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1.
Ethiop J Health Sci ; 31(3): 589-598, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-34483616

RESUMEN

Background: Spiritual health is one of the important dimensions of the elderly's health, which plays an important role in other dimensions of their health. This study aimed to explain the process of spiritual health of the elderly living in nursing homes. Methods: This grounded theory study was conducted in 4 nursing homes in the city of Arak Iran between October 2019 and September 2020. The participants were 24 elderly people living in nursing homes, two health care providers, one nurse and one family member, first selected through purposive sampling and then, through theoretical sampling. The data were collected through semi-structured interviews and field notes. All the interviews were transcribed verbatim and analyzed based on Strauss and Corbin approach (2008). Results: Six main categories were identified, including helplessness, inefficient supportive environment, spiritual distress, seeking support, relative improvement of spiritual health and factors affecting spiritual health, each of which explains a part of the whole process of spiritual health of the elderly living in nursing homes. Conclusion: Supporting the elderly living in nursing homes is necessary in order to meet their spiritual needs and preserve and promote their spiritual health.


Asunto(s)
Casas de Salud , Espiritualidad , Anciano , Teoría Fundamentada , Humanos , Irán
2.
Rev Bras Enferm ; 75(1): e20201011, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34495129

RESUMEN

OBJECTIVE: to understand how religiosity can influence the health of individuals diagnosed with mental disorders, based on comprehensive care. METHODS: this is an integrative literature review, with the inclusion of articles in Portuguese, English and Spanish, between 2010 and 2018. RESULTS: the critical analysis and qualitative synthesis of the 24 selected studies were categorized into two subtopics: The influence of religiosity in promoting comprehensive mental health care; Mental health versus religiosity: influencing conditions for effective access to comprehensive care. FINAL CONSIDERATIONS: a positive influence of religiosity was identified in the lives of individuals diagnosed with mental disorders; however, evidence shows that health teams do not feel comfortable and prepared to work with religiosity as an expression of spirituality. This being one of the dimensional aspects of health, it can be inferred, on the results, the existence of this gap in the comprehensive care approach.


Asunto(s)
Trastornos Mentales , Terapias Espirituales , Humanos , Trastornos Mentales/terapia , Salud Mental , Religión , Espiritualidad
3.
An. psicol ; 37(2): 371-377, mayo-sept. 2021. tab
Artículo en Inglés | IBECS | ID: ibc-202560

RESUMEN

BACKGROUND: According to spirituality well-being, ambiguity intolerance, and happiness conceptualizations, this study was purposed to investigate the influences of spiritual well-being and uncertainty tolerance on happiness with regards to the moderating roles of sex in the elderly. Meth-od: Participants included 120 elders from Shiraz City, Fars province, Iran. A demographic questionnaire, the Spiritual Well-Being Inventory (SWBI), the Multiple Stimulus Types Ambiguity Tolerance Scale-II (MSTAT-II), and the Oxford Happiness Questionnaire (OHI) were used for data collection. RESULTS: Findings showed that spirituality well-being and uncertainty intolerance explain 60% of happiness variation in the elderly. But results rejected the role of sex on the prediction of happiness in the present study. CONCLUSION: This study demonstrates the predictive roles of spiritual well-being and ambiguity tolerance on happiness in the field of gerontology


ANTECEDENTES: De acuerdo con las conceptualizaciones del bienestar espiritual, la intolerancia a la ambigüedad y la felicidad, este estudio se propuso investigar las influencias del bienestar espiritual y la tolerancia a la incertidumbre sobre la felicidad con respecto a los roles moderadores del sexo en los ancianos. MÉTODO: Participaron 120 ancianos de la ciudad de Shiraz, provincia de Fars, Irán. Para la recopilación de datos se utilizaron un cuestionario demográfico, el Inventario de Bienestar Espiritual (SWBI), la Escala II de Tolerancia a la Ambigüedad de Tipos de Estímulos Múltiples (MSTAT-II) y el Cuestionario de Felicidad de Oxford (OHI). RESULTADOS: Los resultados mostraron que la espiritualidad, el bienestar y la intolerancia a la incertidumbre explican el 60% de la variación de la felicidad en los ancianos. Pero los resultados rechazaron el papel del sexo en la predicción de la felicidad en el presente estudio. CONCLUSIÓN: Este estudio demuestra los roles predictivos del bienestar espiritual y la tolerancia a la ambigüedad sobre la felicidad en el campo de la gerontología


Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Espiritualidad , Tolerancia , Felicidad , Incertidumbre , Salud del Anciano , Encuestas y Cuestionarios , Inventario de Personalidad , Satisfacción Personal , Envejecimiento/psicología
4.
Holist Nurs Pract ; 35(5): 242-247, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34407021

RESUMEN

Stressful life events often disrupt individuals' assumptive world, challenging their self-identity and altering their lives. Suffering from stressful life events may have a profound negative impact on a person's life. Nurses felt great demands on their spiritual selves even as they responded to the grave situations and caring demands needed to care for the spirits of their patients during the coronavirus (COVID-19) pandemic. However, with intentionality, suffering and stress can be ameliorated by engaging in spiritual self-care and self-renewing activities. Spirituality is recognized as an essential factor in a person's health and well-being and is integral to the process of growing through life events, such as illness, grief, and bereavement. Nurses may choose to use spiritual practices, either religious or nonreligious, to buffer the effects of stressful life events. The concept of caring for self has long being promoted, by scholars, as an essential need of nurses to care for themselves, not so they can keep on giving to others but because each nurse is worthy of being cared for by self. In the era of the pandemic in which stressful work environment, social distancing, and self-isolation make it difficult to maintain interconnectedness and build relationships, despair can occur. Spiritual practices are examples of the resources that can be used effectively in times of stress to reduce the negativity that life stressors create in individuals.


Asunto(s)
COVID-19/psicología , Enfermeras y Enfermeros/psicología , Autocuidado , Espiritualidad , Femenino , Humanos , SARS-CoV-2
5.
Rev Esc Enferm USP ; 55: e20200476, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34464432

RESUMEN

OBJECTIVE: To verify whether there is an association between spirituality/religiosity and quality of life of women with breast cancer undergoing radiotherapy. METHOD: Cross-sectional, quantitative study performed between May and July 2019 in an Oncology Hospital of Porto Alegre state, Brazil. A sociodemographic questionnaire and the instruments EORTC-QLQ-C30 and WHOQOL-SRPB were applied. The data were verified through Shapiro-Wilk test, Pearson correlation coefficient, and Spearman. RESULTS: The sample comprised 108 women with a mean age of 56, predominantly white, married, and with incomplete primary education. A positive correlation between "Overall quality of life score" with all facets of spirituality, as well as a negative correlation for the symptoms "Fatigue", "Insomnia", and "Diarrhea" with some aspects of spirituality, such as "Faith", were observed. CONCLUSION: The statistical significance of the correlation has positively associated spirituality/religiosity and quality of life in women with breast cancer undergoing radiotherapy. Understanding spirituality as a preponderant factor in quality of life contributes to positive nursing care interference, with individualized orientation and care to each woman.


Asunto(s)
Neoplasias de la Mama , Calidad de Vida , Neoplasias de la Mama/radioterapia , Estudios Transversales , Femenino , Humanos , Espiritualidad , Encuestas y Cuestionarios
6.
JAMA Netw Open ; 4(8): e2119355, 2021 08 02.
Artículo en Inglés | MEDLINE | ID: mdl-34347059

RESUMEN

Importance: Although people receiving maintenance dialysis have limited life expectancy and a high burden of comorbidity, relatively few studies have examined spirituality and religious beliefs among members of this population. Objective: To examine whether there is an association between the importance of religious or spiritual beliefs and care preferences and palliative care needs in people who receive dialysis. Design, Setting, and Participants: A cross-sectional survey study was conducted among adults who were undergoing maintenance dialysis at 31 facilities in Seattle, Washington, and Nashville, Tennessee, between April 22, 2015, and October 2, 2018. The survey included a series of questions assessing patients' knowledge, preferences, values, and expectations related to end-of-life care. Data were analyzed from February 12, 2020, to April 21, 2021. Exposures: The importance of religious or spiritual beliefs was ascertained by asking participants to respond to this statement: "My religious or spiritual beliefs are what really lie behind my whole approach to life." Response options were definitely true, tends to be true, tends not to be true, or definitely not true. Main Outcomes and Measurements: Outcome measures were based on self-reported engagement in advance care planning, resuscitation preferences, values regarding life prolongation, preferred place of death, decision-making preference, thoughts or discussion about hospice or stopping dialysis, prognostic expectations, and palliative care needs. Results: A total of 937 participants were included in the cohort, of whom the mean (SD) age was 62.8 (13.8) years and 524 (55.9%) were men. Overall, 435 (46.4%) participants rated the statement about religious or spiritual beliefs as definitely true, 230 (24.6%) rated it as tends to be true, 137 (14.6%) rated it as tends not to be true, and 135 (14.4%) rated it as definitely not true. Participants for whom these beliefs were more important were more likely to prefer cardiopulmonary resuscitation (estimated probability for definitely true: 69.8% [95% CI, 66.5%-73.2%]; tends to be true: 60.8% [95% CI, 53.4%-68.3%]; tends not to be true: 61.6% [95% CI, 53.6%-69.6%]; and definitely not true: 60.6% [95% CI, 52.5%-68.6%]; P for trend = .003) and mechanical ventilation (estimated probability for definitely true: 42.6% [95% CI, 38.1%-47.0%]; tends to be true: 33.5% [95% CI, 25.9%-41.2%]; tends not to be true: 35.1% [95% CI, 27.2%-42.9%]; and definitely not true: 27.9% [95% CI, 19.6%-36.1%]; P for trend = .002) and to prefer a shared role in decision-making (estimated probability for definitely true: 41.6% [95% CI, 37.7%-45.5%]; tends to be true: 35.4% [95% CI, 29.0%-41.8%]; tends not to be true: 36.0% [95% CI, 26.7%-45.2%]; and definitely not true: 23.8% [95% CI, 17.3%-30.3%]; P for trend = .001) and were less likely to have thought or spoken about stopping dialysis. These participants were no less likely to have engaged in advance care planning, to value relief of pain and discomfort, to prefer to die at home, to have ever thought or spoken about hospice, and to have unmet palliative care needs and had similar prognostic expectations. Conclusions and Relevance: The finding that religious or spiritual beliefs were important to most study participants suggests the value of an integrative approach that addresses these beliefs in caring for people who receive dialysis.


Asunto(s)
Prioridad del Paciente , Diálisis Renal , Autoinforme , Cuidado Terminal/estadística & datos numéricos , Adulto , Anciano , Estudios Transversales , Grupos Étnicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Religión , Espiritualidad , Encuestas y Cuestionarios , Tennessee , Washingtón
7.
BMJ Open ; 11(8): e045110, 2021 08 11.
Artículo en Inglés | MEDLINE | ID: mdl-34380716

RESUMEN

BACKGROUND: In the UK, doctors' regulatory and professional bodies require general practitioners (GPs) to consider discussing spiritual health as part of the consultation. However, spiritual health is not defined in guidance, and it is unknown what individual doctors understand by the term. RESEARCH QUESTION: What do GPs understand by the term 'spiritual health'? AIM: To explore how GPs understand and define spiritual health. DESIGN AND SETTING: Survey of GPs in England 9 April 2019-21 May 2019. METHOD: A mixed-methods online survey asked practising GPs in England qualitative free text questions-'What does the term 'Spiritual Health' mean to you?' and 'Any comments?' after five vignettes about discussing spiritual health with patients. These were subject to thematic analysis using a priori themes from the literature on GP definitions of spiritual health, and on attitudes towards the topic. PARTICIPANTS: 177 practising GPs in England. RESULTS: 177 GPs responded to the survey. Understanding of spiritual health fitted into three themes: self-actualisation and meaning, transcendence and relationships beyond the self, and expressions of spirituality. A full range of views were expressed, from a minority who challenged their role in spiritual health, through to others enthusiastic about its place in healthcare. CONCLUSION: Spirituality and religiosity are understood by English GPs to be distinct concepts. A consensus definition of spiritual health incorporating the themes identified by working doctors, may be helpful to support GPs to follow the recommended guidance in their practice.


