ISSN 1535-7821
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 Vol. 22 No. 3 2006 

Link to ArticleArticles

Link to ArticleMembership News

Link to ArticleAward Winners

Link to ArticleNominate a Colleague for the Estelle Brodman Award

Link to ArticleNominate a Colleague for the Frank Bradway Rogers, M.D. Award

Link to ArticleUpdate from the National Library of Medicine, Division of Specialized Information Services

Link to ArticleTracking Library Web Site Users

Link to ArticleBook Reviews

Link to Article Fine Motor Skills for Children with Down Syndrome.

Link to Article Epilepsy and Pregnancy.

Link to Article Internet Guide to Anti-Aging and Longevity.

Link to Article Faces of Osteoporosis and the Stories Behind Them.

Link to Article Sleep Solutions for your Baby, Toddler and Preschooler.

Link to Article A Patient’s Guide to PCOS -- Understanding and Reversing Polycystic Ovary Syndrome.

Link to Article Functional Behavior Assessment for People with Autism: Making Sense of Seemingly Senseless Behavior.

Link to Article The AARP Guide to Pills: Essential Information on More than 1,200 Prescription and Nonprescription Medications, Including Generics.

Link to Article Overcoming Metabolic Syndrome.

Link to Article Boy’s Guide to Becoming a Teen.

Link to Article Shelley the Hyperactive Turtle.

Link to Article A Deeper Shade of Blue: A Woman's Guide to Recognizing and Treating Depression in Her Childbearing Years.

Link to Article The Heart and Soul of Sex: Making the ISIS Connection.

Link to Article Girls Guide to Becoming a Teen.

Link to Article Your Complete Guide to Breast Reduction & Breast Lifts.

Link to Article Water Exercises for Fibromyalgia: The Gentle Way to Relax and Reduce Pain.

Link to Article Parkinson’s Disease 300 Tips for Making Life Easier.

Link to Article Body Contouring Surgery After Weight Loss.

Link to Article Your Ultimate Pilates Body Challenge.

Link to Article So What Can I Eat?! How To Make Sense of the New Dietary Guidelines For Americans and Make Them Your Own.

Link to ArticlePublication Information

Link to ArticleSubmissions

Link to ArticleAdvertising


Link to Article Articles 

Membership News

Congratulations to Our Award Winners

In May, the United States National Commission on Libraries and Information Science (NCLIS) named winners of the 2006 NCLIS Health Information Awards for Libraries. Ten finalists, including many CAPHIS members, were selected from around the country for their innovative and beneficial community programs. To find out more about the winners and their programs, go to:

Nominate a Colleague for the Estelle Brodman Award

The MLA Estelle Brodman Award annually recognizes an academic medical librarian, who, at mid-career demonstrates a significant achievement, the potential for leadership and continuing excellence. Recipients receive a certificate and a cash award of $500.Complete information and nomination forms can be found at

Please contact Jury Chair, Judy Burnham, for additional information or questions. Deadline for applications is November 1.

Nominate a Colleague for the Frank Bradway Rogers, M.D. Award

This juried award is presented annually at the MLA Annual Conference in recognition of outstanding contributions for the application of technology to the delivery of health science information, to the science of information, or to the facilitation of the delivery of health science information.

The award has been sponsored by the Thomson Institute for Scientific Information since 1973, and was formerly named the ISI Information Advancement Award. The recipient receives a cash award of $500 and will be recognized at the Annual Meeting of the Medical Library Association, May 13-23, 2007, in Philadelphia, PA.

For more information on the award and past winners go to:

For a copy of the nomination form, eligibility information and instructions go to:

All nominations are due by November 1, 2006.

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Update from the National Library of Medicine, Division of Specialized Information Services

Submitted by Colette Hochstein, D.M.D., MLS (, Division of Specialized Information Services, NLM

The Division of Specialized Information Services (SIS, at the National Library of Medicine (NLM) creates information resources and services in toxicology, environmental health, chemistry, and HIV/AIDS. Another component of SIS, the Office of Outreach and Special Populations, seeks to improve access to quality and accurate health information by underserved and special populations. Many SIS products help to address the toxicology and environmental health information needs of the general public.

TOXMAP's maps now have a more accurate appearance

TOXMAP's maps ( now have a more accurate appearance. To draw the Earth (or a portion of it) onto a map, map makers use different map projections that apply (or "project") the curved Earth surface onto a flat map. Although no projection will perfectly depict all areas of the Earth, different map projections make specific areas of the Earth look as accurate and realistic as possible. TOXMAP now uses a map projection (called "North American Albers Equal Area Conic") which makes the continental United States look most realistic. Areas farther away from the US will appear increasingly distorted.

You can learn more about map projections from the USGS at

Other new TOXMAP features include:

  • Toxics Release Inventory (TRI) releases summary table for each TRI facility showing all years and chemicals in table format;
  • Larger default maps (with the option for small maps);
  • Enhanced homepage map;
  • Auto-completion of chemical names in text entry fields (like Quick Search);
  • A "For Teachers" ( page that includes a downloadable sample assignment.

TOXMAP helps users explore the geographic distribution of certain chemical releases, their relative amounts, and their trends over time. This release data comes from industrial facilities around the United States, as reported annually to the Environmental Protection Agency (EPA).

More information about TOXMAP can be found at

ToxMystery: A new interactive learning site for young kids

toxie the cat

ToxMystery ( is the National Library of Medicine’s new, interactive learning site for 7-10 year old kids. It provides a fun, game-like experience while introducing potential environmental health hazards sometimes found in the home.

"Toxie" the cat helps find the hazards hidden in each room, and offers hints when needed. The objective is to find all the hazards. Players are treated to fun animations when they complete each area. When all the hazards in the house have been discovered, Toxie delivers an animated celebration, and players can print a personalized certificate.

ToxMystery’s "Parent Resources" page provides more detailed information about everyday environmental hazards that can be harmful to one’s health. A "For Teachers" page contains more than ten downloadable activity pages that can be used in elementary school classrooms.

ToxMystery joins a number of other new NLM resources geared towards the general public.

