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Introduction Digital technology creates the opportunity to develop and evaluate new tools, such as smartphone applications, to support integrated atrial fibrillation management. This study aimed to develop, evaluate, and validate a new, integrated care application (AF-EduApp) mainly focusing on targeted atrial fibrillation education to improve patient self-care capabilities and therapy adherence. Methods The newly developed AF-EduApp, available for Android and iOS, consists of six different modules. The prototype was validated and optimized for its usability and functionality at Jessa Hospital Hasselt and Antwerp University Hospital in two phases: (1) validity evaluation with interviews of an expert panel with 15 healthcare professionals and 10 atrial fibrillation patients, and (2) a pilot study of 1 month with 20 atrial fibrillation patients. Results Both experts and patients found that the application aids atrial fibrillation management. Based on the input of patients and experts, the main optimizations concerned the medication module (patient choice on setting reminder; interactivity of reminders with a "taken" or "snooze" function) and development of a clinical dashboard for the caregivers allowing telemonitoring of measurements and feedback to the patients. After the pilot study (n = 20), 16 patients indicated they wanted to use the app for a longer period. The measurement (27%) and education (17%) modules were the two most used modules with a significant improvement in knowledge (71.9% to 87.5%; P = 0.013). Discussion The AF-EduApp received a positive evaluation from health professionals and atrial fibrillation patients. Further development should be focused on the medication module and improvement of the clinical dashboard. ; The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by an BMS/Pfizer European Thrombosis Investigator Initiated Research Program (ERISTA) grant. This study is part of Limburg Clinical Research Center, supported by the foundation Limburg Sterk Merk, province of Limburg, Flemish government, Hasselt University, Ziekenhuis Oost-Limburg and Jessa Hospital.

ABSTRACT The Dinjo village community interprets ma muli not only as an award but also as a value for the rights of women who will marry the man who proposes to her. Mamuli is one form of artistic culture so the most appropriate approach to find out the symbolic meaning in mamuli is to use a semiotic approach. The purpose of this study was to determine the origin of the mamuli symbol, the process of determining the mamuli symbol, and the meaning of the mamuli symbol in the community of Dinjo Village, Kodi Bangedo District, Southwest Sumba Regency. The method used in this research is the case study method. The source of this research data comes from the results of interviews with informants. The main instrument in this research is the researcher himself. Data collection was carried out by observation, interviews, and documentation. Data analysis was carried out using the analysis stages of data collection, data presentation, reduction, and conclusion. The results show that the history of Mamuli culture begins with the ancestors of the Sumba tribe. The meaning of mamuli symbol is a symbol of fertility for women. Mamuli was created to pay homage to women who are considered the givers and caregivers of life. Mamuli means a place to grow the soul, the earth that grows plants that are useful for humans. Mamuli is the way society used to glorify women. The material for making mamuli is also gold which is considered a symbol of the sun, including precious objects until mamuli are called eye stones. Efforts to preserve the Sumbanese ma muli culture can be done in several ways. The first way is to include ma muli culture in history learning at school so that students can learn about their culture at school. Another way is to make mamuli replicas as souvenir items for tourists. In addition, the government can also build facilities for museums that can exhibit cultural products which will later become references for educators. Keywords:Mamuli Tradition, Local Culture,Cultural Preservation

Performance is the achievement expected by employees which the hospital hopes to achieve the goal of the hospital, namely accreditation. Accreditation forms a real commitment from the hospital in improving the safety and quality of patient care, ensuring the hospital service environment is safe and the hospital strives to reduce risks for patients, patient caregivers and hospital staff. The research aim to determine the effect of the performance and individual characteristics of medical employees on the understanding of accreditation in Karanganyar District Hospital. This study used a survey research type with a cross-sectional approach. The population used in this study were medical employees who worked at the Karanganyar District Hospital with 100 respondents. The sampling technique in this study was the simple random sampling method. To test the hypothesis, multiple regression analysis is used. The results of this study are the performance and characteristics of medical employees have an effect on the understanding of hospital accreditation, the value of which is F count> F table (7.194> 2.20) with a significance of <0.05 (0.000). Meanwhile, the partial value that affects the understanding of accreditation is the performance of medical employees with a value of t count> t table (4.232> 1.67) and a significance value of <0.05, namely 0.000. The influential individual characteristics are gender with a value of t count> t table (3.154> 1.67) with a significance value of <0.05 (0.000) and tenure with a value of t count> t table (-2.020) with a significance value of <0 , 05 (0.046). Meanwhile, individual characteristics, namely age and last education, did not affect hospital accreditation with a significance value> 0.05, namely 0.415 and 0.445. Conclusion of this study is an effect of performance and individual characteristics of medical employees on understanding of hospital accreditation. Partially the individual characteristics that have influence are gender and work mass, while age and education have no effect.

The alternative press refers to a group of anti-apartheid newspapers which proliferated in South Africa during the early 1980s until the early 1990s. What was 'alternative' about these publications was how they actively pursued an anti-apartheid agenda in their news reporting. The Weekly Mail newspaper is regarded as one of the pioneers of this section of the press and is the focus of this study which examines the representation of black political voices in its political reporting. Recognising a gap in the literature on the alternative press pertaining to questions of race, gender, voice and sourcing patterns, this study utilises qualitative discourse analysis and content analysis to analyse the political reporting in the Weekly Mail to evaluate the representation of black voices in the newspaper. It asks the questions: how can we analyse the content emerging from the alternative press with regards to the representation of black voices? Who writes, who speaks and what does this say about race, power and black representation in the Weekly Mail? Would this esteemed newspaper reproduce some of the racial and gender stereotypes prevalent in mainstream newspapers, or would it shift its content to more progressive terrains? This study revealed that the Weekly Mail was centred around male voices, specifically, those of black male leaders of popular black organisations. The study further revealed an interesting division in the representations of black males, where older black males were constructed as respectable, rational and approachable, while younger black males who were sometimes referred to as "young lions" in the ANC Youth League, were constructed as unthinking, violent, politically naïve and were infantilised. The findings of this study further showed that the Weekly Mail framed black females in politics according to their roles as wives, mothers and maternal caregivers. There were inconsistencies in how white and black women were portrayed. While black women were put strictly in their motherhood boxes, white women were allowed space to think and speak more broadly about their political ideas and aspirations. These observations showed the ways which the Weekly Mail deployed subtle (and sometimes not so subtle) undertones of racial and gender biases in their representations of black political voices.

PURPOSE: This study assesses the inclusion of disability in Nepal's policy and guidance relevant to water, sanitation and hygiene (WASH), and menstrual hygiene management (MHM) in comparison to gender. We investigated both policy formulation and implementation, using the Kavrepalanchok district as a case study. MATERIALS AND METHODS: We used the EquiFrame framework, adapted for disability and gender, and focusing on WASH and MHM. Ten Nepali policies and guidance documents were reviewed and scored for quality against the framework, which included 21 core concepts of human rights. We also interviewed key informants to consider the inclusion of disability in the implementation of MHM interventions. We applied stratified purpose sampling to 12 government officials and service providers working in Kathmandu and the Kavrepalanchock district; conducted in-depth interviews and analysed data thematically using Nvivo 11. RESULTS: Disability was inadequately covered within the policy documents, and MHM policy commitments for disability were almost non-existent. Participation of people with disabilities in policy development was limited; within Kavrepalanchok, policy commitments were not implemented as intended and disability service providers were unable to allocate government resources. Inadequate data on disability and MHM resulted in limited professional understanding of the issues, as service providers had no training. A narrow WASH infrastructure approach to improving MHM for people with disabilities was prioritised. MHM interventions were delivered in schools; these failed to reach children with disabilities who are often out of school. Finally, there were indications that some caregivers seek sterilisation for people with disabilities who are unable to manage menstruation independently. CONCLUSION: Though the Constitution of Nepal enshrines gender equality and disability inclusion, there are consistent gaps in attention to disability and MHM in policies and practice. These omit and exclude people with disabilities from MHM interventions. Investment is required to generate evidence on the MHM barriers faced by people with disabilities, which would then be drawn on to develop training on these issues for professionals to improve understanding. Subsequently, policy makers could include more concepts of human rights against disability in relevant policies and service providers could implement policy commitments as intended.

