Which diagnostic method should be used in which age interval in the diagnosis of adenoid hypertrophy?

2018 ◽  
Vol 7 (3) ◽  
pp. 50-54
Author(s):  
Kamil Hakan Kaya ◽  
Zeki Tolga Bilece ◽  
Harun Acıpayam ◽  
Hasan Koçak ◽  
Hüseyin Avni Ulusoy ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Pediatric Population ◽  
Age Groups ◽  
Endoscopic Examination ◽  
Adenoid Hypertrophy ◽  
Study Materials ◽  
Adenoid Tissue ◽  
Group 4 ◽  
Group 3 ◽  
Group 2

Aim: This study aims to determine the age interval for which the flexible nasopharyngoscopy (FNP) and lateral nasopharyngeal X-ray radiography (LNX) used in the diagnosis of adenoid hypertrophy more effectively in a pediatric population. Study Design: Prospective Cohort Study. Materials and Methods: 281 pediatric patients (1 to 15 years old) who were admitted to our ENT outpatient clinic with the complaints of nasal obstruction, snoring, sleep apnea through April 2016 and February 2017 and who were examined with FNP with the pre-diagnosis of adenoid hypertrophy were included in our study. All FNP examinations were evaluated by a single physician. The degree of choanal obstruction was recorded as percentage (%) with the help of the adenoid tissue image. The patients were divided into four groups according to the quality of the endoscopic examination performed during FNP examination; optimal assessment (group-1), assisted optimal assessment (group-2), assisted suboptimal assessment (group-3), and inability to assess despite assistance (group-4). LNX was performed for the re-evaluation of adenoid tissue in the patients in Group-3 and 4. Statistical analysis was performed among the groups according to the ages of the patients. Results: Optimal images were obtained with FNP in the patients aged between 1 and 2 years and 8-15 years and the expected images were obtained for choanal obstruction. However, no image could be obtained with FNP for assessment of choanal obstruction in more than 30% of patients between the ages of 3 and 8 years (31.2% and 33.3%, respectively), also in more than 50% of the patients who were 4,5,6 and 7 years old (60.6%, 56.7%, 55.8%, 66 , 6%, respectively). For this reason, their degrees of choanal obstruction were determined with LNX. Conclusion: For the optimal assessment of adenoid hypertrophy, we suggest that using LNX for the pediatric patients who are 4, 5, 6 and 7 years old and using FNP for the other age groups are more appropriate methods respectively in order not to disturb the polyclinic process of physician and for patient compliance.

scholarly journals National Surveillance of Injury in Children and Adolescents in the Republic of Korea: 2011–2017

2020 ◽  
Vol 17 (23) ◽  
pp. 9132
Author(s):  
Soo Hyun Park ◽  
Ji Young Min ◽  
Won Cul Cha ◽  
Ik Joon Jo ◽  
Taerim Kim
Keyword(s):  
Brain Injuries ◽  
Pediatric Population ◽  
Age Groups ◽  
Prevention Strategies ◽  
Group 4 ◽  
Group 3 ◽  
The Republic ◽  
Group 2 ◽  
Prevention Potential ◽  
Group 1

Understanding age-specific injury patterns allows the continued improvement of prevention strategies. This is a retrospective study analyzing the Korea Emergency Department-Based Injury In-depth Surveillance data, including those aged ≤19 years old between January 2011 and December 2017. In this study, we focused on changes in the modes of injury and severity, and prevention potential by dividing the patients into four age groups: group 1 (0–4 years), group 2 (5–9 years), group 3 (10–14 years), and group 4 (15–19 years). The most common mode of injury in younger age groups 1 and 2 was a fall or slip. Most injuries in older age groups 3 and 4 were unintentional and intentional collisions combined. Traumatic brain injuries (2.1%), intensive care unit admissions (1.8%), and overall death (0.4%) were the highest in group 4. The proportions of severe and critical injury (EMR-ISS ≥ 25) were 7.5% in group 4, 3.2% in group 3, 2.5% in group 1, and 1% in group 2. This study presents a comprehensive trend of injuries in the pediatric population in South Korea. Our results suggest the importance of designing specific injury-prevention strategies for targeted groups, circumstances, and situations.