Asunto(s)
Médicos Generales , Actitud del Personal de Salud , Humanos , Investigación Cualitativa , Espiritualidad , Encuestas y Cuestionarios , Reino Unido
8.
Artículo en Inglés | MEDLINE | ID: mdl-34360306

RESUMEN

Suicidal behavior constitutes a major global problem. Qualitative research utilizing the first-hand experiences of those who have survived attempts to take their own lives can offer much in the way of understanding how to live well despite ongoing suicidal behavior. Given that suicidal intentions and behaviors occur within the person's subjective construal, the solutions to living-and preferably living well-despite such inclinations must also be subjective and adaptive. The aim of this study was therefore to understand how individuals live with different aspects of their suicidal behavior and their use of effective strategies to protect themselves from future attempts. Thematic analysis of semi-structured, qualitative interviews with 17 participants with lived experience of suicidal behavior from the USA yielded two main themes: (i) the 'dynamic relationship with suicidal behavior: living with, and through', and (ii) 'the toolbox'. Each of these themes had four subthemes. Participants in this study offered important insights into what helped them not just survive ongoing suicidal behavior, but how they created unique toolboxes to continue living, and to live well. These toolboxes contained personalized solutions to dealing with recurring threats to their subjective wellbeing and included diverse solutions from spirituality, pets, peer-support, participating in the arts, through to traditional therapeutic supports. Some participants also discussed the importance of broader social policy and societal changes that help them live. The findings highlight crucial implications for suicide prevention efforts, especially in terms of encouraging collaborations with the lived experience community and furthering a strengths-based approach to mitigating suicidal behaviors. We encourage the clinical community to work in partnership with service-users to enable them to generate effective solutions to living-and living well-through suicidal behavior.


Asunto(s)
Ideación Suicida , Suicidio , Humanos , Investigación Cualitativa , Espiritualidad , Suicidio/prevención & control
9.
Health Psychol ; 40(6): 347-356, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34323537

RESUMEN

OBJECTIVE: This prospective longitudinal study examined whether coronavirus disease 2019 (COVID-19) has led to changes in psychological and spiritual outcomes among adults with chronic disease. METHOD: Participants (N = 302) were a stratified, nonrandom sample of adults (Mage = 64.46, SD = 10.86, 45.7% female). The sample was representative of the chronically ill, U.S. adult population in gender, race/ethnicity, region, and religious affiliation but older in age and higher in socioeconomic status. Participants completed online-administered measures 1 month before the March 11 pandemic declaration (T1) and then 1 and 3 months after it (T2 and T3). At T1 through T3, they completed measures of depression, anxiety, personal suffering, psychological well-being, trait resilience, optimism, hope, grit, spiritual struggles, spiritual fortitude, and positive religious coping. At T2 and T3, they also completed measures of social support, physical health, resource loss, perceived stress, and COVID-19 fears and exposure. RESULTS: Overall, people did not change substantially in psychological or spiritual outcomes over time. However, trait resilience increased and personal suffering declined. People highest in prepandemic suffering increased in spiritual fortitude. Racial/ethnic minorities increased in religious importance. Roughly half (48.9%) of participants exhibited psychological resilience (no/minimal depression or anxiety symptoms) at both T2 and T3. Perceived stress and psychological resource loss were associated with adverse mental health outcomes, but social support and physical health were not. COVID-19 fears contributed more to mental health than COVID-19 exposure. CONCLUSIONS: Even among vulnerable populations such as adults with chronic disease, during pandemic conditions like COVID-19, many people may exhibit-or even increase slightly in-psychological and spiritual resilience. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
COVID-19 , Enfermedad Crónica , Pandemias , Religión y Psicología , Adulto , Anciano , COVID-19/epidemiología , COVID-19/psicología , Enfermedad Crónica/epidemiología , Enfermedad Crónica/psicología , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Resiliencia Psicológica , Espiritualidad , Estados Unidos/epidemiología
12.
Artículo en Inglés | MEDLINE | ID: mdl-34199288

