New Albany, OH Facts, Population, Income, Demographics, Economy

Population (male): 5,540

Median Rent: Median gross rent in 2017: $1,778.

Cost of Living: March 2019 cost of living index in New Albany: 101.3 (near average, U.S. average is 100)

Poverty (overall): Percentage of residents living in poverty in 2017: 2.7%

Poverty (breakdown): (2.5% for White Non-Hispanic residents, 11.7% for Black residents)

Ancestries: Ancestries: German (12.6%), Irish (12.0%), American (11.2%), English (7.4%), Italian (5.1%), Polish (3.4%).

Elevation:

Zip Codes: 43054

Median Incomes:
      Estimated median household income in 2017: $141,616 (it was $102,180 in 2000)
      Estimated per capita income in 2017: $86,214 (it was $62,131 in 2000)
      Estimated median house or condo value in 2017: $706,036 (it was $465,100 in 2000) New Albany:$706,036OH:$144,200

Races:
      White alone - 7,886 - 80.2%
      Asian alone - 947 - 9.6%
      Black alone - 561 - 5.7%
      Hispanic - 173 - 1.8%
      Two or more races - 135 - 1.4%
      American Indian alone - 39 - 0.4%
      Other race alone - 30 - 0.3%

Goldribbon

Recognitions and Certifications

Accredited Drug Testing has been recognized as one of the "Top 10 drug testing companies" for excellent customer service and we have received TPA Accreditation from the National Drug and Alcohol Screening Association. We are active in all drug testing industry associations and our staff are trained and certified as drug and alcohol testing specialists.

Important Links

National Drug and Alcohol Screening Association (https://ndasa.com/)

National Drug Free Workplace Alliance (https://www.ndwa.org/)

Substance Abuse Program Administrators Association (https://www.sapaa.com/)

Substance Abuse Mental Health Safety Administration (https://www.samhsa.gov/)

US Drug Enforcement Administration (https://www.dea.gov/)

Office of Drug alcohol Policy Control (https://www.transportation.gov/odapc)

Blood Lab Tests

Lab/Blood Testing Centers
New Albany, OH

Accredited Drug Testing in New Albany, Ohio provides confidential laboratory analyzed testing services at our New Albany, OH testing locations for medical and personal testing purposes for health, prevention and early detection of diseases. Patients can directly schedule a laboratory test including blood and urinalysis at multiple laboratory/blood testing centers in New Albany, Ohio and the surrounding areas. Same day service is available and most testing centers in the New Albany, OH area are within minutes of your home or office.