scholarly journals Neuroendoscopic surgery in children: does age at intervention influence safety and efficacy? A single-center experience

2017 ◽  
Vol 20 (4) ◽  
pp. 324-328 ◽  
Author(s):  
Amy L. Bowes ◽  
Josh King-Robson ◽  
William J. Dawes ◽  
Greg James ◽  
Kristian Aquilina
Keyword(s):  
Pediatric Patients ◽  
Age Groups ◽  
Csf Leak ◽  
Shunt Insertion ◽  
Group 4 ◽  
Neuroendoscopic Surgery ◽  
Group 3 ◽  
Group 5 ◽  
Group 2 ◽  
Group 1

OBJECTIVEThe aim of this study was to review the safety of pediatric intraventricular endoscopy across separate age groups and to determine whether intraventricular endoscopy is associated with an increased risk of complications or reduced efficacy in infants younger than 1 year.METHODSIn this retrospective cohort study, 286 pediatric patients younger than 17 years underwent intraventricular endoscopy at Great Ormond Street Hospital between December 2005 and December 2014. The primary diagnosis, procedure, and complications were recorded.RESULTSNeuroendoscopic surgery was performed in 286 pediatric patients (51 neonates 0–6 months [Group 1]; 37 infants 6–12 months [Group 2]; 75 patients 1–5 years [Group 3]; 54 patients 5–10 years [Group 4]; and 69 patients ≥ 10 years [Group 5]; male/female ratio 173:113). The most common procedures included endoscopic third ventriculostomy (ETV) in 159 patients and endoscopic fenestration of intracranial cysts in 64 patients. A total of 348 consecutive neuroendoscopic procedures were undertaken. Nine different complications were identified, of which postoperative seizures (1.7%), CSF leak (3.1%), CSF infection (2.4%), and intracranial hemorrhage (1.7%) were the most common. Specifically, no significant difference in complication rate (11.9%) or infection rate (2.4%) was observed among age groups (p = 0.40 and p = 0.91, respectively). In addition, there were no perioperative deaths; 30-day mortality was 1.1%. After neuroendoscopy for CSF diversion (n = 227), a significantly higher rate of shunt insertion was observed in the youngest group (Group 1, 63.0%) when compared with older groups (Group 2, 46.4%; Group 3, 26.3%; Group 4, 38.6%; and Group 5, 30.8%; p = 0.03). Similarly, for patients who underwent ETV as their initial neuroendoscopic procedure or in combination with additional surgical interventions (n = 171), a significantly higher rate of shunt insertion was also observed within young infants (Group 1, 67.9%; Group 2, 47.6%; Group 3, 19.6%; Group 4, 27.3%; and Group 5, 23.3%; p = 0.003).CONCLUSIONSIntraventricular endoscopy is a safe neurosurgical intervention in pediatric patients of all ages, although it might be associated with increased shunt rates after endoscopic surgery, specifically ETV, in younger infants.

scholarly journals Inverse Relationship between Adenoid Size and Asthma or Atopy in Children: A Preliminary Study

2020 ◽  
Vol 63 (9) ◽  
pp. 409-414
Author(s):  
Yangseop Noh ◽  
Ji-Eun Choi ◽  
Kyung Eun Lee ◽  
Seung-Kyu Chung ◽  
Sang Duk Hong ◽  
...  
Keyword(s):  
Medical Center ◽  
Allergic Sensitization ◽  
Allergic Diseases ◽  
Adenoid Hypertrophy ◽  
Group 4 ◽  
Group 3 ◽  
Group 2 ◽  
Diagnosis Criteria ◽  
The Relationship ◽  
Group 1

