Autism Therapy: sister

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Educational Sciences: Theory & Practice, by Aksoy, AB, and Yildririm Bercin G., published in 2008, summarized Feb 17, 2010

Family therapy may help siblings of children with autism to have a better attitude toward their sibling.

Healthy children (228 children 10 to 17 years old) were asked about their attitudes toward children with disabilities, including their own brother or sister. This study was performed in Turkey. Disabilities included autism, learning disability, mental retardation, cerebral palsy, motor retardation, and Down syndrome. The authors said that healthy children had a more positive attitude toward their own brother or sister than toward other children with disabilities. Healthy children have more negative attitudes toward their siblings when they have lower abilities. The authors think that educating siblings of disabled children may help the family develop more positive relationships.


J Autism Dev Disord, by Knott, F., Lewis C., and Williams T., published in 2007, summarized Dec 7, 2007

Brothers and sisters will naturally teach social skills to children with autism.

This study looked at 16 children with autism or Down syndrome to see if their siblings helped them to learn social skills. They studied the children for 12 months. The authors found that the neurotypical (non-autistic) siblings controlled (stage managed) the social aspect of the relationship. They found that children with Down syndrome were more likely to copy the neurotypical sibling than were children with autism. The children with autism did learn, however, to copy their siblings and play with their siblings.


Clinical Care Studies, by Stewart, KK, Carr JE, and LeBlanc LA, published in 2007, summarized Aug 7, 2007

Children with Asperger's Disorder often have so many problems with social skills that it is hard for a single therapist to make progress on all of the issues. One way to get around this is to train the family to provide social skill therapy. This paper reports a case study of a mother and sister working with a boy with Asperger's to teach him social skills. The therapy was a little harder because the mother was blind. The authors suggest that the training process may have been more fun for the sister if it had involved movies. The boy was able to gain social skills as measured during therapy and three months after the end of therapy.


Harv Rev Psychiatry, by Schuntermann, P., published in 2007, summarized Jul 9, 2007

Parents of children with autism need to remember that brothers and sisters may need therapy to help them cope with having autism in the family.

Psychologists have a way of testing to see whether there are "??sibling relationship problems" within a family. Psychologists can also test to see in what ways brothers and sisters learn from and adapt to a child who is different. This paper reviews research on the brothers and sisters of children with autism. The author notes that often siblings are not included in therapy sessions. The author suggests that brothers and sisters should receive therapy if they are having trouble with being the sibling of a child with autism.


OpenMind Alliance, in Ontario, is focused on improving literacy skills for children and adults with autism. Sue Co became frustrated at her son’s school for their lack of faith in the possiblities of teaching a child with autism to read. She discovered through trial and error that her son was an auditory learner and began teaching him to read by sounding out letters and words aloud. To give more people with autism the same advantages, Co added an education degree to her accomplishments and convinced her sister to help her run the business end of a literacy center. Co says, “Once they learn to read, they can read to learn.”

Read original article: School Keeps an Open Mind for the Autistic


Shannon Des Roches Rosa bought a $5 raffle ticket that resulted in a new iPad for Leo, her son with autism. Leo had tried the iPod Touch, but his motor skills make the iPad much easier for him to use. His mom says it’s sturdy and can handle Leo’s touching, swiping, and tapping. Leo has already mastered more detailed drawings. He enjoys apps such as the spelling programs, First Words, and IwriteWords. One program the entire family has used to help Leo is Stories2Learn. Shannon says, “Our entire family had a great time putting together the photos, captions, and voiceover for this social story about Leo visiting a local cafe – the process was so easy, and fast, and Leo loves the story so much I had to have his sister demo it, as Leo likes the voiceovers to repeat several times.” Shannon shares with readers other iPad applications and augmentative and alternative communication (AAC) apps she’s found that help children with autism.

Read original article: The iPad: A Near-Miracle for My Son with Autism


Michala Riggle of Kentucky may only be 12, but she has raised awareness for an alternative treatment that has helped her little brother's autism. Along with awareness of glutathione, she has raised funds - nearly $300,000 - making beaded bracelets and getting donations. Kosair Children's Hospital is now studying the use of glutathione - "a tri-peptide of amino acids that help detoxify our body." The study uses glutathione for some children and a placebo for others. One mother, who does not know whether her child is on the glutathione or a placebo says that her child is no longer in a stroller, but walking and holding her hand.

