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Physiotherapy Theory and Practice, 29(2):142–149, 2013

Copyright © Informa Healthcare USA, Inc.


ISSN: 0959-3985 print/1532-5040 online
DOI: 10.3109/09593985.2012.703760

DESCRIPTIVE REPORT

A study to investigate the walking speed of elderly


adults with relation to pedestrian crossings
Eva Bollard, BSc1 and Hamish Fleming, BSc, MSc, PhD2
1
School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland
2
Lecturer, School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland
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ABSTRACT
Elderly pedestrians are particularly at risk on the roads. The objective of this study was to investigate the walking
speed of elderly adults and determine if it allows the safe clearance of pedestrian crossings. The increasing
elderly population and high fatality rates of this age group on Irish roads necessitate this investigation. Fifty-
two community-dwelling adults over the age of 65 years completed a 10-meter walk test. Acceleration and
steady-state walking speed were accounted for. Twenty traffic-light-controlled pedestrian crossings were ana-
lyzed within a 1 kilometer radius of 4 day care centers in Kilkenny, Ireland. Values were recorded for the distance
of the crossings and time of the light signals. The mean acceleration of the 52 participants was 0.20 ± 0.15 ms−2
(mean ± SD) and the mean steady-state walking speed was 0.82 ± 0.27 ms−1. In total, 30% of the pedestrian
For personal use only.

crossings investigated would not have permitted this sample of participants enough time to safely cross the
road given the time of the green and amber light signals. Over 96% of participants would have been unable to
cross a road of average distance on the amber signal alone. A substantial number of elderly adults walked slower
than the speed required to safely cross the road.

INTRODUCTION performance. Tiedemann, Sherrington, and Lord


(2005) concluded that walking speed is significantly
Pedestrian fatalities are high among elderly adults. In effected by balance, reaction time, and vision. Aging
2007, 81 pedestrians were killed and 884 were is also associated with a reduced step length and
injured on Irish roads (Road Safety Authority, increased step width (Callisaya et al, 2008), and a
2008). This figure, relating to pedestrians alone, reduced gait speed (Bohannon, 1997; Callisaya et al,
accounted for 24% of all fatalities on Ireland's roads. 2008; Winter, Palta, Frank, and Walt, 1990).
Reports by the Road Safety Authority (2009a, One study investigating the aging effects on the
2009b), also found that the fatal casualty rate of attention demands of walking identified a high visual
pedestrians is highest among both males and females reaction time in older individuals (Sparrow, Brad-
over the age of 75 years (based on data dating from shaw, Lamoureux, and Tirosh, 2002). This is an
2004 to 2006). important consideration for the older pedestrian who
Many physiological changes are associated with the must simultaneously cross the road and pay attention
progression of age. Previous research has found an to the surrounding environment. It must be noted that
association between aging and a decline in density of different factors influence the walking speed of ped-
skeletal muscle (Goodpaster et al, 2001), a decline in estrians. Pedestrians demonstrate a slower walking
strength of skeletal muscle and muscle cross- speed when talking to others and carrying baggage
sectional area (Frontera et al, 2000), and a reduction (Finnis and Walton, 2008), when facing heavy oppos-
in knee and ankle joint power (DeVita and Hortobagyi, ing pedestrian flows (Lam, Lee, and Cheung, 2002),
2000). All of these factors have an impact on walking when walking in a group and when walking in poor
weather conditions (Knoblauch, Pietrucha, and Nitz-
burg, 1996). Older pedestrians have reported having
Accepted for publication 11 June 2012 difficulties with uneven paths, poorly lit roads, and
Address correspondence to Eva Bollard, University College Dublin, slippery surfaces (Fildes, Lee, Kenny, and Foddy,
Dublin, Ireland. E-mail: evabollard@gmail.com

142
Physiotherapy Theory and Practice 143

1994). The majority of road accidents involving older on the size of the community or environment. They
pedestrians in Ireland occur in daylight (Martin, found that the distances and velocities required for
Hand, Trace, and O'Neill, 2010). independent ambulation in the community are often
Robinett and Vondran (1988) highlighted that greater than objectives set at most rehabilitation
ambulation distances and velocities vary depending settings.

