Senin, 07 Desember 2020

Methodist Er Wait Times

Were certified for Level III Trauma Care by the State of Minnesota and can treat issues from the common to complex. When an emergency happens our specially trained ER staff and physicians are prepared to treat a variety of minor illnesses to life threatening illnesses 24 hours a day 7 days a week.

Er Wait Time By Methodist Healthcare System

Parking info We recommend using the main entrance and parking in the Orange ramp on the north end of our hospital.

Methodist er wait times. 25 rows Then the wait time will vary by severity and how busy the ER is at the time of day. 0h 36m Non-critical cases where patient is discharged have total visit time of 2 hour and 36 minutes Serious cases where patients are admitted have 3 hour and 1 minutes to be admitted then an additional 1 hour and 36 minutes delay before leaving to their room. At Methodist Hospital Stone Oak our full-service ER is staffed with specially trained physicians and staff 247.

With a top-tier emergency room staff dedicated to emergency care you can be sure youre getting the highest quality of care. If youre not sure you need to head to the emergency room talk to a nurse first. Users are placed in a queue and given a projected treatment time.

Emergency care at Methodist Hospital Northeast. Our board-certified doctors provide expert treatment for emergencies. Methodist Le Bonheur Germantown.

Methodist typically beats that time with an average of 40 minutes. Focusing on serving our community Methodist Hospital Northeast is proud to provide the emergency care you need when it matters most. Patients are triaged at arrival and are then seen by a qualified medical professional in priority order based on their presenting complaint and reason for visit.

Patient Ratings While customer satisfaction surveys dont necessarily. Wait time is defined as the time when a patient checks into the Emergency Department until they are seen by a physician physicians assistant or nurse practitioner. When you or a loved one is faced with a medical emergency you want to go where youll receive the highest level of care.

The national average wait time to see a doctor or nurse practitioner in the emergency room is 60 minutes. At Methodist Southlake Hospital we believe you should have access to an ER fast. If you or someone you know is experiencing a medical emergency always call 911 first.

As your community hospital and emergency room we are conveniently located near Highway 114 and White Chapel Boulevard. Emergency care at Methodist Hospital. Emergency Room Wait Time Ratings Time until initial exam.

Users do not skip the ER wait or move ahead of individual in the ER Waiting Room. The Methodist Hospital Emergency Center offers the care you need close to home. Our team is ready to help you through some of lifes toughest moments when minutes matter twenty-four hours a day seven days a week.

This online scheduling service estimates treatment times based on current patient volumes and allows users to wait from the comfort of their home rather than the ER Waiting Room. 0h 11m Non-critical cases where patient is discharged have total visit time of 2 hour and 24 minutes Serious cases where patients are admitted have 2 hour and 57 minutes to be admitted then an additional 1 hour and 46 minutes delay before leaving to their room. But when health issues arise after hours on weekends or during the holidays visiting your primary provider may not be an option.

Emergency room at Methodist Hospital Stone Oak. Methodist Hospital has been trusted by our community for over 55 years to provide care during some of lifes toughest moments. Posting emergency room wait times on-line shows our commitment to providing our patients high-quality care and reflects how serious we are about increasing transparency said Dr.

Learn more about how we estimate wait times. Emergency Room Wait Time Ratings Time until initial exam. ER wait times represent a four-hour rolling average updated every 30 minutes and is defined as the time of patient arrival until the time the patient is greeted by a qualified medical professional.

ER wait times represent a one-hour rolling average updated every 5 minutes and is defined as the time of patient arrival until the time a patient is greeted by a qualified medical professional. Patients in San Antonio Texas will find dedicated compassionate care with the latest technology at our ER. Estimated wait time does not include the Le Bonheur Childrens Emergency Department.

We rely on the latest medical technology and input from a range of medical professionals to. When something unexpected happens were here for you. Emergency rooms are available 24 hours a day seven days a week.

In any emergency our team is standing by take care of our community when minutes matter most. Wait times will vary based on your situation. While not every illness or injury requires a trip to the emergency room ER there are times when emergency services are needed.

Methodist Le Bonheur Germantown.

Jumat, 04 Desember 2020

Influenza Vs Flu

The incubation period for flu can range from 1 to 4 days. Pneumonia is a serious infection or inflammation of the lungs.

