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      "author": "steemitboard",
      "permlink": "steemitboard-notify-nazantrleza-20190923t192953000z",
      "title": "",
      "body": "Congratulations @nazantrleza! You received a personal award!\n\n<table><tr><td>https://steemitimages.com/70x70/http://steemitboard.com/@nazantrleza/birthday1.png</td><td>Happy Birthday! - You are on the Steem blockchain for 1 year!</td></tr></table>\n\n<sub>_You can view [your badges on your Steem Board](https://steemitboard.com/@nazantrleza) and compare to others on the [Steem Ranking](https://steemitboard.com/ranking/index.php?name=nazantrleza)_</sub>\n\n\n**Do not miss the last post from @steemitboard:**\n<table><tr><td><a href=\"https://steemit.com/steemfest/@steemitboard/steemitboard-supports-the-steemfest-travel-reimbursement-fund\"><img src=\"https://steemitimages.com/64x128/https://cdn.steemitimages.com/DQmXDHs9xfx8ZZ3DESFUqHRUQAcQT5kUWobArsRoJg2Yz1F/image.png\"></a></td><td><a href=\"https://steemit.com/steemfest/@steemitboard/steemitboard-supports-the-steemfest-travel-reimbursement-fund\">SteemitBoard supports the SteemFest⁴ Travel Reimbursement Fund.</a></td></tr></table>\n\n###### [Vote for @Steemitboard as a witness](https://v2.steemconnect.com/sign/account-witness-vote?witness=steemitboard&approve=1) to get one more award and increased upvotes!",
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      "body": "Thank you so much for sharing this amazing post with us!\n\nHave you heard about Partiko? It’s a really convenient mobile app for Steem! With Partiko, you can easily see what’s going on in the Steem community, make posts and comments (no beneficiary cut forever!), and always stayed connected with your followers via push notification!\n\nPartiko also rewards you with Partiko Points (3000 Partiko Point bonus when you first use it!), and Partiko Points can be converted into Steem tokens. You can earn Partiko Points easily by making posts and comments using Partiko.\n\nWe also noticed that your Steem Power is low. We will be very happy to delegate 15 Steem Power to you once you have made a post using Partiko! With more Steem Power, you can make more posts and comments, and earn more rewards!\n\nIf that all sounds interesting, you can: \n\n- Download Partiko Android at [Google Play](http://bit.ly/2SRFIta)\n- Or Download Partiko iOS on the [App Store](https://apple.co/2PcXkSd)\n\nThank you so much for reading this message!",
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      "memo": "Congrats! You have been accepted to the @minnowbooster Community driven Whitelist. You now have access to some nice perks, such as bigger upvote limits and the potential to earn bonus payments! Want to contribute? Click here: https://www.minnowbooster.net/whitelist"
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      "body": "Hi! I am a robot. I just upvoted you! I found similar content that readers might be interested in:\nhttps://www.heartfailurematters.org/es_ES/Conocer-la-insuficiencia-card%C3%ADaca/Mitos-y-realidades-sobre-la-insuficiencia-cardiaca",
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      "author": "nazantrleza",
      "permlink": "mitos-y-realidades-sobre-la-insuficiencia-cardiaca",
      "title": "Mitos y realidades sobre la insuficiencia cardíaca✓",
