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Impact of Home-based Care and Institutionbased Care on Older Adults’ Health in China: A Comparative Analysis 家庭护理与机构护理对中国老年人健康影响的比较分析
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.3
Hua Tian, Jie Chen
Objective: This study compares between two types of care for older adults’ health, viz., home -based care and. Institution-based care in the context of China, and further explored the impact of each care type on their health. Methods: A fully aligned polygonal graphical indexing method, t-tests, logistic binary regression analysis were performed using SPSS for data analysis. Results: In both care types, females had higherincidence of one or more chronic disease than males, as well as anxiety. However, hypertension was the chronic disease with the highest incidence, higher in males than females. Care types had significant impact on variables like self-reported health (OR=0.329, [CI95%=0.107–1.010], p<0.05) and mental health (OR=0.567, [CI95%=0.364–0.881], p<0.05), but had no significant impact on the objective physical health (OR=1.010,[CI95%=0.577–1.767], p>0.05). Conclusion: Both the types of care of older adults showed a significant impact on the self-reported and mental health, but only a significant difference was made on their mental health. Information exchange and emotional communication through smart facilities and the Internet usability, such as eHealth training, intelligent old-age care may be good interventions to improve older adults’ health.
目的:本研究比较两种类型的老年人健康护理,即家庭护理和家庭护理。在中国机构型护理的背景下,进一步探讨了每种护理类型对其健康的影响。方法:采用全对齐多边形图形索引法,采用SPSS进行t检验和logistic二元回归分析。结果:在两种护理类型中,女性的一种或多种慢性疾病的发生率均高于男性,焦虑的发生率也高于男性。然而,高血压是发病率最高的慢性病,男性高于女性。护理类型对自我报告健康(OR=0.329, [CI95%= 0.107-1.010], p>0.05)和心理健康(OR=0.567, [CI95%= 0.364-0.881], p>0.05)有显著影响,但对客观身体健康(OR=1.010,[CI95%= 0.577-1.767], p>0.05)无显著影响。结论:两种护理方式对老年人的自我报告和心理健康均有显著影响,但对老年人的心理健康仅存在显著差异。通过智能设施和互联网可用性进行信息交流和情感沟通,如eHealth培训、智能养老等,可能是改善老年人健康的良好干预措施。
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引用次数: 0
Exploring Role of Metacognitive Components and their Awareness in Mental Health Behavior among Students of Higher Educational Institutions 元认知成分及其意识在高校学生心理健康行为中的作用探讨
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.4
Shirin Abdallah Alimour, Maryam Ahmad Abu Al Rish, Abdellateef Abdelhafez Alqawasmi
Objectives: Mental health is determined by the way students think, feel, behave and interact with peerssocially and professionally. Metacognition guides students’ cognitive thinking strategies to achieve academicsuccess as well as other cognitive health outcomes. It prevents any kind of psychological distress andregulate their emotive-cognition health behavior. The current research aimed to investigate the role ofmetacognitive components and awareness in relation to mental health conditions and identify potentialareas of strengths and weaknesses of students enrolled at Al Ain University (AAU). Methods: A descriptivestudy design was employed, involving 512 participants and the data was collected using the Meta-Cognitive Awareness Inventory. Results: The results demonstrate a notable insufficiency in metacognitivethinking skills among AAU students, which highlights the necessity of incorporating metacognitivelearning practices as effective health behavior among students. Conclusion: The research findings holdsignificant implications for optimizing educational practices and health behavior to enhance students’ metacognitive abilities. Educators and researchers can develop targeted health behavior and instructional strategies to promote metacognitive growth by identifying specific areas of strength and weakness. The results of this study contribute to the existing literature on metacognition and health behavior, providing valuable insights for fostering effective learning environments within higher education institutions (HEIs).
目的:心理健康是由学生的思维方式、感受方式、行为方式以及与同龄人的社交和专业互动方式决定的。元认知指导学生的认知思维策略,以获得学业成功和其他认知健康结果。它可以防止任何形式的心理困扰,调节他们的情绪认知健康行为。目前的研究旨在调查元认知成分和意识在心理健康状况中的作用,并确定在艾因大学(AAU)入学的学生的潜在优势和劣势。方法:采用描述性研究设计,共纳入512名被试,数据采用元认知意识量表收集。结果:研究结果表明,大学生在元认知思维技能方面存在显著不足,强调了将元认知学习作为学生有效健康行为的必要性。结论:本研究结果对优化教育实践和健康行为,提高学生元认知能力具有重要意义。教育工作者和研究人员可以制定有针对性的健康行为和教学策略,通过确定特定领域的优势和劣势来促进元认知的发展。本研究的结果对现有的元认知与健康行为的研究有一定的借鉴作用,为高等教育机构培养有效的学习环境提供了有价值的见解。
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引用次数: 0
Impact of Music Therapy on Athletes’ Health Sustainability: The Role of Positive Coaching and Health Literacy in Post COVID-19 Environment 音乐治疗对运动员健康可持续性的影响:积极指导和健康素养在新冠肺炎环境中的作用
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.1
Aizhen Liu
Objective: This research is conducted to determine the relationship between music therapy and athletes’ health sustainability, while also determining the moderating role of positive coaching and the mediating role of mental health literacy. Methods: The final sample size of this research comprised 356 respondents, and data was collected from domestic-level soccer players in China. This research used Smart PLS for measurement model assessment and structural model assessment and determine the validity and reliability of the collected data. Results: The research highlights a significant and direct and indirect relationship between music therapy and athletes’ sustainable health. Mental health literacy is also seen positively mediating the relationship between music therapy and athletes’ health sustainability. Furthermore, this research also demonstrates that the moderating role of positive coaching is significant and strengthens the relationship between music therapy and athletes’ sustainable health. Conclusion: The research concludes that the relationship between music therapy and athletes’ mental health improves with the mental health literacy of athletes. The findings of this research are appropriate to enhance the body of knowledge.Furthermore, the study has some implications and recommendations for increased, health and performance.
目的:探讨音乐治疗对运动员健康可持续性的影响,以及积极教练的调节作用和心理健康素养的中介作用。方法:本研究的最终样本量为356名受访者,数据来自中国国内水平的足球运动员。本研究使用Smart PLS进行测量模型评估和结构模型评估,确定所收集数据的效度和信度。结果:音乐治疗与运动员持续健康存在显著的直接和间接关系。心理健康素养在音乐治疗与运动员健康可持续性之间也具有正向中介作用。此外,本研究还表明,积极教练的调节作用显著,并加强了音乐治疗与运动员持续健康之间的关系。结论:音乐治疗与运动员心理健康的关系随着运动员心理健康素养的提高而增强。本研究的发现对加强知识体系是适当的。此外,该研究对提高、健康和表现有一些启示和建议。
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引用次数: 0
Exploring Tech-Savviness and Digital Mental Health: The moderating role of Innovation Adoption and Digital Nudging. 探索技术认知与数字心理健康:创新采用和数字助推的调节作用。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.17
Zheng Qin, Xi Ma