Cold Vs Flu Symptoms 6 Ways To Spot The Difference Healthpartners Blog

A flu pandemic is a global outbreak of a new flu A virus in people that is very different from current and recently circulating seasonal flu A viruses.

Influenza vs flu. Muscle or body aches. Symptoms range from mild to severe and often include fever runny nose sore throat muscle pain headache coughing and fatigue. Colds are usually milder than flu.

Flu usually comes on suddenly. Influenza commonly termed the flu is a viral infection of the upper respiratory andor lower respiratory system caused by influenza viruses. These symptoms typically begin 14 days after exposure to.

The flu usually comes on suddenly while pneumonia takes longer to develop and can be a complication from the flu. Fever above 1004 degrees. Its most common during the fall and winter months.

During the 2019 flu season. Flu is different from a cold. Symptoms of COVID-19 and the flu appear at different times and have some differences.

Runny or stuffy nose. Influenza is spread easily from person to person usually when an infected person coughs or sneezes. Find information on coronavirus disease 2019 COVID-19.

COVID-19 and the flu have several differences. Flu including the 2009 H1N1 flu and COVID-19 differ when it comes to symptom onset. Influenza known as the flu is a highly contagious respiratory virus.

COVID-19 and the flu are caused by different viruses. Influenza flu can cause mild to severe illness and at times can lead to death. COVID-19 is caused by a new coronavirus called SARS-CoV-2 while influenza is caused by influenza A and B viruses.

Muscle pain or body aches. Influenza is one of the worlds greatest infectious disease challenges. In general flu is worse than the common cold and symptoms are more intense.

Influenza commonly called the flu is an infectious disease caused by influenza viruses. Body aches and pains. Common symptoms that COVID-19 and flu share include.

Shortness of breath or difficulty breathing. Influenza flu is a contagious respiratory illness caused by flu A and B viruses that infect the human respiratory tract. Fatigue tiredness Sore throat.

The infection we know as the flu is caused by the influenza virus. Runny or stuffy nose. What is pandemic flu.

Because these two types of illnesses have similar symptoms it can be difficult to tell the difference between them based on symptoms alone. Skip directly to site content Skip directly to page options Skip directly to A-Z link. People who have flu often feel some or all of these symptoms.

The flu is caused by a viral infection while pneumonia can be caused by either a bacterial infection or viral infection. What Is The Connection Between Influenza and Pneumonia. Fever or feeling feverishchills.

But did you know that seasonal flu and pandemic flu are not the same. It typically spreads through respiratory droplets when a. Annual flu epidemics occur among people worldwide.

Influenza flu is a highly contagious viral infection that is one of the most severe illnesses of the winter season. Flu and the common cold are both respiratory illnesses but they are caused by different viruses. Alabamas statewide flu rate dropped from 329 to 132 and COVID killed more Alabamians in one year than flu did in the past decade.

Some people may have vomiting and diarrhea. COVID-19 which stands for coronavirus disease of 2019 is an infection caused by a type of coronavirus called severe acute respiratory syndrome coronavirus 2 SARS-CoV-2. The CDC said there were about 65000 flu cases reported in the US.

These viruses usually cause more serious symptoms in the respiratory system than cold-causing viruses. The 2020 flu season only saw slightly more than 1000. Fever or feeling feverishchills.

Kamis, 03 Desember 2020

How Long After Fluoride Can I Brush My Teeth

You didnt really specify what form of Fluoride treatment you had. Fluoride varnish should be re-applied every six months or sooner if recommended by your dentist.

Fluoride Varnish Can Help Prevent White Spots Khouri Orthodontics

Alongside brushing using a mouthwash containing fluoride can be very helpful.

How long after fluoride can i brush my teeth. To obtain the maximum benefit during the treatment period we ask that you follow the recommendations below after you leave our office. If it was a gel or foam then most of the Fluoride was washed away with saliva and food when you ate. Tooth brushing stops plaque building up.

If you like using mouthwash for fresher breath and to further prevent cavities wait a couple of hours after brushing your teeth. Do not brush or floss your teeth for at least 6 hours after treatment. However using it right after brushing may not be as good as it can wash away all the fluoride concentration on your teeth.

Remember dont rinse your mouth immediately after brushing your teeth. Fluoride varnish does feel a bit slimy but is usually minty and does not taste bad. However after the 6 hours of treatment is over thoroughly brush and floss your teeth.

