Duodenojejunostomia látero-lateral: uma alternativa cirúrgica para o tratamento do "dumping" pós gastrectomia

Most patients with partiaI gastrectomy have no postoperative problems. Some of them, however, develop severe nutritional disturbance, particularly those with Bilroth II reconstruction, which can be treated clinically in the majority of the cases. Those with important mal absorptive problems require surgery. In this article we present a technical alternative for those patients who need reintervention over a BII operation. Our technique has the advantage of not touching the duodenum previously sutured.

Vesirakentamisen ja säännöstelyn sekä niihin liittyvien kompensaatiotoimenpiteiden vaikutukset Kalajoen kala-, nahkiais- ja rapukantoihin : Yhteenveto vuosien 1978-2010 velvoitetarkkailujen tuloksista

Kalajoen pääuomassa on tehty suuria vesistöjärjestelyjä 1900-luvun alusta aina 2000-luvulle asti. Jokiuomaa ja sen virtaamia on muutettu mm. tulvasuojelun, voimatalouden ja uiton edistämiseksi. Merkittävimmät vesistöjärjestelyt ovat olleet Kalajoen säännöttäminen vuosina 1903–1910, Niemelänkylän pengerrys vuosina 1955–1960, Kalajoen vesistötaloussuunnitelma 1960–1970-luvulla, Kalajoen keskiosan järjestely vuosina 1967–1988, Alavieskan tulvasuojelu vuosina 1990–1992 ja Juurikosken kunnostus vuosina 2004–2005. 1970-luvunlopulta lähtien vesistöjärjestelyiden lupamääräyksiin alettiin sisällyttää velvoitteita tarkkailla hankkeiden vaikutuksia veden laatuun, kalastoon ja kalastukseen. Lisäksi aiheutetun haitan kompensoimiseksi alettiin määrätä toimenpiteitä, kuten kalaistutuksia ja kunnostustoimenpiteitä. Lupamääräykset ovat sisältäneet myös velvoitteita tarkkailla kompensaatiotoimenpiteiden tuloksellisuutta. Kalajoella valtio on ollut selvästi merkittävin toimija vesistöjärjestelyissä ja on ollut luvanhaltijana pääosassa hankkeista. Lisäksi valtio on kaikkien Kalajoen vesistön säännöstelyjen luvanhaltija. Näin ollen valtio on vastannut myös hankkeisiin liittyvistä velvoitetarkkailuista ja kompensaatiotoimenpiteistä. Merkittävimmät kompensaatiotoimenpiteet ovat olleet 4,7 miljoonan yksikesäisen vaellussiian istuttaminen vuosina 1981–2010, Kalajoen kunnostaminen mm. ravun ja nahkiaisen lisääntymisedellytysten parantamiseksi vuosina 1999–2004 ja 30 000 sukukypsän ravun istuttaminen vuosina 2003–2006. Tässä raportissa on tehty yhteenveto Kalajoen tarkkailututkimuksista vuosilta 1978–2010. Niiden perusteella on arvioitu, kuinka vesistörakentamishankkeet ja säännöstely sekä niihin liittyvät kompensaatiotoimenpiteet ovat vaikuttaneet rapu-, nahkiais- ja kalakantoihin sekä Kalajokeen niiden elinympäristönä. Lisäksi käytettävissä olevan aineiston puitteissa on arvioitu muiden tekijöiden vaikutusta rapu-, nahkiais- ja kalakantoihin.

