When doctors recommended radiation treatment for my thyroid cancer, they explained the treatment’s side effects. I’d have a very sore throat and lose my voice for about six weeks. I was astounded. What? Lose my voice for six weeks? I’m a pastor! How would I cope?

Challenging days were ahead, not only for me, but also for my congregation. We trust in God, but truly did not know how God would meet our needs during this time. Our little church could not afford to pay for pulpit supply””the members had already paid for three weeks of pastors when I had surgery.

I shared my story with the board of deacons. After time for prayer and discernment, the deacons decided that they would be the pastor’s voice during this time. Six weeks””six deacons””yes, we could do it. The six weeks would cover the season of Advent through Epiphany. We traditionally light the candle on the Advent wreath each Sunday during this season, so we developed themes of hope, love, joy, and peace to go with the candle of the week. The deacons, and sometimes their spouses, signed up for the week of their choice.

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After successfully lobbying provincial and federal governments to make it easier to amend sex designations on key identity documents, transgender Canadians are now pushing for another change: to abolish gender references altogether from birth certificates.

The B.C. Human Rights Tribunal has agreed to review complaints filed by the Trans Alliance Society and a handful of transgender and intersex individuals, who argue that doctors should stop assigning the sex of a baby based on a quick inspection of the baby’s genitals at birth when there’s a possibility they may identify under a different gender, or no gender, years later.

“Birth certificates (may) give false information about people and characterize them in a way that is actually wrong, that assumes to be right, and causes people ”¦ actual harm,” said Morgane Oger, a transgender woman in Vancouver and chair of the society.

“It’s considered true and infallible when it isn’t.”

Read it all from the National Post.

Five-year-old Cooper Tidmarsh lost his foot in a lawnmower accident two weeks ago and has been in the hospital ever since ”” an ordeal that has been made less traumatic with a little TLC from an unlikely source.

A robot.

MEDi is two feet tall and weighs 11 pounds ”” and looks he belongs on a shelf at a high-end toy store. He’s all fun and games, but for a very serious purpose.

At six hospitals in Canada and one in the United States, MEDi is helping to lower stress for children getting uncomfortable procedures, tests or shots.

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After a lifetime of abusing drugs, Horace Bush decided at age 62 that getting clean had become a matter of life or death. So Mr. Bush, a homeless man who still tucked in his T-shirts and ironed his jeans, moved to a flophouse in Brooklyn that was supposed to help people like him, cramming into a bedroom the size of a parking space with three other men.

Mr. Bush signed up for a drug-treatment program and emerged nine months later determined to stay sober. But the man who ran the house, Yury Baumblit, a longtime hustler and two-time felon, had other ideas.

Mr. Baumblit got kickbacks on the Medicaid fees paid to the outpatient treatment programs that he forced all his tenants to attend, residents and former employees said. So he gave Mr. Bush a choice: If he wanted to stay, he would have to relapse and enroll in another program. Otherwise, his bed would be given away.

“”˜Do what you do’ ”” that’s what he told me,” Mr. Bush recalled.

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At the heart of the gospel is a narrative of creation, brokenness, redemption and reconciliation, and new creation. Kinghorn turns to this narrative for a rich language and set of practices through which each war veteran can understand “what it means to be claimed by a God who created a good world.” He points out that in Jesus Christ, we have a “paradigm of mental health and flourishing.” After all, Jesus was once rumored to suffer from mental illness (Mark 3:21) and endured physical and mental anguish. The church has language and practices to foster healing for veterans: lament, confession, and reconciliation. All of these allow us to “listen, reflect, bear, and grieve” with our veterans.

The church can acknowledge that while war may sometimes be justified, says Kinghorn, it is “always a tragic manifestation of human brokenness.” We also have the hope of the Resurrection, and “the peace that is not simply the attenuation of distress but, rather, the right and ordered alignment of desire toward God and to God’s good creation.” Finally, we have the “healing resources of the community,” which can be brought to bear as we create spaces where veterans can experience reconciliation.

Churches and faith-related organizations have launched programs in recent years to better care for veterans’ mental and spiritual health. The Brite Divinity School in Fort Worth, Texas, started the Soul Repair Center in 2012 with a focus on research and recovery methods for those suffering from moral injury. They serve as a resource to educators, caregivers, employers, and religious and nonprofit organizations in general. Partners in Care, initiated by a chaplain in the Maryland National Guard and later expanded by chaplains in the Missouri National Guard, connects soldiers to their local congregations. Wheat Ridge Ministries, a Lutheran organization committed to assisting local congregations’ healthcare ministries, gave a grant to a Lutheran pastor and former Minnesota National Guard chaplain to help widely distribute his book Welcome Them Home, Help Them Heal to congregations.

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When Tricia Salese called her local pharmacy for a price check on her next prescription refill, she was stunned when the pharmacist told her the cost of her generic-brand pain medication had gone up again.

Salese, 49, started talking fentanyl citrate, the generic version of Actiq, a powerful painkiller, in 2010, and she takes three doses per day. Back then, she said, the price per dose was 50 cents. Now, the pharmacist told her when she called, it was going to cost her $37.49 per dose.

“I thought $25 [per dose for generics] was a lot. $37 is just– What is this stuff made of? I mean, this is ridiculous,” Salese said.

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A liturgy to “mark a person’s gender transition” should be devised to help the Church welcome and affirm transgender people, a motion from the diocese of Blackburn suggests. The motion was sent for consideration to the General Synod last month, after being carried by the diocesan synod.

Its origins lie in a service led last year by the Vicar of St Mary’s, Lancaster, the Revd Chris Newlands, after a young man had asked to be “rebaptised”, explaining that he had been baptised as a girl.

“He said: ‘I don’t think God knows me; so I would like to be introduced to God as a man,'” Mr Newlands recalled on Tuesday. A liturgy was devised, drawing on the initiation service, which enabled the man to reaffirm his baptismal vows.

“It was just a very simple pastoral response to something which came out of the blue,” Mr Newlands said. “It was really moving, as he felt he was in a proper relationship with God. He just wanted God to know his new name.”

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Come graduation day, I know I won’t be the only parent with invisible armor who worried that a diploma might be knocked out of reach or rendered irrelevant by bigger issues. There is an epidemic of depression and anxiety in our schools”“and I suspect we’re only documenting a fraction of the problem. So while there will be tall young women, cool and confident in their caps and gowns, some will have spent eight weeks at grueling wilderness camps foraging for food because they stopped eating at home. There will be brilliant boys who cut themselves, a tangible reflection of wounds they get in the social-media Thunderdome. There will be kids who don’t have safe homes, or homes at all, and others who have everything but a purpose.

And the school auditorium will be filled with the parents who’ve soldiered on, mortgaged houses to pay for substance rehab, spent more time in emergency sessions with teachers than on vacation, who turned the city upside down to get their son a place at that last-chance school. They know about the impossible choices and disappointments that aren’t in any parenting book. And they include some of the people you think have done everything right. Sometimes what looks like indulgent, competitive helicopter parenting is really a desperate fight to be ordinary. For all of them, this rite of passage is anything but ordinary, but you wouldn’t know it.

Sometimes it feels like a secret society. Kid trouble is the last taboo, after all. We confess to infidelity or Botox or grownup mental-health battles, but we cover up or downplay our most visceral fears about our children even when we’re talking to our oldest friends. It’s the topic that makes us most vulnerable. Which is all the more reason to celebrate a diploma.

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In England and Wales, the Suicide Act 1961 makes it an offence to encourage or assist a suicide or a suicide attempt.

Former Lord Chancellor Lord Falconer said he would attempt to reintroduce a bill that would allow assisted dying in the UK.

He said it was “completely wrong” that terminally ill people did not have the option to end their life.

“Whatever your take on the subject, it should be debated,” Lord Falconer told the BBC.

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This spring, the journal International Archives of Medicine published a delicious new study: According to researchers at Germany’s Institute of Diet and Health, people who ate dark chocolate while dieting lost more weight…

It was unbelievable news. And reporters shouldn’t have believed it.

It turns out that the Institute of Diet and Health is just a Web site with no institute attached. Johannes Bohannon, health researcher and lead author of the study, is really John Bohannon, a science journalist. And the study, while based on real results of an actual clinical trial, wasn’t aimed at testing the health benefits of chocolate. It was aimed at testing health reporters, to see if they could distinguish a bad science story from a good one.

In many cases, they couldn’t.

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One morning recently, a dozen college students stepped out of the bright sunshine into a dimly lit room at the counseling center here at the University of Central Florida. They appeared to have little in common: undergraduates in flip-flops and nose rings, graduate students in interview-ready attire.

But all were drawn to this drop-in workshop: “Anxiety 101.”

As they sat in a circle, a therapist, Nicole Archer, asked: “When you’re anxious, how does it feel?”

“I have a faster heart rate,” whispered one young woman. “I feel panicky,” said another. Sweating. Ragged breathing. Insomnia….

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A different health care issue has emerged for Democrats, in sync with the party’s pitch to workers and middle-class voters ahead of next year’s elections.

It’s not the uninsured, but rather the problem of high out-of-pocket costs for people already covered.

