Digital Healthcare
Article | November 29, 2023
The healthcare industry has become a prime target for cybercriminals in recent times.
According to The State of Ransomware in Healthcare 2023 report from Sophos, six in 10 healthcare organizations have been hit by ransomware in the last 12 months, up from 34% in 2021.
Among this uptick have been several headline-grabbing attacks. For example, Shields Health Care Group became the subject of the single-largest breach affecting any organization globally in April 2023, when 2.3 million patients of the Massachusetts-based medical services provider had their personal data stolen after a cybercriminal gained unauthorized access to the organization’s systems.
Meanwhile, in the UK, a ransomware attack on the University of Manchester occurred in June, affecting an NHS patient data set holding information on 1.1 million patients across 200 hospitals.
Critically, the wealth of data housed in healthcare networks, and the potential impact of data unavailability in healthcare, make the industry both attractive and lucrative to threat actors.
It’s no coincidence that the Sophos report shows the rate of encryption in the healthcare sector is at its highest level in recent years. Of those healthcare organizations which suffered a ransomware attack in 2023, 73% had their data encrypted – up from 61% in 2022. When cybercriminals can successfully take down hospital systems and/or encrypt patient data so it can’t be used, they can blackmail health service providers, demanding significant sums before reinstating systems and/or data availability.
Considering healthcare's critical role as the highest-stake industry in our society, where people's lives depend on its success, the likelihood of attackers achieving their goals is greater than in other sectors, as confirmed by the Sophos report. Indeed, of the 73% of healthcare organizations that had their data encrypted, 42% reported that they paid the requested ransom to recover data.
DSPT and the compliance burden
Without question, the security-related challenges in healthcare are mounting. Right now, industry organizations are operating against a backdrop of unprecedented operational and workforce pressures, spiralling demand for care and industrial action.
Moreover, there is a growing regulatory burden, with organizations continually asked to comply with evolving cybersecurity rules, battling with multiple compliance mandates at any given time.
Take the NHS as an example. According to the 2023 NHS Providers’ Regulation Survey, just over half (52%) of respondents said the regulatory burden on their trust had increased. And this is expected to ramp up further in the future, with the UK government setting out a new 2030 strategy aimed at bolstering cyber resilience in healthcare.
Among the compliance burdens that the NHS faces is the challenge of meeting the requirements of the newly updated Data Security and Protection Toolkit (DSPT).
Mandated to minimize cyber risks and enable healthcare providers to maintain a robust information security posture, the DSPT is not a simple checklist of security controls, but a comprehensive toolkit to evaluate current security maturity and establish a risk management programme.
Indeed, in more recent times, DSPT has moved away from being a guide for achieving certain levels of assurance, and toward a mandatory evidence-based system which demands NHS organizations align with 10 precise National Data Guardian (NDG) standards: 1. The organization assures good management and maintenance of identity and access control for its networks and information systems. 2. The organization closely manages privileged user access to networks and information systems supporting essential services. 3. The organization ensures passwords are suitable for the information being protected. 4. Process reviews are held at least once a year where data security is put at risk and following security incidents. 5. Action is taken to address problems as a result of feedback at meetings. 6. All user devices are subject to anti-virus protections, while email services benefit from spam filtering and protection deployed at the corporate gateway. 7. Action is taken on known vulnerabilities based on advice from NHS Digital, and lessons are learned from previous incidents and near misses. 8. The organization has a defined, planned and communicated response to data security incidents impacting sensitive information or key operational services. 9. The organization has demonstrable confidence in the effectiveness of the security of technology, people, and processes relevant to essential services. 10. The organization securely configures the network and information systems that support the delivery of essential services.
Reducing Compliance Challenges with the Right Solutions
Taken individually, these standards may not seem too strenuous to adhere to. However, to be compliant with DSPT, all 10 items need to be completed and deemed ‘satisfactory’.
To tick all 10 key boxes in the most effective and efficient manner simultaneously, organizations should consider their strategy carefully. This could involve embracing supportive tools to accelerate and enhance their compliance journey.
Boiled down, DSPT demands several key things, including unincumbered visibility of the entire ecosystem, as well as the ability to demonstrate secure access, logs and storage, and essential auditing processes to maintain data security.