      "body": "Buen dia a toda la comunidad de steemit, les quiero compartir un tema de vital importancia en la salud espero sea de su agrado.\n\nLa insuficiencia cardíaca (IC) es una enfermedad crónica y degenerativa del corazón que evita que tenga la capacidad suficiente para bombear la sangre y, por lo tanto, para obtener suficiente oxígeno y nutrientes para el resto de los órganos. Puede manifestarse a cualquier edad, aunque la probabilidad de sufrir sufrimiento aumenta con el año.\n\nDebido a su prevalencia y a la angustiosa posibilidad de estar en uno de estos eventos de salud, hay muchos mitos y realidades sobre lo que realmente sucede y cómo se trata la CI.\n\n![0657f979584b6a4.jpg](http://as01.epimg.net/deporteyvida/imagenes/2017/06/26/portada/1498475994_477457_1498476165_noticia_normal.jpg)\n[fuente](http://as01.epimg.net/deporteyvida/imagenes/2017/06/26/portada/1498475994_477457_1498476165_noticia_normal.jpg)\n\n▶La insuficiencia cardíaca significa que su corazón ha dejado de latir\n\n✘MITO: La insuficiencia cardíaca no significa que su corazón haya dejado de latir. Esta enfermedad se produce cuando el músculo cardíaco o las válvulas se dañan y el corazón no puede bombear sangre al cuerpo como debería.\n\n▶La insuficiencia cardíaca puede causar la muerte\n\n✔REALIDAD: La insuficiencia cardíaca es una enfermedad muy grave que puede acortar la vida. Sin embargo, si trabaja con su médico y enfermera, puede recibir tratamientos efectivos y modificar sus hábitos de vida para aliviar los síntomas y prolongar la supervivencia.\n\n▶La insuficiencia cardíaca es frecuente\n\n✔REALIDAD: actualmente estimamos que aproximadamente 1 a 2% de la población de los países desarrollados padece insuficiencia cardíaca, una proporción que aumenta a ≥10% en personas mayores de 70 años.\n\n▶La insuficiencia cardíaca no tiene tratamiento\n\n✘MITO: existen numerosos tratamientos para la insuficiencia cardíaca que son muy efectivos para aliviar los síntomas y retardar la progresión de la enfermedad. Hable con su médico acerca de los tratamientos disponibles.\n\n▶Si padece insuficiencia cardíaca, no debe hacer ejercicio\n\n✘MITO: Es muy importante que las personas con insuficiencia cardíaca hagan ejercicio. Sin embargo, también es importante no exagerar. Hacer suficiente ejercicio puede mejorar el flujo sanguíneo y aliviar algunos de los síntomas.\n\n▶La insuficiencia cardíaca es una consecuencia normal del envejecimiento\n\n✘MITO: La insuficiencia cardíaca no tiene edad y afecta a personas de todas las edades. Aunque la mayoría de las personas con insuficiencia cardíaca son de edad avanzada, esta enfermedad no es necesariamente parte del proceso de envejecimiento. Es un trastorno cardiovascular muy grave que se puede prevenir y aliviar considerablemente con los tratamientos correctos.\n\n[fuente](http://www.elmorrocotudo.cl/noticia/sociedad/mitos-y-realidades-sobre-la-insuficiencia-cardiaca)\n\nGracias por leerme☺\nHasta la próxima publicación ✎",
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      "permlink": "lumbar-puncture-one-of-the-most-feared-tests-by-patients",
      "title": "Lumbar puncture, one of the most feared tests by patients✔",
      "body": "Hello, greetings to the entire steemit community, I hope you have a good day. Today we will talk about the lumbar puncture, which is a medical examination that involves the introduction of a needle in the lower back to collect cerebrospinal fluid.\n\n![0657f979584b6a4.jpg](https://www.webconsultas.com/sites/default/files/styles/encabezado_articulo/public/migrated/puncion-lumbar.jpg)\n[fuente](https://www.webconsultas.com/sites/default/files/styles/encabezado_articulo/public/migrated/puncion-lumbar.jpg)\n\nWhat is a lumbar puncture?\n\nLumbar puncture is an invasive technique that involves the introduction of a needle or trocar into the subarachnoid space of the lumbar area of the spine.\nIt is one of the most complicated tests to perform and, therefore, one of the most feared by patients.