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Found 2,339 results
  1. News Article
    The NHS Covid symptom checker has been criticised by a study which found it may not pick up some people who are seriously ill. By being told to stay at home rather than consult a doctor, they may not receive treatment quickly enough. NHS Digital says the 111 online service, used more than 3.9 million times in the past year, is not a diagnostic tool. The symptom checker has been constantly revised and updated, it adds. The NHS 111 online Covid symptom checker asks a series of set questions about symptoms in order to offer people advice on their condition and what to do next. The study, in BMJ Health and Care Informatics, used 50 simulated cases to compare online checkers used during the pandemic from four countries - UK, US, Japan and Singapore. It found the symptom checkers used by the UK and US were half as likely to advise people to consult a doctor as the systems used in Japan and Singapore. Japan and Singapore also had the lowest case fatality rates of the four nations. Despite improvements in the safety of the NHS 111 symptom checker since the research was carried out in April, the researchers said they still have "ongoing concerns". Read full story Source: BBC News, 9 March 2021
  2. News Article
    Patients with coronavirus have been discharged from a hospital and infected family members, a councillor claimed. Heather Kidd, a Liberal Democrat member of Shropshire Council, said a woman in south Shropshire told her that her husband had been "sent home with Covid". She initially found evidence of four cases but said those were the "tip of the iceberg" with more coming to light. The medical director of Shrewsbury and Telford Hospital NHS Trust (SaTH) said they were following guidelines, but would look into the "concerning" cases. Ms Kidd said since she first spoke out, she had been contacted by a number of people who have had Covid-positive family members discharged from the Royal Shrewsbury Hospital and the Princess Royal in Telford back into their homes. Arne Rose, the medical director at SaTH, said there was now a "special swab squad" testing patients every 24 hours as opposed to every 48 hours. He said some patients, who after 28 days of their first positive Covid test were no longer considered infectious, would be the subject of a "careful risk assessment". They could then be discharged with advice on self-isolating at home. "The cases... sound concerning," Mr Rose said, adding he would investigate to "learn if anything went wrong." Read full story Source: BBC News, 7 March 2021
  3. News Article
    Younger adults and those living in poorer neighbourhoods and black people have the highest levels of vaccine hesitancy, new survey data from the Office for National Statistics has shown. The vast majority of Britons back the COVID-19 vaccines and are keen to be inoculated, with more than 9 out 10 people being positive about the jab. But the ONS said data from a survey between 13 January and 7 February revealed reluctance among less than 10% of the population. It found more than 4 in 10 of black or black British adults reported vaccine hesitancy, the highest of all ethnic groups, while adults aged 16-29 were most likely to report hesitancy, at around 1 in 6 or 17%. Adults living in the most deprived areas of England were more likely to report vaccine hesitancy at 16%, compared with 7% of adults in the least deprived areas of England. This has been evident in the take up of the vaccine among some deprived areas of the country which have struggled to vaccinate everyone in priority groups. Even among NHS and social care staff there has been reported hesitancy over vaccines, particularly among BAME staff. Read full story Source: The Independent, 9 March 2021
  4. News Article
    A study is under way in the Southern Health Trust area to investigate possible links between Type 1 diabetes and COVID-19. A consultant paediatrician said there has been an increase in the number of young people being diagnosed since the beginning of the pandemic. Last year, the trust said there were 41 new cases, its highest yearly total on record. Dr Sarinda Millar specialises in Type 1 diabetes in children and young people. "We are having more diagnoses, specially since the start of 2021 but more last year, as well," she said. "...in January we had nine new cases of Type 1 diabetes in children and young people in one week alone in our trust area," she said. "In other years, we wouldn't even have had one every week. And regionally, we have all seen an increase in Type 1 diabetes which leads us to question is COVID-19 in some way related?" Because of the increase in Type 1 diabetes over the past year, the Southern Trust is commissioning fresh research on the matter. "It is quite a wide piece of research we are hoping to do," Dr Millar said. "As well as looking to see if these children have been exposed to Covid, looking at their antibody status, we also want to know what other implications COVID-19 has had. For example, have families delayed bringing their child to hospital? We have seen that children are presenting sicker." Read full story Source: BBC News, 8 March 2021
  5. News Article
    Sufferers say they have had little specialist help despite NHS England setting up dedicated clinics. “It’s not that I feel I have been abandoned, I think that is perfectly obvious,” says Rachel Pope. “If you speak to any long Covid patient, they have been abandoned.” Until exactly a year ago – 5 March 2020 – Pope was “an incredibly fit woman”. A senior lecturer in European prehistory at the University of Liverpool, her work and lifestyle were very active. But after falling ill to Covid, she spent four months unable to walk, then three more when she could manage little more than “a sort of shuffle”. She still has a host of symptoms, “but the most debilitating is the fact that I still can’t do more than 2,000 steps in a day. Until a few weeks ago, I was still choking every day. There’s a lot of nasty stuff that [long Covid sufferers] are living with, without treatment. “It’s not a great situation to be in. I mean, we didn’t die. But this isn’t exactly living either.” A year into the pandemic, accounts such as Pope’s have become dispiritingly familiar, as the experiences of the many thousands who have struggled for months with long Covid, often alone and unsupported, are emerging. Read full story Source: The Guardian, 5 March 2021
