Why is circumcision required? The procedure can also be a matter of family tradition, personal hygiene or preventive health care. Surgical procedures for adults and adolescents Summary 5-1 Surgical skills required for safe circumcision 5-1 Anatomy of the penis and choice of surgical technique 5-1 Tissue handling 5-1 Haemostasis 5-2 Diathermy 5-4 Suture material 5-5 Suturing 5-5 Tying knots 5-9 Skin preparation and draping 5-10 Skin preparation with povidone iodine 5-10 Draping 5-10 Anaesthesia 5-11 Penile nerve … Avoid straddling activities. /MediaBox [0 0 595 842] 2 0 obj Circumcision is a procedure to remove the foreskin from your penis. /XObject 10 0 R /Pages 2 0 R ! /Font 20 0 R stream /Font 11 0 R Circumcision is the surgical removal of the skin covering the tip of the penis. The second type is an open method in which one has to be taken into a theatre and therefore requires sterile technique, anaesthesia, antibiotics and other pre and post operative care. Circumcision Procedure - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. How do I prepare for a circumcision? /Resources << x��}[�-Ir������=�+� I�-0X��B���ј�3�x��wE����;�*o��_��O���O����������������Ky�������:^㌏�ڽ Circumcision: procedure-specific information What is the evidence base for this information? 3 0 obj �䄃�PnU"L��_ꘀ�j\��߸I�]�#:�a\�'E>e�$��f[�lyj5>��"`,L�f�&l����?o\�籲eʒ�e\�c��r��\|���[���a�WB�Ocm�)�I姦/�Rg̘�m��9��6���坃���NԆn�{:+�? In recent years, circumcision procedures using auxiliary devices have become popular (7, 8). Circumcision is a surgical procedure in which the foreskin (also known as the prepuce) is cut from the penis. He or she will tell you what medicines to take or not take before your procedure. Circumcision has been performed on boys for several thousands of years. /Keywords (circumcision) %PDF-1.7 f the ointment ended by the doctor to the lt around the area; do Do this at each directed. Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. Circumcision Post-Procedure Instructions REV. << )�ث�k�02���נ��=�(&8ބx�x��`��p�۱EO�F%3���3`�����`@!�+��(�]��� 1. The foreskin has two main functions. 2 0 obj /ProcSet [/PDF /ImageC /Text] The foreskin has two main functions. However, the use of these devices increases the recovery time (9). /Author (c.lockwood) %���� >> << /Font 14 0 R It exposes the head of the penis. /Contents 12 0 R O�ԟwUt�"��͇�ʞ��Iu7>��+D7��$��>�1P�5�C��y,��Zԣh�q���ܿ�#Xd��k�@�q�د��w�������J�.��Q1�o �k�_����0A삃�������:'�ǤKn��9o���g�; ��=Q�8�L��H����rt{��ç�)տ|����n�Fb.E�@a�a�'��( e��~����?G�!A�~�="�F|�Z3�.7ǎ�*���35�괲l��A�����*5���p�x(?��K����G隙 ��@��N�'�i�dM�馢B�bv���pJ�7g�� ���C+rAXQR,H��\�[W&A�h+� �PVF�e7�����0r� � k� ,ZQoH�uO�6X�{RAp�\��KM ��.V�W%���rm HR A short summary of this paper. >> The procedure becomes more complicated and riskier in older babies, children, and men. outpatient procedures, thus, these rates of circumci-sion are even more likely to be underestimated. Circumcision Procedure: • This is a common procedure in which the foreskin (the skin covering the top of the penis) is removed with surgery. Some were circumcised for religious reasons and some were circumcised as it as a standard option given in the United States shortly after birth. Procedure. /R18 28 0 R You may return to your normal diet within 24 hours a fter your surgery. >> /XObject 13 0 R Activities . Circumcision Surgery: What to Expect During a circumcision, the foreskin is … /Type /Page 11 0 obj After the procedure, your baby may be fussy. Adult circumcision is a relatively simple procedure, but that doesn’t mean it is without risks. This paper. Circumcisions performed using the Gomco clamp are typically quick and easy surgical procedures which result in very little bleeding. The same detail is on this website but you may prefer to download a copy for yourself. /Contents 21 0 R I refer to this as a "tribal marking procedure." Diet . circumcision. For others, however, circumcision seems unnecessary or disfiguring. >> >> /Filter /FlateDecode Differences in circumcision rates related to demo-graphic variables are not well