon. The EuroSCORE study group. European system for cardiac operative risk evaluation (EUROSCORE). Eur j cardiothoracic Surg 1999; 16: 9 – 13 Jean-Michel Maillet, MD; Paul Le Besnerais, MD; Manuel Cantoni, MD;Patrick Nataf, MD; Alain Ruffenach, MD; Arrigo Lessana, MD; and Denis Brodaty, MD. Frequency, Risk Factors, and Outcome of Hyperlactatemia After Cardiac Surgery. Chest 2003; 123:1361–1366. Santosh B, Kumud K, Pawar K, Neela D. Blood lactate levels during cardiopulmonary Bypass for valvular heart surgery. Annals of cardic anaesthesia. 2005; 8: 39 – 44. Alistair D Nichol, Moritoki Egi, Ville Pettila, Rinaldo Bellomo, Craig French, Graeme Hart. Relative hyperlactatemia and hospital mortality in critically ill patients: a retrospective multi-centre study. Critical Care 2010, 14: R25 . Ruiz C, Hernandez G y Ince C. Diagnosis and Treatment of the septic microcirculation. Edited by J.L. Vincent. Year book of intensive care and Emergency medicine. Annual Update 2010. P 16 – 26. 136746 TE03807 |
url |
http://hdl.handle.net/10818/4899 |
dc.language.iso.es_CO.fl_str_mv |
spa |
language |
spa |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
rights_invalid_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.publisher.none.fl_str_mv |
Universidad de La Sabana |
dc.publisher.program.none.fl_str_mv |
Especialización en Medicina Crítica y Cuidado Intensivo |
dc.publisher.department.none.fl_str_mv |
Facultad de Medicina |
publisher.none.fl_str_mv |
Universidad de La Sabana |
dc.source.none.fl_str_mv |
Universidad de La Sabana Intellectum Repositorio Universidad de La Sabana |
institution |
Universidad de la Sabana |
bitstream.url.fl_str_mv |
https://intellectum.unisabana.edu.co/bitstream/10818/4899/1/130183.pdf https://intellectum.unisabana.edu.co/bitstream/10818/4899/2/license.txt https://intellectum.unisabana.edu.co/bitstream/10818/4899/3/130183.pdf.txt |
bitstream.checksum.fl_str_mv |
032953007c6e7b1c7e69c965f1f0159a f52a2cfd4df262e08e9b300d62c85cab 86400bde2c38f1c1ea2b1996ba038f62 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Intellectum Universidad de la Sabana |
repository.mail.fl_str_mv |
contactointellectum@unisabana.edu.co |
_version_ |
1811952217279692800 |
spelling |
Buitrago Bernal, Ricardo AntonioVélez Álvarez, Carlos AlfonsoEscobar Maya, Mauricio AndrésEspecialista en Medicina Crítica y Cuidado Intensivo2012-12-10T22:37:29Z2012-12-10T22:37:29Z20102010. Jairo Iván Betancourt Rodríguez, MD. Manejo postoperatorio de cirugía cardiovascular del adulto. Jorge E. Lemus Lanziano, MD. Carlos García del Río, MD. Miguel Urina Triana, MD, editores. Cuidado Crítico Cardiovascular, primera Ed. Colombia: Sociedad Colombiana de Cardiología, Oficina de Publicaciones; 2003. P 193 – 206.H. Bryant Nguyen, MD, MS; Emanuel P. Rivers, MD, MPH; Bernhard P. Knoblich, MD; Gordon Jacobsen, MS; Alexandria Muzzin, BS; Julie A. Ressler, BS; Michael C. Tomlanovich, MD. Goal – Directed hemodynamic optimitation in high – risk Cardiac Surgery patients a tale from the past or a future obligation? Minerva Anestesiol 2008 ; 74: 251 – 8.Vincent J, Rapotec A, choque circulatorio. Atlee J, Gullo A, Sinagra G, Vincent J, editores. Cuidado Crítico cardiológico perioperatorio, traducido de la edición en inglés: perioperative Critical Care Cardiology. 