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The 2008 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1 - blood pressure measurement, diagnosis and assessment of risk.

https://arctichealth.org/en/permalink/ahliterature156767
Source
Can J Cardiol. 2008 Jun;24(6):455-63
Publication Type
Article
Date
Jun-2008
Author
Raj S Padwal
Brenda R Hemmelgarn
Nadia A Khan
Steven Grover
Finlay A McAlister
Donald W McKay
Thomas Wilson
Brian Penner
Ellen Burgess
Peter Bolli
Michael D Hill
Jeff Mahon
Martin G Myers
Carl Abbott
Ernesto L Schiffrin
George Honos
Karen Mann
Guy Tremblay
Alain Milot
Lyne Cloutier
Arun Chockalingam
Simon W Rabkin
Martin Dawes Dawes
Rhian M Touyz
Chaim Bell
Kevin D Burns
Marcel Ruzicka
Norman R C Campbell
Marcel Lebel
Sheldon W Tobe
Author Affiliation
Division of General Internal Medicine, University of Alberta, Edmonton, Canada. rpadwal@ualberta.ca
Source
Can J Cardiol. 2008 Jun;24(6):455-63
Date
Jun-2008
Language
English
Publication Type
Article
Keywords
Antihypertensive Agents - therapeutic use
Blood Pressure - physiology
Blood Pressure Determination - standards
Canada
Clinical Competence
Diagnosis, Differential
Education, Medical, Continuing - standards
Humans
Hypertension - diagnosis - drug therapy - physiopathology
Practice Guidelines as Topic
Program Evaluation - trends
Risk Assessment - methods
Abstract
To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.
The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, degree of blood pressure elevation, method of measurement (office, ambulatory, home) and associated comorbidities. The presence of cardiovascular risk factors and target organ damage should be ascertained to assess global cardiovascular risk and determine the urgency, intensity and type of treatment required.
MEDLINE searches were conducted from November 2006 to October 2007 with the aid of a medical librarian. Reference lists were scanned, experts were contacted, and the personal files of authors and subgroup members were used to identify additional studies. Content and methodological experts assessed studies using prespecified, standardized evidence-based algorithms. Recommendations were based on evidence from peer-reviewed, full-text articles only.
Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global cardiovascular risk, diagnostic testing, diagnosis of renovascular and endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Key messages in 2008 include continued emphasis on the expedited, accurate diagnosis of hypertension, the importance of global risk assessment and the need for ongoing monitoring of hypertensive patients to identify incident type 2 diabetes.
All recommendations were graded according to strength of the evidence and voted on by the 57 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. All recommendations reported here received at least 70% consensus. These guidelines will continue to be updated annually.
Notes
Cites: Am Heart J. 2000 Feb;139(2 Pt 1):272-8110650300
Cites: Arch Intern Med. 2007 Nov 26;167(21):2296-30318039987
Cites: Clin Radiol. 2000 May;55(5):346-5310816399
Cites: Can J Cardiol. 2000 Sep;16(9):1094-10211021953
Cites: JAMA. 2001 Jul 11;286(2):180-711448281
Cites: Clin Sci (Lond). 2001 Dec;101(6):671-911724655
Cites: Stroke. 2002 Jul;33(7):1776-8112105351
Cites: Lancet. 2002 Dec 14;360(9349):1903-1312493255
Cites: Lancet. 2003 Apr 5;361(9364):1149-5812686036
Cites: Eur Heart J. 2003 Jun;24(11):987-100312788299
Cites: Lancet. 2003 Nov 29;362(9398):1776-714654312
Cites: Diabetes Care. 2004 Jan;27(1):247-5514693997
Cites: Hypertension. 2004 Jan;43(1):10-714638619
Cites: Hypertension. 2004 May;43(5):963-915037557
Cites: Lancet. 2004 Sep 11-17;364(9438):937-5215364185
Cites: Circulation. 1991 Jan;83(1):356-621984895
Cites: JAMA. 1996 May 22-29;275(20):1571-68622248
Cites: Arch Intern Med. 1996 Jul 8;156(13):1414-208678709
Cites: Arch Intern Med. 1998 Mar 23;158(6):655-629521231
Cites: Am J Cardiol. 2005 Jan 1;95(1):29-3515619390
Cites: Can J Cardiol. 2005 Jun;21(8):645-5616003448
Cites: Can J Cardiol. 2006 May 15;22(7):559-6416755310
Cites: Can J Cardiol. 2006 May 15;22(7):573-8116755312
Cites: Can J Cardiol. 2006 May 15;22(7):606-1316755316
Cites: Hypertension. 2006 Aug;48(2):219-2416801488
Cites: N Engl J Med. 2006 Oct 12;355(15):1551-6216980380
Cites: Arch Intern Med. 2006 Nov 13;166(20):2191-20117101936
Cites: Lancet. 2007 Jan 20;369(9557):201-717240286
Cites: AJR Am J Roentgenol. 2007 Mar;188(3):798-81117312071
Cites: Can J Cardiol. 2007 May 15;23(7):529-3817534459
Cites: Can J Cardiol. 2007 May 15;23(7):539-5017534460
Cites: J Hypertens. 2007 Jun;25(6):1311-717563546
Cites: Kidney Int. 2007 Aug;72(3):260-417507905
Cites: Hypertension. 2007 Sep;50(3):467-7317679652
Cites: N Engl J Med. 2000 Mar 30;342(13):905-1210738048
PubMed ID
18548142 View in PubMed
Less detail