Such short brushing times mean the fluoride is having little or no time to actually begin working and protecting the teeth. When the hygienist put the flupride on your teeth they shouldve informed you that you should eat drink or. If its been an hour you should be fine.

Instruct the patient to allow varnish to remain in contact with the tooth surfaces for a minimum of 4 hours. Chemotherapy and radiotherapy patients. After 5 minutes thoroughly expectorate spit out the residual fluoride.

Eat a soft food diet during the treatment period. The Academy of General Dentistry suggests the average person brushes for 45-70 seconds per day. In general you will be advised to wait 30 minutes after your dental cleaning to eat or drink.

You may also resume your normal diet and lifestyle after the 6 hours. Your dentist will inform you of post-treatment guidelines and any specific rules for you to follow. The patient is advised to eat a soft diet the rest of the day temporarily discontinue any fluoride supplements if applicable and wait several hours before brushing off the product.

After receiving fluoride it is typical to wait about 30 minutes before eating or drinking. Wait around 40 to 50 seconds for the fluoride to settle in. Fluoride varnish has been shown to remain several weeks in deep fissure areas.

Plaque is a film of bacteria that coats your teeth if you dont brush them properly. If you use a fluoride mouthwash dont eat or drink for at least. Either way you should be fine to brush right away.

Ideally you should wait 4 hours to brush but in a lot of places patients are told to not brush until the next day to allow the varnish to fully harden and adhere to the tooth. You may be asked to avoid eating or drinking for 30 minutes after the treatment so the fluoride can fully absorb. Who is viable for fluoride treatment.

Ideally you should wait 4 hours to brush but in a lot of places patients are told to not brush until the next day to allow the varnish to fully harden and adhere to the tooth. Do not rinse mouth drink or eat for at least 30 minutes after fluoride use. You can brush and floss after the six-hour window is over this oral cleaning process washes the residual fluoride off the teeth.

This will help to remove any remaining fluoride from your teeth. For maximum fluoride uptake the varnish can remain on the teeth overnight and can be brushed off in the morning. Allow the fluoride to remain on the teeth for 5 minutes.

Its important to brush twice a day using a fluoride toothpaste and a suitable kids toothbrush and minimize consumption of sugary snacks and drinks. It contributes to gum disease and tooth decay. You should not eat or drink for 30 minutes after application and then favour soft foods for the rest of the day.

You should not eat or drink for 30 minutes after application and then favour soft foods for the rest of the day. More so for 3 days after. If it was a varnish of 5 strength you probably should have avoided eating or drinking for about an hour.

The treatment period for fluoride varnish is approximately 4 to 6 hours. You can use any fluoride treatment three days after a procedure. It is recommended that the patient be instructed to only eat soft foods and drink cold liquids for 4 hours after treatment.

Always give your dentist your full health history so they can choose the right. This 30-minute window allows time for the fluoride treatment to seal around your teeth. Thoroughly brush the fluoride into all surfaces of the teeth especially where the tooth meets the gum tissue.

You should not rely on fluoride varnish alone to keep teeth healthy. By not rinsing what fluoride is left has a better chance of working and protecting the teeth from cavities. Brush your teeth with fluoride toothpaste twice a day for about 2 minutes to help keep your teeth and mouth healthy.

A fluoride rinse is just like a mouthwash that you would usually use at home.

Std Testing Dc

Services Provided at the DC Health and Wellness Center. Same Day appointments available.

Why You Must Undergo Std Testing During Coronavirus Pandemic Walk In Clinic

Bacterial vaginosis BV chlamydia.

Std testing dc. Call or Book Online. Call 202 741-7692 for an appointment. Convenient and Easy STD Testing DC.

Free STD Testing in Takoma Park MD. Ad Search How Test For Std. Get Results from 6 Engines at Once.

The DC Health and Wellness Center is open and offers sexual healthcare for free. Here are a few of our recommendations. Use our DC Health Service Telephone Directory to view the telephone numbers for various DC Health services.

At Rapid STD Testing District of Columbia getting tested in quick private and reliable. Our testing panels provide you with the most comprehensive testing at a lower rate than testing for. With 5 STD Testing Washington DC.

