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Frustration, Examination, Appreciation: An Autoethnography of a Psychotherapist’s Work with a Challenging Patient 挫折,检查,欣赏:一位心理治疗师与一位具有挑战性的病人的工作的自我民族志
Pub Date : 2021-09-20 DOI: 10.33790/jmhsb1100142
J. Tyson
The work of a psychotherapist can be rewarding and very challenging. It can be frustrating when patients are suffering and there are no words to alleviate their pain, or when they begin to take their anger out on you as a therapist. The work of a psychotherapist can be a personal beneficial experience as one examines how one is affected as a professional because of a seemingly difficult and challenging patient. The work of psychotherapy can also bring about a sense of appreciation as psychotherapists learn to appreciate their own delicate individual growth because of a challenging patient.
心理治疗师的工作可能是有益的,也非常具有挑战性。当病人遭受痛苦,却找不到语言来减轻他们的痛苦,或者当他们开始把愤怒发泄在治疗师身上时,这是令人沮丧的。心理治疗师的工作可以是一种个人有益的经历,因为一个人检查自己作为一个专业人士是如何受到一个看似困难和具有挑战性的病人的影响的。心理治疗的工作也可以带来一种欣赏的感觉,因为心理治疗师学会欣赏他们自己微妙的个人成长,因为一个具有挑战性的病人。
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引用次数: 0
Suicide among South Asians in the United States: Perspectives, Causes, and Implications for Prevention and Treatment 美国南亚人的自杀:观点、原因和预防与治疗的意义
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100150
Susheelabai R. Srinivasa, S. Pasupuleti, Rani Dronamraju, Denise Longoria
Suicide and suicide related behaviors have been a global phenomenon. Suicide is a major social problem with more than one million deaths and 25 million attempted suicides [1] and 140 million who reported ideation [2]. Specifically in the US, it is the tenth leading cause of death with a staggering 47,173 Americans who committed suicide and 1,400,000 who attempted suicide. Nearly 575,000 Americans visited a hospital with self-inflicted injuries [3]. Astonishingly, the number of suicidal deaths is greater than the total number of deaths from homicide, AIDS, car accidents combined [4]. The cost of suicide and self-injury was over $ 70 billion in medical as well as work loss expenses in the United States [5]. The highest suicide rate (20.2) percent is prevalent among middle-aged adults in the age group of 45 to 54 years old; followed by older adults 85 years of age and older with (20.1) percent. Among young adults and adolescents in 15-24 years, it was 14.46 percent in 2017. According to the Center for Disease Control and Prevention [6], suicide rates were 6.59% among Asian & Pacific Islanders, 6.61% among African Americans and 13.42% among American Indians and Alaskan natives in 2019. It was highest (15.85%) among the Caucasian population. White males account for nearly 70 percent of all suicides occurred in the United States though females make twice the number of suicidal attempts. Firearms was the number one means used since 50.57 percent of those who committed suicide used this method [7].
