Equate 4500 Series Wrist Blood Pressure Monitor. Thats especially important for wrist-cuff monitors, where you have a lot more leeway on where you position it, says Beverly Green, MD, a senior investigator with the Kaiser Permanente Washington Health Research Institute and a family physician with Washington Permanente Medical Group. Place your feet flat on the floor and rest your arm on a tabletop even with your heart. When you shop through retailer links on our site, we may earn affiliate commissions. First, make sure that the device is turned off. Slowly turn the valve back to deflate the cuff.. Some pharmacies offer blood pressure checks, and your pharmacist will also be able to point you in the direction of support and advice if you need it. Place the flat base of the stethoscope under the cuff and put the ear tips in your ears. Turn the valve on the bulb to close the airflow. How to best check your blood pressureat home, health.harvard.edu/heart-health/high-blood-pressure-at-the-doctors-office-but-not-at-home, heart.org/en/news/2020/05/22/how-to-accurately-measure-blood-pressure-at-home, heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/monitoring-your-blood-pressure-at-home, health.harvard.edu/blog/home-blood-pressure-monitors-arent-accurate-201410297494. It is most accurate to check your blood pressure on the left side. Bluestone Automatic Digital Wrist Blood Pressure Monitor QUICK READINGS -This wrist cuff health monitor quickly measures systolic, diastolic and pulse readings and displays them simultaneously on an easy to read screen. The studys findings were presented today at the American Society of Hypertension. If you have low blood pressure , you can find out more from NHS Choices too. stream While no wrist-cuff monitors are recommended by CR, a few scored a four out of five for accuracy, making them reasonable choices if an upper-arm cuff is not an option for you, according to Sue Booth, who oversees blood pressure monitor testing at Consumer Reports. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Thats a problem because these are medical devices, Bali says. What Are The Most Effective Ways To Quit Smoking? Finally, if the monitor is not positioned correctly on your wrist, it may not be able to get an accurate reading. This time del ALL appears on the display. If you want more information about high blood pressure we recommend you take a look at NHS Choices. Cuspidi C, et al. Blood pressure medications: Can they raise my triglycerides? This content does not have an English version. After a few seconds have passed, the monitor should be reset and ready to use. To provide you with the most relevant and helpful information, and understand which Once youve found the reset button, press and hold it for a few seconds. Wrist blood pressure monitors are fast and convenient, but theyre not always the most accurate. Protect Yourself From Indoor Air Pollution, CR's Blood Pressure Monitor Ratings & Buying Guide, Best Home Blood Pressure Monitors of 2022, Why Measuring Your Blood Pressure With a Wearable Device Isn't a Great Idea, Yet, Do Not Sell or Share My Personal Information. If you're not sure, ask your doctor. Learn how to clear the data on the Vive Precision Blood Pressure Monitor. Our patients and their doctors are likely going to be using data from this device to make clinical decisions.. First, make sure that the device is turned off. Isolated systolic hypertension: A health concern? You can also check with your doctor at your next appointment. The features of the device are larger button, before your readings immediately . Glycemic index: A helpful tool for diabetes? Systolic pressure is the pressure of the blood when your heart beats to pump blood out. An expert explains. %PDF-1.4 But if you want a Wristech blood pressure monitor of your very own, itll cost you about 50 bucks. When your blood pressure monitor drops below 25%, it should be charged to ensure that it works properly and records accurate readings. 2. Are Instagram Influencers Creating A Toxic Fitness Culture? <> However, digital arm monitors arent perfect. Press 'SET' to confirm. Why is my monitor not turning on when I put it on my arm? To monitor your blood pressure using an automatic blood pressure monitor, find a comfortable place to sit with good back support at a table or desk. Its important to remember that a single high blood pressure reading isnt a reason to worry. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. (2017). Use the bathroom before you take your reading, and sit quietly for 5 minutes without talking, texting, or watching TV. Squeeze the bulb rapidly to inflate the cuff. Please subscribe and share this video. If your blood pressure is over 180/120 and you have certain symptoms, do not wait 5 minutes. <> Take a You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Resperate: Can it help reduce blood pressure? Tetanus shots: Is it risky to receive 'extra' boosters? This makes the accuracy of readings very important. The WrisTech is compact and lightweight and easy to use even by yourself! Home blood pressure measurements can sometimes provide a more accurate assessment of blood pressure. Always take readings at the same time of day, under the same conditions. As the cuff. Try to sit still for at least 5 minutes before taking your blood pressure. You might also see a heart rate reading, which is typically represented by a heart icon. When youre ready to take your blood pressure, sit quietly for three to five minutes beforehand. There are two reasons that wrist blood pressure monitors are less accurate than upper arm monitors. 3 0 obj All email addresses you provide will be used just for sending this story. Digital upper arm monitors are a great way to measure your blood pressure at home. In fact, some models are priced at over $100. /Contents 8 0 R>> Accessed Jan. 18, 2021. Wrist blood pressure monitors are frequently found to have higher readings than arm blood pressure monitors. This makes it harder to get an accurate reading on your wrist. If you are a Mayo Clinic patient, this could "A blood pressure less than 120/80 mm Hg is ideal . If you have a product that, 2ND TIME,YOU DO NOT,,YOU SEND IT BACK TO THE COMPANY!! Record your reading, either in the memory of your blood pressure monitor or on computer or paper. Read Also: Heart Attack Normal Blood Pressure. Keep your wrist at heart level, supported on a table or other surfaceDr. You can see the accuracy of common home monitor types below. Beta blockers: Do they cause weight gain? When you monitor at home, you can get a better idea of what your blood pressure is like on average days. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. However, if youre consistently getting readings that seem wrong to you, its a good idea to double-check. If you're not sure, ask your doctor. Learn more. Pendick D. (2019). stream Switch between two users to store measurements separately and the monitor will automatically record up to 500 measurements with date and time for easy blood pressure tracking. If wikiHow has helped you, please consider a small contribution to support us in helping more readers like you. What are opioids and why are they dangerous? stream In the case of home use, it is recommended that these monitors are re-calibrated every 3 years based on amount of use. A machine like this, which measures blood pressure within ten points, is far superior to most other home blood pressure monitors. Complete. You can adjust the year by pressing the 'MEM' button. While the devices can be used to give you an on the spot reading of your current pressure, it is highly unlikely you will ever get the same reading twice when measuring subsequently. 100% of the fees we collect are used to support our nonprofit mission. Some people consistently get different blood pressure readings outside the doctor's office even when blood pressure is measured correctly and repeatedly. Plasticfully automatic, clinical accuracyextra large easy to read, Read Also: Can Low Blood Pressure Cause Heart Attack. endstream The first reason is the anatomy of your wrist itself. Calibration isnt cheap and we have found a way to subsidise those costs and reduce the waiting time that customers face. Equate UA-4000WM 4000 Series Upper Arm Blood Pressure Monitorhttps://amzn.to/2KgJ0TA This is the version that I bought and review in the video.The blood pres. Theyre more expensive than other types of at-home monitors. Also Check: Reduce Blood Pressure Medication. No matter what type of monitor you use, you can take steps to make sure youre getting the most accurate reading possible. Also Check: Will Claritin Raise Blood Pressure. Measure twice a day, at the same times every day (for example, in the morning and evening). Reading the dial can be much more difficult than reading a digital screen, and people with hearing loss might have trouble hearing their heartbeat in the stethoscope. Finally, people with irregular heartbeats might not be able to get an accurate blood pressure reading from any type of digital monitor. Your BP fluctuates depending on the time of day and in response to many factors, such as body position, eating, and how recently youve been physically active. Even if there are instructions for self-calibrating your monitor, you should still check it against the one at your doctor's office. If the readings provided by the digital home blood pressure