Democrats call it “underinsurance.”

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I will take comments on this submitted by email only to KSHarmon[at]mindspring[dot]com.

Express Scripts Holding Co. , a large manager of prescription-drug benefits for U.S. employers and insurers, is seeking deals with pharmaceutical companies that would set pricing for some cancer drugs based on how well they work.

The effort is part of a growing push for so-called pay-for-performance deals amid complaints about the rising price of medications, some of which cost more than $100,000 per patient a year.

Some insurers and prescription-benefit managers are pushing back by arguing that they should pay less when drugs don’t work well in certain patients. Drug companies are countering with pricing models of their own, such as offering free doses during a trial period.

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Hundreds of former players have filed a lawsuit claiming all 32 NFL teams, their doctors, trainers and medical staffs obtained and provided painkillers to players ”” often illegally ”” as part of a decades-long conspiracy to keep them on the field without regard for their long-term health.

The lawsuit reprises some of the allegations made in a federal lawsuit last year on behalf of 1,300 former players against the NFL. That complaint was filed in May, 2014 and dismissed in December by Judge William Alsup of the U.S. Northern District in California. Alsup wrote that the collective bargaining agreement between the league and the NFL Players Association was the appropriate forum to resolve such claims. That decision is being appealed.

The new lawsuit was filed Thursday in the U.S. Northern District of Maryland. It names each NFL team individually as a defendant and lists 13 plaintiffs, including Hall of Fame cornerback Mel Renfro of the Dallas Cowboys and Etopia Evans, the widow of Charles Evans, a running back who played eight years with the Minnesota Vikings and the Baltimore Ravens and retired after the 2000 season. Evans died of heart failure in October 2008 at age 41.

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Boys who smoke cannabis before puberty could be stunting their growth by more than four inches, a new study suggests.

Researchers found that youngsters who were addicted to the drug were far shorter than their non-smoking peers.

And they also discovered that rather than being a relaxing pass time, smoking dope actually makes the body more stressed in the long term.

“Marijuana use may provoke a stress response that stimulates onset of puberty but suppresses growth rate,” said study leader Dr Syed Shakeel Raza Rizvi, of the Agriculture University Rawalpindi in Pakistan.

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The Lobleins are among thousands of couples and individuals in the United States grappling with difficult choices regarding their stored genetic material. The Department of Health and Human Services estimates that more than 600,000 frozen embryos are stored nationwide, in addition to countless more cryo-preserved eggs and sperm.

The issue made for dramatic headlines recently as “Modern Family” star Sofia Vergara was hit with a lawsuit by her ex-fiance, who wants custody of their two fertilized embryos to use for a potential pregnancy. But for most people who have used assisted reproductive technologies, the question of what to do with frozen eggs, sperm and embryos plays out in a much more private, if no less wrenching, manner.

“Having embryos in limbo is a huge problem for our field,” says Eric Widra, medical director at Shady Grove Fertility Center, which has locations throughout the Washington area. “Parents are apprehensive or conflicted and don’t know what to do.”

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A “groundbreaking” cystic fibrosis therapy could profoundly improve patients’ quality of life, say doctors.

Patients often die before their 40s as mucus clogs and damages their lungs and leaves them prone to infection.

A major trial on 1,108 patients, in the New England Journal of Medicine, showed a combination of drugs could bypass the genetic errors that cause the disease and may increase life expectancy.

The Cystic Fibrosis Trust said it could “improve the lives of many”.

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While some cohabiting adults seem happy enough to live together without marriage, what about their children? It is an important question considering that about one in four American children today are born to cohabiting parents. According to Child Trends, the number of cohabiting couples with children under 18 has nearly tripled since the late 1990s””increasing from 1.2 million in 1996 to 3.1 million in 2014. The National Center for Health Statistics reports that the majority of recent non-marital births (58 percent) are to unmarried women living with their child’s father.

On the surface, the trend away from divorced or unwed mothers raising kids on their own, toward more children living with both of their parents, seems like a positive one for children raised outside of marriage. However, when it comes to child well-being, cohabiting unions more closely resemble single motherhood than marriage. As eighteen noted family scholars stated in a 2011 report from the National Marriage Project, “cohabitation is not the functional equivalent of marriage,” and it is “the largely unrecognized threat to the quality and stability of children’s lives today.”

For children, the differences between cohabiting and married parents extend far beyond the lack of a marriage license. Compared to children of married parents, those with cohabiting parents are more likely to experience the breakup of their families, be exposed to “complex” family forms, live in poverty, suffer abuse, and have negative psychological and educational outcomes.

