Bed Bug Skin

If you do not have any signs of an infection or a serious reaction you can often treat the bites at home. If a bedbug bites your skin you wont feel it right away because the bugs excrete a tiny amount of anesthetic before feeding on people.

5 Ways To Stop Bed Bugs From Biting You Rentokil Indonesia

Many people develop a bed bug rash after being bitten multiple times by these parasitic insects.

Bed bug skin. A bed bug shell is the outer part exoskeleton of the bed bug that has been shed. Bed bug bites can cause itchy red clusters of bumps on your skin which are also called bed bug rashes. Also the bites do not have a red spot in.

To treat bed bug bites. The pests are most active when humans. Theyll feed on humans blood skin but hide in other locations like clothes.

They usually appear on the hands arms back and legs. Unlike flea bites that are mainly around the ankles bedbug bites are on any area of skin exposed while sleeping. According to WebMD the initial sign of the bites by bed bugs is the appearance of red itchy rashes usually around your arms and the shoulders.

22 HealthDay News -- Bed bug infestations are bad enough but a new report finds that more than 100 Americans have become sickened from exposure to the insecticides used to eliminate the pests. Molting refers to shedding of the bed bug skin. Prior to the occurrence of the lesions she had moved into an old and malodorous furnished apartment.

By Steven Reinberg HealthDay Reporter. Can bed bugs live in your skinNo. The cases happened across seven states researchers said and bed bug insecticide exposure may have even contributed to one.

Bed bugs dont like heat so that they wont stick to the human skin or hair. Bed bug bites can cause a very itchy rash and an irresistible urge to scratch the clusters of red bumps. Bed bugs will mainly travel on shoes luggage and backpacks.

The bed bugs will leave straight rows of the bites contrary to other insects that bite at no particular areas. Wash the bites with soap and water. Bed bugs use a small tube-like structure called a proboscis to pierce the skin and drink a persons blood.

It can sometimes take a. Pictures of Bed Bug Bites on Skin. Typically bites tend to occur in exposed areas during sleep as bed bugs seek to attack exposed skin.

Bed bug bites appear as red itchy bumps. Their mouthparts are also not as developed and therefore it would be quite hard for them to bite through your clothing and into your skin to feed. For instance you can use pharmaceutical repellants which you can easily buy at various authorized pharmaceutical stores across the globe.

Although they can appear in different areas of skin. These multiple 4-mm to 8-mm red papules would appear in the morning and persist for several days. Therefore any bugs that are burrowing and living in human skin are possibly ticks lice or fleas.

Bed bugs are pretty big and therefore the skin is not a conducive place for them to lay their eggs which are also not as small. The bed bug rash may be just a patch of itchy red skin around the bite mark or it could be a large number of welts that itch and may even blister. All through the bed bug life cycle bed bugs molt.

This severe itching creates a strong urge to scratch and is very frustrating. Getting rid of bed bug bites can be very effective with home remedies. Like any other insect bed bugs do shed their skin to facilitate growth.

Can Bed Bugs Cause Skin Rashes. Studies show that they have a preference of biting the skin around the eyelids and such areas as the neck face feet and arms. You may even lose sleep scratching through the night and worrying about the bugs in your bed.

A 20-year-old woman presented with a 2-week history of pruritic skin lesions on her hands arms feet legs abdomen and face. If the bites itch apply a corticosteroid cream to the bites. The appearance of welts on the skin is usually the first sign of bed bug infestation.

This will help prevent a skin infection and help reduce itchiness. Given that your skin produces a specific scent that attracts these parasites it means we have a chance to use specific methods to ensure that we keep them away from our skin. How to repel bed bugs from the skin.

Bites tend to occur on exposed areas of the body. A doctor can usually diagnose a scabies infestation by seeing the rash but. Scabies rashes are most often found in skin creases between fingers in elbows and armpits and along the neck or groin.

Where Can I Work At 17

The salary in an offer from us will be tied to the role you would ultimately be filling at Google. When can I work full-time.

Top Summer Jobs For 17 Year Olds From Lifeguard To Restaurant Worker

Other platforms like Nanno and Sittercity require sitters to be at least 18 years of age.

Where can i work at 17. Here are the best work from home jobs of 2021 that pay well with a flexible schedule. Ad Through Partnerships with Leading Job Boards We Have Over 8 Million Job Postings. Ticket to Work trains Social Security disability recipients age 18 - 64 who want to work.