2009 Canadian Association of Gastroenterology educational needs assessment report.

https://arctichealth.org/en/permalink/ahliterature149186
Source
Can J Gastroenterol. 2009 Aug;23(8):560-7
Publication Type
Article
Date
Aug-2009
Author
Alaa Rostom
Sandra Daniels
Author Affiliation
CAG Education Affairs.
Source
Can J Gastroenterol. 2009 Aug;23(8):560-7
Date
Aug-2009
Language
English
French
Publication Type
Article
Keywords
Canada
Curriculum
Data Collection
Education, Medical, Continuing - methods
Gastroenterology - education
Humans
Needs Assessment
Societies, Medical
PubMed ID
19668802 View in PubMed
Less detail

The 2009 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1--blood pressure measurement, diagnosis and assessment of risk.

https://arctichealth.org/en/permalink/ahliterature151165
Source
Can J Cardiol. 2009 May;25(5):279-86
Publication Type
Article
Date
May-2009
Author
Raj S Padwal
Brenda R Hemmelgarn
Nadia A Khan
Steven Grover
Donald W McKay
Thomas Wilson
Brian Penner
Ellen Burgess
Finlay A McAlister
Peter Bolli
Machael D Hill
Jeff Mahon
Martin G Myers
Carl Abbott
Ernesto L Schiffrin
George Honos
Karen Mann
Guy Tremblay
Alain Milot
Lyne Cloutier
Arun Chockalingam
Simon W Rabkin
Martin Dawes
Rhian M Touyz
Chaim Bell
Kevin D Burns
Marcel Ruzicka
Norman R C Campbell
Michel Vallée
Ramesh Prasad
Marcel Lebel
Sheldon W Tobe
Author Affiliation
Division of General Internal Medicine, University of Alberta, Edmonton, Canada. rpadwal@ualberta.ca
Source
Can J Cardiol. 2009 May;25(5):279-86
Date
May-2009
Language
English
Publication Type
Article
Keywords
Adult
Aged
Antihypertensive Agents - therapeutic use
Blood Pressure Determination - standards
Canada
Clinical Competence
Combined Modality Therapy
Education, Medical, Continuing - standards
Female
Guideline Adherence
Health Promotion - organization & administration
Humans
Hypertension - diagnosis - therapy
Life Style
Male
Middle Aged
Prognosis
Randomized Controlled Trials as Topic
Risk Management
Treatment Outcome
Abstract
To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.
The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, the degree of blood pressure elevation, the method of measurement (office, ambulatory, home) and associated comorbidities. The presence of cardiovascular risk factors and target organ damage should be ascertained to assess global cardiovascular risk and determine the urgency, intensity and type of treatment required.
MEDLINE searches were conducted from November 2007 to October 2008 with the aid of a medical librarian. Reference lists were scanned, experts were contacted, and the personal files of authors and subgroup members were used to identify additional studies. Content and methodological experts assessed studies using prespecified, standardized evidence-based algorithms. Recommendations were based on evidence from peer-reviewed full-text articles only.
Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global cardiovascular risk, diagnostic testing, diagnosis of renovascular and endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Key messages include continued emphasis on the expedited, accurate diagnosis of hypertension, the importance of global risk assessment and the need for ongoing monitoring of hypertensive patients to identify incident type 2 diabetes.
All recommendations were graded according to strength of the evidence and voted on by the 57 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. All recommendations were required to be supported by at least 70% of task force members. These guidelines will continue to be updated annually.
Notes
Cites: Diabetes Care. 2004 Jan;27(1):247-5514693997
Cites: JAMA. 2008 Jul 9;300(2):197-20818612117
Cites: Hypertension. 2004 May;43(5):963-915037557
Cites: Pediatrics. 2004 Aug;114(2 Suppl 4th Report):555-7615286277
Cites: Lancet. 2004 Sep 11-17;364(9438):937-5215364185
Cites: Circulation. 1991 Jan;83(1):356-621984895
Cites: JAMA. 1996 May 22-29;275(20):1571-68622248
Cites: Arch Intern Med. 1996 Jul 8;156(13):1414-208678709
Cites: Arch Intern Med. 1998 Mar 23;158(6):655-629521231
Cites: Am J Cardiol. 2005 Jan 1;95(1):29-3515619390
Cites: Can J Cardiol. 2005 Jun;21(8):645-5616003448
Cites: Can J Cardiol. 2006 May 15;22(7):559-6416755310
Cites: Can J Cardiol. 2006 May 15;22(7):573-8116755312
Cites: Can J Cardiol. 2006 May 15;22(7):606-1316755316
Cites: N Engl J Med. 2006 Oct 12;355(15):1551-6216980380
Cites: Arch Intern Med. 2006 Nov 13;166(20):2191-20117101936
Cites: Lancet. 2007 Jan 20;369(9557):201-717240286
Cites: AJR Am J Roentgenol. 2007 Mar;188(3):798-81117312071
Cites: Can J Cardiol. 2007 May 15;23(7):529-3817534459
Cites: Can J Cardiol. 2007 May 15;23(7):539-5017534460
Cites: J Hypertens. 2007 Jun;25(6):1311-717563546
Cites: Kidney Int. 2007 Aug;72(3):260-417507905
Cites: Hypertension. 2007 Sep;50(3):467-7317679652
Cites: Am Heart J. 2000 Feb;139(2 Pt 1):272-8110650300
Cites: N Engl J Med. 2000 Mar 30;342(13):905-1210738048
Cites: Clin Radiol. 2000 May;55(5):346-5310816399
Cites: Can J Cardiol. 2000 Sep;16(9):1094-10211021953
Cites: JAMA. 2001 Jul 11;286(2):180-711448281
Cites: Clin Sci (Lond). 2001 Dec;101(6):671-911724655
Cites: Stroke. 2002 Jul;33(7):1776-8112105351
Cites: Lancet. 2002 Dec 14;360(9349):1903-1312493255
Cites: Lancet. 2003 Apr 5;361(9364):1149-5812686036
Cites: Eur Heart J. 2003 Jun;24(11):987-100312788299
Cites: Lancet. 2003 Nov 29;362(9398):1776-714654312
Cites: Arch Intern Med. 2007 Nov 26;167(21):2296-30318039987
Cites: Can J Cardiol. 2008 Jun;24(6):455-6318548142
Cites: Can J Cardiol. 2008 Jun;24(6):465-7518548143
Cites: Hypertension. 2004 Jan;43(1):10-714638619
PubMed ID
19417858 View in PubMed
Less detail

