scholarly journals Nursing diagnoses in patients with immune-bullous dermatosis

Author(s):  
Euzeli da Silva Brandão ◽  
Iraci dos Santos ◽  
Regina Serrão Lanzillotti ◽  
Adriano Menis Ferreira ◽  
Mônica Antar Gamba ◽  
...  

ABSTRACT Objective: identify nursing diagnoses in patients with immune-bullous dermatosis. Method: a quantitative and descriptive research, carried out in three institutions located in Rio de Janeiro and Mato Grosso do Sul, Brazil, using the Client Assessment Protocol in Dermatology during a nursing consultation. Simple descriptive statistics was used for data analysis. Results: 14 subjects participated in the study, nine with a diagnosis of pemphigus vulgaris, pemphigus two and three of bullous pemphigoid. The age ranged between 27 and 82 years, predominantly females (11). 14 nursing diagnoses were discussed and identified from a clinical rationale in all study participants, representing the most common human responses in this sample. The application of the Assessment Protocol in Dermatology facilitated the comprehensive assessment, in addition to providing the identification of diagnostics according to the North American Nursing Diagnosis Association International. Conclusion: the nursing diagnoses presented confirm the necessity of interdisciplinary work during the care for this clientele. For better description of the phenomena related to the client in question, it is suggested the inclusion of two risk factors related in three diagnoses of this taxonomy. It is worth noting the contribution of the findings for the care, education and research in nursing in dermatology.

2020 ◽  
Vol 45 (2) ◽  
pp. 340-348
Author(s):  
James Lucas da Costa-Lima ◽  
Earl Celestino de Oliveira Chagas

Abstract—A synopsis of Dicliptera (Acanthaceae) for Brazil is presented. Six species are recognized: Dicliptera ciliaris, D. sexangularis, and D. squarrosa, widely distributed in South America; D. purpurascens, which ranges from the North Region of Brazil (in the state of Acre) to eastern Bolivia; D. gracilirama, a new species from the Atlantic Forest of northeastern Brazil; and D. granchaquenha, a new species recorded in dry and semideciduous forests in Bolivia and western Brazil, in the state of Mato Grosso do Sul. Furthermore, we propose new synonyms and designate lectotypes for eleven names. An identification key to the six accepted Dicliptera species in Brazil is provided.


2019 ◽  
Vol 13 ◽  
Author(s):  
Naise de Moura Dantas ◽  
Alexandre Wendell Araujo Moura ◽  
Andreivna Kharenine Serbim ◽  
Cristiane Araujo Nascimento ◽  
Ana Caroline Melo dos Santos ◽  
...  

RESUMO Objetivo: descrever os diagnósticos de Enfermagem segundo a taxonomia da American Nursing Diagnosis Association II.  Método: trata-se de estudo quantitativo, descritivo, transversal, com 51 produtores de tabaco expostos a agroquímicos que viviam na comunidade rural. Coletaram-se os dados por meio das consultas de Enfermagem. Tabularam-se os dados n Programa Microsoft Excel 2010, posteriormente inseridos no banco de dados utilizando o programa SPSS, versão 22.0, for Windows, e submetidos à revisão e análise estatística. Apresentaram-se os resultados em tabelas. Resultados: verificou-se, por meio das consultas de Enfermagem, que a maioria era do sexo feminino, tinha ensino fundamental incompleto e não praticava nenhum tipo de exercício físico. Acrescenta-se, além disso, que eles desconheciam os riscos para a saúde colocados pelos pesticidas e negligenciaram os padrões de segurança recomendados para o manuseio desses produtos. Conclusão: pode-se observar, a partir deste estudo, que o enfermeiro tem um papel importante no cuidado e na educação, nos diversos espaços de promoção, prevenção e manutenção do cuidado em saúde. Descritores: Enfermagem; Diagnósticos de Enfermagem; Estratégia Saúde da Família; Área Rural; Saúde Pública; Saúde do Trabalhador.ABSTRACT Objective: to describe Nursing diagnoses according to the Taxonomy II proposed by the North American Nursing Diagnosis Association. Method: this is a quantitative, descriptive, cross-sectional study conducted with co plantations. The research was carried out with 51 tobacco growers exposed to agrochemicals living in the rural community. The data were collected through nursing consultations. The data collected were tabulated in the Microsoft Excel 2010 software and later entered into a database using the SPSS software version 22.0, for Windows, and subjected to statistical review and analysis. The results were presented in tables. Results: the Nursing consultations revealed that the majority of the farm workers were females, had incomplete elementary education, and did not practice any type of physical exercise. In addition, they were unaware of the health risks posed by pesticides and neglected the recommended safety standards for the handling of these products. Conclusion: it was observed in this study that nurses have an important role in care and education, in the various spaces of promotion, prevention and maintenance of health care. Descriptors: Nursing; Nursing Diagnoses; Family Health Strategy; Rural Area; Public Health; Occupational Health.RESUMEN Objetivo: se buscó describir los diagnósticos de Enfermería según la taxonomía de la American Nursing Diagnosis Association II. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 51 productores de tabaco expuestos a agroquímicos que vivían en la comunidad rural. Se recogieron los datos por medio de las consultas de Enfermería. Se tabularon los datos recogidos en el programa Microsoft Excel 2010, posteriormente inseridos en el banco de datos utilizando el programa SPSS, versión 22.0, for Windows, y sometidos a la revisión y análisis estadística. Se presentaron los resultados en tablas. Resultados: se verificó, por medio de las consultas de Enfermería, que la mayoría era del sexo femenino, tenía enseñanza primaria incompleta y no praticaba ningún tipo de ejercicio físico. Además de eso, ellos desconocen los riesgos para la salud colocados por los pesticidas y negligenciaron los patrones de seguridad recomendados para el manoseo de esos productos. Conclusión: se puede observar, a partir de este estudio, que el enfermero tiene un papel importante en el cuidado y en la educación, en los diversos espacios de promoción, prevención y mantenimiento del cuidado en salud. Descriptores: Enfermería; Diagnósticos de Enfermería; Estrategia Salud de la Familia; Zona Rural; Salud Pública; Salud Laboral.


2021 ◽  
Vol 30 ◽  
Author(s):  
Letícia Roberta Pedrinho ◽  
Bianca Machado Cruz Shibukawa ◽  
Gabrieli Patrício Rissi ◽  
Roberta Tognollo Borotta Uema ◽  
Maria de Fátima Garcia Lopes Merino ◽  
...  

ABSTRACT Objective: to analyze the role of the therapeutic toy as a tool for the nursing diagnosis in the setting of care for the child with diabetes. Method: a qualitative multiple-case study conducted with children diagnosed with Type 1 Diabetes mellitus and living in the inland of Paraná. The data were collected in 2018 through interviews, field diary and sessions using the therapeutic toy. Nursing diagnoses were elaborated according to the North American Nursing Diagnosis Association Taxonomy I and a targeted content analysis was performed, resulting in four categories. Results: using the dramatic therapeutic toy allows the child to show their perception of the disease and of the care provided. The sessions with the dramatic therapeutic toy made it possible to identify five nursing diagnoses, which were later worked on by means of an instructional therapeutic toy. Conclusion: systematization of assistance mediated by the use of the toy allows nurses to establish bonds with the child with diabetes and their family, revealing their perceptions of the disease and treatment, thereby stimulating a more active participation of the binomial in the management of this coping process.


2017 ◽  
Vol 25 ◽  
pp. e19872
Author(s):  
Marli Luiz Beluci ◽  
Suely Prieto de Barros ◽  
Cassiana Mendes Bertoncello Fontes ◽  
Armando Dos Santos Trettene ◽  
Cleide Carolina Da Silva Demoro Mondini

Objetivo: identificar a frequência dos diagnósticos de enfermagem relacionados à nutrição e as intervenções de enfermagem no pós-operatório de cirurgia de enxerto ósseo alveolar durante a internação. Método: estudo descritivo e quantitativo, realizado em um hospital público especializado. A amostra constituiu-se de 150 pacientes, avaliados por meio de anamnese e observação, com foco na aceitação alimentar. Resultados: os diagnósticos de enfermagem relacionados à nutrição foram elaborados segundo a taxonomia da North American Nursing Diagnosis Association-International (NANDA-I) e evidenciou-se predomínio da disposição para nutrição melhorada. As intervenções propostas de acordo com o referencial da Nursing Interventions Classifications (NIC) relacionaram-se ao ensino da dieta prescrita, promoção do autocuidado e monitoração nutricional. Conclusão: o presente estudo contribuiu para o trabalho interdisciplinar entre a nutrição e a enfermagem no processo de cuidar. ABSTRACTObjective: to identify the frequency of nutrition-related nursing diagnoses and postoperative nursing interventions in alveolar bone graft surgery during hospitalization. Method: this descriptive, quantitative study took place at a specialized public hospital in a sample of 150 patients evaluated by anamnesis and observation focusing on food acceptance. Results: the nutrition-related nursing diagnoses were prepared according to the taxonomy of the North American Nursing Diagnosis Association-International (NANDA-I), and displayed a predominant willingness to improve nutrition. The interventions proposed according to the frame of reference of Nursing Interventions Classifications (NIC) related to teaching prescribed diet, promoting self-care, and monitoring nutrition. Conclusion: this study contributed to interdisciplinary work between nutrition and nursing in the care process. RESUMENObjetivo: identificar la frecuencia de los diagnósticos de enfermería relacionados con la nutrición y las intervenciones de enfermería en el postoperatorio de cirugía de injerto óseo alveolar postoperatoria durante la hospitalización. Método: estudio descriptivo y cuantitativo, realizado en un hospital público especializado. La muestra consistió en 150 pacientes, evaluados mediante anamnesis y observación, enfocando la aceptación de alimentos. Resultados: los diagnósticos de enfermería relacionados con la nutrición se elaboraron según la taxonomía de la North American Nursing Diagnosis Association-International (NANDA-I) y pusieron en evidencia un predominio de la disposición de mejorar la nutrición. Las intervenciones propuestas de acuerdo con el marco de la Nursing Interventions Classifications (NIC) fueron relacionados con la enseñanza de la dieta prescrita, la promoción del autocuidado y el monitoreo nutricional. Conclusión: este estudio contribuyó al trabajo interdisciplinario entre la nutrición y la enfermería en el proceso de atención. DOI: http://dx.doi.org/10.12957/reuerj.2017.19872


2008 ◽  
Vol 2 (3) ◽  
pp. 205 ◽  
Author(s):  
Luciene Ramos De Lima ◽  
Marina Morato Stival ◽  
Luciano Ramos De Lima

ABSTRACTThe objective of this study was to identify and to analyze the nursing diagnoses of patients post-percutaneous transluminal coronary angioplasty, based on the Taxonomy II of the North American Nursing Diagnosis Association - International and ones the Horta’s Conceptual Model. It was developed and validated a questionnaire for data collection, based on the basic human needs. Twenty adult patients were participants of this study, from the first 12 hours after the procedure, and majority of them men, from 29 to 80 years old, married with incomplete primary education. It has been identified obesity in 30% of the patients and the practice of smoking in 45% ones. Nineteen nursing diagnoses have been identified, the most frequent has been: impaired physical mobility, integrity of impaired skin, in self deficit for intimate hygiene, risk of injury in the kidney and risk of infection, increased control of the treatment regimen, pain acute in the inguinal region. The nursing diagnoses were highlighted by physiological changes in post-recovery period of examination, which shows that the nursing team must be aware the hemodynamic changes and conditions that promote stability, as well, to assess the patient based on a theory, in the post-procedure, for identifying the nursing diagnosis. Descriptors: angioplasty transluminal percutaneous coronary; nursing theory; nursing diagnoses.RESUMOObjetivou-se com este estudo identificar e analisar os diagnósticos de enfermagem de pacientes pós-angioplastia coronária transluminal percutânea, com base na Taxonomia II da North American Nursing Diagnosis Association - International e no Modelo Conceitual de Horta. Foi elaborado e validado um instrumento de coleta de dados com base nas necessidades humanas básicas. Vinte pacientes adultos participaram do estudo, no período das 12 primeiras horas após o procedimento, a maioria homens, com idade entre 29 a 80 anos, casados, com ensino fundamental incompleto. Foram identificados obesidade em 30% dos pacientes e a prática do tabagismo em 45% destes; 19 diagnósticos de enfermagem, entre os quais, mobilidade física prejudicada, integridade da pele prejudicada, déficit no autocuidado para higiene íntima, risco de lesão renal e risco de infecção, controle aumentado do regime terapêutico, dor aguda na região inguinal. Tais diagnósticos foram evidenciados por alterações fisiológicas no período de recuperação pós-exame, o que evidencia que a equipe de enfermagem deve estar atenta as alterações hemodinâmicas e condições que promovam estabilidade, assim como avaliar o paciente fundamentado em teoria, no período pós-procedimento, para elucidação de diagnósticos de enfermagem. Descritores: angioplastia transluminal percutânea coronária; teoria de enfermagem; diagnósticos de enfermagem.RESUMENEl objetivo de este estudio fue identificar y analizar los diagnosis de enfermería de pacientes post-angioplastia transluminal percutánea coronária, basadas en la Taxonomía II de la North American Nursing Diagnosis Association - International y en el modelo conceptual de Horta. Fue desarrollado y validó un cuestionario para la colección de datos, basado en las necesidades básicas del ser humano. Veinte pacientes adultos fueron participantes de este estudio, durante las primeras 12 horas después del procedimiento, y la mayoría de ellos los hombres, de 29 a 80 años, casados, con la educación primaria incompleta. Ha sido identificada obesidad en el 30% de pacientes y la prática del tabagismo en el 45%. Se han identificado diecinueve diagnosis de enfermería, el más frecuente: mobilidad física deteriorada, integridad de la piel deteriorada, el autodéficit para la higiene íntima, el riesgo de lesión del riñón y el riesgo de la infección, control creciente del régimen de tratamiento, duele agudo en la región inguinal. Las diagnosis del enfermería fueron destacadas por los cambios fisiológicos en el período de la recuperación poste examinación, que demuestra que el equipo de enfermería debe ser consciente los cambios y las condiciones hemodinámicos que promueven estabilidad, también para evolua el paciente el poste-procedimiento basado en una teoría y determinar el diagnosis de enfermería. Descriptores: angioplastia transluminal percutánea coronária; teoría de enfermería;  diagnosticos de enfermería.


Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 797-807
Author(s):  
Dirceu Santos Silva ◽  
Silvan Menezes Dos Santos ◽  
Guilherme Gutierrez Cuellar Nunes ◽  
Juliana Marta Antunes Ramos ◽  
Marina Brasiliano Salerno

O objetivo foi analisar a implementação do convênio do Programa Segundo Tempo Universitário (PST Universitário) na Universidade Federal de Mato Grosso do Sul (UFMS) no Brasil. Mediante uma pesquisa descritiva com abordagem qualitativa, realizou-se a coleta de dados por meio de entrevistas semiestruturadas com o professor e monitores esportivos que atuaram no convênio. A análise das entrevistas foi realizada por meio do Programa Iramuteq e de forma complementar foi utilizada a análise dos documentos do PST Universitário. Os principais resultados indicaram que houve uma dissociação entre o planejamento inicial (diretrizes nacionais) e a implementação do PST Universitário na UFMS. O convênio pesquisado sofreu com atrasos na estruturação devido à burocratização e constantes paralisações por conta da realização de congresso científico, que interditou todos os equipamentos esportivos por um mês. A pandemia de COVID-19 também paralisou o programa por cinco meses. Conclui-se que o PST Universitário seguiu parcialmente as diretrizes nacionais e esbarrou nas limitações burocráticas da estruturação e sistematização dos dados, já que não estava alinhado com os eventos acadêmicos da instituição e não conseguiu finalizar o plano inicial conforme planejado.  Resumen: El objetivo fue analizar la implementación del convenio del Programa Según Tiempo Universitario (PST Universitario) en la Universidad Federal de Mato Grosso do Sul (UFMS) en Brasil. Mediante una investigación descriptiva con abordaje cualitativo, la coleta de datos fue hecha con entrevista semi-estructurada con el profesor y los monitores deportivos que actuaron en el convenio. Para el análisis de las entrevistas fue utilizado el Programa Iramuteq y de modo complementar, fue utilizado el análisis de los documentos del PST Universitario. Los principales resultados indicaron la disociación entre la planificación inicial (las pautas nacionales) y la implementación del PST Universitario en la UFMS. El convenio investigado presentó limitaciones con retrasos en la estructuración debido a la burocratización y las constantes paralizaciones por la realización de congreso científico, que interdicto a todos los equipamientos deportivos por un mes. Lo de la pandemia de COVID-19 también ha paralizado el programa por cinco meses. Se ha concluido que el PST Universitario siguió parcialmente las pautas nacionales y fue retrasado por las limitaciones burocráticas de la estructuración y sistematización de los datos, ya que no estaba en consonancia con los eventos académicos de la UFMS y no consiguió finalizar el plan inicial como planificado.  Abstract: This study aimed at analyzing the agreement of the implementation of the Segundo Tempo University Program (STUP) at the Federal University of Mato Grosso do Sul (UFMS) in Brazil. It was a descriptive research, with a qualitative approach. Data collection was carried out through semi-structured interviews with the teacher and sports monitors who worked in the program. The analysis of the interviews was carried out through the Iramuteq Program and, in a complementary way, the analysis of documents from the STUP was used. The main results indicate that there was a dissociation between the initial planning (national guidelines) and the implementation of the STUP at UFMS. The researched agreement suffered from delays in structuring due to bureaucratization and constant stoppages due to the holding of a scientific congress, which interdicted all UFMS sports equipment for a month. The COVID-19 pandemic also paralyzed the program for five months. It is concluded that the STUP partially followed the national guidelines and bumped into bureaucratic limitations in structuring and systematizing the data, as it was not aligned with the academic events of the institution and was unable to finish the initial plan as planned.


2019 ◽  
Vol 13 ◽  
Author(s):  
Gabrieli Patricio Rissi ◽  
Bianca Machado Cruz Shibukawa ◽  
Herbert Leopoldo de Freitas Goes ◽  
Rosana Rosseto de Oliveira

RESUMOObjetivo: buscou-se analisar a tendência da mortalidade por desnutrição em menores de 5 anos residentes no Brasil. Método: trata-se de estudo ecológico, de séries temporais, sobre mortalidade por desnutrição em crianças brasileiras menores de cinco anos, de 2003 a 2016. Coletaram-se os dados em maio de 2018 pelo Sistema de Informações sobre Mortalidade. Realizaram-se análises de tendência e regressão polinomial. Apresentam-se os resultados em tabelas e figura. Resultados: verificou-se tendência decrescente da mortalidade por desnutrição em todas as regiões do Brasil (p<0,001). Averiguou-se que as regiões Norte e Nordeste apresentaram as maiores taxas de mortalidade, enquanto as regiões Sul e Sudeste as menores. Constatou-se que os maiores índices estaduais foram Mato Grosso do Sul, Alagoas e Pernambuco (2003-2007); Roraima, Amazonas e Acre (2008-2012 e 2013-2016). Conclusão: observou-se tendência decrescente da desnutrição infantil no Brasil, mas com diferenças regionais indicando a necessidade de atenção às especificidades de cada região. Descritores: Desnutrição; Mortalidade Infantil; Política Pública; Transtornos da Nutrição Infantil; Serviços de Saúde da Criança; Saúde da Criança.ABSTRACT Objective: to analyze the mortality trend due to malnutrition in children under 5 living in Brazil. Method: this is an ecological time-series study on mortality due to malnutrition in Brazilian children under five years of age, from 2003 to 2016. Data were collected in May 2018 through the Mortality Information System. Polynomial regression and trend analyzes were performed. The results are shown in tables and figures. Results: there was a decreasing mortality trend due to malnutrition in all regions of Brazil (p <0.001). The North and Northeast regions had the highest mortality rates, while the South and Southeast regions had the lowest mortality rates. The highest indices were in the states of Mato Grosso do Sul, Alagoas and Pernambuco (2003-2007); Roraima, Amazonas and Acre (2008-2012 and 2013-2016). Conclusion: there was a downward trend in infant malnutrition in Brazil, but with regional differences, indicating the need to pay attention to the specificities of each region. Descriptors: Malnutrition; Infant Mortality; Public Policy; Child Nutrition Disorders; Child Health Services; Child Health. RESUMEN Objetivo: se buscó analizar la tendencia de la mortalidad por desnutrición en menores de 5 años residentes en Brasil. Método: se trata de un estudio ecológico, de series temporales, sobre mortalidad por desnutrición en niñas brasileras menores de cinco años, de 2003 a 2016. Se recogieron los datos en mayo de 2018 por el Sistema de Informaciones sobre Mortalidad. Se realizaron análisis de tendencia y regresión polinomial. Los resultados se presentaron en tablas y figuras. Resultados: se verificó una tendencia decresciente de la mortalidad por desnutrición en todas las regiones de Brasil (p<0,001). Se averiguó que las regiones Norte y Nordeste presentaron las mayores tasas de mortalidad, mientras las regiones Sur y Sudeste tuvieron las menores. Se constató que los mayores índices estaduales fueron Mato Grosso do Sul, Alagoas y Pernambuco (2003-2007); Roraima, Amazonas y Acre (2008-2012 y 2013-2016). Conclusión: se observó una tendencia decresciente de la desnutrición infantil en Brasil, pero con diferencias regionales indicando la necesidad de atención a las especificidades de cada región. Descriptores: Desnutrición; Mortalidad Infantil; Política Pública; Trastornos de la Nutrición del Niño; Servicios de Salud del Niño; Salud del Niño. 


Check List ◽  
2014 ◽  
Vol 10 (6) ◽  
pp. 1538
Author(s):  
Augusto Francener ◽  
Aluísio José Fernandes-Júnior ◽  
Marcos Vinicius Dantas-Queiroz ◽  
Climbiê Ferreira Hall

Nymphoides grayana (Menyanthaceae) is a macrophyte, and its occurrence is known in Brazil only for the states of Mato Grosso and Mato Grosso do Sul. In this paper, a new record of N. grayana is presented for the state of Tocantins, representing the first record of Menyanthaceae for the state and expanding the occurrence of the species for the North Region of Brazil.


Author(s):  
Ádria Maria da Rocha Caixeta ◽  
Marcelo Henrique Stoppa

TBCs are ventures formed by entrepreneurs whose core is technical knowledge and which are sometimes accompanied by business incubators. It is estimated that the earnings of TBCs incubated in Brazil are more than R$550 million and that they generate around 14 thousand jobs. Thus, given the importance of TBCs for a country's social and economic development, this research is justified, which aims to measure the innovative capacity of TBCs linked to incubators of Brazilian technology-based companies. The chosen methodology was descriptive research, of quantitative nature, whose data collection technique uses the Innovation Radar questionnaire. The sample of this study had the participation of 62 incubated in the incubation stage in 22 incubators located in the states of Goiás, Mato Grosso, Mato Grosso do Sul, Minas Gerais, and Distrito Federal. Among other results, the study showed that, in a sectorial analysis, mining companies in the service sector are not very innovative and the other occasional innovators, as well as that the industries of Mato Grosso do Sul are not very innovative and the other occasional innovators. Finally, in comparison, all TBCs that participated in the research are occasional innovators, that is, in general, the entire sample was characterized as an occasional innovator.


2021 ◽  
Author(s):  
Deborah Ferreira Santos ◽  
Marcele Pescuma Capeletti Padula ◽  
Camila Waters

Introduction: Stroke causes cell injury and neurological damage that induce paralysis of a particular brain zone from which it has been left without proper circulation owing to thrombus, embolus or hemorrhage. Objective: Identify, through scientific articles, the nursing diagnoses of Stroke patients. Methods: Bibliographic and descriptive research held at Virtual Health Library, using the specific descriptors: Stroke and Brain Ischemia that were crossed with the general descriptor: Nursing Diagnosis, written in Portuguese and published from 2008 to 2018. Results: Eight articles were selected between 2008 and 2018 we found two publications in the following years: 2010, 2012, 2013 and 2015. The first publication was in 2010 and the last one in 2015, there is no evidence of research on nursing diagnoses in patients with stroke in the last four years. All studies were performed cross-sectionally, with data collected in the state of Ceará and with a sample ranging from 24 to 156 patients. The Nursing Diagnoses cited by the articles were: urinary incontinence; risk for aspiration; impaired verbal communication; intolerance and risk for activity intolerance; risk for disuse syndrome; risk for falls; fatigue; impaired physical mobility, impaired bed mobility, impaired wheelchair mobility; impaired transfer ability; impaired walking; sedentary lifestyle. Conclusion: Stroke results in disabilities that compromise the quality of life. The importance of preventing risk factors for stroke is clear, as well as the need for quick and effective care, emphasizing the individually, systematic and qualifies nursing care in order to decrease stroke sequels and guarantee quality of life.


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