TABLE 1 Summary of previous research relating to elderly pedestrians.

Location for Average age


Study study Sample size Age (years) (years) Speed of walking Main results

Walker et al Los Angeles, Group 1: 100 60 and over Unknown Group 1: Participants in group 2
(1987) USA Group 2: 50 69.8 m/ demonstrated an ability to
minute increase their walking
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(1.16 ms−1) speed on the sidewalk as


Group 2: opposed to the crosswalk,
74.6 m/ when asked to walk as fast
minute as possible
(1.24 ms−1)
Hoxie and Los Angeles, 1,229 65 and over (n = 77.3 average of 0.86 ± 96% of the 100 participants
Rubenstein USA (observed) 592) those 0.17 ms−1 recorded, walked slower
(1994) questioned (n = 100) than the recommended
(n = 139) speed of 1.2 ms−1
74% of participants
questioned (n = 139)
reported feeling in danger
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as they crossed the road


Langlois et al New Haven, USA 1,249 72 and over 79.2 Unknown 99.49% of participants (who
(1997) (interviewed) completed the walking
test, n = 989), had a
walking speed less than
the recommended
walking speed of 1.2 of
ms−1
81% of participants
interviewed (n = 1,249),
reported insufficient time
to cross the street
Knoblauch, Richmond, 7,123 Group 1: 65 and Unknown 1.25 ms−1 (n = Results report that walking
Pietrucha, and Washington, (observed) over 3,665) speed is influenced by
Nitzburg Baltimore and Group 2: 65 and Group 1 factors such as street
(1997) Buffalo, USA under width, weather conditions
and pedestrian signals
Amosun, Cape Town, 47 65 and over 78.8 ± 7.0 1.36 ± 34.0% of participants
Burgess, South Africa 0.31 ms−1 walked slower than the
Groenveldt, recommended walking
and Hodgson speed of 1.2 ms−1
(2007) 51.1% of participants
reported that traffic lights
did not permit sufficient
time to cross
Andrews et al North Carolina, 139 (observed) 32 individuals ≥ Unknown 1.32 ms−1 The mean gait speed for the
(2010) USA 65 years, 96 older participants through
individuals < crosswalks in this study
65 was 1.29 ms−1
All of the individuals
observed were able to
cross the street within the
allotted time and with
adequate speed

Physiotherapy Theory and Practice


144 Bollard and Fleming

This study focused on traffic-light-controlled ped- crossings, to compare the values measured at these
estrian crossings within a 1 kilometer radius of 4 day crossings to the recommended guidelines, and to
care centers for the elderly in Kilkenny, Ireland. In determine if they allow the safe clearance of elderly
2003, the Department of Transport, the Department pedestrians.
of the Environment, Heritage and Local Government, In Ireland, life expectancy is 76.8 years for men and
and the Dublin Transportation Office published the 81.6 years for women (Central Statistics Office, 2009).
“Traffic Management Guidelines” (Department of These figures demonstrate an increase in life expect-
Transport, 2003). These are non-statutory guidelines ancy for both men and women when compared with
that present recommendations relating to traffic plan- figures from the period 2002–2006. Therefore, pre-
ning, traffic management, speed restraint measures, viously published studies would have been assessing
and public transport and facilities for vulnerable a younger population of elderly pedestrians (Hoxie
road users. These guidelines recommend that “the and Rubenstein, 1994). A consequence of this
green pedestrian aspect time is fixed at 6 seconds”. increased life expectancy is an increase in the elderly
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They also recommend that “the amber pedestrian population. Since 1961, Ireland has seen an increase
aspect varies with the width of the road, allowing a in the number of adults aged 65 years and older
second for each 1.2 meters of road width that ped- (Central Statistics Office, 2008). This increase
estrian's cross”. This demands a minimum walking enhances the importance of this study at this present
speed of 1.2 ms−1 for a pedestrian to complete cross- time.
ing a road safely, if they enter the crossing as the green Analysis of pedestrian crossings has attracted a sig-
light changes to amber. This speed is in agreement nificant amount of attention and research. However,
with the recommended minimum walking speed on the results of these studies are of limited relevance to
roads in the USA (United States Federal Highway pedestrians in this country considering the location
Administration, 2003) and the UK (Department for of these studies. This present study, to the author's
Transport, 2005). knowledge, is the first of its kind in this location.
For personal use only.