\n\n![0657f979584b6a4.jpg](http://3.bp.blogspot.com/-UziQXQsvvso/VZuaUqfayZI/AAAAAAAAA9g/7L3Mv0k9HCA/s1600/4bfd7889-49ac-4dfb-a8b3-30db0a000005.png)\n[fuente](http://3.bp.blogspot.com/-UziQXQsvvso/VZuaUqfayZI/AAAAAAAAA9g/7L3Mv0k9HCA/s1600/4bfd7889-49ac-4dfb-a8b3-30db0a000005.png)\n\nCerebrospinal fluid is a sterile liquid composed of 99% water that serves to protect the brain by cushioning shock. Its analysis allows to detect the possible traces of a disease or an infection, especially a meningitis or a multiple sclerosis.\n\n![0657f979584b6a4.jpg](https://images.agoramedia.com/everydayhealth/gcms/What-Is-Viral-Meningitis-722x406.jpg)\n[fuente](https://images.agoramedia.com/everydayhealth/gcms/What-Is-Viral-Meningitis-722x406.jpg)\n\nThe appearance of the liquid is a first indicator: if it is cloudy, it is the sign of a bacterial infection; if it is red, it indicates the presence of blood and is synonymous with meningeal hemorrhage. The great advantage of lumbar puncture is that it allows a quick and reliable diagnosis.\n\n✔This technique is used to:\n\n▶ Obtain a sample of cerebrospinal fluid, for study and diagnosis.\n▶ Measure the CSF pressure in the subarachnoid space.\n▶ Drug administration.\n▶ Administration of anesthesia (epidural anesthesia).\n▶ Removal of CSF to reduce intracranial pressure (ICP).\n\n✔Procedure:\n\nThe lumbar puncture is absolutely painless if done correctly.\n\n![0657f979584b6a4.jpg](https://enfermeriahoy.com/wp-content/uploads/2014/03/lumbar.jpg)\n[fuente](https://enfermeriahoy.com/wp-content/uploads/2014/03/lumbar.jpg)\n\nWe will prepare the patient, for this we will ask him to position himself in the correct way that can be:\n\n▶ Lateral decubitus: with the back parallel to the edge of the bed, with the knees bent and the thighs in the abdomen. This position is the most adequate to measure the PIC.\n\n![0657f979584b6a4.jpg](http://1.bp.blogspot.com/-g8X554LNtPw/UgwHF3CJ2oI/AAAAAAAAF_w/IkEv0qp0USI/s1600/puncion-lumbar.png)\n[fuente](http://1.bp.blogspot.com/-g8X554LNtPw/UgwHF3CJ2oI/AAAAAAAAF_w/IkEv0qp0USI/s1600/puncion-lumbar.png)\n\n▶ Sitting: sitting on the edge of the bed, with the legs hanging and a forward inclination with relaxed shoulders and arms in the lap, we can use pillows to facilitate the posture. This position is indicated for children and adolescents as well as for neonates and infants since it has less risk of respiratory compromise.\n\n![0657f979584b6a4.jpg](https://pbs.twimg.com/media/Da2IR1YX0AAU4FI.jpg)\n[fuente](https://pbs.twimg.com/media/Da2IR1YX0AAU4FI.jpg)\n\nOnce the patient is correctly positioned, we wash our hands thoroughly and we will put on our gloves, prepare the sterile field with all the necessary material and ask the patient to keep still and breathe easy. If necessary, we help the patient to maintain the posture.\n\nNext we will clean the area to puncture with the antiseptic, inside out, making circular movements and let it dry. The local anesthetic that can be sprayed or administered subcutaneously by the doctor will be applied. From here we will collaborate with the doctor in what he indicates and we will provide him the tubes to obtain samples. When the procedure is finished, pressure will be applied to the puncture site and a sterile dressing will be placed.\n\n![Screenshot_7.png](https://cdn.steemitimages.com/DQmcrG6zrK3DmbBJLU2F8PQ8CPsttyEZsCf4detKshrDL69/Screenshot_7.png)\n[fuente](https://www.esgentside.com/puncion-lumbar/puncion-lumbar-dolor-tecnica-complicaciones-efectos-secundarios_art11679.html)\n[fuente](https://enfermeriapractica.com/procedimientos/puncion-lumbar)\n\nFinally, we will collect the material, identify the collected samples and send them to the laboratory. We recorded the process and the possible adverse reactions if there were any in the nursing sheets.