At STD Testing DC we also feel that your health should never be sacrificed due to an inability to pay. Confidential and secure STD testing offered by the best STD clinic DC can encourage more and more individuals to get tested for suspected sexually transmitted diseases. If you are an adult adolescent between the ages 13 to 64 get tested for HIV at least once.

The types of tests done depend on your sexual behaviors and symptoms. Our office is located at 77 P St. Same Day appointments available.

Cities Nearest to Washington DC. Free STD Testing in Chillum MD. Ad Search How Test For Std.

Our patient service centers are near you discreet professional and most of. Thats why we offer the most competitive prices for all our tests and testing panels. Free STD Testing in Bethesda MD.

Importance of STD testing If you are sexually active getting tested regularly is a crucial thing you must do to protect your health. DCs new Health and Wellness Center provides many tests as well as STD Testing. Ad Fast accurate results.

Free STD Testing in Silver Spring MD. Offers a full range of STD testing for bacterial vaginosis BV herpes syphilis chlamydia genital warts trichomoniasis gonorrhea and HIV. STD Testing The DC Health and Wellness Center provides free and confidential clinical services for persons over 13 years of age and older.

All you have to do is place your order visit a STD testing DC lab and submit your sample. You will be able to access your results online from the comfort of your own home. Locations getting checked has never been more accessible.

The three most common STDs both in the nation as a whole and in the capital of Washington DC are chlamydia gonorrhea and syphilis. Free STD Testing in Glassmanor MD. STD Testing Treatment Vaccines in Washington DC.

Free STD Testing in Langley Park MD. Free STD Testing in Hyattsville MD. Contact us if you have any questions about HIV or STD testing in DC.

HIV testing and diagnosis only syphilis. By easing the process and providing quick results these clinics are providing a great service to those who are unsure of their health condition and want to quickly get the. The Planned Parenthood of DC.

Call or Book Online. Comprehensive STD testing is offered to all persons 12 years of age and older. Ad Fast accurate results.

STD testing diagnosis and treatment including. Get Results from 6 Engines at Once. Rapid STD Testing District of Columbia provides the most private accurate and rapid STD testing service in District of Columbia.

Carol Whitehill Moses Center offers the following services related to the testing and treatment of sexually transmitted diseases STDs. HIV rapid and confirmatory blood test Chlamydia swab or urine. The Planned Parenthood at this location offers treatment options for these STDs with the exception of HIV.

Senin, 30 November 2020

Best Way To Get Blood Pressure Down

Losing just 10 pounds can help bring it down. When it is inflated the cuff compresses the brachial artery the major blood vessel of the upper arm briefly stopping blood flow.

How To Lower High Blood Pressure In 1 Minute Youtube

But as well as shedding pounds you also need to keep an eye on your waistline.

Best way to get blood pressure down. The above are eight ways to lower blood pressure instantly at home in just a few minutes. If youve just been involved in a stressful situation and need to relax find a place where you can sit up straight or lie down. Some examples of aerobic exercise you may try to lower blood pressure include walking jogging cycling swimming or dancing.

The cuff is placed around the upper arm and then manually or electronically inflated. Daily exercise is an excellent way to lose fat and reduce high blood pressure. Luckily you can heal this organ and get blood pressure down immediately with 3 simple mind and body exercises.

PRACTICE SLOW DEEP BEATHING FOR 5 MINUTES. By helping the body release sodium in the urine and easing tension within the walls of blood vessels. Researchers have found that there is a link between sun exposure and blood pressure.

For example people with mild hypertension tend to have lower blood pressure in summer than in winter. Weight loss has been the most effective way of reducing blood pressure. Carrying too much weight around your waist can put you at greater risk of high blood pressure.

Regular exercise and activity is one of the best ways for long-term reductions in blood pressure because it promotes a stronger heart and improved blood flow. Strength training also can help reduce blood pressure. Massaging these areas helps relieve tension in the neck and helps regulate blood flow to the brain.

Nearly one in two US. LOWERING YOUR BLOOD PRESSURE RIGHT NOW. Generally a healthy and balanced diet is one that will help you prevent dangerous rises in pressure.

Exercising daily for 30 minutes can bring down the blood pressure by about 5-8 mmHg. A visit to your doctor is the best way to get advice on how to lower blood pressure. Hibiscus tea coconut water tofu and soy will also be very helpful.