6525 W CAMPUS OVAL STE 150 1.4 miles

6525 W CAMPUS OVAL STE 150
NEW ALBANY, OH 43054
Categories: NEW ALBANY OH

5610 N Hamilton Road 2.9 miles

5610 N Hamilton Road
Columbus, OH 43230
Categories: Columbus OH

5050 PINE CREEK DR STE B 3.7 miles

5050 PINE CREEK DR STE B
WESTERVILLE, OH 43081
Categories: WESTERVILLE OH

947 E JOHNSTOWN RD # 229 4.2 miles

947 E JOHNSTOWN RD # 229
GAHANNA, OH 43230
Categories: GAHANNA OH

471 MORRISON RD Ste L 5.8 miles

471 MORRISON RD Ste L
GAHANNA, OH 43230
Categories: GAHANNA OH

2880 STELZER RD 6.3 miles

2880 STELZER RD
COLUMBUS, OH 43219
Categories: COLUMBUS OH

99 N Brice Rd, 6.7 miles

99 N Brice Rd,
Columbus, OH 43213
Categories: Columbus OH

6435 E BROAD ST 7.0 miles

6435 E BROAD ST
COLUMBUS, OH 43213
Categories: COLUMBUS OH

6465 E BROAD ST, STE A1 7.1 miles

6465 E BROAD ST, STE A1
COLUMBUS, OH 43213
Categories: COLUMBUS OH

5969 E BROAD ST STE 307 7.3 miles

5969 E BROAD ST STE 307
COLUMBUS, OH 43213
Categories: COLUMBUS OH

56 WESTERVIEW DRIVE 7.8 miles

56 WESTERVIEW DRIVE
WESTERVILLE, OH 43081
Categories: WESTERVILLE OH

484 County Line Rd W, Suite 210 8.2 miles

484 County Line Rd W, Suite 210
Westerville, OH 43082
Categories: Westerville OH

2014 Baltimore-Reynoldsburg Rd 8.7 miles

2014 Baltimore-Reynoldsburg Rd
Reynoldsburg, OH 43068
Categories: Reynoldsburg OH

5175 E MAIN ST 9.1 miles

5175 E MAIN ST
COLUMBUS, OH 43213
Categories: COLUMBUS OH

4849 E MAIN ST 9.2 miles

4849 E MAIN ST
COLUMBUS, OH 43213
Categories: COLUMBUS OH

909 MORSE RD 10.0 miles

909 MORSE RD
COLUMBUS, OH 43229
Categories: COLUMBUS OH

6740 HUNTLEY RD STE F 10.1 miles

6740 HUNTLEY RD STE F
COLUMBUS, OH 43229
Categories: COLUMBUS OH

1120 Polaris Pkwy 10.7 miles

1120 Polaris Pkwy
Columbus, OH 43240
Categories: Columbus OH

55 CAREN AVE STE 160 11.2 miles

55 CAREN AVE STE 160
WORTHINGTON, OH 43085
Categories: WORTHINGTON OH

1492 E BROAD ST 11.3 miles

1492 E BROAD ST
COLUMBUS, OH 43205
Categories: COLUMBUS OH

300 POLARIS PKWY 11.3 miles

300 POLARIS PKWY
WESTERVILLE, OH 43082
Categories: WESTERVILLE OH

4400 N HIGH ST 11.3 miles

4400 N HIGH ST
COLUMBUS, OH 43214
Categories: COLUMBUS OH

55 DILLMONT DR, STE 101 11.5 miles

55 DILLMONT DR, STE 101
COLUMBUS, OH 43235
Categories: COLUMBUS OH

1534 N HIGH ST VICTORIAN VILLAGE 11.9 miles

1534 N HIGH ST VICTORIAN VILLAGE
COLUMBUS, OH 43201
Categories: COLUMBUS OH

1534 N HIGH ST 12.1 miles

1534 N HIGH ST
COLUMBUS, OH 43201
Categories: COLUMBUS OH

4830 KNIGHTSBRIDGE BLVD STE K 12.2 miles

4830 KNIGHTSBRIDGE BLVD STE K
COLUMBUS, OH 43214
Categories: COLUMBUS OH

1020 Dennison Ave Ste 200 12.6 miles

1020 Dennison Ave Ste 200
Columbus, OH 43201
Categories: Columbus OH

664 HILL RD 12.6 miles

664 HILL RD
PICKERINGTON, OH 43147
Categories: PICKERINGTON OH

111 S GRANT AVE 12.7 miles

111 S GRANT AVE
COLUMBUS, OH 43215
Categories: COLUMBUS OH

92 N FRONT ST 13.1 miles

92 N FRONT ST
COLUMBUS, OH 43215
Categories: COLUMBUS OH

24 Hidden Ravines Drive 13.1 miles

24 Hidden Ravines Drive
Powell, OH 43065
Categories: Powell OH

3813 S HAMILTON RD 13.1 miles

3813 S HAMILTON RD
GROVEPORT, OH 43125
Categories: GROVEPORT OH

895 West 3rd Ave 13.5 miles

895 West 3rd Ave
Columbus, OH 43212
Categories: Columbus OH

1922 BETHEL RD 14.0 miles

1922 BETHEL RD
COLUMBUS, OH 43220
Categories: COLUMBUS OH

1280 W 5TH AVE 123 14.0 miles

1280 W 5TH AVE 123
COLUMBUS, OH 43212
Categories: COLUMBUS OH

1430 S HIGH ST 14.2 miles

1430 S HIGH ST
COLUMBUS, OH 43207
Categories: COLUMBUS OH

1335 DUBLIN RD STE 118E 15.1 miles

1335 DUBLIN RD STE 118E
COLUMBUS, OH 43215
Categories: COLUMBUS OH

254 WHITAKER AVE S 15.2 miles

254 WHITAKER AVE S
POWELL, OH 43065