described. Circumcision surgical procedure in males involves either a conventional "cut and stitch" surgical procedure or use of a circumcision instrument or device. Knowledge of the exact origins of the practice of circumcision has been lost but it is an important ritual as part of some religious faiths. >> endobj It also happens to be the most common procedure performed over the last century, with roughly one sixth of the world male population having undergone circumcision. >> Thousands of new, high-quality pictures added every day. Circumcision Procedure information Uncircumcised penis Circumcised penis About circumcision Circumcision is a procedure performed in men to completely remove the foreskin, leaving the head of the penis exposed. endobj If you decide on circumcision, your baby’s doctor will do it in the hospital’s nursery. Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. In recent years, circumcision procedures using auxiliary devices have become popular (7, 8). ͕�yvy�rп����S.��0L+r��6a$y�-�r���f�lvўs�����]��M���.��4�jC�h6B�ĖwN��D��:i��%�8�G;��)C/�1ey~�S`��i�V�*��l�\����$�a�WB�Oc�[|�8I�JL!����L���F���w�K��k���8�э/���60g��3M@m�l|���̆1�L�svW�v��]_��d�W�9 endobj For infant circumcision, the baby is placed on his back and his arms and legs are strapped down to prevent movement during the procedure. �잢:d��� /Kids [4 0 R 5 0 R 6 0 R 7 0 R 8 0 R] endobj Circumcision is usually performed 1 to 10 days after birth. �efɭמW��P��W���W�j֯�nK^A���U �W$�)����p�}�L����K��V�eO��?tm�hV�YP�to����H5��)�N4��=3L���Fk�ܽ&��7oB�ZfP����L��^�4C��7!�1oTi�DIm�D�KB�2A8,_}��7��B��+�X�C�*μ�_��b���%�^p�^��MEF��8wo�5]�)��W��C�Z�m�˭f(L�(p7�>gYY�-��}#Z�:ʒ'�� ��&~�Q�����l|�s$*��[�=}aF�*r� Circumcision is a surgical procedure whereby the foreskin of the penis is surgically removed. This is shown by an international study led by researchers from Aarhus University. So here are the most common methods used by doctors. Circumcision is the surgical removal of the foreskin, which is a fold of skin that covers the tip of the penis. z0��;w'`�@d@����+����o�J�3�jK�0��`@�gJ�8J�� Procedure - do not attempt without supervision. /Resources << << >> 5 0 obj ]��ɾ��{����]�e�=T e�I���ԁ���U����Q3������!rF�_!@�M7h�,P�]��,��^a�R@s�䌷���[1�DF�F2���. • Circumcision is usually performed as a short-stay procedure under local or general anaesthetic • The entire foreskin is removed to leave the head of the penis exposed • As well as looking different, your penis will feel different after the procedure • Absorbable stitches are used which disappear after two to … /Creator (PScript5.dll Version 5.2) /Type /Pages 1 0 obj Payment is required prior to the procedure. The procedure is fairly common for newborn boys in certain parts of the world, including the United States. Some parents choose circumcision. He or she will tell you what medicines to take or not take before your procedure. Male Circumcision Male circumcision is the removal of the foreskin around the end of the penis. << /R15 23 0 R <> Circumcision has been performed on boys for several thousands of years. /Parent 2 0 R stream /Rotate 0 /MediaBox [0 0 595 842] endobj The guillotine technique is a simple, quick method for circumcision. Payment is required prior to the procedure. The foreskin is the fold of skin that covers the tip of the penis. After the procedure, your baby may be fussy. Circumcision is the surgical incision or reduction of the foreskin of the penis, performed for medical, cultural, religious or personal preference reasons. Circumcision Information Welcome to the Riley Park Maternity Clinic. endobj This technique involves excising the preputial skin circumferentially, pre- serving the glans penis after separating the adhe-sions of the coronal sulcus. << What do I need to know about a circumcision? endobj << /Contents 15 0 R Some parents do not choose circumcision. In fact, according to the American Academy of Pediatrics (AAP), the benefits of the procedure outweigh the risks. Download Full PDF Package. /Parent 2 0 R l��SP0�4�����`@i�3��̓���[��قK���X�nۂ�Q�x�� �Z�/Q'T�?C ��i�@V�:��7�j݈����M�\���@a�� �nuY�h�k�X�ˎ�a�>��H� /MediaBox [0 0 595 842] /Resources << /Contents 19 0 R We suggest clear liquids and a very light meal the first evening. There are, however, clear surgical indications of this procedure. >> However, the use of these devices increases the recovery time (9). PDF | Male circumcision is a controversial subject in surgical practice. Circumcision Procedure: • This is a common procedure in which the foreskin (the skin covering the top of the penis) is removed with surgery. 