\n\nThe lumbar puncture has no consequences. In the worst case, the patient may suffer a severe headache or nausea. In fact, when the cerebrospinal fluid is removed, the brain is less sustained and weighs more in the skull. To limit these drawbacks, it is recommended to drink plenty of water and lie down for several hours after the exam.\n\nIn some cases, a post-lumbar puncture syndrome may appear. This results in headaches, buzzing or pain in the neck. In general, these clinical signs disappear at bedtime, and usually last a maximum of a few days, however if these symptoms persist, it is possible to use a blood patch. It involves injecting a small dose of the patient's own blood, which will coagulate acting as a patch and allow closing the gap that induces the symptoms.\n\nThanks for reading me ☺\n\nUntil the next publication ✎",
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      "body": "Thank you for the valuable information @nazantreza!  I found your post because @aggamun featured you in a Pay it Forward Curation Contest entry; feel free to join us anytime with an entry of your own too!",
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      "author": "nazantrleza",
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      "title": "El uso excesivo de los dispositivos móviles afecta tu salud visual ✔",
      "body": "Buen dia a toda la comunidad de steemit, saludos! Hoy les comparto un tema muy interesante como lo es el uso excesivo de dispositivos  móviles y como puede verse afectada tu salud.\n\nNo cabe duda que los dispositivos móviles que usamos a diario nos han cambiado la vida.\n\nEl uso excesivo de teléfonos móviles, tabletas, computadoras y muchos otros dispositivos electrónicos se ha convertido en una de las causas directas de los problemas visuales en el mundo, especialmente entre las generaciones que han nacido o se han adaptado a la era de las nuevas tecnologías.\n\n![Screenshot_8.png](https://cdn.steemitimages.com/DQmUCB1TW8RB1pgsohLebJpHgfv7RZ74t4J7Dh2PWHdj6m3/Screenshot_8.png)\n[fuente](https://www.clinicabaviera.com/blog/uso-excesivo-dispositivos-moviles-causa-directa-miopia/)\n\n✔Es importante aclarar una cosa: el riesgo no está en el uso de estos dispositivos en sí mismos, sino en el exceso de horas que permanecemos en contacto con ellos.\n\nInvestigaciones recientes han demostrado que en los últimos años han surgido enfermedades de la sobreexposición de los ojos a la luz que emiten dispositivos de estas características y el rápido avance de otras más tradicionales.\n\nSegún un estudio realizado el año pasado por IAB España, en España pasamos un promedio de tres horas y 23 minutos al día frente a la pantalla de nuestro teléfono móvil, al que deberíamos agregar el tiempo que muchos de nosotros permanecemos delante de una pantalla de ordenador.\n\n![Screenshot_8.png](https://ichef.bbci.co.uk/news/ws/660/amz/worldservice/live/assets/images/2015/06/12/150612112937_phone_624x351_thinkstock.jpg)\n[fuente](https://ichef.bbci.co.uk/news/ws/660/amz/worldservice/live/assets/images/2015/06/12/150612112937_phone_624x351_thinkstock.jpg)\n\nEn reiteradas ocasiones, la Organización Mundial de la Salud (OMS) ha llamado la atención sobre el uso excesivo de estos dispositivos y sigue animando a las personas a reducir a los contactos para que no se convierta en un hábito negativo.\n\n✔Enfermedades por uso excesivo de dispositivos:\n\n✘Fatiga visual: cuando se excede el límite de horas recomendadas para estar frente a la pantalla de un dispositivo de este tipo, es normal que los ojos sufran más de lo normal y que la calidad de la visión disminuya.\n\n✘Dolores de cabeza o migrañas: recuerde que la luz emitida por estos dispositivos no es muy beneficiosa para sus ojos. Por lo tanto, si pasa muchas horas frente a una pantalla, puede sufrir dolores de cabeza e incluso migrañas, lo cual, recuerde, es mejor detenerse antes de que abran el camino a nuevas complicaciones.\n\n![Screenshot_8.png](https://gt.emedemujer.com/wp-content/uploads/sites/21/2017/10/iStock-527034140.jpg)\n[fuente](https://gt.emedemujer.com/wp-content/uploads/sites/21/2017/10/iStock-527034140.jpg)\n\n✘Ojos rojos: también puede ocurrir que la hidratación de los ojos disminuya debido a esta sobreexposición a las pantallas y, por lo tanto, uno de los síntomas más recurrentes son los ojos rojos.\n\n![Screenshot_8.png](https://www.lavanguardia.com/r/GODO/LV/p2/WebSite/Imagenes/2014/12/11/Recortada/[email protected])\n[fuente](https://www.lavanguardia.com/r/GODO/LV/p2/WebSite/Imagenes/2014/12/11/Recortada/[email protected])\n\n✘Disminución de la capacidad visual: hablamos de que la calidad de nuestra visión se puede reducir si no controlamos las horas que permanecemos en contacto con estos dispositivos.\n\nEl uso excesivo de dispositivos electrónicos también ha provocado un aumento significativo de casos de hipermetropía, astigmatismo y miopía, entre otras anomalías, que también pueden afectar a niños menores de 18 años y niños a una edad temprana.\n\n![Screenshot_8.png](http://blogs.eltiempo.com/padres-del-hoy/wp-content/uploads/sites/361/2017/03/ninosycelulares.png)\n[fuente](http://blogs.eltiempo.com/padres-del-hoy/wp-content/uploads/sites/361/2017/03/ninosycelulares.png)\n\n[fuente](https://www.clinicabaviera.com/blog/uso-excesivo-dispositivos-moviles-causa-directa-miopia/)\n\n☛Recuerda, tu salud visual es importante!\n\nGracias por leerme.\n\nHasta la próxima publicación ✍",
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      "author": "nazantrleza",
      "permlink": "la-puncion-lumbar-uno-de-los-examenes-mas-temidos-por-los-pacientes",
      "title": "La punción lumbar, uno de los exámenes mas temidos por los pacientes✔",
      "body": "Hola, saludos a toda la comunidad de steemit, espero que tengan un buen día. Hoy hablaremos sobre la punción lumbar, que es un examen médico que implica la introducción de una aguja en la parte inferior de la espalda para recoger el líquido cefalorraquídeo. \n\n![0657f979584b6a4.jpg](https://www.webconsultas.com/sites/default/files/styles/encabezado_articulo/public/migrated/puncion-lumbar.jpg)\n[fuente](https://www.webconsultas.com/sites/default/files/styles/encabezado_articulo/public/migrated/puncion-lumbar.jpg)\n\n¿Qué es una punción lumbar? \n\nLa punción lumbar es una técnica invasiva que involucra la introducción de una aguja o trocar en el espacio subaracnoideo del área lumbar de la columna vertebral.\nEs uno de los exámenes más complicados de realizar y, por lo tanto, uno de los más temidos por los pacientes.\n\n![0657f979584b6a4.jpg](http://3.bp.blogspot.com/-UziQXQsvvso/VZuaUqfayZI/AAAAAAAAA9g/7L3Mv0k9HCA/s1600/4bfd7889-49ac-4dfb-a8b3-30db0a000005.png)\n[fuente](http://3.bp.blogspot.com/-UziQXQsvvso/VZuaUqfayZI/AAAAAAAAA9g/7L3Mv0k9HCA/s1600/4bfd7889-49ac-4dfb-a8b3-30db0a000005.png)\n\nEl líquido cefalorraquídeo es un líquido estéril compuesto en un 99% de agua que sirve para proteger el cerebro al amortiguar los golpes. Su análisis permite detectar los posibles rastros de una enfermedad o una infección, especialmente una meningitis o una esclerosis múltiple.\n\n![0657f979584b6a4.jpg](https://images.agoramedia.com/everydayhealth/gcms/What-Is-Viral-Meningitis-722x406.jpg)\n[fuente](https://images.agoramedia.com/everydayhealth/gcms/What-Is-Viral-Meningitis-722x406.jpg)\n\nEl aspecto del líquido es un primer indicador: si está turbio, es el signo de una infección bacteriana; si es rojo, indica la presencia de sangre y es sinónimo de hemorragia meníngea. La gran ventaja de la punción lumbar es que permite un diagnóstico rápido y confiable.\n\n✔Esta técnica se utiliza para:\n\n▶Obtener una muestra de líquido cefalorraquídeo, para su estudio y diagnóstico.