Categories: POWELL OH

8260 HOWE INDUSTRIAL PKWY STE E 15.6 miles

8260 HOWE INDUSTRIAL PKWY STE E
CANAL WINCHESTER, OH 43110
Categories: CANAL WINCHESTER OH

3690 DUBLIN RD 16.0 miles

3690 DUBLIN RD
COLUMBUS, OH 43221
Categories: COLUMBUS OH

651 W MARION RD 16.5 miles

651 W MARION RD
MOUNT GILEAD, OH 43338
Categories: MOUNT GILEAD OH

6350 Frantz Rd Ste D, 16.7 miles

6350 Frantz Rd Ste D,
Dublin, OH 43017
Categories: Dublin OH

86 N WILSON RD 16.7 miles

86 N WILSON RD
COLUMBUS, OH 43204
Categories: COLUMBUS OH

749 N WILSON RD 16.7 miles

749 N WILSON RD
COLUMBUS, OH 43204
Categories: COLUMBUS OH

1595 FRANK RD 16.8 miles

1595 FRANK RD
COLUMBUS, OH 43223
Categories: COLUMBUS OH

5130 Bradenton Ave Ste D, 16.9 miles

5130 Bradenton Ave Ste D,
Dublin, OH 43017
Categories: Dublin OH

5650 BLAZER PKWY STE 174 17.0 miles

5650 BLAZER PKWY STE 174
DUBLIN, OH 43017
Categories: DUBLIN OH

4660 ROBERTS RD 17.7 miles

4660 ROBERTS RD
COLUMBUS, OH 43228
Categories: COLUMBUS OH

85 PHILLIPI RD 18.0 miles

85 PHILLIPI RD
COLUMBUS, OH 43228
Categories: COLUMBUS OH

4821 ROBERTS RD 18.1 miles

4821 ROBERTS RD
COLUMBUS, OH 43228
Categories: COLUMBUS OH

6431 ALUM CREEK DR STE E 18.1 miles

6431 ALUM CREEK DR STE E
GROVEPORT, OH 43125
Categories: GROVEPORT OH

5920 WILCOX PL, STE F 18.1 miles

5920 WILCOX PL, STE F
DUBLIN, OH 43016
Categories: DUBLIN OH

1865 TAMARACK RD STE C 18.4 miles

1865 TAMARACK RD STE C
NEWARK, OH 43055
Categories: NEWARK OH

6955 PERIMETER LOOP RD 18.4 miles

6955 PERIMETER LOOP RD
DUBLIN, OH 43016
Categories: DUBLIN OH

4171 ARLINGATE PLZ SUTIE 18 18.5 miles

4171 ARLINGATE PLZ SUTIE 18
COLUMBUS, OH 43228
Categories: COLUMBUS OH

95 S TERRACE AVE 18.6 miles

95 S TERRACE AVE
NEWARK, OH 43055
Categories: NEWARK OH

6905 Hospital Dr Ste 130 18.7 miles

6905 Hospital Dr Ste 130
Dublin, OH 43016
Categories: Dublin OH

50 OLD VILLAGE RD, STE 101 18.8 miles

50 OLD VILLAGE RD, STE 101
COLUMBUS, OH 43228
Categories: COLUMBUS OH

4300 CLIME RD STE 110 19.0 miles

4300 CLIME RD STE 110
COLUMBUS, OH 43228
Categories: COLUMBUS OH

4300 CLIME RD 19.0 miles

4300 CLIME RD
COLUMBUS, OH 43228
Categories: COLUMBUS OH

1100 SUNBURY RD STE 706 19.1 miles

1100 SUNBURY RD STE 706
DELAWARE, OH 43015
Categories: DELAWARE OH

4079 GANTZ RD 19.1 miles

4079 GANTZ RD
GROVE CITY, OH 43123
Categories: GROVE CITY OH

12135 Lancaster St 19.1 miles

12135 Lancaster St
Millersport, OH 43046
Categories: Millersport OH

5677 SCIOTO DARBY RD STE 200 19.1 miles

5677 SCIOTO DARBY RD STE 200
HILLIARD, OH 43026
Categories: HILLIARD OH

2030 Stringtown Road 19.2 miles

2030 Stringtown Road
Grove City, OH 43123
Categories: Grove City OH

4998 W BROAD ST STE 112 19.4 miles

4998 W BROAD ST STE 112
COLUMBUS, OH 43228
Categories: COLUMBUS OH

3429 FARM BANK WAY 19.6 miles

3429 FARM BANK WAY
GROVE CITY, OH 43123
Categories: GROVE CITY OH

1032 BUCKEYE AVE 19.6 miles

1032 BUCKEYE AVE
NEWARK, OH 43055
Categories: NEWARK OH

801 OHIO HEALTH BLVD STE 140 20.0 miles

801 OHIO HEALTH BLVD STE 140
DELAWARE, OH 43015
Categories: DELAWARE OH

4343 All Seasons Dr Ste 160 20.8 miles

4343 All Seasons Dr Ste 160
Hilliard, OH 43026
Categories: Hilliard OH

4461 BROADWAY, STE 300 21.2 miles

4461 BROADWAY, STE 300
GROVE CITY, OH 43123
Categories: GROVE CITY OH

562 W CENTRAL AVE 21.5 miles

562 W CENTRAL AVE
DELAWARE, OH 43015
Categories: DELAWARE OH

1490 COSHOCTON AVE 22.1 miles

1490 COSHOCTON AVE
MOUNT VERNON, OH 43050
Categories: MOUNT VERNON OH

Testing services include physician referral, collection of the specimen, complete laboratory analysis and confidential and secure result reporting.

Common Lab/Blood Tests Performed in New Albany, OH Include:

  • Lipid/Cholesterol Test
  • STD Testing
  • Diabetes Testing
  • Thyroid Testing
  • Hemoglobin A1C Testing
  • Complete Blood Count (CBC) Testing
  • Hepatitis Testing
  • Basic Metabolic Testing
  • Liver Function Testing
  • Hormone Testing

** Patients who have high insurance deductibles, co-pays or do not have insurance can access important health and wellness testing by scheduling/Ordering a confidential clinical test through Accredited Drug Testing By Phone or On-line.

The process to schedule a lab/blood test in New Albany, Ohio is fast and easy!

Step 1: Schedule/Order your test online at www.accrediteddrugtesting.com/lab-test-order or call our scheduling department at 800-221-4291. You do not need to visit a doctor to order a test.

Step 2: Provide confidential and secure patient information including the type of test, zip code of the location area you would like to take the test, make payment and you will receive a patient registration form by email where you can immediately proceed to the testing center. Same day service is available. Your test registration pass will have the testing location address and hours of operation.

Step 3: After your test has been analyzed by one of our national CLIA and FDA certified laboratories (Quest/ LabCorp) your results will be sent through a confidential, secure and encrypted portal to the email address that you provided. In the event that the test is non-negative, abnormal or other circumstances, a consultation with the referring physician is available.

Blood Testing New Albany, Ohio

A blood test performed in New Albany, OH is a laboratory analysis performed on a blood sample that is usually extracted from a vein in the arm using a hypodermic needle, or via fingerprick. Multiple tests for specific blood components, such as a glucose test or a cholesterol test, are often grouped together into one test panel called a blood panel or blood work. Blood tests are often used in health care to determine physiological and biochemical states, such as disease, mineral content, pharmaceutical drug effectiveness, and organ function. Typical clinical blood panels include a basic metabolic panel or a complete blood count. Blood tests are also used in drug tests to detect drug abuse.

A basic metabolic panel measures sodium, potassium, chloride, bicarbonate, blood urea nitrogen (BUN), magnesium, creatinine, glucose, and sometimes calcium. Tests that focus on cholesterol levels can determine LDL and HDL cholesterol levels, as well as triglyceride levels.

Some tests, such as those that measure glucose or a lipid profile, require fasting (or no food consumption) eight to twelve hours prior to the drawing of the blood sample.

For the majority of tests, blood is usually obtained from the patient's vein. Other specialized tests, such as the arterial blood gas test, require blood extracted from an artery. Blood gas analysis of arterial blood is primarily used to monitor carbon dioxide and oxygen levels related to pulmonary function, but is also used to measure blood pH and bicarbonate levels for certain metabolic conditions.[While the regular glucose test is taken at a certain point in time, the glucose tolerance test involves repeated testing to determine the rate at which glucose is processed by the body.

Laboratory Testing In New Albany, Ohio

Our laboratory testing locations in New Albany, OH provide a wide range of certified laboratory test analysis. Some test results can be affected by certain foods and medications. For this reason, people may be asked to not eat or drink for several hours before a laboratory test or to delay taking medications until after the test.

