Welcome to the March 2010 CTSI Community Engagement & Health Policy (CE&HP) eNews, a bi-monthly resource for translational health research involving the communities UCSF serves.
The deadline for submissions to the next (May) CE&HP eNews is Friday, May 14th. Want to read what we've covered in past issues? Now you can access archived Community Engagement Program eNewsletters (see links in the box at right).
In this Edition (clickable contents)
- CE&HP Program Calendar – Upcoming Consultations, Events and Meetings
- CE&HP Program News & Announcements – Training, Publications, Clincian Registry
- Partnership Snapshot – Read and Participate in a New Blog
- Workshops, Conferences & Training Opportunities
- Funding Announcements
- Publications of Interest - Books, Journals and Scholarly Articles
- Other Resources & Opportunities – Program Brief, Reports, Websites, Translational Research Comedy
1. CE&HP Program Calendar
CE&HP Group Consultation
On the 4th Wednesday of every month the Community Engagement & Health Policy Program provides group consultation to collaborative projects that involve new research or implementing and disseminating research in community agencies, practice settings and/or public health arenas. Consultation slots are available in May. Please email us if you'd like a consultation or would like to attend a consultation session.
Wednesday, March 24, 2010
SF General Hospital, Building 3, Room 505
Consultation for Dr. Robert Hendren, Director of the Division of Child and Adolescent Psychiatry (CAP), UCSF Department of Psychiatry
Building consensus in community agencies, and responding to proposed Visioning Consultation Conference
|10:15-10:45||Program Business and Announcements|
Consultation for San Francisco HepB Free
Increasing capacity for research, creating practice-based evidence, and communicating SFHBF activity and accomplishments to scientific/academic communities
April Consultations - see special event below
San Francisco General Hospital Primary Care Grand Rounds
A Conversation With Rebecca Skloot
Author of The Immortal Life of Henrietta Lacks
Wednesday, April 28, 2010
12:00 - 2:00 PM
22nd Street, one block east of Potrero Avenue
Join us for a compelling look at the history and ethics of research on human biological materials.
Henrietta Lacks, known to scientists as HeLa, was a poor Southern tobacco farmer who worked the same land as her slave ancestors, yet her cells—taken without her knowledge—became one of the most important tools in medicine. The first “immortal” human cells grown in culture, they are still alive today, though she has been dead for more than sixty years. If you could pile all HeLa cells ever grown onto a scale, they’d weigh more than 50 million metric tons—as much as a hundred Empire State Buildings. HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer, viruses, and the effects of the atom bomb; helped lead to important advances like in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions—yet Henrietta Lacks remains virtually unknown, buried in an unmarked grave.
Henrietta’s family did not learn of her “immortality” until more than twenty years after her death, when scientists investigating HeLa began using her husband and children in research without informed consent. And though the cells had launched a multimillion-dollar industry that sells human biological materials, her family never saw any of the profits. The story of the Lacks family—past and present—is inextricably connected to the dark history of experimentation on African Americans, the birth of bioethics, and the legal battles over whether we control the stuff we are made of.
San Francisco Health Improvement Project (SF HIP)
SF HIP, under the auspices of the CTSI Community Engagement & Health Policy Program, aims to bring UCSF research assets to bear on community efforts to improve the health of San Franciscans. Please email us if you'd like to attend our next meeting(s).
Friday, March 19, 2010
3:30 - 5:00
Mayor’s Office of Housing, Community Development Division
1 South Van Ness Ave., 5th Floor, in conference room 5080
2. CE&HP Program News & Announcements
News from Community Engagement & Health Policy Program Faculty, Partners, and Consultees
Publication News From a Consultee
New Monograph and New Study Findings
The Bay Area Breast Cancer and the Environment Research Center (BABCERC) is one of four centers nationwide that studies the environmental causes of breast cancer by focusing on mammary gland development during puberty when the breast may be especially vulnerable to environmental influences. The Center is based at UCSF under the leadership of Dr. Robert A. Hiatt, Director of Population Sciences, UCSF Helen Diller Comprehensive Cancer Center. The Center includes a basic science project, an epidemiology project, and the community outreach and translation core and is a collaborative project involving UCSF, Kaiser Permanente Northern California, California Department of Public Health and Zero Breast Cancer. More information about the BABCERC can be found on its website.
What can studying puberty reveal about how breast cancer develops and how it can be prevented? This is the question that both drives the work of the Bay Area Breast Cancer and the Environment Research Center (BABCERC) and is explored in the BABCERC’s new report, Puberty, Breast Cancer, and the Environment.
Breast cancer is a disease caused by both genetic and environmental factors. Over the past decade, it has become increasingly clear that exposure to estrogens and estrogen-like compounds found in chemicals in our environment can increase a woman’s risk of developing breast cancer. Researchers at the BABCERC are exploring the hypothesis that puberty is a “window of susceptibility” in which breast cells might be especially vulnerable to potential carcinogens, and that this, in turn could affect breast cancer risk later in life.
Free copies of Puberty, Breast Cancer, and the Environment can be downloaded from the Bay Area Breast Cancer and the Environment Research Center website or the Zero Breast Cancer website. They can also be obtained by calling Zero Breast Cancer at (415) 507-1949 or by sending an email request.
Read more about Puberty, Breast Cancer, and the Environment on the UCSF website.
Gayle C. Windham, Susan M. Pinney, Andreas Sjodin, Raymond Lum, Richard Jones, Larry Needham, Frank M. Biro, Robert A. Hiatt, Lawrence H. Kushi, Body Burdens of Brominated Flame Retardants and Other Persistent Organohalogenated Compounds and Descriptors in U. S. Girls. Environmental Research 2010. On-line pre-publication, expected in print in April or May.
This new study by the Bay Area Breast Cancer and the Environment Research Center has found higher levels of chemicals that act like hormones in girls in the Bay Area than in a comparison group in Ohio. These include some brominated chemicals used as flame retardants (PBDEs), pesticides, and polychlorinated biphenyls (PCBs). Although research studies on these environmental exposures have not found clear effects on human health, concern about these chemicals is growing because they persist in the environment and may act like or interfere with hormones in the body. Hormones influence many physiologic functions, including the reproduction system and growth and development in children.
For Community-Based Organizations
The CTSI Community Engagement & Health Policy Program now offers a 3-hour orientation to research and evaluation: CBOs Engaged in Research and Evaluation - Introduction to Creating Your Own Evidence. Developed in collaboration with San Francisco State University's Health Equity Initiative, this training is now available to individual community-based organizations and small groups of agency representatives. Email us to request training or learn more.
Recent Publications by Community Engagement Program Community Partners and Faculty
Armstrong K, Green LW, Hayward RA, Rosenthal MS, Wells KB (Eds.). Bridging Clinical Scholarship and Community Scholarship: New Directions for the Robert Wood Johnson Foundation’s Clinical Scholars Program. Special Issue of Am J Prev Med. Dec 2009;37(6S1)S-187- S191 Full text online.
Potter MB, Gildengorin G, Wang Y, Wu M, Kroon L. Comparative effectiveness of two pharmacy-based colorectal cancer screening interventions during an annual influenza vaccination campaign. J Am Pharm Assoc. 2010;50:181-7.
This trial compares the effectiveness of two different pharmacy-based colorectal cancer screening (CRCS) interventions taking place during an annual influenza vaccination campaign.
Rosenthal A, Wang F, Schillinger D, Pérez Stable EJ, Fernandez A. Accuracy of Physician Self-Report of Spanish Language Proficiency. J Immigr Minor Health. 2010 Feb 12. [Epub ahead of print]
As health systems strive to meet the needs of linguistically diverse patient populations, determining a physician's non-English language proficiency is becoming increasingly important. However, brief, validated measures are lacking. To determine if any of four self-reported measures of physician Spanish language proficiency are useful measures of fluency in Spanish, physician self-report of Spanish proficiency was compared to Spanish-speaking patients' report of their physicians' language proficiency.
CE&HP Community Clinician Registry
With the help of UCSF faculty and community partners, CE and the Collaborative Research Network have developed a survey to gather information about community clinicians' practice environments, their research interests and priorities. We now have over 450 survey responses from clinicians who have agreed to be included in a clinician registry, the first step toward development of a multidiscipline primary health care practice-based research network (PBRN). Community clinicians interested in filling out the survey and becoming part of this network can complete the survey here or contact James Rouse or Michael Potter with any questions.
3. Partnership Snapshot
Introducing the New UCSF CTSI T2 Blog
The time is ripe to foster far-reaching reflection as part of the expanding attention to T2 – the translation of evidence into practice.
T2 science addresses the question, how do we efficiently and effectively translate evidence from intervention assessments into widespread, high quality practice? Key disciplines are dissemination sciences, health policy, community engagement, behavioral sciences, and economics. T2 is pivotal to creating the reality health professionals desire: up-to-date, astute, and appropriate health interventions for communities. The field strives to reduce the delay and disconnect between compelling evidence and optimal practice. In our view, so far T2 has been under-emphasized as compared with T1 and clinical science, but this imbalance is diminishing.
We are a group of researchers from the Community Engagement & Health Policy Program of the Clinical & Translational Science Institute, producing this blog in collaboration with the CTSI Virtual Home and the Program in Implementation and Dissemination Sciences. Our mission is to spread ideas and news about T2, and cultivate appreciation for its potential and challenges. The blog will, we hope, complement and amplify academic and programmatic work in T2. We aim to address the “big picture” gap – to report and place in context developments in the field.
The good news is that the T2 vision is coming into focus, in large part through the leadership of the National Institutes of Health and the persistence of the Agency for Health Care Research and Quality as well as the Centers for Disease Control and Prevention. There is wide acceptance of the concept. Indeed, we can almost get away without defining “T2”. Best methods are being assembled and adapted, and research support is growing. Yet, by nature and need, T2 is diverse in methods and topics. It is thus daunting to monitor for individuals who are focused on one corner of the T2 universe. Providing a lens to view key advances and trends is the goal of this blog.
We see the blog discussion as adding value to T2 through cross-pollination of ideas, thereby fostering synergies and connections. We’ll highlight the best and the most provocative of research and programs, and hope to discern and reflect on significance for the T2 enterprise. Our first two posts represent one theoretical and one practical contribution to T2.
Welcome. We look forward to taking this T2 journey with you.
4. Workshops, Conferences & Training Opportunities
Transforming Health in San Francisco’s Black Community
Moving from Sickness to Health
San Francisco African American Health Equity Council (AACHEC)
Saturday March 27, 2010
UCSF Mission Bay Campus
1675 Owens Street
Please join the discussion on the Politics of Health and elimination of health disparities in African American communities. Conference registration is free and includes breakfast, lunch and complimentary massage, acupuncture, chiropractic services and more!
Sponsored by the AACHEC, a project of the Health and Wellness Network/BCA; and the African American Health Disparities Project, a program of the San Francisco Hospital Council. Funded by the San Francisco Department of Public Health and the San Francisco Hospital Council.
Email Mark Matthews or call 415.615.9945 to register.
Community-Based Participatory Research Spring 2010 Series
San Francisco State University
CBPR Collaborative Center
Seminars on moving CBPR efforts into publications, grants, and other forms of generalizable knowledge.
Room HHS 228
Wednesdays, 3:00 -5:00 PM
April 14, 2010
Bonnie Duran, University of Washington
May 6, 2010
Closing session: Interactive Session with Community Partners
For more information, contact Jennifer Rubin.
Third Annual Summer Training Course for Health Impact Assessment (HIA) Practitioners
San Francisco Department of Public Health
The overall goal of the course is to provide current and future practitioners of HIA experience using available procedures, regulations, and tools to implement an HIA.
June 22 - 25, 2010 (attendance all four days is mandatory)
1 South Van Ness Avenue, Atrium Conference Room
San Francisco, CA
Instructors: HIA practitioners at the San Francisco Department of Public Health and community, academic, and local government partners
(includes the cost of course materials, breakfast and lunch; accommodations and travel not included)
Training objectives include:
- Review and discuss the value and purpose of HIA as a healthy public policy tool.
- Learn the steps and tasks of a typical HIA.
- Understand roles for community members, public agencies, decision-makers and other stakeholders.
- Learn about and apply spatial tools to assess community conditions that promote health, and understand the importance and limitations of GIS in applying these tools.
- Understand a general approach to evaluating and utilizing epidemiologic evidence and health risk assessment to predict and quantify health impacts of public policies.
To see a draft course outline describing the course in more detail and for more information, please visit our website.
UCSF Center for AIDS Prevention Studies (CAPS) HIV Prevention Conference
Friday, April 23, 2010
UCSF Mission Bay Conference Center, San Francisco.
Spend a day meeting CAPS scientists, networking with colleagues and learning about the latest CAPS research.
FREE registration. Register online.
Join us for workshops with CAPS researchers and community collaborators on:
- Science of running and adapting prevention interventions
- Prevention update on gay men in countries around the world
- Linking prevention and care services
- Research on addressing disparities in impacted populations
Keynote speaker: Greg Millett, MPH, Senior Policy Advisor, White House Office of National AIDS Policy
Network with agencies, health departments, funders and researchers.
We will provide free breakfast and lunch.
Space is limited. You must pre-register. There will be no on-site registration.
For more details, please see the CAPS website.
Questions? Email us or call Pam DeCarlo 415/597-9360.
North American Primary Care Research Group (NAPCRG)
2010 Annual Meeting
November 13-17, 2010.
Abstract submission deadline: Monday, April 10, 2010
This is a great meeting at which to present research projects and see what others are doing, especially for fellows and junior faculty. See the NAPCRG website for more information.
6th Annual Mixed Methods International Conference
July 7-11, 2010
Sponsored by the School of Healthcare, University of Leeds and Johns Hopkins University School of Public Health. This is the first time the conference is being held in the US.
Call for Abstracts
Abstract submission deadline: Friday, March 26th.
Abstracts are invited from researchers utilising mixed and multi methods in creative ways, particularly those working within the social sciences, health and education.
The following themes provide the framework for the conference:
- Philosophical and methodological issues
- Real world applications
- Mixing art and science
- Mixing science and social science
Summer Institute on Evidence-Based Practice Improvement Science Summit
Frontline Improvement - How to Do It, How to Lead It, How to Inform It
University of Texas Health Science Center
School of Nursing
Academic Center for Evidence-Based Practice
July 8-10, 2010
Pre-Conferences July 7
Hyatt Regency Riverwalk Hotel
San Antonio, Texas
Call for Abstracts
Abstract Deadline: Monday, March 29, 2010
The Program Committee invites submission of abstracts for consideration. You are invited to submit abstracts consistent with the theme of the Institute, "Frontline Improvement - How to Do It, How to Lead It, How to Inform It". For questions call 210-567-1480 or email.
This Institute builds capacity for healthcare providers to shape the future of quality and safety in healthcare through translating evidence into practice. Engaging frontline leaders, midlevel managers, and top directors is key to improving care and ensuring patient safety. Cutting edge approaches require knowing how to inform improvement with evidence, how to employ improvement strategies, and how to lead improvement at every level. Recognizing that gains are made through convergence of evidence, organizational climate, clinician vitality, and change, this all-new conference explores best approaches to accelerate frontline improvement.
Participants will learn 'what works' in building care processes and supporting care providers in the evolving environment of improvement. In each discussion, effective strategies are underscored with evidence. Because frontline and evidence are powerful drivers in building quality and safety, we look at 'what it takes' to move healthcare to a high level of quality and safety.
5. Funding Announcements
For a listing of current funding opportunities for community-engaged and "T2" research, click here. If you would like to add funding opportunities to this list, please email them to firstname.lastname@example.org.
Robert Wood Johnson Foundation
New Connections has announced its Round 5 Call for Proposals for Junior Investigators and Mid-Career Consultants. New Connections seeks Junior Investigators and Mid-Career Consultants who:
- have been underrepresented in RWJF research and evaluation programming activities and would be first-time grantees to RWJF.
- are historically underrepresented ethnic or racial minorities, first-generation college graduates, or individuals from low-income communities.
Junior investigators are no more than seven years from the receipt of their doctorate. Junior Investigators are eligible for a two-year grant of up to $75,000. Mid-Career Consultants are those who have at least ten and no more than fifteen years of experience in research and/or evaluation. Mid-Career Consultants are eligible for a one-year grant of up to $75,000.
Wednesday, March 10, 2010 from 3-4:30pm ET- Optional applicant web conference This is an opportunity to answer applicant questions, and is highly encouraged.
Wednesday, April 7, 2010 by 3pm ET- Brief Proposal is due
For more information, visit the RWJF New Connections website.
RWJF's Public Health Law Research (PHLR) program has released its second call for proposals (CFP) for studies that will examine the public health impacts of laws and legal practices, including innovative policy and legal approaches, and laws and regulations developed at the city or county level. The new call for proposals is available at the PHLR website.
Wednesday, April 14, 2010 - Brief Proposals is due
The California Health Care Foundation is co-sponsoring the Diabetes Design Challenge. The 2010 contest launched this morning and the submission of ideas/videos are due April 30. You can go to: http://www.diabetesmine.com/designcontest to learn more about the contest and check out some of the winning ideas from 2009. This year we are using open community voting to help us identify the top 10 finalists and then the judges will decide upon the winners of the contest. Go to the link above to check out the new video which has been updated from last year.
6. Publications of Interest
The Biology of Disadvantage: Socioeconomic Status and Health
Nancy E. Adler and Judith Stewart
University of California, San Francisco, California
How does socioeconomic status "get into the body" to affect health? A decade ago, when the MacArthur Foundation Research Network on Socioeconomic Status and Health began to answer this question, few studies directly tested the pathways and mechanisms that contribute to the gradient relationship between socioeconomic staus and health.
The scientific research presented here captures where the field stands after 10 years of intense research by the MacArthur Network and others into the mechanisms of health disparities. In addition, it illustrates the power of a multidisciplinary approach to complex social issues. Finally, it presents potential applications of the accumulated knowledge for social interventions and raises pragmatic issues that are important to consider when science is translated into policy and intervention.
Andrew D Oxman, Arild Bjørndal, Francisco Becerra-Posada, Mark Gibson, Miguel Angel Gonzalez Block, Andy Haines, Maimunah Hamid,Carmen Hooker Odom, Haichao Lei, Ben Levin, Mark W Lipsey, Julia H Littell, Hassan Mshinda, Pierre Ongolo-Zogo, Tikki Pang,Nelson Sewankambo, Francisco Songane, Haluk Soydan, Carole Torgerson, David Weisburd, Judith Whitworth, Suwit Wibulpolprasert
The Lancet, Volume 375, Issue 9712, Pages 427 - 431, 30 January 2010
Website abstract and full text [with subscription] are available online.
Trillions of dollars are invested yearly in programmes to improve health, social welfare, education, and justice (which we will refer to generally as public programmes). Yet we know little about the effects of most of these attempts to improve peoples’ lives, and what we do know is often not used to inform decisions.
We propose that governments and non-governmental organisations (NGOs) address this failure responsibly by mandating more systematic and transparent use of research evidence to assess the likely effects of public programmes before they are launched, and the better use of well designed impact evaluations after they are launched.
Journal of Hunger and Environmental Nutrition
December 2009, the released a special issue, "Food Systems and Public Health: Linkages to Achieve Healthier Diets and Healthier Communities."
This publication presents papers from the April 2009 conference of the same name, and includes policy-relevant research and actionable recommendations. The objectives of the conference were to convene a multidisciplinary team of experts interested in food systems and public health, identify research opportunities and foster interdisciplinary research collaborations. More than 100 leading researchers and practitioners nationwide from the health, nutrition, obesity and health policy arenas-along with those from the sustainable agriculture, economics and agriculture policy sectors-participated in the discussion.
The issue was co-edited by Mary Story, PhD, RD, director of Healthy Eating Research; Michael Hamm, PhD, Michigan State University; and David Wallinga, MD, Institute for Agriculture and Trade Policy.
NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy
(Volume 19, Number 4 / 2009)
Health and Social Justice
by Jennifer Prah Ruger, foreword by Amartya Sen
Oxford University Press 2010
Societies make decisions and take actions that profoundly impact the distribution of health.
Why and how should collective choices be made, and policies implemented, to address health inequalities under conditions of resource scarcity?
How should societies conceptualize and measure health disparities, and determine whether they've been adequately addressed?
Who is responsible for various aspects of this important social problem?
The author elucidates principles to guide these decisions, the evidence that should inform them, and the policies necessary to build equitable and efficient health systems world-wide. This book weaves together original insights and disparate constructs to produce a foundational new theory, the health capability paradigm. The book is available here, read the introduction here.
7. Other Resources & Opportunities
The Agency for Healthcare Research and Quality (AHRQ)
Improving Children’s Oral Health through Coordinated School Health Programs
Best Practice Approach Report
The Association of State & Territorial Dental Directors Best Practices Committee and the ASTDD School & Adolescent Oral Health Committee
Read and download the report from the ASTDD website.
- On the home page, in the “Featured Links” panel, click the Best Practices for State Oral Health Programs link.
- On the Best Practices page, click View Best Practice Approach Reports.
- Open the Coordinated School Health Programs Report.
This Best Practice Approach Report is a collaboration of the two ASTDD Committees. Both committees wish to thank the experts in the field and their agencies/organizations for submitting successful practices to share lessons learned. A Best Practice Approach Report describes a public health strategy, assesses the strength of evidence on the effectiveness of the strategy, and uses practice examples to illustrate successful and innovative implementation.
The report provides:
- A description of oral health integration for each of the eight components of the CDC’s Coordinated School Health Program Model;
- Guidelines and recommendations from authoritative sources for improving children’s oral health;
- Highlights of research evidence;
- Best practice criteria to guide programs in developing their best practices; and
- Examples of practices from 14 states offering field lessons and inspiration.
You are invited to share a one page summary of this report to share with your constituencies and colleagues. If you have any questions about this report, please email Dr. Julie Tang, ASTDD Best Practices Committee Consultant, or Dr. Lynn Mouden, ASTDD Best Practice Committee Chair. ASTDD welcomes your comments, especially in terms of how this report is useful in our own work towards improving oral health.
The Census Search for Hard to Count (HTC)Communities
This article explains how using "trusted voices" and other culturally sensitive strategies encourages immigrant and other marginalized communities to participate in the 2010 census in order to qualify for federal funding for critical programs. If these communities do not participate, they risk becoming "a permanent underclass" by continuing to be invisible, isolated and marginalized. The authors describe efforts to make sure these communities have access to opportunities such as financial literacy programs, affordable housing and entrepreneurship training.
Disparities - Gay Men and Lesbians Barred from Some Clinical Trials
Gay men and lesbians are barred from taking part in many clinical trials that deal with sexual functions and occasionally from other studies as well, researchers are reporting.
Writing in this week’s issue of The New England Journal of Medicine, the authors say the scientific rationale for the exclusions, if any, is not at all clear. “Researchers should be held to careful scientific reasons,” they add, “when they develop exclusion criteria that are based on sexual orientation.”
Reported in the Well Blog, New York Times, March 17, 2010
The Cochrane Library
New Protocols, Reviews and Updates
Issue 3, 2010
Including the following:
Flodgren G, Deane K, Dickinson HO, Kirk S, Alberti H, Beyer FR, Brown JG, Penney TL, Summerbell CD, Eccles MP. Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese people.
Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, Robertson N. Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes.
Dialogue open until March 31, 2010
In an effort to improve its ability to reach diverse audiences with the latest, evidence-based cancer information, the National Cancer Institute (NCI) recently announced an “evolution” of its flagship resource, Cancer.gov. The effort is being called an “evolution” rather than a site redesign because it is not a one-time change; rather, a process that will include meaningful and significant enhancements in phases. This effort includes an unprecedented opportunity for involvement of numerous stakeholders—advocates/advocacy organizations, NCI-designated Cancer Centers, NCI-supported programs, extramural researchers, healthcare professionals, the public, and many others.
The NCI welcomes ideas from individuals and organizations on how to improve and enhance Cancer.gov, through an online forum. Individuals are encouraged to take a look at the ideas that others have submitted because in addition to sharing your own suggestions, visitors to this site can make someone else’s good idea even better through votes and comments. The . After March 31, 2010, a new section established on Cancer.gov will provide updates on progress and program milestones for the site’s evolution. For more information on this effort, please read the NCI Cancer Bulletin article.
Laughable? Translational Research on Comedy Central
Jon Stewart and Atul Gawande discuss the challenges of implementing seemingly simple evidence-based interventions.
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