• Title/Summary/Keyword: Jang Hoon

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Comparison Study of Lesion Localization in Patients with Primary and Secondary Hyperparathyroidism using Double-Phase Tc-99m Sestamibi Scintigraphy (일차성 및 이차성 부갑상선기능항진증 환자에서 Double-Phase Tc-99m Sestamibi 스캔에 의한 병변의 국소화에 관한 비교)

  • Jeon, Tae-Joo;Lee, Jong-Doo;Rhyu, Young-Hoon;Park, Jung-Soo;Jang, Hang-Seok
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.4
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    • pp.368-380
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    • 1999
  • Purpose: The purpose of this study was to evaluate and compare the scintigraphic findings and diagnostic accuracy of double-phase Tc-99m sestamibi scan in primary and secondary hyperparathyroidism (HPT). Materials and Methods: We retrospectively reviewed 16 cases of primary (18 lesions) and 11 cases of secondary HPT (44 lesions) who underwent Tc-99m-sestamibi scan before the surgical intervention. Scan was performed using LEM camera (Siemens, Germany) after the injection of 740MBq of Tc-99m sestamibi. Routine image consisted of baseline and 3-hour delayed images and each image was obtained using both parallel and pine hole collimator. The study population was 27 patients (male/female=5/22, age: $49.1{\pm}10.8$). Results: Eighteen lesions of primary HPT consisted of 13 adenomas and S hyperplasias, while all lesions of secondary HPT were hyperplasias. Among the case of primary HPT, we could detect all the lesions of 13 adenomas but only 2 lesions of 5 hyperplasias (40%) could be detected by double phase scintigraphy. Three cases of primary lesion showed decreased uptake in delayed images compared with baseline. The sensitivity, specificity, positive predictive value and accuracy of primary and secondary HPT were 58.8% (10/17), 83.3% (10/12), 83.3% (10/12), 75.9% (22/29), and 37.5% (15/40), 50% (2/4), 88.2% (15/17), 38.6% (17/44), respectively. Overall sensitivity, specificity, positive predictive value and accuracy were 43.9% (25/57), 75% (12/16), 86.2% (25/29), and 53.4% (39/73). There were no statistical difference between the weight of primary and secondary HPT lesion (p>0.05). Conclusion: Tc-99m sestamibi scan is fairly good modality to detect parathyroid lesion in patient with primary HPT before the surgical intervention. However, since some of cases may reveal decreased uptake in delayed image, a careful attention to the findings of baseline images may be helpful. Still the low accuracy of sestamibi scan in diagnosis of secondary HPT prohibits routine use of it for this disease.

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Community Distribution on Mountain Forest Vegetation of the Geumsusan and Doraksan Area in the Worak National Park, Korea (월악산국립공원 금수산 및 도락산 일대 삼림식생의 군락분포에 관한 연구)

  • Lee, Jung-Yun;Oh, Jang-Geun;Jung, Se-Hoon;Kim, Ha-Song
    • Korean Journal of Ecology and Environment
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    • v.48 no.2
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    • pp.129-138
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    • 2015
  • Forest vegetation of Geumsusan (1,016.0 m) and Doraksan (964.4 m) in Woraksan National Park is classified into mountain forest vegetation. Mountain forest vegetation is subdivided into deciduous broad-leaved forest, mountain valley forest, coniferous forest, riparian forest, afforestation and other vegetation. Including 77 communities of mountain forest vegetation and 5 communities of other vegetation, the total of 82 communities were researched; mountain forest vegetation classified by physiognomy classification are 37 communities deciduous broad-leaved forest, 16 communities of mountain valley forest, 8 communities of coniferous forests, 1 community of riparian forest, 15 afforestation and 5 other vegetation. As for the distribution rate for surveyed main communities, Quercus variabilis and Quercus mongolica communities account for 33.031 percent of deciduous broadleaved forest, Cornus controversa community takes up 29.142 percent of mountain valley forest, Pinus densiflora community holds 64.477 percent of mountain coniferous forest holds. In conclusion, minority species consisting of Quercus variabilis, Quercus mongolica, Pinus densiflora, Quercus serrata and Cornus controversa are distributed as dominant species of the uppermost part in a forest vegetation region in Woraksan National Park. In addition, because of vegetation succession and climate factors, numerous colonies formed by the two species are expected to be replaced by Quercus variabilis, Quercus mongolica, Cornus controversa and Fraxinus mandshurica which are climax species in the area.