\n▶Medir la presión del LCR en el espacio subaracnoideo.\n▶Administración de fármacos.\n▶Administración de anestesia (anestesia epidural).\n▶Extracción de LCR para reducir la presión intracraneal (PIC).\n\n✔Procedimiento:\nLa punción lumbar es absolutamente indolora si se efectúa correctamente.\n\n![0657f979584b6a4.jpg](https://enfermeriahoy.com/wp-content/uploads/2014/03/lumbar.jpg)\n[fuente](https://enfermeriahoy.com/wp-content/uploads/2014/03/lumbar.jpg)\n\nPrepararemos al paciente, para esto le pediremos que se coloque de la manera correcta que puede ser:\n\n▶Decúbito lateral: con la espalda paralela al borde de la cama, con las rodillas flexionadas y los muslos en el abdomen. Esta posición es la más adecuada para medir la PIC.\n\n![0657f979584b6a4.jpg](http://1.bp.blogspot.com/-g8X554LNtPw/UgwHF3CJ2oI/AAAAAAAAF_w/IkEv0qp0USI/s1600/puncion-lumbar.png)\n[fuente](http://1.bp.blogspot.com/-g8X554LNtPw/UgwHF3CJ2oI/AAAAAAAAF_w/IkEv0qp0USI/s1600/puncion-lumbar.png)\n\n▶Sentado: sentado en el borde de la cama, con las piernas colgando y una inclinación hacia delante con los hombros relajados y los brazos sobre el regazo, podemos usar almohadas para facilitar la postura. Esta posición está indicada tanto para niños y adolescente como para neonatos y lactantes ya que tiene menos riesgo de compromiso respiratorio.\n\n![0657f979584b6a4.jpg](https://pbs.twimg.com/media/Da2IR1YX0AAU4FI.jpg)\n[fuente](https://pbs.twimg.com/media/Da2IR1YX0AAU4FI.jpg)\n\nUna vez colocado correctamente al paciente, nos lavamos bien las manos y nos colocaremos los guantes, prepararemos el campo estéril con todo el material necesario y le pediremos al paciente que se mantenga quieto y que respire tranquilo. Si es necesario ayudamos al paciente a que mantenga la postura.\n\nA continuación limpiaremos la zona a puncionar con el antiséptico, de adentro hacia fuera, realizando movimientos circulares y lo dejaremos secar. Se aplicará el anestésico local que puede ser rociado o administrado subcutáneamente por el médico. A partir de aquí colaboraremos con el médico en lo que nos indique y le facilitaremos los tubos para obtención de muestras. Cuando termine el procedimiento se aplicará presión sobre el punto de punción y se colocará un apósito estéril.\n\n![Screenshot_7.png](https://cdn.steemitimages.com/DQmcrG6zrK3DmbBJLU2F8PQ8CPsttyEZsCf4detKshrDL69/Screenshot_7.png)\n[fuente](https://www.esgentside.com/puncion-lumbar/puncion-lumbar-dolor-tecnica-complicaciones-efectos-secundarios_art11679.html)\n[fuente](https://enfermeriapractica.com/procedimientos/puncion-lumbar)\n\nFinalmente, recogeremos el material, identificamos las muestras recolectadas y las enviamos al laboratorio. Registramos el proceso y las posibles reacciones adversas si las hubiera en las hojas de enfermería.\n\nLa punción lumbar no tiene consecuencias. En el peor de los casos, el paciente puede sufrir un fuerte dolor de cabeza o náuseas. De hecho, cuando se extrae el líquido cefalorraquídeo, el cerebro es menos sostenido y pesa más en el cráneo. Para limitar estos inconvenientes, se recomienda beber mucha agua y acostarse durante varias horas después del examen.\n\nEn algunos casos, puede aparecer un síndrome de punción post-lumbar. Esto se traduce por dolores de cabeza, zumbidos o dolor en el cuello. En general, estos signos clínicos desaparecen al acostarse, y por lo general duran como máximo unos pocos días, sin embargo si estos síntomas persisten, es posible usar un parche de sangre. Se trata de inyectar una pequeña dosis de la propia sangre del paciente, que se coagulará actuando como un parche y permitirá cerrar la brecha que induce los síntomas.\n\nGracias por leerme ☺\n\nHasta la próxima publicación ✎",
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