January 2019 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for January 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

E-Cigarettes More Effective for Smoking Cessation

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Electronic cigarettes are more effective for smoking cessation than nicotine replacement therapy, according to a study published online Jan. 30 in the New England Journal of Medicine.

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Depressive Symptoms Higher During Internal Medicine Internship

TUESDAY, Jan. 29, 2019 (HealthDay News) -- For internal medicine interns, depressive symptoms increase during internship, with poor faculty feedback and inpatient learning experience associated with increased depressive symptoms, according to a study recently published in Academic Medicine.

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Screen Time Linked to Poorer Child Developmental Performance

MONDAY, Jan. 28, 2019 (HealthDay News) -- Screen time is associated with poorer performance on developmental screening tests among young children, according to a study published online Jan. 28 in JAMA Pediatrics.

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New Model Helps Predict Patients Likely to Develop PTSD

MONDAY, Jan. 28, 2019 (HealthDay News) -- A new model can predict the likelihood that an individual will develop posttraumatic stress disorder (PTSD) nine to 15 months following a traumatic event, according to a study published online Jan. 2 in World Psychiatry.

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Financial Stress, Coronary Heart Disease Linked in African-Americans

MONDAY, Jan. 28, 2019 (HealthDay News) -- Financial stress may be associated with coronary heart disease among African-Americans, according to a study published in the February issue of the American Journal of Preventive Medicine.

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Likelihood of Engaging in Choking Game Higher in Troubled Teens

MONDAY, Jan. 28, 2019 (HealthDay News) -- Adolescents with higher levels of conduct disorder symptoms and greater rates of depressive symptoms have increased odds of reporting participation in the choking game, in which pressure is applied to the carotid artery to temporarily limit blood flow and oxygen, according to a study published online Jan. 28 in Pediatrics.

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Gender Gap Seen in Accessing Alcohol Treatment With Cirrhosis

MONDAY, Jan. 28, 2019 (HealthDay News) -- Women with alcohol-associated cirrhosis (AC) are less likely to receive alcohol use disorder (AUD) treatment than men with the disease even though such treatment is associated with improved outcomes at one year, according to a study published online Jan. 22 in Alcoholism: Clinical & Experimental Research.

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Virtual Video Visits Liked by Patients, Providers

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Virtual video visits can effectively replace office visits for selected patients across medical specialties without sacrificing quality of care or patient-physician communication, according to a study published in the January issue of the American Journal of Managed Care.

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Psychopathology in Adulthood Up With Child Lead Exposure

THURSDAY, Jan. 24, 2019 (HealthDay News) -- Higher childhood blood lead levels are associated with more psychopathology during the life course, according to a study published online Jan. 23 in JAMA Psychiatry.

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Report IDs Areas Lacking Good Practice in Health Tech Assessment

FRIDAY, Jan. 25, 2019 (HealthDay News) -- In a report published in the January issue of Value in Health, an ISPOR--The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).

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Suicide Incidence Up in Autism Spectrum Disorder 2013 to 2017

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Between 2013 and 2017, the cumulative incidence of suicide was higher in the autism spectrum disorder (ASD) population compared with the non-ASD population, according to a study published online Jan. 21 in Autism Research.

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Cognitive Scores After Kidney Transplant Tied to Frailty

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Frail kidney transplant recipients have lower cognitive scores than nonfrail recipients four years after transplant, according to a study published online Jan. 24 in the Journal of the American Society of Nephrology.

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2003 to 2015 Saw Increase in Outpatient Benzodiazepine Use

FRIDAY, Jan. 25, 2019 (HealthDay News) -- Outpatient benzodiazepine use increased from 2003 to 2015, according to a study published online Jan. 25 in JAMA Network Open.

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Objectively Assessed Exercise Protective Against Depression

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Objectively assessed physical activity is associated with a protective relationship with major depressive disorder (MDD), according to a study published online Jan. 23 in JAMA Psychiatry.

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Benzodiazepine, Opioid Co-Usage Up in the United States

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Concurrent use of benzodiazepine receptor modulators and opioids and of nonselective and selective benzodiazepine receptor modulators increased from 1999-2000 to 2013-2014, according to a study published online Jan. 17 in SLEEP.