RESUMEN

Breast cancer remains significantly distressing and produces profound changes in women's lives. Spirituality is an important resource at the time of diagnosis and treatment decisions. This qualitative study aimed to explore the spiritual experience of women diagnosed with breast cancer and the considerations of spirituality in health care using the existential phenomenology approach. The sampling procedure was intentional, based on the study's exclusion and inclusion criteria. Forty women participated in individual interviews. The research was conducted in the outpatient clinic of a reference federal university hospital in South-Eastern Brazil. Throughout the research process, ethical principles were carefully followed. Five themes were identified: (1) meaning of spirituality-source of spiritual strength, (2) well-being in the relationship with God, (3) well-being in religious fellowship, (4) values and purpose of life-meaning in life, and (5) spirituality as a foundation to continue. Respect for patient's spiritual values was recognised as a fundamental principle in health care. Spirituality was revealed as a source of support during the complex process of being diagnosed with breast cancer. Thus, health care professionals that value and encourage spirituality are needed, favouring better patient response to the diagnosis.


Asunto(s)
Neoplasias de la Mama , Espiritualidad , Brasil , Neoplasias de la Mama/diagnóstico , Femenino , Humanos , Investigación Cualitativa
13.
Rev Esc Enferm USP ; 55: e03782, 2021.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-34190897

RESUMEN

OBJECTIVE: To evaluate the correlation between religiosity, spirituality, and self-esteem in adolescents with uni- and bilateral cleft lip and palate. METHOD: Correlational and cross-sectional study developed in a public and tertiary hospital in Brazil between July 2018 and February 2019. The sample comprised 100 adolescents divided into two groups: G1 (unilateral cleft, 50 participants) and G2 (bilateral cleft, 50 participants). For data collection, three instruments were used: Sociodemographic Questionnaire, DUREL Religion index, Rosenberg self-esteem scale. Statistical analysis was performed with the tests Chi-squared, Mann-Whitney, Pearson Correlation, and analysis of linear correlation strength, with a 5% significance level (p ≥ 0.05). RESULTS: Only organizational religiosity was higher in G1 when compared with G2 (p = 0.03). The overall self-esteem was satisfactory for both groups; however, there was no significant difference between them (p = 0.34). No correlation between religiosity and spirituality with self-esteem were identified for G1 and G2. CONCLUSION: The adolescents with uni- or bilateral cleft lip and palate presented high levels of religiosity, spirituality, and self-esteem. However, no correlation between these variables was identified.


Asunto(s)
Labio Leporino , Fisura del Paladar , Adolescente , Estudios Transversales , Humanos , Religión , Espiritualidad
14.
J Addict Nurs ; 32(2): 79-87, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34060758

RESUMEN

ABSTRACT: Excessive alcohol use and gambling problems among Korean college students in Korea have been recognized as significant public health issues. The purpose of this study was to identify the direct, indirect, and total influence of depression on alcohol use disorder and problem gambling to determine relative magnitudes of the specific mediating effects of spirituality. A cross-sectional correlational survey was conducted in South Korea with 239 college students. Study variables included the Center for Epidemiological Studies Depression Scale, a Spirituality Scale for Koreans, the Alcohol Consumption Questions, and the Korean version of the Canadian Problem Gambling Severity Index. Multiple-mediation analyses were performed. The results found that depression has a negative effect on each of the six subgroups of spirituality. In terms of the effects of spirituality on alcohol use disorder and problem gambling, spirituality was found to have a positive effect only on alcohol use disorder. The relationship between depression and those two addictive behaviors was significantly mediated by spirituality. Bootstrapping revealed that transcendence and connectedness were significantly mediating the relationship between depression and alcohol use disorder. For problem gambling, compassion and connectedness were found to be mediators affecting the relationship between depression and problem gambling. The finding suggests that spirituality's subscales affect two specific addiction problems in different ways. College students' excessive drinking and problem gambling can be prevented by developing and applying an intervention program that strengthens the connectedness of spirituality's subscales.


