Teen Drinkers Risking Their Lives: Study
Teen drinkers who also use drugs run a greater risk for serious health problems and death, a new U.S. government study shows.  Researchers analyzed data on underage drinkers (aged 12 to 20) treated at U.S. hospital emergency rooms in 2011, and found that 20 percent of all hospital emergency department visits involving underage drinkers result in serious health outcomes. (HealthDay News, 7/3)
One in 25 Reports Falling Asleep at the Wheel: CDC Report
In a new government survey, one in 25 U.S. drivers said they had fallen asleep at the wheel a least once over the prior month.  The study found those most at risk for having accidents while driving drowsy are those under 25, males, people who binge drink, people who don’t wear seat belts, folks with sleep problems, and those who regularly sleep less than five hours a night, according to the CDC. (HealthDay News, 7/3)
Ecstasy Use Tied to Rare Spinal Blood Vessel Problem in Teen
A teen who took the street drug called “ecstasy” suffered a potentially deadly bulge in his spinal cord artery.  This is the first reported case of posterior spinal artery aneurysm linked to recreational drug use, Dr. Dileep Yavagal and colleagues said. (HealthDay News, 7/3)
ADHD Drugs May Up Risk of Heart Problems in Kids, Study Finds
Whether drugs used to treat attention deficit hyperactivity disorder boost the risk of heart conditions in children remains a subject of concern. Now, research from Denmark suggests medications such as Ritalin and Concerta make rare cardiac problems twice as likely, although still uncommon. (HealthDay News, 7/3)
TV gives children a ‘bad example’ on food
Unhealthy food choices that carry bad consequences in real life are shown in a positive light by television programs aimed at children, an analysis of broadcast output has found.  The research into TV shown to kids in England and Ireland has been published in the BMJ journal Archives of Disease in Childhood. (Medical News Today, 7/4)
Aprepitant Prevents CINV in Young Cancer Patients Also
Aprepitant, which is already approved for use in adults for the prevention of chemotherapy-induced nausea and vomiting (CINV), has now been shown to also be effective in children and adolescents ranging from 6 months to 17 years. The data in youngsters come from a phase 3 study funded by Merck that will be used for regulatory approval submissions. (Medscape, 7/4)
A study looks at which teens gravitate toward hookah use
Cigarette use is declining among young people at the same time that hookah smoking is gaining in popularity, says a new study that finds nearly 1 out 5 high school seniors used the water pipe device sometime in the last year.  The study’s findings confirm earlier research showing that students from families of higher socioeconomic status are more likely to use hookahs, as are males, white students, those who already smoke cigarettes, and those who had previously illicit substances. (USA Today, 7/7)
Children of same-sex couples are happier and healthier than peers, research shows
Children of same-sex couples fare better when it comes to physical health and social well-being than children in the general population, according to researchers at the University of Melbourne in Australia. (The Washington Post, 7/7)
As millions vape, e-cigarette researchers count puffs, scour Facebook
The U.S. FDA is spending $270 million on research projects to determine the risks of electronic cigarettes before millions more Americans become hooked on the devices.  Projects include assessing the risks of e-cigarettes, investigating how people are tinkering with e-cigarettes, and building virtual convenience stores for youth to measure the influence of displays and price promotions. (Reuters, 7/8)
TB rates in children ‘much higher than WHO estimates’
More than 650,000 children worldwide develop tuberculosis each year, research in the journal Lancet Global Health suggests. The figure stands almost 25% higher than current predictions made by the WHO.  Scientists say health officials may be missing an “enormous opportunity” to prevent the disease from spreading.  (BBC, 7/8)
Nearly 12 Million Kids Visit the ER Each Year For Injuries
Fun outdoors this summer can turn dangerous and result in a trip to ER for kids and parents who are not careful. Each year, nearly 12 million children and adolescents under 18 years old visit the ER for injury-related reasons.  Injury is the leading cause of death among children and adolescents in the U.S., according to the CDC. (Health Canal, 7/8)
The Gardasil HPV Vaccine Doesn’t Increase Blood Clot Risk
A new post-approval study of over 1.6 million Danish women has shown that the quadrivalent HPV vaccine poses no increased risk of blood clots at any time within 42 days of receiving the immunization. The study is the largest controlled safety examination to date of the vaccine. (Forbes, 7/8)
Alcohol ads linked to underage drinkers’ favorite brands
The brands of alcohol that underage drinkers choose most often also happen to be the ones advertised in magazines read most often by that age group, according to a new U.S. study.  Although the magazine industry follows self-imposed standards to only include alcohol ads in magazines with less than 30 percent of readers under 21 years old, many underage drinkers see those ads anyway.  (Reuters, 7/8)
Eczema Wet Wrap Therapy Helps Relieve Children Of Itchy Symptoms Without Topical Steroids, Other Medications
Upon evaluating the effectiveness of wet wrap therapy for eczema, researchers are now recommending it even for severe cases of eczema.  After being treated, children who took this therapy saw an average reduction of symptoms by 71 percent. The effects remained for almost a month after they returned home even without the use of medications prescribed for this condition. (Medical Daily, 7/8)
Dyslexia More Likely With History of Physical Abuse
The prevalence of dyslexia seems to be higher in individuals with a history of childhood physical abuse, according to a study published in the Journal of Interpersonal Violence, even after adjustment for sociodemographics and adverse childhood experiences.  (Physician’s Briefing, 7/8)
Sibling obesity had greater influence than parent on child risk of obesity
A recent study found that a child was much more likely to be obese if their sibling was obese than if only one of their parents was obese.  The influence of a sibling’s weight appeared to be more than twice as much as that of the parents’ weight, and siblings’ influence on one another was even stronger if they were both the same gender.  (Daily Rx, 7/8)
Neurocognitive Deficits Seen Within Days of T1DM Diagnosis
Deficits in neurocognitive functioning are evident within days of a type 1 diabetes diagnosis in children and are associated with glycemic control over one year postdiagnosis, according to a study published in Diabetes Care.  (Physician’s Briefing, 7/8)
Kids Still Getting Too Much ‘Screen Time’: CDC
U.S. teenagers are still spending hours in front of the TV and computer every day -- despite years of expert advice that kids’ “screen time” should be limited, a new government study finds.  In two national surveys of children aged 12 to 15 years, researchers at the CDC found that nearly three-quarters spent at least two hours a day watching TV and using a computer.  (HealthDay News, 7/9)
Half of Grade 12 Students say they text and drive: Survey
Almost 50 per cent of Grade 12 students who drive and more than one-third of all licensed youth in high school say they’ve texted while driving in the past year, according to an ongoing survey of Ontario adolescents.  The finding is from the 2013 Ontario Student Drug Use and Health Survey, a wide-ranging biannual measure of youth mental health, well-being and risk behaviors. (MetroNews Canada, 7/9)
ADHD drugs lacking in safety studies, Boston researchers find
While drug manufacturer clinical trials clearly demonstrate that ADHD drugs work to alleviate symptoms, very few were designed to investigate the long-term safety of these drugs, according to a new study.  The study authors emphasized that this doesn’t mean ADHD drugs pose safety risks but that the initial approval trials largely ignored the possibility of safety issues. (Boston Globe, 7/9)
Fluoxetine + Behavioral Tx Cuts Pediatric Depression Relapse
Fluoxetine plus relapse-prevention cognitive-behavioral therapy cuts the risk of relapse in youth (aged 8 to 17 years) with major depressive disorder but was not effective in accelerating time to remission, according to a study.  (HealthDay News,7/9)
Largest Study of Consolidation Therapy for Ewing’s Sarcoma
As consolidation therapy for Ewing’s sarcoma, there is little difference in the cure rate between cyclophosphamide and ifosfamide, new research shows.  The largest randomized controlled trial to date looked at these therapies in the rare bone tumor that predominantly affects children and adolescents. (Medscape, 7/9)
Teens warned of health risks as sports supplement trend grows
Health professionals have issued a warning to youth over the “big myth” of nutritional sports supplements, which are seen as a gateway to the use of more serious performance enhancing drugs.  The warning comes after a new study revealed junior athletes, some as young as 12, are using performance enhancing drugs.  (ABC News Australia, 7/10)
Emergency Surgeries on Weekends Riskier for Kids: Study
Children who have emergency surgery on weekends are at greater risk for complications and potentially even death than those who have weekday surgeries, according to a new study.  However, the researchers noted that the risk of death was “miniscule.”  The researchers analyzed data on nearly 440,000 simple emergency surgeries that children across the U.S. underwent over a 22-year period.  (HealthDay News, 7/11)
Progression of Dysglycemia in Youth Similar to Adults
For obese adolescents, glucose sensitivity deteriorates progressively across the spectrum of glucose tolerance, according to a study published in Diabetes.  Researchers describe the oral glucose tolerance test (OGTT)-modeled β-cell function and incretin effect in 255 obese adolescents.  (Physician’s Briefing, 7/11)