自杀和自杀相关行为已经成为一种全球现象。自杀是一个重大的社会问题,有超过100万人死亡,2500万人自杀未遂[1],1.4亿人报告有自杀念头[2]。特别是在美国,自杀是第十大死亡原因,有47173名美国人自杀,140万人试图自杀。近57.5万美国人因自伤到医院就诊[3]。令人惊讶的是,自杀死亡人数比凶杀、艾滋病和车祸死亡人数的总和还要多[4]。在美国,自杀和自残的医疗费用以及失业费用超过700亿美元[5]。自杀率最高的年龄段是45 ~ 54岁的中年人(20.2%)。其次是85岁以上的老年人(20.1%)。在15-24岁的年轻人和青少年中,2017年这一比例为14.46%。根据美国疾病控制与预防中心[6]的数据,2019年,亚太岛民的自杀率为6.59%,非洲裔美国人为6.61%,美洲印第安人和阿拉斯加原住民为13.42%。以白种人最高(15.85%)。在美国发生的所有自杀事件中,白人男性占近70%,而女性的自杀企图是白人男性的两倍。枪支是最常用的自杀手段,50.57%的自杀者使用这种方法[7]。
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引用次数: 2
Acculturation & Attitudes towards Disability for Arab Americans 阿拉伯裔美国人的文化适应和对残疾的态度
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100106
Tarek Zidan, K. Chan
s According to 2010 Census estimates, there are 1.9 million Arab Americans in the United States, although the estimate may be closer to 3.7 million. Arab Americans are one of the fastest growing immigrant groups; over half are foreign-born and come from over 22 different countries. Acculturation is an important construct to consider for Arab Americans, who have a long history of immigration and cultural differences. A systematic literature review was conducted to understand acculturation and attitudes toward persons with disabilities for immigrants and refugees, as they relate to Arab Americans. Using multiple databases (PsycInfo, Ebscohost, Social Science Abstracts, and Google Scholar), we identified 300 articles using the search terms disabilities, acculturation, attitudes and Arab American. Of this number, 90 scholarly articles were chosen that highlighted acculturation and attitudes toward persons with disabilities among minority, immigrant, and refugee groups. The systematic review identified themes regarding acculturation, ethnic identity, social contact with the host culture, and the stigma of disabilities. Findings revealed that ethnic identity, social contact with the U.S. host culture, and the stigma of disability from the country of origin can influence attitudes of Arab Americans towards persons with disabilities. The systematic review highlighted substantial gaps in the knowledge base and the importance of understanding attitudes of immigrants and refugees towards persons with disabilities within the Arab American community. Further research is needed to examine how the acculturation process can affect attitudes towards disabilities, and where policy and practice can intervene to improve outcomes. Social work practitioners must be culturally sensitive to the distinct aspects of Arab culture and their acculturation process, thereby enhancing their skills in the delivery of services. Results highlight the need for awareness in the struggles of immigrants and refugees, and how they can impact attitudes toward persons with disabilities in Arab American communities.
根据2010年人口普查估计,美国有190万阿拉伯裔美国人,尽管实际估计可能接近370万。阿拉伯裔美国人是增长最快的移民群体之一;超过一半的人出生在国外,来自22个不同的国家。对于有着悠久移民历史和文化差异的阿拉伯裔美国人来说,文化适应是一个需要考虑的重要问题。本研究进行了一项系统的文献综述,以了解移民和难民对残疾人的文化适应和态度,因为他们与阿拉伯裔美国人有关。使用多个数据库(PsycInfo, Ebscohost, Social Science Abstracts和Google Scholar),我们使用搜索词残疾,文化适应,态度和阿拉伯裔美国人确定了300篇文章。其中,90篇学术文章突出了少数民族、移民和难民群体对残疾人的文化适应和态度。系统评价确定了有关文化适应、种族认同、与东道国文化的社会接触以及残疾污名的主题。调查结果显示,族裔认同、与美国东道国文化的社会接触以及来自原籍国的残疾耻辱感会影响阿拉伯裔美国人对残疾人的态度。系统审查强调了知识基础上的重大差距,以及了解阿拉伯裔美国人社区内移民和难民对残疾人的态度的重要性。需要进一步的研究来检查文化适应过程如何影响对残疾的态度,以及政策和实践可以在哪些方面进行干预以改善结果。社会工作从业人员必须对阿拉伯文化的不同方面及其文化适应过程具有文化敏感性,从而提高他们提供服务的技能。研究结果强调了对移民和难民斗争的认识的必要性,以及它们如何影响阿拉伯裔美国人社区对残疾人的态度。
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引用次数: 1
Part A of Anatomy at the Mall: A Multimodal Activity to Enhance Health Awareness and Identify Early Signs of Health-Related Issues in the General Public 在商场解剖:一个多模式的活动,以提高健康意识和识别健康问题的早期迹象在公众
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100134
Martin G. Rosario, C. Woodson, Michael George, Victoria Junious, Aleena Jose, Maryví González‐Solá
Background: There is a gap in the common knowledge of anatomy and its relationship to health in the community. Objective: We intend to obtain insight into community-dwelling adults' health status and promote health awareness using basic anatomy. Methods: Ninety-seven adults (average 32.6 years, 79.1 kg, 1.65 m) were participants at malls (MP) within the DFW area, and 36 healthy young adults performed as the control group (CP) (average 24.4 years, 67.7 kg, 1.65 m). MPs received a pretest/post-test to investigate their underlying knowledge and evaluate the knowledge of human anatomy and physiology before visiting six learning stations covering different anatomy systems. This research measured gait speed, isometric strength, balance, coordination, blood pressure, blood oxygenation, and heart rate to examine the health status and support the integration of the learned anatomy. Results: MPs displayed shifts from normative values with altered balance, lower leg strength, reduced gait speed, and high blood pressure. Conclusion and Clinical Relevance: The community-dwelling participants of this study revealed various health-related alterations link to poor quality of life. Regularly visit public areas such as malls, should incorporate free health screening educational booths or stations comparable to those in this research. Clinicians should recognize that the community-dwelling population requires knowledge of anatomyphysiology and health implications. Therefore, we encourage them to include educational items in the intervention strategies.