2010 Canadian Hypertension Education Program recommendations: An annual update.

https://arctichealth.org/en/permalink/ahliterature142153
Source
Can Fam Physician. 2010 Jul;56(7):649-53
Publication Type
Article
Date
Jul-2010
Author
Norm Campbell
Margaret Moy Lum Kwong
Source
Can Fam Physician. 2010 Jul;56(7):649-53
Date
Jul-2010
Language
English
Publication Type
Article
Keywords
Canada
Diabetic Angiopathies - prevention & control - therapy
Education, Medical, Continuing
Guideline Adherence
Health promotion
Humans
Hypertension - prevention & control - therapy
Program Evaluation
Notes
Cites: Arch Intern Med. 2005 Jun 27;165(12):1410-915983291
Cites: Arch Intern Med. 2005 Jun 27;165(12):1401-915983290
Cites: Can J Cardiol. 2007 May 15;23(7):529-3817534459
Cites: Can J Cardiol. 2007 Dec;23(14):1124-3018060097
Cites: N Engl J Med. 2008 Apr 10;358(15):1547-5918378520
Cites: CMAJ. 2008 May 20;178(11):1441-918490640
Cites: CMAJ. 2008 May 20;178(11):1458-6018490641
Cites: Can J Cardiol. 2008 Jun;24(6):485-9018548146
Cites: Can J Cardiol. 2008 Jun;24(6):507-1218548150
Cites: Am J Hypertens. 2008 Nov;21(11):1210-518772857
Cites: J Am Coll Cardiol. 2008 Nov 25;52(22):1749-5719022154
Cites: N Engl J Med. 2008 Dec 4;359(23):2417-2819052124
Cites: Hypertension. 2009 Feb;53(2):128-3419114646
Cites: PLoS Med. 2009 Apr 28;6(4):e100005819399161
Cites: Can J Cardiol. 2009 May;25(5):279-8619417858
Cites: Can J Cardiol. 2009 May;25(5):287-9819417859
Cites: Can J Cardiol. 2009 May;25(5):299-30219417860
Cites: Eur Heart J. 2009 Jun;30(12):1434-919454575
Cites: J Hypertens. 2009 Jul;27(7):1472-719474763
Cites: Hypertension. 2009 Sep;54(3):475-8119620517
Cites: J Hypertens. 2006 Mar;24(3):423-3016467640
Cites: JAMA. 2002 Feb 27;287(8):1003-1011866648
Cites: JAMA. 2002 May 15;287(19):2542-5112020335
Cites: Can J Cardiol. 2002 Jun;18(6):657-6112107423
Cites: J Hypertens. 2004 Jan;22(1):11-915106785
Cites: Fam Pract. 1997 Apr;14(2):160-769137956
Cites: Blood Press. 1997 Nov;6(6):357-649495661
Cites: Am J Hypertens. 1998 Mar;11(3 Pt 2):57S-61S9546039
Cites: Lancet. 2005 Jan 15-21;365(9455):217-2315652604
Comment In: Can Fam Physician. 2010 Sep;56(9):86920841585
PubMed ID
20631271 View in PubMed
Less detail

2011 Canadian Association of Gastroenterology educational needs assessment report.

https://arctichealth.org/en/permalink/ahliterature133912
Source
Can J Gastroenterol. 2011 May;25(5):244-6
Publication Type
Article
Date
May-2011
Author
Craig Render
Sandra Daniels
Source
Can J Gastroenterol. 2011 May;25(5):244-6
Date
May-2011
Language
English
Publication Type
Article
Keywords
Canada
Education, Medical, Continuing
Gastroenterology - education
Humans
Needs Assessment
PubMed ID
21647455 View in PubMed
Less detail

The 2012 Canadian hypertension education program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy.