Posterior Lumbar Interbody Fusion Using Posterolateral Placement of A Single Cylindrical Threaded Cage and Two Regular Cages : A Biomechanical Study (단일 나사형 Cage를 이용한 후방 요추체간 융합술과 두개의 나사형 Cage를 이용한 PLIF의 생체 역학적 비교)

  • Park, Choon Keun;Hwang, Jang Hoe;Ji, Chul;Kwun, Sung Oh;Sung, Jae Hoon;Choi, Seung Jin;Lee, Sang Won;Kim, Moon Kyu;Park, Sung Chan;Cho, Kyeung Suok;Park, Chun Kun;Yuan, Hansen;Kang, Joon Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.883-890
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    • 2001
  • Objectives : An in vitro biomechanical study of posterior lumbar interbody fusion(PLIF) with threaded cage using two different approaches was performed on eighteen functional spinal units of bovine lumbar spines. The purpose of this study was to compare the segmental stiffnesses among PLIF with one long posterolateral cage, PLIF with one long posterolateral cage and simultaneous facet joint fixation, and PLIF with two posterior cages. Methods : Eighteen bovine lumbar functional spinal units were divided into three groups. All specimens were tested intact and with cage insertion. Group 1(n=12) had a long threaded cage($15{\times}36mm$) inserted posterolaterally and oriented counter anterolaterally on the left side by posterior approach with left unilateral facetectomy. Group 2(n=6) had two regular length cages($15{\times}24mm$) inserted posteriorly with bilateral facetectomy. Six specimens from group 1 were then retested after unilateral facet joint screw fixation in neutral(group 3). Likewise, the other six specimens from group 1 were retested after fixation with a facet joint screw in an extended position(group 4). Nondestructive tests were performed in pure compression, flexion, extension, lateral bending, and torsion. Results : PLIF with a single cage, group 1, had a significantly higher stiffnesses than PLIF with two cages, group 2, in left and right torsion(p<0.05). Group 1 showed higher stiffness values than group 2 in pure compression, flexion, left and right bending but were not significantly different. Group 3 showed a significant increase in stiffness in comparison to group 1 for pure compression, extension, left bending and right torsion(p<0.05). For group 4, the stiffness significantly increased in comparison to group 1 for extension, flexion and right torsion(p<0.05). Although there was no significant difference between groups 3 and 4, group 4 had increased stiffness in extension, flexion, right bending and torsion. Conclusion : Posterior lumbar interbody fusion with a single long threaded cage inserted posterolaterally with unilateral facetectomy enables sufficient decompression while maintaining a majority of the posterior elements. In combination with a facet joint screw fixation, adequate postoperative stability can be achieved. We suggest that posterolateral insertion of a long threaded cage is biomechanically an ideal alternative to PLIF.

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Arthroscopic Subscapularis Tendon Repair - Preliminary Report of 8 cases study - (관절경하 견갑하건 봉합술 - 8 례에 대한 예비보고 -)

  • Yun, Ho-Hyun;Moon, Gi-Hyuk;Jang, Jong-Hoon;Yoo, Yon-Sik
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.2
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    • pp.124-131
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    • 2004
  • Purpose: To validate and introduce the technique of the arthroscopic repair for the treatment of the Subscapulris tendon tear. Materials and Methods: From April 2003 to April 2004, Arthroscopic repairs were performed in 8 patient with subscapularis tendon tear. The mean follow-up period was 11months. two cases involved only subscaplaris tendon tear. Four cases were associated small sized posterosuperir. rotator cuff tear and two cases were in large size. The type of subscapularis tendon showed upper portion full-thickness tear in 6 cases, partial-thickness tear localized at articular surface in 1 case, complete tear in 1 case. The results were analyzed by using subjective satisfaction, inferior movenent of superior displaced humeral head, Constant-Murley functional scoring Results: Constant-Murley scoring was improved from 55 point preoperatively to 75 point postoperatively following 11 months. Mean score was 71 point except 2 cases of large superoposterior rotator cuff tear, Most humeral heads were distaracted postoperatively. The subjective result for the 8 shoulders were very satisfying in 5 cases, satisfying in 1 case and dissatisfying in 2 cases. Therefore satisfactory results were noted in 6 cases (75%) of this overall treatment group. Conclusion: The arthroscopic repair for the subscapularis tendon tear is thought to be available method, which could reduce severe complications following the weakness of deltoid muscle and postoperative pain. Especially Partial Subscapularis tear not associated with superoposterior rotator cuff tear including PASTA lesion was the sutable indication of the Arthroscopic repair.