Achieving these things might appear complicated, even daunting. However, there are solutions known as Security Information and Event Management (SIEM) systems on the market that can make achieving these capabilities, and in turn DSPT compliance, easy.
Here, we outline some of the key features to look out for to meet compliance: • Log retention: A modern SIEM should be able to provide a centralized log storage and big data platform that scales to any organization’s size. Platforms should be able to provide role-based access to log data, including ‘data privacy’ functionality that can mask sensitive data until approved. Log data should not be modified or removed by users once ingested into the platform, while all data held should also be indexed and fully searchable. • Identifying and disabling unnecessary accounts: A good SIEM will also provide account auditing facilities for Active Directory that allow administrators to quickly identify dormant accounts. They should also be able to remove privileged user access when no longer required or appropriate. More sophisticated platforms will be able to do this in an automated manner. • Easy identification of issues: Clear and easily readable dashboards, alerts and reports for user logging activity should be provided, including failed login, apparent brute-force attempts, and bad password management practices. Further, those using machine learning will be able to identify unusual behavior patterns based on a baseline of activities of users and their peer group. • Integrate with third-party threat feeds: It will also be able to integrate with a wide variety of third-party threat feeds that provide information about specific known threat payloads/hashes and destination domains/addresses.
Meeting the mandate
Of course, having the right features in place is only part of the puzzle. For organizations to be truly successful in embracing tools that enable them to meet DSPT compliance more effectively, they should work to ensure that solutions providers offer them ongoing support – both in terms of ease of deployment and to ensure that they are using key systems in an optimal manner.
Scalability is another important aspect to consider.
Systems should be able to scale and continue to support the organization as data volumes increase and become more complex over time.
In respect of scalability, organizations should take time to think about pricing models, ensuring that these are based on the number of devices (nodes). In doing so, it will become easier to accurately budget future costs, as well as provide greater budgeting certainty over the short, medium and longer term.
A converged SIEM allows organizations to prioritize the big picture over individual tools, enabling them to develop a seamless and easy to use security operations setup. Not only does this approach boost cost transparency and eliminate potential complexities with managing a variety of siloed products – equally, it reduces the burdens on security teams, eliminating complexities over system integration and enhancing performance.
A converged SIEM combines key technologies easily to offer improved security outcomes. In doing so, organizations can easily home in on specific standards and adopt security best practices while reducing the burden on security teams tasked with meeting DSPT compliance.
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Health Technology, Digital Healthcare
Article | August 21, 2023
Workers in the healthcare industry are among the most burned out demographics following the COVID-19 pandemic. In fact, a report by Medscape on physician burnout and depression in 2022 calculated a five-percentage point increase in burnout overall, from 42% in 2020 to 47% in 2021. Critical care physician burnout was also found to increase from 44% to 51% last year, placing them at the top of Maryville University’s list of physician specialties with the highest cases of burnout. This is closely followed by rheumatology physician burnout, which was 50% in 2021. At the bottom of the list, emergency medicine physician burnout still came in close at a rate of 44%.
Burnout can result in, among other things, exhaustion and a loss of concentration, which can be dangerous in healthcare. With that, advancements in technology have been made to help mitigate stress and reduce the chances of burnout in healthcare.
Maximum Tasks, Minimum Efficiency
Reports show that many technological advancements in the healthcare industry actually aren’t appropriate for managing physician workloads. This is due to the range of tasks physicians need to perform, from creating treatment plans to managing EHRs. Our previous discussion on EHR-Generated Messages highlighted how the misapplication of this algorithm had actually led to these inboxes getting clogged. This has primary care physicians spending more than half their workday interacting with EHRs that only remind physicians to order certain tests, instead of dealing with critical messages from patients or colleagues. This has been counterproductive in terms of efficiency, leading to more burnout symptoms and the tendency to reduce clinical work hours. It is therefore important that technology integrations consistently consider the broader picture of the tasks of physicians.
Tech Developments for Reducing Burnout
Shifts in the industry have thus begun to focus on the quality of efficiency and physician assistance, rather than the quantity of technology available. Here are some notable examples of technology that has become finely integrated within the healthcare industry.
