Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction
Background/Aims/: Exercise-based cardiac rehabilitation is an effective and safe therapy to be used in the management of clinically stable patients following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). Objectives: To determine if a 12-week physical exercise progr...
- Autores:
-
Mantilla-Morrón, Mirary
Urina-Triana, Miguel
Herazo-Beltrán, Yaneth
Urina-Jassir, Daniela
Castro-Mier, Kevin Eduardo
Rodríguez-Pérez, Liliana
- Tipo de recurso:
- Fecha de publicación:
- 2019
- Institución:
- Universidad Simón Bolívar
- Repositorio:
- Repositorio Digital USB
- Idioma:
- eng
- OAI Identifier:
- oai:bonga.unisimon.edu.co:20.500.12442/4080
- Acceso en línea:
- https://hdl.handle.net/20.500.12442/4080
- Palabra clave:
- Cardiac rehabilitation
Coronary artery bypass graft
Left ventricular ejection fraction
Percutaneous coronary intervention
Quality of life
Rehabilitación cardíaca
Cirugía de revascularización coronaria
Fracción de eyección del ventrículo izquierdo
Intervención coronaria percutánea
Calidad de vida
- Rights
- License
- Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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dc.title.eng.fl_str_mv |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
dc.title.alternative.spa.fl_str_mv |
Efectos de un programa de ejercicio de 12 semanas sobre la calidad de vida en sujetos con revascularización miocárdica con fracción de eyección ventricular izquierda normal y reducida |
title |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
spellingShingle |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction Cardiac rehabilitation Coronary artery bypass graft Left ventricular ejection fraction Percutaneous coronary intervention Quality of life Rehabilitación cardíaca Cirugía de revascularización coronaria Fracción de eyección del ventrículo izquierdo Intervención coronaria percutánea Calidad de vida |
title_short |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
title_full |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
title_fullStr |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
title_full_unstemmed |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
title_sort |
Effects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fraction |
dc.creator.fl_str_mv |
Mantilla-Morrón, Mirary Urina-Triana, Miguel Herazo-Beltrán, Yaneth Urina-Jassir, Daniela Castro-Mier, Kevin Eduardo Rodríguez-Pérez, Liliana |
dc.contributor.author.none.fl_str_mv |
Mantilla-Morrón, Mirary Urina-Triana, Miguel Herazo-Beltrán, Yaneth Urina-Jassir, Daniela Castro-Mier, Kevin Eduardo Rodríguez-Pérez, Liliana |
dc.subject.eng.fl_str_mv |
Cardiac rehabilitation Coronary artery bypass graft Left ventricular ejection fraction Percutaneous coronary intervention Quality of life |
topic |
Cardiac rehabilitation Coronary artery bypass graft Left ventricular ejection fraction Percutaneous coronary intervention Quality of life Rehabilitación cardíaca Cirugía de revascularización coronaria Fracción de eyección del ventrículo izquierdo Intervención coronaria percutánea Calidad de vida |
dc.subject.spa.fl_str_mv |
Rehabilitación cardíaca Cirugía de revascularización coronaria Fracción de eyección del ventrículo izquierdo Intervención coronaria percutánea Calidad de vida |
description |
Background/Aims/: Exercise-based cardiac rehabilitation is an effective and safe therapy to be used in the management of clinically stable patients following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). Objectives: To determine if a 12-week physical exercise program (12-WPEP), after PCI or CABG with different left ventricular ejection fraction (LVEF) might improve the health-related quality of life (HRQOL). Methods: A prospective, controlled before-after study was conducted in a cardiac rehabilitation service with a 12-WPEP. Each session had a duration between 40 to 60 minutes, three times per week. Before and after a 12-WPEP was evaluated HRQOL using the SF-36 questionnaire. Results: The 12-WPEP improve the HRQOL but did not show differences among PCI (31 subjects) compared to CABG (18 subjects), regardless of whether the LVEF was normal or reduced (p<0.005). Conclusion: 12-WPEP improved HRQOL in both PCI and CABG subjects regardless of LVEF. |
