PCV13 and PPSV23 vaccines are indicated for a pacient with symptomatic HIV who has never received pneumococcal vaccine.
Why vaccination in patients with HIV is not effective?HIV infections make the immunity of infected patients more vulnerable to infection by Streptococcus pneumoniae. Vaccination of these patients is vital so that they do not contract this disease, but these patients can become resistant to certain treatments against Streptococcus pneumoniae.
While vaccination with PPV23 has been recommended since it has the best results. This given together with the PPSV23 that would be applied after 8 weeks applied the first.
Therefore, we can confirm that PCV13 and PPSV23 vaccines are indicated for a pacient with symptomatic HIV who has never received pneumococcal vaccine.
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Explain the Gibbs Donnan equilibrium
abnormal for pregnant female third trimester
Answer:
Things that may occur for a pregnant female in their third trimester include gestational diabetes, pre-eclampsia, pre-term labour, P.R.O.M., placenta problems, I.U.G.R., post-term and malpresentation.
4. Mrs. Robins states that she should not have her blood pressure taken on her left arm
because she has had a mastectomy. She indicates that her lymph nodes were also removed on
that side and the doctor told her not to have her blood pressure taken on that side. Why would a
doctor say this? You may need to refer to the Internet for the reason why
Answer:
Its precautionary to prevent lymphedema.
Explanation:
Sometimes, removing lymph nodes can make it hard for your lymphatic system to drain properly. If this happens, lymphatic fluid can build up in the area where the lymph nodes were removed. This extra fluid causes swelling called lymphedema.
The surgical partial or total removal of one or both breasts is referred to medically as a mastectomy. Breast cancer is typically treated with a mastectomy. Women who are thought to have a high risk of developing breast cancer occasionally have the procedure done as a preventative step.
What is Lymphedema?Lymphedema is caused by a blockage in the lymphatic system. This is usually the result of a traumatic event, such as a sports injury or deep cuts and bruises, or as a side effect of surgery or cancer treatment. Lymphedema can occur as a birth defect or as a symptom of infection in rare cases. Precautions are required to prevent lymphedema. When lymph nodes are removed, your lymphatic system may struggle to discharge properly on occasion. If this occurs, lymphatic fluid may accumulate where the lymph nodes were removed. Lymphedema is a swelling caused by extra fluid. It is critical to understand that lymphedema can sometimes become severe and cause serious problems, and that it is frequently a long-term or chronic condition.To learn more about Mastectomy refer to:
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expressing a persistent desire to cut down or regulate substance use is a symptom of substance dependence. True or False
Expressing a persistent desire to cut down or regulate substance use is a symptom of substance dependence is a true statement.
What is substance dependence?Substance dependence is a term to describe drug or alcohol abuse that continues even after serious problems have developed as a result of their use. It can lead to tolerance, which causes a desire for more dose levels resulting in increased resistance to the drug's effects. This also could lead to a drug addiction that is hard to control.
There are several symptoms of substance dependence:• Expressing a persistent desire to cut down or regulate substance use
• Tolerance to or the need for increased drug consumption
• Withdrawal symptoms that occur when you reduce or stop using the drug that you are attempting to reduce or quit
• Spending a significant amount of time acquiring, using, and recovering from the effects of the drug use
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a nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium
The nurse should follow established disaster response protocols.
What actions should the nurse take during a simulated toxic substance release in a crowded stadium?During a disaster simulation involving the release of a toxic substance in a crowded stadium, the nurse's primary responsibility is to follow established disaster response protocols.
These protocols are designed to ensure the safety and well-being of both the nurse and the affected individuals.
Firstly, the nurse should prioritize personal safety by donning appropriate personal protective equipment (PPE) to minimize exposure to the toxic substance.
This may include gloves, masks, goggles, or full-body protective suits, depending on the nature of the toxic agent.
Secondly, the nurse should assess the situation and gather information.