Ambient Technology in Clinical Documentation
Ambient computing streamlines the clinical documentation process by using artificial intelligence to respond to human behavior and needs. This provides front-end speech and computer-assisted documentation, reducing the time needed for physicians to work on admin tasks, and thereby minimizing burnout. Smart hospitals have started leveraging this through sensor-based solutions, and experts from Michigan University believe usage must be made easier and simpler to use for the provider if the healthcare industry is to further leverage ambient computing for CDI. As of 2021, adoption has only started to take off, especially in the revenue cycle.
Computer Modeling in Vaccine Development
The traditional process of designing novel vaccines usually lasts 10 to 15 years and can cost between $200 million and $500 million. However, a feature by News Medical highlights the recent development of COVID-19 vaccines, which uncovered the capabilities of computational modeling systems. This showed an ability to predict which parts of a pathogen may be recognized by the immune system’s B cells and T cells. This allows rapid identification of vaccine targets from a genetic sequence, which reduces the years required for preclinical research. Physicians are thus able to respond faster to vaccine developments, and reduce the overload of health systems during any future pandemics or epidemics in the long term.
Patient Placement Technology
The shortage of physicians is a common setback in the industry, one that staff at the Rice County District Hospital in Lyons, Kansas mitigated using patient placement technology. Patient placement technology coordinated care for patients inside the 25-bed, level 4 hospital, as well as those needing to be transferred to another facility. By integrating local EMS and other transport services with health systems, manual telephone calls were no longer necessary. Hence, physicians were able to quickly and effectively get patients the care they needed while managing time-critical diagnoses. This maximizes the limited resources available without stretching out the workforce. Physicians are able to focus solely on their patients, knowing that the time-consuming logistics are being efficiently handled by technology. The industry needs to continue to look into the practices of reducing burnout among physicians, more so as we continue to recover from the effects of the COVID-19 pandemic. By emphasizing physician wellness and efficient technology, we can continue to assure the health and productivity of healthcare workers into the future.
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Health Technology, Digital Healthcare
Article | July 14, 2023
Contents
1. Getting Started with LIMS Software
2. Benefits of Incorporating LIMS Software into Lab Management
3. LIMS Software Classification
4. Selecting the Right LIMS Software: A Comparison of Variants
5. How LIMS Software Revolutionized Laboratory Management
6. Future Scope
1. Getting Started with LIMS Software
Laboratory Information Management System (LIMS) software automates laboratory operations, improves productivity, and ensures the accuracy as well as reliability of laboratory data. It can be implemented in clinical laboratories, research & development labs, and environmental testing labs and tailored to meet specific needs. LIMS software seamlessly integrates with other laboratory systems, such as electronic lab notebooks and scientific data management systems.
LIMS class software enables storing and managing all information in one place, improving day-to-day work. Yet, research reveals that still 40% of industry leaders 'had not embarked on applying digital to research and development or quality control labs'.
(Source: Accenture)
2. Benefits of Incorporating LIMS Software into Lab Management
By implementing LIMS software, laboratories can significantly reduce time spent locating samples and records, entering data, and generating reports.
LIMS software also offers additional advantages when integrated into laboratory management, such as
1. Optimizing: LIMS automates laboratory processes, allowing for a paperless environment and increased productivity. It also ensures accurate test results by preventing the use of outdated instruments.
2. Automating: LIMS facilitates the input of essential sample information, including its source, date, time, and location of the collection as well as processing data.
3. Compliant: LIMS helps labs follow FDA regulations by creating an audit trail that tracks all activities, including record creation, modification, and deletion. It also enables electronic signatures to authenticate key activities and keep data secure and traceable.
4. Collaborative: LIMS streamlines inter-laboratory collaboration through the option to share data access. This allows lab technicians from disparate laboratories to be seamlessly assigned to different projects and obtain the required information without disruption.
5. Security: LIMS systems offer various mechanisms for managing user access, such as an in-built user management system with a unique username and password, integration with LDAP or Active Directory for user authentication, and access through an Identity Server.
3. LIMS Software Classification
Laboratory Information Management System software can be classified based on several criteria, including functionality, deployment model, industry focus, and the laboratory's needs.
Here is a list of critical features that can be considered while classifying LIMS software:
1. Functionality: Different LIMS software may have varying functionality, including sample tracking, data management, instrument integration, quality control, workflow management, and reporting.