monitor were more than four points under or over the readings of the office device, the monitor was considered inaccurate. Make sure that you have pressed the START/STOP button to turn on the monitor. We respect your privacy. If your sleeves are too big to move up enough to read, remove your jackets or sweaters. As a science journalist, my goal is to empower consumers to make informed decisions about health products, practices, and treatments. These factors will influence the measurement. Getting regular checkups is key when it comes to reducing your risk of heart disease and catching issues early before they cause serious complications. other information we have about you. One way to check is at your local pharmacy. However, some people feel more stress and anxiety when visiting the doctor. around your blood pressure, the researchers were said to noon that, bear may visit to reset the date by time. Before shopping, it can help to know what kind of monitor you need. In most cases, this entails returning the device to the manufacturer, who will most likely charge a fee for this service. Artificial sweeteners: Any effect on blood sugar? However, theyre not the most accurate way to measure your blood pressure. When the parts are damaged, the monitor will not be as accurate. If your daily BP reading suddenly changes, such as an acute meal or a caffeine or nicotine intake, it could be because of an underlying health condition, such as an underlying health condition; consult your doctor if this occurs. All our upper arm and wrist BP monitors are certified and validated class IIa medical devices. Diabetes diet: Should I avoid sweet fruits? Does with the intention of near your answer in the direction of the . If you take your blood pressure regularly in your wrist, your doctor will be able to tell you if your blood pressure has risen or fallen. In order to get an accurate measurement, it is important to follow these rules: Along with error messages, you may be getting blood pressure readings that just dont seem right. You can turn off the power by pressing the STOP/Start button. This article has been viewed 112,313 times. Certain foods, such as caffeine, activities, and emotional stress can change your readings, so taking them at a consistent time will help you get the best results. A pointer on the gauge dial indicates how much blood pressure is in your body. Take your blood pressure at the same time every day. Some digital arm monitors cant be used on your right arm, making those models difficult for some people to use. If you want more information about high blood pressure we recommend you take a look at NHS Choices. Effectively managing chronic kidney disease, Blood pressure readings Why higher at home, Advertising and sponsorship opportunities. Blood Pressure Monitors that are used at least 5 times a day have to be calibrated once a year and this particularly applies to Health Care Practitioners. The first reading shows an average of the last three readings. A key reason for that is accuracy, says Willie Lawrence, MD, chairman of the oversight committee of the American Heart Associations National Hypertension Control Initiative and medical director of the Center for Better Health and Cardiovascular Wellness in Benton Harbor, Mich. In most situations, any given arm device is going to be more accurate than any given wrist device, he says. This is known as white-coat hypertension and its common in people who find visiting the doctor stressful. By using our site, you agree to our. Its possible to find a relatively accurate wrist monitor, but youll need to do a little research. THE Chopper Cheat Lowe all the rage a toupee be similar funnier qualification you gaze at the show. endobj At-home readings can also start the conversation with a medical professional. 3 Use an average of 2 readings. If cuff fit isnt the issue If the device cant get the signals it needs because the cuff is not in the right place, it may end up over-inflating. Check the manufacturers instructions on how to position your wrist monitor, Green advises. Moving your body while the monitor is on can give a false read. If you want to take multiple measurements, wait approximately 3 minutes before repeating a measurement. Include your email address to get a message when this question is answered. Some people find that their first reading is much higher than the next readings. Membership comes with remote health monitoring, connected health testing devices and one-on-one coaching. It will also aid you in determining how to correct or reset the blood pressure monitor. Hypertensive crisis: What are the symptoms? One reason upper-arm cuffs are generally preferred is that theyre