Age 16 motorcycle up to 11kW and up to 125cc moped with a maximum speed of 45kph work vehicle such as a tractor or JCB jet ski or motor boat capable of 17 knots or more. US Rater Part-time position up to 20 hours per week. If you are under 17 years old you must be either in school in an approved education or training program or have full-time paid employment.

Ad Through Partnerships with Leading Job Boards We Have Over 8 Million Job Postings. They are the same for everyone. They also offer job training and coaching.

Teens can work at CVS who are at least 16 years old. Youre given time to rest to make up for it - find out more about compensatory rest on GOVUK. Where can I get further help.

119 - 17 102 days youre allowed to work during the reference period. Work permits are obtained from the accredited high. You cant work more than 48 hours a week on average - normally averaged over 17 weeks.

Because of the young hiring age entry-level applicants do not need to possess a high school diploma to be considered for employment. Urgent Job Request Work from Home Position. However you can earn money as a writer using other ways too.

Companies Have Started to Hire. And others listed in Section 133 of the New York State Labor Law. Apply to Top Domestic International BPO Jobs Online.

As described above affiliate marketing is a widespread source of income for bloggers. Lionbridge rated 1 top Remote Company is looking to hire a US Rater position immediately. This law is sometimes called the working time directive or working time regulations.

Calculate your weekly average hours by dividing your hours worked by number of days. To ensure you get paid for your work youll need to have your parents open a PayPal account teens ages 13 or over. Shareasale CJ Affiliate and Amazon Associates are some of the most popular affiliate networks today.

We provide some salary information for roles in Colorado in order to be compliant with local legislation. Something unexpected has happened. Employees can test their knowledge about pay in the FWOs Workplace Basics Quiz available here.

Its free and voluntary. It depends only on your field of interest If you have a good knowledge and a good communication skills you can also start a utube channels and can also earn money by using online websites that can offer you a good amt. Another popular food delivery and pickup service Grubhub offers drivers a flexible schedule and pays on average 13hour.

Be sure to tell them Tried and True sent you I know the hiring manager. Being under 18 you can work in any food delivery company or as a helper in a resturant. Many other rights at work do not depend on your age.

You can use an affiliate marketing network to search for offers to promote. Helper on a motor vehicle the operation of various kinds of power-driver machinery. Nearly all minors ages 14 through 17 who wish to work in Indiana are required to obtain a work permit.

816 hours worked divided by 102 days allowed to work 8 hours a day which is within the working hours limit for night workers. To do this you or your parents need to apply to the Chief Executive of the ACT Department of. Your local Independent Living Center can help you live on your own.

Your local council might have extra rules about the work you can do as a young person. You can work full-time when you turn 17 or when you finish year 12 whichever happens first. CVS hires teens for such entry-level positions as cashier beauty care associate or sales associate.

No one 18 or over is available to do the work. The work needs doing straight away and cant wait. Minors 16 and 17 years of age may not be employed in certain hazardous occupations such as.

If you are aged 16 or 17 and in work then special rules about working time apply to you. Companies Have Started to Hire. You can work full-time if you have completed Year 10.

There are different rules for the minimum wage which we explain later in this leaflet. You cannot work for a profit-making organisation if youre under 14 even if youre not paid. You can also make an application to work full-time if you have completed year 10.

Apply to Top Domestic International BPO Jobs Online. Most of these companies pay via PayPal. Age 17 vehicle with seats for up to 8 passenger and maximum weight of 3500kg.

Your employer can ask you to have shorter breaks or less than 12 hours off between days if. Drivers must be at least 19 years old in most areas 21 in Chicago and have two years of driving experience as well as a. The salary listed in the job description reflects the minimum for this particular role in Colorado.

Cholesterol High Blood Pressure

Cholesterol is a fatty substance found in the blood. Some other health conditions that can also cause raised levels of cholesterol include.

What Does Your Cholesterol Level Mean For Your Health Sunrise Hospital

High cholesterol is caused by eating a diet high in fatty foods being overweight or.

Cholesterol high blood pressure. Clearly other steps are needed to gain control of these health risks. Low-density lipoprotein LDL cholesterol and blood pressure are well-established causal risk factors for coronary heart disease CHD12 Treatment recommendations for these risk factors are based on levels of exposure at which the risk increase and treatment benefit are considered large enough to warrant interventionFor example an LDL-cholesterol level of 190 mgdL. When the arteries become hardened and narrowed with cholesterol plaque and calcium atherosclerosis the heart has to strain much harder to pump blood through them.

High blood pressure means at least 14090 mmHg. High blood pressure hypertension and high cholesterol also are linked. Bayer Consumer Health maker of Coricidin HBP is a proud sponsor of the AHA High Blood Pressure Web content area.

One of the major reasons for high cholesterol and elevated blood pressure is unhealthy eating. If you have high blood pressure and high cholesterol together this speeds up the process of atherosclerosis raising the risks further especially if you smoke or have diabetes. An underactive thyroid gland hypothyroidism Treating the underlying condition can help to reduce cholesterol.

But certain lifestyle habits can raise your levels of LDL. Cholesterol and high blood pressure pose serious health threats because they directly affect one of the most important organs in the human body. There are many foods which can cause elevated cholesterol levels and can increase your blood pressure.

Since the time high blood pressure has been diagnosed cholesterol has already been tied to it. High cholesterol and high blood pressure are damaging to your heart and arteries and if you are affected by the silent health conditions youre more at. Your blood pressure reading is made of up your systolic blood pressure and diastolic blood pressure.

Keeping an eye on your fat intake will help to lower your cholesterol levels and your risk of serious illness. You have high blood pressure with numbers higher than 13080. Learn more about Bayer Consumer Health All healthmedical information on this website has been reviewed and approved by the American Heart Association based on scientific research and American Heart Association guidelines.

Indeed over time high blood pressure and cholesterol can cause problems in your eyes kidneys brain and other organs as well. A normal reading is less than 12080. Your blood pressure is considered elevated between 12012980.

Different types of cholesterol exist in the body. The Centers for Disease Control and Prevention reports that about one-third of adults have high blood pressure and almost as many adults have high cholesterol both conditions that may have few symptoms but nevertheless raise your risk of atherosclerosis and heart disease. If too much cholesterol builds up in the blood it can clog up the arteries and potentially lead to heart attacks and strokes.

Here are several tips to get you started. Nearly 2 out of 3 adults with high cholesterol and about half of adults with high blood pressure dont have their condition yet under control. High cholesterol in this report means high LDL bad cholesterol.

Too much cholesterol however harms the body and increases the risk of various medical conditions such as high blood pressure and heart diseases. Good thing is you can lower cholesterol and blood pressure by. Moreover too much cholesterol in the blood can lead to heart disease a condition in which plaque forms and blocks coronary arteries.

If you have been diagnosed with both high cholesterol and high blood pressure you may be feeling overwhelmed and confused about how to eat. As a result blood pressure becomes abnormally high. Eating foods high in.

According to the National Library of Medicine NLM these include. Your body produces all the low-density lipoprotein LDL cholesterol known as the bad cholesterol it needs states the American Heart Association AHA. People with high blood pressure hypertension and diabetes often have high cholesterol.

On March 02 2021. Their normal values measured in milligrams per deciliter or mgdL vary according to a persons age and gender. An overwhelming percentage of HBP cases have blamed cholesterol as the culprit and only few has another kind of causes like an underlying complications in the body and as a result of the present medications.

Thankfully there is much overlap in eating for these two conditions.

1 Week Smoke Free Benefits

The benefits of quitting smoking include huge financial social and cosmetic gains 1. If youve successfully managed a week without cigarettes you can manage a lifetime.

Pin On Health

These benefits are just beginning.

1 week smoke free benefits. On your way to a healthier future. The longer you go without nicotine in cigarette smoke the more health improvements you will experience. Still by now according to a myriad websites I should be feeling many of the benefits of giving up smoking.

Quitting smoking lowers your risk of other cancers over time as well including cancers of the stomach pancreas liver cervix and colon and rectum as well as acute myeloid leukemia AML. Issues During the First Week. Some benefits of quitting.

If you can power through the first week of quitting smoking you stand a higher chance of succeeding in the end. Stay focused dedicated and remember why you are on the path you are on. Stopping smoking will improve your night vision and help preserve your overall vision by stopping the damage that smoking does to your eyes.

Just ordered a curry to congratulate myself on being smoke free for a week. Now its all about utilizing quit smoking therapies to make sure you remain smoke-free. 1 Week Smoke Free.

I quit before for 6 months then started again. Clearer lungs better skin fresher breath and more. Reached the one week mark today and I feel amazing.

Quitting also lowers your risk of diabetes helps your blood vessels work better and helps your heart and lungs. Youll be able to exercise or be physically active with less shortness of breath. 1 Week Smoke Free.

Its been tough but I would never trade how healthy and energetic I feel right now for the feeling of a cigarette. Department of Health and Human Services The Health Consequences of Smoking. Youre over the worst of your nicotine withdrawal symptoms and your body has already done a great deal of repair.

One week after your last cigarette The one-week milestone is important not only for your health but for your success rate in quitting smoking successfully long. 1 week smoke free. This time thing is one of the benefits I didnt see coming.

The encouragement I get from the fantastic people on this site and the app which shows the benefits that accrue as each day passes are hugely motivating and spur me on. Valid symptoms and time course Nicotine and Tobacco Research March 2007 Volume 93 Pages 315-327. Cant believe how much better I feel not smoking.

The first and 6th day were the hardest for me. You may always have mild cravings or urges to smoke but these will reduce in intensity to a level that is far easier to overcome. Second time quitting too.

Physically more healthy and far less depressed. Helpmequit 2 Years Smoke Free. 2 Hughes JR Effects of abstinence from tobacco.

This will include changes in your hearing vision skin immunity cardiovascular health lungs muscles bones and more. With the exception of the fresh breath though I must confess its quite the reverse. A Report of the Surgeon General 2004.

However the most important benefit is to enable the body to regain good health and the process begins almost immediately after you extinguish the final cigarette. 3 OConnell KA et al Coping in real time. Lungs hurt abit but maybe thats normal.

Your clothes hair body car and home will smell better. Primary sources for this recovery benefits timetable are. Posted by just now.

Prostate Cancer Grade Group

The cancer is likely to grow quickly and be more aggressive. Grade Group 3 Gleason score 4 3 7.

What Is A Gleason Score Prostate Cancer Foundation

Grade Group 4 Gleason score 8.

Prostate cancer grade group. Grade group 1 is Gleason grade 336 grade group 2 is Gleason grade 347 grade group 3 is Gleason grade 437 grade group 4 is Gleason grade 448 grade group 5 is any Gleason. The risk stratification may help decide what treatment option is best for each individual. The ISUP Grade Group system is simpler with just five grades 1 to 5.

The average age of the 98 patients at enrollment was 64 years and the majority were Caucasian. Grade group 1 - Gleason score 6 or less. A Gleason score of 8-10 is often considered high risk prostate cancer.

Grade Group 2 Gleason score 3 4 7. Stage T1c Gleason score 6 Gleason grade group 1 PSA 10 ngmL 3 prostate biopsy cores positive for cancer 50 cancer in any core PSA density 015 ngmLg. Grade group 2-3 - Gleason score 7.

There is also a subset of very aggressive tumors is called very high risk in which the tumor has extended into the seminal vesicles T3b or the rectum or bladder T4 or there are multiple biopsy samples with high grade cancer. Gleason scores are used to put prostate cancers into 3 groups. The cancer is slow growing and not aggressive.

Among these 98 patients. Grade Grouping associated independently with increased risk of prostate cancerspecific mortality within 15 years of follow-up in a multivariable model containing age at operation diagnostic prostate-specific antigen pathological stage and lymph node status at operation. Gleason score of 6 or less is low-grade or well-differentiated cancer.

Grade group 4-5 - Gleason score 8-10. Grades 2 through 4 have features in between these extremes. Patients with Grade Group 2 localized prostate cancer a PSA level of 10 ngml are considered to have favorable intermediate-risk prostate cancer based on NCCN criteria.

It can be difficult to understand what the Gleason score and Grade Group means in your situation. Gleason score of 7 is intermediate-grade or moderately differentiated cancer. This is how the Gleason score and Grade Groups match up and what it means.

Prostatic adenocarcinoma Gleason score 437 Grade Group 3 involving 2 of 4 cores and 30 of the tissue 40 2 mm and 20 4 mm 60 of the tumor is Gleason pattern 4 not cribriform. Ask your doctor or specialist nurse if you have any questions about this. In 2014 the International Society of Urological Pathology released supplementary guidance and a revised prostate cancer grading system called the ISUP Grade Groups.

Grade Group 1 Gleason score 6 is the lowest grade and not likely to spread. Grade Group is a score from 1 to 5 that may also be assigned based on your Gleason grade. Gleason score of 8 to 10 is high-grade or poorly differentiated cancer.

Like the Gleason score the Grade Group is derived from needle-core biopsies in patients with suspected prostate cancer or analysis of a radical-prostatectomy specimen. Tumor extends outside the prostate the PSA 20 or grade group 4 or 5 Gleason 8 to 10. Here are the core results of the study.

If the cancerous tissue looks much like normal prostate tissue a grade of 1 is assigned. Proposal for a new Grading System To address the above deficiencies a new 5 Grade Group system has been developed based on a study of 20000 prostate cancer cases treated with radical prostatectomy and 5000 cases treated by radiation therapy see composite photograph for different patterns. Grades 1 and 2 are not often used for biopsies most biopsy samples are grade 3 or higher.

Grade Group 1 is the least aggressive and Grade Group 5 is the most aggressive. If the cancer cells and their growth patterns look very abnormal a grade of 5 is assigned. The cancer is likely to grow faster and be mildly to moderately aggressive.

Will Amoxicillin Treat Strep Throat

According to the CDC Centers for Disease Control and Prevention There has never been a report of a clinical isolate of group A strep that is resistant to penicillin. Once this was under control a new craze started to treat all cases of presumed strep throat.

Do Patients With Strep Throat Need To Be Treated With Antibiotics Rebel Em Emergency Medicine Blog

Antibiotics may be prescribed to treat strep throat.

Will amoxicillin treat strep throat. Doctors treat strep throat with antibiotics. Doctors generally prescribe the following antibiotics for curing strep throat. The antibiotics amoxicillin or penicillin are most often used for this condition.

Its very important to take the full course of antibiotics even if symptoms disappear earlier. The answer is that there is none. So do patients with strep throat need to be treated with antibiotics.

If it is not treated with antibiotics it is contagious for 2-3 weeks. If strep throat is treated with antibiotics it is no longer contagious after 24 hours. Penicillin or amoxicillin are considered the best first-line treatments for Strep throat.

However resistance to azithromycin and clarithromycin is common in some communities. Amoxicillin is a penicillin antibiotic. What Antibiotics To Take For Strep Throat.

Antibiotics will help you get rid of signs and symptoms of strep throat and the medicine may also end contagiousness within 24 hours. Either penicillin or amoxicillin are recommended as a first choice for people who are not allergic to penicillin. Symptoms include fever sore throat tonsillitis white spots or patches on the tonsils and nausea and vomiting.

1 in 10 patients will develop antibiotic associated diarrhea some of these will be C. Yes Amoxicillin treats strep very well and would also prevent someone from getting it if they are exposed to someone with strep. Amoxicillin for strep throat is effective since its action is directed against the bacteria that cause this disease.

Amoxicillinclavulanate has an average rating of 64 out of 10 from a total of 63 ratings for the treatment of Strep Throat. Diagnosis of strep throat is performed through a rapid strep test. While treatment of strep throat seems relatively benign there are significant harms that need to be considered.

But what is the actual evidence behind this treatment protocol except for the military base study. Doctors can use other antibiotics to treat strep throat in people who are allergic to penicillin. That said azithromycin or Z-Pack may be.

Marketed as Augmentin amoxicillin clavulanate potassium is resistant to degradation or damage caused by waste products. 46 of those users who reviewed Amoxicillinclavulanate reported a positive effect while 27 reported a negative effect. A doctor will typically prescribe antibiotics to treat strep throat usually penicillin or amoxicillin.

However its not typically the first choice for treating strep throat. The medicine is made with a combination of amoxicillin and clavulanate potassium. Diff Severe allergic reactions occur in 024 of patients.

Amoxicillin Clavulanate Potassium Amoxycillin clavulanate potassium is more frequently used to treat recurring cases of strep throat. The following antibiotics are safe cost-effective and helpful in fighting off the infection. There has never been a report of a clinical isolate of group A strep that is resistant to penicillin.

The medicine affects gram-positive and aerobic gram-negative bacteria among which there are pathogens of the sore throat. Penicillin antibiotics like amoxicillin are the most effective treatment for strep. Because strep throat is caused by bacteria and not a virus it can be treated with prescription antibiotics.

Penicillin or amoxicillin is the antibiotic of choice to treat group A strep pharyngitis. And there are things you can do at home to feel better too. Strep throat is caused by bacteria which means you or your child have antibiotics you can take to treat it.

How Much Does It Cost To Ship A Dog Internationally

PetSafe is Uniteds specially designed program for transporting cats and dogs that are not eligible to travel in the aircraft cabin. Like all professional pet shipping companies we are not a low-cost alternative to arranging your own move nor do we own the planes.

Domestic International Pet Shipping Relocation Costs

Larger dogs airfreight like a Great Dane can go up to around 1000 USD for a domestic move especially if you have a custom kennel.

How much does it cost to ship a dog internationally. How much does it cost to Fly a Cat Internationally. But it doesnt have to beshipping a dog domestically or internationally is feasible when youre working with accurate information and when you follow the necessary protocol. As a rough estimate it costs around 500 to 1500 to ship a cat abroad.

Pet owners contact us daily with many questions regarding the pet shipping process and one of their primary questions is how much will it cost to ship my pet. Boarding Comfort Stop Fees Your pets travel plans may not exactly align with yours and sometimes it is necessary for your dog to travel on separate flights and even board overnight at. Whether moving overseas or returning to the United States on official US.

If you do not require additional services you will not be charged the Handling fee. State Department Foreign Service Offices. This cost may or may not include the airfare.

Take a look at the information provided by our team to help better understand the dog shipping process including national and international regulations. Flying one small dog like a Chihuahua domestically via cargo with a pet-friendly airline will likely cost between 275 USD to 300 USD. Calculate the price to safely ship your pet to and from anywhere in the US.

Having a pet shipped can be expensive especially if shipping internationally. Animals and pets will enjoy a safe trip with American Airlines Cargo. They cost from 4245 to 58299 and should be considered in computing the cost of flying a dog.

There is a one time 75 Handling fee per city where we need to arrange boarding crate purchase customs clearance transportation or vet services. It depends on the companys rate but the standard price with puppys air shipping ranges from 200-300 each. Shipping Live Animals - Domestic and International UPS provides service on a limited basis for packages containing some types of live animals.

PetSafe offers airport-to-airport travel for cats and dogs traveling to approximately 300 destinations and members of our PetSafe team are trained professionals who love animals and are dedicated to ensuring that all pets receive the best care throughout. The term animal as used herein refers to anything living except plants. If your pet doesnt fit in a carrier in the seat in front of you you can ship your pet with our special shipping service Delta CargoRemember special exceptions apply for passengers traveling with service animals and US.

Whether you are moving to Australia to paddleboard in pristine oceans or headed to England to spend your weekends exploring historic towns. We encourage pet owners to review carefully their travel plans for upcoming international moves. Prices do vary depending on a range of factors such as the size weight and breed of your cat and where it is travelling to and from.

Embassy or consulate abroad. As a rough estimate it can cost anywhere between 1000 and 4000 to ship a dog. And just like the adult dogs puppies also need the necessary documents for them to travel and the processing can cost around 40 to 60.

The Industry Leader - Our longstanding relationships with commercial airlines and our intricate knowledge of the rules and regulations in over 165 countries have made Air Animal the top international animal. The cost of shipping a pet typically ranges from 300-2000 but can exceed 2000 depending on the services required and the distance traveling. For more than 65 years weve been committed to the welfare of all animals entrusted to us.

Its often cheaper to transport a cat than a dog. How much does it cost to ship a cat. The costs associated with moving overseas with cats.

Moving overseas can be such an exciting time. Shipping a Pet Overseas from the United States The Overseas Briefing Center provides country-specific pet information for the foreign affairs community assigned to a US. Pet shipping cost ranges from 50-5000.

A domestic flight in the US for a medium-sized dog to travel in cargo can cost between 500 USD 1000 USD. The cost of shipping is. Due to changing flight schedules in response to the COVID-19 pandemic Delta Cargo will temporarily embargo all.

Shipping cost varies depending on the size and weight of the pet and if the pet is being shipping locally nationally or internationally. By comparing the price of previous pet shipments on uship.