Welcome to Arizona Anesthesia for Dentistry. Arizona State Board of Dental Examiners: Arkansas: The first reporting period will begin January 1, 1994 and end December 31, 1995. . Restricted Permit Holders - Dental. Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Check or money order made payable to the Dental Board of California. %PDF-1.6 % Coursework may be completed online if the course requires a physical demonstration of skills. In Maricopa County, go to this website and search for the name of your health care provider and their business name. 5. If you have an existing BreEZe account but do not know your username or password, you can follow the Forgot Password?, or Forgot Username? It issues anesthesia permits to dentists who have special training and wish to use general anesthesia or conscious sedation in their offices. During the meeting, one board member, Angela Fountain, primarily discussed the cases involving Richmond. case until the patient is in monitored recovery or meets the guidelines for VERIFICATION OF A NON-ARIZONA DENTAL LICENSE - Download, save, print, sign and date and forward to all other jurisdictions/States for verification of licensure. If you practice dentistry in Arizona, AzDA should be part of your career. Title 32, Chapter 15. Non-refundable application fee of $524.00. Also, its important to ask for any past meeting minutes or meeting recordings that involve the health care provider your researching. Evaluation Failure. (CCR, tit. ), As a condition of renewal, a licensee who holds a GA permit with a Pediatric Endorsement must provide proof of current certification in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) or other Board-approved training in pediatric life support and airway management. affidavit verifying compliance with subsection (D)(2)(a). North Dakota Board of Dental Examiners: If the operating dentist is the permitted anesthesia provider, then both of the following shall apply: The operating dentist and at least one of the additional personnel shall maintain current certification in Pediatric Advanced Life Support (PALS) or other board-approved training in pediatric life support and airway management, adopted pursuant to [BPC] Section 1601.8. That being said, the key terms areonline, self-study, virtual, liveandin-personcourses. How did these deaths occur and what actions have state health boards taken? That being said, virtual courses, much like when the Board is conducting their board meetings virtually doesnotmean that the meeting isn't live; it most certainly is. (ag). Once the Board processes your renewal application, Board staff will send you your license via regular U.S. Mail. Dentist Dental Hygienist Denturist Any. (n), 1043.8. 1. oxygenation, ventilation, and circulation are stable: J. includes: a. The data can be used for primary source verification of an Arizona license. However, records indicate that no one called 911 until 11 minutes after the medical crisis began. Become a Board-Approved Dental Assisting Educational Program or Course Dental Board of California Loan Repayment Program Applicant Name Change Applicant Address Change Orthodontic Assistant (OA) and Dental Sedation Assistant (DSA) Permit Licensees Death or Incapacity to Practice Notice of Licensure Requirement Licensee Name Change Then you can schedule our services immediately. ABC15 has done extensive reporting on similar issues in the past. Motion APPROVED unanimously. The second fee is what's called an examination fee, which isdependent on the profession applying for and is paid as part of your application fee(s). as specified in subsection (E) by reviewing the records generated for the is true, and that the dentist has read and complied with the Board's statutes The dentist may renew a Section 1302 permit Permit every five years by complying with R4-11-1307. 3277 0 obj <> endobj The receipt of any renewal application on 7/1 or thereafter, during the licensee's respective year, will also incur a late fee in addition to the renewal application fee. Notices for all Board/Committee Meetings Meetings are posted at 1740 West Adams Street, Phoenix, AZ 85007. On January 1, 2022, Senate Bill (SB) 501 (Glazer, Chapter 929, Statutes of 2018) will go into effect and impact General Anesthesia (GA), Medical General Anesthesia (MGA), Conscious Sedation (CS), and Oral Conscious Sedation (OCS) for Minors permit holders in California. oxygen; vi. Dentist Specialty. (B)(2)(b). 3. (BPC, . Pourshirazi is currently tangled in an ongoing battle with Arizonas Board of Dental Examiners, which is attempting to pull his license. The second fee is what's called an examination fee, which isdependent on the profession applying for and is paid as part of your application fee(s). The NEW triennial renewal fee for a dentist is $510.00, a hygienist is $255.00 and a denturist is $233.00. The requirements for a permit to administer deep sedation and general anesthesia to a dental patient aged 7 years and older include: A completed Application for General Anesthesia Permit (GAP-1) form. Submit a completed Permit holders are required to retain for certificates of course completions for at least three renewal periods. Inspector Report for Moderate Sedation. . failed evaluation. The examination consists of 50 multiple choice questions and because it is given online it is considered to be an "open book" test. However, it's not just self-study hours that are limited. Per Statute ARS 32-1207, the Arizona Dental Boardestablished new Continuing Education requirements in rulemaking which can be found under AZ Rules R4-11- (1202 to 1209). resuscitation healthcare provider level; 3. holder may be waived by the Board staff upon receipt in the Board office of an Amended by final rulemaking at 19 A.A.R. These changes were initiated to align Kentucky with the American Dental Association's updated Guidelines for the Use of Sedation and General Anesthesia by Dentists as well as the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students. 16, 1043.1, subs. Members or Board designees not less than 60 days from the failed evaluation. A Section 1301 Permit holder may also administer parenteral sedation. Dental Association Commission on Dental Accreditation; 2. affidavit verifying: a. The Board also waived the in-person CE requirement through December 2021. prompts. SB 501 enacted new grounds for unprofessional conduct for (BPC, 1682): SB 501 also enacted new patient monitoring requirements for the administration of deep sedation and general anesthesia to patients under 13 years of age, as follows (BPC, 1646.1, subd. in this state; 4. the following: a. ARIZONA REVISED STATUTES Article 1 - Dental Board 32-1201 Definitions 32-1201.01 Definition of unprofessional conduct 32-1202 Scope of practice; practice of dentistry . You must also affirm that you attended the minimum hours of recognized continuing education. On or before the last day of the licensee's birth month every third year, every licensed dentist shall submit to the board a complete renewal application and pay a license renewal fee. Click Here, , Senate Bill (SB) 501 (Glazer, Chapter 929, Statutes of 2018), (Business and Professions Code (BPC), , Business and Professions Code Section 1680(z), Business and Professions Code Section 1682, Application for General Anesthesia Permit (GAP-1), Courtesy Application for Pediatric Endorsement for General Anesthesia Permit, Documentation of Deep Sedation and General Anesthesia or Moderate Sedation Cases for Pediatric Endorsement (PE-1). Business Name: DISCLAIMER: The Arizona State Board of Dental Examiners presents this information as a service to the public. As you know, the Board's renewal fees have been free or reduced by 60% for the past five years due to a large fund balance. 4. Search for a Dental Professional by name or license number: Name Search . On your respectiverenewal application, please select one of the boxes regarding your continuing education (CE)and proceed to complete the CE affidavit. The Board is not liable for errors or for any damages resulting from the use of the information contained herein. Less than a year later, Ralph Chapman died. 1885, effective One dentist who is a Board member or Board STATEMENT OF CITIZENSHIP FORM - Online submission, OR, STATEMENT OF CITIZENSHIP FORM - Download and save in order to attach to the Initial Application, UNIVERSAL LICENSING AFFIDAVIT- Download and save in order to sign and attach to the Initial Application, if necessary. Dentists who hold an existing permit are still able to practice under the terms of that permit until it expires, at which point they will need to apply for one of the new . Amended by final rulemaking at 9 A.A.R. A nurse faces lawsuits after two people died during dental procedures, one of which included a fire inside a patient's mouth. hbbd```b``c"_"I=09L IK$[=@m l|3+ b A list of all medications given, with Anesthesia Permits Anesthesia Permits Anesthesia Rules and Education Requirements Please review the following information carefully before submitting your anesthesia permit application. $ 7,625.00 - $ 8,425.00. complying with In advance of this report, Fountain sent ABC15 the following written response about her comments at the board hearing. He did not have the required 1304 anesthesia permit, which allows dental officers to perform sedation procedures, records show. A Certified Registered Nurse Anesthetist ), General Anesthesia means a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. (d)): The GA permit is renewed biennially, and the renewal fee is $325.00. nasopharyngeal airways; xiii. Of the 42 states that allow dental hygienists to administer local anesthesia, most require the successful completion of a state board-approved continuing education course or competency training via a Commission on Dental Accreditation (CODA)-recognized dental hygiene program. Licensees are now required to renew their license on or before their birthday every three years. or automated external defibrillator; v. Positive pressure oxygen and supplemental It's just provided in a virtual format. Alison Christensen, D.D.S. The completed Application for General Anesthesia Permit (GAP-1) form, documentation, and non-refundable application fee can be submitted by mail to: Dental Board of California 2005 Evergreen St., Suite 1550 Sacramento, CA 95815 Applying for a Pediatric Endorsement The Board is working expeditiously to adopt regulations and reconfigure the online application and renewal system to implement SB 501. R4-11-1306. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one. 16, 1017.1, subs. ), Documentation of completion of a Commission on Dental Accreditation program which provides competency in the administration of deep sedation or general anesthesia on pediatric patients. The top 20+ arizona dental board continuing education requirements. 32-1207(A)(3). DON'T -Claim more hours of self-study than allowed on your affidavit, which has already been tailored to the allowable limit; DON'T -Throw away your documentation of attendance. R4-11-1306 manage one emergency; d. Category 2 Where applicable, most of the documentation can be attached to the online application. During the 2021 Legislative session,Senate Bill 1013passed and was signed by the Governor with an effective date of 1/1/2022. First, and foremost, I have the most sincere sympathy towards any family who has lost a loved one in any healthcare involved incident. STATEMENT OF CITIZENSHIP- online submission, Triennial Renewal Fee - **CHANGING January 1, 2023**. cardiac life support from the American Heart Association or another agency that Blood Again, any time there are negative outcomes with a patient, I hold the most sincere sympathies for the patient, their familyand all involved.. Livecourses donotmean in-person. The Verification of a Non-Arizona Dental License form is available for individuals to send to another jurisdiction in which the applicant currently holds, has held or applied for a dental license. If you do not have a BreEZe account, you can register as a new user to create an account. 0; . ), GA permit holders will complete a self-certification of completion of the required continuing education courses at the time of renewal. renewal of membership in, or disciplinary action by a dental organization; The operating dentist and at least two additional personnel shall be present throughout the procedure involving deep sedation or general anesthesia. 16, 1021, subs. A copy Current through Register Vol. the applicant's commanding officer; and. (BPC, 1646.4.) related academic subjects, beyond the undergraduate dental school level in a Permit L Application to Administer Local Anesthesia (PDF 123.19 KB) Permit L Application to Administer Local Anesthesia (DOC 71.5 KB) Contact Board of Registration in Dentistry + Contact Board of Registration in Dentistry Phone (800) 414-0168 (617) 973-0971 Online 0 the permit application; b. Search for Individuals or change to : Business. b. Pediatric advanced life support in a practice treating pediatric patients; The Board's 'Application' page, application instructions document and the application itself includes detailed information about the application process, including references to fee waivers and military spouses, active duty service members and veterans. coursework within the two years prior to submitting the permit application in Forms. Pending, dismissed and terminated complaints are not available to the public. if a Section 1301 Permit holder travels to dental offices or dental clinics to Please note: MOST categories have minimums, FEW, IF ANY, havemaximums; DO -Pay special attention to the self-study section of your affidavit and enter the number of self-study hours completed even if the number is zero (0). After its full investigation and public hearing, the Arizona State Board of Nursing concluded that Dr. Richmond did not commit any unprofessional conduct. In Arizona, some board actions are not required to be posted online. Thank you.. On October 25, 2019, Stemmons underwent a procedure to have her teeth pulled so she could get dentures. APPLICATIONS FOR MODERATE SEDATION PERMIT . Anesthesia Credentials Committee - Meeting Minutes - FINAL July 23, 2020 (Approved: 10/22/2020) Meeting Minutes Document: acc_minutes . (CCR, tit. Before applying for a permit for sedation or anesthesia, it is imperative for you to thoroughly review Section 7.0 of the Rules and Regulations of the Delaware Board of Dentistry and Dental Hygiene. suction device; vii. Dental Hygienist application fees will be reduced to $100.00. Applicants who have passed a mannequin-based exam and meet the other requirements for licensure in Alaska are encouraged to submit initial application to the division for processing. From the issuance of your permit, your first permit will expire on the last day of your birth month, in the first odd or even year corresponding with your birth year. Application Forms Application for Licensure - Dental Hygienist Application for Licensure - Dental Specialist Unit. Stemmons, who was 71, never regained consciousness and died from a lack of oxygen to the brain 10 days after the procedure. requirements and successfully completes the onsite evaluation, a Section 1301 requirements of subsections (B)(2) and (3), and Through an attorney, Richmond declined to comment on the lawsuits. Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. But job well done. Individuals who provide dental services include dentists, dental therapists, dental hygienists, dental assistants, denturists and dental business entities. each General Anesthesia and Deep Sedation procedure that includes the following R4-11-1306(B)(1)(a) Endotracheal tubes and appropriate These updated requirements can be found below. (b).) G. The Section 1301 Permit Deep sedation means a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. Listed on 2023-03-01. At least 3 credit hours in ethics or Arizona dental jurisprudence. A Section 1301 mobile permit may be issued We offer an Arizona State Board of Dental Examiners approved advanced airway managementcourse, which satisfies the continuing education portion for this permit. Arizona State Board of Dental Examiners 1740 West Adams Street, Suite 2470 Phoenix, Arizona 85007 In addition to the Initial License Application, below are other documents that are useful in your application submission and may also be required as part of your initial application submission. Anesthesiology and is credentialed with anesthesia privileges through an and personnel as specified in subsection (B)(2); b. Registered dental assistants and dental hygienists holding a permit for Dental Anesthesia Assistant or Restorative Functions must include two hours related to the permit. The Arizona State Board of Dental Examiners presents this information as a service to the public. Substances; e. Proper recordkeeping Pre-operative and post-operative Administration of Dental Anesthesia and Consious Sedation. Arizona $45.00 Add to cart arizona-course 1039 Arizona Ethics and Dental Jurisprudence - 3 Hours Dental CE, State Mandated Courses, Unlimited Dental CE Arizona $30.00 Add to cart arizona-course 1035 Opioids in Dental Practice (Prescribing Controlled Substances) - 3 Hours Dental CE, Opioid, Pain Mangement, Unlimited Dental CE Governor Doug Ducey is calling on Arizona's dental board to immediately suspend or revoke the license of a dentist recently arrested for the falsification of his anesthesia credentials. The fee for renewal is $100. The dentist's dated and signed affidavit stating that the information provided The increase will take effect January 1, 2023 and will affect any and all licensees whose birth month is January or thereafter - regardless ofwhen you submit your renewal application. In regards to the case with the laser, job well done as far as Im concerned, she said. or. Other documents like, other jurisdictional license verifications, transcripts, exam scores, etc. Per Statute ARS 32-1207, the Arizona Dental Board established new Continuing Education requirements in rulemaking which can be found under AZ Rules R4-11- (1202 to 1209). The completed Application for General Anesthesia Permit (GAP-1) form, documentation, and non-refundable application fee can be submitted by mail to: Dental Board of California (c)(3).) An example is failure to recognize and manage an anesthetic Denial of membership in, denial of The limitations for each profession are listed below and are applied to any combination of CE courses as listed in A.A.C. Please visit the Board's 'Application' page for resources, information and to submit an online application. R4-11-1209(A)(4). Additionally, Senate Bill 1240 passed in the 2022 Legislative session to "clean-up" SB1013 by amending the language once again from birthday to birth month. For insurance credentialing or to verify a license - all information is from the database of the Arizona Board of Dental Examinersas of the date and time of the last update. connectors; x. Oropharyngeal and including endotracheal, tonsillar, or pharyngeal and emergency backup medical 1. evaluation by the Board during which the applicant shall administer General Self-study is defined in the Board's rules underA.A.C. Contact ABC15 Investigator Dave Biscobing at Dave@ABC15.com. APPLICATIONS FOR MODERATE SEDATION PERMIT . in place and in appropriate condition at the dental office or dental clinic Pursuant to section 41-1093.01, Arizona Revised Statutes, an agency shall limit all occupational regulations to regulations that are demonstrated to be necessary to specifically fulfill a public health, safety or welfare concern. dosage and time intervals, and route and site of administration; 5. by the Board. Anesthesia Rules Educational Requirements for Anesthesia Permits Nitrous Oxide Minimal Sedation Moderate Sedation Deep Sedation General Anesthesia Once complete with the license application, including your e-signature, your application, along with any supporting documents you may have attached will be emailed directly to Board staff. Portraying alleged facts in a false light, simply to create a story, would be wrong, both ethically and legally.. Except for the number of credit hours required, comply with the requirements in R4-11-1202; and, When applying for renewal under A.R.S. Indicate nothing by mouth Business and Professions Code Section 1682, California Code of Regulations (CCR), Title 16, Division 10, Chapter 2, Article 5 (commencing with Section 1043). Applications received or postmarked after the expiration date are required to pay the late penalty fee of $100. E. A Our rate includes everything needed to provide anesthesia in your office. hb```@ 90PnfmY=@{l10h`m8b` h22Xf?6 uq1e8"+!rA4T7\1L~`SaVAf'c SXgTs b1+2U3duq6pghX_k{4YK K1;79KxU7oQTdp^Nf.pyZjEt13r+z:u Sedation shall hold a current course completion confirmation in cardiopulmonary R4-11-1307. 580, effective February 4, 1999 (Supp. That doesnt have to be all on you.. Applying for a Mobile Dental Permit. The evaluation team shall recommend one of Please take notice that refusal to submit to an inspection shall result in automatic denial or revocation of the GA permit. and supplies for the provision of anesthesia or Deep Sedation as required in Non-refundable application fee of $524.00. Chapmans wife and her attorneys declined to comment on the case. Unfortunately, this information is not available on the Arizona Dental Board's website. On July 6, ABC15 revealed that Dr. Pankaj Goyal is accused of using a series of fake degrees, forged signatures, and false documents to obtain a 1301 General Anesthesia Permit from the dental board. b. 28 B. To verify a license, select Individual or Business, enter search criteria and click Search to see the results. Cardiac defibrillator At least 3 credit hours in opioid education. Non-refundable application fee of $532.00. (CCR, tit. To obtain or renew a Section 1301 Permit, To request an Application for General Anesthesia Permit for a dentist licensed by the Dental Board of California, or physician and surgeon licensed by the Medical Board of California, please send a request by email to AU.Program@dca.ca.gov. I was advised that you intend to air your report this evening. The public has to call and request any addition records that are considered public. Dental hygienist: 18 credit hours of which no less than three credit hours shall be for cardiopulmonary resuscitation-healthcare provider level. (Supp. capable of handling procedures, complications, and emergency incidents. sedation until termination of the anesthesia or sedation procedure and First Name: Last Name: . No more than 11 credit hours in one or more of the following areas: Dental hygiene practice organization management, patient management skills, and methods of health care delivery. Denturist: 6 credit hours of which no less than three credit hours shall be for cardiopulmonary resuscitation-healthcare provider level. 16, 1021, subs. 16, 1017, subs. Office Inspection Only - for dentists that contract anesthesia administration out to non-dentists. (c)(2). patient. of the following conditions by submitting to the Board verification of meeting These directories will allow you to verify a license and check for any posted discipline. Appreciate that. applicant such as: ii. You can apply here for dental office or practice location permits. The Board relies upon information provided by licensees to be true and correct, as required by statute. General information about the and Maxillofacial Surgeons or eligible for examination by the American Board of At least 3 credit hours in infectious diseases or infectious disease control. Pleasedo notuse any link above to complete yourrenewal application. Arizona Dental Assistant Requirements Each state has different requirements for dental assistants. The evidence against Goyal was. Maintain a of the General Anesthesia or Deep Sedation permit in effect in another state or At least 25 credit hours in any one or more of the following areas: Dental and medical health, and dental hygiene services, periodontal disease, care of implants, maintenance of cosmetic restorations and sealants, radiology safety and techniques, managing medical emergencies, pain management, dental recordkeeping, dental public health, and new concepts in dental hygiene. provided by the Board, provide a dated and signed affidavit attesting that any Amended by final rulemaking at example is failure to recognize and manage more than one emergency; 2. responses by the applicant to oral examination questions from the evaluation holder shall not commence with the administration of a subsequent anesthetic Letters of Concern are not available on thewebsite, but are available uponwritten request for five years. Fountain opened her comments about the boards finding by expressing sympathy for Richmond. Please follow the below DOs and DON'Ts of continuing education: DO -Review the Board's rules or your respective affidavit on your CE requirements; DO -Claim only the credit hours taken during the 36 months prior to your birthday of 2022; DO -Enter the number of hours completed for each category on your affidavit. However, Arizonas Board of Nursing essentially cleared Richmond of any wrongdoing and only filed a generic letter of concern that isnt easily accessible to the public. The. Successful completion A Valley dentist, who has an official anesthesia permit from the Arizona Dental Board, obtained the certification with a series of false, forged and fabricated documents, according to multiple . endstream endobj startxref ABOUT DR. KHAN; VIDEO; TESTIMONIALS; ONLINE FORMS; . Per the Arizona State Board of Dental Examiners, dentists require a permit to be able to offer anesthesia services in their office. Anesthesia or Deep Sedation to a patient by the applicant in the presence of The applicant must submit a completed Update Sept. 8, 2022: Dentists can now apply for the new general anesthesia/deep sedation, moderate sedation and pediatric minimal sedation permits through the Dental Board of California's online licensing system BrEZe. and, vii. A licensee's license expires 30 days after the licensee's birth month every third year. of a Dental Anesthesiologist providing services to your office is that your office is NOT required to obtain a 1304 permit mandated by the Arizona Dental Board. The way the facts have been aired so far, however, is staggeringly distorted, at least as I have seen them. License Requirements for Dentist, Anesthesia/Sedation Permit, Faculty License-Limited, Resident License-Limited Chapter 18-32 RCW Chapter 246-817 WAC Dentist License requirements Anesthesia/Sedation Permits Permit Requirements Faculty License - Limited License Requirements Resident License - Limited License Requirements %%EOF I am concerned that it may not be fair, balanced and informed. Listing for: Gila River Health Care. 4. As a board member my primary job is to protect the public. Jump To: Dentists Requiements Hygienists Requiements Retired RequiementsJoin AzDA Dentist CE requirements in Arizona? subsection (B)(2)(a) either travel with the Section 1301 Permit holder or are 0 ; Arizona. Meeting Materials: Dental Professionals with anexpiration date of 6/30/2021,butwhose record still hasa license status of Active, CE Request, CE Extension, Renewal in Process or Disclosure is active and may continue to practice pending the review of their renewal application by the Board or its designated authority. If your license has already expired, then you may be reinstated by submitting a complete application within the 24-month period immediately following the expiration of your license with completion of the statutorily required CE, payment of the renewal fee and a $100 penalty fee. jurisprudence examination coversthe Arizona Revised Statutes (Laws) and Arizona Administrative Code (Rules) governing dentists, dental hygienists, dental assistants and denturists. An Arizona nurse anesthetist is facing multiple lawsuits after two of his patients died in separate dental procedures within a year. This page, Dental Licenses, is offered by. Self-studymeans that you are the one dictating the speed at which you are learningthe material, and therefore, can finish the course on your terms and not the instructor's. A. (BPC, 1646.2, subd. Call Board of Registration in Dentistry at . We encourage you to sign up to the Subscriber List, to receive updates by email at Join or Leave our Email List - Dental Board of California. 3. Updated 2022. Here are some key ways the public can verify licenses and check for any disciplinary issues and lawsuits. or time of last intake of food or water; 8. Do you currently have a 1301, 1302, or 1303 permit? 99-1). The ability to independently maintain ventilatory function may be impaired. Last Name: First Name: City: State: . Upon information and belief, Defendant Richmond and Defendant Pourshirazi delayed in calling 911 because they did not want to draw attention to the fact that they were administering in-office sedation without proper license and outside their legal scope of practice and hoped that they could successfully care for Mrs. Stemmons without having to involve EMS or other providers, Rushings lawsuit alleges.
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