m7dDF@2G\@2HX]zP:\Epoc32\Wins\C\System\Apps\EZPaeDZ_series5\EZPaeDZ_series5.app!:\System\Apps\EZPaeDZ_series5\EZPaeDZ_series5.appP:\Epoc32\Wins\C\System\Apps\EZPaeDZ_series5\EZPaeDZ_series5.aif!:\System\Apps\EZPaeDZ_series5\EZPaeDZ_series5.aifEZPaeDZ7tW1\ c:\Documents\EZP\EZPaeDZ_series5Z%BWT\D&dTD&hAGElAGE1tREPLY%|NBM~YRSMTHSDEFVAR+O++EZPaeDZ (Psion Series 5)O++(++:Although every effort has been made to ensure the accuracyO++[S%v@MENU1+EZPaeDZ++"Is not valid for Premature InfantsOW7Sv0( VARMENU1AGEWTYRSMTHS+Estimate child's weight?+YesOy+NoOn &W7&On@[ S&Oy@[ O |>[ O|RWB}N O|> O |2\[ O|RO |JWB}' O|2 O|>\[ O|RO|JWB}+EZPaeDZO+ Est. weight: OW+kgKO+ Based of age: "OW+yrs + K $OWK+mthsKOSvQU`AAIRMENDRUGMENFLUIDMENLABMENPHARMENPHYSMENVARABOUT+EZPaeDZ Main MenuO+Airway+(+ Anaesthetics+(+Fluids+(+ Lab results+(+ Pharmacology+(+ Physiology+(+ New patient+(+About EZPaeDZ+(+Quit+(SW7SO@[ SSO@[ SsSO@[ S#cSO@[ S-SSO@[ S5CSO@[ S>3SO@[ SG#SO @[ SLSO @SO@`[v $CVSRSMENU1+Select an option+Cardiovascular+(+ Respiratory+(+ Main menu+("W7"O@[ S'"O@[ S"O@"O@`[S"O@"O@`[dv8<(FLUIDSTRANSFUSRESUSCBURNSMENU1+Select an option+ Maintenance+(+ Transfusion+(+ Resuscitation+(+Burns+(+ Main menu+(:W7:O@[ SG:O@[ S7:O@[ S$':O@[ S,:O@:O@`[S3:O@:O@`[!v*.ETTLMACIRCUITMENU1+Select an option+Endotracheal Tubes+(+Laryngeal Mask Airway+(+Breathing Circuits+(+ Main menu+(,W7,O@[ S7,O@[ S',O@[ S,O@,O@`[S%,O@,O@`[*vKO;ANAPHANTIBUGANALGESANTICONASTHMADIABETESMENU1+Select an option+ Anaphylaxis+(+ Antibiotics+(+ Analgesia+(+Anticonvulsants+(+Asthma+(+Diabetes+(+ Main Menu+(MW7MO@[ S`MO@[ SPMO@[ S"@MO@[ S+0MO@[ S4 MO@[ S<MO@[SFMO@[vCG3PREMEDINDUCTPARALREVERSANALGESLAMENU1+Select an option+Premed+(+ Induction+(+ Paralysis+(+Reversal+(+ Analgesia+(+Locals+(+ Main Menu+(EW7EO@[ S`EO@[ SPEO@[ S"@EO@[ S)0EO@[ S1 EO@[ S:EO@[S>EO@[v%)FBCUEABGMENU1+Select an option+FBC+(+U&E+(+ABG+(+ Main Menu+('W7'O@[ S0'O@[ S 'O@[ S'O@[S 'O@[hvAGE1WTYRSO {OOO+NORMAL RESPIRATORY VALUES :O {O O|2[O O#+ Childs Age:(O# O W+ daysKO O/+Childs Weight:(O/ O W+ kgKO O;+RR:(O;+ 45 per minO OG+Vt:(OG O|RO W+ mlsKO OS+Vd:(OS *@RWB}O W+ mlsKO O_+VC:(O_ O!|RWB}O W+ mlsKO Ok+FRC:(Ok O|RO W+ mlsK׿E O|> (m|2\[O O#+ Childs Age:(O# O|VWB}O W+ wksKO O/+Childs Weight:(O/ O W+ kgKO O;+RR:(O;+ 30 per minO OG+Vt:(OG O|RO W+ mlsKO OS+Vd:(OS *@RWB}O W+ mlsKO O_+VC:(O_ O!|RWB}O W+ mlsKO Ok+FRC:(Ok O|RO W+ mlsK׿ (m|>[O O#+ Childs Age:(O# O W+ yrsKO O/+Childs Weight:(O/ O W+ kgKO O;+RR:(O;+ 24 per minO OG+Vt:(OG O|RO W+ mlsKO OS+Vd:(OS *@RWB}O W+ mlsKO O_+VC:(O_ O!