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The Perk Center Cafe in Glenview Illinois offers people with autism and other developmental disabilities the chance to earn a living. The Cafe resides just inside the door of the Glenview Park Center and was the brain child of Jacob Metrick, whose older sister has autism. Jacob convinced his mom, Gail, to partner with him. Gail explains that jobs at the Cafe are a way for people transitioning from school to the workplace. The workers are paid minimum wage while they learn life and basic job skills. "She's diversifying," Susan Schneider said as she watched [her daughter] Julie stack a new supply of coffee cups. "The more skills she learns, the more capable she'll be to go into a volunteer position or possibly paid employment down the road." 

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A magical vacation...

Aug 20, 2009 by Anonymous

Okay. Here goes.
We had a wonderful vacation. I can only say that now, a few days later, after I’ve been given time to ponder and reflect. I wrote a blog on the airplane home, but after reading it now a few days later, I think it was a little harsh so I’m doing a re-write. I liken it to childbirth. After the baby is out and you’re thrilled to be a parent, you don’t really remember the agony of it all. You even start thinking about when you’ll have another one.
To be honest, most of the trip was exhausting to us. We learned a lot, which is a good thing. We’ll do things a bit differently next time, whenever that turns out to be. We think the kids had a great time; at least they’re saying that they did now. They were not very well-behaved for a large portion of the vacation. In fact, Donald Duck himself had to break up a fight between Thomas and Hayley at Chef Mickey’s at the Contemporary Resort. We were suitably mortified, I can assure you. We were, needless to say, disappointed in the kids and their behavior. We had hoped that they would be magically wonderful, since every Disney employee we ran into wished us a “magical” day. Even when I called the front desk for extra towels, I was wished a “magical” evening. I should have asked for “magical” towels.
There were two main pieces of advice that we received prior to our vacation that we should not have taken as gospel truth. The first was that autistic children can improve dramatically (magically!) while at Disney World. I really thought that this would happen for Thomas, since he is one of those kids who requires more stimulation than other kids. And Disney World is sensory overload extraordinaire. I’ll just say that Thomas has never acted more autistic in his life. I was quite disappointed. I’m not saying that I thought we’d spend ten days (too long, by the way, but more on that later) in Disney World and come home with a cured boy, but I at least thought that he might be better while on vacation. He was worse. And his badness rubbed off on his sister. Hayley copped an attitude most of the time which I’m sure has nothing to do with the fact that every Disney employee who crossed her path called her “princess.” I was called princess a couple times, but I know I’m not a princess. Trust me, I know. For Hayley, the jury in her brain is still out.
The second thing that we were told to do over and over again by everybody we talked to was to take a break in the middle of the day. Go back to the room, go swimming, take a nap, have a snack, re-charge the old batteries and then go back to the parks in the evening, fresh as daisies. Here’s what happened to us: We got on the bus to go back to the hotel, and during the bus ride the kids fell asleep. We made the trek back to the hotel room where the kids, having rested quite enough on the bus, would be bouncing off the walls just as Jonathan and I wanted to curl up and take a nap. Ha! So we maybe would take them swimming or watch cartoons for a while and then head out again. So this way, the kids were great for the rest of the day but Jonathan and I were completely frazzled and every little thing the kids did wrong set us off. The grown-ups were the cranky ones by day’s end. So some of the best days we had were ones where we went all day long, taking for our “break” a sit-down meal for lunch.