Objectives: Employees in China face significant difficulties in adapting to the dynamism of organizational culture. Organizational culture standards have improved due to the modernization and integration of technology. The purpose of this study was to examine the relationship between tech-savviness (TS) and digital mental health (DMH) as moderated by innovation adoption (IA) and digital nudging (DN). Methods: A total of 900 questionnaires were delivered using a random sampling technique to collect primary data on the Likert scale questionnaire. Employees of private-sector manufacturing businesses in the Chinese province of Shanghai constitute the research population. Results: The study finds that the organizational culture in China can be improved with the use of IA and DN by providing DMH services for employees. Conclusion: This study provides a substantial theoretical framework of significant variables that describe the link between TS and DMH in Chinese organizational culture. Additionally, the research has important theoretical implications for knowledge and practical consequences for enhancing employee performance in China.

目标:中国的员工在适应组织文化的活力方面面临着很大的困难。由于技术的现代化和整合,组织文化标准得到了提高。本研究的目的是探讨创新采用(IA)和数字推动(DN)对技术熟练度(TS)和数字心理健康(DMH)的调节作用。方法:采用随机抽样的方法发放900份问卷,收集李克特量表问卷的主要资料。中国上海市私营制造业企业的雇员构成了研究人群。结果:研究发现,通过为员工提供DMH服务,IA和DN的使用可以改善中国的组织文化。结论:本研究提供了一个描述中国组织文化中绩效管理与员工满意度之间关系的重要变量的理论框架。此外,本研究对提高中国员工绩效具有重要的理论意义和实践意义。
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引用次数: 0
Correlation between Insulin Resistance and Cardiopulmonary Function during Physical Exams for Male Patients. 男性患者体检时胰岛素抵抗与心肺功能的相关性研究。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.2
Bin-Bin Liu, Zi-Ru Niu, Xiao-Jiao Jia, Xiao-Li Liu, Qiang Lu