|RWB}O W+ mlsKO Ok+FRC:(Ok O|RO W+ mlsKO(O +Press any key to continueOW v*IWTAGE1MTHSYRSAGEO {OOO+NORMAL CARDIOVASCULAR VALUES :O {OOO+ Childs Wt = + KgOO+SYSTOLIC HR TACHYCARDIAOO +DIASTOLIC BRADYCARDIA O|2[POO+Childs Age = + daysOO + 67 133 >180OO + 42 <1205 O|> (|2\[UOO+Childs Age = O|VWB+ wksOO + 89 120 >160OO + 60 <110 (|> (m|2\[POO+Childs Age = + mthsOO + 96 120 >140OO + 66 <100o (m|> (|2\[NOO+Childs Age = + yrsOO + 99 105 >120OO +64 <60 (|> O|2\[OOO+Childs Age = + yrsOO + 100 101 >120OO +67 <60 O|> O|2\[MOO+Childs Age = + yrsOO + 94 90 >120OO +55 <60U O|>[KOO+Childs Age = + yrsOO + 109 70 >120OO +58 <50O(O +Press any key to continueOW vWTNBM O|: O |6\[ O|R O |: O|6\[ O |NO|RO(|J *(\4@:[ O|NO|RO<|JOO+ CALCULATION :OO+ Childs wt = + KgOO+Maint/HOUR = WB+ ml/hrOO + Maint/DAY = O|RWB+ ml/dayOO + Deficit =  RWB+ mlOO+"Press any key for replacement planW OO+SUGGESTED PER-OP REGIME :OO+Maintenance = WB+ ml/hrOO+ Deficit =  RWB+ mlsOO+ 1st HOUR =  RO|VJWB+ ml/hrOO + 2nd HOUR =  RO|VJWB+ ml/hrOO + 3rd HOUR =  RO|VJWB+ ml/hrOO +Then back to maintenance rateO(O +Press any key to continueOW v&:ACTHB(DESHB0HB(O |0O |(O#O O {O((OO{O+Enter patient details(+Present Hb in g/dlO|O|0+ Desired HbO|O|W7S$v-,AGE1WTAGEDESHBACTHB O|2[ OU|R8 O|> O |2\[ OK|R O |>[ OF|R$O| R  NROO+ CALCULATION: OO+ Childs wt = + KgOO+ Blood Vol = WB+ mlsOO+ Actual Hb = + g/dlOO + Desired Hb = + g/dlOO +TRANSFUSION REQUIREDOO += $WB+ mls of WHOLE bloodOO += $O|VWB+ mls of PACKED CELLSOO+Press any key to continueW v$%`CVSAGE1WTAGEOO O|2[ OU|R8 O|> O |2\[ OK|R O |>[ OF|R+RESUSCITATION :OO+Childs weight = + KgOO+Est Blood Volume = WB+ mlsOO+GIVE:OO +O| RWB+ml bolus over 15minsOO + Oliguria = < O|V+ mls/hrOO +Tachycardia = HYPOVOLAEMIAOO+Press any key to continueW Sv&8WT O|: O |6\[ O|R O |: O|6\[ O |NO|RO(|J *(\4@:[ O|NO|RO<|JOO+FLUID RESUSCITATION FOR BURNS :OO+Assess extent of burnsOO+Rule of Nines doesnt applyOO+PATIENTS HAND = 1% BSAOO +Try 2-4ml/kg/%BSA burned/24hrsOO + Need 0.7-1 ml/kg/hr urine outputOO+Press any key for detailsW (O#O O {O((OO{O+&What is the estimated extent of burns?+ % Body Surface Area:O|Od|W7OO+FLUID RESUSCITATION FOR BURNS :OO+Normal maintenance = WB+ ml/hrOO+From time of injury, ADD:OO +First 8 hours - RO|VWB+- RO|VWB+ ml/hrOO +Next 16 hours - RO|VWB+- RO|VWB+ ml/hrOO +Aim for *ffffff?RWB+- WB+ ml/hr urine outputOO+Press any key to continueW v EYRSMTHSAGEOO+ENDOTRACHEAL TUBE SIZES :OO+ Childs Age = +yr & +mth *?2[*OO+2.5mm uncuffed 10cm to lips *?2[*OO +3.0mm uncuffed 10.5cm to lips *?