Common Lab Tests Performed at our New Albany, Ohio Testing Facilities Include:

  • Complete Blood Count. This test, also known as a CBC, is the most common blood test performed.
  • Prothrombin Time. Also known as PT and Pro Time, this test measures how long it takes blood to clot.
  • Basic Metabolic Panel.
  • Comprehensive Metabolic Panel.
  • Lipid Panel.
  • Liver Panel.
  • Thyroid Stimulating Hormone.
  • Hemoglobin A1C.

All laboratory testing that is performed on humans in the United States (except testing done in clinical trials and other types of human research) is regulated through the Clinical Laboratory Improvement Amendments (CLIA), which were passed by Congress in 1988. The CLIA laboratory certification program is administered by the Centers for Medicare & Medicaid Services (CMS) in conjunction with the FDA and the Centers for Disease Control and Prevention. CLIA ensures that laboratory staff are appropriately trained and supervised and that testing laboratories have quality control programs in place so that test results are accurate and reliable.

STD Testing New Albany, Ohio

Our local New Albany, Ohio STD testing centers provide multiple STD tests for individuals who may have been exposed to or showing symptoms of an STD. Millions of Americans have some form of an STD and our testing is provided in a confidential manner. STD tests may be ordered for one specific type of test or you may order a multiple panel test which includes several STD tests. STD stands for Sexually Transmitted Disease, also known as STI or Sexually Transmitted Infection, meaning that these diseases are most often, but not exclusively, spread by sexual intercourse.

STDs are passed from one person to another through sexual activity which can include vaginal intercourse, anal intercourse and/or anal intercourse. Though not as common, STDs can also be transmitted through intimate physical contact such as heavy petting.

STDs do not always cause symptoms, or they may only cause mild symptoms. This makes it very possible to have an infection and not know it. Therefore, if you are sexually active it is important to get tested at least once a year.

Handy Resources

Comprehensive Online Resources for Drug Testing

  1. National Institute on Drug Abuse (NIDA)

    Provides comprehensive information on drug testing and its role in substance use disorder treatment.

  2. FDA: Drug Testing

    Explains the FDA's role and regulations concerning drug testing for consumers.

  3. PDR.net

    Provides detailed drug information and safety updates through a mobile-friendly platform.

  4. BeSafeRx - FDA

    Resource by the FDA to help consumers identify and choose safe online pharmacies.

  5. SAMHSA: Drug Testing Resources for the Workplace

    Resources and guidelines for drug testing in the workplace.

  6. Drugs.com

    Provides drug information, side effects, and interactions for consumers and professionals.

  7. Drug Abuse Screening Test (DAST)

    Online version of the DAST to help individuals assess whether they have a drug problem.

  8. Merck Manuals

    Consumer-friendly medical resource providing comprehensive information on a wide array of health topics, including drug testing.

  9. SAMHSA Store

    Provides access to resources and publications on substance use prevention and treatment.

  10. National Association of Boards of Pharmacy (NABP)

    Information on state boards of pharmacy and regulations, including those related to drug testing.

  11. CDC: Workplace Health Promotion

    CDC's resources on substance use and drug testing in the workplace.

  12. Mayo Clinic: Drug Testing

    General information about the procedures and types of drug tests.

  13. MedlinePlus: Drug Testing

    Offers information about various drug tests and their uses in medical diagnosis and treatment.

  14. University of Rochester Medical Center Health Encyclopedia

    Provides a detailed entry on drug testing, including how tests are conducted and what they detect.

  15. World Health Organization (WHO)

    International guidelines and information on public health, including substance abuse and drug testing.

  16. Healthline: Drug Testing

    Consumer health site offering information on how drug tests work and what they look for.

  17. WebMD: Drug Testing

    Provides a patient-oriented overview of drug testing and its purposes.

  18. National Center for Biotechnology Information (NCBI)

    Provides a vast database of scientific studies, including research on drug testing and its effectiveness.

AI Overview

Laboratory Blood Testing: An Essential Overview

Laboratory blood testing is a fundamental tool in medical diagnostics, offering critical insights into the physiological and pathological conditions of the body. These tests are commonly used to evaluate health, diagnose diseases, and monitor medical treatments. This overview highlights the importance, common types of blood tests, and what individuals can expect during the testing process.