Despite our “go all day long” routine, I managed to pack on twelve pounds! Yes, despite walking around in the hot and humid Florida sun, sometimes toting a child on my back, I managed to gain several pounds over the course of the ten days. I can sum it up in two words: brownie sundaes. We did the basic Disney Dining plan which included one snack, one “quick-service” (fast food) meal and one sit-down table-service meal per person per day. Both the quick-service and the sit-down meal included a dessert for adults. Well, what are you supposed to do but order the dessert and scarf it down? We’d already paid for it! Next time, we think we’ll skip the dining plan, although it was very nice not to have to budget for food which can be a very inexact science. The food was all paid for before we left so that any extra money we brought could be used for incidentals and suchlike. We actually spent very little cash because we didn’t have to pay for food while we were there.
Again, in hindsight, it was a wonderful vacation but not without its ups and downs. We thought the kids would be better than they were. At the end of the trip, we decided that the kids were still a little too young to truly appreciate what they were enjoying. I don’t mean that we expected them to sit us down, look us in the eyes and say, “Mom, Dad, we know just how great an undertaking this has been for you, we understand the cost involved and we truly appreciate everything you’re doing for us. We will always treasure this time with you in our memories.” I don’t think I’ve even said that to my own parents now, who took us all to Disney World when I was in eighth grade. I can say that I have a huge appreciation for them having done it, and I understand what kind of planning and budgeting went into it.
Also, as I hinted at before, ten days was just straight-up too long. Next time, we’ll stay for maybe a week and get better accommodations. The All-Star Movies Resort was fine, but it was clear that it was Disney’s version of the nosebleed section given its proximity to the parks and the clientele. It was rather noisy and we dealt with rude people a lot. Really, at Disney in general, it’s every family for themselves, and those who realize this sooner rather than later will have a better time in general. Jonathan and I, being pushovers, care about other people’s feelings and were shocked at some of the rudeness we witnessed.
So next time – this hypothetical “next time” – we’d stay for shorter in a better hotel, rent a car so that we weren’t constantly at the mercy of the Disney Bus System and ditch the dining plan so that we could eat (less) outside the World and probably spend less. Everything at Disney is so expensive! I read that Disney will ride a money horse until it drops and boy, was that ever true! Plus, if you do the Dining Plan, Disney’s got you – all your money and you’re never leaving the parks until they shuffle you onto the bus to the airport and drop-kick your luggage to its final destination, and they don’t really care where that might happen to be. Our bags did show up, but somewhat smashed.
So that was our trip. If you have any questions, let me know. Now, we gear up for school! Hayley had her kindergarten assessment with Mrs. H. yesterday and she did a swell job! Pre-school really paid off in that respect. After her little interview, we went and visited Thomas’ new classroom and saw his teacher again. After seeing his teacher and class again, Thomas is much more…okay…with going to first grade. Plus, I told him that I’d make him cold pizza to eat for lunch. So that was great! I feel like he’ll be okay now and that he understands he’ll be at school all day and eat lunch with his friends. He’ll get a recess which will really help him out and Mrs. H. said that he will have sensory breaks in her classroom a couple of times per day or as needed. Thomas was pleased to hear that. When we were in his new classroom, he noticed many similarities between his kindergarten room and the first grade room which made him very happy. There was a chart on the wall for the weather, lots of numbers to count the days and the old “green-yellow-red light” cards on the wall to track everyone’s behavior.
As we walked home from school, I asked him again how he felt about it. I said, “So how do you feel about first grade now? Do you think you’ll like it?” He replied, “I think it’ll be great!” I really, REALLY hope he means it! School starts next Wednesday.
I can’t wait, for my own sake. It’s been one hell of a rough summer.