2. Deployment Model: LIMS software can be deployed on-premises or in the cloud. On-premises deployment means that the software is installed and run on the laboratory's own servers, while cloud-based deployment means that the software is hosted and maintained by a third-party provider.
3. Industry Focus: LIMS software can be designed for specific industries or applications, such as pharmaceutical research, clinical laboratories, food and beverage testing, environmental testing, and more.
4. Open-Source vs. Proprietary: LIMS software can also be classified as either open-source or proprietary. Open-source software is freely available and can be modified by users, while a company owns proprietary software and requires a license to use it.
5. Scalability: The size of the laboratory and the number of users accessing the LIMS software can also be a factor in classification. Some LIMS software may be more scalable, allowing for easy expansion as the laboratory grows.
6. Integration Capabilities: LIMS software can also be classified based on its ability to integrate with other software or instruments. Some LIMS software may be more flexible and have better integration capabilities than others, allowing for seamless data exchange between different systems.
4. Selecting the Right LIMS Software: A Comparison of Variants
While selecting the most appropriate LIMS variant, the wide range of available options can pose a challenge for laboratory decision-makers. To aid in this selection process, a comprehensive comparative analysis of LIMS variants is presented below:
1. Lab managers can adopt an objective approach for evaluating and comparing different LIMS solutions by creating a grading rubric. This involves designing a table with separate columns for each LIMS vendor and rows listing the desired features as well as functionalities. To provide a more comprehensive evaluation, advanced rubrics may include rating each functionality on a particular LIMS using a scale of 1 to 5.
2. Next, it is crucial to review how LIMS solutions are structured and stored. This includes determining whether the solution is on-premise or cloud-based, either as a platform-as-a-service (PaaS) or software-as-a-service (SaaS). For optimal flexibility in the laboratory's computing structure, choosing a vendor that offers LIMS as a comprehensive solution is advantageous.
3. Data access must be controlled by using unique user IDs and passwords. Furthermore, data security standards such as HIPAA compliance and SSL encryption will likely be mandatory across many laboratory industries. It is thus imperative to carefully consider and ensure the security features of any potential LIMS solution.
4. To assess the level of support that can be expected with a particular LIMS, one effective method is to directly inquire with the software vendor about outages, response time, and plans of action to address any glitches preemptively. Managing expectations around the LIMS requires asking about the frequency of LIMS updates, including how often the platform is updated, how updates are announced and deployed, and the expected duration of any update-related outages.
5. While selecting a LIMS solution, laboratories must establish a target go-live date, especially when implementing the system in response to, or preparation for, an audit. Software vendors should provide a deployment and implementation timeline, which can be used to compare with the laboratory's objectives and goals. This helps to ensure that the LIMS solution is implemented in a timely and efficient manner.
5. How LIMS Software Revolutionized Laboratory Management
LIMS software has fundamentally revolutionized the laboratory management system in several ways. Before the advent of LIMS, laboratory operations were often paper-based and highly manual, leading to inefficiencies, errors, and inconsistencies. However, with the implementation of LIMS, laboratories have become more efficient, accurate, and compliant.
LIMS has also improved laboratory productivity, allowing scientists to focus on higher-value tasks like data analysis and interpretation. It has enabled collaboration between different laboratories, facilitating communication and knowledge sharing between scientists, researchers, and analysts, and is also leading to more significant innovation and progress in the field of science and research.
6. Future Scope
The future scope of Laboratory Information Management System software is promising as it continues to evolve and adapt to the changing needs of laboratory management. Potential developments include integrating emerging technologies such as artificial intelligence, machine learning, and robotics, cloud-based solutions for scalability and accessibility, IoT integration for automation and safety, enhanced data analytics for improved decision-making, and mobile applications for on-the-go access. Moreover, with SaaS LIMS, there are no license costs, minimal installation fees, and no need for in-house servers or databanks, resulting in reduced IT maintenance costs for hardware and software.
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Health Technology, Digital Healthcare
Article | August 16, 2023
Explore the evolution of healthcare by diving deep into these EHR trends, as they pave the way for the future of EHR. Embrace cutting-edge solutions to enhance patient care and optimize operations.