背景:社会上对解剖学及其与健康关系的普遍认识存在差距。目的:利用基础解剖学了解社区居民健康状况,提高健康意识。方法:97名成人(平均年龄32.6岁,79.1 kg, 1.65 m)在DFW区域内的购物中心(MP)参加,36名健康青年(CP)(平均年龄24.4岁,67.7 kg, 1.65 m)作为对照组(CP), MP接受前测/后测,调查他们的基础知识,并评估他们的人体解剖学和生理学知识,然后访问六个不同解剖学系统的学习站。本研究测量了步态速度、等长肌力、平衡、协调、血压、血氧合和心率,以检查健康状况并支持所学解剖学的整合。结果:MPs随着平衡、下肢力量、步态速度降低和高血压的改变而偏离正常值。结论和临床意义:本研究的社区居住参与者揭示了与生活质量差有关的各种健康相关改变。定期访问公共场所,如商场,应纳入免费的健康检查教育摊位或与本研究相当的站点。临床医生应该认识到,社区居民需要解剖学生理学和健康影响的知识。因此,我们鼓励他们在干预策略中加入教育项目。
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引用次数: 1
Part B of Anatomy Tour at the Mall: A Multimodal Activity to Enhance Anatomical Education and Health Awareness in the General Public 商场解剖之旅乙部:加强公众解剖教育及健康意识的多模式活动
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100152
Maryví González‐Solá, Martín G. Rosario
Research objectives: The overall health state of people in the United States is deteriorating. One component related to this decline was the lack of information. One approach to resolve this issue is with educational outreach activities located in one of the places most visited by the people: Malls. Here, we report the various benefits of educational anatomy outreach among the people who participated.Purpose: This study aimed to promote essential health awareness by educating the general public about anatomy.Methods: 72 subjects were randomly selected from malls within Dallas/Ft.Worth area to participate in the “Anatomy Tour at the Mall” (A@M). The participants were given a pre-test with 10 questions and release forms. They were then given information about the human systems by passing through six different data stations: the nervous system, special senses, musculoskeletal system, human organ station, cardiovascular system, and respiratory system tables. Each table contained anatomical models, an educational brochure, non-invasive vital sign tests (except for the human organ station), and the physical therapy and nursing students who explained the essential anatomical information and performed the tests (Figure 1). When the participants finished the “tour” through the stations, they were given a post-test with the same 10 questions for comparison. The subjects were also given a short survey to rate the stations and their activities.Results: A t-test statistical analysis showed that the participants improved their knowledge of anatomy when comparing the pre-test and post-test. The pre-test average was 5.9 ± 1.8, and the post-test average was 7.5 +/± 1.9. The difference between the pre-test and post-test was 1.6, with a p-value of 0.001. In addition, the majority of the participants’ survey responses regarding this activity were positive, indicating that they gained significant knowledge about anatomy and overall health after completing this activity.Conclusion: A@M significantly increased knowledge about the basic anatomy of the participating adults. Future outreach events should expand to other areas and be incorporated daily in public places, such as shopping malls, to reach out to the population lacking educational information.