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Effects of Mulberry Leaf Extract Feeding on Lipid Status of Rats Fed High Cholesterol Diets (뽕잎추출물이 고콜레스테롤 식이 흰쥐의 지질대사에 미치는 영향)

  • Park, Surk-Hoon;Jang, Mi-Jin;Hong, Jung-Hee;Rhee, Soon-Jae;Choi, Kyung-Ho;Park, Mo-Ra
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.1
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    • pp.43-50
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    • 2007
  • This study was to investigate the effect of mulberry leaf water extract on lipid metabolism of rats fed high cholesterol diets. Sprague-Dawley male rats were randomly assigned to two normal groups; mulberry extract-free (N), 0.16% mulberry leaf extract (NM) groups and high cholesterol groups with four different levels of mulberry leaf extract; 0% (HC), 0.08% (HCL), 0.16% (HCM), and 0.32% mulberry leaf extract (HCH) groups. Serum levels of triglyceride, cholesterol, LDL-cholesterol and AI index in mulberry leaf extract supplemented groups were significantly lower than the HC group (p<0.05). The level of HDL-cholesterol in the HC group was significantly (p<0.05) reduced, compared with N group, but it was increased by mulberry leaf extract supplementation. Mulberry leaf extract had no effect on the UDP-glucuronyl transferase activity. Also, there was no significant difference in the level of liver cholesterol between the HC and mulberry leaf extract supplemented groups, while there was significant difference in the levels of liver total lipid and triglyceride. The HCM and HCH groups had more significant reduction in the activity of lipoprotein lipase in epididymal fat tissue than the HC group. The levels of total lipid, triglyceride and total cholesterol in epididymal fat tissue of HCL, HCM and HCH groups were decreased compared to HC group. The levels of total lipid, triglyceride and total cholesterol in feces from HCL, HCM and HCH groups were higher than those of HC group.

Fermentation Conditions for High Acceptability of Korean Traditional Fermented Beverage Kyejang (전통 발효음청류 계장의 기호도 우수 발효조건)

  • Jung, Jin-Kyoung;Song, Kyung-Mo;Yi, Sung-Hoon;Kim, Hyo-Jin;Han, Young-Sook;Lee, Myung-Ki
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.1
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    • pp.137-144
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    • 2015
  • Kyejang is a Korean traditional beverage manufactured from medicinal plants and fruits using honey, sugar, or starch in cold water. In this study, cinnamon-containing kyejang, which is a type of beverage Jang, was reproduced based on Imwonsibyukji's method published in 1827 in the Korean literature. Kyejang made by nuruk, cinnamon, and medicinal plants was prepared at various temperatures and periods. Kyejang was assayed for physiochemical properties (pH and acidity), contents of metabolites (organic acids, sugars, and amino acids), and sensory characteristics (aroma and taste). During fermentation, content of organic acids (e.g. lactic acid, acetic acid, and shikimic acid) increased, which lowered pH, increased acidity, and increased intensity of sour taste. In the case of free sugars, fructose and maltose levels decreased while glucose and mannitol levels increased during fermentation periods, and sweetness decreased. The main amino acid in kyejang was tryptophan, followed by asparagine, proline, and arginine. The sensory evaluation score of overall preference was highest for kyejang which was fermented at $20^{\circ}C$ for 3 days. The results will be provide the basic data of fermentation conditions for standardized manufacturing process of kyejang.

Phenolic Contents of Different Parts of Rhus verniciflua Stokes according to Extraction Conditions (추출조건에 따른 옻나무 부위별 Phenolics 함량)