1. Introduction
2. Significance of EHR Trends
3. Top 10 EHR Trends Shaping the Healthcare Industry
3.1 EHR Interoperability
3.2 Patient-reported Outcome
3.3 Patient Portals
3.4 Generative AI
3.5 Cloud-based EHR
3.6 Voice-enabled EHRs
3.7 Predictive Analytics
3.8 Robotic Process Automation
3.9 Telehealth-EHR Integration
3.10 Blockchain for EHR Data Integrity
4. Future Scope
1. Introduction
Electronic health records (EHRs) have transformed the medical industry by revolutionizing how medical information is recorded, accessed, and utilized. This article focuses on the EHR trends and innovations that have reshaped the healthcare field, paving the way for a more efficient and patient-centric future.From enhanced interoperability to cutting-edge technologies, professionals can unravel the key trends propelling future of EHR toward a new era of healthcare delivery.
2. Significance of EHR Trends
The importance of EHR software technology trends is highlighted by their transformative influence on the healthcare sector. This transformation was further expedited by the impact of the COVID-19 pandemic, which played a critical role in the increased adoption of telehealth services. As the pandemic necessitated alternatives to in-person visits, the demand for efficient and remote medical services surged, propelling telehealth to the forefront. Yet, looking beyond pandemic responses, the ongoing adoption of EHR trends in healthcare can significantly reshape how healthcare functions. Embracing these EHR trends enhances efficiency, facilitates personalized care, improves data exchange, drives data-driven insights, and empowers patient engagement. Irrespective of global events, it remains essential for healthcare facilities to stay abreast of these trends to remain adaptable and deliver optimized care, ultimately benefiting both providers and patients.
3. Top 10 EHR Trends Shaping the Healthcare Industry
Recognizing significant industry trends becomes crucial in a field that is constantly subject to technological advancement and global change. From adopting advanced technologies to prioritizing sustainability and customer-centric approaches, these EHR trends hold the power to bring about significant transformations across the healthcare sector.
3.1 EHR Interoperability
EMRs face a notable limitation in their ability to integrate with other systems, whereas EHRs offer robust interoperability, enabling seamless data exchange among healthcare facilities. As the demand for interoperability grows, the distinction between EMRs and EHRs becomes increasingly blurred, with vendors referring to products as EMRs that closely resemble what was initially known as EHRs. In response to this trend, developers and IT specialists continually update EHR systems to comply with interoperability policies, making EHRs more appealing for organizations seeking comprehensive and connected healthcare records.
3.2 Patient-reported Outcome
Patient-reported outcome or PRO EHR integration involves incorporating patient-reported outcome measures into electronic health record systems. PROs gather information directly from patient records about their health status, symptoms, and quality of life. These insights provide valuable subjective data for healthcare providers. For orthopedic patients at the clinic, completing surveys on their smartphones via a mobile link is easy. Clinicians can access patient responses during or after appointments to offer tailored care recommendations based on survey readings. Access to patient-reported outcome data empowers clinicians to deliver patient-centered care, fostering greater patient involvement in their treatment journey.
3.3 Patient Portals
Patient portals in EHRs are pivotal in modern healthcare practices as the industry embraces digital transformation. Patient portals within EHR systems are crucial to empowering individuals and facilitating communication between patients and healthcare professionals. These portals enable patients to access their personal health information securely. Patients can schedule appointments, ask questions, and even have virtual consultations, making healthcare more accessible and patient-centered. With improved communication and engagement, patient portals bridge the gap between individuals and healthcare professionals.
3.4 Generative AI
Integrating generative AI tools with Electronic Health Record systems holds immense promise for advancing healthcare industry. Generative AI can significantly enhance EHR software precision and overall technology, resulting in streamlined daily workflows and enabling healthcare providers to prioritize patient care. By utilizing patterns and structures from existing data to create new content resembling the training data, generative AI brings valuable improvements to EHR systems. These benefits include efficiently filling in missing data, enhancing clinical decision support, automating documentation and coding processes, and ensuring billing accuracy, thereby alleviating the burden on healthcare providers.
3.5 Cloud-based EHR
Cloud computing is gaining traction as medical organizations explore the benefits of outsourcing administrative and clinical services, including medical billing, reporting, lab integration, and more. With the increasing adoption of EHR systems, the advantages of easy access to patient data have become crucial. As the patient population continues to grow, the complexity of data rises, demanding solutions that ensure secure storage and accessibility. Embracing cloud-based infrastructure becomes imperative in this scenario, granting healthcare professionals the flexibility to access data using tablets or smartphones safely. This integration empowers clinicians to enhance their productivity in the clinical environment, laying the groundwork for long-term success by offering mobility solutions that cater to evolving healthcare demands.
3.6 Voice-enabled EHRs
Integrating voice recognition technology with EHR systems is a significant advancement for clinicians. By allowing hands-free input of information and patient data, voice recognition technology reduces inaccuracies and speeds up information recording. Additionally, with the support of AI, EHRs equipped with voice recognition can assist doctors in recognizing historical patient trends and making accurate diagnoses. As companies strive to incorporate AI into EHRs through voice-enabled technology, physicians can effortlessly access patient data and inquire about specific health parameters, such as the last recorded iron levels from a blood test. This streamlined approach improves efficiency and enhances the overall healthcare experience and decision-making process.
3.7 Predictive Analytics
Predictive analytics applications have become a significant driving force within the healthcare industry, yielding profound impacts on diverse areas, including cancer treatments and emergency staffing optimization. As the field continues to evolve, the adoption of predictive analytics technology is expected to expand further. Specialized healthcare app development services utilize AI-powered analytic methods, such as statistics, data mining, and modeling, in conjunction with AI capabilities to offer clinical outcome predictions based on real-time device data and electronic health records. This integration aims to elevate the patient experience and improve care delivery, equipping healthcare professionals with valuable insights to make more informed and proactive care decisions.
3.8 Robotic Process Automation
Robotic Process Automation (RPA) is driving the expansion of the automated data capture market for electronic health records worldwide, owing to its ability to enhance workflows and ensure increased accuracy. By automating data capture through robot-based processes, RPA eliminates the need for manual data entry, leading to improved precision. In the healthcare industry, RPA serves as an effective technique to address EHR flaws without requiring a complete system redesign, permitting the utilization of digital labor to preserve efficient processes while resolving underlying issues. By employing system algorithms and programs, RPAs efficiently automate tasks typically carried out by human resources, accelerating the digitization of medical facilities and promptly addressing imperfections.
3.9 Telehealth-EHR Integration
Integrating EHR systems with telehealth platforms revolutionizes healthcare by facilitating remote care and streamlining clinical workflows. This alliance will enable medical organizations to deliver high-quality patient care from a distance while ensuring the swift and secure transfer of patient information between systems and interfaces. The combined power of telehealth and EMR systems enhances virtual care activities, automates data entries, and synchronizes insurance information in a single window, thus optimizing efficiency and productivity for healthcare providers and their staff. Moreover, this integration strengthens patient-physician engagement and fosters seamless collaboration among healthcare teams.
3.10 Blockchain for EHR Data Integrity
While blockchain technology gained prominence through its association with cryptocurrency, its application in healthcare is steadily gaining momentum. By utilizing cryptography, blockchain ensures the utmost security and integrity of EHR data, limiting access to authorized individuals only. In healthcare, blockchain brings value, from validating clinical trials and verifying claim results to monitoring medicine distribution, authenticating prescriptions, and combating insurance fraud. Additionally, smart contracts leverage blockchain to automate actions based on predetermined outcomes, reducing the need for extensive human involvement. Although the adoption of blockchain in healthcare technology is still in its early stages, several EHR systems have already incorporated it to enhance security, scalability, and confidentiality measures.
4. Future Scope
The convergence of IoT devices and big data technology is set to revolutionize the healthcare experience, offering unprecedented digitization and patient engagement. The disruptions brought on by the COVID-19 pandemic have underscored the need for healthcare institutions to adapt and embrace technological advancements. Careful selection of the right EHR system is crucial for healthcare organizations, and a structured approach that involves key stakeholders, requirements definition, vendor evaluation, and implementation planning is essential for successful EHR implementations. The ultimate goal remains to enhance patient care, streamline workflows, and achieve operational efficiencies. While EHRs have already made significant strides in the industry, the future of electronic health records holds even more excellent benefits and technological impact, with healthcare mobile app developers playing a vital role in the value-based healthcare model and preparing for EHR optimization.
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