> *?2\[(OO+3.5mm uncuffed 11cm to lips *?> *?2\[(OO +4.0mm uncuffed 12cm to lips *?> O|2\[(OO+4.5mm uncuffed 13cm to lips *?> O|2\[(OO +5.0mm uncuffed 14cm to lips O|> O|2\[(OO+5.5mm uncuffed 15cm to lips O|> O|2\[(OO +6.0mm uncuffed 16cm to lips O|> O |2\[(OO+6.5mm uncuffed 17cm to lips O|> O |2\[(OO +7.0mm uncuffed 18cm to lips O |>[&OO+7.5mm cuffed 19cm to lips O |>[&OO +8.0mm cuffed 20cm to lips O |2[%OO +NB There should be a leakOO+Press any key to continueW vXWTOO+LARYNGEAL MASK SIZES : *@2[+OO+Try #1 (CUFF VOLUME UP TO 4mls) *@> O|2\[,OO+ Try #2 (CUFF VOLUME UP TO 10mls) O|> O|2\[.OO+"Try #2.5 (CUFF VOLUME UP TO 14mls) O|>[UOO+ Try #3 (CUFF VOLUME UP TO 20mls)OO + Or #4 (CUFF VOLUME UP TO 30mls)OO+Press any key to continueW vPARSWT (|Od| RJ(|V O|R(OF| R(|V0Od| R(|V8Ox| R@O | RH8@VOO+BREATHING SYSTEMS :OO+ Spontaneous: O|2[OO+Suggest AYRES T-PIECEOO+Using a FGF > + l/minOO +IPPV:OO +Suggest AYRES T-PIECEOO +Using a FGF >  + l/min O|>[OO+Suggest LACK/CIRCLE systemOO+Using a FGF > (+ l/minOO +IPPV:OO +BAIN CIRCUIT (H+ x @+ ml breaths)OO +Using a FGF > 0+ l/min(O|2[+OO +IF FGF<3 litres USE CAPNOGRAPHYOO+Press any key to continueW SvTWT O|R O|R$ *?RL O|R, O|R4 *?R< *?RD *?ROO+PREMEDICATION :OO+ Childs Wt = + KgOO+ Atropine = + mcg im/ivOO+ Chloral = + mg poOO + Diazepam = $+ mg poOO + Midazolam = 4+ mg poOO + Temazepam = L+ mg poOO +Trimeprazine= ,+ mg poOO + Morphine = D+ mg imOO+ = <+ mg nasallyW O|O|$*?LO|,O|4*?<*?D*?OO+PREMEDICATION :OO+Doses per kilogramme:OO+ Atropine = + mcg/kg im/ivOO+ Chloral = + mg/kg poOO + Diazepam = $+ mg/kg poOO + Midazolam = 4+ mg/kg poOO + Temazepam = L+ mg/kg poOO +Trimeprazine= ,+ mg/kg poOO + Morphine = D+ mg/kg imOO+ = <+ mg/kg nasalW v>WTAGE O|R O|R& *333333?R. O|R6 O |ROO+ INDUCTION :OO+ Childs Wt = + KgOO+Thiopentone = + mg ivOO+ Methohex = + mg ivOO + Etomidate = &+ mg ivOO + Propofol = .+ mg iv O|2[>OO+Propofol unlicencedOO+Consider gas inductionOO + Ketamine = 6O|V+ mg ivOO + = 6+ mg imW O|O|&*333333?.O|6O |OO+ INDUCTION :OO+Doses per kilogramme:OO+Thiopentone = + mg/kg ivOO+ Methohex = + mg/kg ivOO + Etomidate = &+ mg/kg ivOO + Propofol = .+ mg/kg ivOO + Ketamine = 6O|V+ mg/kg ivOO + = 6+ mg/kg imOO+Press any key to continueW v4\WT *?R *?R$ *{Gz?R, O|ROO+NEUROMUSCULAR BLOCK :OO+ Childs Wt = + KgOO+Atracurium = + mg ivOO+Vecuronium = + mg ivOO +Pancuronium = $+ mg ivOO +Sux = ,+ mg ivOO+More dose information...W *?