Numerous research studies have examined the The increasing elderly population and the high
walking speed of elderly pedestrians (Amosun, fatality and injury rates of this age group on Irish
Burgess, Groenveldt, and Hodgson, 2007; Andrews roads necessitate this investigation. It is hoped that
et al, 2010; Hoxie and Rubenstein, 1994; Knoblauch, the results will contribute to the work already pub-
Pietrucha, and Nitzburg, 1996; Langlois et al, 1997; lished. The primary aim of this study was therefore
Walker et al, 1987). A brief review of the main findings to investigate the walking speed of elderly Irish
of these studies is contained in Table 1. In reviewing adults and to establish if it allows the safe clearance
the literature, it is evident that a progression of age is of pedestrian crossings.
associated with a slower walking speed (Bohannon,
1997; Callisaya et al, 2008; Shumway-Cook et al,
2007; Winter, Palta, Frank, and Walt, 1990). Bohan-
non and Andrews (2011) clearly highlighted the METHODS
effect of age on gait speed through the results of
their meta-analysis. They reported a mean gait speed Study population
of 94.3 cm/second for women and 96.8 cm/second
for men aged 80–99 years. All of the above mentioned A quantitative cross-sectional design was used. Ethical
studies which examine the walking speed of elderly approval was obtained prior to the commencement of
pedestrians have analyzed the overall gait speed. the study from the University College Dublin (UCD)
However, these studies have neglected to consider Human Ethics Committee – Life Science (Reference:
the acceleration phase or the subsequent steady-state LS-09-98-Bollard–Fleming).
speed. Knowledge of these values may contribute to First permission was attained to recruit subjects
the design of pedestrian crossings and thus ameliorate from 4 day care centers in Kilkenny, Ireland. The sub-
the safety of these vulnerable road users. This present jects were community-dwelling healthy adults aged
study examined the acceleration and steady-state 65 years and over. Fifty-five subjects volunteered for
speed of elderly pedestrians. participation in the study. A medical health question-
The research presented by Langlois et al (1997) naire, adapted from one developed by Amosun,
assumed that the pedestrian crossings would meet the Burgess, Groenveldt, and Hodgson (2007) was used
recommended guidelines and impose a minimum to assess the suitability of subjects for inclusion in
speed of 1.2 ms−1 on pedestrians when crossing the the study. Any subjects under 65 years of age or with
road. This present study however, does not make that medically unstable neurological conditions were
assumption. It aimed to analyze a sample of pedestrian excluded from participation. Three subjects were

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Physiotherapy Theory and Practice 145

excluded on the basis of age; therefore 52 subjects In response to the second question, the authors
were recruited and tested in total. Age, the use of investigated the speed necessary to safely clear a
walking aids and the prevalence of disease was sample of pedestrian crossings. A total of 20 ped-
documented. Subjects were given written and oral estrian crossings were identified within a 1 kilometer
information about the purpose, procedure, risks, and radius of the day care centers in Kilkenny. The dis-
benefits of participation in the study. Once subjects tance of each crossing was measured from curb to
fully understood the extent of their role in the curb using a trundle wheel (Amosun, Burgess,
research, they were asked to sign a UCD approved Groenveldt, and Hodgson, 2007). The distance was
consent form declaring their understanding and con- recorded in meters. A digital split-timer stop watch
senting to participation. was used to time the interval of the green and amber
light signals of each crossing.