  • Park, Hye Jin;Lee, Sang Hoon;Jang, Gwi Yeong;Li, Meishan;Kim, Min Young;Kim, Sung Tae;Lee, Ji Hyun;Yoon, Gun Mook;Lee, Junsoo;Jeong, Heon Sang
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.1
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    • pp.97-103
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    • 2015
  • This study investigated changes in phenolic contents of different parts of Rhus verniciflua Stokes (RV) according to extraction conditions. Bark and xylem parts of RV were extracted at 80, 100, 120, 140, and $160^{\circ}C$ for 1, 3, and 5 h, respectively. Major phenolic compounds (gallic acid, protocatechuic acid, fustin, fisetin, sulfuretin, and butein) of RV were analyzed. The gallic acid, fisetin, sulfuretin, and butein contents significantly increased as extraction temperature increased. Protocatechuic acid and fustin contents increased as increasing extraction temperature to $120^{\circ}C$ and decreased afterward. The gallic acid, protocatechuic acid, and butein contents of bark were higher than those of xylem extracts. The optimal extraction conditions of gallic acid, protocatechuic acid, fustin, fisetin, sulfuretin, and butein were $160^{\circ}C/3h$ (380.22 mg%), $120^{\circ}C/1h$ (9.25 mg%), $100^{\circ}C/3h$ (206.97 mg%), $140^{\circ}C/5h$ (93.84 mg%), $140^{\circ}C/5h$ (16.07 mg%) and $160^{\circ}C/5h$ (1.49 mg%), respectively. These results suggest that the optimum extraction temperature and time considering RV extraction yield and cost are $140^{\circ}C$ and 3 h, respectively.

The Analysis of Spectral characteristics of Water Quality Factors Uisng Airborne MSS Data (Airborne MSS 자료를 이용한 수질인자의 분광특성 분석)

  • Dong-Ho Jang;Gi-Ho Jo;Kwang-Hoon Chi
    • Korean Journal of Remote Sensing
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    • v.14 no.3
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    • pp.296-306
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    • 1998
  • Airborne MSS data is regarded as a potentially effective data source for the measurement of water quality and for the environmental change of water bodies. In this study, we measured the radiance reflectance by using multi-spectral image of low resolution camera(LRC) which will be reached in the multi-purpose satellite(KOMPSAT) to use the data in analyzing water pollution. We also investigated the possibility of extraction of water quality factors in water bodies by using high resolution remote sensing data such as Airborne MSS. Especially, we tried to extract environmental factors related with eutrophication such as chlorophyll-a, suspended sediments and turbidity, and also tried to develop the process technique and the radiance feature of reflectance related with eutrophication. Although it was difficult to explicitly correlate Airborne MSS data with water quality factors due to the insufficient number of ground truth data. The results were summarized as follows: First, the spectrum of sun's rays which reaches the surface of the earth was consistent with visible bands of 0.4${\mu}{\textrm}{m}$~0.7${\mu}{\textrm}{m}$ and about 50% of total quantity of radiation could be found. The spectrum was reached highest at around 0.5${\mu}{\textrm}{m}$ of green spectral band in visible bands. Second, as a result of the radiance reflectance Chlorophyll-a represented high mainly around 0.52${\mu}{\textrm}{m}$ of green spectral band, and suspended sediments and turbidity represented high at 0.8${\mu}{\textrm}{m}$ and at 0.57${\mu}{\textrm}{m}$, respectively. Finally, as a result of the water quality analysis by using Airborne MSS, Chlorophyll-a could have a distribution image after carrying out ratio of B3 and B5 to B7. Band 7 was useful for making the distribution image of suspended sediments. When we carried out PCA, suspended sediments and turbidity had distributions at PC 1 and PC 4 which are similar to the ground data. Above results can be changed according to the change of season and time. Therefore, in order to analyze the environmental factors of water quality by using LRC data more exactly, we need to investigate the ground data and the radiance feature of reflectance of water bodies constantly. For further studies, we will constantly analyze the radiance feature of the surface of water in wafter bodies by measuring the on-the-spot radiance reflectance and using low resolution satellite image(SeaWiFS). We will also gather the data of water quality analysis in water bodies and analyze the pattern of water pollution.

The Process of Hillslope Denudation Since the Last Glacial Maximum Near Tangjeong-myeon, Asan-si, Central Korea (아산시(牙山市) 탕정면(湯井面) 일대(一帶) 최종빙기(最終氷期) 최성기(最盛期) 이후(以後) 구사면(丘斜面)의 삭박과정(削剝過程))