Testate amoebae (thecamoebians) as indicators of aquatic mine impact

The environmental impacts of a single mine often remain local, but acidic and metal-rich acid mine drainage (AMD) from the waste materials may pose a serious threat to adjacent surface waters and their ecosystems. Testate amoebae (thecamoebian) analysis was used together with lake sediment geochemistry to study and evaluate the ecological effects of sulphidic metal mines on aquatic environments. Three different mines were included in the study: Luikonlahti Cu-mine in Kaavi, eastern Finland, Haveri Cu-Au mine in Ylöjärvi, southern Finland and Pyhäsalmi Zn-Cu-S mine in Pyhäjärvi, central Finland. Luikonlahti and Haveri are closed mines, but Pyhäsalmi is still operating. The sampling strategy was case specific, and planned to provide a representative sediment sample series to define natural background conditions, to detect spatial and temporal variations in mine impacts, to evaluate the possible recovery after the peak contamination, and to distinguish the effects of other environmental factors from the mining impacts. In the Haveri case, diatom analyses were performed alongside thecamoebian analysis to evaluate the similarities and differences between the two proxies. The results of the analyses were investigated with multivariate methods (direct and indirect ordinations, diversity and distance measure indices). Finally, the results of each case study were harmonized, pooled, and jointly analyzed to summarize the results for this dissertation. Geochemical results showed broadly similar temporal patterns in each case. Concentrations of ions in the pre-disturbance samples defined the natural baseline against which other results were compared. The beginning of the mining activities had only minor impacts on sediment geochemistry, mainly appearing as an increased clastic input into the lakes at Haveri and Pyhäsalmi. The active mining phase was followed by the metallic contamination and, subsequently, by the most recent change towards decreased but still elevated metal concentrations in the sediments. Because of the delay in the oxidation of waste material and formation of AMD, the most intense, but transient metal contamination phase occurred in the post-mining period at Luikonlahti and Haveri. At Pyhäsalmi, the highest metal contamination preceded effluent mitigation actions. Spatial gradients were observed besides the temporal evolution in both the pre-disturbance and mine-impacted samples from Luikonlahti and Pyhäsalmi. The geochemical gradients varied with distance from the main source of contaminants (dispersion and dilution) and with water depth (redox and pH). The spatial extent of the highest metal contamination associated with these mines remained rather limited. At Haveri, the metallic impact was widespread, with the upstream site in another lake basin found to be contaminated. Changes in thecamoebian assemblages corresponded well with the geochemical results. Despite some differences, the general features and ecological responses of the faunal assemblages were rather similar in each lake. Constantly abundant strains of Difflugia oblonga, Difflugia protaeiformis and centropyxids formed the core of these assemblages. Increasing proportions of Cucurbitella tricuspis towards the surface samples were found in all of the cases. The results affirmed the indicator value of some already known indicator forms, but such as C. tricuspis and higher nutrient levels, but also elicited possible new ones such as D. oblonga ‘spinosa’ and clayey substrate, high conductivity and/or alkalinity, D. protaeiformis ‘multicornis’ and pH, water hardness and the amount of clastic material and Centropyxis constricta ‘aerophila’ and high metal and S concentrations. In each case, eutrophication appeared to be the most important environmental factor, masking the effects of other variables. Faunal responses to high metal inputs in sediments remained minor, but were nevertheless detectable. Besides the trophic state of the lake, numerical methods suggested overall geochemical conditions (pH, redox) to be the most important factor at Luikonlahti, whereas the Haveri results showed the clearest connection between metals and amoebae. At Pyhäsalmi, the strongest relationships were found between Ca- and S-rich present loading, redox conditions and substrate composition. Sediment geochemistry and testate amoeba analysis proved to be a suitable combination of methods to detect and describe the aquatic mine impacts in each specific case, to evaluate recovery and to differentiate between the effects of different anthropogenic and natural environmental factors. It was also suggested that aquatic mine impacts can be significantly mitigated by careful design and after-care of the waste facilities, especially by reducing and preventing AMD. The case-specific approach is nevertheless necessary because of the unique characteristics of each mine and variations in the environmental background conditions.

Aging based maintenance and reinvestment scheduling of electric distribution

The maintenance of electric distribution network is a topical question for distribution system operators because of increasing significance of failure costs. In this dissertation the maintenance practices of the distribution system operators are analyzed and a theory for scheduling maintenance activities and reinvestment of distribution components is created. The scheduling is based on the deterioration of components and the increasing failure rates due to aging. The dynamic programming algorithm is used as a solving method to maintenance problem which is caused by the increasing failure rates of the network. The other impacts of network maintenance like environmental and regulation reasons are not included to the scope of this thesis. Further the tree trimming of the corridors and the major disturbance of the network are not included to the problem optimized in this thesis. For optimizing, four dynamic programming models are presented and the models are tested. Programming is made in VBA-language to the computer. For testing two different kinds of test networks are used. Because electric distribution system operators want to operate with bigger component groups, optimal timing for component groups is also analyzed. A maintenance software package is created to apply the presented theories in practice. An overview of the program is presented.

Dispersal and metacommunity dynamics in a soft-sediment benthic system : how well is the seafloor connected?