New version of TOXLINE

A new version of the National Library of Medicine's (NLM) TOXLINE ( was released in July. Search results from the two parts of TOXLINE are now merged. This allows all results to be relevancy ranked in the same way, with results displayed in only one window. A similar merged interface will be provided for the Developmental and Reproductive Toxicology/Environmental Teratology Information Center (DART®/ETIC) database soon.

TOXLINE is part of NLM's Toxicology Data Network (TOXNET); it is a bibliographic database for toxicology, a varied science of many disciplines. TOXLINE records provide bibliographic information covering the biochemical, pharmacological, physiological, and toxicological effects of drugs and other chemicals. It contains over 3 million bibliographic citations, most with abstractsand/or indexing terms and CAS Registry Numbers. TOXLINE covers much of the standard journal literature in toxicology; it is complemented with references from an assortment of specialized journals and other sources. TOXNET offers features such asrelevancy ranking and flexible sorting and downloading options.

Citations from PubMed ( now directly link back to PubMed for convenience in using their related records, LinkOut (, and document ordering functions.

More information about TOXLINE can be found on the TOXLINE Fact Sheet or by emailing

Dietary Supplements: Links to Health Information including Toxicology and Environmental Health

A new web page that addresses the relationship between dietary supplements and human health has been added to the National Library of Medicine's (NLM) Enviro-Health Links. The page provides links to information on dietary supplements, vitamins and minerals, herbs, botanicals and other substances.

Supermarket and drug store shelves are filled with supplements and herbal products. News outlets frequently report on the very latest in supplement research, some of which seems contradictory. How can one know which supplements are effective, which are toxic, or which may have no effect at all? Many agencies and organizations provide good guides to learning more about supplements. The Dietary Supplements page covers use, research, and dietary reference intakes plus information about the regulations and laws regarding dietary supplements. It also includes pre-formulated searches in PubMed and TOXLINE on common topics.

NLM also offers other Enviro-Health Links ( on topics such as: Indoor and Outdoor Air Pollution, the Health Effects from the Collapse of the World Trade Center, and Toxicogenomics.

LinkOut to the Household Products Database

LinkOut ( is a powerful linking feature for NLM's NCBI databases. With LinkOut, PubMed citations can have hyperlinks to related online resources, such as full-text publications, biological databases, consumer health information, and research tools. The goal of LinkOut is to extend, clarify, or supplement database records to information beyond NCBI.

Selected PubMed citations now have links that open relevant chemical safety and health effects information in NLM’s Household Products Database ( This chemical information page includes:

  • Alternative names and identifiers for the chemical
  • Links that will run searches in other NLM resources
  • A list of name brand household products that contain the chemical. Select the link for a household product to find information about the brand, its ingredients and manufacturer, as well as health effects of the product and directions for its handling/disposal.

Currently, 153 PubMed citations have LinkOut links to HPD records. These articles meet the criteria for LinkOut: to be about a chemical in HPD, and to be indexed with the "Household products" MeSH descriptor (this condition ensures that the PubMed citation will be relevant to the chemical and safety information in HPD).

To review citations that have a LinkOut link to HPD, search PubMed with the term "loprovhpd[sb]". Users can also look for links to HPD under the heading Medical > Consumer Health > Household Products Database.

HSDB and TOXLINE Updates

You can check for updates to the National Library of Medicine’s Hazardous Substances Data Bank (HSDB) and TOXLINE at

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2006 AIDS Community Information Outreach Projects

NLM has continued its HIV/AIDS- related outreach efforts to community-based organizations, patient advocacy groups, faith-based organizations, departments of health, and libraries. This program provides support to design local programs for improving information access for AIDS patients and the affected community as well as their caregivers. Emphasis is on providing information or access in a way meaningful to the target community. Projects must involve one or more of the following information access categories: information retrieval, skills development, Internet access, resource development, and document access. Standard Awards are offered for up to $50,000; Express Awards are offered for up to $10,000.

Information regarding the AIDS Community Information Outreach Program can be found at

NLM has funded 17 AIDS Community Information Outreach Projects in September, 2006 in the 13th Round of the Program. Awards were made for the following projects:

Standard Awards

AIDS Education Global Information System (AEGiS)
"Project Restore/Expanded Access"
San Juan Capistrano, CA

AIDS Foundation of Chicago/Test Positive Aware Network
"Peer Empowerment Education Referral Station (PEERS) Online Project"
Chicago, IL

Alaska Native Tribal Health Consortium
"Community Drum-An Alaska Native/Rural Alaska AIDS Information and Education Outreach Project"
Anchorage, AK

Community Education Group
"New Day"
Washington, DC

The CORE Foundation
"Project AHEADD-Access to Health Education and Digital Development"
Chicago, IL

Homes for Hope
"Peer to Peer Data Guides: Transgenders and Young Questioning MSM"
Washington, DC

Hope House Day Care Center
"Hope for Families for Life Phase II"
Memphis, TN

Houston Academy of Medicine-Texas Medical Center Library
"Project St. Hope: An HIV/AIDS Community Information Outreach Project"
Houston, TX

Internet Sexuality Information Services, Inc.
"Advancing HH: Online HIV/AIDS Information Access in San Francisco’s Castro District"
Oakland, CA

Magnolia Coastlands Area Health Education Center
"Southeast Georgia AIDS Info Link (SEaGAIL)"
Statesboro, GA

Regents of the University of New Mexico/Health Science Center/School of Medicine/ Department of Internal Medicine
"AIDS InfoNet"
Albuquerque, NM

Ruth Lilly Medical Library, Indiana University School of Medicine
"Indiana HIV/AIDS Community Information Outreach Project"
Indianapolis, IN

Express Awards

AIDS Response Seacoast
"HIV/AIDS Community Information Outreach 2006"
Portsmouth, NH

AIDS Survival Project
Atlanta, GA

Coharie Intra-Tribal Council
"Coharie Indian HIV/AIDS Mini Conference"
Clinton, NC

Columbus AIDS Task Force
"Sexuality Education: Empowering Youth"
Columbus, OH

Community Impact, Inc.
"AIDS Integrated Information Network"
Yazoo City, MS

Stay Informed: Join NLM’s NLM-Tox-Enviro-Health-L

NLM-Tox-Enviro-Health-L ( is an email announcements-only list available from the National Library of Medicine (NLM)'s Division of Specialized Information Services (SIS). The purpose of the announcement list is to broadcast updates on SIS's resources, services, and outreach in toxicology and environmental health.

SIS RSS Feed Available

SIS also offers RSS (Really Simple Syndication) feeds of its News page ( RSS is a Web standard for sharing and distributing news and other frequently updated content provided by Web sites. The SIS feed address is

The SIS News feed will keep you informed about new resources and updates to NLM/SIS databases, and alert you to scientific meetings at which SIS will have exhibits, presentations, or classes.

An RSS reader, also called an aggregator, is required to use this service on your computer. There are many RSS readers from which to choose and many are available to download free from the Web. They offer a variety of functions; each has its own advantages. Instructions for adding the Division of Specialized Information Services News RSS feed to your reader are available at

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Tracking Library Web Site Users

Rachel Vidrine, MLIS
Web Services Librarian, Bruce I. Howell Library
Wake Technical Community College
Raleigh, NC

A question that seems to surface again and again on Web4lib, the e-mail discussion list that focuses on the Web and its role in librarianship, is how to track visitor traffic on library Web sites. A common solution is to use a program like Analog, free open-source software that analyzes server log data and presents it in easy-to-read tables and graphs for analysis. Another solution is to place a counter tool on each page to track visitor information. The counter is a line or two of code, usually JavaScript, which gathers information about visitor traffic.

As the Web Services Librarian and the library Webmaster, I have run into the problem of lacking a comprehensive tool to track visitor traffic to the library site. At my institution, the Information Technology department provides an invisible counter for tracking hits, and although it gives the total number of hits to each page, it does not provide any additional information on site traffic, such as the number of hits per day or week, the types of browsers used to access the site, or what search terms were entered to lead visitors to the site. Without such information, we as a library staff lack valuable information about how our site is being accessed and used on a daily basis.

Because I do not have the authority to download software to our college server, installing a program like Analog is out of the question for the moment. So my other option is a counter. I have experimented with various free counters along the way, and while most of these provide useful data, they have their downsides, namely pop-up ads or an unattractive logo that clashes with the design. To get anything better appears to require using a paid service. So I put the question out to the Web4lib subscribers for their recommendations, and at the same time, I conducted my own research. My goal was to find a counter that provides comprehensive data at an affordable price (free, if possible) without requiring the display of any visible graphic or advertisement.

Web4lib subscribers were more than willing to lend a hand with their recommendations. Add Free Stats ( and Blogpatrol ( are both free but do not offer completely invisible counters. Other suggestions were Mint ( and SlimStat (, both of which use PHP and MySQL, technologies that require access to the server and some programming knowledge. Performancing Metrics (, StatCounter (, and Google Analytics ( were other recommended counters. My own research turned up (, Site Stats (, and Site Meter (

In looking at what each service offers, I decided to first try Site Stats, a paid service that offers a free 2-week trial. Unlike some of the other counter services, there is not an option of a free version, but I thought it was worth a look. The feature I like most about this service is its code inserter utility, a small downloadable program that eliminates the hassle of having to manually insert a piece of code into every page. I simply select the range of pages that I want to track, and the code is automatically inserted. Then I just upload these pages to the server. Using this utility saves a tremendous amount of time and effort.

I am also impressed with Google Analytics, a comprehensive statistical service that is completely free and has no visible counter or logo. One downside to Google Analytics is its use of unfamiliar jargon in its analysis data. For example, would anyone know offhand what "defined funnel navigation" is? (I'm still not entirely sure myself!) Another drawback is that the service is available by invitation only. I had to request an invitation and then wait a few weeks before receiving it. Whether everyone’s request is granted, I don’t know.

Despite my research and the suggestions I received, I still haven't completely decided on a permanent solution to tracking Web site data. If my library's budget provides for it, I would like to eventually subscribe to Site Stats, both because of its code inserter utility feature and the fact that, thanks to the free trial, I know exactly what I'll be getting. I am also giving Google Analytics serious consideration.

In general, paid services tend to offer more features and flexibility than the free ones, and the prices are rather inexpensive. For example, Site Stats' most basic package runs at $14.99 per month, and Site Meter’s upgraded counter runs at $6.95 per month. (The basic counter is free.) When choosing a paid service, it is probably wise to select one that gives a free trial period so you will at least have an idea of what you’re getting for the price.

Again, there are many different counters to choose from on the Web. Determining which one is best depends on what features are desired and what fits within one’s budget. But regardless of the service or software selected for gathering data, some form of statistical analysis of visitor traffic is necessary in order to improve and expand upon a library site.

Book Reviews

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Bruni, Maryanne. Fine Motor Skills for Children with Down Syndrome. Woodbine House, 2006. 241p. index. ISBN 1-890627-67-4. $19.95.

Maryanne Bruni is an occupational therapist and a parent of a child who has Down Syndrome. In this second edition of her book, Fine Motor Skills for Children with Down Syndrome, she provides parents and professionals with an overview of fine motor development throughout childhood, as well as many suggestions to help improve these skills in children who have Down Syndrome. This book is one in the "Topics in Down Syndrome" series by Woodbine House.

Bruni stresses the importance of the "building blocks" needed for good fine motor skills: stability, bilateral coordination and sensation, and devotes a chapter to each. Recommended activities are described in a step by step manner with accompanying photographs. Additional chapters on the development of dexterity, daily living skills (both at school and at home), and a new chapter on sensory processing complete the book. At the end of each chapter, toy and equipment suggestions to facilitate the activities can be found under the heading "Grandma's and Grandpa's List." This edition of the book contains new information on the learning process in children who have Down Syndrome, additional information on the use of computers, and expanded sections on readiness for handwriting activities and fostering self help skills needed for living independently.

This book is highly recommended for pediatric consumer health collections as well as for collections in hospitals that provide specialized clinical services for patients who have Down Syndrome.

Reviewed by: Deborah Magnan, Samuel and Sandra Hekemian Medical Library, Hackensack University Medical Center, Hackensack, NJ.

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Chillemi, Stacey and Blanca Vazquez. Epilepsy and Pregnancy. Demos, 2006. 134p. index. ISBN-10 1-932603-15-8. $16.95.

Intended for women with epilepsy who plan to become pregnant, this title combines the patient and clinician perspective on information women should receive from neurologists/epileptologists and obstetricians in a short, image-free text. Stacey Chillemi has epilepsy and is a mother of three and a Helping Other People with Epilepsy (H.O.P.E.) Mentor for the Epilepsy Foundation. Dr. Blanca Vazquez is a New York University neurologist who has published on epilepsy, but not in relation to pregnancy.

Much of the content about pregnancy is not unique. The value is in the focus on issues that affect epileptic mothers. Personal sharing is labeled, however issues raised in these sections—for example, the relationship between heat exposure and seizures--are not always addressed in the regular text. The discussion around antiepileptic drugs (AED), seizure prevention, and birth defects is somewhat confusing. Variations of generic drug names, such as sodium valproate, valproic acid, or just valproate, are used at different places; closer attention to editing would have caught the use of gapapentin instead of gabapentin. Birth defect risk content is supplied in multiple places, but could have been better structured with the drug names and rates to facilitate understanding.

The narrative refers to many studies, but they are not tied to the extensive bibliography. The most recent references are from 2002. Appendix A lists organizations and Appendix B describes the AED Pregnancy Registry. A glossary and index with cross-referencing round out the content. Two sets of guidelines—one for clinicians and one for pregnant women with epilepsy--provide take home messages. Epilepsy and Pregnancy is a helpful introduction to pregnancy for epileptic women, but will need to be read carefully and in consultation with care providers.

Reviewed by: Kristine M. Alpi, Weill Cornell Medical Library, New York, NY.

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Connor, Elizabeth. Internet Guide to Anti-Aging and Longevity. Haworth, 2006. 134p. index. glossary. ISBN-13 978-0-7890-2861-7 (Softbound); 978-0-7890-2860-0 (Hardbound). $19.95/$29.95.

For the consumer seeking information on healthy aging, this guide provides an overview of resources available on the Internet. It features annotations of relevant and reliable sites that discuss diet, fitness, sexuality, sleep, and the impact of genetics and heredity, as well as anti-aging therapies, ranging from herbal medicine to cryogenics and tissue transplantation. Connor, an AHIP-certified medical librarian who has written other Internet guides on travel health and food safety and security, also includes sites that offer coverage of common ailments and conditions, including bone and joint disorders, incontinence, menopause, and skin conditions. Supplementing site reviews, the guide features a glossary of common medical terminology and an introductory chapter that provides an overview of the Internet. This introductory chapter includes a section on the "anatomy of a web site address" and an explanation of search engines, discussion groups, and blogs, which may be particularly valuable to the beginning Internet user. Although primarily geared toward the consumer, health professionals may also benefit from Connor’s inclusion of various statistical, institute, and society sites. Thorough, yet easy to read, this guide is highly recommended for consumer health collections.

Reviewed by: John Siegel, MLS Student, University of Maryland – College Park.

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Davis, Amelia. Faces of Osteoporosis and the Stories Behind Them. Demos Medical Publishing, LLC, 2006. 128p. ISBN 1-932603-62-X. $19.95.

Osteoporosis. The image that most often comes to mind is the elderly woman, bent over with brittle bones that will easily fracture in a fall. The new photo essay book by award winning photographer Amelia Davis (The First Look, My Story) brings about a new awareness that this disease can strike anyone: young people, men of all ages, and others who don’t fit the stereotypical ‘at risk’ person. Faces of Osteoporosis and the Stories Behind Them is a collection of photos and narratives from people suffering from bone loss. The stories are a surprising mix of 28 people of all ages and walks of life. Readers are introduced to Amy, who has had several broken bones by age 11; Eric, a 45-year old yoga instructor diagnosed with low bone density; Randi, a woman who received two broken ribs from a hug at age 39; and many others who each have an interesting personal story.

This book is not intended as a medical book; rather it provides a broad view of what the disease means for everyday people. Introductory material from the Foundation of Osteoporosis Research and Education provides background material on the disease and short sections on diagnosis, treatment and prevention, but only comprises three pages. The conversational essay style is appealing for readers who like learning about the experiences from others, and the stories provide additional information, insight and hope.

Reviewed by: Kelli Ham, Consumer Health Coordinator, NNLM/PSR, UCLA Louise M. Darling Biomedical Library, Los Angeles, CA.

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Douglas, Ann. Sleep Solutions for your Baby, Toddler and Preschooler. Wiley, 2006. 304p. index. ISBN 0-4708-3633-4. $13.99.

This book is part of the new "Mother of All Solutions" series, by the author of The Mother of All Pregnancy Books, The Mother of All Baby Books, The Mother of All Toddler Books, and The Mother of All Parenting Books. Sleep Solutions distinguishes itself from most infant sleep books by starting with the sleep deprivation of new parents, especially mom. The first two chapters are devoted to the parents, while later chapters address developmental age-appropriate sleep issues for young children, with an even-handed review of the pros and cons of various schools of thought on "sleep training." Douglas also addresses the controversial issue of co-sleeping, and provides information about sleep disorders, relaxation techniques for preschoolers, and sibling sleep deprivation. Sleep tools are offered at the end of the book for parents to evaluate their child’s sleep problems or bedtime resistance and select a method for improving the child’s sleep. The author has a straightforward, mother-to-mother style, and includes comments and perspectives of other mothers as well (most apparently well-educated and in their late twenties through thirties). Reading level ranges from 8th to 12th grade level. Appendices list organizations, on-line resources, and recommended reading on the subject. There are many other books on childhood sleep, some covering infancy to adulthood (The American Academy of Pediatrics Guide to Your Child’s Sleep), some for special needs children (Sleep Better! by V. Mark Durand), and some championing particular sleep training methods. Douglas advocates that each mother choose the common sense solution that will work best for her family.