13 There has been a significant increase in US circumcision rates from 1988 to 2000, rising from 48.3% to 61.1%. Circumcision Information Welcome to the Riley Park Maternity Clinic. /ProcSet [/PDF /ImageC /Text] Your healthcare provider will tell you how to prepare for the procedure. In fact, according to the American Academy of Pediatrics (AAP), the benefits of the procedure outweigh the risks. << The foreskin is the fold of skin that covers the tip of the penis. /Type /Page I understand that circumcision is a procedure in which the foreskin (fold of skin that covers the end of the penis) is surgically removed. Knowledge of the exact origins of the practice of circumcision has been lost but it is an important ritual as part of some religious faiths. The doctor or nurse will provide instructions for how to decrease any discomfort. procedure, your son ol or daycare. It refers to a second surgical procedure performed due to unsatisfactory results with the original circumcision. %���� Your child will be restrained during the procedure. Parents who are undecided should talk with their child’s doctor before their child is born. /MediaBox [0 0 595 842] Circumcision is a procedure to remove the foreskin from your penis. 4 0 obj endobj /Producer (GNU Ghostscript 7.06) A However, for a number of reasons, including concerns about the safety of the procedure carried out by providers without any formal training, traditional male circumcision is receiving increasing attention. %PDF-1.3 The most common risks associated with adult circumcision include: This video demonstrates one method of performing a circumcision, using ring block anesthesia. >> 7 0 obj CIRCUMCISION PATIENT MANUAL FOR OLDER BOYS, ADOLESCENTS & ADULTS (INCLUDES FRENULECTOMY) The adult and older child circumcision manual linked above offers full detail on preparing for the procedure as well as post procedure care and follow-up. si�g�6>x�}�bg�ZtL?�[���t d�V�I��1+^��cn "��Qr��V��p�i7Z���0׫�oV)�e��^{%@f!���� �` =�ᣛf���B��A�����(x�y�a~hb�r��Wmv�R4�=܎:*�,�?/ԩ�3�˴ce�� ��*Z��I �'���z^@m��ٛP�Y�[L����V�h�bTN��A�T�}� ��ٳT�����f��i`�m� v�mN�&�9ō�3�R�3��xi�ʂP|#B�& ��L(J3�+���i�y���D��9Fh�f�)y�SԜc[��L��V��K��¡r *4ra��I��50�]Z����0���u�Y\ú:m d��� /Contents 17 0 R Undergoing circumcision as an infant has delayed psychological complications. There are, however, clear surgical indications of this procedure. Why is circumcision required? endobj PDF | Male circumcision is a controversial subject in surgical practice. 9nh*���^���v J�՟HSg�̋�Dl�����R`G� *�Px&;�"��P�d����[���N`&�{+T*'6�9�@��U*��8�����ښ",<>��(�l�2]��?�����≜1*�.>��|���/]�^�t�Օ��T�v�d�A��=���T�����Y�_mۑ��,J���վnV����&�Wi}������}�I&�]Gk�E�1w���t+Ϫ����F4�~�h�z�j_�[3��E�9���wĠ�y��}�5����zh:隔�Y�'�o{����{~�;�U�jϯ����r.0=��k9�?�&�H��k��r��]S�ն9v�`�=�u^�h�#�֜�-�fUQu'. Healing is quicker and complication rates are lower. If you have not been to our clinic before, please bring your newborn’s Alberta health care number. It is a bloodless procedure which does not require anaesthesia, sutures, or a sterile setting, and it can be performed well by a non-surgeon after a brief training. How do I prepare for a circumcision? /ProcSet [/PDF /Text] �%�ܻ�:�_2���e& The guillotine technique is a simple, quick method for circumcision. 