Objective: In this study, we investigated the correlation between insulin resistance (IR) and cardiopulmonary function during physical exams for male patients. Methods: We selected 124 healthy male participants in the physical examination center of our hospital. They were divided into 3 groups according to the homeostasis model assessment of insulin resistance values. The oxygen uptake, peak oxygen uptake (VO₂/kg), heart rate, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured by a cardiopulmonary exercise function tester. We analyzed the correlation between the index of IR and cardiopulmonary function. Results: There were statistically significant differences in body mass index, waist circumference, fasting insulin level, anaerobic threshold SBP, maximum VO2/kg and maximum SBP among the 3 groups (p<.05). However, no significant difference was found in SBP, DBP, total cholesterol, low-density lipoprotein cholesterol and fasting blood glucose levels (p>.05). The anaerobic threshold SBP, maximum VO2/kg and maximum SBP were all negatively correlated with the IR index. Conclusion: Our results indicate that IR is associated with cardiopulmonary function and that there are different correlations between the various cardiopulmonary function indexes and IR.

目的:探讨男性患者体检时胰岛素抵抗(IR)与心肺功能的相关性。方法:选取我院体检中心124名健康男性受试者。根据体内稳态模型评估胰岛素抵抗值分为3组。采用心肺运动功能仪测定摄氧量、峰值摄氧量(VO 2 /kg)、心率、收缩压(SBP)、舒张压(DBP)。分析IR指标与心肺功能的相关性。结果:3组患者体重指数、腰围、空腹胰岛素水平、无氧阈收缩压、最大VO2/kg、最大收缩压差异均有统计学意义(p < 0.05)。厌氧阈SBP、最大VO2/kg、最大SBP均与IR指数呈负相关。结论:IR与心肺功能相关,各项心肺功能指标与IR有不同的相关性。
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引用次数: 0
Investigating Women's Health Behavior and Impact of Health Exercise on Low Back Pain Caused by Breast Size. 调查女性健康行为和健康运动对乳房大小引起的腰痛的影响。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.18
Mahmut Sertdemir, Emir Kaan İzci
Objectives: The breast size causes back pain in women of every age. Back pain is critical for women with increasing age as they gradually lose energy to carry large breasts. Medical advancement in surgery has introduced treatment for large breast sizes. Natural remedies are difficult to take for women to reduce their breast size. This objective of this cross-sectional research was to investigate the impact of health exercise on low back pain in women caused by increased breast size with moderating influence of health literacy and access to doctors. Methods: The primary data was randomly collected from women in gyms and parks focusing on factors that can account for improving the health of women by reducing their back pain. Results: Furthermore, the study contributes a significant model in the body of knowledge related to the health behavior of women concerning their low back pain. Conclusion: Following significant findings, the study has deliberated the theoretical implication that enriched the literature and practical implications to improve the health behavior of women and reduce the chances of low back pain caused by breast size. Finally, this research highlighted some future directions based on research limitations.
目的:乳房的大小导致每个年龄段的女性背部疼痛。随着年龄的增长,随着女性逐渐失去支撑大乳房的能量,背痛对她们来说非常重要。外科手术的医学进步已经引入了治疗乳房过大的方法。女性很难采取自然疗法来缩小乳房。本横断面研究的目的是调查健康运动对由乳房增大引起的女性腰痛的影响,以及健康素养和就诊的调节作用。方法:从健身房和公园的女性中随机收集原始数据,重点关注可以通过减少背痛来改善女性健康状况的因素。结果:本研究为女性腰痛健康行为的相关知识体系提供了一个有意义的模型。结论:本研究的研究结果具有重要意义,对改善女性健康行为、减少乳房大小引起腰痛的几率具有丰富的理论意义和实际意义。最后,基于研究的局限性,提出了未来的研究方向。
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引用次数: 0
Analysis of Influencing Factors of Psychological Intervention on International Students in China after COVID-19: Hainan Province, China. 新冠肺炎疫情后来华留学生心理干预影响因素分析:海南省
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.3
Guo Lu, Song Hu, Yichen Zhang, Jiao Chen, Yong Yuan, Xun Gong, Yidan Zhang

Objectives: In the post-covid-19 era, students face numerous mental health-related effects. Returning to Chinese institutions, international students in China experienced mental health issues (anxiety and stress). These overseas students' psychological issues are obstacles to their academic performance in China. Students' fear restructured their ability to think critically and execute effectively. Consequently, the framework of this study is intended to emphasize the beneficial effects of offline activities, physical activity, and classroom activities on reducing anxiety among international students in China. Methods: This study is predicated on survey data acquired using a five-point Likert scale. 317 responses were received from overseas students enrolled in Hainan universities. Results: The findings show that offline, physical, and classroom activities substantially impact the anxiety reduction of overseas students in China. The study's contribution to the literature is a fresh concept that previous research has not addressed. In addition, this research has significant theoretical and practical consequences for both knowledge and findings. Conclusion: The study has given a paradigm for relieving anxiety among overseas students in China by addressing a research gap. Meanwhile, this study's limitations provide a roadmap for researching further areas of literature in the future.