Background and Objectives One of the most common surgical procedures in children is adenoidectomy, but the causes of adenoid hypertrophy are not fully understood. Some studies have found that allergies can be a risk factor for adenoid hypertrophy, asthma being one of these allergic diseases. This study aimed to investigate the relationship between adenoid size and asthma in a group of children.Subjects and Method This study reviewed a total of 2063 pediatric patients with or without atopy and asthma who visited the Otorhinolaryngology and Pediatric unit at a tertiary medical center from January 2011 to June 2016. We classified these patients into 4 groups according to the presence of asthma or atopy and randomly selected 100 patients from each group (to a total of 400 pts): group 1 (asthma-, atopy-); group 2 (asthma-, atopy+); group 3 (asthma+, atopy-) and group 4 (asthma+, atopy+). The presence of allergic sensitization (atopy) was evaluated by CAP test and total IgE. Asthma was diagnosed according to the diagnosis criteria in the Korean guideline for asthma. Adenoid size was evaluated with the adenoidal-nasopharyngeal ratio (A/N ratio) by the adenoid view.Results The four groups did not differ from each other significantly in age or sex. There was a negative correlation between adenoid size and atopic and asthmatic condition. Group 1 had a significantly larger A/N ratio than the other groups (group 1=0.534±0.138; group 2=0.469± 0.140; group 3=0.476±0.135; group 4=0.482±0.128, <i>p</i><0.05). However, group 4 showed nearly identical results to groups 2 and 3, despite the combination of asthma and atopy in group 4.Conclusion Large adenoids were negatively associated with atopy and asthma. This finding may be explained by a decrease in adenoid stimulation by nasal obstruction and a difference in the immune system, including allergic immune reactions. Further studies are needed.

Lumbar Plexus in Children

2004 ◽  
Vol 101 (2) ◽  
pp. 445-450 ◽  
Author(s):  
Lukas Kirchmair ◽  
Birgit Enna ◽  
Gottfried Mitterschiffthaler ◽  
Bernhard Moriggl ◽  
Manfred Greher ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Age Groups ◽  
Posterior Part ◽  
Lumbar Plexus ◽  
Ultrasound Guided ◽  
Psoas Major Muscle ◽  
Group 3 ◽  
Group 2 ◽  
Paravertebral Region ◽  
Group 1

Background Pediatric regional anesthesia has gained increasing interest over the past decades. The current study was conducted to investigate the lumbar paravertebral region and the lumbar plexus at L3-L4 and L4-L5 by means of sonography to obtain fundamentals for the performance of ultrasound-guided posterior lumbar plexus blocks. Methods Thirty-two children (12 boys, 20 girls) with American Society of Anesthesiologists physical status I or II were enrolled in the current study. The lumbar paravertebral region was visualized at L3-L4 and L4-L5 on two corresponding posterior sonograms (longitudinal, transverse). The lumbar plexus had to be delineated, and skin-plexus distances were measured. In a series of five pediatric patients undergoing inguinal herniotomy, ultrasound-guided posterior lumbar plexus blocks at L4-L5 were performed. Results The children were stratified into three age groups (group 1: &gt; 3 yr and &lt;/= 5 yr; group 2: &gt; 5 yr and &lt;/= 8 yr; group 3: &gt; 8 yr and &lt;/= 12 yr). The lumbar plexus could be delineated at L3-L4 and L4-L5 in 19 of 20 cases in group 1, in 17 of 20 cases in group 2, in 22 of 24 cases at L3-L4 in group 3, and in 16 of 24 cases at L4-L5 in group 3. In all patients, the lumbar plexus was situated within the posterior part of the psoas major muscle. Skin-plexus distances showed statistical significant differences between groups 1 and 3 and between groups 2 and 3. The strongest positive correlation existed between skin-plexus distances and the children's weight. Ultrasound guidance enabled safe und successful posterior approaches to the lumbar plexus, thus resulting in effective anesthesia and analgesia of the inguinal region. Conclusions Sonography of the lumbar plexus in children proved to be feasible. Skin-plexus distances correlated with the children's weight rather than with their age. The sonographic findings were fundamental for the performance of successful ultrasound-guided posterior approaches in a small group of pediatric patients.

scholarly journals The Influence of Age on Lignocaine Pharmacokinetics in Young Puppies

1986 ◽  
Vol 14 (2) ◽  
pp. 135-139 ◽  
Author(s):  
C. L. Hastings ◽  
T. C. K. Brown ◽  
R. L. Eyres ◽  
R. C. Oppenheim
Keyword(s):  
Age Groups ◽  
Elimination Rate ◽  
Central Compartment ◽  
Volume Of Distribution ◽  
Pharmacokinetic Data ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Eight mongrel puppies were studied at intervals of a few weeks. Lignocaine 4mg/kg was infused over 60 seconds. Frequent samples were taken over 30 minutes for plasma lignocaine assay. Initially the concentrations were significantly higher in the oldest group (178–191 days) but after 10 minutes the youngest group (3–16 days) had significantly higher levels than the other groups. Pharmacokinetic data derived included the rate constants k21, k12 (drug movement between two compartments), k10 (elimination from the central compartment), and the volume of distribution (Vβ). The elimination rate constant k10 was significantly lower in Group 1 (3–16 days) than all other groups and Group 2 (37–57 days) was lower than Group 4 (178–191 days). The calculated β half-life was significantly longer in the youngest group than the others. There was no significant difference in the volume of distribution between these age groups — up to 6 months.

How childhood diseases awareness contributes to minimize the risk of disease severity in children under five age: an evolutionarystudy

2020 ◽  
pp. 1-12
Author(s):  
Mahvish Ponum ◽  
Osman Hasan ◽  
Saadia Khan
Keyword(s):  
Disease Severity ◽  
Age Groups ◽  
Childhood Diseases ◽  
Healthcare Facilities ◽  
Childhood Disease ◽  
Disease Awareness ◽  
Group 4 ◽  
Risk Of Disease ◽  
Group 3 ◽  
Group 2

Abstract Objective: To scrutinise the contribution of childhood disease awareness in mothers to minimise the risk of disease severity in children aged <5, and to evaluate the effectiveness of a proposed app in this context. Methods: The evolutionary study was conducted in Children’s Hospital and the Institute of Child Health Multan from September 2018 to February 2019 and comprised two sessions with the app involving 30 mothers who were provided with smartphones with the app installed. The mothers were divided into 4 age groups. The app was evaluated using quantitative and qualitative measures. Suggestions and opinions were obtained in the first session and all suggestions were implemented by the second session. Results: Of the 30 mothers, 8(26.6%) were in Group 1 aged 14-20 years, 12(40%) in Group 2 aged 21-27 years, 7(23.3%) in Group 3 aged 28-34 years, and 3(10%) in Group 4 aged 35 years and above. The participants were able to diagnose their kids’ diseases accurately by following the instructions provided by the app. The subjects also agreed that they diagnosed the diseases accurately. All the participants were interested in the app and expressed the desire to have it available across the healthcare facilities in Pakistan. Conclusion: All subjects showed acceptance for the app and affirmed its easy usability, especially for illiterate mothers. Key Words: Childhood disease, mHealth app, Mother literacy, Mortality rate.

scholarly journals Associations Between Contrast Sensitivity and Aging

Medicina ◽  
2013 ◽  
Vol 49 (6) ◽  
pp. 43 ◽  
Author(s):  
Rasa Liutkevičienė ◽  
Džastina Čebatorienė ◽  
Giedrė Liutkevičienė ◽  
Vytautas Jašinskas ◽  
Dalia Žaliūnienė
Keyword(s):  
Visual Acuity ◽  
Contrast Sensitivity ◽  
Age Groups ◽  
Group 4 ◽  
Corrected Visual Acuity ◽  
Spatial Frequencies ◽  
Group 3 ◽  
Group 5 ◽  
Group 2 ◽  
Group 1

Objective. The aim of this study was to assess age-related visual functions (visual acuity and contrast sensitivity) and compare the results by different age groups. Material and Methods. A total of 231 patients were examined. The patients were divided into 5 age groups: 10 patients in group 1, 30–39 years; 40 patients in the group 2, 40–49 years; 77 patients in the group 3, 50–59 years; 71 patients in the group 4, 60–70 years; and 33 patients in the group 5, 71–85 years. A typical Snellen’s chart (the direction of the gap in Landolt C) was used for noncorrected and best-corrected visual acuity testing. Contrast sensitivity was evaluated by employing a Ginsburg Box, VSCR-CST-6500. Results. Noncorrected visual acuity was significantly better in the group 2 than the group 3 (0.86 [0.28] vs. 0.69 [0.33], P=0.018). Moreover, noncorrected and best-corrected visual acuity was significantly better in the group 4 than the group 5 (0.52 [0.35] vs. 0.35 [0.28], P<0.001; and 0.9 [0.21] vs. 0.69 [0.27], P<0.005, respectively). Contrast sensitivity at the nighttime without glare was significantly worse in the group 2 than the group 1 at the spatial frequencies of 3, 12, and 18 cycles per degree (P=0.001, P=0.05, and P=0.01, respectively). The patients in the group 2 had significantly worse contrast sensitivity at the nighttime and daytime with glare at the spatial frequencies of 1.5, 12, and 18 cycles per degree (P=0.054, P=0.04, and P=0.01 and P=0.011, P=0.031, and P=0.011, respectively). The greatest differences in contrast sensitivity were observed between the groups 4 and 5, and it was 2 to 4 times better in the group 4. Comparing these groups, all the differences at the nighttime and daytime with and without glare were significant. Conclusions. Contrast sensitivity was worst among the oldest persons (71–85 years), and it began to worsen already in the persons aged 40–49 years. Contrast sensitivity was very similar in the age groups of 40–49 and 50–59 years.