2da edición, Colombia, Distribuna 2010, P 263 – 280.Emanuel Rivers, M.D., M.P.H., Bryant Guyen, M.D., Suzanne Havstad, M.A., Julie Ressler, B.S., Alexandria Muzzin, B.S., Bernhard Knoblich, M.D., Edward Peterson, PH.D., and Michael Tomlanovich, M.D., for the Early Goal - Directed Therapy Collaborative Group. Early Goal Directed Therapy in the treatment of the severe sepsis and septic shock. NEJM 2001; 345: 1368 – 77.H. Bryant Nguyen, MD, MS; Emanuel P. Rivers, MD, MPH; Bernhard P. Knoblich, MD; Gordon Jacobsen, MS; Alexandria Muzzin, BS; Julie A. Ressler, BS; Michael C. Tomlanovich, MD. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 2004; 32: 1637 – 1642.Marco Ranucci, Barbara De Toffol, Giuseppe Isgrò, Federica Romitti, Daniela Conti and Maira Vicentini. Hyperlactatemia during cardiopulmonary bypass: determinants and impact on postoperative outcome. Critical Care 2006, 10 : R 167.Mark E. Mikkelsen, MD, MS; Andrea N. Miltiades, BA; David F. Gaieski, MD; Munish Goyal, MD; Barry D. Fuchs, MD; Chirag V. Shah, MD, MS; Scarlett L. Bellamy, ScD; Jason D. Christie, MD, MS. Serum lactate is associated with mortality in severe sepsis independent of organ failure and shock. Crit care med 2009; 37:1670 – 1677.Rupert Pearse, Deborah Dawson, Jayne Fawcett, Andrew Rhodes, R Michael Grounds and E David Bennett. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomized, controlled trial. Critical Care 2005, 9:R687-R693.Poonam Malhotra Kapoor, Madhava Kakani, Ujjwal Choudhury, Minati Choudhury, Lakshmy R, Usha Kiran. Early Goal Directed Therapy in moderate to high risk cardiac surgery. Annals of Cardiac Anaesthesia. Vol 1: issue 11, January - June 2008, pag 27 – 33.Christopher Vernon, DOa, Jennifer L. LeTourneau, DO, MCR. Lactic Acidosis: Recognition, Kinetics, and Associated Prognosis; Crit Care Clin 26 (2010) 255 – 283.Fevzi Toraman, MD, Serdar Evrenkaya, MD, Murat Yuce, MD, Nazan Aksoy, MD, Hasan Karabulut, MD, Yildirim Bozkulak, Cem Alhan, MD. Lactic Acidosis after Cardiac Surgery Is Associated with Adverse Outcome. The Heart Surgery Forum 2004 april 1; 7 (2): E 155 – 9.Tim C. Jansen, MD; Jasper van Bommel, MD, PhD; Roger Woodward, MD; Paul G. H. Mulder, PhD; Jan Bakker, MD, PhD. Association between blood lactate levels, Sequential Organ Failure Assessment subscores, and 28-day mortality during early and late intensive care unit stay: A retrospective observational study. Crit Care Med 2009 Vol. 37, No. 8: 2369 – 74S.A.M. Nashef, F. Roques, P. Michel, E. Gauducheau, S. Lemeshow, R. Salamon. The EuroSCORE study group. European system for cardiac operative risk evaluation (EUROSCORE). Eur j cardiothoracic Surg 1999; 16: 9 – 13Jean-Michel Maillet, MD; Paul Le Besnerais, MD; Manuel Cantoni, MD;Patrick Nataf, MD; Alain Ruffenach, MD; Arrigo Lessana, MD; and Denis Brodaty, MD. Frequency, Risk Factors, and Outcome of Hyperlactatemia After Cardiac Surgery. Chest 2003; 123:1361–1366.Santosh B, Kumud K, Pawar K, Neela D. Blood lactate levels during cardiopulmonary Bypass for valvular heart surgery. Annals of cardic anaesthesia. 