Outcome measures
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Data analysis
Two primary questions were formulated in order to
achieve the aim of this study. The first question The data were analyzed using the Statistical Package
addressed the walking speed of older adults. The for the Social Sciences version 15 for Windows and
second question addressed the speed necessary to Microsoft Excel Software. Descriptive analysis was
safely clear a sample of pedestrian crossings. used to describe the participants of the study and the
The outcome measure used to address the first characteristics of the pedestrian crossings (mean, stan-
question was the 10-meter walk test. Gait speed dard deviation, minimum, and maximum).
measurements in healthy elderly adults have been
proven to have high intra-rater reliability (Bohannon,
1997) and high test–retest reliability (Steffen, RESULTS
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Hacker, and Mollinger, 2002). Two investigators


were involved in data collection. The 10-meter walk A total of 52 adult were deemed suitable for
test was performed on a level surface with markings participation in this study. The characteristics of the
at 1 meter intervals. This test was completed outdoors participants are presented in Table 2.
in 2 day care centers and indoors in the remaining The mean acceleration of the 52 participants in the
center due to poor weather. A digital split-timer stop initial 2.5 meters of the test was 0.20 ± 0.15 ms−2
watch was used to time the subjects as they walked (range: 0.01 – 0.67 ms−2). The mean steady-state
the stretch of 10 meters. A standard protocol for walking speed of the participants was 0.82 ±
measurement was adopted. Subjects were instructed 0.27 ms−1 (range: 0.28 – 1.41 ms−1). Forty nine par-
to walk at a “normal and comfortable” speed (Bohan- ticipants (94.2%) had a steady-state walking speed of
non, 1997). Those who normally used a walking aid less than 1.2 ms−1, the recommended minimum
were encouraged to use this during the test. Subjects walking speed at pedestrian crossings (Department
walked alone to prevent any bias, unless the research- of Transport, 2003). These results are based on the
ers considered it unsafe (Steffen, Hacker, and Mollin- participants “normal and comfortable” walking
ger, 2002). Subjects were instructed to commence speed. Only three participants (5.7%: two males and
walking from a standing position, when an audible one female) walked faster than this recommended
cue was heard. This pre-recorded cue was similar to minimum speed.
the beeping signal at a pedestrian crossing. The stop-
watch was started when the audible cue was given. The
stop watch was split at 2.5 meters, as according to Lin- TABLE 2 Characteristics of the participants.
demann et al (2008) older people take at least
2.5 meters to achieve steady-state walking. The stop- Average age (mean ± SD) 79.5 (±7.7) years
watch was stopped when the participant crossed the Gender, n (%)
10 meter mark. A 2 meter lead-off was allocated to Male 19 (36.5)
allow subjects to decelerate. There were no distrac- Female 33 (63.5)
tions during the test in order to reduce any risk to par- Walking aid, n (%)
ticipants. This outcome measure did not incorporate a No 28 (54)
step down at the beginning of the test because, of the Walking stick 19 (36)
2 walking sticks 2 (4)
20 pedestrian crossings analyzed in the study, none of
Rollator Zimmer frame 3 (6)
them required pedestrians to step down to the cross-
ing. They all had gradual ramps. Note: Age, gender, and use of walking aids (n = 52).

Physiotherapy Theory and Practice


146 Bollard and Fleming
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FIGURE 1. Width of the pedestrian crossings.

TABLE 3 Timing of the pedestrian crossing light signals. these values, the required walking speed to safely
clear the crossings was calculated at 0.62 ±
Mean SD Minimum Maximum 0.21 ms−1 (range: 0.16 – 1.02 ms−1).
Assuming these participants were to start walking at
Green light signal (s) 8.19 2.08 3.98 11.83
the initial appearance of the green light signal on each
Amber light signal (s) 7.27 1.45 4.98 9.7
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Total time (s) 15.46 2.85 10.79 20.17