This involves identifying the type of toxic substance released, understanding its potential health effects, and assessing the severity of the situation.
This information will help the nurse make informed decisions and provide appropriate care to affected individuals.
Finally, the nurse should collaborate with other healthcare professionals, emergency responders, and authorities involved in the disaster simulation.
This teamwork is crucial for coordinating efforts, implementing evacuation or containment measures, providing immediate medical assistance, and ensuring effective communication throughout the response.
It is important for the nurse to remain calm, focused, and adhere to established protocols to ensure the best possible outcome in managing the simulated disaster scenario.
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Procedures of pressure area care
Answer:
Caring for a Pressure Sore
For a stage I sore, you can wash the area gently with mild soap and water. ...
Stage II pressure sores should be cleaned with a salt water (saline) rinse to remove loose, dead tissue. ...
Do not use hydrogen peroxide or iodine cleansers. ...
Keep the sore covered with a special dressing
Explanation: hope this help:)
5. What do you think would be some of the challenges in treating livestock and large
mammals like those discussed in the unit?
Answer:
While this may seem minute, I think the overallinvolvement with the animal makes it harder towork with livestock and larger animals. Whenworking with smaller animals, such as dogs orcats, they can be set up on a table or held forexamination. On the other hand, these largeranimals are much harder to work with as theyare not as domesticated at the other might be.Often times the larger animals will become fussyand can potentially hurt the veterinarian.Especially in many cases where the animalexpresses its pain through anger.
Explanation:
Answer:
eating and drinking evenly for all of the animals
Explanation:
***********PLEASE HELP ASAP 25POINTS***********
As you are completing your assigned tasks, you realize you will not be able to finish them all before the end of your shift. What should you do?
Answer:
do what you can do, bcuz you already know u can't finish them all
a 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. she is conscious and alert, but anxious. her blood pressure is 144/84 mm hg and her heart rate is 110 beats/min. she took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. you should: a. recall that geriatric patients often take multiple medications and that interactions can occur with potentially negative effects. b. give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport. c. transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin. d. assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions.
You should keep in mind that older people frequently have slower absorption and excretion rates, which may call for adjusting a drug's dosage. Therefore, choice A is the right response.
Because they may be dealing with many illnesses or other health issues concurrently, adults 65 and older typically take more medications than adults in any other age group. For people who are confined to their homes or reside in remote places, managing various prescriptions can be costly, time-consuming, and challenging.
The existence of a concomitant condition, which is typical in the elderly, can also impact renal function. Older patients may need lower or less frequent dosages due to reduced medication clearance caused by decreased renal function.
We can therefore draw the conclusion that You should be aware of the fact that older individuals typically have slower rates of absorption and excretion, which may necessitate changing a drug's dosage.
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Prefixes, Roots, and Suffixes
Identifying Prefixes
Which of these word parts are examples of prefixes?
a. artho
b. inter-
c. -iosis
d. tensi
e. -oma
f. tri-
g. poly-
Answer:
B. Inter-
F. Tri-
G. Poly-
Explanation:
I calculated it logically
What is a central nervous system depressant drug?
A central nervous system (CNS) depressant drug is a type of drug that slows down the activity of the central nervous system, including the brain and spinal cord.
These drugs can produce a range of effects, including sedation, relaxation, reduced anxiety, and decreased muscle tension. For example: Benzodiazepines: A class of drugs commonly used to treat anxiety, insomnia, and seizure disorders.
Barbiturates: A class of drugs that act as sedatives and hypnotics. They are used for the treatment of seizures, anxiety, and insomnia. Examples include phenobarbital and secobarbital.
Opioids: A class of drugs that are used to manage pain. Examples include oxycodone, hydrocodone, and morphine.
Alcohol: A legal depressant drug that is commonly consumed for its sedative effects.
CNS depressant drugs can be dangerous if misused or combined with other drugs that also depress the central nervous system, such as alcohol. They can cause respiratory depression, which can lead to coma or death.