37 Full PDFs related to this paper . The doctor or nurse will provide instructions for how to decrease any discomfort. /Parent 2 0 R Many men are circumcised. /Parent 2 0 R /Resources << /ProcSet [/PDF /Text] What does the foreskin do? What do I need to know about a circumcision? Circumcision is an irreversible surgical procedure that a majority of baby boys in America are forced into hours after birth. x��]Y��~�_1o� O�y��>d�p���A �X��l��XI�Y�^��̲U�?r�7��e�b��*�_m�L�m������|�js�~�}r�y��3��������|�ʼn��5YSnOo�iS���j[TY��j��������ɯ�*7Y^oO������_6eV�6oG��mn�h{Y��i�����u�dܬ:���ӾWn�Z�q��&�U����-u�����N?u`g:�ք! Circumcision: Information for Parents Parents have different opinions about newborn circumcision based on medical, religious, cultural, and ethnic traditions and personal reasons. ]G�7�s�iZ�*�1�6�ёq����}b��:��:ʰ�$]�X�L���6�26�s ;��5�F�����@Yo�l94ꙓ�H��V_6 b��[��Q��LJ�aq?j&D+6˪h�A��GPE�B�ZW�3�S���:��4����4��4`'hڨ.���:��f�ò�n��i[`���5N�@�\�x&ٷv�N�M��e��xuɠ���)z�7��ߵI�(��n:G'�����wcz_�X;*��=��D�����F#U�*bN7 !�g�� �'�D͂��"�8 ��vp� &�lc��7y�Ǵ �tiX��L��NP�)n�B�����FUA�[p�.��N��[�NU�*зt֬��`��D8��CH�\��d��v1MA�1%�l���b�)��eV���� ������S��vAaw���!�.ee���lw�v����EQ��(��. /Count 5 10 0 obj Your attention to the following instructions during your initial recovery will contribute to the success of the procedure. >> ���!ڦ���b^fi�ܤ2[�u��Pg�w�lܕ�3i�Rg�E�p�s�25����������. In the newborn period (less than 2 months of age), almost all circumcisions are done by generalist physicians using one of three surgical instruments. Healing time for a newborn’s circumcision is about 7 to 10 days. Circumcision wound site: It is normal to have some bruising and swelling around the wound site. /Title (Circumcision procedure specific information) /R13 25 0 R 4 0 obj 1 0 obj << In the newborn period (less than 2 months of age), almost all circumcisions are done by generalist physicians using one of three surgical instruments. circumcision. The baby will either have a topical anesthetic applied to the surface of the penis or have numbing agents injected into the penis or around its base. << /Font 16 0 R /R12 26 0 R This will improve gradually over the following weeks. There is no standard circumcision procedure and the issue of standards has been a rallying call for years. Circumcision is the removal of the foreskin from the human penis. Circumcision revision is an uncommon but sometimes necessary procedure. ACTIVE LEARNING TEMPLATE: Basic Concept Tyler Van Heule STUDENT NAME_ Care CONCEPT_Circumcision _ REVIEW >> << Clean the diaper area as do. One important advantage of infant male circumcision is that the procedure is simpler than that performed on older boys and men because the penis is less developed and the foreskin is thinner and less vascular. Some have challenged the AAP infants in the United States (Taddio, 2001). /R6 22 0 R Circumcision Procedure information Uncircumcised penis Circumcised penis About circumcision Circumcision is a procedure performed in men to completely remove the foreskin, leaving the head of the penis exposed. ! Upon arrival you will check in at the front desk. Circumcision after the newborn period is possible, but it's a more complex procedure.For some families, circumcision is a religious ritual. �?�ҵ��NO���4žןm��mr�C��lV�E��)���~�/�;,� z�]�^��¾D�= ;@�m� The doctor will have you sign a consent form before the procedure is done. It also happens to be the most common procedure performed over the last century, with roughly one sixth of the world male population having undergone circumcision. /Type /Page Purpose: Circumcision is one of the most prevalently performed surgeries worldwide. A endobj /Parent 2 0 R The procedure becomes more complicated and riskier in older babies, children, and men. Upon arrival you will check in at the front desk. << >> If your baby is small or has any medical problems, the circumcision may need to be done later. Topical or locally injected anesthesia is used to reduce pain and physiologic stress. 9 0 obj Male Circumcision Male circumcision is the removal of the foreskin around the end of the penis. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 16 0 R] /MediaBox[ 0 0 595.25 842] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> /Type /Page Circumcision is generally a safe procedure but there are risks of minor complications and some rare but serious complications. This technique involves excising the preputial skin circumferentially, pre- serving the glans penis after separating the adhe-sions of the coronal sulcus. View Circumsion .pdf from ENG 101 at Obra D. Tompkins High School. If you notice that the wound looks red, swollen, feels hot to touch or starts oozing either blood or pus this may be an indication that the wound has become infected. /CreationDate (7/31/2014 11:7:2) /ExtGState 9 0 R For older boys not in diapers, apply the ointment 4 times a day for 1 week. If you decide on circumcision, your baby’s doctor will do it in the hospital’s nursery. ���_���W_���V����?�՟��ӷ��_^��Ï�������o?��_���~�ӟ~����������IH������?��_�~�7���_���1�k����kNc~|�������R����x��/_�����?������_��/]��k���X����~���x��g�_�x��?�W��#]#��ai��f�8���/�]w��=x����}��O������������KP����v��׼�[�����t��O���"���N,�,���*@�o(*x�]^�A��A��;� h5�}��q�`�w����4�mE�(ZS�hV���M/{|\R���CE�)j,<>����׊_�TrY!T��~�P�}�?&��T���QѶ��]z�ׯ_��(mO��:�u#b��q��1��w�oR����j�ﭳ~��M��T������t���x����{ e9]:P�$e�|Wjk*X�b�'sӷVi���[�=�����\� /Type /Catalog Circumcision is the surgical removal of the foreskin, which is a fold of skin that covers the tip of the penis. >> /R14 24 0 R The most common risks associated with adult circumcision include: Healing time for a newborn’s circumcision is about 7 to 10 days. View Circumsion .pdf from ENG 101 at Obra D. Tompkins High School. The provider doing the circumcision procedure should know his or her limits. /Rotate 0 /Rotate 0 <> �2��G�3��jt�*0Սjs����3��&��Lu�4���7o+��, t�A��yJۙ*�\�G�X�����'�5�S2�?M.caN=|�K��Lh�G%���,��Yy��#C� YN�tfl��P2`�@��NL���Q0`��KPvt΀��l��ot This leaflet includes advice from consensus panels, the British Association of Urological Surgeons, the Department of Health and evidence-based sources; it is, therefore, a reflection of best practice in the UK. <>/Metadata 501 0 R/ViewerPreferences 502 0 R>> Performing male circumcision during the neonatal period has several advantages, including a … Newborn circumcision is reported to be the tion against transmission of human papilloma virus (HPV) most common elective surgical procedure performed on (Castellsague et al., 2002). Circumcision is an irreversible surgical procedure that a majority of baby boys in America are forced into hours after birth. /Rotate 0 If your baby is small or has any medical problems, the circumcision may need to be done later. /Rotate 0 >> /MediaBox [0 0 595 842] 13 There has been a significant increase in US circumcision rates from 1988 to 2000, rising from 48.3% to 61.1%. In the most common procedure, the foreskin is opened, adhesions are removed, and the foreskin is separated from the glans.After that, a circumcision device may be placed, and then the foreskin is cut off. 8 0 obj If you have not been to our clinic before, please bring your newborn’s Alberta health care number. circumcision_2011.pdf: File Size: 513 kb: File Type: pdf: Download File. /Font 18 0 R endobj >> 6 0 obj Please ensure that we have your correct address and phone number on file. Adult circumcision is a relatively simple procedure, but that doesn’t mean it is without risks. It exposes the head of the penis. sǭ�W�`q[�3��*N��ẅ́��_3y���h��Σ�oaW/��}������J���q�"&OmzwޫvFo�W����`�6�s>��Ɲw��C̲Gd;�)S��c'm4ǯ;^=6Dmbc��咵����Yv�;�ae�|�96�l��{�*r���V=j��D�Z��ӿd��-�� IA�{��U�ٰ���j������p��̅��� Circumcision is the removal of the foreskin from the human penis. • Circumcision is not medically required, but studies show that it lowers certain health risks. /Length 3828 A clamp or plastic ring is placed and tightened to minimize bleeding. Find circumcision stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. /Resources << Everyone on the team should work to create an environment where those doing the circumcision are supported and encouraged to seek advice or backup at any time. 12 0 obj View Circumcision care Template.pdf from NURSING RN NURS 2300 at Central Wyoming College. >> Some have challenged the AAP infants in the United States (Taddio, 2001). circumcision but do not universally recommend the procedure. View Circumcision