Connectivity depends on rates of dispersal between communities. For marine soft-sediment communities continued small-scale dispersal as post-larvae and as adults can be equally important in maintaining community composition, as initial recruitment of substrate by pelagic larvae. In this thesis post-larval dispersal strategies of benthic invertebrates, as well as mechanisms by which communities are connected were investigated. Such knowledge on dispersal is scarce, due to the difficulties in actually measuring dispersal directly in nature, and dispersal has not previously been quantified in the Baltic Sea. Different trap-types were used underwater to capture dispersing invertebrates at different sites, while in parallel measuring waves and currents. Local community composition was found to change predictably under varying rates of dispersal and physical connectivity (waves and currents). This response was, however, dependent on dispersal-related traits of taxa. Actively dispersing taxa will be relatively better at maintaining their position, as they are not as dependent on hydrodynamic conditions for dispersal and will be less prone to be passively transported by currents. Taxa also dispersed in relative proportions that were distinctly different from resident community composition and a significant proportion (40 %) of taxa were found to lack a planktonic larval life-stage. Community assembly was re-started in a large-scale manipulative field experiment over one year across several sites, which revealed how patterns of community composition (α-, β- and λ-diversity) change depending on rates of dispersal. Results also demonstrated that in response to small-scale disturbance, initial recruitment was by nearby-dominant species after which other species arrived from successively further away. At later assembly time, the number of coexisting species increased beyond what was expected purely by local niche requirements (species sorting), transferring regional differences in community composition (β-diversity) to the local scale (α-diversity, mass effect). Findings of this thesis complement more theoretical studies in metacommunity ecology by demonstrating that understanding how and when individuals disperse relative to underlying environmental heterogeneity is key to interpreting how patterns of diversity change across different spatial scales. Such information from nature is critical when predicting responses to, for example, different types of disturbances or management actions in conservation.

Sexual dysfunction in obese women is more affected by psychological domains than that of non-obese

Abstract PURPOSE: To compare differences in the occurrence and changed domains of sexual dysfunction in obese and non-obese Brazilian women. METHODS: Female Sexual Function Index, based on six domains, to investigate 31 sexual dysfunction incidence for obese compared to 32 non-obese women, was used. Statistical analysis using ANOVA and MANOVA were performed to compare total scores of Female Sexual Function Index among groups and to identify the differences among domains, Student t -test was used. Statistical significant level was established for all tests for p<0.05. RESULTS: No difference in female sexual dysfunction frequency between obese (25.8%) and non-obese women (22.5%) was found. However, an important distinction in which aspects of sexual life were affected was found. While the obese group was impaired in three domains of sexual life (desire, orgasm, and arousal), in the control group five aspects were dysfunctional (desire, orgasm, arousal, pain and lubrication). Future research exploring psychological outcomes in obese females, such as body image and measures of positive and negative effect, might better characterize the female sexual dysfunction in this group. CONCLUSIONS: Obesity does not appear to be an independent factor for allow quality of female sexual life. However, disturbance associated to obesity indicates a low frequency of disorder in physical domains, suggesting that psychological factors seem to be mainly involved in the sexual dysfunction in obese women.

Asiakastarpeiden kartoitus kuljetusten häiriöiden analysoinnin ja hallinnan kehittämiseksi

Tämä diplomityö on tehty osana Logproof-tutkimushanketta, joka keskittyy häiriöttömyyden hallintaan logistisissa monitoimijaverkostoissa. Työn tavoitteena on selvittää logistiikkaintensiivisten yritysten tarpeita kuljetusten häiriöiden analysoinnin ja hallinnan kehittämiseksi ja siten ennakoivan riskienhallinnan edistämiseksi. Asiakastarvetietoa on kerätty hyödyntäen puolistrukturoituja haastatteluja ja tietoa on analysoitu käyttäen hyväksi sisällönanalyysiä sekä tulkintataulukkoa. Kiinnostus kuljetusten häiriöitä ja niiden analysointia kohtaan on kasvamassa ja yrityksissä tiedostetaan hallintajärjestelmien ja analysoinnin tarve tulevaisuudessa. Kirjallisuuskatsauksen ja asiakastarpeiden kartoituksen avulla työssä on selvitetty yritysten nykytilaa kuljetusten häiriöiden hallinnan ja analysoinnin osalta ja tarkasteltu mahdollisia tulevaisuuden kehityssuuntia analysoimalla asiakkaiden näkyviä ja piileviä tarpeita. Työssä on edellisten lisäksi tarkasteltu, kuinka havaitut asiakastarpeet ovat sovitettavissa yhteen case-yrityksen, Oy Lars Krogius Ab:n, ARS (Analytic Rou-ting Solution) -palvelun ominaispiirteiden kanssa. Työ tarjoaa tarvetietoa palvelun tulevaisuuden kehitykselle.