scholarly journals Serum biochemical profile of Pêga breed donkeys in the state of Minas Gerais

2018 ◽  
Vol 38 (6) ◽  
pp. 1225-1231
Author(s):  
João B.F. Santos ◽  
Maurício M. Franco ◽  
Robson C. Antunes ◽  
Ednaldo C. Guimarães ◽  
Antonio V. Mundim
Keyword(s):  
Uric Acid ◽  
Total Protein ◽  
Age Groups ◽  
Group 4 ◽  
Serum Biochemical ◽  
Group 3 ◽  
Group 5 ◽  
Group 2 ◽  
Ca:P Ratio ◽  
Group 1

ABSTRACT: For the evaluation of serum biochemical parameters of Pêga breed donkeys (Equus asinus), for the different age groups and sex, blood samples of 123 animals were analyzed, of 29 males aged from 8 days to 10 years and of 94 females (15 lactating) aged from 2 days to 12 years, from two farms in the central-southern Minas Gerais, Brazil. The donkeys were divided by age into 5 groups: Group 1 (≤6 months), Group 2 (7-12 months), Group 3 (13-48 months), Group 4 (49-72 months), and Group 5 (≥73 months). According to the sex, they were divided into two groups, males and females. Serum biochemical elements: total protein, albumin, globulin, the A:G ratio, cholesterol, triglycerides, uric acid, creatinine, urea, phosphorus, calcium, Ca:P ratio, magnesium, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT) and creatine kinase (CK), were evaluated in all animals. No significant differences were found for globulins, uric acid, urea and A:G ratio between age groups. Group 4 showed the highest values for total protein when compared with animals in Group 1 and 2. In Goup 2, the donkeys showed albumin levels lower than Group 3 and 4. Group 1 they had cholesterol levels higher than those in Group 2 and 4, and similar of the other groups. Higher phosphorus serum concentration was observed in Group 1. Calcium was significantly lower in Group 2. The Ca:P ratio was higher for Group 5. The magnesium values were significantly higher in donkeys older than 49 months (Group 4 and 5). The value of AST was lower for group 1. The ALP enzyme was significantly higher in younger animals up to 12 months, followed by gradual decrease with advancing age. The values of GGT were higher in donkeys up to 6 months, followed by decreasing values for subsequent groups. No differences were found between genders for albumin, cholesterol, creatinine, urea, uric acid, Ca:P ratio, magnesium, ALT, AST, and alkaline phosphatase. Females had higher values for total protein, globulin and triglycerides. Males showed higher values for A:G ratio, phosphorus, calcium and CK. The results showed that age and sex can influence serum biochemical values of Pêga breed donkeys.

scholarly journals O sujeito pronominal na fala de Natal/RN: retrato de uma mudança em tempo aparente / The Pronominal Subject in Natal/RN: Portraits of a Change in Apparent Time

2020 ◽  
Vol 25 (2) ◽  
pp. 41
Author(s):  
Marco Antonio Rocha Martins ◽  
Sammy Vieira Carvalho Júnior
Keyword(s):  
Age Groups ◽  
Rio Grande ◽  
Age Group ◽  
Linguistic Change ◽  
Group 4 ◽  
Group 3 ◽  
Theory Of Variation ◽  
Group 2 ◽  
Grammatical Change ◽  
Group 1