Research has shown that breathing techniques can help lower blood pressure quickly especially in hypertensive patients. You can also try high-intensity interval training which involves alternating short bursts of intense activity with subsequent recovery periods of lighter activity. None of the tips to lower blood pressure here are a guarantee and should be treated as such.

You may notice your blood pressure or heart rate increasing during exercise but it should decrease about two hours following exercise and remain steady for a number of hours. Though common high blood pressure hypertension is a serious condition that can put you at a greater risk for heart disease stroke and kidney failure. Lots of drivers have failed DOT physicals simply from being nervous about their results.

One of the best ways to do this is with controlled breathing. If this sounds familiar youre far from alone. One of the natural ways to bring down your blood pressure in a matter of minutes is getting some sun.

Weight loss is one of the best ways to control blood pressure. Adults 108 million people have high blood pressure reports the Centers for Disease Control and Preventions Million Hearts website. Blood pressure is measured with a pressure cuff sphygmomanometer.

In a 2013 study sedentary older adults who participated in aerobic exercise training lowered their blood pressure by an average of 39 percent systolic and 45 percent diastolic 4. Potassium helps reduce blood pressure in two ways. Massage gently in a circular motion on both sides of your face for about 1 minute.

Among the foods that improve your blood pressure are watermelons kiwis bananas blueberry juices and skim milk. This new easy and all-natural hypertension breakthrough can help get your blood pressure down immediately at home in just a matter of minutes. Foods rich in potassium include.

Minggu, 29 November 2020

Aortic Valve Regurgitation Symptoms

The aortic valve is between the left ventricle and the aorta. Mild aortic regurgitation may produce few symptoms.

Aortic Regurgitation Features Of Aortic Regurgitation

Aortic regurgitation can also raise your risk of getting endocarditis an infection of the inner lining of the heart.

Aortic valve regurgitation symptoms. What are the symptoms of aortic valve regurgitation. The aortic valve has flaps called cusps or leaflets that control the flow of blood through the valve. This happens because the aortic valve does not close properly.

These may include sudden shortness of breath a rapid heartbeat chest pain severe lightheadedness and loss of consciousness. Even if you dont have symptoms your doctor may be able to. Symptoms of chronic or long-term aortic valve regurgitation include.

Aortic regurgitation is a condition that causes blood to flow through the aortic valve to your left ventricle. This can occur because over time the heart enlarges in response to the aortic valve regurgitation and becomes weaker causing blood to back up into the. Aortic valve regurgitation happens more often with age.

Most often aortic valve regurgitation develops gradually and your heart compensates for the problem. Chronic aortic valve regurgitation symptoms. The diastolic leakage of blood from the aorta into the left ventricle LV.

Aortic regurgitation is leakage of blood from the aorta into the left ventricle that occurs during diastole the period when heart fills with blood after contraction systole. The aorta is a blood vessel that pumps blood to your body. What is aortic regurgitation.

Ad Motherwell - Free Valve Sizing - Manufacturers of Breather Valves. You may have no signs or symptoms for years and you may even be unaware that you have the condition. Ad Motherwell - Free Valve Sizing - Manufacturers of Breather Valves.

Common symptoms reported by people with aortic valve regurgitation. Aortic regurgitation can develop suddenly or over decades. Chronic aortic regurgitation AR may be asymptomatic for years until overt symptoms of congestive heart failure develop.

However as aortic valve regurgitation worsens signs and symptoms may include. According to the Mayo Clinic a valve that leaks may prevent your heart from efficiently pumping blood out to the rest of your body. What is aortic valve regurgitation.

If your heart isnt working efficiently you may feel aortic regurgitation symptoms including fatigue and short of breath. The heart is significantly enlarged and symptoms like shortness of breath swelling and. In this final stage patients have a severely leaky aortic valve and other noticeable symptoms.

Aortic regurgitation allows some of the blood that was pumped out. People with more severe aortic regurgitation may notice heart palpitations chest pain fatigue or shortness of breath. Some people with chronic aortic valve regurgitation may develop shortness of breath.

It is a fairly common problem that affects both men and women. It causes blood to flow back into the left ventricle from the aorta. With acute aortic valve regurgitation the valve suddenly becomes leaky.

Shortness of breath on exertion. It may be an acute condition or chronic. Initial symptoms can include palpitations and uncomfortable awareness of the pounding heart when lying on the left side.

If those flaps fail to close tightly the result is a leaky aortic valve also called aortic regurgitation or insufficiency. You have symptoms of acute severe aortic valve regurgitation. Aortic valve regurgitation can be acute or chronic.

The heart doesnt have time to get used to the leak in the valve. Aortic valve regurgitation symptoms.

Sabtu, 28 November 2020

Pneumonia Vaccine Cost Walmart

Flu influenza offered at all Walmart locations with a Walmart pharmacy. This vaccine will not treat an infection.

Book Covid 19 Vaccine Appointment Flu Shots Immunizations Walmart Com

Please see the vaccination or injection page for more information.

Pneumonia vaccine cost walmart. The CDC Vaccine Price Lists posted on this website provide current vaccine contract prices and list the private sector vaccine prices for general information. The pneumococcal conjugate vaccine PCV13 or Prevnar 13 followed by the pneumococcal polysaccharide vaccine PPSV23 or Pneumovax at a later visit. The CDC has long recommended that in order to acquire the best protection against all strains of bacteria that cause pneumonia all adults 65 and older should receive two pneumococcal vaccines.

Prevnar 13 is a pneumococcal conjugate PCV vaccine that protects against 13 types of pneumococcal bacteria. Protect yourself and your family from measles mumps rubella and pneumococcal disease. Medicare Advantage may also cover the total cost of pneumonia shots.

Chickenpox varicella HPV human papilloma virus MMR measles mumps rubella Meningitis meningococcal Shingles herpes zoster Tetanus diphtheria and whooping cough pertussis Tdap Flu shots at Walmart are available for 25. Whether its a flu shot or a vaccination for pneumonia whooping cough or meningitis we can help. Cost savings Cost savings.

Administration of the vaccines is based on state and federal eligibility. There will be a charge for all vaccinations. Book Your COVID-19 Vaccine available at no cost in select locations based on eligibility.

April 1 2021 Note 1. The cost for Prevnar 13 intramuscular suspension - is around 237 for a supply of 05. Pneumovax 23 is a pneumococcal polysaccharide vaccine PPSV that protects against 23 types of pneumococcal bacteria.

The lowest GoodRx price for the most common version of Pneumovax 23 is around 9000 38 off the average retail price of 14533. Contract prices are those for CDC vaccine contracts that are established for the purchase of vaccines. We offer vaccines for children adolescents teens and adults and certain injections for adults.

Pneumonia pneumococcal offered at all Walmart locations with a Walmart pharmacy. Pneumovax 23 Prices The cost for Pneumovax 23 injectable solution - is around 1163 for a supply of 5 milliliters depending on the pharmacy you visit. Pneumovax 23 pneumococcal 23-polyvalent vaccine is a member of the bacterial vaccines drug class and is commonly used for Pneumococcal Disease Prophylaxis.

Medicare Part B covers 100 of the cost for the two different types of pneumonia vaccine. Back to Vaccines For Children program Back to Immunization Managers Home page Prices last reviewedupdated. Of those adults vaccinated almost 50 percent still receive the shot in a costly medical location.

Prevnar 13 pneumococcal 13-valent vaccine is a member of the bacterial vaccines drug class and is commonly used for Pneumococcal Disease Prophylaxis. Read more to learn about how to ensure full coverage which vaccine you should get and more. It is also recommended for all adults over 50 years old.

GoodRx and Walmart are offering low pricing on important vaccines. Original Medicare provides 100 coverage of two pneumonia shots. Its easy to bring your family and get them covered all on your schedule.

According to a Walgreens cost-benefit model there is substantial cost savings associated with being vaccinated at a. A high-dose flu shot is available for just over 74. Once vaccinated most healthy adults develop protection to most or all of these types within 2 to 3 weeks.

9 By helping make vaccinations easier and more affordable for members you can help improve their overall health and help reduce your overall costs. Walmart Health Services Summary Price List Health Primar Urgent Care Dental Oetometr Office visit S40 Patient exam Including X-Raisl S25 Routine vision exam S45 IUltSlg al Annual checkup 30 Teeth cleaning -adult 25 Contact lens fitting 55 st11rUng at Annual checkue -iouth 20 Teath cleaning. Here is a list of the available vaccinations.

Walmart pharmacies are offering a quadrivalent vaccine for just under 40 this year.