Hearing Impairment and Tinnitus in the Elderly

The purpose of this study was to gather information on hearing impairment and related factors among elderly people. The HHIE-S questionnaire (Hearing Handicap Inventory for Elderly-Screening) and a single hearing question (”Do you feel you have a hearing loss”) were compared to audiometric hearing thresholds (N=164). HHIE-S was reliable for detecting moderate or worse hearing impairment. The single question was equally sensitive and more specific in identifying mild hearing impairment. The prevalence of hearing impairment was evaluated in four age cohorts (70, 75, 80 and 85 years, N=4067) in Turku, Finland. The HHIE-S cut-off score >8 as an indicator of at least mild hearing impairment yielded prevalence values of 37.7% - 54.1%, and a score >18 (moderate or more severe hearing impairment) was 21.1% - 38.9%. The single question test was positive in 25.5% - 46.2%. Hearing aid compliance and problems experienced by hearing aid users were recorded as informed by the participants in a mailed interview (N=249/4067). The hearing aids were used daily by 55.4%, and never by 10.7%. Use sank with advancing age. The disturbance caused by tinnitus among 583 subjects was compared to their level of alexithymia (TAS-20) and depressiveness (BDI). Depressiveness was weakly associated with annoying tinnitus, but not alexithymia. The prevalence of hearing impairment can be measured by enquiry. Hearing aid compliance should be improved by technical means and better counseling. The factors affecting the distress experienced by tinnitus patients need further study.

Liiketoimintamalli häiriönhallinnan työkaluna

Tämän kandidaatin työn tavoitteena on selvittää, miten liiketoimintamallin käsitettä voidaan käyttää apuna yrityksen häiriönhallinnan suunnittelussa. Työssä analysoidaan, miten yrityksen liiketoiminnan eri ominaisuudet vaikuttavat häiriöihin, häiriönhallinnan tapaan ja sen tarpeellisuuteen. Tavoitteena on myös selvittää, miten häiriönhallinta linkittyy yrityksen toiminnanohjaukseen. Keskeisenä sisältönä luodaan työkalu, jolla liiketoimintamalleja voidaan analysoida, sekä jaottelu, jossa on eri toimitusketjun häiriöiden tyypit. Näitä analysoidaan ristiin, josta saadaan keskeisenä tuloksena häiriöiden ja häiriönhallinnan luokittelu erilaisiin yrityksen toiminnanohjauksen osa-alueisiin. Lisäksi tuloksena saadaan uusia näkemyksiä häiriönhallintaan liiketoimintamallin ominaisuuksien pohjalta.

Maintaining supply performance during an ERP system implementation phase : case Cloetta Suomi Oy

Implementing an enterprise resource planning (ERP) system often means a major change to an organization and involves significant risks. It is typical that many of the ERP system implementations fail resulting in tremendous damage to the business. Moreover, running normal business operations during an ERP system implementation is far more complicated than normally. This thesis focuses on how an organization should manage the ERP system implementation process in order to maintain supply performance during the implementation phase. The theoretical framework in this thesis focuses on ERP system implementations with a critical success factor approach. Critical success factors can be divided into strategic and tactical level success factors. By considering these critical success factors, ERP system implementation project’s timeline and best practices of an ERP implementation, a critical success factor based ERP system implementation management framework is presented. The framework can be used as a theoretical framework when the goal is to avoid ERP system implementation phase issues that are driven by the ERP system implementation project and that may decrease organization’s supply performance. This thesis is a case study that was written on an assignment to a confectionary company Cloetta Suomi Oy. In order to collect data, interviews of the case company personnel were conducted. In addition, several other data collection methods were used throughout the research process. These data collection methods include examination of presentations and archival records as well as direct observations in case company meetings and in various work duties. The results of this thesis indicate that there are several factors that may decrease organization’s supply performance during the ERP system implementation. These issues are categorized under external and internal issues and further into six risk drivers that are suppliers, customers, products, staff, information systems and other projects. After the description and categorization of each issue, the thesis focuses on finding solutions on how to avoid or mitigate the impact of these issues on the organization’s supply performance. This examination leads to several operational activities that are also practical to business practitioners. It is also stated that a successful ERP system implementation that also causes minimal disturbance to organization’s supply performance during the ERP system implementation, is achieved by considering three levels of actions.

