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CRISPR-Cas9 through AAV delivery system as a gene therapy in Parkinson’s disease CRISPR-Cas9通过AAV传递系统作为帕金森病的基因治疗
Maulana Bagus Adi Cahyono, Ilham Rahmanto, Zahras Azimuth Doman, Galuh Senjani Yulfani Putri, Christopher Surya Lodianto, P. Z. Romadhon
The global population living with Parkinson’s disease is estimated to reach 9.4 million people, which has increased significantly since 2016, with a total of 6 million people. Parkinson's is a neurodegenerative disease of the substantia nigra that causes a decrease in dopamine production and is characterized by the appearance of cytoplasmic misfold proteins called Lewy bodies. The study found that abnormalities or mutations in the SNCA and LRRK2 genes correlated with the overproduction of the ɑ-synuclein protein, which forms Lewy bodies that cause Parkinson's. Current Parkinson's medications only temporarily replace lost dopamine but do not treat the direct cause of Parkinson's; this research used qualitative literature study with content analysis, observation, and development; the use of CRISPR-Cas9 through AAV genetic engineering in repairing SNCA and LRRK2 mutant gene. This genetic therapy works by cutting the mutant DNA base sequences in the SNCA and LRRK2 genes and then replacing them with normal sequences through a homology-direct repair mechanism. As a result, the abnormalities or mutations that cause Parkinson's in these two genes can be corrected, so that dopaminergic levels in the brain can return to normal and excessive accumulation of α-synuclein protein can be suppressed.
据估计,全球患有帕金森病的人口达到940万人,自2016年以来显著增加,总数达到600万人。帕金森氏症是一种黑质神经退行性疾病,导致多巴胺分泌减少,其特征是出现称为路易小体的细胞质错误折叠蛋白。研究发现,SNCA和LRRK2基因的异常或突变与过量产生的突触核蛋白有关,而突触核蛋白形成了导致帕金森病的路易小体。目前的帕金森药物只能暂时替代失去的多巴胺,但不能治疗帕金森病的直接原因;本研究采用定性文献法,内容分析、观察、发展;利用CRISPR-Cas9通过AAV基因工程修复SNCA和LRRK2突变基因。这种基因疗法的工作原理是切割SNCA和LRRK2基因中的突变DNA碱基序列,然后通过同源直接修复机制将其替换为正常序列。从而纠正这两种基因引起帕金森病的异常或突变,使脑内多巴胺能水平恢复正常,抑制α-突触核蛋白的过度积累。
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引用次数: 0
An Unusual Laryngeal Foreign Body in Adult: Denture 成人罕见喉部异物:假牙
Deoni Daniswara, Rizka Fakhriani
Background: Foreign bodies in the larynx are reported quite rarely, with a prevalence of around 4% among patients, especially geriatrics, and represent an acute airway emergency with significant morbidity and mortality rate. Objective: This case report aimed to provide information on managing the extraction of foreign bodies and the accompanying problems. Discussion: A 49-year-old man with a history of wearing dentures was admitted to the emergency room. The patient complained of a hoarse voice upon waking up, painful swallowing, and a lumpy sensation in his throat, but he had no chest pain, cough, nausea, or vomiting. An indirect laryngoscopy examination revealed a foreign body lodged in the anterior rima glottis, impeding the mobility of the vocal folds. Under general anesthesia, emergency direct laryngoscopy, evacuation, and tracheoscopy were performed. It was observed that a foreign denture body was lodged in the larynx and was evacuated using grasping forceps. Post-evacuation, the vocal folds were swollen, with a false vocal fold hematoma, posterior subglottic laceration, and no active bleeding. Conclusion: Foreign bodies in the larynx must be prompted and gently removed because it leads to life-threatening. In suspected swallowed foreign bodies, plain radiographs are the initial imaging approach. Inhalational or intravenous induction is operated to administer the general anesthetic, along with the maintenance of spontaneous ventilation.
背景:喉部异物的报道相当罕见,在患者中患病率约为4%,特别是老年人,是一种具有显著发病率和死亡率的急性气道急症。目的:本病例报告旨在为处理异物取出及相关问题提供参考。讨论:一名有假牙史的49岁男性被送往急诊室。病人自诉醒来时声音沙哑,吞咽痛,喉咙有肿块感,但无胸痛、咳嗽、恶心、呕吐。间接喉镜检查发现异物卡在声门前壁,妨碍声带的活动。在全身麻醉下,进行急诊直接喉镜检查、气管镜检查和气管镜检查。观察到一个外源义齿体卡在喉部,用抓钳将其取出。术后声带肿胀,伴假声带血肿,声门下后裂伤,无活动性出血。结论:喉内异物危及生命,应及时提示并轻柔清除。对于疑似吞咽异物,x线平片是最初的成像方法。采用吸入或静脉诱导进行全身麻醉,同时维持自发通气。
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引用次数: 0
Relationship between personality traits and perinatal depression at Muhammadiyah Hospital Surabaya 泗水穆罕默迪亚医院人格特征与围产期抑郁症的关系
Ninuk Dwi Ariningtyas, Putri Aqila, E. Prasetya, Roni Subagyo
Perinatal depression is a feeling disorder that occurs in a woman during pregnancy and after childbirth. Perinatal depression can be seen from various factors, one of which is personality traits. This study aims to determine the relationship of personality traits with perinatal depression at Muhammadiyah Hospital Surabaya. This study was observative analytic using a cross-sectional approach, conducted on 96 respondents using the Edinburgh Postnatal Depression Scale (EPDS) and the OCEAN personality trait questionnaire. The result of the multiple linear statistical tests on the F test is p=0.00 (p<0.05), the t-test on the extraversion personality trait is p=0.031 (p<0.05), and the neuroticism personality trait is p=0.000 (p<0.05). The coefficient of determination test R2= 37.0%. In conclusion, there is a relationship between personality traits and perinatal depression at Muhammadiyah Surabaya Hospital.
围产期抑郁症是发生在妇女怀孕期间和分娩后的一种感觉障碍。围产期抑郁可以从多方面看出来,其中一个因素就是人格特质。本研究旨在确定泗水穆罕默迪亚医院的人格特质与围产期抑郁症的关系。本研究采用横断面方法,对96名受访者进行观察分析,采用爱丁堡产后抑郁量表(EPDS)和OCEAN人格特质问卷。多元线性统计检验的F检验结果为p=0.00 (p<0.05),外向性人格特质的t检验结果为p=0.031 (p<0.05),神经质性人格特质的t检验结果为p=0.000 (p<0.05)。检验决定系数R2= 37.0%。总之,在穆罕默迪亚泗水医院,人格特征与围产期抑郁症之间存在关系。
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引用次数: 0
Differences score between online and offline laboratory sessions of parasitology in Medical Faculty 医学院寄生虫学线上与线下实验的差异
Atika Widyaningrum, Mega Pandu Arfiyanti, K. Ratnaningrum
Capabilities to diagnose diseases caused by parasites is one of the competencies that must be mastered by general practitioners. This is stated in Standar Kompetensi Dokter Indonesia (SKDI). The branch of parasitology includes protozoa, helminths, and arthropods. Competency can be achieved through debriefing activities and laboratory sessions. During the pandemic, laboratory sessions of parasitology are carried out online with modification of implementation techniques. The study aims to determine the differences in scores between online and offline laboratory sessions of parasitology in medical faculty. Quantitative research used a quasi-experimental method, with a simple random sampling technique. The research data used secondary data scores of laboratory sessions of helminth and protozoa parasitology of Medical students in Universitas Muhammadiyah Semarang (Unimus). Data were analyzed by using a non-parametric Mann-Whitney u-test. From 62 students, there were significant differences in scores between online and offline helminth laboratory sessions (p=0.00) with the average scores of online helminth courses higher than offline laboratory sessions (70.6±19.8). There was no significant difference in grades of online and offline protozoa laboratory sessions (p=0.576) with average scores of online protozoa courses being lower than the offline laboratory session (55.8±25.5). There is a significant difference in scores between the helminth laboratory session of parasitology and there is no difference in scores between the protozoa laboratory session in Medical Faculty.
诊断由寄生虫引起的疾病的能力是全科医生必须掌握的能力之一。这是在印度尼西亚标准竞争力(SKDI)中规定的。寄生虫学的分支包括原生动物、蠕虫和节肢动物。能力可以通过汇报活动和实验室会议来实现。在大流行期间,通过修改实施技术,在线开展了寄生虫学实验室会议。本研究的目的是确定医学院系寄生虫学在线和离线实验课程的分数差异。定量研究采用准实验方法,采用简单的随机抽样技术。研究数据采用三宝垄穆罕默德大学医学生蠕虫和原生动物寄生虫学实验的二次数据评分。数据分析采用非参数Mann-Whitney u检验。在62名学生中,线上和线下蠕虫实验课程的成绩差异有统计学意义(p=0.00),线上蠕虫课程的平均成绩高于线下蠕虫实验课程(70.6±19.8)。在线与离线原生动物实验课程的成绩差异无统计学意义(p=0.576),在线原生动物课程的平均成绩低于离线实验课程(55.8±25.5)。寄生虫学的寄生虫实验阶段的得分有显著性差异,而医学院的原虫实验阶段的得分无显著性差异。
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引用次数: 0
Changes in histopathological features of adolescent rat livers due to subchronic exposure to Chlorpyrifos, Carbofuran, and Cypermethrin 亚慢性暴露毒死蜱、呋喃丹和氯氰菊酯对青春期大鼠肝脏组织病理学特征的影响
Muhammad Ihwan Narwanto, Siti Jamalia, Yuli Hermansyah
Insecticides are the most widely used type of pesticide in various fields, such as agriculture, plantation, industry, and household activities. Only 1% of the insecticides used work effectively to attack the target and the remaining 99% are released freely into water, soil, and air and finally have an impact on non-target organisms. Chlorpyrifos, carbofuran, and cypermethrin were the most widely used insecticides in their respective groups, namely, organophosphates, carbamates, and pyrethroids. This study aims to determine the changes in histopathological features of adolescent rat livers due to subchronic exposure to chlorpyrifos, carbofuran, and cypermethrin. Adolescent livers have a faster regeneration rate but are more susceptible to damage than the older age group. This study used 30 male Wistar rats which were divided into 5 groups, namely, normal group (N), control group (K), chlorpyrifos group (P1), carbofuran group (P2), and cypermethrin group (P3). Subcutaneous injection of insecticide was carried out for 21 days. The scoring method used in the histopathological observations is Manja Roenigk score. Data analysis used the ANOVA test and continued with the LSD post hoc test. In this study, significant results were obtained, P<0.05, which indicated that there were significant differences in the histopathological features of the liver that were exposed to chlorpyrifos, carbofuran, and cypermethrin. The picture of liver damage was mostly found in the carbofuran group.
杀虫剂是在农业、种植园、工业和家庭活动等各个领域使用最广泛的一种农药。使用的杀虫剂中只有1%能有效地攻击目标,其余99%自由地释放到水、土壤和空气中,最终对非目标生物产生影响。毒死蜱、呋喃丹和氯氰菊酯是使用最广泛的杀虫剂,分别是有机磷酸酯、氨基甲酸酯和拟除虫菊酯。本研究旨在确定亚慢性暴露于毒死蜱、呋喃丹和氯氰菊酯后青春期大鼠肝脏组织病理学特征的变化。青少年的肝脏再生速度更快,但比老年人更容易受到损害。本研究选用雄性Wistar大鼠30只,分为5组,即正常组(N)、对照组(K)、毒死蜱组(P1)、呋喃丁组(P2)和氯氰菊酯组(P3)。皮下注射杀虫剂21 d。组织病理学观察采用Manja Roenigk评分法。数据分析采用方差分析检验,并继续采用LSD事后检验。本研究获得显著性结果,P<0.05,说明毒死蜱、呋喃丹和氯氰菊酯对肝脏的组织病理学特征有显著性差异。肝损害的图片主要出现在呋喃组。
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引用次数: 0
Community-based psychosocial rehabilitation model for people with schizophrenia 以社区为基础的精神分裂症患者社会心理康复模式
Arif Gunawan, Annas Adimara, Ayu Tsalis Saputri, Azalika Kansa Namira, Bela Auliya Puspita Ningrum, E. Prasetya
Schizophrenia is a mental disorder that triggers the occurrence of impaired function in the human brain, behavior, cognitive, and emotional functions. This disorder has become a problem in the study of mental health, which must be treated comprehensively by using empirical treatment combined with rehabilitation. Hopefully, increasing the maximum level of healing and reducing recurrence rates can improve social function and quality of life. Thus, this review aims to narrate the model and effective community-based psychosocial rehabilitation center. The articles of the studies published from 2017-2021 were collected and analyzed in this literature review. The keywords used were community-based rehabilitation for schizophrenia. The results show that in addition to pharmacological therapy, six community-based psychosocial non-pharmacological therapy methods are considered effective for intervention in patients with schizophrenia. The methods are club methods in elderly schizophrenic patients, community-based methods, direct patient decision-making methods, case and club management methods, psychoeducational and social skills methods, and community care unit methods. All of the above methods analyzed showed significant effectiveness in community-based psychosocial rehabilitation treatment in developing countries.
精神分裂症是一种精神障碍,它会引发人类大脑、行为、认知和情感功能受损。这种障碍已成为心理健康研究中的一个难题,必须采用经验治疗与康复相结合的方法进行综合治疗。希望增加最大程度的愈合和减少复发率可以改善社会功能和生活质量。因此,本综述旨在叙述模式和有效的社区社会心理康复中心。本文献综述收集了2017-2021年发表的研究文章并进行了分析。使用的关键词是社区精神分裂症康复。结果表明,除了药物治疗外,六种基于社区的社会心理非药物治疗方法被认为对精神分裂症患者的干预有效。方法有老年精神分裂症患者俱乐部法、社区法、患者直接决策法、病例与俱乐部管理法、心理教育与社会技能法、社区护理单位法。以上方法分析显示,在发展中国家社区社会心理康复治疗中具有显著的有效性。
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引用次数: 0
Intraocular foreign body (IOFB) 眼内异物(IOFB)
Ahmad Ikliluddin, Listya Normalita
Intraocular foreign bodies (IOFBs) were 16-40% of open globe trauma and could cause severe visual loss. Therefore, they require immediate diagnosis and treatment. This is a case of an 18-year-old man who came to the hospital complaining of a metal piercing in his left eye while cutting some metal about 2 hours before entering the hospital. On ophthalmologic examination, visual acuity of the left eye was 3/60, and a full-thickness laceration of the cornea with an IOFB was seen at the anterior chamber base. Immediate IOFB evacuation was carried out on the same day as the incident happened. During the operation, a metal intraocular foreign body with a sharp tip, 4x2x1 mm in size, was successfully removed in intact condition. Next, the laceration and the corneal limbus incision were sutured using 10.0 nylon. The stitches are tight, and the anterior chamber depth is maintained. Evaluation on the fourth week after IOFB evacuation showed that visual acuity in the left eye was 6/20 with lens correction C-1.50 x 150° become 6/7.5. Appropriate and prompt diagnosis and management of open eye injury can contribute to preserving a good anatomical and functional result.
眼内异物(IOFBs)占开眼外伤的16-40%,可导致严重的视力丧失。因此,他们需要立即诊断和治疗。这是一名18岁的男子,在入院前2小时左右,他在切割金属时左眼被金属刺穿,来到医院。眼科检查,左眼视力为3/60,在前房基底见全层角膜裂伤伴IOFB。事故发生当天,IOFB立即进行了疏散。手术过程中,成功取出一个4 × 2x1 mm大小的尖锐金属眼内异物。然后用10.0尼龙缝合裂口和角膜边缘切口。缝线很紧,保持前房深度。摘除IOFB后第四周评价左眼视力为6/20,晶状体矫正C-1.50 x 150°变为6/7.5。适当和及时的诊断和治疗有助于保持良好的解剖和功能结果。
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引用次数: 0
The effectiveness of health education provision of animated video media in improving COVID-19 prevention behavior post-vaccination among students of Muhammadiyah Islamic Boarding School Karangasem Paciran Lamongan 通过动画视频媒体提供健康教育,改善Karangasem Paciran Lamongan Muhammadiyah伊斯兰寄宿学校学生接种疫苗后预防COVID-19行为的效果
Eni Sumarliyah, I. Purnamasari, A. Susanty, P. F. Wiliyanarti, F. Firman
Vaccination in the context of dealing with COVID-19 has been promoted. The increasing number of cases showed the lack of community compliance in preventing the transmission of COVID-19 after Vaccination. Intrapersonal factors, such as changes in individual behavior, were the main focus of breaking the chain of the spread of COVID-19. This study aimed to determine the effectiveness of providing health education with animated video media on improving COVID-19 prevention behavior after Vaccination among students at the Karangasem Islamic Boarding School Paciran of Lamongan. This study used pre-experimental with one group pre-test and post-test design. The population was Muhammadiyah Islamic boarding school students in Karangasem Paciran Lamongan, which amounted to 460 and took samples of 332 people using a non-probability purposive sampling technique. The research instrument used a questionnaire 30 items. The results of knowledge have increased from pre-test sufficient knowledge (60.84%), and post-test good knowledge (81.02%) using the Wilcoxon signed rank test p=0.000 (<0.05). The results of attitudes have increased from pre-test negative attitude (70.78%) and post-test positive attitude (76.81%) using the Chi-square test p=0.001 (<0.05). The results of practice have increased from pre-test sufficient practice (62.95%), and post-test good practice (77.71%) using the Wilcoxon signed rank test p=0.000 (<0.05). In conclusion, the video animation media of health education was proven to increase post-vaccination COVID-19 prevention behavior among students at the Karangasem Islamic Boarding School Paciran of Lamongan.
在应对COVID-19的背景下促进了疫苗接种。病例数量的增加表明在预防疫苗接种后COVID-19传播方面缺乏社区依从性。个人行为改变等个人因素是打破新冠病毒传播链的主要重点。本研究旨在确定在拉蒙干Karangasem伊斯兰寄宿学校Paciran的学生中,通过动画视频媒体提供健康教育对改善疫苗接种后COVID-19预防行为的有效性。本研究采用一组前测后测的预实验设计。研究对象是Karangasem Paciran Lamongan的Muhammadiyah伊斯兰寄宿学校的学生,总数为460人,使用非概率目的抽样技术对332人进行了抽样。研究工具采用问卷30项。使用Wilcoxon符号秩检验p=0.000(<0.05),知识的结果比测试前充分知识(60.84%)和测试后良好知识(81.02%)有所增加。态度的结果由测前消极态度(70.78%)和测后积极态度(76.81%)有所增加,经卡方检验p=0.001(<0.05)。使用Wilcoxon符号秩检验p=0.000(<0.05),实践的结果比测试前充分实践(62.95%)和测试后良好实践(77.71%)有所提高。综上所述,健康教育视频动画媒体可以提高拉蒙干Karangasem伊斯兰寄宿学校Paciran学生接种疫苗后的COVID-19预防行为。
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引用次数: 0
Effect of ethanol extract of Hedyotis corymbosa (L.) Lamk against parasitemia and hepatomegaly in Plasmodium berghei ANKA-infected mice 蛇舌草乙醇提取物的药理作用兰姆对伯氏疟原虫anka感染小鼠寄生虫血症和肝肿大的影响
Jelita Aprisano Putri, Nabilla Feirizky Chairunnisa, H. Arwati, Hartono Kahar
Malaria is a parasitic infectious disease that remains one of the focuses of world health problems. The ethanol extract of Hedyotis corymbosa has biochemical compounds potentially become a new antimalarial drug. This study aimed to analyze the effect of this extract on parasitemia and hepatomegaly in mice infected with Plasmodium berghei ANKA. Twentyfive BALB/c mice were infected with P. berghei ANKA and grouped into 5 groups. Group 1-3 were treated with 250 mg/Kg BW (HC250), 300 mg/Kg BW (HC300), and 350 mg/Kg BW (HC350) of ethanol extract of H. corymbosa (EEHC), respectively. Group 4 was a positive control (POS) which was given dihydroartemisisnin-piperaquin (DHP) and Group 5 was a negative control (NEG) which was only given CMC Na 1%. Treatments were given orally once a day for four consecutive days. Parasitemia was observed daily on Giemsa-stained tail blood smear. On day 5 the mice were sacrificed, blood were collected by cardiac punctured, the livers were removed and the length, width, and weight were measured. There was no significant difference on parasitemia between Group 1, 2, 3 and NEG. However, the highest inhibition of parasite s growth was found in Group 3 (61.4%. Observation on hepatomegaly, showed that a significant difference on the length of the liver was found between Group 3 and NEG.
疟疾是一种寄生虫传染病,仍然是世界卫生问题的焦点之一。蛇舌草乙醇提取物具有生物化学成分,有望成为新型抗疟药物。本研究旨在分析该提取物对伯氏疟原虫感染小鼠的寄生虫血症和肝肿大的影响。25只BALB/c小鼠感染伯氏单胞菌ANKA,分为5组。1-3组分别添加250 mg/Kg BW (HC250)、300 mg/Kg BW (HC300)和350 mg/Kg BW (HC350)的山青花乙醇提取物。第4组为阳性对照(POS),给予双氢青蒿素-哌喹(DHP);第5组为阴性对照(NEG),只给予CMC Na 1%。治疗方法为每天口服1次,连续4天。尾血涂片吉氏染色每日观察寄生。第5天处死小鼠,穿刺取血,取肝,测量长、宽、重。1组、2组、3组与NEG组的寄生虫率无显著差异。然而,对寄生虫生长的抑制作用最大的是第3组(61.4%)。肝肿大观察显示,3组与NEG组在肝长度上有显著差异。
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引用次数: 0
Effect of viral, reservoir, host, and environmental factors on viral evolution that affect morbidity and mortality of COVID-19 disease 病毒、宿主、宿主和环境因素对影响COVID-19疾病发病率和死亡率的病毒进化的影响
Jemima Lewi Santoso
The COVID-19 pandemic has been going on for more than two years. The number of sufferers of this disease continues to increase as well as those who die. The number of disease and death cases varies in each country and even in one country in certain seasons and certain tribes. This is triggered by the evolution of viruses that create new variants with different virulences so that they can affect the transmission of the COVID-19 virus. Several factors can trigger the evolution of the virus, one of which is the ability to mutate to create new variants and/or new strains that cause differences in morbidity and mortality due to early COVID-19 strains. Other factors that favor viral evolution are the reservoir, host immunity, and extreme environmental conditions. This is supported by differences in the percentage of morbidity and mortality in various countries. This literature review aims to determine the effect of viral, reservoir, host, and environmental factors (season and rainfall, temperature, sunlight, materials around the environment, animal habitat, water, and wastewater) on the evolution of viruses that affect morbidity and mortality in COVID-19 disease.
新冠肺炎大流行已经持续了两年多。这种疾病的患者和死亡人数继续增加。疾病和死亡病例的数量在每个国家都有所不同,甚至在一个国家的某些季节和某些部落也有所不同。这是由病毒的进化引发的,这些病毒会产生具有不同毒力的新变体,从而影响COVID-19病毒的传播。有几个因素可以触发病毒的进化,其中之一是能够发生突变,产生新的变体和/或新的毒株,从而导致早期COVID-19毒株造成的发病率和死亡率的差异。其他有利于病毒进化的因素有宿主、宿主免疫和极端环境条件。各国发病率和死亡率的差异也证明了这一点。本文献综述旨在确定病毒、宿主、宿主和环境因素(季节和降雨、温度、阳光、环境周围物质、动物栖息地、水和废水)对影响COVID-19疾病发病率和死亡率的病毒进化的影响。
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引用次数: 0
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Qanun Medika Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya
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