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Mavoglurant Improves Visual Attention in Fragile X Syndrome

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- For patients with fragile X syndrome (FXS), mavoglurant treatment improves visual attention and pupil reactivity, according to a study published online Jan. 17 in PLOS ONE.

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Most Stroke Survivors ≥50 Years Report Complete Mental Health

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- More than two-thirds of stroke survivors aged 50 years or older report being in complete mental health (CMH), according to a study published online Jan. 9 in the Journal of Aging and Health.

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Medical Cannabis Decisions Being Made by Users, Not Doctors

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Many patients use medical cannabis without their mainstream health care provider's knowledge, and further, they self-adjust their pharmaceutical use in response to cannabis use, according to a study published online Jan. 8 in the Journal of Psychoactive Drugs.

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Review Gives Guidance to Support Teens With Gender Dysphoria

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Primary care providers are well positioned to provide critical support and personalized care for youth with gender dysphoria and their caregivers or families, according to a review published online Jan. 21 in CMAJ, the journal of the Canadian Medical Association.

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Wearable Sensor Data Help ID Children With Internalizing Dx

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Wearable sensor data extracted from a fear induction task paired with machine learning can accurately identify young children with internalizing diagnosis, according to a study published online Jan. 16 in PLOS ONE.

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Mindfulness, Stress Linked to Menopausal Symptoms

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Higher mindfulness and lower stress are independently associated with lower menopausal symptom scores among midlife women, according to a study published online Jan. 17 in Climacteric.

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Medication Treatment for Substance Abuse Up in Facilities

FRIDAY, Jan. 18, 2019 (HealthDay News) -- From 2007 to 2016, there was an increase in the proportion of substance use treatment facilities offering medication treatment (MT), according to a study published in the January issue of Health Affairs.

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Assessing Symptoms After 4 Weeks of Psychotherapy Helpful in Teens

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Therapists implementing interpersonal psychotherapy for depressed adolescents (IPT-A) should routinely monitor depression symptoms and consider augmenting treatment for insufficient responders as early as week 4 of treatment, according to a study published in the January issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

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Mandated Neonatal Abstinence Reporting Helps Quantify Cases

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Mandated neonatal abstinence syndrome (NAS) surveillance and reporting allows state health departments to quantify incidence and informs programs and services, according to research published in the Jan. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Frailty Could Increase Susceptibility for Dementia

FRIDAY, Jan. 18, 2019 (HealthDay News) -- Frailty and Alzheimer disease-related brain changes independently contribute to dementia status, according to a study published in the February issue of The Lancet Neurology.

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FDA Down to 5 Weeks of Funding to Review New Drug Applications

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.

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Breast Cancer Patients Do Not Overreact to Genetic Testing

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Among breast cancer patients, more extensive genetic testing is not associated with increased cancer worry, according to a study recently published in JCO Precision Oncology.

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Adoption of Advanced Health IT Capabilities Inconsistent

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.

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Suicide Risk Up More Than Fourfold for Cancer Patients

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Cancer patients have an increased suicide risk, which is predominant among men and white patients, according to a study published online Jan. 14 in Nature Communications.

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Opioids Now More Deadly for Americans Than Traffic Accidents

TUESDAY, Jan. 15, 2019 (HealthDay News) -- For the first time in history, Americans' risk for dying from an opioid overdose is higher than their risk for dying in a car accident, the National Safety Council reported Monday.

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Recalling Positive Memories May Cut Depression Risk for Teens

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Recalling specific positive life experiences may build resilience and help lower vulnerability to depression among adolescents with a history of early-life stress, according to a research letter published online Jan. 14 in Nature Human Behaviour.

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Study Explores Influence of Genetics, Environment in Disease

TUESDAY, Jan. 15, 2019 (HealthDay News) -- The influence of heritability and environmental factors has been identified for a large number of phenotypes, according to a study published online Jan. 14 in Nature Genetics.