Long-term nutrient load management and lake restoration: Case of Säkylän Pyhäjärvi (SW Finland)

Eutrophication caused by anthropogenic nutrient pollution has become one of the most severe threats to water bodies. Nutrients enter water bodies from atmospheric precipitation, industrial and domestic wastewaters and surface runoff from agricultural and forest areas. As point pollution has been significantly reduced in developed countries in recent decades, agricultural non-point sources have been increasingly identified as the largest source of nutrient loading in water bodies. In this study, Lake Säkylän Pyhäjärvi and its catchment are studied as an example of a long-term, voluntary-based, co-operative model of lake and catchment management. Lake Pyhäjärvi is located in the centre of an intensive agricultural area in southwestern Finland. More than 20 professional fishermen operate in the lake area, and the lake is used as a drinking water source and for various recreational activities. Lake Pyhäjärvi is a good example of a large and shallow lake that suffers from eutrophication and is subject to measures to improve this undesired state under changing conditions. Climate change is one of the most important challenges faced by Lake Pyhäjärvi and other water bodies. The results show that climatic variation affects the amounts of runoff and nutrient loading and their timing during the year. The findings from the study area concerning warm winters and their influences on nutrient loading are in accordance with the IPCC scenarios of future climate change. In addition to nutrient reduction measures, the restoration of food chains (biomanipulation) is a key method in water quality management. The food-web structure in Lake Pyhäjärvi has, however, become disturbed due to mild winters, short ice cover and low fish catch. Ice cover that enables winter seining is extremely important to the water quality and ecosystem of Lake Pyhäjärvi, as the vendace stock is one of the key factors affecting the food web and the state of the lake. New methods for the reduction of nutrient loading and the treatment of runoff waters from agriculture, such as sand filters, were tested in field conditions. The results confirm that the filter technique is an applicable method for nutrient reduction, but further development is needed. The ability of sand filters to absorb nutrients can be improved with nutrient binding compounds, such as lime. Long-term hydrological, chemical and biological research and monitoring data on Lake Pyhäjärvi and its catchment provide a basis for water protection measures and improve our understanding of the complicated physical, chemical and biological interactions between the terrestrial and aquatic realms. In addition to measurements carried out in field conditions, Lake Pyhäjärvi and its catchment were studied using various modelling methods. In the calibration and validation of models, long-term and wide-ranging time series data proved to be valuable. Collaboration between researchers, modellers and local water managers further improves the reliability and usefulness of models. Lake Pyhäjärvi and its catchment can also be regarded as a good research laboratory from the point of view of the Baltic Sea. The main problem in both of them is eutrophication caused by excess nutrients, and nutrient loading has to be reduced – especially from agriculture. Mitigation measures are also similar in both cases.

Sähköverkon säävarmuuden kehittäminen verkkoliiketoiminnan valvontamallin näkökulmasta