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It would be unethical and a “sin of omission” to prevent the genetic engineering of embryos, a leading scientist has argued.

Cloning pioneer Dr Tony Perry told the BBC that advances in genetics posed a “wonderful opportunity” for eliminating diseases such as cystic fibrosis.

Last month, a group in China announced it was the first to successfully edit the genome of a human embryo.

Other scientists say it is unnecessary and a line that should not be crossed.

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So I am going to talk about what I know ”“ depression and anxiety. I find it hard to fully describe what happens in my brain because honestly, I don’t know what is normal and what is not, but I will give it a go.

Getting up in the morning is the hardest part of any day, not because I am lazy, but because waking up hurts. I am so tired every minute of every day, that there is always a need for more sleep, but, I have to get up so I do. This is the first battle I face each day.

Then all I need to do is survive the day. From the moment I am up, I battle negative thoughts. For my whole adult life, I have been unable to look myself in the mirror as me. I always pretend to be someone else, it’s been easier that way. However, recently I have started to be me and it is very hard not to look at myself and hate what I see. This is not about my image so much as just seeing the face of someone you really don’t like so close. Learning to look myself in the eye and seek out something about myself that I actually like takes enormous energy and effort. This is the next big battle of my day.

You can read the rest of her blog post here and an article about it there.

While Ebola still haunts Guinea and Sierra Leone, where infections have dwindled but refuse to disappear, Liberia has passed a remarkable threshold: at least 42 days since its last Ebola victim was buried, or twice the maximum incubation period of the virus, according to the W.H.O.

Even before reaching that official marker, the nation was trying to stitch itself back together after more than 4,700 deaths from the disease, by far the most of any nation in the epidemic. Liberia has reopened markets, clinics and schools, eager to move past an outbreak so devastating that it “has changed our way of life,” as President Ellen Johnson Sirleaf put it.

Similar efforts are taking place inside churches as well, bedrock institutions in West African society that were at once a place of succor and a source of contagion during the outbreak.

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The prevalence of sexting and cyber-bullying among today’s youngsters will lead to an epidemic of depression and anxiety when they grow up, a leading psychiatrist has warned.

Dr Natasha Bijlani, consultant psychiatrist at the Priory Hospital Roehampton, said that teenagers and young adults were already suffering low self-esteem, body image issues and self-harming tendencies because their childhood had been scarred by online and digital abuse.

Some were seeking help while they were still young but they were the “tip of an iceberg”, with many more simply soldiering on, thinking that was how life is nowadays. However, these untreated problems left them vulnerable to serious depression later on.

“Episodes in childhood are often repressed. Children often fear reporting abuse, and only later in life do these issues surface in the form of depression, stress and anxiety and other serious psychological conditions,” Dr Bijlani said. “This relatively new phenomenon of sexting, where explicit texts and ­pictures are sent between smartphone devices, seems to have become endemic, and we are not sure of the long-term consequences.”

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When Melissa Mira suffered sudden heart failure at the end of her second pregnancy last year, she worried first about her health and her baby ”” then about the more than $200,000 in medical bills that began rolling in.

“Your world is just crashing down around you and you wonder: ”˜How is this going to be covered?’”‰” recalled Mira, 30, who spent more than a month away from her Tacoma home, hospitalized at the University of Washington Medical Center.

For Mira and her family, the answer came not through traditional health insurance, but through faith that fellow Christians would step forward to pay the bills.

The Miras ”” including daughter Jael, 4, and baby Sienna Rain, now a healthy 9-month-old ”” are among the growing numbers of people looking to “health care-sharing ministries” across the U.S.

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During medical school, I spent countless evenings in a library, half-asleep, poring over textbooks and talking through cases with other medical students. What I did not do, ever, was take a class with anyone studying to be a nurse, physician assistant, pharmacist or social worker. Nor did I collaborate with any of these health professionals to complete a project, participate in a simulation or design a treatment plan. It wasn’t until residency that I first began to understand just how many professions come together to take care of a single patient ”” what exactly they do, how they do it, and how what I do makes their jobs easier or harder.

As a first-year resident, you finally learn to put into practice the theory of medicine you have been nurturing since fumbling around with organic chemistry models in college. You learn in a safe and hierarchical environment ”” with senior residents, fellows, consultants and attending physicians each demonstrating, with increasing degrees of nuance and sophistication, how much clinical medicine you have yet to learn and how far you have left to go.

But, in all that time, there is surprisingly little education on what it means to be a leader of a medical team, with its nurses, physician assistants, pharmacists, respiratory therapists, physical therapists, dieticians and case managers. There is even less discussion of how to understand one another’s roles, perspectives, frustrations and limitations….