*?$*{Gz?,O|OO+NEUROMUSCULAR BLOCK :OO+Doses per kilogramme:OO+Atracurium = + mg/kg ivOO+Vecuronium = + mg/kg ivOO +Pancuronium = $+ mg/kg ivOO +Sux = ,+ mg/kg ivOO+Press any key to continueW v<WT O|R O |R, O2|R$ 4 *{Gz?ROO+ REVERSAL :OO+ Childs Wt = + KgOO+ Atropine = + mcg ivOO+Glycopyrrol = + mcg ivOO +Neostigmine = ,+ mcg ivOO +Edrophonium = $+ mg ivOO + Neo/Glyco = 4+ mls ivOO+More dose information...W O|O |,O2|$O|4*{Gz?OO+ REVERSAL :OO+Doses per kilogramme:OO+ Atropine = + mcg/kg ivOO+Glycopyrrol = + mcg/kg ivOO +Neostigmine = ,+ mcg/kg ivOO +Edrophonium = $+ mg/kg ivOO + Neo/Glyco = 4+ mls/kg ivOO+Press any key to continueW vNWTAGE1 O|RWB} WB}& O|RWB}. O|RWB}6 WB}> WB}F O |ROO+ ANALGESIA :OO+ Childs Wt = + KgOO+Paracetamol = + mg o/pr 6hrly (m|>[2OO+Diclofenac = + mg o/pr 8hrly* (m|2[OO+Voltarol unlicensedOO + Fentanyl = &+ mcg ivOO + Morphine = .Od|V+ mg im 4hrlyOO + Pethidine = 6+ mg im 3hrlyOO + Codeine = >+ mg im 4hrlyOO+ NALOXONE = F+ mcgW O|O|&O|.*333333?6O|>O|FO |OO+ ANALGESIA :OO+Doses per kilogramme:OO+Paracetamol = + mg/kg po/prOO+Diclofenac = + mg/kg po/prOO + Fentanyl = &+ mcg/kg ivOO + Morphine = .+ mg/kg imOO + Pethidine = 6+ mg/kg imOO + Codeine = >+ mg/kg imOO+ NALOXONE = F+ mcg/kgW OO+MORPHINE INFUSION :OO+ Childs Wt = + KgOO+Use a dedicated cannula orOO+put a Cardiff valve on the IVIOO +Put O|V+ mg morphine (0.5mg/kg)OO + in 50mls N/Saline (1ml=10mcg/kg)OO +Give O|V+mg morphine loading dose O|:[-OO+Then 1-4ml/hr (10-40mcg/kg/hr)7 O|6[-OO+!Then 0.5-1.5ml/hr (5-15mcg/kg/hr)W OO+PCA : (|2[-OO+Children under 6yrs unsuitable (|>[OO+ Childs Wt = + KgOO+Use a dedicated cannula orOO+put a Cardiff valve on the IVIOO +Put + mg morphine (1mg/kg)OO + in 50mls N/Saline (1ml=20mcg/kg)OO +BOLUS = 1 ml (20mcg/kg)OO+LOCKOUT = 5 minsW vLWT O|RWB} O|RWB}$ O|RWB}, *?RWB}4 O|RWB}< O |RWB}D *)@RWB}OO+CAUDAL ANALGESIA :OO+Childs Weight = + KgOO+SACRAL Circ = 4O |V+ mlsOO+LUMBAR Hernia = <O |V+ mlsOO +THORACIC Orchid = DO |V+ mlsOO +Use 0.25% PLAIN BupivacaineOO +If vol >20ml dilute to 0.19%OO +(2:1 mix of bupivacaine:saline)OO+Press any key for MAX. DOSESW OO+MAXIMUM RECOMMENDED DOSES :OO+Childs Weight = + KgOO+Bupivacaine = + mgOO+Lignocaine = + mgOO +Prilocaine = $+ mgOO + Cocaine = ,+ mgOO +Based on PLAIN solutionsOO +Absorption depends on siteOO+Press any key to continueW vTWT O|RWB} O2|R$ O|RWB}, O2|R4 O|RWB}< *@RWB}D *@RWB}L O |RWB}OO+ANTIBIOTIC STARTING DOSES :OO+Childs Weight = + KgOO+Benzylpenicillin = + mgOO+Ampicillin = + mgOO +Flucloxacillin = $+ mgOO +Gentamicin = D+ mgOO +Metronidazole = <+ mgOO +Cefotaxime = ,+ mgOO+Erythromycin = L+ mgOO +Cefuroxime = 4+ mgOO+Nystatin = 100,000uW O|O2|$O|,O2|4O|<*@D*@LO |OO+ANTIBIOTIC STARTING DOSES :OO+Doses per kilogramme:OO+Benzylpenicillin = + mg/kgOO+Ampicillin = + mg/kgOO +Flucloxacillin = $+ mg/kgOO +Gentamicin = D+ mg/kgOO +Metronidazole = <+ mg/kgOO +Cefotaxime = ,+ mg/kgOO+Erythromycin = L+ mg/kgOO +Cefuroxime = 4+ mg/kgOO+Nystatin = 100,000uW v4LWT O|R O |R$ *?R, *?ROO+ANTICONVULSANT STARTING DOSES :OO+!CHECK: Glucose, electrolytes, ABGOO+ Phenobarb = + mg ivOO + Phenytoin = + mg slowivOO +Paraldehyde = $+ ml im/prOO + Diazepam = ,+ mg slowiv/prOO+ Press any key for more dose infoW O|O |$*?,*?OO+ANTICONVULSANT STARTING DOSES :OO+Doses per kilogramme:OO+ Phenobarb = + mg/kg ivOO + Phenytoin = + mg/kg slowivOO +Paraldehyde = $+ ml/kg im/prOO + Diazepam = ,+ mg/kg slowivOO+Therapeutic ranges...W OO+!ANTICONVULSANT THERAPEUTIC RANGESOO+N.B Liver enzyme inductionOO+Phenobarb = 45-110 micmol/lOO +Phenytoin = 40-80 micmol/lOO+Press any key to continueW v$UETTWTYRSMTHSE O|RWB}OO+ACUTE SEVERE ASTHMA DOSES :OO+Childs age = +yrs & +mthsOO+Aminophyll = E+ mg slowivOO+Salbutamol = 2.5 mg neb O|2[+OO +Hydrocortis = 25 mg slowivm O|> O|2\[+OO +Hydrocortis = 50 mg slowiv3 O|>[)OO +Hydrocortis = 100 mg slowivOO + Ketamine = O|RWB+ mg ivOO+!Press a key for intubation adviceW Sv@RESUSCWTOO+ACUTE SEVERE ANAPHYLAXIS :OO+TYPE I reaction (IgE/IgG)OO+1. Minimize exposure to causeOO+2. 100% O2, IV accessOO +3. ADRENALINE O |V+ ml 1:10,000 ivOO +Steroid & antihistamine cover?OO +"Bloods= FBC,Tryptase,Ig,ComplementOO+"Press any key for fluid managementW SvFWTAGE *?ROd|RWB} *333333?ROd|RWB}& *?ROd|RWB}.Od|V6Od|V>&Od|VOO+DIABETIC PERIOPERATIVE REGIME : *?2[+OO+UNCOMMON - Seek specialist helpOO+Book the patient 1st on listOO+Omit long-acting insulin on eveOO+GIVEOO +10% Dex/0.18% NaCl at O|RWB+mls/hrOO +50u Insulin in 50mls at .+ml/hrOO +If BM>11 up Insulin to 6+ml/hrOO +If BM<7 drop Insulin to >+ml/hrOO+Press any key to continueW v!AGE1YRSMTHSOO+NORMAL VALUES : O|2[-OO+Childs Age = + daysOO+Na = 136-143 mmol/lOO+K = 5-8 mmol/lOO +Cl = 96-107 mmol/lOO +Ca = 1.48-2.68 mmol/lOO +Glucose = 2.7-3.3 mmol/lOO +Urea = 1.3-2.3 mmol/lOO +HCO3 = 20 mmol/lOO+Press any key to continue> O|>[4OO+Childs Age = +yr & +mthOO+Na = 135-148 mmol/lOO+K = 3-5 mmol/lOO +Cl = 98-106 mmol/lOO +Ca = 2.13-2.6 mmol/lOO +Glucose = 2.4-5.3 mmol/lOO +Urea = 