generally easier to position correctly. It appears as if there is a leak somewhere in the system. Beta blockers: How do they affect exercise? Use of alcohol, caffeine or cigarettes at home can also increase blood pressure. Theyre easy to use and provide accurate readings in most cases. Put the cuff on following the instructions that came with your blood pressure machine. Below are the colors that indicate when you should charge it and when you can stop charging it. Headaches: Treatment depends on your diagnosis and symptoms. Here are some of the most common causes for these issues: The WBP1 has not been tested on those with atrial fibrillation, therefore we cannot recommend its use.Please consider the BPX1, BXP1A, BPX2 or BPX1W blood pressure monitors which are all suitable for use. Find the name of your blood pressure model in the Reference section in link 1 1. Locate "Bluetooth" and tap it. Their small size and digital face make them convenient to use. Many organizations, like the American Cancer Society and the National Lymphedema Network, advise mastectomy survivors to avoid checking blood pressure on the surgery side, if possible. Check the instructions again if you need a refresher. X Why are wrist blood pressure monitors less accurate? Wait 30 minutes after exercising, smoking . However, taking your own blood pressure measurements can seem daunting at first. And, like many people, you may be wondering how to reset your blood pressure monitor at home. Take two or three readings and record them all. You can learn more about how we ensure our content is accurate and current by reading our. Once the time is displayed, press and hold the 'SET' button for 3 seconds. of Health and Human Services, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/f\/fb\/Use-a-Wrist-Blood-Pressure-Monitor-Step-11.jpg\/v4-460px-Use-a-Wrist-Blood-Pressure-Monitor-Step-11.jpg","bigUrl":"\/images\/thumb\/f\/fb\/Use-a-Wrist-Blood-Pressure-Monitor-Step-11.jpg\/v4-728px-Use-a-Wrist-Blood-Pressure-Monitor-Step-11.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/1\/19\/Use-a-Wrist-Blood-Pressure-Monitor-Step-12.jpg\/v4-460px-Use-a-Wrist-Blood-Pressure-Monitor-Step-12.jpg","bigUrl":"\/images\/thumb\/1\/19\/Use-a-Wrist-Blood-Pressure-Monitor-Step-12.jpg\/v4-728px-Use-a-Wrist-Blood-Pressure-Monitor-Step-12.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/51\/Use-a-Wrist-Blood-Pressure-Monitor-Step-13.jpg\/v4-460px-Use-a-Wrist-Blood-Pressure-Monitor-Step-13.jpg","bigUrl":"\/images\/thumb\/5\/51\/Use-a-Wrist-Blood-Pressure-Monitor-Step-13.jpg\/v4-728px-Use-a-Wrist-Blood-Pressure-Monitor-Step-13.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}. The Different Types Of Digital Blood Pressure Monitors, How To Get A Free Blood Pressure Monitor Through Medicare, 8 Useful Organic Remedies Worth Considering For An Energy Boost, The Rise of Autism: How Parents Are Coping. Once you've found the reset button, press and hold it for a few seconds. Diabetes treatment: Can cinnamon lower blood sugar? Research source. Powered by consumers. All rights reserved. Analog monitors can be accurate, but theyre hard for many people to use. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Other pharmacies can take your blood pressure for you. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. \rAs an Amazon Associate, I earn from qualifying purchases. 4. . Send your monitor to a specialized company or check with the manufacturer of . Our blood pressure monitors are provided in association with St John Ambulance, who share our passion for empowering you to look after your health effectively. Try to always use the same resting time before taking a measurement. 2005-2023 Healthline Media a Red Ventures Company. The majority of the Executive Management Team has worked together in Miami since the 1980's, producing hundreds of projects for our communities, building long-term and repeat business . The universal cuff size and adjustable design ensure a comfortable and firm fit on your wrist to provide stunning accuracy in readings. Find many great new & used options and get the best deals for Equate 4500 Series Wrist Blood Pressure Monitor at the best online prices at eBay! release then press and hold the same button to choose betweenkpa and mmhg .press the start stop button to start measuring.I also requested a manual from they sent me one. Moving and talking can affect your reading on the blood pressure monitor. Retrieve your username. YouTube is free!!! Blood pressure monitors designed specifically for wrist use are the best for accurate readings. (2020). Dont make a fist or flex your wrist. My computer restarts after it appears, and after that, the window that appears after the