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American College of Physicians Releases 7th Edition of Ethics Manual

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Ethical principles are discussed in an updated Ethics Manual, issued by the American College of Physicians (ACP) and published as a supplement to the Jan. 15 issue of the Annals of Internal Medicine.

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Young-Onset Type 2 Diabetes Tied to Increased Hospitalization Risk

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Adults with young-onset type 2 diabetes (T2D; onset before age 40 years) have an increased hospitalization risk across their life span compared with those with usual-onset T2D, according to a study published online Jan. 15 in the Annals of Internal Medicine.

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800-662-HELP Underappreciated in Media, General Population

MONDAY, Jan. 14, 2019 (HealthDay News) -- The Substance Abuse and Mental Health Services Administration national helpline (800-662-HELP) seems to be underappreciated in the media and by the general population, according to a research letter published online Jan. 14 in JAMA Internal Medicine.

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Terrorist Attack Victims With PTSD Have Higher Cancer Risk

MONDAY, Jan. 14, 2019 (HealthDay News) -- Among individuals with posttraumatic stress disorder (PTSD), those who were victims of terrorist attacks (TA) have a higher risk for neoplasms than those who experience other traumatic events (OTE), according to a study published online Jan. 8 in the Journal of Neuroscience Research.

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Couples Intervention May Aid Partners of Diabetes Patients

MONDAY, Jan. 14, 2019 (HealthDay News) -- Couples interventions have beneficial effects for partners of individuals with type 2 diabetes, according to a study recently published in Diabetic Medicine.

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Postpartum New-Onset Mental Illness Risk Up With IBD

MONDAY, Jan. 14, 2019 (HealthDay News) -- Women with inflammatory bowel disease (IBD) have an increased risk for new-onset psychiatric diagnosis in the postpartum period, according to a study published online Jan. 10 in Gut.

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Lack of Parent-Teen Agreement About Teen Suicidal Thoughts

MONDAY, Jan. 14, 2019 (HealthDay News) -- There is a high prevalence of parental unawareness and adolescent denial of suicidal thoughts, according to a study published online Jan. 14 in Pediatrics.

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Drug Overdose Death Rate Increasing Among Middle-Aged Women

FRIDAY, Jan. 11, 2019 (HealthDay News) -- From 1999 to 2017, the drug overdose death rate increased 260 percent among women aged 30 to 64 years, according to research published in the Jan. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Drug Repurposing May Provide More Psychiatric Tx Options

FRIDAY, Jan. 11, 2019 (HealthDay News) -- Three classes of drugs hold potential as repurposed agents to treat patients with serious mental illness, according to a study published online Jan. 9 in JAMA Psychiatry.

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Prices Still Explain High U.S. Health Care Spending

FRIDAY, Jan. 11, 2019 (HealthDay News) -- The difference in health spending between the United States and other countries is still explained by health care prices, according to a study published in the January issue of Health Affairs.

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Many Medical Cannabis Users Drive While Under the Influence

THURSDAY, Jan. 10, 2019 (HealthDay News) -- The prevalence of driving under the influence of cannabis (DUIC) is high among medical cannabis users with chronic pain, according to a study published online Jan. 9 in Drug and Alcohol Dependence.

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Private Equity Acquisition of Physician Practices Discussed

THURSDAY, Jan. 10, 2019 (HealthDay News) -- The phenomenon of private equity acquisition of physician practices is discussed in an Ideas and Opinions piece published online Jan. 8 in the Annals of Internal Medicine.

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Smartphone App Can Detect Early Signs of Opioid Overdose

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Specialized smartphone software can be used to detect early signs of opioid overdose, according to research published in the Jan. 9 issue of Science Translational Medicine.

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Nine Cases of Wound Botulism ID'd in Injection Drug Users

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Among persons who inject drugs, nine cases of wound botulism were identified in Southern California from September 2017 to April 2018, according to research published in the Jan. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Psychotherapy May Reduce Frequency of Nonepileptic Seizures

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Adherence to psychotherapy is associated with improved outcomes in individuals with psychogenic nonepileptic seizures (PNES), according to a study published online Jan. 4 in Neurology.