of these 20 pedestrian crossings, considering the dis-
tance of the crossing and the total time allotted, 6 of
Note: Time (s) of the green and amber light signals at pedestrian the 20 pedestrian crossings (30%) would not have per-
crossings (n = 20). mitted this sample of participants enough time to
safely walk to the other side of the road. If these
TABLE 4 Characteristics of the participants unable to complete participants had inadvertently started crossing at the
the crossing during the amber signal only. appearance of the amber light signal (entering the
crossing without a need for initial acceleration)
Total, n (%) 50 (96.15) considering the average distance of the pedestrian
crossings (9.29 meter) and allowing a time of
Average age (mean ± SD) 78.4 (±7.8) years 7.27 seconds (mean time of the amber light signal),
Gender, n (%)
Male 17 (34)
50 of the 52 participants (96.2%) would not have
Female 33 (66) had enough time to safely reach the other side of the
Walking aid, n (%) road. The characteristics of these 96.2% of partici-
No 27 (54) pants are described in Table 4.
Walking stick 18 (36)
2 walking sticks 2 (4)
Rollator Zimmer frame 3 (6) DISCUSSION
Health status, n (%)
History of stroke 10 (20)
This study aimed to investigate the walking speed of
History of heart disease 14 (28)
History of joint replacement 9 (18)
elderly adults and to determine if it allows the safe
Diabetes 7 (14) clearance of pedestrian crossings within a 1 kilometer
Hypertension 26 (52) radius of 4 day care centers in Kilkenny, Ireland.
Osteoporosis 14 (28) This present study found that 94.2% of participants
Cataract surgery 3 (6) had a steady-state walking speed less than the rec-
ommended minimum speed of 1.2 ms−1. These
results are of particular importance considering that
A total of 20 traffic-light-controlled pedestrian this is the recommended minimum walking speed on
crossings were analyzed in this study. The distance roads in Ireland, the USA, and the UK. The mean
of the crossings was measured in meters (Figure 1). steady-state walking speed of this group of participants
Table 3 illustrates the timing of the green and amber was 0.79 ± 0.25 ms−1 (range: 0.28 – 1.16 ms−1).
pedestrian light signals at the 20 crossings. From These results are in keeping with the findings of

Copyright © Informa Healthcare USA, Inc.


Physiotherapy Theory and Practice 147

previous studies which are detailed in Table 1. In Possible reasons for this reduced gait speed in
2001, the US Department of Transportation elderly adults have been addressed. It is acknowledged
published ‘Guidelines and Recommendations to that pedestrians are not advised to commence walking
Accommodate Older Drivers and Pedestrians”. on the appearance of the amber light, but inevitably
These recommend a walking speed of 0.85 ms−1 at some must inadvertently do so. However these
pedestrian crossings to accommodate older ped- results illustrate the immense difficulty pedestrians
estrians (Staplin, Lococo, Byington, and Harkey, may have crossing the road if they do not commence
2001). Despite this however; the minimum recom- walking at the initial appearance of the green light
mended walking speed remains at 1.2 ms−1. signal on roads in the vicinity of Kilkenny.
This study established that 30% of the pedestrian This work has found a serious road safety issue in
crossings investigated would not have permitted this that the results show no standardization or uniformity
sample of participants enough time for safe clearance in relation to the time-aspect of the pedestrian cross-
of the road given the time of the green signal, from a ings. None of the 20 traffic-light-controlled pedestrian
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standing start, to the appearance of the red signal. crossings examined were in keeping with the rec-
This was ascertained by comparing the mean time ommendations of the “Traffic Management Guide-
taken by the participants to accelerate and walk the lines” (Department of Transport, 2003). This is
remaining distance of each pedestrian crossing, to the similar to findings in Cape Town, South Africa
total time of the amber and green light signals. It (Amosun, Burgess, Groenveldt, and Hodgson,
emerged that 6 of the total 20 pedestrian crossings did 2007). For this reason, the results of this study cannot
not allow the participants sufficient time to safely clear be generalized to all Irish or European roads but they
the road, considering the distance of the road, and the are limited to those in the vicinity of Kilkenny,
average comfortable walking speed of the participants. Ireland; however, the lack of uniformity in this sample
This is assuming that the participant starts walking at of crossings, in itself, perhaps indicates a lack of stan-
the initial appearance of the green light signal. It takes dardization of timing of crossings may be a wider road
For personal use only.