Early ACL surgery has benefits for young athletes
Young athletes who put off surgery after tearing their ACL may be more likely to sustain a second knee injury, according to a new study.  Researchers found that kids and teenagers who waited at least six weeks for ACL surgery were at higher risk of tearing their meniscus, C-shaped pieces of shock-absorbing cartilage in the knee.  (Reuters, 7/11)
Sanofi dengue vaccine promising but questions remain
The first vaccine against dengue fever, from France’s Sanofi, provided moderate protection in a large clinical study, but questions remain as to how well it can help fight the world’s fastest-growing tropical disease.  The late-stage trial involved 10,275 healthy children aged 2-14 across five countries in Asia.  (Reuters, 7/11)
The Effects Of Debt Reach Further Than Just Stress; Include Heart Disease, Stroke, And Mental Illness
Scientists say high debt is affecting the health of younger adults as stress from finances raises diastolic blood pressure with lowered self-reported measures of physical and mental health.  Researchers analyzed data from the National Longitudinal Study of Adolescent Health. The paper warns that debt-related stress may affect the future health of younger adults burdened with student loans and consumer debt.  (Medical Daily, 7/13)
Teens, ATVs a Dangerous Combo
A new study from Iowa found that three-quarters of teens in that state have driven an all-terrain vehicle, and more than half of them have been in accidents while riding one.  The researchers focused on almost 5,000 kids between the ages of 11 and 16, and found most of these young ATV riders had engaged in risky behaviors such as riding with passengers, tooling around on public roads and neglecting to wear a helmet. (HealthDay News, 7/14)
‘Dramatic rise’ in testicular cancer among young Hispanic men over past 20 years
Rates of testicular cancer have risen dramatically in recent years among young Hispanic American men aged 15-39, according to a new analysis. However, the study does not find a similar rise among the non-Hispanic counterparts of these men.  (Medical News Today, 7/14)
Pre-eclampsia impacts on offspring’s motor skills
Adolescents born from pregnancies complicated by pre-eclampsia have poorer motor development outcomes than their peers, a new study has found.  Research used longitudinal cohort study to examine maternal blood pressure profiles during pregnancy and child motor development at ages 10, 14 and 17 years. (Science Network, 7/14)

Learning to “just say no” is not a panacea for minorities with alcohol, drug problems
Teaching youth to “just say no” has long been viewed as the first line of defense in the war on drugs.
However, a new study offers sobering evidence that refusal skills training may not be the best approach for African-American adolescents who are trying to stay sober after being treated for alcohol or drug abuse. (Health Canal, 7/15)
Research: Soluble corn fibre may enhance calcium absorption
New research, published this month in the British Journal of Nutrition, shows soluble corn fibre (SCF) may not simply boost fibre intake when added to foods, but can also increase the amount of beneficial bacteria present in the gut, while enhancing calcium absorption in adolescents. (News Medical, 7/15)
Blood Thinners May Not Be Needed for Kids’ Back Surgery
Most children who have spinal surgery don’t require anti-clotting drugs because blood clots occur so rarely in these procedures, a new study says.  Instead of the risky and costly blood-thinning drugs, close monitoring after surgery is enough for most of these patients, according to researchers. (HealthDay News, 7/15)
Family History of Cerebral Palsy May Increase Risk in Children
Cerebral palsy is the most common cause of physical disability among children, and new research suggests family may play a role in a child’s risk for cerebral palsy.  A recent study found that people who come from families affected by cerebral palsy may have a higher risk of developing the condition. (Daily Rx, 7/15)
Teenage boys desire intimacy and sex relationship with their partners
Teenage boys desire intimacy and sex in the context of a meaningful relationship and value trust in their partnerships, according to researchers at Columbia University’s Mailman School of Public Health. The research provides a snapshot of the development of masculine values in adolescence, an area that has been understudied. Findings are online in the American Journal of Men’s Health. (Medical News, 7/16)
Physical activity needs for health payoffs often underestimated
About 15 per cent of adults and fewer than 10 per cent of teens meet physical activity guidelines for health benefits, with some not really realizing what it takes to make gains, according to Statistics Canada.  At the individual level, there was a discrepancy between how much some people thought they were moving and accelerometer measurements, both in terms of time spent and intensity. (CBC News, 7/16)
Call for better education on HIV and AIDS after survey
There’s a call for teenagers to be given clearer education on how they can catch HIV and AIDS.  A third of 12 to 17-year-olds in the UK wrongly think they can’t catch HIV through unprotected sex.  Figures from the survey also suggest nearly 90% of teenagers believe they are not at risk of contracting HIV or AIDS in their lifetime. (BBC, 7/16)
Investing in sexual and reproductive health of 10 to 14 year olds yields lifetime benefits
Age 10 to 14 years provides a unique narrow window of opportunity to facilitate transition into healthy teenage and adulthood years according to researchers who note the lack worldwide of programs to help children of this age navigate passage from childhood to adulthood.  Researchers advocate the investment of resources to lay foundations for future healthy relationships and positive sexual and reproductive health, identifying specific approaches to reach these very young adolescents.  (Medical Express, 7/17)



First Lady Bucks GOP on School Lunch Rules
First ladies typically avoid getting into public scraps, but Michelle Obama has jumped into perhaps her biggest battle yet.  She’s fighting a House Republican effort to soften a central part of her prized anti-childhood obesity campaign and says she’s ready “to fight until the bitter end.” (ABC News, 7/5)
U.S. senators say federal action may be needed to curb ‘re-homing’
U.S. lawmakers have said that the federal government may have to take a stronger role to stop parents from transferring custody of their adopted children to strangers they meet on the Internet. At a subcommittee hearing in the U.S. Senate, lawmakers took their first look at the practice known as “private re-homing,” which bypasses the government’s child welfare system.  (Reuters, 7/8)
$100M in O-Care funds go to local health centers
HHS is doling out $100 million under ObamaCare to help expand new health centers around the country.  The grant money will be available to 150 new centers next year and is meant to increase access to healthcare for underserved communities and vulnerable populations. (The Hill, 7/8)
AMA to Work With APA, Other Groups on Integrated Care
Members of the AMA House of Delegates last month approved a resolution directing the AMA to study and report back next year on the state of knowledge regarding integration of physical and behavioral health care, including pediatric and adolescent health care, and to provide recommendations for implementing models of physical and behavioral health care integration. (Psychiatric News, 7/9)
Administration touts benefits of Medicaid expansion for children
States that expanded access to Medicaid under ObamaCare greatly increased access to healthcare for the poor, especially for children, according to the Obama administration.  The Centers for Medicare and Medicaid Services released a monthly report Friday showing 6.7 million more people had signed up for Medicaid or CHIP by May compared to last September. (The Hill, 7/11)
Gun Licensing, Background Checks Generate Debate at AMA
While a majority of AMA delegates backed congressional legislation on gun ownership, some raised concerns about trying to license private transfers of firearms.  David Fassler, M.D., speaking for the AACAP, pointed out that “overall, the majority of people killed in firearm-related accidents are under the age of 24.” (Psychiatric News, 7/11)
With disease’s resurgence, officials urge whooping cough boosters
With the resurgence of pertussis in recent years and an only somewhat effective vaccine, public health officials are pushing preventive measures meant to keep pertussis, more commonly known as whooping cough, at bay. That includes urging adolescents to get a booster shot. (Boston Globe, 7/14)
FDA to review Teva’s bronchospasm inhaler
US regulators have agreed to review Teva’s application to market its bronchospasm therapy albuterol multi-dose dry-powder inhaler (MDPI).  The new drug application is seeking approval for the short-acting beta-agonist to treat or prevent bronchospasm in patients 12 years of age and older with reversible obstructive airway disease, and for the prevention of exercise-induced bronchospasm in patients aged 12 and above. (PharmaTimes, 7/15)
21: Science’s limit when it comes to the drinking age
On July 17, 1984, President Ronald Reagan signed into law the National Minimum Drinking Age Act, which withheld a percentage of highway funds from any state that didn’t raise the minimum drinking age to 21.  Thirty years later, there is a group of Ph.Ds and MDs who take issue with the drinking age.  While the law did have a significant impact on drinking and driving, it did not stop kids from drinking and may have made drinking even more appealing to teens. (CNN, 7/15)
CBO: O-Care controls will curb health spending
A new report from the Congressional Budget Office says cost control measures in ObamaCare will help reduce the growth in federal healthcare spending over the next 25 years.  Overall spending on Medicare, Medicaid, CHIP and ObamaCare insurance subsidies are expected to rocket due to a growing elderly population, more people gaining insurance coverage and the cost of new medical technologies. However, ObamaCare’s cost control provisions will help rein in some of the projected growth.  (The Hill, 7/15)



Kenya: Why Reproductive Health Care Bill Would Help Manage Population
The Reproductive Health Care Bill has elicited mixed reactions. While some have supported it saying it would help reduce the rate of HIV infections and deal with the rising cases of teenage pregnancies, others have castigated it on grounds that it would erode children’s moral behavior. (All Africa, 7/8)
Vietnam ranks 1st in SE Asia, among world’s top 5 regarding underage abortion
Vietnam is among the top five countries in the world and ranks first in Southeast Asia in terms of abortion in minors, with 300,000 cases per year on average.  Demographic experts released the figures at a meeting in Ho Chi Minh City on Tuesday to mark the World Population Day on July 11.  (Tuoi Tre News, 7/9)
India’s Sex-Ed Controversy
India’s health minister, Harsh Vardhan, is on the defensive after he questioned the focus on condom use in the fight against the spread of H.I.V. Late last month, Dr. Vardhan, who is a surgeon by profession, defended a call on his website to ban sex education.  Far too many Indians lack access to basic knowledge about sexuality and reproductive health. (New York Times, 7/9)
Government Launches Campaign to Prevent Teenage Pregnancies
The Minister of State for Primary Health Care in Uganda has unveiled a 12-month national campaign to prevent teenage pregnancies from 24% to 15% by July 2015.  Uganda Demographic Health Survey estimates that 24% of the annual 6000 maternal deaths are adolescents and this is worsened by the fact that only 11% of these adolescents have access to reproductive health and family planning services.  (The Independent, 7/10)
World Population Day: 1.8 billion young people build foundation of the world’s future
On World Population Day (July 11, 2014), the UN has called for investments in support of the largest-ever generation of youth.  According to the UN, today’s 1.8 billion young people are shaping social and economic realities, challenging norms and values, and building the foundation of the world’s future.  Yet too many young people continue to fight poverty, inequality and human rights violations that stops them from reaching their personal and collective potential, it has said. (India Today, 7/11).
DOH offers contraceptive patch to teenage moms
Undersecretary Janet Garin of the Philippines said the DOH is offering free family planning patch to them so they would can continue their studies after becoming pregnant.  “We are making available family planning implant to young mothers, but only to those who want it to avoid another pregnancy,” she said.  The DOH will require parental consent for mothers below 18 years, she added.  (The Philippine Star, 7/15)
SA’s teens in HIV hell
South Africa has the second highest rate of Aids deaths in the world - with teenage girls and young women being most at risk of HIV infection, according to a UN Aids report released yesterday.  It stated that 13% of all deaths from AIDS took place in South Africa, the second-highest number after Nigeria, where 14% of the AIDS deaths in 2013 occurred.  (South Africa Times Live, 7/17)


Doctors Need to Protect Athletes From Concussion Risk: Neurologists
Safeguarding athletes from concussion is a moral duty for doctors, according to the largest neurologists’ group in the United States.  In a newly released position statement, the American Academy of Neurology said that doctors have an ethical obligation to educate and protect athletes from concussion in order to preserve their future mental and physical health. (HealthDay News, 7/9)
USPSTF Releases 2014 Guide to Clinical Preventive Services
The U.S. Preventive Services Task Force has released the 2014 Guide to Clinical Preventive Services, an authoritative source that can help primary care clinicians and patients decide together what preventive services are right for a patient’s needs. The Guide can also be used as a teaching tool for new clinicians as they learn about clinical preventive care.  (AHRQ, 7/10)


One Smart App: Pedia BP proves its worth in detecting hypertension in children
Pedia BP is a free mobile app for clinicians that simplifies and speeds up the detection of hypertension in children and adolescents.  In addition to saving time, the app helps ensure that BP screenings are conducted accurately and provides immediate follow-up guidance for children who require monitoring or treatment.   (Emory Nursing, 7/6)
New School Health Model Incorporates ‘Whole Child’ Principles
Federal officials and health experts unveiled a new school health model called Whole School, Whole Community, Whole Child that incorporates “whole-child” elements—like school climate issues, student engagement, and community involvement—alongside components of the more traditional coordinated school health model.  The new model places a greater emphasis on collaboration between schools and their surrounding communities.  (Education Week, 7/10)
CDC: Vaccine Storage and Handling Toolkit
The new Vaccine Storage and Handling Toolkit is a comprehensive resource for providers on vaccine storage and handling recommendations and best practice strategies. It includes considerations for equipment both storage units and temperature monitoring devices, strategies for maintaining the cold chain, routine storage and handling practices, inventory management and emergency procedures for protecting vaccine inventories.



December Dissemination and Implementation Conference, Call for Abstracts Underway
Mark your calendars for the 7th Annual Conference on the Science of Dissemination and Implementation on December 8 and 9, and note the opportunity to submit abstracts.  The theme, “Transforming Health Systems to Optimize Individual and Population Health,” reflects the opportunity, excitement and charge to the field in 2014 to integrate evidence-based practices and service delivery. The call for abstracts is underway; deadline is August 8. The conference is co-hosted by the National Institutes of Health and AcademyHealth and co-sponsored by AHRQ, the Patient-Centered Outcomes Research Institute, the Robert Wood Johnson Foundation and the Department of Veterans Affairs.


Patient- and Family-Centered Care: Approaches for Children and Seniors
On Tuesday, July 22, 2014, from 1:00 - 2:30 p.m. ET, join the AHRQ Health Care Innovations Exchange for an in-depth dialogue about how the core concepts of patient- and family-centered care have been put into practice.   Patient- and family-centered care is an approach to the planning, implementation, and evaluation of health care grounded in mutually beneficial partnerships among patients, families, and health care professionals.  Innovators Michelle Rickerby and Diane DerMarderosian from the Hasbro Children’s Partial Hospital Program in Providence, Rhode Island will discuss how program staff work collaboratively with families of children and adolescents experiencing medical and emotional issues.  Register in advance.

Lessons from the Contraceptive CHOICE Project: Research Findings to Real-World Change
Join ACOG’s upcoming webinar led by Colleen McNicholas, DO on Wednesday, July 23rd, 3:00-4:00 EST. Participants will have the opportunity to learn more about The Contraceptive CHOICE Project, an ongoing study following 10,000 women in the St Louis area who were offered the reversible contraceptive method of their choice free of charge for 3 years. The Contraceptive CHOICE Project developed a model of contraceptive care that resulted in significant reductions in unintended pregnancy, teen pregnancy, and abortion.  Session is free and open to all but requires creating a profile.
Current Issues in Immunization NetConference
On July 30, 2014 from 12 noon. - 1pm Eastern, the CDC will hold a NetConference on current issues in immunization, moderated by Dr. Andrew Kroger.  Speakers will give an update on pertussis epidemiology and vaccination in the U.S., an update on adolescent vaccination coverage in the U.S. and the HPV Communication Campaign.  On-demand replays and presentations will be available shortly after each event.  Registration will close on July 29 or when registration is full.     
Getting to the Heart of the Matter: Relationship Education for Juvenile Detention and Re-Entry Programming
Relationship Smarts Plus and Love Notes curricula are about the building of the developmental assets missing in incarcerated teens and young adults. Attendees will hear how a youth detention program is tackling this issue and a re-entry program experienced successful outcomes by addressing relationship skills first and job skills second.   This free 60 minute webinar held on August 13, 2014 at 4:00 pm EST.  


Be part of SAHM’s 2015 annual meeting - submit an abstract
The Program Committee is seeking your submissions for educational session proposals and research abstracts for the 2015 Annual Meeting. We welcome submissions on the full range of topics related to adolescent medicine and health, and particularly those that relate to our theme: Embracing Transitions: Promoting Health Throughout Adolescence and Young Adulthood.  Submissions are due Monday July 21st.

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