The long and winding road

Jul 4, 2009 by Anonymous

Conor is the name of my beautiful green-eyed boy who last year was formally diagnosed with autism spectrum disorder. We had been told by a teacher at his daycare that she felt he needed to be evaluated. We took him to our local school district and they agreed that he had "developmental delays." It wasn't until January of last year that his speech therapist actually uttered the word "autism" in assocation with Conor and that was the most devastating word we had probably evere heard. However, whatever we started to read about autism didn't seem to fit him completely. Conor is a very affectionate, articulate and happy little boy. There didn't seem to be any books out there to describe him in the context of having autism. That seems to be changing but it's still quite lacking. I guess I'll have to write my own book!

Nevertheless, as it turns out, loving a child with autism is not the worst thing in the world. We have been enormously blessed with the school Conor attends, where he has been for two years now. He is attending summer school now to keep up the work and not have it disrupted. He only has two more weeks left at this school and then will move to his new elementary school for kindergarten. We are trying to prepare him as best we can. We have set up meetings with his new teacher and drive by the school whenever we have an opportunity. His new school has the same cross-categorical program that his current school has so while he'll have a whole new teacher, school and routine to adjust to, he'll at least have the same program. In the morning, he'll have one-on-one work for his IEP and then in the afternoon, he'll attend regular kindergarten witih his peer group and have an assistant who will shadow him and another cross-cat student. I am excited to have him start this new school with all the possibilities it will provide. He'll be in a class with children his own age, whereas now, he's in with some kids who are a little younger than he is, whom he often imitates (i.e., screaming, hitting himself, making baby noises, etc.). His teachers are confident that he'll outgrow this tendency to imitate, which will come with maturity. We can ask him, "Hey, who are you imitating now?" and he'll respond, "Justin, Payton, Jacob, etc." So he knows he's doing it and knows it's not an entirely desirable behavior. His teachers have commented that this is upsetting to the child he's imitating so we work diligently to overcome that behavior.

 Conor has come a remarkably long way and his teachers agree. There are many things he can now do that he wasn't able to do before. Academically, he's right on track, but socially, not so much. He has a hard time making friends. We hope that he will develop better skills in kindergarten to make connections with friends and learn the appropriate ways to interact with friends. Sharing is a big hurdle!

Conor has an 18-month old sister and that has been an interesting journey. When we first brought her home from the hospital, he didn't want us to get her out of the car! He has had to learn what is appropriate behavior with her and how to be gentle. It's very disconcerting when he laughs inappropriately when she cries in distress. However, if I cry, he shows immense concern and empathy. It's pretty remarkable to witness. I think as he and his baby sister get closer and closer as they grow up together, his connection to her will be more compassionate.

Conor has been a study subject to research the low-dose effects of Risperdal in ASD children. Having him participate in this study was a very arduous and painful decision. His participation ends next month and we're not entirely sure how much it has helped him or affected his behavior positively. In fact, there seems to be an emphasis on some undesirable behaviors and we're not sure if it's environmental or biological. Who knows? All of this is such a crap shoot... everyone just wants a definitive explanation about how to heal/treat/cure autism. Lord knows I sure do! But as I have said, this I can handle. It's certainly a challenge but it's not insurmountable. My child is healthy and happy... we can work together to get him where he needs to be.


Summertime blues

Jun 30, 2009 by dankohn

Summer drags on, but I have just realized that school will start again in less than two months with absolutely no improvement in Thomas’ attitude about starting first grade. As I’ve said before, Hayley is more than prepared, so we at least can concentrate our efforts on Thomas’ transition. I’m going to try to help out in both Hayley and Thomas’ classrooms this coming year so that at least he will have that constant. I’ll only be able to help out for half of the day, I am assuming, because I’m not sure that the first grade teacher will be as agreeable to having Hayley along as Mrs. H. was. Who knows…maybe she’ll be okay with it, but even so, that would be a long day for Hayley and a long day for me. I’m hoping to help out with Hayley one morning per week and Thomas’ classroom another morning of the week.
I have a lot of other personal things on the radar screen that have to happen before school starts, though. My sister’s bachelorette party and shower will be July 31 and August 2, respectively, and I’m hosting the bachelorette party at my house. I’m not sure where Jonathan, the kids and the dog will be that night, but it won’t be here. I’m pretty confident that those things will fall into place fairly easily. What I’m really biting my nails about over here is the trip to Disney. It’s looming very large on the horizon and I’m wondering if I can really pull this whole thing off. I tend to be forgetful about packing lists (which I’ve already started making and revising – like I completely forgot about pajamas for anyone, for instance) but I’d rather remember them now than at 30,000 feet. Does anyone else have this problem? Does anyone else spend the first few hours of a trip away from home trying to remember what you’ve forgotten? I just know I’ll be a wreck during the days leading up to this vacation. And it’s ten whole days long – plenty of opportunity to forget stuff. Can I actually do this right? Can I actually take my family on a vacation across the country involving airports, transportation and unfamiliar areas? I nearly left for my honeymoon without a single pair of shoes to wear – except the shoes I wore with my wedding dress. Imagine trouncing around Disney in a pair of white satin Cole-Haan pumps with big bows on the toes. I did look like Minnie Mouse, sort of, the morning after the wedding when I realized that we’d have to make a stop at home for sensible walking shoes. But it’s that kind of thing that always makes me sweat. One good thing is that I never forget anything that’s absolutely vital like medicines.
When we went to Peoria this past weekend for that wedding, I realized that I sent Thomas along to Grandma’s house with only one pair of socks – the ones he was wearing. That wasn’t a big deal and Grandma just washed them when they started walking around by themselves, but still. I tend to forget things and it’s terrifying me. When it was time to get dressed for the wedding on Saturday, I had a horrible moment when I thought that I had forgotten to pack Jonathan’s suit pants. He would have had to wear his plaid casual shorts with a shirt and tie. Anyway, the kids had fun at Grandma’s and Hayley wanted to stay an extra night, but Thomas wanted to come home and we couldn’t impose on Grandma any longer than was necessary. We did have a nice weekend away although we were somewhat unimpressed with downtown Peoria. It was great to see my family, though. We always have a great time at family weddings. My family always asks us in these situations when we feel it’s best not to travel with the kids, “Where are your kids?” They ask in a manner like we’ve obviously forgotten them somewhere and should alert the authorities at once. I usually have some flippant response like, “Oh, they’re home with the dog.” Hilarity ensues.
Thomas has a neurologist appointment coming up on July 14, but I may have to change it because I usually work on Tuesdays and his appointment is at 3 p.m. Given how many minutes behind the neurologist is usually running, I would never make it for a 5 p.m. shift. Maybe I can switch it to a morning appointment. I’m not sure that I have a lot to discuss with her this time. I’ve given up bothering the doctor with complaints about how Thomas doesn’t stay in his bed all night. I’m convinced that it’s all behavioral because Hayley does it now too. I don’t think it has anything at all to do with autism. Life at home with the kids has been very trying lately, mostly because they fight all the time and the weather has still been not very conducive to getting out and having fun away from home. We were able to go swimming a few days last week, but that was it. Just getting away from the house for some diversion every day is a great thing, but it doesn’t seem like we have many good (inexpensive) options. They still love swimming, so that’s great. But even the park seems to bore them more and more these days. While we enjoyed swimming during the very hot weather last week, the weather has turned cooler again and rather cloudy with rain threatening every day. Tomorrow (as every Wednesday) is our shopping day which usually makes me break out in hives. It’s always a toss-up. They’re either good or they aren’t. Either way, we have to get more food into this house every week! But they fight in the grocery store too and I find myself having to exercise extreme restraint to not put them in a time-out in the glider chairs in the baby section. Sigh.
I’ve been trying to get the kids to keep practicing reading and writing, and I think I might pull the “homework” card on them. I might say that we have to finish homework soon – for school in the fall, so that they’re ready. I’m almost certain Thomas is not going to fall for it. Hayley loves to draw and write still, but it has always been such a struggle to get Thomas to try writing and reading. We’ll have to come up with some sort of reward system, I guess.
Like Disney World isn’t reward enough!


Cabin fever in June...

Jun 15, 2009 by Anonymous

Summer vacation has begun and I’m already being driven nuts by these children. These small, charming Gifts from God are making me wonder if we should move to a district that has a twelve-month school year. What’s really going on here is that Thomas and Hayley are driving each other nuts and that, in turn, is making me crazy. The root of the problem is that the weather has been so crummy (for mid-June) that we haven’t been able to do anything. If it’s warm enough to swim, it’s raining. If it’s sunny outside, it’s too cool to go swimming and all the slides at the park have big pools at the bottom. We’re still waiting and waiting for the weather to improve.
Today was actually pretty nice, but I made a grooming appointment for the dog that we had to work around. We left the groomer’s straight for Uncle Tom’s Pool and stayed there until the groomer called us to come pick up Sophie. Frantic pool and swimming activity usually works wonders on kids who have cabin-fever (in June, for crying-out-loud!) but my kids are not like other people’s kids.
We did have a few playdates a few weeks ago with the family I mentioned in my last blog. Thomas was actually really good with his buddy. I explained before they came over that he couldn’t just sit alone and play when we had “company” (what’s “company,” Mommy?) but he had to play with his friend. So, since he couldn’t play PSP, Thomas and his friend played MarioKart on the Wii. Whatever. They had fun. Hayley and her friend played Barbies and the littlest wee one just bounced back and forth, watching. Hopefully we’ll see them again soon and maybe meet at the park or something.
Graduation went fine, but of ALL DAYS for me to forget to give Thomas his Strattera, the graduation ceremony day was probably the worst. He had to sit quietly for semi-extended periods of time which didn’t work out too well for him. The video is funny because he kept waving me away, telling me to turn the camera off and go sit down. But he got an extra-special hug from Mrs. H., who I could tell was genuinely sad to have to say good-bye for the summer.
After the graduation ceremony, Thomas had just one more day of school that happened to be on Tuesday, my help-out day. So I got to be there for the last day, helping take everything off the walls and put things away for the summer. It was kind of sad. I’ve been there every Tuesday all year and have apparently built up a sentimental interest in the Kindergarten classroom and the routine. I really appreciated how much emotional investment the teachers must have in their kids by the end of the year and how hard it is for them to have to let them go. During the graduation ceremony, Mrs. H. gave a short speech about how once the kids go through her classroom for a year, they’ll always be “hers” and can come back and see her anytime. She got choked up as usual and it was very sweet. The kids all wore caps and gowns and Thomas kept pulling his up to reveal the decidedly un-formal t-shirt and shorts I put him in that day. No point making him doubly-uncomfortable in fancy pants AND mortar boards, I though. Nobody gave me any funny looks, though.
Hopefully the weather will turn better so we can walk to the park more often and maybe go to the zoo. All I know is that if we’re all cooped up in this house together for much longer, I’m going to start frantic home-improvement projects like re-painting or something. Hayley’s fifth birthday is coming up; her party is this weekend and Jonathan is apparently going to be up at 4 a.m., slow-cooking pork butts on the grill. It’s the only way, I guess. What I really want to do is get pictures of this madness. We’re going to turn the pork butts into pulled pork sandwiches made with Jonathan’s homemade BBQ sauce. He’s such a gourmand. I’m in charge of potato salad and coleslaw. And I’ll be buying beer too, I think.
We’re going to a wedding in Peoria June 26-28 and leaving the kids with Grandma Jackson. The dog’s going to my brother-in-law and sister-in-law’s house, God bless them. That’s the main reason I just had her at the vet and the groomer. Nothing says, “Gee, we sure do appreciate this” like dumping a shaggy, smelly and potentially unhealthy dog off with relatives. Jonathan and I certainly could use a break. We keep talking about taking a “date night” for ourselves, but there is just no time! This Friday, we’re going to be getting ready for Hayley’s party which is on Saturday, and I have to work on Sunday. We should be able to have some quality alone time in Peoria, if you can have quality alone time with twenty aunts and uncles, thirty cousins and their dates or spouses, your mom, dad and sisters all staying in hotel rooms nearby. We’ll have to take whatever we can get, I think. We’re going to be driving down with my sister and her husband, whose company we genuinely enjoy, so that will be fun too. Plus, I get to dress up! Yee-haw!
A couple weeks ago, Jonathan only had a half-day at work so we took the kids to see “Up” at the theater. We had never, ever taken both kids to the show before! Like so many things we’ve been doing recently, it was to be a litmus test for Thomas’ performance during stage and theater presentations at Disney. He was GREAT! Outstanding, even! He was, in fact, better behaved than Hayley. He sat in his seat and wore the 3-D glasses (yes, we sprung for the 3-D effect, but don’t think it added too much to the show. The previews were more impressive in 3-D than the movie was, so FYI, you can probably skip the 3-D showing and do the less expensive non-3-D show) and watched the WHOLE THING without complaint. The only problem was that he talked a lot during the show, asking a lot of questions, but he wasn’t too loud asking the questions and didn’t disturb others. There were plenty of children at this showing in particular that were allowed to run wild all over the place and I’m so glad to say that mine were not among them.
I’m trying to keep up with helping the kid’s reading and writing so that their brains don’t turn to mush over the summer but Thomas is totally on to me. He says, “I’m not in school anymore! I don’t have homework!” And then he finds something else to do. Hmpf. Hayley is still really interested in writing and will write words, asking how to spell them and drawing really cute pictures of people who look like potatoes with toothpicks sticking out for arms and legs. They’re really cute.
Well, there goes the random quiet moment I was able to enjoy today. Thomas is stealing noodles out of the colander and making Jonathan crazy and Hayley has fallen asleep next to me in a position that cannot possibly be comfortable. Ho-hum.



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