care Template.pdf from NURSING RN NURS 2300 at Central Wyoming College. It is a common non-therapeutic procedure, which, based on the cultural and social background of people, could be performed by individuals at different levels of skill ranging from trained medical professionals to non-specialists. Please ensure that we have your correct address and phone number on file. 3 0 obj Circumcision involves the removal of the foreskin from the male penis. Topical or locally injected anesthesia is used to reduce pain and physiologic stress. circumcision but do not universally recommend the procedure. You may want to use thin mini-pads in the underwear to reduce stains. endobj ACTIVE LEARNING TEMPLATE: Basic Concept Tyler Van Heule STUDENT NAME_ Care CONCEPT_Circumcision _ REVIEW << The Gomco circumcision procedure is the most popular technique for baby circumcision in the US. endobj However, for a number of reasons, including concerns about the safety of the procedure carried out by providers without any formal training, traditional male circumcision is receiving increasing attention. It is a bloodless procedure which does not require anaesthesia, sutures, or a sterile setting, and it can be performed well by a non-surgeon after a brief training. The second type is an open method in which one has to be taken into a theatre and therefore requires sterile technique, anaesthesia, antibiotics and other pre and post operative care. /Rotate 0 The doctor will have you sign a consent form before the procedure is done. Newborn circumcision is reported to be the tion against transmission of human papilloma virus (HPV) most common elective surgical procedure performed on (Castellsague et al., 2002). This powerpoint presentation provides an introduction to the "who, why/not, how and common problems" with the procedure. Local anesthesia will be given to numb the region. The foreskin is then cut below the clamp. Performing male circumcision during the neonatal period has several advantages, including a … 1/13/2017. What does the foreskin do? Undergoing circumcision as an infant has delayed psychological complications. • Circumcision is not medically required, but studies show that it lowers certain health risks. /ProcSet [/PDF /Text] At the Western Section American Urologic meeting in 2007 Dr Sam Kunin, who practices in Los Angeles, compared and contrasted clamps and discussed what he considered should be the minimal standards for circumcision. 1. This is shown by an international study led by researchers from Aarhus University. In the most common procedure, the foreskin is opened, adhesions are removed, and the foreskin is separated from the glans.After that, a circumcision device may be placed, and then the foreskin is cut off. endobj /Type /Page Methods of Circumcision – Devices and Procedures..... 43 The Process of Circumcision..... 54 Post-Operative Care and Complications..... 59 The Science and Studies behind Male Circumcision..... 65 Glossary ..... 76 Further Reading and Sources of Information..... 79. Many parents are interested in having circumcision done for ethnic, cultural, religious or social reasons; but there is still some medical controversy about the need for the procedure on a routine basis. /ModDate (D:20170512090114) /R21 27 0 R Your healthcare provider will tell you how to prepare for the procedure. Circumcision surgical procedure in males involves either a conventional "cut and stitch" surgical procedure or use of a circumcision instrument or device. How should I care for the diapers, check for e you em. Circumcision is the removal of the foreskin, which is the sheath of skin covering the head of the penis. Day for 1 week little bleeding, 2001 ) tell you circumcision procedure pdf to prepare for the removal of the around. Technique involves excising the preputial skin circumferentially, pre- serving the glans penis after separating the adhe-sions of penis... Circumcision procedures using auxiliary devices have become popular ( 7, 8 ) about... 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