研究目标:美国人的整体健康状况正在恶化。与这种下降有关的一个因素是缺乏信息。解决这个问题的一种方法是在人们最常去的地方之一:购物中心开展教育外展活动。在这里,我们报告了参与教育解剖学推广的人们的各种好处。目的:通过解剖学教育,提高公众的基本健康意识。方法:从达拉斯/Ft市内的购物中心随机抽取72名受试者。值得参加“商场解剖之旅”(A@M)。参与者进行了一个包含10个问题和释放表格的预测试。然后,他们通过六个不同的数据站获得有关人体系统的信息:神经系统、特殊感官、肌肉骨骼系统、人体器官站、心血管系统和呼吸系统表。每个表格包含解剖模型,教育手册,无创生命体征测试(人体器官站除外),以及物理治疗和护理学生,他们解释了基本的解剖信息并进行了测试(图1)。当参与者完成了通过站的“参观”后,他们进行了同样的10个问题的后测,以供比较。研究对象还接受了一项简短的调查,以评估电台及其活动。结果:t检验统计分析表明,在测试前和测试后,参与者的解剖学知识有所提高。测试前平均值为5.9±1.8,测试后平均值为7.5 +/±1.9。前测与后测的差异为1.6,p值为0.001。此外,大多数参与者对这项活动的调查反应是积极的,这表明他们在完成这项活动后获得了重要的解剖学和整体健康知识。结论:A@M显著增加了参与成人的基本解剖学知识。今后的推广活动应扩大到其他地区,并将其纳入日常公共场所,如购物中心,以接触缺乏教育信息的人口。
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引用次数: 0
Meaning in the Face of Death: Implications for Existential Counseling 面对死亡的意义:存在主义咨询的启示
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100145
Andre Marseille
In the last three years, I lost my father, uncle and mentor, perhaps the three most important men in my life. Though I was saddened by their departure, I accept that death is part of the life cycle and that life is a series of linear ‘tick-tocs’ towards an inevitable death. I have grown comfortable with that. I owe this understanding and comfort to my 18-year relationship with my recently departed mentor Dr. Clemmont Vontress, the father of cross-cultural counseling and an existentialist. As I mourn his passing, I am reminded that death is a reminder of our need to make the most of our fragile existence. Frankl reasoned that accepting death was a natural part of the life cycle and that one should find meaning in their existence with the finite time they do have. It is this view which makes a person fundamentally questioned by life itself. Frankl [1] called this view a “Copernican turn.”
在过去的三年里,我失去了父亲、叔叔和导师,这可能是我生命中最重要的三个人。虽然我对他们的离开感到悲伤,但我接受死亡是生命周期的一部分,生命是一系列线性的“滴答声”,走向不可避免的死亡。我已经习惯了。我的这种理解和安慰,要归功于我与最近刚离世的导师克莱蒙特·冯崔斯博士长达18年的关系,他是跨文化咨询之父,也是一位存在主义者。当我哀悼他的去世时,我意识到,死亡提醒我们,我们需要充分利用我们脆弱的存在。弗兰克尔推断,接受死亡是生命周期的一个自然部分,人应该在有限的时间里找到存在的意义。正是这种观点使一个人从根本上受到生活本身的质疑。Frankl[1]称这种观点为“哥白尼式的转向”。
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引用次数: 0
Pollyannas, Pessimists, and the Science of Happiness 乐观主义者、悲观主义者和幸福的科学
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100144
Jared K. Rothstein
With personal anecdotes, the author contrasts his natural pessimism with the outlook of his mother, a lifelong Pollyanna, and investigates the source of this core difference. He argues that, despite its scientific veracity and likely implications that nothing is cosmically ‘meant to be,’ Darwin’s theory of natural selection neither conclusively resolves metaphysical debates concerning the existence of god nor the existential question of which life perspective is most appropriate. Furthermore, based on interdisciplinary research from the field of positive psychology, the author rejects Jean-Paul Sartre’s alternative suggestion that we are either optimistic or cynical solely by choice. Contrary to Sartre’s ‘blank slate’ conception, these empirical findings indicate that a person’s baseline happiness level and natural outlook on life is genetically driven to a significant degree. While there is a ‘cortical lottery’ in this regard, environmental factors also play a key role a scientific result that fits nicely with Aristotle’s ‘golden mean’ theory of happiness.