publishDate |
2019 |
dc.date.accessioned.none.fl_str_mv |
2019-10-07T22:33:39Z |
dc.date.available.none.fl_str_mv |
2019-10-07T22:33:39Z |
dc.date.issued.none.fl_str_mv |
2019 |
dc.type.eng.fl_str_mv |
article |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.identifier.issn.none.fl_str_mv |
18564550 |
dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/20.500.12442/4080 |
identifier_str_mv |
18564550 |
url |
https://hdl.handle.net/20.500.12442/4080 |
dc.language.iso.eng.fl_str_mv |
eng |
language |
eng |
dc.rights.*.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2 |
dc.publisher.spa.fl_str_mv |
Sociedad Latinoamericana de Hipertensión |
dc.source.spa.fl_str_mv |
Revista Latinoamericana de Hipertensión Vol. 14 No. 4 (2019) |
institution |
Universidad Simón Bolívar |
dc.source.uri.eng.fl_str_mv |
http://www.revhipertension.com/rlh_4_2019/5_effects_12_week_exercise_based_program.pdf |
bitstream.url.fl_str_mv |
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Mantilla-Morrón, Mirary1af7663c-365d-4633-bd6a-c9828f9b37c1Urina-Triana, Migueld749d19c-0dae-4d0b-8e9a-6d623d682f9eHerazo-Beltrán, Yaneth83c937eb-4d7d-46f1-8cac-4395b21a049cUrina-Jassir, Daniela30f9fce5-b385-4090-b6fe-f8e30cfa657fCastro-Mier, Kevin Eduardo3a80f4f6-05bd-4be5-ad5e-82a39340c5cfRodríguez-Pérez, Liliana8bba9d23-9deb-404b-846c-4a8cd0b157322019-10-07T22:33:39Z2019-10-07T22:33:39Z201918564550https://hdl.handle.net/20.500.12442/4080Background/Aims/: Exercise-based cardiac rehabilitation is an effective and safe therapy to be used in the management of clinically stable patients following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). Objectives: To determine if a 12-week physical exercise program (12-WPEP), after PCI or CABG with different left ventricular ejection fraction (LVEF) might improve the health-related quality of life (HRQOL). Methods: A prospective, controlled before-after study was conducted in a cardiac rehabilitation service with a 12-WPEP. Each session had a duration between 40 to 60 minutes, three times per week. Before and after a 12-WPEP was evaluated HRQOL using the SF-36 questionnaire. Results: The 12-WPEP improve the HRQOL but did not show differences among PCI (31 subjects) compared to CABG (18 subjects), regardless of whether the LVEF was normal or reduced (p<0.005). Conclusion: 12-WPEP improved HRQOL in both PCI and CABG subjects regardless of LVEF.Antecedentes: La rehabilitación cardíaca basada en el ejercicio es una terapia eficaz y segura que se utiliza en el tratamiento de pacientes clínicamente estables después de una intervención coronaria percutánea (ICP) o injerto de derivación de la arteria coronaria (OIDAC). Objetivos: Determinar si un programa de ejercicio físico de 12 semanas (12-WPEP), después de la ICP o OIDAC con diferente fracción de eyección del ventrículo izquierdo (FEVI), podría mejorar la calidad de vida relacionada con la salud (CVRS). Métodos: se realizó un estudio prospectivo, controlado antes y después en un servicio de rehabilitación cardíaca con un 12-WPEP. Cada sesión tuvo una duración de entre 40 y 60 minutos tres veces por semana. Antes y después se evaluó una CVRS de 12-WPEP mediante el cuestionario SF-36. Resultados: El 12-WPEP mejoró la CVRS pero no mostró diferencias entre las ICP (31 sujetos) en comparación con OIDAC (18 sujetos), independientemente de si la FEVI era normal o reducida (p<0,005). Conclusión: 12-WPEP mejoró la CVRS en ambos sujetos, ICP y OIDAC, independientemente de la FEVI.engSociedad Latinoamericana de HipertensiónAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Revista Latinoamericana de HipertensiónVol. 14 No. 4 (2019)http://www.revhipertension.com/rlh_4_2019/5_effects_12_week_exercise_based_program.pdfCardiac rehabilitationCoronary artery bypass graftLeft ventricular ejection fractionPercutaneous coronary interventionQuality of lifeRehabilitación cardíacaCirugía de revascularización coronariaFracción de eyección del ventrículo izquierdoIntervención coronaria percutáneaCalidad de vidaEffects of a 12-week exercise-based program on the quality of life among myocardial revascularization subjects with normal and reduced left ventricular ejection fractionEfectos de un programa de ejercicio de 12 semanas sobre la calidad de vida en sujetos con revascularización miocárdica con fracción de eyección ventricular izquierda normal y reducidaarticlehttp://purl.org/coar/resource_type/c_6501Head SJ, Davierwala PM, Serruys PW, Redwood SR, Colombo A, Mack MJ, Et al. Coronary artery bypass grafting vs. percutaneous coronary intervention for patients with three-vessel disease: final five-year followup of the SYNTAX trial. European Heart Journal. 2014;35(40)2821- 2830. DOI: https://doi.org/10.1093/eurheartj/ehu213Lee GA. Determinants of quality of live five year after coronary artery bypass graft surgery. Heart Lung. 2009;39(2):91-99. DOI: http://dx.doi. org/10.1016/j.hrtlng.2008.04.003Bottle A, Mozid A, Grocott H P, Walters MR, Lees K R, Aylin P, et al. Preoperative stroke and outcomes after coronary artery bypass graft surgery. The Journal of the American Society of Anesthesiologists. 2013; 118(4):885-893. DOI; https://doi.org/10.1097/ ALN.0b013e3182815912Lan C, Chen SY, Lai JS. Chapter: 9. Exercise training for patients after coronary artery bypass grafting surgery, acute coronary syndromes. Mariano Brizzio, editor. In Acute Coronary Syndromes. 24, February 2012 ISBN: 978-953-307-827-4, InTech, DOI: 10.5772/22948.Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin, et al. Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. Journal of the American College of Cardiology.2016; 67(1): 1-12. DOI: https://doi. org/10.1016/j.jacc.2015.10.044Pattanshetty RB, Sinai S, Manikants S. Effectiveness of low intensity exercise on six-minute walk distance and haemodynamic variables in CABG and valve replacement patient during phase 1 cardiac rehabilitation in a tertiary care setup: a comparative study. Int J Physiother Res.2014;2(5):669-679. DOI: http://dx.doi.org/10.16965/ijprPack QR, Goel K, Lahr BD, Greason KL, Squires RW, López JF, et al. Participation in cardiac rehabilitation and survival after coronary Bypass Graft Surgery. Circulation. 2013;128(6):590-597. DOI: https://doi. org/10.1161/CIRCULATIONAHA.112.001365Goel K, Lennon RJ, Tilbury T, Squires RW, Thomas RJ. Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community. Circulation. 2011; 123:2344- 2352. DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.983536West RR, Jones DA, Henderson AH. Rehabilitation after myocardial infarction trial (RAMIT): Multi-Centre randomized controlled trial of comprehensive cardiac rehabilitation in patients following acute myocardial infarction. Heart 2012;98(8):637-644. DOI: https://doi. org/10.1136/heartjnl-2011-300302Cano R, Alguacil IM, Alonso JJ, Morelo A, Miangolarra JC. Cardiac Rehabilitation Programs and Health-Related Quality of Life. State of the Art. Rev Esp Cardiol. 2012;65(1):72-79. DOI: https://doi.org/10.1016/j. recesp.2011.07.016Thompson P, Arena R, Riebe D, Pescatello LS. ACSM’S New Preparticipation Health screening recommendations from ACSM’S Guideline for exercise testing and prescription, ninth edition. Current Sport Medicine Reports. 2013; 12(4): 215-217. DOI: https://doi.org/10.1249/ JSR.0b013e31829a68cfDahhan A, Maddox WR, Krothapalli S, Farmer M, Shah A, Ford B, et al. Education of physicians and implementation of a formal referral system can improve cardiac rehabilitation referral and participation rates after percutaneous coronary intervention. Heart Lung Circ. 2015;24(8):806- 816. DOI: https://doi.org/10.1016/j.hlc.2015.02.006Aikawa P, Sartori AR, Oliveira JA, Silva CT, Pierucci J D, Afonso M, et al. Cardiac rehabilitation in patients undergoing to coronary artery bypass graft. Rev Bras Med Esporte. 2014; 20(1):55-58. DOI: http://dx.doi. org/10.1590/S1517-86922014000100011Saeidi M, Mostafavi S, Heidari H, Masoudi S. Effects of comprehensive cardiac rehabilitation program of quality of life in patients with coronary artery disease. ARYA atheroescler. 2013; 9(3): 179-185. PMCID: PMC3681279Failde I, Medina P, Ramirez C, Arana R. Assessing Health-related quality of lifeamong coronary patients: Sf-36 vs Sf-12. Public Health. 2009; 123(9):615-617. DOI: https://doi.org/10.1016/j.puhe.2009.07.013Firouzabadi M, Sherafat A, Vafaeenasab M. Effect of physical activity on the life quality of coronary artery bypass graft patients. J Med life. 2014;7(2):260-263. PMCID: PMC4197492Bezerra ID, Servantes DM, Silva PA, Pelcerman A, Miranda X, Salles F, et al. Correlation between Quality of Life and Functional Capacity in Heart Failure. Arq Bras Cardiol.2010;95(2):238-243. DOI: http://dx.doi. org/10.1590/S0066-782X2010005000096Massa ER. Confiabilidad del cuestionario de salud SF-36 en pacientes postinfarto agudo del miocardio procedente de Cartagena de Indias, Colombia. Revista Colombiana de Cardiología. 2010;17(2):41-46. DOI: http://dx.doi.org/10.1590/S0066-782X2010005000096Urzúa MA. Health related quality of life: Conceptual elements. Rev. méd. Chile. 2010; 138(3):358-365. DOI: http://dx.doi.org/10.4067/ S0034-98872010000300017Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: Scoping review. SAGE Open Medicine. 2016;4: 2050312116671725. DOI: https://dx.doi. org/10.1177%2F2050312116671725Fletcher GF, Ades PA, Kligfield P, Arena R, Balady GJ, Bittner VA, Gulati M. On behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation 2013; 128: 873-934. DOI: https://doi.org/10.1161/CIR.0b013e31829b5b44Kureshi F, Kennedy KF, Jones PG, Thomas RJ, Arnold SV, Sharma P, et al. Association Between Cardiac Rehabilitation Participation and Health Status Outcomes After Acute Myocardial Infarction. JAMA Cardiol. 2016; 1(9):980-988. DOI: https://doi.org/10.1001/jamacardio. 2016.3458Ritchie C. Rating of Perceived Exertion (RPE). Journal of physiotherapy. 2012; 58(1):62. DOI: http://dx.doi.org/10.1016/S1836- 9553(12)70078-4Jelinek HF, Huang ZQ, Khandoker AH, Chang D, Kiat H. Cardiac rehabilitation outcomes following a 6-week program of PCI and CABG Patients. Front. Physiol. 2013;4(302):1-7. DOI: https://dx.doi. org/10.3389%2Ffphys.2013.00302Soleimannejad K, Numara Y, Ahsani A, Nejatian M, Sayehmiri K. Evaluation of the Effect of Cardiac Rehabilitation on Left Ventricular Diastolic and Systolic Function and Cardiac Chamber Size in Patients Undergoing Percutaneous Coronary Intervention. J the Univ Heart Ctr. 2014; 9 (2):54-58. PMCID: PMC4389192Shepherd C, While A. Cardiac rehabilitation and quality of life: A systematic review. Int J Nurs Stud. 2012;49(6):755-771. DOI: https://doi. org/10.1016/j.ijnurstu.2011.11.019Hirano Y, Izawa K, Watanabe S, Yamada S, Oka K, Kasahara Y, Omiya K. Physiological and Health-Related Quality of Life Outcomes Following Cardiac Rehabilitation after Cardiac Surgery. Journal of the Japanese Physical Therapy Association. 2005;8(1):21-28. DOI: https:// dx.doi.org/10.1298%2Fjjpta.8.21Hammill BG, Curtis LH, Schulman KA, Whellan DJ. Relationship between cardiac rehabilitation and long-term risks of mortality and myo cardial infarction among elderly Medicare beneficiaries. Circulation. 2010;121(1):63-70. DOI: https://dx.doi.org/10.1161%2FCIRCULATIO NAHA.109.876383Yee N, Siu A, Davis J, Kao J. Recovery of Left Ventricular Function After Percutaneous Coronary Intervention Compared to Coronary Artery Bypass Grafting in Patients with Multi-Vessel Coronary Disease and Left Ventricular Dysfunction. Hawai’i journal of medicine & public health, 2016; 75(9):273-277. PMCID: PMC5030790Jelinek H, Huang Z, Khandoker A, Chang D, Kiat H. Cardiac rehabilitation outcomes following a 6-week program of PCI and CABG Patients. Front. Physiol. 2013; 4:1-7. DOI: https://doi.org/10.3389/ fphys.2013.00302Vroomed T, Speed RF, Kraal JJ, et al. Exercise training programs in Dutch cardiac rehabilitation centers. Netherlands Hear J. 2013; 21:138–43. DOI: https://doi.org/10.1007/s12471-013-0374-2Kaminsky LA, Thru LA, Rigging K. Patient and program characteristics of early outpatient cardiac rehabilitation programs in the United States. J Cardiopulmonary Relabel Prep. 2013;33:168–72. DOI: https:// doi.org/10.1097/HCR.0b013e318289f6a8Cortes-Bergdorf M, Lopez-Jimenez F, Hardy AH, et al. Availability and characteristics of cardiovascular rehabilitation programs in South America. J Cardiopulmonary Relabel Prep. 2013;33:33–41. DOI: https://doi.org/10.1097/HCR.0b013e318272153eCoyan GN, Reeder KM, Vacek JL. Diet and exercise interventions following coronary artery bypass graft surgery: a review and call to action. The Physician and sports medicine. 2014;42(2):119-129. DOI: https://doi.org/10.3810/psm.2014.05.2064Haddadzadeh MH, Maiya AG, Padmakumar R, Shad B, Mirbolouk F. Effect of Exercise-Based Cardiac Rehabilitation on Ejection Fraction in Coronary Artery Disease Patients: A Randomized Controlled Trial. Heart Views: The Official Journal of the Gulf Heart Association. 2011;12(2):51-57. DOI: https://dx.doi.org/10.4103%2F1995- 705X.86013Kim C, Choi HE, Lim Y-J. The Effect of Cardiac Rehabilitation Exercise Training on Cardiopulmonary Function in Ischemic Cardiomyopathy with Reduced Left Ventricular Ejection Fraction. Annals of Rehabilitation Medicine. 2016;40(4):647-656. DOI: https://dx.doi. org/10.5535%2Farm.2016.40.4.647Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, Taylor RS. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2016;5(1):CD001800M DOI: https://doi.org/10.1002/14651858.CD001800.pub3Urina-Triana M, Herazo Y, Mantilla-Morrón M. Rehabilitación Cardiaca. Basada en un programa de ejercicios físicos en sujetos con revascularización miocárdica. 1a Edición (ISBN 978-9588930-72-5) Ediciones Universidad Simón Bolívar Barranquilla: Editorial Mejoras; 2017ORIGINALPDF.pdfPDF.pdfPDFapplication/pdf283928https://bonga.unisimon.edu.co/bitstreams/b4d1d489-997f-4e57-9ac1-9c5354c0e5bd/downloade8933d03dc045e602221e5433ee94d5eMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://bonga.unisimon.edu.co/bitstreams/f563f50c-519a-46ef-bdd3-2926fd9f223d/download4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8368https://bonga.unisimon.edu.co/bitstreams/198f08fd-80f2-446a-ae6c-9b44393c3326/download3fdc7b41651299350522650338f5754dMD53TEXTEffects_12_week_exercise_based_program.pdf.txtEffects_12_week_exercise_based_program.pdf.txtExtracted texttext/plain36591https://bonga.unisimon.edu.co/bitstreams/7540b458-0b4d-483f-b426-278b9ac7a1c2/downloadcaf12bb461fdd56de95e7e08d8e6b759MD54PDF.pdf.txtPDF.pdf.txtExtracted texttext/plain36979https://bonga.unisimon.edu.co/bitstreams/306620d1-b945-4c03-a8ae-8a711e0fc024/download664db8906356ca762d4b5252db138b72MD56THUMBNAILEffects_12_week_exercise_based_program.pdf.jpgEffects_12_week_exercise_based_program.pdf.jpgGenerated Thumbnailimage/jpeg2008https://bonga.unisimon.edu.co/bitstreams/bec83232-c027-4cc8-91e9-3e80e586501d/download4de1846c119f31cba47dd150874787e1MD55PDF.pdf.jpgPDF.pdf.jpgGenerated Thumbnailimage/jpeg6646https://bonga.unisimon.edu.co/bitstreams/a77b894f-533f-4010-9958-cfd997738c77/download91bc885ca75e8e85b5780e2bbb648bdcMD5720.500.12442/4080oai:bonga.unisimon.edu.co:20.500.12442/40802024-08-14 21:53:38.858http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internacionalopen.accesshttps://bonga.unisimon.edu.coRepositorio Digital Universidad Simón Bolívarrepositorio.digital@unisimon.edu.coPGEgcmVsPSJsaWNlbnNlIiBocmVmPSJodHRwOi8vY3JlYXRpdmVjb21tb25zLm9yZy9saWNlbnNlcy9ieS1uYy80LjAvIj48aW1nIGFsdD0iTGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyIgc3R5bGU9ImJvcmRlci13aWR0aDowIiBzcmM9Imh0dHBzOi8vaS5jcmVhdGl2ZWNvbW1vbnMub3JnL2wvYnktbmMvNC4wLzg4eDMxLnBuZyIgLz48L2E+PGJyLz5Fc3RhIG9icmEgZXN0w6EgYmFqbyB1bmEgPGEgcmVsPSJsaWNlbnNlIiBocmVmPSJodHRwOi8vY3JlYXRpdmVjb21tb25zLm9yZy9saWNlbnNlcy9ieS1uYy80LjAvIj5MaWNlbmNpYSBDcmVhdGl2ZSBDb21tb25zIEF0cmlidWNpw7NuLU5vQ29tZXJjaWFsIDQuMCBJbnRlcm5hY2lvbmFsPC9hPi4= |