Importance of Blood Testing

Blood tests are vital for early detection and management of diseases. They help in assessing the functioning of various organs such as the liver, kidneys, and thyroid, and are essential in diagnosing conditions like diabetes, anemia, and heart disease. Regular blood testing can aid in the early detection of health issues, allowing for timely intervention.

Common Types of Blood Tests

  • Complete Blood Count (CBC): Measures the levels of various blood cells like red blood cells, white blood cells, and platelets. This test is crucial for diagnosing conditions such as anemia and infections.
  • Blood Chemistry Panels: Includes tests such as liver panels, kidney panels, and electrolyte testing which assess the functionality of these organs and electrolyte balance.
  • Lipid Panel: Used to determine the levels of cholesterol and triglycerides in the blood, important for assessing heart disease risk.
  • Blood Glucose Tests: Measures blood sugar levels to manage and diagnose diabetes.
  • Coagulation Panel: Assesses blood clotting ability and can help diagnose clotting disorders or monitor blood thinning medications.

What to Expect During a Blood Test

  1. Preparation: Some tests require fasting or other specific conditions before sample collection. It's important to follow all preparatory instructions provided by the healthcare provider.
  2. Collection Process: A healthcare professional will draw blood, usually from a vein in the arm, using a small needle. The process is quick and causes minimal discomfort.
  3. Results: The time to receive test results can vary depending on the type of test. Results are typically available within a few days and will be discussed with the healthcare provider to interpret what they mean for the individual’s health.

Benefits of Regular Blood Testing

Regular blood testing provides numerous benefits:

  • Health Monitoring: Helps track health changes over time, providing insights into how lifestyle, diet, and age affect body functions.
  • Disease Management: Essential for managing chronic conditions, allowing adjustments in treatment plans based on test results.
  • Preventive Care: Identifies risk factors early, enabling preventive measures to be taken before the onset of more serious conditions.

Laboratory blood testing is a key component in healthcare management, playing a crucial role in diagnosing, monitoring, and preventing diseases. Understanding the types and purposes of various blood tests can help individuals actively participate in their healthcare decisions.

"When You Need A Test, Choose The Best"

AccreditedDrugTesting.Com

800-221-4291

Local Area Info: New Albany, Ohio

New Albany is a city in the U.S. state of Ohio, just northeast of the state capital of Columbus. Most of the city is located in Franklin County and a small portion extends into adjacent Licking County. The population was 7,724 at the 2010 census. Founded in 1837, it is now a growing suburb in the Columbus area. New Albany is a very wealthy community, with a per capita income that ranks 12th out of 1,065 places in the state of Ohio. The mayor of New Albany is Democrat Sloan Spalding who was elected in 2015.

New Albany is located at 40°4?43?N 82°49?14?W? / ?40.07861°N 82.82056°W? / 40.07861; -82.82056 (40.078643, ?82.820618), northeast of Columbus at an elevation of 1,024 feet (312 m).

According to the United States Census Bureau, the village has a total area of 11.70 square miles (30.30 km2), of which 11.56 square miles (29.94 km2) is land and 0.14 square miles (0.36 km2) is water.

Show Regional Data

Population (male): 5,540

Median Rent: Median gross rent in 2017: $1,778.

Cost of Living: March 2019 cost of living index in New Albany: 101.3 (near average, U.S. average is 100)

Poverty (overall): Percentage of residents living in poverty in 2017: 2.7%

Poverty (breakdown): (2.5% for White Non-Hispanic residents, 11.7% for Black residents)

Ancestries: Ancestries: German (12.6%), Irish (12.0%), American (11.2%), English (7.4%), Italian (5.1%), Polish (3.4%).

Elevation:

Zip Codes: 43054

Median Incomes:
      Estimated median household income in 2017: $141,616 (it was $102,180 in 2000)
      Estimated per capita income in 2017: $86,214 (it was $62,131 in 2000)
      Estimated median house or condo value in 2017: $706,036 (it was $465,100 in 2000) New Albany:$706,036OH:$144,200

Races:
      White alone - 7,886 - 80.2%
      Asian alone - 947 - 9.6%
      Black alone - 561 - 5.7%
      Hispanic - 173 - 1.8%
      Two or more races - 135 - 1.4%
      American Indian alone - 39 - 0.4%
      Other race alone - 30 - 0.3%

(800) 221-4291