作者通过个人轶事,对比了他天生的悲观主义和他母亲的观点,他母亲是一个终身的乐观主义者,并调查了这种核心差异的来源。他认为,尽管达尔文的自然选择理论在科学上是正确的,并且可能暗示没有什么是宇宙“注定的”,但它既没有最终解决关于上帝存在的形而上学辩论,也没有解决哪种生活视角最合适的存在主义问题。此外,基于积极心理学领域的跨学科研究,作者拒绝了让-保罗·萨特的另一种建议,即我们要么乐观,要么愤世嫉俗,这完全是我们的选择。与萨特的“白纸”概念相反,这些实证研究结果表明,一个人的基线幸福水平和自然人生观在很大程度上是由基因驱动的。虽然在这方面存在“皮质彩票”,但环境因素也发挥了关键作用,这一科学结果与亚里士多德的“中庸之道”幸福理论非常吻合。
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引用次数: 0
Orientation, Parent Engagement, Tutoring, Summer Programs, and College Support: How a City is Helping Immigrant Students 取向、家长参与、辅导、暑期项目和大学支持:一个城市如何帮助移民学生
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100153
Kerri Evans, Anna Coney, Amina Musa
One in four children in U.S. schools are part of an immigrant family, and we need to ensure that there are enough, and culturally sensitive services available to meet their needs and help them succeed educationally. Using a qualitative document analysis framework, the authors deductively coded more than 110 websites to assess the services available to immigrant students in a city in a Mid-Atlantic state of the United States. The results indicate that services included English as a second language services (n=33), tutoring (n=23), parent engagement activities (n=11), summer programs (n=11), college access programs (n=10), and orientation programs (n=9). Together the agencies and schools offer many programs that are reminiscent of collective impact models. We provide recommendations for future research and practice.
在美国学校里,每四个孩子中就有一个来自移民家庭,我们需要确保有足够的、对文化敏感的服务来满足他们的需求,帮助他们在教育上取得成功。使用定性文件分析框架,作者对110多个网站进行了演绎编码,以评估美国大西洋中部州一个城市的移民学生可获得的服务。结果显示,服务包括英语作为第二语言服务(n=33)、辅导(n=23)、家长参与活动(n=11)、暑期项目(n=11)、大学入学项目(n=10)和辅导项目(n=9)。这些机构和学校一起提供了许多让人想起集体影响模型的项目。为今后的研究和实践提供了建议。
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引用次数: 0
Compassion Education for Prosocial Behavior and Well-Being Among College Students 大学生亲社会行为与幸福感的同情教育
Pub Date : 1900-01-01 DOI: 10.33790/JMHSB1100115
Thupten Tendhar, P. B. Mesquita
College Students Thupten Tendhar, PhD1*, Paul Bueno de Mesquita, PhD2 1*Inner Peace Healthy Minds Program, URI Center for Nonviolence & Peace Studies, 74 Lower College Road – MSSC202, The University of Rhode Island, Kingston, RI, 02881, USA. 2 Professor, Department of Psychology, College of Health Sciences, Director, Center for Nonviolence & Peace Studies, The University of Rhode Island, 74 Lower College Road – MSSC202, Kingston, RI 02881, USA. Journal of Mental Health and Social Behaviour Tendhar, T. et al. J Ment Health Soc Behav 2020, 2: 115 https://doi.org/10.33790/jmhsb1100115
大学生Thupten Tendhar, PhD1*, Paul Bueno de Mesquita, PhD2 1*内心和平健康心灵计划,URI非暴力与和平研究中心,下学院路74号- MSSC202,罗德岛大学,金斯敦,罗德岛州,02881,美国。2罗德岛大学,健康科学学院心理学系教授,非暴力与和平研究中心主任,下学院路74号- MSSC202,金斯敦,RI 02881,美国。心理健康与社会行为杂志。中国卫生社会行为杂志,2020,(2):115 https://doi.org/10.33790/jmhsb1100115
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引用次数: 3