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Many Female Health Care Workers Live in Poverty

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Many U.S. female health care workers, particularly women of color, live in poverty and lack health insurance, according to a study published online Dec. 20 in the American Journal of Public Health.

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Depression Tied to Worse Asthma Outcomes in Urban Teens

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Depressive symptoms are prevalent among urban teens with asthma and are associated with worse outcomes, according to a study published online Dec. 19 in Academic Pediatrics.

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Increase in Brand-Name Drug Cost Mainly Due to Existing Drugs

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- The costs of oral and injectable brand-name drugs increased from 2008 to 2016, with most of the increase due to existing drugs, while new drugs accounted for cost increases in specialty and generic drugs, according to a study published in the January issue of Health Affairs.

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Medical Marketing Has Increased in Past 20 Years

TUESDAY, Jan. 8, 2019 (HealthDay News) -- From 1997 through 2016, there was an increase in medical marketing, especially direct-to-consumer (DTC) advertising, according to research published in the Jan. 1/8 issue of the Journal of the American Medical Association.

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Feeling Life Is Worthwhile Linked to Healthier Aging

TUESDAY, Jan. 8, 2019 (HealthDay News) -- The feeling that life is filled with worthwhile activities may promote healthier aging and help sustain meaningful relationships, according to a study published online Jan. 7 in the Proceedings of the National Academy of Sciences.

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ACA Coverage Gains Could Erode Without Individual Mandate

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Eliminating the Affordable Care Act's individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains, according to a study published in the January issue of Health Affairs.

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Risk for Suicide Increased in Year After Cancer Diagnosis

MONDAY, Jan. 7, 2019 (HealthDay News) -- Patients with a cancer diagnosis have an increased risk for suicide during the first year after their diagnosis compared with the general population, with higher suicide rates for cancers with a poor prognosis, according to a study published online Jan. 7 in Cancer.

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More Comorbidities, Lower Mortality for Holocaust Survivors

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Holocaust survivors in Israel have higher rates of comorbidities but lower mortality compared with a control population, according to a study published online Jan. 4 in JAMA Network Open.

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Prenatal Valproate Exposure Linked to Increased ADHD Risk

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Use of the antiepileptic drug (AED) valproate during pregnancy is associated with an increased risk for attention-deficit/hyperactivity disorder (ADHD) among offspring, according to a study published online Jan. 4 in JAMA Network Open.

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Functional Milestones Identified for Persons With Down Syndrome

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Most persons with Down syndrome (DS) maintain their personal hygiene by age 13 years and work independently by 20 years, according to a study published online Dec. 24 in the American Journal of Medical Genetics.

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Psychoeducational Intervention of Little Benefit in Breast Cancer

FRIDAY, Jan. 4, 2019 (HealthDay News) -- A psychoeducational intervention does not improve anxiety or body image but is still considered important among women with breast cancer, according to a study recently published in Reviews on Recent Clinical Trials.

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Clinical Tool Rapidly Assesses Post-Intensive Care Syndrome

THURSDAY, Jan. 3, 2019 (HealthDay News) -- The self-report version of the Healthy Aging Brain Care Monitor is valid for assessing post-intensive care syndrome (PICS), according to a study published in the January issue of the American Journal of Critical Care.

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Antidepressant Use in Seniors Linked to Risk for Hip Fracture

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Among older adults, antidepressant users sustain more hip fractures than nonusers both before and after therapy initiation, according to a study published online Jan. 2 in JAMA Psychiatry.

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Higher Risk for Depression, Anxiety Seen With Cerebral Palsy

WEDNESDAY, Jan. 2, 2019 (HealthDay News) -- Adults with cerebral palsy (CP) have an increased risk for depression and anxiety, according to a study published online Dec. 28 in JAMA Neurology.

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One in 10 EMS Encounters for Involuntary Psychiatric Holds

WEDNESDAY, Jan. 2, 2019 (HealthDay News) -- Ten percent of total emergency medical services (EMS) encounters in Alameda County, California, are involuntary hold encounters, according to a study published in the January issue of the Annals of Emergency Medicine.

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