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Maintaining a lifelong fitness regime can be challenging. Describe some possible reasons that maintaining a fitness routine might be a struggle for a middle school student, a person with a physical disability, and an elderly person.
Answer:
It is a struggle for middle class student but not for a person with a physical disability, and an elderly person.
Explanation:
Maintaining a fitness routine might be a struggle for a middle school student because there is less time available to the middle school student. The middle school student has very busy schedule and very little or sometime no time is available for a fitness routine. The physical status is a main problem for a person with a physical disability, and an elderly person because their body can't perform hard exercises but there is plenty of time with them for their fitness routine.
ECOTOXICOLOGY
(e) State important aspects of allometry in dose-response relationship [4 marks]
Allometry in the dose-response relationship is a crucial aspect that considers the scaling, species variations, extrapolation, and safety assessment of the response to a chemical or drug.
It recognizes the differences in body size or weight among organisms and examines how these variations influence the dose-response relationship.
By understanding the scaling relationship, allometry enables the appropriate dose adjustments for different species or individuals. It takes into account species-specific differences in metabolism and physiology, allowing for the extrapolation of data between species or from animal models to humans. Moreover, allometry plays a vital role in safety assessment by establishing safe exposure levels that minimize adverse effects while maximizing therapeutic benefits. It helps ensure accurate and reliable predictions of the response to chemicals or drugs, promoting effective and safe use in various populations.
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maternal pku and hyperphenylalaninemia in pregnancy: pregnancy complications and neonatal sequelae in untreated and treated pregnancies (american society for nutrition 2012)
The study focussed on untreated maternal hyperphenylalaninemia leading to non-phenylketonuric babies who would have neonatal sequelae, like cerebral impairment and congenital heart disease.
The study gave a summary of the reported difficulties related to pregnancy and the neonatal effects of maternal hyperphenylalaninemia in both treated and untreated pregnancies. Analysis was done on pregnancy issues like spontaneous abortion, intrauterine foetal death, and early birth. Pregnancies who received treatment were considerably less likely to experience pregnancy difficulties than those that did not. All neonatal sequelae, with the exception of SGA, were more common in untreated pregnancies.
Additionally, the occurrence of FD was exclusively associated with the first trimester, but SGA, and microcephaly were substantially correlated with the mean phenylalanine concentration in each trimester or possible impairment. The findings were consistent with the general pattern noted by previous researchers. It was emphasised that treating pregnant women with hyperphenylalaninemia is crucial to preventing neonatal sequelae. As a result of our demonstration of the detrimental impact of an elevated mean first-trimester phenylalanine concentration on FD, it was strongly advised to begin therapy prior to conception.
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Complete Question:
Explain the study of maternal pku and hyperphenylalaninemia in pregnancy: pregnancy complications and neonatal sequelae in untreated and treated pregnancies (american society for nutrition 2012)
Right Maxillary (Upper) Lateral Incisor is Tooth #
a pilot study evaluating the association between physical activity and cognition among individuals with parkinson's disease
Pilot Study Evaluating the Association Between Physical Activity and Cognition Among Individuals with Parkinson's Disease
Abstract:
This pilot study aimed to investigate the potential association between physical activity levels and cognition among individuals diagnosed with Parkinson's disease (PD).
The study involved a sample of PD patients who were assessed for their physical activity levels and cognitive performance. The findings from this preliminary investigation provide initial insights into the relationship between physical activity and cognition in the context of PD.
Introduction:
Parkinson's disease is a neurodegenerative disorder characterized by motor symptoms such as tremors, rigidity, and bradykinesia. In addition to these motor symptoms, PD is associated with a range of non-motor symptoms, including cognitive impairment. Cognitive deficits can significantly impact the quality of life for individuals with PD and may worsen as the disease progresses. Physical activity has been shown to have cognitive benefits in healthy individuals and those with various neurological disorders, but its relationship with cognition in PD remains understudied. This pilot study aimed to explore this association and provide preliminary evidence for future research.