Reviewed by: Brenda Pfannenstiel, AHIP, Children’s Mercy Hospitals & Clinics, Kansas City, MO.

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Futterweit, Walter. A Patient’s Guide to PCOS -- Understanding and Reversing Polycystic Ovary Syndrome. Owl books, 2006. 242p. index. ISBN 0-8050-7828-2. $15.00.

Polycystic Ovary Syndrome (PCOS) is the most frequent cause of infertility and possibly the most common hormonal abnormality in women. Drawing on his twenty-five years experience researching and treating the condition in New York City, and his ongoing long-term study of more than a thousand women with PCOS, Walter Futterweit, M.D. F.A.C.E., F.A.C.P discusses what PCOS is and how it affects the body, symptom control methodology, as well as treatment options which include medication, diet, and lifestyle. One in ten women of childbearing age is affected by PCOS to some degree, and many suffer from serious symptoms, such as: infertility, early miscarriage, chronic pelvic pain, weight gain, high blood pressure, migraines, hirstutism, severe acne, and an increased susceptibility to developing Diabetes. The disorder extracts a heavy toll from women in both the emotional and physical reality of its process.

The book includes a glossary of terms and a comprehensive bibliography of source material drawn from medical journal literature. One caveat is that the book is obviously tailored for the US market. The extensive use of brand name products in the diet section and the lack of inclusion of international web based resources, make the book less useful for readers outside of the US.

There are a number of relatively current books about PCOS now available. This one is good, albeit technical in nature. Many of the others such as Positive Options for Polycystic Ovary Syndrome: Self-Help and Treatment by Christine Craggs-Hinton explore more of the emotional impact of the disorder. It is likely you will want to cover both if your library serves a women’s health center clientele.

Reviewed by: Elyse Pike, Grey Bruce Health Services, Owen Sound, Ontario, Canada.

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Glasberg, Beth A. Functional Behavior Assessment for People with Autism: Making Sense of Seemingly Senseless Behavior. Woodbine House, 2006. 152p. index. ISBN 978-1-890627-58-4. $17.95.

This book is about figuring out the function of problem behaviors, especially in people with autism spectral disorders. Relevant information from learning theory is presented to explain the variables involved in learning and choosing a behavior. Viewing behavior as a form of communication leads to the discovery of what otherwise senseless, self–defeating behaviors are meant to convey. The book demonstrates the importance of viewing behaviour as a form of communication, especially for people who have problems with verbal communication. Problem behaviors are shown to have a payoff or function that can be discovered by performing a functional behaviour assessment (FBA). The book includes step-by-step guides and forms for preparing for and conducting assessments. It is intended for parents, educators, and professionals who care for people with autism spectral disorders although the author mentions several times that the methods of the assessment are relevant for all ages and the continuum of problem behaviours (from the most severely impaired individuals to typically developing children to adults with no diagnosis at all). A rough calculation of reading level for this book is high school graduate.

Beth Glasberg, PhD, BCBA is a consultant for Douglass Outreach at the Douglass Developmental Disabilities Center at Rutgers. The author’s writing style facilitates learning and makes good her claim that the book will help readers who do not have expertise in behavior analysis to understand the function of seemingly senseless behaviors. She takes the reader through material using a technique that introduces concepts that are further developed in subsequent chapters. Problem behaviours of four named students presented in the introduction and referred to throughout the book provide a meaningful context for the investigation of common behavioral problems. By talking directly to you, the reader is encouraged to keep reading, to go through technical material that may be difficult, and to do an assessment. Keep it Simple Summaries and use of graphs and charts to clarify material in the text aid the reader in understanding functional behaviour analysis and feeling capable of, at least, approaching an FBA.

The book is recommended for all types of libraries.

Reviewed by: Susan Roosth, Science and Engineering Library, University of Texas at Arlington.

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Hochdel, MaryAnne, ed. The AARP Guide to Pills: Essential Information on More Than 1,200 Prescription and Nonprescription Medications, Including Generics. Sterling Publishing, 2006. 981p. illus. index. ISBN-10 1-4027-1740-7. ISBN-13 978-1-4027-1740-6. $24.95.

With a managed-care health system that allows little time for doctor-patient interaction and heavy advertising of prescription drugs in the media, consumers must be well informed to obtain good health care. Objective information about drugs is crucial. The AARP Guide to Pills offers information about more than 1,200 prescription and nonprescription medications based on data from The Gold Standard’s Clinical Pharmacology database. The editors and contributors to this volume are pharmacists and physicians.

The introductory material is very useful. It explains how to take medicine safely and effectively, how to obtain drugs at a reasonable price, and what to ask physicians and pharmacists about medication. It also has information about drug interactions with food and dietary supplements and instructions for using the book. The main body of the work contains over 1,200 alphabetical entries for drugs (arranged by generic name). These are one and a half to two pages long. Each entry has a picture of the drug and information about brand names, how it works in the body, what conditions it treats, how to take it, possible side effects and interactions, proper storage, and what to discuss with health care professionals before taking it. The language is clear and accessible and the interactions section is highlighted. The pictures of the pills show color, shape, and code number although the latter is sometimes difficult to read.

This is an excellent guide to drugs. Although targeted for seniors, people of all ages will find it helpful. Unlike the Physicians Desk Reference (PDR), it is written in simple, lay language. The Consumer Drug Reference (CDR), published by Consumer Reports is less detailed, offering boiler-plate information about classes of drugs. This reasonably priced source belongs in all public, consumer health, and academic libraries.

Reviewed by: Barbara M. Bibel, Oakland Public Library, Oakland, CA.

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Isaacs, Scott, M.D., and Fred Vagnini, M.D. Overcoming Metabolic Syndrome. Addicus Books, 2006. 160p. index. ISBN 1-886039-73-9. $14.95.

Metabolic syndrome, formerly known as Syndrome X, is a collection of disorders that may include high fasting blood glucose, abdominal obesity, low HDL cholesterol, high triglycerides, and high blood pressure. A person having three or more of these abnormalities is considered to have the syndrome.

Authors Isaacs and Vagnini, having both published other consumer health books and articles in medical journals, have written a book that describes metabolic syndrome and offers encouraging information on how to overcome it. The first part of the book discusses the various disorders that make up the syndrome and adverse effects that may result from each, as well as testing used to diagnose these disorders. The second part includes information on diet, such as recommended foods, advice for avoiding the foods that are of a high glycemic index for those with insulin resistance, and benefits of cooking at home vs. eating out. There is also a thorough chapter on how exercise can help with each of the disorders, and ways to fit exercise into a busy schedule. Also included is a chapter on medications, both those that may help overcome the various disorders and those that may aggravate. Appendices on resources and a glossary of terms complete the book.

This book is written in a simple style, though the use of polysyllabic words raises the reading level somewhat. Persons diagnosed with the syndrome would find it helpful.

Reviewed by: Teresa Hanson, Consumer Health Librarian, VA North Texas Health Care System, Dallas, TX.

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Middleman, Amy B. and Pfeifer, Kate Gruenwald. Boy’s Guide to Becoming a Teen. Jossey-Bass, 2006. 128p. index. ISBN 0-7879-8343-8. $12.95.

This book from the American Medical Association health collection is competently written by an adolescent medicine physician and a social worker. The layout is varied and colorful, with clear illustrations. The chapters cover all aspects of puberty including bodily changes, health and nutrition, sex and relationships, bullying, drugs and handling peer pressure. Interspersed throughout the book are sections titled "Real boys, Real feelings" which contain quotes from boys on the topics covered. The text is written to a young teenage level and does not talk down or lecture to make its points. Varied lifestyles are covered in a respectful and open manner.

The section on drugs and peer pressure is notable covering specifics on alcohol, inhalants, and marijuana. Concrete suggestions on how to avoid using while honoring one’s values are included.

A glossary is provided as well as a list of websites for teens for additional information. Recommended for all consumer health collections.

Reviewed by: Aileen Jencius, MLIS, Robinson Memorial Hospital Medical Library, Ravenna, Ohio.

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Moss, Deborah M. Shelley the Hyperactive Turtle. Woodbine House, 2006. 16p. ISBN 978-1-890627-75-1.

This is the second edition of one of the first children’s books written about attention deficit/hyperactivity disorder (AD/HD). The first edition was published in 1989. Deborah Moss wrote the book for her son who was diagnosed with AD/HD. This new edition also includes updated illustrations by Carol Schwartz. We see Shelley on the school bus, at school, and wearing his baseball cap riding his bright red skateboard. All the illustrations are bright and colorful and would catch the attention of a child.

The book also includes updated information about the diagnosis and treatment of attention deficit/ hyperactivity disorder. Shelley’s visit with his doctor shows the friendly doctor asking questions and watching as Shelley works on a puzzle, one of the tools used to help diagnose AD/HD. The doctor explains how AD/HD makes it hard to stay still or pay attention.

The positive illustrations and the text will help a child with AD/HD understand that some children have more trouble being quiet and still but that their parents, their doctor, and their teachers want to help them feel better. Taking medication and talking to a therapist are mentioned in the text. The last page of the book shows a happy Shelly and the important message that Shelley’s parents and friends love him. I would recommend this book to consumer health libraries, especially those in a pediatric setting.

Reviewed by: Marge Kars, Bronson Methodist Hospital, Kalamazoo, MI

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Nonacs, Ruta, M.D., Ph.D. A Deeper Shade of Blue: A Woman’s Guide to Recognizing and Treating Depression in Her Childbearing Years. Simon & Schuster, 2006. 598p. ISBN 0-7432-5473-2. $26.00.

A Deeper Shade of Blue is a good overview of issues related to depression during the childbearing years; however, it is also an excellent source of information for anyone interested in gaining a better understanding of treatment options available for various types of depression. The author goes into some detail about misperceptions surrounding this illness, stating that depression is not a sign of weakness or an excuse for bad behavior but is indeed a devastating illness that is biologically driven.

Throughout the book, case scenarios illustrate how women attempt to deal with symptoms of depression during pregnancy and beyond. While the scenarios provide excellent examples of issues that may exacerbate those symptoms, some of the scenarios could be better developed to inform the reader of the final resolution (if any) of the problems presented.

One point made emphatically is that some antidepressants are safe to use during pregnancy and that withholding treatment, especially when the depression is severe, could have dire consequences. Chapter 13 provides a summary of therapies available during pregnancy along with any associated risks.

Also discussed is a woman’s vulnerability to depression during the postpartum period and the importance of friends and family providing a supportive environment in which a woman can rest, recover, and adjust to her new role. Chapter 14 offers constructive suggestions for creating that supportive environment and for coping with one who is depressed.

Highly recommended for consumer health and public libraries.

Reviewed by: Donna Timm, MLS, Head of User Education, Louisiana State University Health Sciences Center, Medical Library, Shreveport, LA.

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Ogden, Gina. The Heart and Soul of Sex: Making the ISIS Connection. Trumpeter 2006. 288p. index. ISBN 1-5903-0294-X. $22.95.

Integration of sexuality and spirituality---an interesting premise. The premise is explored in this book, based on a nationwide survey the author conducted on integrating sexuality and spirituality (ISIS). Respondents were asked how they experience sex and what sex means in their lives. Based on the survey and other information gained as a sex therapist, Ms. Ogden proposes that sexual energy is not just about intercourse and orgasm but about receptiveness and movement, about emotions and how we think, feel and love.

Part One of the book, The ISIS Connection, introduces ISIS research and the ISIS Wheel to help the reader become aware of the physical, mental, emotional and spiritual aspects of sexual experience. Part Two, "Paths to the Heart and Soul of Sex", invites readers to incorporate these ISIS discoveries into their own lives. Steps and strategies included in this section are guided imagery, journaling, communication exercises, values clarification, affirmations and playful suggestions for increasing sensuality, empathy and spiritual sensitivity. Other subjects explored are charkas and tantra: Weaving sexual and spiritual possibilities. Though the book is sometimes technical and the reading dry, it presents new and interesting ideas on an age-old subject for those wishing to explore them.

Ms. Ogden, an associate professor of sexology at the Institute for Advanced Study of Human Sexuality, is a licensed marriage and family therapist and certified sex therapist and the author of Women Who Love Sex.

Reviewed by: Donna Zimmer, Community Health Library, Good Samaritan Hospital, Kearney, NE.

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Pfeifer, Kate Gruenwald. Girls Guide to Becoming a Teen. Jossey-Bass, 2006. 128p. index. glossary. ISBN 0-7879-8344-6. $12.95

Written for girls ages 8-11 approaching or entering puberty, this book was produced by the American Medical Association. The style and illustrations are engaging; the content includes eating and exercise, height and weight, skin, hair, teeth, female reproductive organs, menstruation, emotions, relationships with parents, friends, and boys, earning and negotiating for more independence and responsibility, and (briefly) sex.

Comparable books for this age group are The American Girl Library’s The Care and Keeping of You or Lynda Madaras’ Ready, Set, Grow! : A Whats Happening to My Body? Book for Younger Girls (including personal health and hygiene, pubertal changes, menstruation, but no discussion of sex and reproduction).

This book does mention sexual reproduction, but may confuse some young girls. The closest thing to an explicit statement concerning how one gets pregnant appears in chapter six: (In order for you to become pregnant, the egg would need to be fertilized by a sperm cell inside the fallopian tube.) A diagram of fallopian tubes appears a few pages before, but can we assume that all girls this young will understand that sperm cells are deposited by the male through the act of sexual intercourse? The sentence defining sexual intercourse appears forty pages later in the book and mentions the penis, but no sperm and no male person.

The reading level appears to range from Flesch-Kincaid grade level 5.9 to 12.0, with a Flesch reading ease ranging from 40 to 80.

Reviewed by: Brenda Pfannenstiel, AHIP, Children’s Mercy Hospitals & Clinics, Kansas City, MO.

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Polynice, Alain and Aloysius Smith. Your Complete Guide to Breast Reduction & Breast Lifts. Addicus Books, 2006. 99p. index. ISBN 1-886039-17-8. $21.95.

Written by two board-certified plastic surgeons with private practices and academic affiliations, this guide proactively answers prospective questions women may have about breast reductions, lifts and implants. The book is well organized and easy to read, with text containing italicized words defined in a glossary, and key points summarized in side-bars (such as: questions to ask your surgeon on how to prepare for the procedure). Quotes from patients discuss the psychological aspects of life before and after the surgery. The book realistically depicts reasons for having these surgeries, outcomes and recovery times, and risks and complications. The chapter on follow-up care is especially helpful, providing general guidelines on when patients can shower, drive, etc. Before and after photos are clear, showing women of various ages, backgrounds and outcomes. A resource guide is included, although references and print bibliography are not. Also, the 8 ½ x 11 orientation makes the paperback slightly prone to buckling. Nonetheless, this is a comprehensive, practical guide that would benefit women considering or undergoing cosmetic breast surgery.

Reviewed by: Cara Helfner, MSLIS, Brigham and Women’s Hospital Kessler Health Education Library, Boston, MA.

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Rosenstein, Ann A. Water Exercises for Fibromyalgia: The Gentle Way to Relax and Reduce Pain. Idyll Arbor, Inc., 2006. 286p. index. ISBN 1-882883-56-X. $18.00.

According to the National Association of Fibromyalgia, this condition affects 10-12 million Americans annually. "Fibromyalgia describes several disorders, all characterized by achy pain and stiffness in soft tissues, including muscles, tendons, and ligaments." (Merck Manual of Medical Information, Second Home Edition, 2003, p. 415)

Author Ann Rosenstein, certified water and land fitness instructor since 1989, discusses fibromyalgia, what it does to your body, and how exercise can help. In addition to the physical pain of fibromyalgia, Rosenstein acknowledges the emotional pain and frustration that those with fibromyalgia face because they don’t look sick and are often told that the condition is all in their head.

This richly-illustrated book with over 530 photos of exercises and equipment includes chapters on safety, equipment, working with an exercise companion, and various types of exercises: warm-ups, flexibility and range of motion, stretches, aerobic, strength training, and cool downs. Rosenstein provides a variety of water exercises to help those with fibromyalgia keep moving and maintain good posture. Regular, but gentle workouts are key to achieving greater flexibility and better blood flow, leading to a general sense of well being. There is also information on other ways to help cope with fibromyalgia, such as medications, vitamins and minerals, herbs, diet and nutrition.

This practical book, that carefully takes individuals through the mechanics of various exercises while explaining how they work and how they affect you, is highly recommended. Other books in this series cover water exercises for osteoarthritis, rheumatoid arthritis, and Parkinson’s disease.

Reviewed by: Susan Murray, MLS, MA, AHIP, Consumer Health Information Service, Toronto Public Library, Toronto, Ontario, Canada.

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Schwarz, Shelley Peterman. Parkinson’s Disease 300 Tips for Making Life Easier. Demos 2006. 140p. index. ISBN 10 1-932603-53-0. ISBN 13 978-1932-60353-8. $16.95.

People with Parkinson’s Disease want and need creative, practical tips and techniques to live well and make life easier and this updated second edition delivers them. For easy reference, the book is categorized according to daily activities such as making home a safe place, grooming and dressing, speaking and writing, food preparation and eating and drinking, handling medical issues and getting out and about. Resources listed at the end of each category help locate products and services. The book’s focus is positive and helps empower people with PD to stay involved and in touch: "Life is about choices. You may not have total control over your Parkinson’s Disease…but you do have control over how you let it affect your life. Staying active and involved is possible…"

This book is easy reading and the result of interviews with people with PD and the healthcare professionals and caregivers who care for them as well as the author’s personal experiences with multiple sclerosis. Shelley Peterman Schwarz writes a nationally syndicated column entitled "Making Life Easier" and has published more than 500 articles and received numerous awards. She is the author of Multiple Sclerosis: 300 Tips for Making Life Easier. Parkinson’s Disease 300 Tips for Making Life Easier is an excellent resource guide for people with PD and their caregivers and would be a good addition to the consumer health library.