Depression among Healthcare Workers During COVID-19 Pandemic in Hulu Langat District, Selangor, Malaysia: A Cross-sectional Study 马来西亚雪兰莪州Hulu Langat区COVID-19大流行期间医护人员的抑郁症:一项横断面研究
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100159
Hadita Sapari, M. Selamat, S. Mohamed, Zailiza Suli, M. Isa
Background: COVID-19 is a serious threat to the global, not only to health, economy and society but also is a great challenge to HCW’s mental health. A lot of studies were carried out and found HCW’s psychological well-being has been severely affected, especially those in the hospital setting. This study aims to determine the prevalence of depression and the factors associated with depression among HCWs in public health settings during the COVID-19 pandemic.Methods: A cross-sectional study was conducted at 13 health clinics and one District Health Office in Hulu Langat District. This study was conducted from February 2021 to Mei 2021. A self-administered questionnaire was distributed consisting of three sections (sociodemographic, job characteristics and depression assessment using validated PHQ-9 tool). Descriptive statistics were used to describe the sociodemographic, and multiple logistic regression was used to determine the factors associated with depression.Result: A total of 291 HCWs were involved in this study. The prevalence of depression among HCWs was 22.7 (95%CI: 22.65, 22.98). Female (Adj. OR=2.01, 95% CI: 1.016, 3.55), stress at work (Adj. OR=3.22, 95% CI: 1.48, 7.02), conflict among colleague (Adj. OR=3.33, 95% CI: 1.72, 6.34) and never attended training or orientation related COVID-19 management (Adj. OR=2.30, 95% CI=1.13, 4.70) were associated with depression.Conclusion: The prevalence of depression in this study was comparable with international studies conducted during pandemic COVID-19, but was lower than the local prevalence of depression conducted pre-pandemic. A healthy working environment needs to be conducted to ensure psychological well-being and hence alleviate the depression among HCWs.
背景:2019冠状病毒病不仅对全球健康、经济和社会构成严重威胁,而且对儿童的心理健康构成巨大挑战。进行了大量的研究,发现儿童儿童的心理健康受到严重影响,特别是在医院环境中。本研究旨在确定2019冠状病毒病大流行期间公共卫生机构医护人员中抑郁症的患病率及其相关因素。方法:采用横断面研究方法,对葫芦岛兰加特区13个卫生所和1个区卫生所进行调查。本研究于2021年2月至2021年5月进行。问卷由三个部分组成(社会人口学、工作特征和使用PHQ-9工具进行抑郁评估)。使用描述性统计描述社会人口学,并使用多元逻辑回归确定与抑郁相关的因素。结果:本研究共纳入291名医护人员。医护人员的抑郁患病率为22.7 (95%CI: 22.65, 22.98)。女性(Adj. OR=2.01, 95% CI: 1.016, 3.55)、工作压力(Adj. OR=3.22, 95% CI: 1.48, 7.02)、同事冲突(Adj. OR=3.33, 95% CI: 1.72, 6.34)和从未参加过与COVID-19管理相关的培训或入职培训(Adj. OR=2.30, 95% CI=1.13, 4.70)与抑郁症相关。结论:本研究的抑郁症患病率与COVID-19大流行期间的国际研究相当,但低于大流行前的当地抑郁症患病率。需要营造健康的工作环境,以确保医护人员的心理健康,从而减轻他们的抑郁情绪。
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引用次数: 0
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Journal of Mental Health and Social Behaviour
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