  • PARK, Ji-Hoon;JANG, Dong-Ho
    • Journal of The Geomorphological Association of Korea
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    • v.15 no.2
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    • pp.67-83
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    • 2008
  • To find out the process of hillslope denudation since the Last Glacial Maximum in Asan area, we conducted the stratiform interpretation and carbon age measurements with the collected samples through trenching in the valley bottom of 'Agol' located in the lower stream of Magok stream. The results are as follows. 11 inorganic and 8 organic matter layers were confirmed at the point of trench MG1 in the subject area, 7 inorganic and 3 organic at the point of trench MG2, and 5 inorganic and 3 organic at the point of trench MG3, respectively. The frequency of hillslope denudation, hillslope mass movement, which had occurred in the unstable environment of back hillslope at the point of MG 1, was 11 times (8 times before about 2,900yrBP, twice in between about 2,900~1,900yrBP, and once after about 1,900yrBP) as a whole. The frequency of moor which had formed in the comparatively stable environment of back hillslope was 9 times (5 times before about 3,000yrBP, twice in between 3,000~2,800yrBP, and once in between 2,200~1,900yrBP) at minimum. The frequency of back hillslope denudation at the point of MG2 was totally 7 times (4 times before about 1,900yrBP and 3 times after about 1,900yrBP) and the moor formations were 3 times (twice before about 1,900yrBP and once after 1,900yrBP). The frequency of back hillslope denudation at the point of MG3 was totally 5 times (3 times before about 1,900yrBP and twice after about 1,900yrBP) and the moor formations were 3 times (twice before about 1,900yrBP and once after 1,900yrBP). The hillslope surrounded by valley bottom of 'Agol' was confirmed as the pile up of various inorganic matters by the mass movement such as sand or sandy gravel in the valley bottom of the subject area, formed not once but several times of denudation. We could know that the hillslope denudation cycle converged to the time period of $10^2{\sim}10^3$ years. These results will be an important basic data for restoring hillslope denudation process near Asan and changing climate of the Late Quaternary Period.

Evaluation of the Jaw-Tracking Technique for Volume-Modulated Radiation Therapy in Brain Cancer and Head and Neck Cancer (뇌암 및 두경부암 체적변조방사선치료시 Jaw-Tracking 기법의 선량학적 유용성 평가)

  • Kim, Hee Sung;Moon, Jae Hee;Kim, Koon Joo;Seo, Jung Min;Lee, Joung Jin;Choi, Jae Hoon;Kim, Sung Ki;Jang, In-Gi
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.177-183
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    • 2018
  • Purpose : Volumetric Modulated Arc Therapy(VMAT) has the advantage of uniformly and precisely irradiating the tumor to the shape of the tumor while reducing the risk of radiation damage to normal tissues. such as brain cancer, head and neck cancer and prostate cancer, It is being used for treatment. The purpose of this study is to evaluate the usefulness of the Jaw-Tracking technique(JTT) in VMAT for brain and head and neck cancer. Materials and Methods : We selected eight patients with brain and head and neck cancer(4 Brain, 4 head and neck) who were treated with the VMAT treatment technique. Contouring information of the patient's tumor and normal organ was fused to the Rando phantom using the deformable registration of Velocity(Varian, USA). A treatment plan was developed using the Varian Eclipse(ver 15.5, Varian, USA) with the same patient actual beam parameters except for the use of jaw-tracking. As the evaluation index, the maximum dose and mean dose of target and OAR were compared and a portal dosimetry was performed for the treatment plan verification. Results : When using JTT, the relative dose of OAR decreased by 5.24 % and the maximum dose by 7.05 %, respectively, compared with the Static-Jaw technique(SJT). In the various OARs, the mean dose and maximum dose reduction ranges ranged from 0.01 to 3.16 Gy and from 0.12 to 6.27 Gy, respectively. In the case of the target, the maximum dose of GTV, CTV, PTV decreased by 0.17 %, 0.43 %, and 0.37 % in JTT, and the mean dose decreased by 0.24 %, 0.47 % and 0.47 %, respectively. Gamma analysis The JTT and SJT passing rates were $98{\pm}1.73%$ and $97{\pm}1.83%$ on the basis of 3 % / 3 mm, respectively. Comparing the doses of all OARs applied to the experiment, it was found that the use of JTT resulted in a significant decrease in dose due to additional jaw shielding besides MLC than SJT. Conclusion : In radiation therapy using VMAT treatment plan, we can apply JTT in the case of adjacent tumor and normal organs such as brain cancer and head and neck cancer, and in radiotherapy required large field and high energy caused increase leakage dose through MLC. It is considered that the target dose of PTV can be increased by lowering the dose of normal tissue surrounding the tumor.

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