Sähkömarkkinalain uudistuminen syksyllä 2013 aiheutti sähköverkkoyhtiöille velvoitteen parantaa sähköverkkoja siten, että ne täyttävät uuden lain mukaiset keskeytysaikavaatimukset. Laissa asemakaava-alueilla sallitaan enintään 6 tunnin mittainen sähkönjakelunkeskeytys ja haja-asutusalueella 36 tunnin keskeytys. Diplomityössä kehitetään ElMil Oy:lle palvelumalli, jonka avulla pyritään parantamaan sähköverkkojen säävarmuutta ja arvioimaan parannuksien aiheuttamia taloudellisia vaikutuksia verkkoyhtiön kannattavuuteen verkkoliiketoiminnan valvontamallin kautta. Työn teoriaosiossa käydään läpi uuden sähkömarkkinalain muutoksia toimitusvarmuuden kannalta sekä avataan verkkoliiketoiminnan valvontamallin komponentteja ja sitä kuinka niitä on hyödynnetty tässä työssä. Kyseisiä tietoja hyödynnetään case-tarkastelussa, jossa testataan kehitetyn palvelumallin toimivuutta Järvi-Suomen Energia Oy:n sähkönjakeluverkon kahden sähköaseman jakeluverkkojen kokoisella alueella. Tarkastelualueen sähkönjakeluverkolle tehdään suurhäiriömalli, jonka perusteella arvioidaan vaadittavaa säävarman verkon osuutta, jotta sähkömarkkinalain vaatimukset täyttyvät. Alueen investointikohteet optimoidaan kannattavuuden perusteella, jolloin saadaan kustannustehokas investointiohjelma tiettyjen reunaehtojen puitteissa. Lisäksi suurhäiriömallin parametreja varioidaan herkkyystarkasteluissa. Työn lopputuloksena saadaan ElMil Oy:lle kehitettyä palvelumalli. Case-tarkasteluissa havaitaan, että investointikustannukset nousevat merkittävästi. Verkkoliiketoiminnan valvontamallin kannustinvaikutuksista ja sallitusta tuotosta saadaan hyvä näkemys. Herkkyystarkasteluista nähdään, että suurhäiriömalli on hyvin riippuvainen valituista parametreista, jolloin niiden valintaan tulee kiinnittää huomiota

Conyza spp.: From Ugly Duckling to Agriculture's Fittest Swan - Brief Review

Conyza spp. are widely responsible for yield losses in agriculture due to its worldwide occurrence, resistance to herbicides and other traits which turn these species into first grade weeds. Since the 1980's, these species started to be cited on books both related to the ecology and the weed science, being usually classified as ruderals. Occurrence of Conyza in crops shows that these species are highly adaptable due to its recent evolutionary origin and occur in environments prone concomitantly to a moderate set of competition, disturbance and stress. There are also limitations in Grime's theory which may lead us to mistakes about the behavior of Conyza. Thus, simple and isolated recommendations certainly will not solve the problem of Conyza. Neither soil tillage nor tolerant crops to 2,4-D will free the agriculture from this weed, being necessary an integrated approach to solve this problem which demands qualified human resources in weed science and planning.

Produção de serapilheira em três trechos de uma floresta semidecídua com diferentes graus de perturbação na Estação Ecológica do Tripuí, Ouro Preto, MG

Foram estudados três trechos de uma floresta semidecídua na Estação Ecológica do Tripuí com o objetivo de verificar a ocorrência de diferenças na produção de serapilheira de acordo com o grau de perturbação. A serapilheira foi coletada entre julho de 1997 e agosto de 1998, usando-se dez coletores de 0,36 m², em cada trecho. A produção anual nos trechos A1 (6,78 ± 0,65 t.ha-1) e A2 (6,58 ± 0,49 t.ha-1) foi significativamente superior à estimada no trecho A3 (5,09 ± 0,58 t.ha-1) (ANOVA, p < 0,01). Os três trechos apresentaram padrão semelhante de produção da serapilheira, com o pico máximo ocorrendo em setembro (teste Tukey, p < 0,0001). A abundância de espécies pioneiras foi menos importante que a estatura do dossel na determinação da produção de serapilheira nas três áreas.

Similarity among periphyton algal communities in a lentic-lotic gradient of the upper Paraná river floodplain, Brazil

Floristic comparison of periphyton communities from three systems with different hydrodynamic regimes (lentic, semilotic, and lotic) was carried out during high and low water periods on the Upper Paraná River floodplain. For each period and system, glass slides were sampled every two days during 18-day periods, and Eichhornia azurea Kunth petioles were sampled three times. A total of 228 species was collected, representing 12 classes, mainly diatoms and desmids. The highest species-richness was found in communities from lentic system and during high water. Species richness in the lotic system was more stable over succession and hydrological periods. Algal taxonomic structure in river community was clearly separated from the other two systems, with 43% of similarity level. The hydrological period was next in importance, followed last by the substratum type, with communities associated at 65-78% similarity levels, depending on system and hydrological period. The type of system, but not the water levels,was the main factor that influenced community richness, followed by disturbances caused by flood pulses and the operation of reservoirs upstream. The periphyton on artificial and natural substrata presented high degree of similarity.