Persons with Disabilities (PWD) experience unmet needs related to health, rehabilitation, education, livelihood, social participation, and empowerment, particularly those living in a resource-poor context such as in the Indian context. The same applies to Children with Disabilities (CWD) as well. Given the pandemic restrictions imposed by the government of India, the provision of therapeutic rehabilitation services for PWDs and CWDs has come to a deadlock. Therefore, the PWDs and the parents of CWDs are substantially impacted by the double contextual burden of demand and access to rehabilitation services in India. However, there has been some light at the end of this dark tunnel provided by the existing telecommunication strategies. Both parents/caregivers and rehabilitation service providers started to find a way out of this situation on their own in India by optimizing their skills and resources for telerehabilitation. However, adopting this strategy requires evidence. Hence a critical Strengths Weaknesses Opportunities and Threats (SWOT) analysis of the telerehabilitation strategy for empowering PWDs and CWDs in an Indian context is warranted and is of immense public health importance. A narrative review was conducted.Telerehabilitation has several strengths, weaknesses, opportunities, and threats. Telecommunication resources, Access to Rehabilitation services, Parent's and consumer acceptance, Service efficiency, and data documentation could be considered as strengths; Skills, Competencies, Opportunity cost, Resource intensiveness, Evidence for Effectiveness, Comprehensibility could be considered as weaknesses; Therapy innovations, Evidence generation, System strengthening and Capacity Building could be considered as opportunities; Patient Safety, Ethical Integrity, Data security, and Professional practice insecurity could be considered as potential Threats to Telerehabilitation. Telerehabilitation has considerable scope for providing meaningful therapeutic experience and hastens the process of rehabilitation of CWDs in the current context. The SWOT and its implications must be kept in mind to ensure that CWDs receive the best quality continuum of care in the present context with utmost ethical and evidence-based considerations. This could bridge the gaps in access to rehabilitation services with sustainable solutions than patchy temporary solutions that are not sustainable.

Since the liberation, the French health care system has completely evolved. A profound cultural change is currently taking place, with the development of health democracy, the determination of health pathways, the reorganization of territorialization with the GHT (Groupements Hospitaliers de Territoire), the CPTS (Communautés Professionnelles Territoriaux de Santé), and personalized medicine, the Law on the modernization of our health system, the four main priorities for the national health strategy, the concept of transition affecting five major areas structuring not only the evolution of the health status of populations but also the methods of individual and collective response to the needs of these populations, ma santé 2022 : the place that the patient, as a user of the healthcare system, must take with regard to the expectations and needs of the actors concerned in the health and social fields remains to be defined.Medicine, surgical techniques, treatments and care are constantly evolving. The legislative environment is adapting to the pace of these advances, providing a framework for all these systems and enacting rules of application. In the same dynamic, patients are making progress; they decide to go against the flow of things and refuse to let themselves be overwhelmed by their illnesses, their treatments and their consequences. The notion of : The notion of "living with" is becoming more and more precise and commits, on the one hand, caregivers to re-evaluate their professional practices and postures and, on the other hand, patients to commit themselves to a willingness to participate, to act and to be able to make informed choices.A paradigm shift through collaboration is now taking shape. Numerous questions arise around: the role, missions and place of the patient-user: who is he or she, what is his or her etymology, history, how is he or she defined? Can it evolve and to what level? How, by what means, by what training and with which actors. Can it participate in the initial and continuing training ...

Since the liberation, the French health care system has completely evolved. A profound cultural change is currently taking place, with the development of health democracy, the determination of health pathways, the reorganization of territorialization with the GHT (Groupements Hospitaliers de Territoire), the CPTS (Communautés Professionnelles Territoriaux de Santé), and personalized medicine, the Law on the modernization of our health system, the four main priorities for the national health strategy, the concept of transition affecting five major areas structuring not only the evolution of the health status of populations but also the methods of individual and collective response to the needs of these populations, ma santé 2022 : the place that the patient, as a user of the healthcare system, must take with regard to the expectations and needs of the actors concerned in the health and social fields remains to be defined.Medicine, surgical techniques, treatments and care are constantly evolving. The legislative environment is adapting to the pace of these advances, providing a framework for all these systems and enacting rules of application. In the same dynamic, patients are making progress; they decide to go against the flow of things and refuse to let themselves be overwhelmed by their illnesses, their treatments and their consequences. The notion of : The notion of "living with" is becoming more and more precise and commits, on the one hand, caregivers to re-evaluate their professional practices and postures and, on the other hand, patients to commit themselves to a willingness to participate, to act and to be able to make informed choices.A paradigm shift through collaboration is now taking shape. Numerous questions arise around: the role, missions and place of the patient-user: who is he or she, what is his or her etymology, history, how is he or she defined? Can it evolve and to what level? How, by what means, by what training and with which actors. Can it participate in the initial and continuing training ...

The white paper sheds light on aging in the digital society, with a particular focus on independent living and aging at home. It provides insights into the promises and challenges of age-related technology, the current state of research into aging in place as well as the range of solutions available to different stakeholders. The white paper's key finding is the need for a strategic multi-disciplinary approach to research and design of solutions for aging. It presents the DUCAH Learning / Living Lab, a research platform developed by the Digital Urban Center for Aging and Health (DUCAH), that explores and innovates systems that adapt to people and their lives, integrates research processes and innovation processes into real-life living and working settings, and involves the people who live and work there in participatory design and research. A rapid increase in aged cohorts takes place in most countries of the world that drives the need for action and policy efforts on digital health. A major goal for seniors, but also for governments and caregivers, is [italic]aging at home[italic], leading a healthy, dignified and engaged life in the familiar social and physical environment of their neighbourhood for as long as possible. This trend creates challenges for the elderly and those engaged in the practice of caring – doctors, nurses, carers, workers in allied health areas and relatives – that a flood of technological products and services aims to address. The white paper finds that these products largely fail to consider the complexities of aging and the needs and expectations of the elderly, but also of other stakeholders and the diversity of their objectives, with the absence of participatory design being a particular concern. Shedding light on the key domains of elderly functions and activities, such as health and self-esteem, mobility and transport, housing and living, communication and governance, and work and leisure, as well as the different stakeholders, their perspectives and objectives, the white paper ...

Background Globally, acute respiratory infection (ARI) is a leading cause of infant and childhood morbidity and mortality. Currently, it is estimated that 50 million cases of childhood ARI are untreated. In this study, we identified determinants of the type of treatment sought for symptoms of childhood acute respiratory infection (ARI), including non-treatment, amongst a nationally representative sample of children under five years in Ghana. Methods In total, 1 544 children were studied by a secondary analysis of pooled survey data from the 1993, 1998, 2003, 2008, and 2014 Ghana Demographic and Health Surveys (GDHS). Cross-tabulations, chi-square, multinomial logistic regression, and Bayesian hierarchical spatial logistic regression analyses were used to identify relationships between the type of treatment sought and maternal socio-economic and household characteristics. Results Seeking medical care was significantly associated with child age (RRR= 1.928, 95 % CI 1.276 – 2.915), maternal employment status (RRR = 1.815, 95 % CI 1.202 – 2.740), maternal health insurance status, (RRR = 2.618, 95 % CI 1.801 – 3.989), children belonging to middle (RRR = 2.186, 95 % CI 1.473 – 3.243), richer (RRR = 1.908, 95 % CI 1.145 – 3.180) and richest households (RRR = 2.456, 95 % CI 1.363 – 4.424) and the 1998 survey period (RRR = 0.426, 95 % CI 0.240 – 7.58). Seeking self-care or visiting a traditional healer was significantly associated with maternal educational status (RRR = 0.000, 95 % CI 0.000 – 0.000), and the 1998 (RRR= 0.330, 95 % CI 0.142 – 0.765), 2003 (RRR= 0.195, 95 % CI 0.071 – 0.535), 2008 (RRR= 0.216, 95 % CI 0.068 – 0.685) and 2014 (RRR= 0.230, 95 % CI 0.081 – 0.657) GDHS periods. The probability that the odds ratio of using medical care exceeded 1 was higher for mothers/caregivers in the Western, Ashanti, Upper West, and Volta regions. Conclusions Government policies that are aimed at encouraging medical care-seeking for children with ARI may yield positive results by focusing on improving maternal incomes, maternal NHIS enrolment, and maternal household characteristics. Improving maternal education could be a positive step towards addressing challenges with self-care or traditional healing amongst children with ARI.

BACKGROUND: In response to the COVID-19 pandemic, the German legislator has changed the framework conditions for care counselling (provided mainly by outpatient care services) in the German long-term care insurance (§ 37 (3) SGB XI). The care counselling no longer has to be provided in the home of the patients but is also possible by telephone or online. In 2020, the existing obligation for family members and other informal caregivers to make use of a care counselling service was suspended for a few months. AIM: The aim of this study was first of all to describe the influence of the COVID-19 pandemic on the number and duration of care counselling by outpatient care services in Bavaria, Germany. Particular attention was paid to the following question: what impact did the suspension of the obligation to make use of care counselling have on the utilization of care counselling? METHOD: Secondary analysis of more than 43,000 data sets of the BARMER Nursing Insurance in Bavaria. Evaluation primarily by means of time series analyses and other descriptive statistics. In addition, the correlation between the weekly number of care counselling consultations and the cases of COVID-19 in Bavaria was calculated. RESULTS: At the end of March and in April 2020 the number of consultations decreased by nearly 80% compared to February 2020. The concern about contagion with SARS-CoV-2 was crucial to this slump in the number of counselling visits; however, the reduction was also made possible by the suspension of the obligation to provide care counselling, which was decided on 27 March 2020. The suspension of the obligation to provide advice alone led to a decrease of between 44% and 49% in Bavaria. The available data also indicate that telephone consultations are shorter than face-to-face consultations. CONCLUSION: The available data suggest that only about half of the care consultations would be used by users if the obligation to make use of care counselling—as laid down in § 37 (3) SGB XI—were permanently eliminated. In addition, ...

This qualitative research informed the Theory of Planned Behaviour (TPB)-based intervention development. This dataset was generated as part of formative research conducted on patients of chronic respiratory disease (CRD), their caregivers and community members to get a perception of their awareness, practices of health behaviour and their opinions regarding CRD. The study also elicited the socio-cultural barriers and the psycho-social effects due to the disease. The insight into the existing health behaviour and the barriers to appropriate behaviour informed the development of a TPB based health intervention for behaviour change in patients with CRD. ; Focus Group Discussion 1.txt - transcript of focus group discussion (FGD) among females with Chronic respiratory disease (CRD), =50 years of age from a rural village (village 1) Focus Group Discussion 3.txt - transcript of FGD among females with CRD, >=50 years of age from a rural village (village 2) Focus Group Discussion 4.txt - transcript of FGD among males with CRD, =50 years of age from a rural village (village 3) Focus Group Discussion 6.txt - transcript of FGD among males with CRD, =50 years of age from a rural village (village 4) Focus Group Discussion 2.txt - transcript of FGD among females with CRD, <50 years of age from a rural village (village 4) In-depth Interview 1.txt - transcript of in-depth interview with caregiver 1 (male) in village 2 In-depth Interview 2.txt - transcript of in-depth interview with caregiver 2 (male) in village 4 In-depth Interview 3.txt - transcript of in-depth interview with caregiver 3 (male) in village 3 In-depth Interview 4.txt - transcript of in-depth interview with caregiver 4 (female) in village 1 In-depth Interview 5.txt - transcript of in-depth interview with caregiver 5 (female) in village 3 Key Informant Interview_BDO.txt - transcript of key informant interview with block development officer Key Informant Interview_BMO.txt - transcript of key informant interview with block medical officer Key Informant Interview_Head Govt Girls High School.txt - transcript of key informant interview with the head of a girls high school Key Informant Interview_Panchayat Menber.txt - transcript of key informant interview with member of a local government

TRICARE provides health care benefits to nearly two million children of active duty, retired, National Guard, and reserve service members. Child health advocates and congressional reports have raised questions regarding the adequacy access to care for children with military health benefits, particularly children with special health care needs (CSHCN). The objective of this study was to compare the health care experiences of CSHCN in TRICARE with those of CSHCN with other sources of health insurance. A cross‐sectional analysis comparing unmet health care needs among CSHCN with TRICARE versus CSHCN with other sources of health insurance using nationally representative data from three years of the National Survey of Children's Health (NSCH), 2016‐2018. The NSCH includes a broad range of questions related to child health and health care to provide national level estimates, and the data allow for comparisons between insurance coverage groups and TRICARE. The survey data contain responses from over 100,000 parents or primary caregivers (parents) of children, representative of over 73 million children annually. This includes 804 children who were representative of approximately 367,000 CSHCN covered by TRICARE annually. Children with special health care needs. Overall, 21 percent (95% CI 19‐24 percent) of parents of children covered by TRICARE reported their child had a special health care need, compared to 16 percent of children with commercial insurance (95% CI 15‐16 percent) and 24 percent of children with public insurance (95% CI 23‐25 percent). Eight percent of parents of CSHCN covered by TRICARE (95% CI 4‐16 percent) reported any unmet health care needs in the prior 12 months, compared to 4 percent of CSHCN with private insurance (95% CI 4‐5 percent) and 9 percent of CSHCN with public insurance (95% CI 8‐11 percent). Among specific needs, 3 percent or fewer CSHCN covered by TRICARE had unmet needs for medical, dental, vision, hearing, or mental health care. Similarly, 5 percent or fewer reported difficulty or ...

One of the most prominent educational social movements in the United States during the past two decades has been the opt-out movement, in which parents and caregivers refuse to have their school-aged children sit for federally mandated tests. Although early responses by government officials framed the movement in terms of race, class, and gender, in truth we know little about the actual motivations that drive opt-out activists. In this study, we build on social movements theories to examine who participate in the opt-out movement, as well as whether these partici-pants or their motivations changed over time. By doing so, we seek to build upon the existing literature by synthesizing the two primary theoretical perspectives on social movements and ac-tivism – uniting the focus on the social psychological determinants of individual activism with the focus on the role of external factors. Our analysis is based on data from two waves of the Na-tional Survey on Opting Out (2016: n=1,611; 2018: n=1,298). Our analysis show both stability and change in the opt-out movement between 2016 and 2018. Although the data reveal certain sociodemographic changes in the composition of the movement, these changes in demographics do not fully account for shifts in activist motivations over time. We also find that much of the variation in motivation across key social categories (e.g., political ideology, teachers/non-teachers, and parents/non-parents) holds over time. In contrast to common perceptions of the opt-out movement, which often portray parental concerns over their child's achievement as the pre-dominant motivation for participation, our study reveals that activists in the movement indicate they are motivated by political and ethical ideas. Participants in the opt-out movement are more concerned with collective problems, such as the well-being of teachers, broad curriculum, and privatization of public education, than with individual challenges. Given the massive changes that took place in the political and policy spheres during our period of study, the degree to which activist motivation stayed constant is notable – suggesting that many of these motivations are insulated from politics.

Background: Nivolumab 480 mg every 4 weeks (Q4W) is approved in the European Union, United States, and several other markets across multiple tumor types. Its approval was supported by quantitative efficacy/safety analyses bridging to 3 mg/kg every 2 weeks (Q2W). Patients and methods: The benefit-risk profile of nivolumab 480 mg Q4W relative to 3 mg/kg Q2W was evaluated using population pharmacokinetic modeling and exposure–response (E–R) analyses for safety and efficacy. Pharmacokinetic exposures were predicted for 3203 patients with melanoma, non-small-cell lung cancer (NSCLC), renal cell carcinoma (RCC), squamous cell carcinoma of the head and neck, urothelial carcinoma, or classical Hodgkin lymphoma. Quantitative models analyzed E–R to predict 480-mg Q4W safety across all indications and efficacy for melanoma, NSCLC, and RCC. Intratumoral receptor occupancy (RO) was predicted for parameters representing different tumor types. Results: Time-averaged concentrations for 480 mg Q4W versus 3 mg/kg Q2W were higher during the first 28 days (26.8%) and similar at steady state (5.2%). The maximum concentration (Cmax) after the first dose was higher (110.4%), and the trough concentration at day 28 was lower (−22.1%) with 480 mg Q4W versus 3 mg/kg Q2W. The Cmax achieved with 480 mg Q4W was lower than the previously established safe dose of 10 mg/kg Q2W. The probability of adverse events for key safety end points was similar for 480 mg Q4W and 3 mg/kg Q2W. The predicted overall survival and objective response rates with 480 mg Q4W were comparable to 3 mg/kg Q2W. The predicted high intratumoral RO provided additional evidence to support 480 mg Q4W across tumor types. Conclusions: The benefit–risk profile for nivolumab 480 mg Q4W was predicted to be similar to that of 3 mg/kg Q2W across tumor types while providing a convenient and flexible option for patients and their caregivers. Copyright 2019 The Authors ; This work was supported by Bristol-Myers Squibb (no grant number is applicable). ...