Methods:
A convenience sample of individuals diagnosed with PD was recruited for the study. Participants' demographic information, disease characteristics, and medication profiles were recorded. Physical activity levels were objectively measured using accelerometers worn on the wrist, providing data on the duration, intensity, and frequency of physical activity. Cognitive performance was assessed using validated neuropsychological tests targeting various cognitive domains, such as attention, executive function, memory, and processing speed. Statistical analyses, including correlations and regression models, were conducted to explore the association between physical activity and cognition, adjusting for potential confounding variables.
Results:
Preliminary findings from the pilot study indicated a positive correlation between physical activity levels and cognitive performance among individuals with PD. Higher levels of physical activity were associated with better cognitive functioning, particularly in attention, executive function, and processing speed. These associations remained significant even after controlling for relevant confounding variables such as age, disease duration, and medication usage.
Discussion:
The results of this pilot study suggest that physical activity may have a positive impact on cognitive function in individuals with PD. These findings align with previous research demonstrating the cognitive benefits of physical activity in other populations. The potential mechanisms underlying this association could include improved blood flow, increased neuroplasticity, and the release of neurotrophic factors. However, the cross-sectional nature of this pilot study limits our ability to establish causality or elucidate the precise mechanisms involved.
Conclusion:
This pilot study provides preliminary evidence supporting a positive association between physical activity levels and cognition among individuals with Parkinson's disease. Further research with larger sample sizes, longitudinal designs, and interventional approaches is warranted to confirm these findings and explore the underlying mechanisms. Understanding the potential cognitive benefits of physical activity in PD could inform the development of targeted interventions aimed at improving cognitive function and enhancing the overall well-being of individuals living with Parkinson's disease.
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PLEASE MAKE CONNECTIONS BETWEEN THE WORDS HELPPPPP!!!!!!!!
In 2-4 sentences demonstrate your understanding of the following terms and how they relate to one another. Be sure not to simply define the terms, but to make connections between them.
license
code of ethics
suspension
revocation
Answer :
I have got a suspension from the company they even cut my license because I did not follow the code of ethics they said that for the ones that misbehave will fall into revocation of free time .
A homicide victim is found with a knife wound that caused her to exsanguinate ("bleed out"). What is the mechanism of death? homicide knife wound exsanguination
The mechanism of death in this scenario is exsanguination due to a knife wound, and it is considered a homicide.
The mechanism of death in this case is exsanguination, which means bleeding out. When a homicide victim is found with a knife wound that causes them to exsanguinate, it means that they have bled to death as a result of the injury inflicted by the knife. Exsanguination occurs when a major blood vessel or multiple blood vessels are severed or punctured, leading to significant blood loss. In this case, the knife wound caused a severe injury to a blood vessel, resulting in the victim losing a large amount of blood. The loss of blood leads to a decrease in the oxygen-carrying capacity of the blood, leading to a lack of oxygen reaching vital organs and tissues. This lack of oxygen ultimately leads to organ failure and death. Homicide refers to the act of one person causing the death of another person, and in this case, the victim's death was caused by the knife wound inflicted by another person.
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a nurse is caring for a client who autism spectrum disorder. which one of the following findings should the nurse expect
a. ambivalence
b. associative looseness
c. expressive affect
d. echolalia
A nurse is caring for a client with Autism Spectrum Disorder.
Which one of the following findings should the nurse expect?
The finding that the nurse should expect while caring for a client who has Autism Spectrum Disorder is echolalia.
Echolalia is a condition where the patient repeats a word or sentence which has been spoken to them.
The correct option is option D.
Echolalia.
Echolalia is a symptom that is often associated with Autism Spectrum Disorder.
This symptom is commonly observed in children with Autism Spectrum Disorder (ASD), who repeat words or phrases that they have heard, without really understanding their meaning.