Asunto(s)
Alcoholismo , Juego de Azar , Espiritualidad , Canadá , Estudios Transversales , Depresión , Humanos , Análisis de Mediación , República de Corea , Estudiantes
15.
J Pastoral Care Counsel ; 75(2): 133-134, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34137337

RESUMEN

In this article, the author describes how spirituality affect the lives of people during COVID-19 pandemic. The author reflects on the meaning of religiosity and spirituality (R/S) from a practical, theological and pastoral point of view. This article presents new insights on the ongoing search for meaning and purpose of life amidst the COVID-19 pandemic.


Asunto(s)
Actitud Frente a la Salud , COVID-19/psicología , Religión y Medicina , Terapias Espirituales/métodos , Espiritualidad , Adaptación Psicológica , Humanos , Cuidado Pastoral/métodos , Religión y Psicología , Apoyo Social
17.
J Psychol ; 155(7): 606-623, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34165391

RESUMEN

The most internationally studied models of successful aging defend that there are several pillars for a good aging: absence of disease, good cognitive and physical function, a high commitment and social activity, social capital, personal resources, life satisfaction, and spirituality. This study examines the relationships between personal resources, perceived social support, hope, spirituality, self-care and subjective well-being variables, as bases for a successful aging. One thousand and sixteen community-dwelling Spanish adults, aged 55-92 years, participated in the study. Information on variables assessed was collected using self-reported questionnaires. Confirmatory Factor Analyses and Structural models with latent variables relating all indicators and factors were estimated. The structural model positing background variables affecting personal resources which then affected self-care behaviors and finally affected life satisfaction was supported by the data. The model results emphasize the importance of personality, because largely affects the use of personal resources. The three selected personal resources (support, hope and spirituality) favor self-care behaviors. And finally, these behaviors improved life satisfaction in the old age. This result is of particular importance when policies for a successful and satisfactory aging of the population have to be designed.


Asunto(s)
Satisfacción Personal , Autocuidado , Adulto , Envejecimiento , Humanos , Apoyo Social , Espiritualidad , Encuestas y Cuestionarios
18.
J Christ Nurs ; 38(3): E28-E31, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34085665

RESUMEN

ABSTRACT: Nurses who provided care to patients with coronavirus (COVID-19) and supported patients in their transition from life to death in the absence of patients' families have been especially needful of spiritual self-care. A spiritual first aid kit can help nurses cope with these difficult times. Spiritual self-care is vital for all nurses to renew and preserve the psychological, spiritual, and physical self.


Asunto(s)
COVID-19/psicología , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Autocuidado/psicología , Autoeficacia , Adaptación Psicológica , COVID-19/enfermería , Cuidados Críticos/psicología , Primeros Auxilios , Humanos , Espiritualidad
19.
Rev Bras Enferm ; 74(3): e20201227, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34161507

RESUMEN

OBJECTIVES: to identify the factors related to the use of religious coping in informal caregivers. METHODS: integrative literature review carried out through a search in the databases LILACS, PubMed, Scopus, Web of Science, and CINAHL, in addition to the Virtual Health Library and SciELO. The study selected primary articles in English, Portuguese, and Spanish, using the descriptors Coping Behavior, Caregivers, Spirituality, and Religion, which were combined with each other and with synonyms. There was no time limit for the publications. RESULTS: nine articles were selected. Factors related to the use of religious coping in informal caregivers included: having an advanced age, experiencing traumatic situations, being under overload, being a spouse or mother, caring for hospitalized individuals, or for those with chronic diseases and high degrees of dependence. CONCLUSIONS: the factors related to the use of religious coping are multifaceted and involve physical, psychological, psychosocial, and situational aspects.


Asunto(s)
Adaptación Psicológica , Cuidadores , Humanos , Religión , Espiritualidad , Esposos
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