Windows logo appears again. Yes No | Report abuse gm'Zs>M^Ig5[`:ZcU*Y)*pWMrbW~cwWL1E There are a number of ways to reset your blood pressure monitor, depending on the model that you have. Next, locate the reset button, which is usually located on the back of the unit. The devices must be calibrated and adjusted in order to meet the needs of the user. After all, your blood pressure is affected by the things you do throughout your day, and a single high or low reading might not reflect your normal blood pressure. What is hypertension? Diastolic pressure is the pressure of the blood when your heart rests in between beats. However, you can check your blood pressure on the right if you have been told so by your medical provider. Free shipping for many products! Blood pressure: Does it have a daily pattern? According to the AHA, home monitors that are used on the upper arm are generally more accurate. Theyre generally best for travel or taking your blood pressure on the go. Many people assume that you can just place a wrist monitor on your wrist and hit a button, but thats not the case. For accurate readings, its a good idea to: If youre using a digital wrist or upper arm monitor, your results will be displayed on the screen. Sit in a chair and place the cuff on your wrist. Vegetarian diet: Can it help me control my diabetes? Your blood pressure and pulse will flash on the screen when the cuff is done taking your reading. There are many reasons you might need to regularly monitor your blood pressure. The last measured value will be deleted if you press the M-Button during the storage retrievement mode, after which all measured data will be deleted. Leave the cuff in place, and wait 1-2 minutes. Theyre more accurate than wrist monitors and theyre easier to master than analog upper arm monitors. Here is our quick and easy guide to a healthier and more confident you. 8 0 obj Sign up for wikiHow's weekly email newsletter. If you have been using the Omron Platinum for more than two or three years, you should consult your doctors office to see if your blood pressure is still accurate. Additionally, some people always have higher than normal blood pressure results at a doctors office. Here are our three favorite test kit options, how to take. When you take your measurements, its important to relax the muscles in your hand, wrist, and arm. American Heart Association. Place the blood pressure monitor at the exact right spot on your wrist. #KimTownsel #KimTownselYouTube\r\rLinks may provide ads or earned commissions. Analog arm monitors are also called aneroid monitors. Do infrared saunas have any health benefits? This article was medically reviewed by Luba Lee, FNP-BC, MS. Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Mayo Clinic Minute: Rattlesnakes, scorpions and other desert dangers. Follow me on Twitter: If you want to clear the whole user profile from its stored measurement data you also need to press the M-Button to reach to the storage retrievement mode but then press and hold the M- and the SET/SNOOZE-Button at the same time for approx. Your heart is just like a pump which works all the time to make the blood flow through all blood vessels. 7 0 obj Stores 60 readings to monitor your health over time. What we can do is alert the user if an Irregular Heartbeat is detected during the measurement, which may indicate that the reading is not accurate our BPX2 and BPX1W have the Irregular Heartbeat feature. The last measured value flashes a few times then the word del will appear on the display. It container additionally shelter verve, get to on a daily basis errands further convenient, with avoid you retain How To Reset Equate Blood Pressure Monitor strong weight. Can having vitamin D deficiency cause high blood pressure? Better answers use proper spelling and grammar. If youre taking your blood pressure at home and you get a few readings that dont match what you normally get at the doctors office, its probably not cause for concern. If you want to get the best blood pressure monitor, go with the Omron Platinum. American Journal of Hypertension. Blood pressure readings tend to skew higher when measured with wrist monitors. This will ensure that you are getting accurate readings. Therefore we recommend that you take readings at the same time each day for example, 11am, 2pm and 6pm then after 5 days you can look at the results, average them out and get a more accurate picture of what your blood pressure is, on aver-age, at that time of day. The most common ones are the systolic and diastolic pressure readings, which are usually represented by the top and bottom numbers on the screen. If you are anxious or uncomfortable, this will make your blood pressure rise temporarily. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. This content does not have an Arabic version. In fact, the American Heart Association (AHA) advises against wrist blood measures for home monitoring. Free blood pressure machines: Are they accurate? Confirm with the SET/SNOOZE-Button. It is considered to be accurate when used according to the manufacturers instructions. All you need to do is send your old device to: Dont Miss: Does Claritin D Cause High Blood Pressure. Enjoy! If you get this reading, wait 5 minutes and take your blood pressure again. The cuff then. Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. 3. A mercury sphygmomanometer, which is standard equipment for measuring blood pressure in doctors offices, was tested against digital home blood pressure monitors. 3. The sphygmomanometer in aneroid is relatively new and has a limited lifespan, so it should be serviced and calibrated on a regular basis. How to measure blood pressure using a manual monitor, How to measure blood pressure using an automatic monitor. Getting your blood pressure taken is a standard part of most medical appointments, but its not always the best way to get an understanding of your blood pressure. In this video, I demonstrate how to put on, use, and check the readings.#BloodPressureMonitor #EquateBloodPressureMonitor #MonitorBloodPressure #HealthMonitorSupport my YouTube Channel and Creative Endeavors \rhttps://paypal.me/KimTownsel It is free to like subscribe, leave a comment, and share. xn0~5=S)Z@AX%k+M Measurements are taken from the upper arm and it is intended for self-measurement and home use. Mayo Clinic does not endorse companies or products. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Diastolic blood pressure 80 mmHg. Check the list of "Paired devices" and find the device with "BP" or "HN" or "BCM" or "BLEsmart". (2019). wikiHow is where trusted research and expert knowledge come together. Some possible sources of error include incorrect cuff size, incorrect positioning of the monitor, and movement during measurement. A wrist blood pressure monitor is a good option if you can't use a regular cuff or if you want a monitor that's portable and convenient. Blood pressure measures the force on the wall of the blood vessels caused by the pressure of the blood. You use them to manually check your blood pressure. Sit with your back straight against a sturdy chair and your feet flat on the ground. Those symptoms include: An extremely high blood pressure along with any of these symptoms could lead to organ failure. The cuff should be positioned parallel to the heart at the same horizontal angle. Advertising revenue supports our not-for-profit mission. Medications and supplements that can raise your blood pressure. Your blood pressure and pulse will flash on the screen when the cuff is done taking your reading. They can be a good way to get a quick idea of your blood pressure when you dont need an exact reading. The researchers discovered that in 35% of the tests, the devices were deemed unacceptable. Late-night eating: OK if you have diabetes? Read CR's review of the Equate (Walmart) 4500 Series bp3kc1-3ewm blood pressure monitor to find out if it's worth it. But choosing an accurate device is crucial to getting good data. However, these monitors take your blood pressure in a different place, meaning you must be particular about how you take your reading for accuracy. Feel free to embed this v. Other common symbols include a battery icon (to indicate when the device needs to be recharged), a bluetooth icon (to indicate when the device is connected to a bluetooth-enabled device), and a warning icon (to indicate when the readings are outside of the normal range). https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/monitoring-your-blood-pressure-at-home#. Avoid consuming caffeine, smoking, or exercising 30 minutes before you take your blood pressure. This is to account for normal variations between readings. Review the monitor placement and arm angling instructions and retest. Every sphygmomanometer should be checked and calibrated by an accredited laboratory at least once a year. For the most accurate reading, put your elbow in a relaxed but supported position on a table and align your wrist with your heart, then turn the monitor on to take a reading. Relax. Monitoring your blood pressure at home. 8 Useful Organic Remedies Worth Considering For An Energy Boost, The Rise of Autism: How Parents Are Coping. But be sure to use them correctly. 4 Please check with your physician if you have any questions or concerns. Look at the instruction manual for your specific wrist monitor to determine the correct placement.