Resumo: Seguindo os pressupostos da Teoria da Variação e Mudança linguística, apresentamos neste artigo uma análise de regra variável da expressão do sujeito pronominal em sentenças matrizes na fala de Natal/Rio Grande do Norte/Brasil, com o objetivo de mapear a evolução do preenchimento do sujeito nessa comunidade. Nossa hipótese é de que a fala de Natal evidencia um quadro de mudança gramatical que pode ser observada sob as lentes da mudança em tempo aparente, conforme postulados de Labov (1994). A amostra analisada compõe-se de oito entrevistas realizadas na década de 2010, extraídas do corpus FALA-Natal, com informantes socialmente estratificados. Considerando quatro faixas etárias diferentes dos informantes (Faixa 1 de 8 a 12 anos; Faixa 2 de 15 a 21 anos; Faixa 3 de 25 a 45 anos; e Faixa 4 mais de 50 anos), os resultados mostram que a representação do sujeito pronominal reflete um caso de mudança em tempo aparente, uma vez que construções com sujeitos preenchidos são condicionadas por informantes mais novos, da faixa etária 1, em oposição aos demais informantes das faixas subsequentes.Palavras-chave: preenchimento do sujeito; mudança em tempo aparente; português brasileiro; FALA-Natal.Abstract: In the Theory of Variation and Linguistic Change, we present an analysis of the variable rule of the expression of the pronominal subject in matrix sentences in the speech of Natal/Rio Grande do Norte/Brazil, with the aim of mapping the evolution of the subject’s filling in this community. Our hypothesis is that the speech of Natal shows a grammatical change, which can be observed in light of change in apparent time, as postulated by Labov (1994). The sample analyzed was taken from eight interviews conducted in the decade of 2010, extracted from the FALA-Natal corpus, with socially stratified informants. Considering four different age groups of informants (Group 1 from 8 to 12 years; Group 2 from 15 to 21 years; Group 3 from 25 to 45 years; and Group 4 over 50 years), the results show that the representation of the pronominal subject reflects a case of change in apparent time, since constructions with filled subjects are conditioned by younger informants, in age group 1, as opposed to the other informants in the subsequent groups.Keywords: subject completion; change in apparent time; Brazilian Portuguese; FALA-Natal.

scholarly journals Mandibular morphology of the Mongoloid race in Medan according to age groups

2018 ◽  
Vol 51 (2) ◽  
pp. 81
Author(s):  
Maria Sitanggang ◽  
Trelia Boel
Keyword(s):  
Age Groups ◽  
Mean Value ◽  
Group 4 ◽  
Group 3 ◽  
The Mean ◽  
Mandibular Morphology ◽  
Group 5 ◽  
Group 2 ◽  
Ramus Height ◽  
Group 1

Background: The mandible constitutes part of the craniofacial bone that plays an important role in determining an individual’s facial profile. The mandible grows and develops throughout life from the prenatal phase up to old age when it becomes and edentulous. Changes in the mandible can be measured using radiographs. These establish several parameters of mandibular morphology, including: ramus height, condylion height, body length, condylion angle, symphysis height, symphysis width and symphysis angle. Purpose: This study aimed to determine differences in the mandibular morphology of members of the mongoloid racial group in Medan according to age as measured by cephalometric radiography. Methods: This investigation constituted analytical research using cross-sectional study with a total sample of 150 individuals divided according to age: group 1 (aged 4-12 years), group 2 (aged 13-24 years, group 3 (aged 25-34 years), group 4 (aged 35-60 years) and group of 5 (aged > 60 years). The parameters were computerized by means of a digital cephalometric radiograph, the resulting data being analized with Oneway ANOVA and LSD. Results: The mean value of the highest to the lowest ramus height, and symphysis height from the five age groups, sequentially, were in group 3, group 4, group 5, group 2, and group 1. The mean value from the highest to the lowest of body length, condylion height, condylion angle, and symphysis width, sequentially, were in group 3, group 4, group 2, group 5, and group 1. The mean value from the highest to the lowest of symphysis angle, sequentially, were in group 1, group 3, group 4, group 2, and  group 5. Conclusion: The mandibular morphology of each age group differs in Mongoloid races in Medan based on lateral cephalometric radiography in which changes are may be affected by the state of teeth and age.

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