目的:在后新冠肺炎时代,学生面临许多心理健康影响。在华留学生回到中国学校后,会遇到心理健康问题(焦虑和压力)。这些留学生的心理问题是他们在中国学习的障碍。学生的恐惧重塑了他们批判性思考和有效执行的能力。因此,本研究的框架旨在强调线下活动、体育活动和课堂活动对减少中国国际学生焦虑的有益作用。方法:本研究基于使用五点李克特量表获得的调查数据。共收到317份海南高校留学生的反馈。结果:研究结果表明,线下活动、体育活动和课堂活动对中国留学生焦虑缓解有显著影响。这项研究对文献的贡献是一个以前的研究没有涉及的新概念。此外,本研究对于知识和发现都具有重要的理论和实践意义。结论:本研究弥补了研究空白,为缓解中国留学生焦虑提供了一个范例。同时,本研究的局限性为今后进一步研究文献领域提供了路线图。
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引用次数: 0
School Connectedness and E-cigarette Susceptibility/ Ever Use in Texas 6th-Grade Students. 德克萨斯州六年级学生的学校联系和电子烟易感性/曾经使用过。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.10
Andrew E Springer, Dale S Mantey, Onyinye Omega-Njemnobi, Felisa Ruiz, Sarina Attri, Baojiang Chen, Allison Marshall, Steven H Kelder

Objectives: We examined the association between school connectedness (SC) and e-cigarette susceptibility/ ever use in a diverse sample of Texas 6th graders, with a secondary aim to explore the association stratified by gender and classroom setting (in-person vs remote). Methods: A cross-sectional analysis was conducted of CATCH My Breath baseline data, representing 985 6th -graders from 21 public schools. SC was based on National Longitudinal Study of Adolescent Health measures; e-cigarette susceptibility/ever use was based on the FDA's definition of "at-risk" for long-term use. We conducted multi-level logistic regression analyses.Results: Over half the sample was Hispanic (57.6%), with 36.2% reporting susceptibility/ever use. Lower SC was associated with increased odds of e-cigarette susceptibility/ever use (low SC: aOR: 5.17, 95% CI: 3.54, 7.55; medium SC: aOR: 2.15, 95% CI: 1.44, 2.91; high SC= referent). The association held across gender groups, with low SC girls reporting the highest odds of susceptibility/ever use (aOR: 7.83, 95% CI: 4.51, 13.61). Low SC in- person and remote students were 6 and 4 times, respectively, more likely to report susceptibility/ever use as high SC students (p<.05). Conclusion: SC protected against e-cigarette susceptibility/ever use in this sample.

目的:我们在德克萨斯州六年级的不同样本中研究了学校连通性(SC)与电子烟易感性/曾经使用之间的关系,次要目的是探索按性别和教室环境(面对面与远程)分层的关系。方法:对来自21所公立学校的985名六年级学生的CATCH My Breath基线数据进行横断面分析。SC基于全国青少年健康措施纵向研究;电子烟易感性/曾经使用是基于FDA对长期使用“有风险”的定义。我们进行了多级逻辑回归分析。结果:超过一半的样本是西班牙裔(57.6%),其中36.2%报告易感/曾经使用过。较低的SC与电子烟易感性/曾经使用的几率增加相关(低SC: aOR: 5.17, 95% CI: 3.54, 7.55;培养基SC: aOR: 2.15, 95% CI: 1.44, 2.91;高SC=参照)。该关联在不同性别群体中都存在,低SC女孩报告易感性/曾经使用的几率最高(aOR: 7.83, 95% CI: 4.51, 13.61)。低SC的面对面学生和远程学生报告易感/曾经使用电子烟的可能性分别是高SC学生的6倍和4倍(结论:SC在本样本中防止电子烟易感/曾经使用电子烟)。
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引用次数: 0
An Empirical Study on the Use of Digital Technologies to Achieve Cost-Effectiveness in Healthcare Management. 利用数字技术实现医疗保健管理成本效益的实证研究。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.19
Maryati Sutarno, Khairul Anam