2005; 8: 39 – 44.Alistair D Nichol, Moritoki Egi, Ville Pettila, Rinaldo Bellomo, Craig French, Graeme Hart. Relative hyperlactatemia and hospital mortality in critically ill patients: a retrospective multi-centre study. Critical Care 2010, 14: R25. Ruiz C, Hernandez G y Ince C. Diagnosis and Treatment of the septic microcirculation. Edited by J.L. Vincent. Year book of intensive care and Emergency medicine. Annual Update 2010. P 16 – 26.http://hdl.handle.net/10818/4899136746TE0380775 Páginas.Durante la cirugía cardiovascular (CCV), los pacientes presentan cambio fisiopatológicos, los cuales comprometen la macrocirculación, microcirculación y la vida. Las medidas terapéuticas utilizadas en la actualidad no cuentan con suficientes estudios que las respalden. Para resolver este problema, nuestro trabajo tuvo como propósito establecer si la hiperlactatemia persistente en el POP inmediato de CCV es factor pronóstico de morbimortalidad. Este trabajo reunió 137 pacientes que estaban en POP inmediatos de CCV. Finalmente, se estableció que la presencia de hipoperfusión tisular en las siguientes 6 horas del POP inmediato manifestada por hiperlactatemia, es un factor de riesgo para tener desenlaces adversos como la muerte.spaUniversidad de La SabanaEspecialización en Medicina Crítica y Cuidado IntensivoFacultad de MedicinaUniversidad de La SabanaIntellectum Repositorio Universidad de La SabanaCorazón-CirugíaComplicaciones postoperatoriasHiperlactatenia en posoperatorio inmediato de cirugía cardiovascular como factor pronóstico para mortalidad.bachelorThesisTesis de especializaciónpublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/access_right/c_abf2ORIGINAL130183.pdf130183.pdfVer documento en PDFapplication/pdf421943https://intellectum.unisabana.edu.co/bitstream/10818/4899/1/130183.pdf032953007c6e7b1c7e69c965f1f0159aMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/4899/2/license.txtf52a2cfd4df262e08e9b300d62c85cabMD52TEXT130183.pdf.txt130183.pdf.txtExtracted Texttext/plain79889https://intellectum.unisabana.edu.co/bitstream/10818/4899/3/130183.pdf.txt86400bde2c38f1c1ea2b1996ba038f62MD5310818/4899oai:intellectum.unisabana.edu.co:10818/48992020-02-12 10:32:06.486Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.coPGEgcmVsPSJsaWNlbnNlIiBocmVmPSJodHRwOi8vY3JlYXRpdmVjb21tb25zLm9yZy9saWNlbnNlcy9ieS1uYy1uZC8zLjAvIj48aW1nIGFsdD0iTGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyIgc3R5bGU9ImJvcmRlci13aWR0aDowIiBzcmM9Imh0dHA6Ly9pLmNyZWF0aXZlY29tbW9ucy5vcmcvbC9ieS1uYy1uZC8zLjAvODh4MzEucG5nIiAvPjwvYT48YnIgLz5Fc3RlIDxzcGFuIHhtbG5zOmRjdD0iaHR0cDovL3B1cmwub3JnL2RjL3Rlcm1zLyIgaHJlZj0iaHR0cDovL3B1cmwub3JnL2RjL2RjbWl0eXBlL1RleHQiIHJlbD0iZGN0OnR5cGUiPm9icmE8L3NwYW4+IGVzdMOhIGJham8gdW5hIDxhIHJlbD0ibGljZW5zZSIgaHJlZj0iaHR0cDovL2NyZWF0aXZlY29tbW9ucy5vcmcvbGljZW5zZXMvYnktbmMtbmQvMy4wLyI+bGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyBSZWNvbm9jaW1pZW50by1Ob0NvbWVyY2lhbC1TaW5PYnJhRGVyaXZhZGEgMy4wIFVucG9ydGVkPC9hPi4K |