6.6-8.6 mmol/lOO +HCO3 = 24 mmol/lOO+Press any key to continueW v!AGE1YRSMTHSOO+NORMAL VALUES : O|2[OO+Childs Age = + daysOO+Hb = 13.7-20.1 HbF=80%OO+ Hct = 53%OO +MCV = 96-118 flOO +MCH = 33-41 pgOO +Reticulocyte= 3-7%OO +Nucl RBC = 500 per mm3OO +Platelets = 150-400 x1000/mm3OO+Press any key to continue O|> O|2\[ OO+Childs Age = + daysOO+Hb = 13.8-21.8 HbF=80%OO+ Hct = 55 %OO + MCV = 99 flOO + MCH = 33 pgOO +Reticulocyte= 1-3 %OO +Nucl RBC = 0-5 per mm3OO +Platelets = 213 x1000/mm3OO+Press any key to continue O|> O|2\[ OO+Childs Age = + daysOO+Hb = 14-20 HbF=80%OO+ Hct = 54 %OO + MCV = 98 flOO +MCH = 32.5 pgOO +Reticulocyte= 0-1 %OO +Nucl RBC = 0 per mm3OO +Platelets = 248 x1000/mm3OO+Press any key to continue O|> O|2\[ OO+Childs Age = + daysOO+Hb = 13.8-19.8 HbF=80%OO+ Hct = 52 %OO + MCV = 96 flOO +MCH = 31.5 pgOO +Reticulocyte= 0-1 %OO +Nucl RBC = 0 per mm3OO +Platelets = 252 x1000/mm3OO+Press any key to continueq O|> OZ|2\[OO+Childs Age = O|VWB+ weeksOO+Hb = 11.1-14.3 g/dlOO +Hct = 31-41 %OO+Press any key to continue OZ|> (|2\[OO+Childs Age = O|VWB+ monthsOO+Hb = 10.4-12.2 g/dlOO + Hct = 33 %OO+Press any key to continueC (|> (m|2\[OO+Childs Age = O|VWB+ monthsOO+Hb = 11.8 g/dlOO + Hct = 35 %OO+Press any key to continue (m|> (|2\[OO+Childs Age = O|VWB+ monthsOO+Hb = 11.2 g/dlOO + Hct = 35 %OO+Press any key to continue (|> (B|2\[OO+Childs Age = +yr & +mthOO+Hb = 12.8 g/dlOO + Hct = 37 %OO+Press any key to continue (B|>[OO+Childs Age = +yr & +mthOO+Hb = 13.4 g/dlOO + Hct = 39 %OO+Press any key to continueW v!=AGE1YRSMTHSOO+NORMAL VALUES : O|2[%OO+Childs Age = + daysOO+pH = 7.30-7.35OO+PaO2 = 7.8-10.4 kPaOO +PaCO2 = 3.9-5.2 kPaOO + BE = -5OO +!Capill sample = similar PCO2 & pHOO+PcO2 = 0.65-1.3kPa < PaO2OO + Invalid if baby hypotensive/coldOO+Press any key to continue O|> O|2\[#OO+Childs Age = + daysOO+pH = 7.35-7.40OO+PaO2 = 9.1-11 kPaOO +PaCO2 = 3.9-4.9 kPaOO + BE = -5OO +!Capill sample = similar PCO2 & pHOO+PcO2 = 0.65-1.3kPa < PaO2OO + Invalid if baby hypotensive/coldOO+Press any key to continue O|>[OO+Childs Age = + yrs & + mthsOO+pH = 7.35-7.45OO +PaO2 = 10.7-12.7 kPaOO +PaCO2 = 4.7-6.0 kPaOO+BE = 0OO+Press any key to continueW vDISCLAIM5DEFVARABOUT (VAREAGEDISC[ZESTIMATEbMENU1 xPHYSMEN FLUIDMENq AIRMEN PHARMENDRUGMENLABMENSRS0CVSFLUIDSgTRANSFUS'HB9RESUSCYBURNS wETTT#LMA&CIRCUIT)(PREMED*8INDUCT!.yPARAL01REVERS3ANALGESU6LA<ANTIBUG?ANTICONCASTHMAF8ANAPHHWDIABETESJmUE3LFBCNABGWJh dZ7j_W5%(0-?U@UU\???Vf ggggggggggCj_(0-????SEZPaeDZ-0