Reviewed by: Donna Zimmer, Community Health Library, Good Samaritan Hospital, Kearney, NE.

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Sebastian, Jeffrey L., Joseph F. Capella, and J. Peter Rubin. Body Contouring Surgery After Weight Loss. Addicus Books, 2006. 176p. index. col illus. ISBN 1-886039-18-6. U.S. $24.95/Canada $33.95.

Three surgeons, who have active practices in general, bariatric, and plastic & reconstructive surgery, have written a book for a growing number of people who have lost a significant amount of weight. Dr. Sebastian, a co-author of the book and plastic surgeon, defines why body contouring is needed after massive weight loss. "The loose skin does not respond to diet or exercise. Only body contouring surgery will reduce the often extreme degrees of skin excess that develop with massive weight loss." There is a need for this book now and there had been a gap for the many patients prior to 2006. A press release by the AHRQ on July 12, 2005 states that weight-loss surgeries more than quadrupled between 1998 and 2002. The American Society of Plastic Surgeons has published their numbers as a 22% overall increase from 2004 to 2005 in total body contouring procedures after massive weight loss.

The book provides the reader language without innuendoes nor stigma to patient who has accomplished a massive weight loss. The intent is to answer the most frequently anticipated questions a patient may have including how to choose a surgeon, what to expect in the surgery, and outcomes. Numerous colored drawings show where incisions are generally made, where scars can be hidden, and physical appearance post surgery.

Although the authors use several male and female patient profiles with before and after photos there is no mention that informed consent had been given for inclusion in this book. I believe this may have been an oversight by Addicus Books; nevertheless, it is accepted practice to state in a disclaimer that the patient(s) has given permission to reprint the photos.

This book would fit well in public libraries, in resource centers, or specialty clinic offices. Plastic surgery books abound in major chain bookstores. Body Contouring has a unique niche for adults of any age who are scoping out their options to complete the work already done in order to capture their body image in ultimate fruition.

Reviewed by: Sharon L. Kambeitz, MLIS, AHIP; Allina Library Services; Allina Health System, St. Paul, MN.

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Siler, Brooke. Your Ultimate Pilates Body Challenge. Broadway Books, 2006. 224p. ISBN 0-7679-1982-3. $17.95.

The author, who has excellent Pilates training credentials, expands from her previous books to incorporate Pilates movements into aspects of everyday life. This book makes use of "metaforms" a term coined by the author to visualize correct body positioning while performing the exercises. These images, illustrated by line drawings superimposed on photos in the text give helpful queues to guide the reader’s form.

The book is organized into sections for use at the gym or home, on the mat, everyday activities and specific sports. The gym section includes typical equipment such as the treadmill, elliptical, stair machine and stationary bike. Home exercises include bands, free weights and jump rope. The mat exercises form the bulk of the book, concentrating on four new routines to customize for developing abdominal strength, a lean lower body, perfecting posture and increasing flexibility.

An "invisible workout" to integrate proper Pilates form into everyday activities such as lifting, standing and sitting is included. Techniques to enhance performance in golf, tennis, downhill skiing and snowboarding conclude the book. Photos are crisp and clearly illustrate proper form. Recommended for collections strong in exercise programs.

Reviewed by: Aileen Jencius, MLIS, Robinson Memorial Hospital Medical Library, Ravenna, Ohio.

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Zied, Elisa, M.S., R.D., and Ruth Winter, M.S. So What Can I Eat?! How To Make Sense of the New Dietary Guidelines For Americans and Make Them Your Own. Wiley. 2006. 212p. index. ISBN 0-471-77201-1. $14.95.

An American Dietetic Association spokesperson and registered dietitian, Zied’s goal is to clarify new nutritional information and help readers incorporate the new Dietary Guidelines for Americans recommendations into daily life. She explains the recent changes to the Pyramid and offers seven steps readers can use to tailor their own diets to meet the recommendations, starting with tracking one’s own caloric intake/output. Suggestions for adding fruits, vegetables, and other healthy portions to the daily diet are concrete and practical. Zied shares her own experiences in following the guidelines and provides a sample tracking chart. Each section of the Pyramid receives attention with specific recommendations for portions sizes in each food group. Tips on cutting calories and incorporating additional activities into daily life are helpful. Supermarket shopping hazards, especially in deciphering labeling such as low versus reduced fat, are well explained. Restaurant fare can be especially dangerous to dieters, and Zied provides selection tips for ten types of cuisine from fast food to Middle Eastern, Italian, Thai, and steakhouses. A 2000 calorie-per-day meal plan, with recipes, is listed. Appendices include master food lists, how to determine one’s own calorie needs, additional resources, and a bibliography. While similar to d’Elgin’s What Should I Eat? A Complete Guide to the New Food Pyramid, (Ballantine, 2005) this book is higher in reading level and complexity but does have the advantage of the very specific recommended serving sizes for the different levels of calorie intakes as well as the full meal plan. Recommended.

Reviewed by: Janet M. Schneider, James A. Haley Veterans’ Hospital, Tampa FL.

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Publication Information

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Consumer Connections (ISSN 1535-7821) is the newsletter of the Consumer and Patient Information Section of the Medical LibraryAssociation and is published quarterly.

Content for each issue is cumulated online at primarily during the first two months of the quarter; the issue is considered complete at the end of the quarter. Notification of publication is sent quarterly via the CAPHIS listserv. Newsletter articles and book reviews are copyrighted; please contact the editor for reprint permission.


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Vol. 22 No. 3 2006 
ISSN 1535-7821    

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CAPHIS, the Consumer and Patient Health Information Section, is a section of the Medical Library Association, an association of health information professionals with more than 5,000 individual and institution members. MLA fosters excellence in the professional achievement and leadership of health sciences library and information professionals to enhance the quality of health care, education, and research.

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