https://arctichealth.org/en/permalink/ahliterature124290
Source
Can J Cardiol. 2012 May;28(3):270-87
Publication Type
Article
Date
May-2012
Author
Stella S Daskalopoulou
Nadia A Khan
Robert R Quinn
Marcel Ruzicka
Donald W McKay
Daniel G Hackam
Simon W Rabkin
Doreen M Rabi
Richard E Gilbert
Raj S Padwal
Martin Dawes
Rhian M Touyz
Tavis S Campbell
Lyne Cloutier
Steven Grover
George Honos
Robert J Herman
Ernesto L Schiffrin
Peter Bolli
Thomas Wilson
Ross D Feldman
M Patrice Lindsay
Brenda R Hemmelgarn
Michael D Hill
Mark Gelfer
Kevin D Burns
Michel Vallée
G V Ramesh Prasad
Marcel Lebel
Donna McLean
J Malcolm O Arnold
Gordon W Moe
Jonathan G Howlett
Jean-Martin Boulanger
Pierre Larochelle
Lawrence A Leiter
Charlotte Jones
Richard I Ogilvie
Vincent Woo
Janusz Kaczorowski
Luc Trudeau
Simon L Bacon
Robert J Petrella
Alain Milot
James A Stone
Denis Drouin
Maxime Lamarre-Cliché
Marshall Godwin
Guy Tremblay
Pavel Hamet
George Fodor
S George Carruthers
George Pylypchuk
Ellen Burgess
Richard Lewanczuk
George K Dresser
Brian Penner
Robert A Hegele
Philip A McFarlane
Mukul Sharma
Norman R C Campbell
Debra Reid
Luc Poirier
Sheldon W Tobe
Author Affiliation
Division of General Internal Medicine, McGill University, Montreal, Québec, Canada. stella.daskalopoulou@mcgill.ca
Source
Can J Cardiol. 2012 May;28(3):270-87
Date
May-2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Antihypertensive Agents - therapeutic use
Blood Pressure Determination - methods
Canada
Cardiovascular Diseases - etiology - prevention & control
Education, Medical, Continuing - standards
Evidence-Based Medicine - standards
Female
Health Education - standards
Humans
Hypertension - complications - diagnosis - therapy
Male
Middle Aged
Monitoring, Physiologic - methods
Practice Guidelines as Topic - standards
Prognosis
Risk assessment
Treatment Outcome
Abstract
We updated the evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in adults for 2012. The new recommendations are: (1) use of home blood pressure monitoring to confirm a diagnosis of white coat syndrome; (2) mineralocorticoid receptor antagonists may be used in selected patients with hypertension and systolic heart failure; (3) a history of atrial fibrillation in patients with hypertension should not be a factor in deciding to prescribe an angiotensin-receptor blocker for the treatment of hypertension; and (4) the blood pressure target for patients with nondiabetic chronic kidney disease has now been changed to
PubMed ID
22595447 View in PubMed
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[ABOUT PROFESSIONAL TRAINING OF ROENTGENOLOGISTS FOR WORKING ON MAGNETIC RESONANCE TOMOGRAPHIC SCANNER].

https://arctichealth.org/en/permalink/ahliterature267005
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2015 Mar-Apr;23(2):38-42
Publication Type
Article
Author
A V Korobov
A N Morozov
V G Pasechnaia
N V Fediainova
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2015 Mar-Apr;23(2):38-42
Language
Russian
Publication Type
Article
Keywords
Adult
Curriculum
Education, Medical, Continuing - organization & administration
Humans
Magnetic Resonance Imaging - methods
Radiology - education
Russia
Abstract
The article considers main problems conditioned demand of development of model of professional training of roentgenologists for working on magnetic resonance tomographic scanner in conditions of non-public medical diagnostic center in accordance with the concept of continuous medical education. The developed model is presented in graphic form i.e. folded in the form of generic structure and unfolded in the form of algorithmic and structural models of separate blocks. The detailed description of components of model and their functional designation are presented.
PubMed ID
26399071 View in PubMed
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[About the conditions of training and retraining of physicians and nurse personnel for the primary medical sanitary care].

https://arctichealth.org/en/permalink/ahliterature155048
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2008 May-Jun;(3):41-4
Publication Type
Article

Academic detailing has no effect on prescribing of asthma medication in Danish general practice: a 3-year randomized controlled trial with 12-monthly follow-ups.

https://arctichealth.org/en/permalink/ahliterature15166
Source
Fam Pract. 2004 Jun;21(3):248-53
Publication Type
Article
Date
Jun-2004
Author
Klaus Witt
Erik Knudsen
Susanne Ditlevsen
Hanne Hollnagel
Author Affiliation
Department of General Practice, University of Copenhagen, Copenhagen, Denmark. k.witt@gpmed.ku.dk
Source
Fam Pract. 2004 Jun;21(3):248-53
Date
Jun-2004
Language
English
Publication Type
Article
Keywords
Asthma - drug therapy
Denmark
Education, Medical, Continuing
Educational Status
Family Practice
Humans
Physician's Practice Patterns
Practice Guidelines
Research Support, Non-U.S. Gov't
Abstract
BACKGROUND: Educational outreach visits, particularly when combined with social marketing, appear to be a promising approach to modifying health professional behaviour, especially prescribing. Results from previous studies have shown a varying effect. OBJECTIVE: The purpose of the study is to examine the effect of academic detailing as a method of implementing a clinical guideline in general practice. METHODS: A cluster randomized, controlled, blinded study was carried out of the effect of an academic detail visit compared with postal distribution of a guideline for prescribing asthma medication. Half the practices in a Danish county with 100 practices were visited once. The outcome measure was routinely collected data from all Danish pharmacies on the sales of asthma medication. Data were collected monthly for 2 years before to 1 year after the intervention. RESULTS: There was no effect on the pattern of prescription of asthma medicines following the visit, neither immediately nor long term. CONCLUSION: We found no effect of academic detailing as a single intervention.
PubMed ID
15128684 View in PubMed
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Academic screencasting: internet-based dissemination of ophthalmology grand rounds.

https://arctichealth.org/en/permalink/ahliterature137424
Source
Can J Ophthalmol. 2011 Feb;46(1):72-6
Publication Type
Article
Date
Feb-2011
Author
Roshan Razik
Zaid Mammo
Harmeet S Gill
Wai-Ching Lam
Author Affiliation
Faculty of Medicine, University of Toronto, Toronto, Ont, Canada.
Source
Can J Ophthalmol. 2011 Feb;46(1):72-6
Date
Feb-2011
Language
English
Publication Type
Article
Keywords
Academic Medical Centers
Cross-Sectional Studies
Data Collection
Education, Medical, Continuing - methods
Humans
Information Dissemination - methods
Internet
Internship and Residency
Ontario
Ophthalmology - education
Rural Population - statistics & numerical data
Teaching - methods
Teaching Rounds - methods
Urban Population - statistics & numerical data
Abstract
To evaluate and compare the preferences and attitudes of Ontario ophthalmologists and ophthalmology residents toward screencasting as an educational tool with potential use for continuing medical education (CME) events.
Cross-sectional study.
Eighty of 256 participants completed the survey.
The surveys were sent to participants by email, with follow-up via telephone. Study participants were urban and rural Ontario ophthalmologists, registered with the Canadian Ophthalmological Society, and University of Toronto ophthalmology residents. Pre-recorded online presentations-screencasts-were used as the main intervention. Online surveys were used to measure multiple variables evaluating the attitudes of the participants toward screencasting. This data was then used for further quantitative and qualitative analysis.
Over 95% of participants replied favourably to the introduction and future utilization of screencasting for educational purposes. Rural ophthalmologists were the most enthusiastic about future events. Practising in rural Ontario was associated with a higher interest in live broadcasts than practising in urban centres (p
PubMed ID
21283162 View in PubMed
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883 records – page 1 of 89.