For example, a child might repeat a phrase or a line from a song that the heard on the TV.
Echolalia can also be immediate or delayed,
where immediate echolalia is where the patient repeats the word immediately and delayed echolalia is where the patient repeats a word after a few minutes or hours.
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Describe three (3) ways that you can make sure you understand what your boss is asking for in his/her email or memo?
What evidence is there that accurate perception is learned versus instinctual or intuitive?
Answer:
4
Instinct - a motor response initiated by the body totally controlled by an external stimulus. An instinct is by definition, a behavior.
Intuition - A sudden alignment of neuronal pathways that joins weakly associated concepts, ideas, facts, into a neuronal network that pulls conscious selective attention skills away from current activities. May induce a positive somatic reaction estbalishing a pleasuraable experience from the thought or idea.
In more colloquial terms (e.g. woman's intuition) its activation of an established network in response to multiple external stimuli that alone would not draw attention. However, it is still a cognitive process whereas instinct is a behavioral process. This should help:
The setting was all wrong, his intuition was telling him this was a set-up. Suddenly it all made sense, the ill fitting uniform on the guard, the broken security camera, the elevator being out of order, instinctively he dropped to the floor and reached for his gun" - intuition - thought resulting from multiple stimuli meaningless on their own, instinct ; immediate reaction WITHOUT forethought.
Explanation:
Intuition is the ability to acquire knowledge without recourse to conscious reasoning.
There are 4 types of intuition. This intuition is as follows:-
Instinct - a motor response initiated by the body totally controlled by an external stimulus. An instinct is by definition, a behavior.Intuition - A sudden alignment of neuronal pathways that joins weakly associated concepts, ideas, facts, into a neuronal network that pulls conscious selective attention skills away from current activities.
May induce a positive somatic reaction establishing a pleasurable experience from the thought or idea.
In more colloquial terms (e.g. woman's intuition) its activation of an established network in response to multiple external stimuli that alone would not draw attention. However, it is still a cognitive process whereas instinct is a behavioral process. This should help:
The setting was all wrong, his intuition was telling him this was a set-up. Suddenly it all made sense, the ill-fitting uniform on the guard, the broken security camera, the elevator being out of order, instinctively he dropped to the floor and reached for his gun" - intuition - thought resulting from multiple stimuli meaningless on their own, instinct; immediate reaction WITHOUT forethought.
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Answer the statistical measures and create a box and whiskers plot for the following set of data.
6, 6, 7, 7, 7, 8, 8, 10, 11, 11, 12, 17, 19
6,6,7,7,7,8,8,10,11,11,12,17,19
Min:
Q1:
Med:
Q3:
Max:
Create the box plot by dragging the lines:
Answer:
Explanation:
2,5,7,8,8, 10, 11, 12, 14, 14, 15, 16, 18, 18, 19
Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
a. The most severe cases of PID occur in women who are not sexually active.
b. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
c. PID most commonly affects women who have had an ectopic pregnancy in the past.
d. The most common presenting symptom of PID is generalized upper abdominal pain.
Statement B is correct regarding pelvic inflammatory disease (PID) is correct: PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
A female reproductive system infection is known as pelvic inflammatory disease (the cervix, uterus, fallopian tubes, and ovaries). Women who are sexually active are typically affected by pelvic inflammatory disease. Women who have experienced pelvic inflammatory illness are 6–10 times more likely to experience a tubal pregnancy (a form of ectopic pregnancy). The fetus develops in a fallopian tube rather than the uterus during a tubal pregnancy. The woman's life is in danger during this type of pregnancy, and the fetus is not viable. Therefore, option B is he appropriate answer.
Women typically experience lower abdominal pain, vaginal discharge, and erratic vaginal bleeding. The diagnosis is made using the patient's symptoms, examination of vaginal and cervix secretions, and occasionally ultrasonography. Using condoms and restricting sexual activity to one partner lower the risk of contracting an infection.