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From the Brave New World Department…

Fourteen U.S. and Canadian cancer institutes will use International Business Machines Corp’s Watson computer system to choose therapies based on a tumor’s genetic fingerprints, the company said on Tuesday, the latest step toward bringing personalized cancer treatments to more patients.

Oncology is the first specialty where matching therapy to DNA has improved outcomes for some patients, inspiring the “precision medicine initiative” President Barack Obama announced in January.

But it can take weeks to identify drugs targeting cancer-causing mutations. Watson can do it in minutes and has in its database the findings of scientific papers and clinical trials on particular cancers and potential therapies.

Faced with such a data deluge, “the solution is going to be Watson or something like it,” said oncologist Norman Sharpless of the University of North Carolina Lineberger Cancer Center. “Humans alone can’t do it.”

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That the Great Recession of 2007-09 made Americans have fewer kids is no surprise, but a new study shows how big the toll was.

Birth rates for U.S. women in their 20s dropped more than 15% between 2007 and 2012, just before and after the recession, the Urban Institute, a nonpartisan policy research group, said in a new analysis of data from the Centers for Disease Control & Prevention released Tuesday.

Among Hispanic 20-somethings, the birth rate dropped 26%. Non-Hispanic blacks? 14%. By contrast, non-Hispanic white 20-somethings saw an 11% decline.

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Last August, I filed a complaint in Santa Monica, Calif., using pseudonyms, to protect two frozen embryos I created with my former fiancée. I wanted to keep this private, but recently the story broke to the world. It has gotten attention not only because of the people involved ”” my ex is Sofía Vergara, who stars in the ABC series “Modern Family” ”” but also because embryonic custody disputes raise important questions about life, religion and parenthood.

When we create embryos for the purpose of life, should we not define them as life, rather than as property? Does one person’s desire to avoid biological parenthood (free of any legal obligations) outweigh another’s religious beliefs in the sanctity of life and desire to be a parent? A woman is entitled to bring a pregnancy to term even if the man objects. Shouldn’t a man who is willing to take on all parental responsibilities be similarly entitled to bring his embryos to term even if the woman objects? These are issues that, unlike abortion, have nothing to do with the rights over one’s own body, and everything to do with a parent’s right to protect the life of his or her unborn child.

In 2013, Sofía and I agreed to try to use in vitro fertilization and a surrogate to have children. We signed a form stating that any embryos created through the process could be brought to term only with both parties’ consent. The form did not specify ”” as California law requires ”” what would happen if we separated. I am asking to have it voided.

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Judge Fabricius, quoted in local media, said the ruling applied only to Mr Stransham-Ford and that future cases would be debated on their merits.

“It is not correct to say from now on it will be a free-for-all,” he is quoted as saying.

The justice and health ministers, as well as the Health Professions Council of South Africa, have opposed the legal case.

Dignity SA said it would welcome an appeal as a chance to test the right to die against the constitution, the Associated Press news agency reports.

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Self-esteem, the kind that comes from finding the sweet spot between a healthy fondness for yourself and healthy self-skepticism, tends to get harder to come by the older we get. For a kid, self-esteem can be as close at hand as a sports victory or a sense of belonging in a peer group. It’s a much more complicated and elusive proposition for adults, subject to the responsibilities and vicissitudes of grown-up life.

For college students, caught in that muddy crossing between childhood and independence, going through a phase in which they can’t tell the difference between caring for themselves and declaring their own importance at every turn may actually be something of a rite of passage, albeit one as ridiculous as returning from a semester abroad with a foreign accent.

But if, in fact, this confusion is more than just a phase, if what we’re dealing with is a generation ”” and, increasingly, an entire culture ”” for whom self-righteousness and self-esteem are essentially interchangeable, we’re in trouble. Because self-righteousness, when you think about it, is a contra-indicator of self-esteem. It’s what sets in when genuine righteousness eludes us. And if we spend our lives inside safe spaces writing love letters to ourselves, just about everything else will elude us too.

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Two contrasting stories this week have thrown into sharp relief the complex relationship between humanity and science. The first was the harrowing yet inspirational story of how newborn Teddy Houlston became Britain’s youngest organ donor aged just 100 minutes old.

His parents allowed his kidneys and heart valves to be removed and given to a man 233 miles away. Why? Because it was medically possible and it felt right….

Meanwhile, across the globe, alarm is growing that Chinese geneticists have taken the first dangerous steps towards creating “designer babies”. Researchers have engineered embryos by “editing” the DNA to remove the gene responsible for the potentially deadly blood disorder thalassaemia.

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