Objectives: Healthcare cost reduction is one of the major challenges of the current era. This study was based on the general system theory-based view to assess the significance of sensing communication technologies and processing actuation technologies in improving healthcare quality, leading to cost reduction. Moreover, the contingent rule of healthcare supply chain management in enhancing the influence of improved quality on healthcare cost reduction was also empirically tested. Methods: The sample of the study comprised 337 middle and senior healthcare managers employed in various government and private hospitals and health institutions in Jakarta, Indonesia. The administrative departments of each hospital and health institution was visited to take their consent to conduct this survey at their clinical and non-clinical departments. The data collected was analyzed using SmartPLS ver. 4 software. Results: Results reveal a significant direct and indirect influence of sensing communication technologies and processing actuation technologies on achieving cost-effectiveness in the healthcare sector, in the presence of perceived quality improvement as a mediator. However, the strength of the associations varied and was based on highly reliable and familiar nature of sensing communication technologies compared to processing actuation technologies which were emerging and gaining popularity in recent years. Conclusion: Considering the healthcare cost as a critical factor based on limited resources in emerging economies, healthcare institutions/centers should use digital technologies to achieve cost-effectiveness for providing healthcare facilities in the industry 4.0 era.

目标:降低医疗保健成本是当前时代的主要挑战之一。本研究以一般系统理论为基础,评估感测通讯技术与处理驱动技术在改善医疗照护品质、降低成本方面的意义。此外,本文还实证检验了医疗供应链管理在提高医疗质量对降低医疗成本的影响中的偶然性规律。方法:以印度尼西亚首都雅加达市各公立、私立医院和卫生机构的337名中高级卫生管理人员为研究样本。访问了每家医院和卫生机构的行政部门,征求他们同意在其临床和非临床部门进行这项调查。使用SmartPLS分析收集的数据。4软件。结果:结果显示,在感知质量改善作为中介存在的情况下,传感通信技术和处理驱动技术对医疗保健部门实现成本效益有显著的直接和间接影响。然而,这种联系的强度各不相同,并且基于与近年来新兴和流行的处理驱动技术相比,传感通信技术的高度可靠和熟悉的性质。结论:考虑到新兴经济体中基于有限资源的医疗成本是一个关键因素,医疗机构/中心应该使用数字技术来实现在工业4.0时代提供医疗设施的成本效益。
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引用次数: 0
Evaluation of the Application Effect of WeChat Platform-based Communication Mode in Family Members of Patients after Partial Pulmonary Resection in the Anesthesia Intensive Care Unit. 基于微信平台的交流模式在麻醉重症监护病房肺部分切除术后患者家属中的应用效果评价
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-30 DOI: 10.5993/AJHB.46.6.6
Juan Zhou, Hong Chen, Yun Wu, Xiao-Xiao Li, Chun-Yan Xue

Objectives: In this study, we explored the application effect of the communication mode based on WeChat platform in the family members of patients after partial pulmonary resection in the anesthesia intensive care unit. Methods: We selected 80 patients with elective general anesthesia for partial pulmonary resection and divided them into an observation group and a control group with 40 cases in each group according to the random number table method. We compared anxiety self-evaluation scores, medical service satisfaction scores, and family members' desire to visit between the 2 groups. Results: The anxiety score of the observation group was significantly lower than that of the control group (p<.05). The medical service satisfaction score of the observation group was significantly higher than that of the control group (p<.05). The desire for face-to-face visits of family members in the observation group was significantly lower than that in the control group (p<.05). Conclusion: The communication mode based on the WeChat platform can reduce the anxiety of patients, improve the satisfaction of patients with medical services, and reduce the desire of family members to visit. The method is simple and easy to implement and is worthy of clinical outreach.

目的:本研究探讨基于微信平台的交流模式在麻醉重症监护病房肺部分切除术后患者家属中的应用效果。方法:选择80例选择性全身麻醉行肺部分切除术的患者,按随机数字表法分为观察组和对照组,每组各40例。比较两组患者焦虑自我评价评分、医疗服务满意度评分及家属就诊意愿。结果:观察组患者的焦虑评分显著低于对照组(p结论:基于微信平台的沟通方式可以降低患者的焦虑情绪,提高患者对医疗服务的满意度,降低家属的就诊意愿。该方法简便易行,值得临床推广。
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引用次数: 1
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American journal of health behavior
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