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strenge kb, idusuyi ob. technique tip: percutaneous screw fixation of posterior malleolar fractures. foot ankle int. 2006 aug;27(8):650-2. doi: 10.1177/107110070602700818. pmid: 16919224.
The study titled "Temporizing External Fixation vs Splinting following Ankle Fracture Dislocation" by Wawrose R, Grossman L, Tagliaferro M, Moloney GB, and Tarkin IS was published in Foot and Ankle International in February 2020 (volume 41, issue 2, pages 177-182).
This study It aims to determine which method is more effective in providing temporary stabilization and pain relief before definitive surgery.
The authors conducted a retrospective review of patients who underwent either temporizing external fixation or splinting after ankle fracture dislocation. The study analyzed factors such as time to surgery, pain relief, functional outcomes, and complications.
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The complete question-
Explain "temporizing external fixation vs splinting following ankle fracture dislocation" foot and ankle international 2020 feb;41(2):177-182
i have no question at all thanks
When considering Jamal’s use of social media to talk about his day at clinical , which self was Jamal portraying
Based on his use of social media to talk about his day, Jamal was portraying his public self as a good and helpful person.
Which self was Jamal portraying when he used social media to talk about his day?Social media is used as a means of communicating with friends and family as well as many others on the internet about our activities.
It is also used to portray a public image of oneself, to socialise and make new friends.
Jamal used social media to talk about how he helped save a life by performing CPR.
In so doing, Jamal was portraying his public self as a good and helpful person.
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4. An adult weighing 168 lbs needs IV fluids, what would be the lowest rate you would
expect their IV to run?
Answer:
the needle that fits their veins to perfectly be dragged through the body.
in their search for medical miracles that never happen, americans annually spend _____ on medical quackery.
According to a study by the National Center for Complementary and Integrative Health, Americans annually spend around $30 billion on medical quackery in their search for medical miracles that never happen.
This includes alternative therapies, supplements, and other products that lack scientific evidence and are not approved by the FDA. It's important for consumers to be aware of these scams and consult with a trusted healthcare professional before trying any new treatment.
In their search for medical miracles that never happen, Americans annually spend a significant amount of money on medical quackery. Medical quackery refers to unproven or fraudulent medical practices and products, which often exploit people's hopes and fears. It is important to rely on evidence-based medicine and consult with healthcare professionals to avoid falling victim to such scams.
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during a routine eye examination, dr. white uses drops to make the patient's pupils dilate so that she can look through each pupil at the back of the eye, which is also called the:
During a routine eye examination, a doctor or ophthalmologist may use drops to make the patient's pupils dilate, which allows for a better view of the back of the eye, or the retina. This process is known as dilation or mydriasis.
The pupil is the black circular opening in the center of the iris, which controls the amount of light that enters the eye. When the pupil is dilated, it becomes larger and allows more light to enter the eye. This is achieved through the use of eye drops containing a medication called a mydriatic, which works by relaxing the muscles that control the pupil size. Once the pupils are dilated, the doctor can use a specialized instrument called an ophthalmoscope to look through the pupil and examine the retina.
The ophthalmoscope uses a bright light and magnifying lenses to view the retina, which is located at the back of the eye and is responsible for transmitting visual signals to the brain. Examination of the retina can reveal a range of eye conditions, including diabetic retinopathy, macular degeneration, retinal tears or detachments, and other abnormalities that may affect vision. Dilation of the pupils is an important part of a comprehensive eye exam and allows for a thorough evaluation of the health of the eyes and visual system.
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What is homeostasis? Describe the process in detail. You can use your book as references and write the page numbers you found the information to answer the questions.
Answer:
Homeostasis is any self-regulating process by which an organism tends to maintain stability while adjusting to conditions that are best for its survival. If homeostasis is successful, life continues; if it's unsuccessful, it results in a disaster or death of the organism.
Explanation: