Asthma Toolbox
Welcome to the new toolbox for people doing asthma education in New Hampshire. It was developed by the Asthma Educator Subcommittee, Asthma Health Improvement Working Group, and
NH Asthma Control Program
and contains selected references and resources from among the many, many materials available. We hope it will become an indispensable asset in your work.
The on-line toolbox contains information in the following areas:
Office Reference,
Office Tools,
Patient Education,
and
Office Display & Materials.
Our selections were made based on what we felt were the best, most user-friendly, and most accessible materials, including those available as downloadable files or through local sources.
We would like to note our appreciation and thanks to the members of the Asthma Educator Subcommittee and Asthma Health Improvement Working Group who worked on the toolbox and helped produce it. With the toolbox and other program initiatives and professional development opportunities, we all hope to be successful in improving the health status and quality of life for people with asthma in New Hampshire.
Please let us know how useful you find the Toolbox and send us other resources you think should be included.
New Hampshire Asthma Control Program
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ASTHMA TOOLBOX
OFFICE REFERENCE TOOLS
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OFFICE TOOLS
These tools have been developed as part of activities of the Asthma Health Improvement Working Group and Asthma Educator Subcommittee, NH Asthma Control Program.
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Asthma Action Plan: To order more Plans, contact:
Heidi Pelchat, RRT, RCP
Anthem Blue Cross Blue Shield NH
603-695-7989 or 1-800-845-1133, ext 7989
- Pediatric Patient Questionnaire
- Adult Patient Questionnaire
- Asthma Education Checklist
- School-Provider Release and Referral template from Manchester Health Department
- Management of Acute Asthma template from Doctors Park Pediatrics
- Chart Audit
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PATIENT EDUCATION
Pediatric Patient Education
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Zoey and the Zones:
This 44-page children's story introduces children with asthma to Zoey, a little blue car who discovers he has asthma and learns how to manage it. Written for children ages 5 11. Book sells for $8.95; also available are a Companion Workbook ($17.95), a Coloring Book ($.99), and a book set of all three publications ($24.75). Ordering information:
1-866 ASK ZOEY (275-9639); e-mail.
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Asthma Control Test: Can be taken on-line
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Understanding Asthma:
Your Child & Asthma. Pamphlet, National Jewish Medical and Research Center. First copy is free, additional copies are $1.80 for 100-499 copies. Ordering information: 1-800-222-LUNG (5864)
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How to Help Your Child with Asthma: Guidelines for Parents.
Brochure, American Academy of Pediatrics. Minimum orders are 100 copies ($24.95/100 for members, $29.95/100 for non- members) and can be purchased online: or by mailing AAP: American Academy of Pediatrics, Division of Publications, 141 Northwest Point Blvd, PO Box 927, Elk Grove Village, Il 60000-0927.
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The ABCs of Asthma:
JayJo Books.
An asthma alphabet book for children of all ages. Ordering information: 1-636-349-2334;
e-mail.
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Mikey's Mom Didn't Know Asthma Could Kill:
Produced by Allergy and Asthma Network/Mothers of Asthmatics (AANMA), and available for free. Order by calling 1-800-878-4403.
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Teens & Asthma: What You Really Need to Know.
Brochure, American Lung Association. Available for $99.95 per 100 printed copies. 1-800-333-3032.
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The Council for Children & Adolescents with Chronic Health Conditions.
Brochure, CCACHC, 21 South Fruit Street, Walker Building, Suite 22, Concord, NH 03301,
e-mail,
Tel. (603) 225-6400, Fax (603) 271-1156 to order.
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You Can Control Your Asthma Series. Produced by Asthma and Allergy Foundation of America, www.aafa.org or (800) 7-Asthma. $5.50/ea plus shipping and handling English Item #B001E, Spanish Item E F001S. AAFA Catalog, 1233 20th Street NW Suite 402, Washington, DC 20036.
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A Fish with Asthma? The Amazing Story of "Bubbles" The Fish. Contact pharmaceutical rep for KidsMed, LLC, John Best at 361-3748.
- Kids Breathe Free! Available from
Pritchett & Hull Associates, Inc.,
3440 Oakcliff Rd., NE, Suite 110, Atlanta, GA 30340-3079, Fax,1-800-752-0510,
e-mail.
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Kids with Asthma need Parents with Answers. DVD from
Astra Zeneca
in English and Spanish. Contact
AstraZeneca
at 1-800-236-9933.
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Materials from the
Environmental Protection Agency (EPA)
are free. Ordering information: 1-800-438-4318/703-356-4020 (restricted to three publication requests, no more than 100/ea.); iaqinfo@aol.comare;
EPA also hosts an
environmental health page on asthma in Spanish.
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Dusty The Asthma Goldfish and His Asthma Triggers Funbook [EPA 402-F-04-008, February 2004]
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Dusty La Carpa Dorada del Asma y Sus Provocadores de Asma [EPA 402-F-04-009, February 2004]
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Clearing the Air of Asthma Triggers [EPA 402-F-02-028].
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Help Your Child Gain Control Over Asthma [EPA 402-F-04-021, September 2004]
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I Feel Like a Fish with No Water. "No Attacks" campaign by Environmental Protection Agency (EPA) and the American Ad Council.
Available for free.
Ordering information: 1-800-490-9198.
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In addition to the resources listed below, the following sections of the AsthmaNow website provide more information:
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Adult Patient Education
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One Minute Asthma: What You Need to Know.
Thomas F. Plaut, M.D. 2005 ISBN 0-914625-28-4; $4.95 per copy; special pricing for bulk purchases. Ordering information: 1-800-611-6081, 1-800-344-5864
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Understanding Asthma:
Pamphlet, National Jewish Medical and Research Center. First copy is free, additional copies are $1.80 for 100-499 copies. Ordering information: 1-800-222-LUNG (5864)
- 5 Easy Steps to Control Your Asthma. Brochure, NH Medicaid. Available for free. Contact: NH Asthma Control Program, 603-271-0855.
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Facts about Asthma [make live link to www. krames.com] Brochure published by the American Lung Association. 1-800-333-3032. $42.95 per 100 copies, Item #2836.
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Asthma at My Age: Facts About Asthma for Older Americans.
Brochure published by the American Lung Association. 1-800-333-3032, $99 for 100 copies, Item #2829.
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Cultural Competency Contacts and Resources
from NH Foundation for Healthy Communities
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New Hampshire Medication Assistance Guide. English and Spanish. Resources for consumers. Foundation for Healthy Communities, 125 Airport Road, Concord, NH 03301. Tel: 603-225-0900
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The Quick Series Guide to Living with Asthma. Pamphlet, ISBN # 978-1-933922-22-5, Luxart Communications, 3325 Griffin Road, Suite 22, Ft. Lauderdale, FL 33312,
Order
information:
email
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In addition to the resources listed below, the following sections of the AsthmaNow website provide more information:
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MEDICATIONS AND DEVICES
Asthma and allergy supplies, products and devices can be researched and purchased through the following websites. Be sure to look into any discounts offered.
New Hampshire Medication Assistance Guide. Available through Foundation for Healthy Communities, 125 Airport Road, Concord, NH 03301. Tel: (603) 0900, Fax: (603) 225-4346, web site: www.healthyNH.com.
Pharmaceutical companies provide a wide array of patient education materials and sample medications for free. Some will cover the cost of printing the practice name and phone number on their handouts. To request materials or information about patient assistance programs, contact the pharmaceutical representatives at:
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AstraZeneca
(Accolate, Accoleit, Vanticon, Bricanly, Bambee, Oxis, Oxcol, Pulmicort, Spirocort, Symbicort, Theo-Dur). Tel: 603-828-5008
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Boehringer Ingelheim
(Atrovent, Combivent) Tel: 1-800-556-8317
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Critical Therapeutics
(Zyflo). Tel: 781-402-5700
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Forrest Laboratories
(Aerobid, Aerochamber Plus). Tel: 1-800-851-8758
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Genetech/Novartis
(Xolair). Tel: 978-500-1110
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Glaxo Smith Kline
(Adavir Diskus, Beclovent, Flovent, Servent, Servent Diskus)
603-566-6590, Customer Response Center: 1-888-825-5249
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King Pharmaceuticals
(Intal Inhaler). Tel: 1-866-734-7366
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Merck
(Singulair, Slo-Phyline), Tel: 1-800-672-6372, 802-338-8326
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Graceway Pharmaceuticals
(Mayair, Mayair Autohaler, Theolair). 1-800-447-4537
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Schering-Plough
(Asmx, Foradil Aerolizer, Proventil). Tel: 1-800-656-9485
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Sepracor
(Xopenex). Tel: 1-888-394-7377 (customer service), 1-800-739-0565 (medical information)
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Wyeth
(Primatene Mist). Tel: 1-800-568-9938
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Environmental Resources
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Mold in Your Home:
Protect Your Health and Investment. Brochure, NH Department of Environmental Services, Environmental Health Program.
Ordering information
or 603-271-2975
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Tips to Remember:
Asthma Triggers and Management. Brochure, AAAAI. Download and reproduce.
Ordering information.
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Indoor AIRepair at Home, School & Play.
Asthma and Allergy Network, Mothers of Asthmatics,
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Air Pollution in the Home. Brochure, American Lung Association.
Ordering
Information: Tel: 1-800-333-3032, item number 2837, cost is $29.95/100.
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Supplies for the office and home:
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Materials from the
Environmental Protection Agency (EPA)
are free. Ordering information: 1-800-438-4318 or 703-356-4020 (restricted to three publication requests); or
e-mail.
EPA also hosts an
environmental health page on asthma in Spanish.
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Help Your Child Gain Control Over Asthma [EPA 402-F-04-021, September 2004]
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Clear Your Home of Asthma Triggers: Your Children Will Breathe Easier [EPA 402-F-99-0005, July 1999]
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Mantenga su hogar libre de los factores que pueden provocar el asma ¡Sus niños respirarán mejor! [EPA 402-F-899-005D]
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Asthma Home Environment Checklist [EPA 402-F-03-030, February 2004]
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Dusty The Asthma Goldfish and His Asthma Triggers Funbook [EPA 402-F-04-008, February 2004]
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Dusty La Carpa Dorada del Asma y Sus Provocadores de Asma [EPA 402-F-04-009, February 2004]
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In addition to the resources listed below, the following sections of the AsthmaNow website provide more information:
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Smoking Resources
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The following materials are available from the NH Tobacco Prevention and Control Program. Ordering information: 1-800-852-3345 ext. 6891.
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Brochures: Protect Your Children, Smoke Free Pledge
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Secondhand Smoke and Smoke Free Pledge
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Secondhand Smoke is Not Healthy for Living Things: Protecting Yourself and Others
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Secondhand Smoke: Asthma, Cancer and Other Health Risks: English and Spanish.
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Secondhand Smoke: Protecting Your Children
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Secondhand Smoke Kills 53,000 Americans Each Year
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Secondhand Smoke Can Make Asthma Worse
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Fact Sheet: Live Tobacco Free or Die
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Cards: Want to Quit Smoking or Dipping, Call Us We Can Help 1-800-Try-To-Stop
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Cards: 1-800-Try-to-Stop
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Stickers: You Can Stop We Can Help 1-800-Try-To-Stop
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Kid Care. Don't Smoke Here. Brochure, to order call 1-800-321-4407 or go
online.
Item #212. $18 for 50 brochures, $34 for 100 brochures.
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The following are available from the American Lung Association. Ordering Information:
Secondhand Smoke: Protecting Yourself and Your Family: Available in English and Spanish.
Ordering
information: 1-800-333-3032, $27.95/100.
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OFFICE DISPLAY AND MATERIALS
Magazine and Newsletter Publications
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Allergy & Asthma Today.
Allergy & Asthma Network/Mothers of Asthmatics. Free to AANMA members. Ordering information: 1-800-878-4403.
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Asthma Magazine.
AAAAI. Bimonthly issues provide information for all levels of readers, with features designed for both children and adults, and a glossary of asthma and allergy terms.
$26 for personal subscription, $12 for students. Ordering information:
E-mail,
1-800-654-2456.
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Advocate Patient.
Newsletter, AAAAI. Can download for patient use as needed.
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Asthma and Allergy Foundation of America
.
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Education and Health Promotion Supplies:
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Fresh Air.
Asthma & Allergy Foundation of America. Ordering information: 1-800-727-8462.
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Journey Works Catalog.
Health promotion and education materials.
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Pritchett & Hull.
Order
education supplies.
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National Heart, Lung & Blood Institute.
Order
supplies and educational materials.
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American Association of Respiratory Therapists.
Order
educational materials.
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Handouts
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AsthmaNow.net
Bookmarks. NH Asthma Control Program.
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Living Well With Asthma brochure. Ordering Information: 603-271-0855,
E-mail.
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Take Asthma Seriously. NH Asthma Control Program. 5 steps to living healthy with asthma with resources listed. Bookmarks and 4 x 11 card free. Ordering Information: 603-271-0855,
e-mail.
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The following are available from the American Lung Association of NH. Ordering Information: 603-669-2411 ext. 118;
e-mail.
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Questions About Lung Health. ALANH. Free 4x11 card that directs people to the Lung Call Center.
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The following are available from the
EPA.
Ordering information: 1-800-438-4318/703-356-4020 or
e-mail.
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Dusty The Asthma Goldfish and His Asthma Triggers Funbook [EPA 402-F-04-008, February 2004].
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Dusty La Carpa Dorada del Asma y Sus Provocadores de Asma [EPA 402-F-04-009, February 2004]. Free coloring books from the EPA.
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Clearing the Air of Asthma Triggers [EPA 402-F-02-028].
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The following are available from NH Department of Environmental Services,
Environmental Health Program.
Ordering information: 603-271-2975;
e-mail.
- Air Quality and Your Health. Fact Sheet, NH DES. Provides information on air quality and health.
- Air Quality Index. NH DES. A magnet with air quality index and health information.
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Effects of Common Air Pollutants. NH DES. 11" x 17" poster depicting the respiratory and cardiovascular effects of air pollutants, the Air Quality Index, and where to call and go on-line for air quality information in NH.
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Posters and Stickers
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The following materials are available from the NH Tobacco Prevention and Control Program. Ordering information: 1-800-852-3345 ext. 6891.
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You Can Stop. We Can Help. 9" x 12" poster. Includes the toll free number and URL for Try-to-Stop.
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Proud to Be Tobacco Free. 9" x 11" poster. Message: This facility provides a safe environment for your child, free from secondhand smoke exposure. Attractive for children.
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Protect Children Where They Live, Learn and Play:
I Love Being Healthy. EPA. 9" x 11" sticker. [EPA 100-E-04-001]. Ordering information: 1-800-438-4318/703-356-4020;
e-mail
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Effects of Common Air Pollutants.
NH DES. 11" x 17" poster depicting the respiratory and cardiovascular effects of air pollutants, the Air Quality Index, and where to call and go on-line for air quality information in NH. Ordering information: 603-271-2975;
e-mail.
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Lungs at Work No Smoking. ALA. Stop sign in red with white lettering. 1" stickers are $14.95 per 100; Item # 2882, 10" poster size is $44.95/100, Item # 2880.
Ordering
Information , Tel., 1-800-333-3032.
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