into consideration their acceleration in the first safety issue that requires further research. The exclu-
2.5 meter and their steady-state walking speed in the re- sion criterion for the study was kept to a minimum,
maining distance individualized to each pedestrian without risking the safety of the participants. It was
crossing. The mean total time of the amber and green hoped that this would enable the walking speed
light signals of these six pedestrian crossings was results to be generalized and to be representative of
13.31 seconds and the mean distance of these crossings the elderly population at large, however, the lack of uni-
was 11.52 meters. In light of this evidence, it seems that formity both precludes this and indicates there is a
a significant number of pedestrian crossings do not serious road safety issue to be addressed.
allow sufficient time for elderly pedestrians to complete The findings of this study help to disclose the safety of
crossing the roads at their normal and comfortable elderly, day care center attendees on pedestrian cross-
walking speed in the vicinity of Kilkenny. ings. The prevention of this problem demands a multi-
This study also reports that 96.2% of participants disciplinary approach, with physiotherapy as one such
would have been unable to cross a road of average discipline. These findings are relevant clinically and
distance on the amber light signal alone. This was should have a bearing on the physiotherapy profession
established by comparing the mean time of the with regards to the rehabilitation of elderly commu-
amber light signals of the 20 pedestrian crossings nity-dwelling adults. Robinett and Vondran (1988)
(7.27 seconds), to the time taken by each participant highlighted that ambulation distances and velocities
(in the 10-meter walk test) to walk the average distance vary depending on the size of the community or environ-
of the pedestrian crossings (9.29 meters) at their ment. They found that the distances and velocities re-
steady-state walking speed. This is assuming that the quired for independent ambulation in the community
participant crosses the road coinciding with the are often greater than objectives set at most rehabilitation
appearance of the amber light signal, without a need settings. This must be taken into consideration by clini-
to accelerate but maintaining their normal and com- cians. The effectiveness of exercise programs at improv-
fortable steady-state walking speed. It concluded that ing gait speed in the elderly is evident from various
50 of the total 52 participants took longer than studies (Chandler, Duncan, Kochersberger, and Stu-
7.27 seconds to walk this distance. Only two partici- denski, 1998; Lopopolo et al, 2006).
pants would have had sufficient time to transverse There are several limitations within this study that
the crosswalk in this scenario. These participants must be acknowledged. The sample size and the
were two males; aged 80 and 87 years who took geographic area of study were quite small. This study
6.60 and 7.09 seconds, respectively, to walk the analyzed a smaller number of participants compared
9.29 meters at their steady-state walking speed. to previous publications. Future studies should

Physiotherapy Theory and Practice


148 Bollard and Fleming

further investigate this concept using more locations Andrews AW, Chinworth SA, Bourassa M, Garvin M, Benton D,
and larger sample sizes with the aim of providing Tanner S 2010 Update on distance and velocity requirements
for community ambulation. Journal of Geriatric Physical
more precise data. This study required participants to Therapy 33: 128–134
walk on a level surface, with no obstacles or distrac- Bohannon RW 1997 Comfortable and maximum walking speed of
tions. Different factors influence the walking speed of adults aged 20–79 years: Reference values and determinants.
pedestrians. These aforementioned factors were not Age and Ageing 26: 15–19
taken into account in this study. Amosun, Burgess, Bohannon RW, Andrews AW 2011 Normal walking speed – a
descriptive meta-analysis. Physiotherapy 97: 182–189
Groenveldt, and Hodgson (2007) reported a similar Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Srikanth VD
limitation in their study. Further studies should con- 2008 Sex modifies the relationship between age and gait: A
sider these facts while ensuring the safety of partici- population-based study of older adults. Journal of Gerontology:
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Central Statistics Office 2009 Irish Life Table no. 15 2005–2007.


would be able to clear the pedestrian crossings, given Dublin, Ireland, Central Statistics Office
the timeframe, at a maximum safe walking speed. Chandler JM, Duncan PW, Kochersberger G, Studenski S 1998 Is
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For personal use only.

Heritage and Local Government and Dublin Transportation


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