  6. News Article
    As many as 6 million “hidden” patients could join the queue for NHS treatment in the coming months, swelling official waiting lists to records not seen for more than a decade, health chiefs have warned. In the wake of a Budget that offered no new investment for the health service ministers must level with the public that previous guarantees on waiting times are now impossible to meet, the head of the NHS Confederation has said. In an interview with The Independent, Danny Mortimer said some patients should expect to wait many months, or possibly even beyond a year, for their treatment. He said: “It's going to take many years to recover the waiting list position to where we want it to be. “We have to be realistic about the time that it will take us to address these issues, and the government have to be realistic about what it will take particularly if this week’s Budget is an indication that actually there won’t be money made available to the NHS to truly address these issues. “The government has to take responsibility for explaining to the public what the consequences of that are.” Read full story Source: The Independent, 7 March 2021,
  7. News Article
    The UK should steel itself for a “difficult autumn” and “hard winter” of illnesses because people have lived for an unusually long period without exposure to respiratory viruses, one of the country’s top medics has warned. Dr Susan Hopkins, the head of Covid strategy for Public Health England, said population immunity to viruses other than Covid-19 could be lower than usual and that a surge in flu was probable. She said the NHS must be better prepared than it was last autumn, when new, faster-spreading variants of coronavirus emerged forcing the country into lockdown for the third time. Speaking on the BBC One’s The Andrew Marr Show Hopkins said: “I think we have to prepare for a hard winter, not only with coronavirus, but we’ve had a year of almost no respiratory viruses of any other type. And that means, potentially the population immunity to that is less." “So we could see surges in flu. We could see surges in other respiratory viruses and other respiratory pathogens.” A record number of people, about 30 million in total, were invited for a free flu jab last autumn as ministers feared it would add to strains on the NHS. “It’s really important that we’re prepared from the NHS point of view, from public health and contact tracing, that we have everything ready to prepare for a difficult autumn,” she said. “We hope that it won’t occur and it will be a normal winter for all of us.” Read full story Source: The Guardian, 7 March 2021
  8. News Article
    A leading doctor has said the NHS should expect to treat up to a million people for long Covid in the aftermath of the pandemic. Long Covid affects about 1 in 10 people of any age infected with coronavirus, and sufferers can experience symptoms including breathlessness, chronic fatigue, brain fog, anxiety and stress for several months after contracting COVID-19. The likelihood of experiencing long-term symptoms does not appear to be linked to the severity of the initial virus and people with mild symptoms at first can still have debilitating long Covid. The absence of long Covid registers makes it difficult to measure the scale of the problem, and major studies into the condition are ongoing in an attempt to identify causes and potential treatments. But one of Britain’s leading doctors, who spoke on condition of anonymity, estimates that about a million people will need care for long Covid as the NHS recovers from the effects of the pandemic. “Although officially about 4 million people have had Covid, in reality, it’s about 8 million or 9 million,” the anonymous doctor told The Guardian. “If 10% of those people have got something, then it could be almost a million people, and that’s enormous.” Read full story Source: The Independent, 7 March 2021
  9. News Article
    NHS workers have raised concerns about the prospect of all health and social care staff in England being compelled by law to take the Covid vaccine. The Downing Street review which is considering making it mandatory for NHS workers to have the jab, as a way of protecting patients, has led to questions about its moral and legal implications. A consultant in a busy north-west hospital said they would feel “incredibly uncomfortable” with the idea of forcing NHS staff to have the vaccine. They said they would prefer a concerted high-profile campaign to encourage staff to have the vaccine, with a last-resort option of asking unvaccinated staff to take on different roles, away from the frontline. “I would feel very uncomfortable with us forcing anyone to have it – you can’t force an injection into someone,” the consultant said. Last week Care UK said it only wanted to hire new staff who had had the vaccine, while another care provider, Barchester, said it wanted all of its staff, including current workers, to have had the jab by 23 April, adding that if they did not they would not be considered for shifts. The matron of a care home in Merseyside said there had been a lot of pressure put on her to have the vaccine, which was making her anxious. “I don’t want to be bullied into a decision when I have legitimate concerns. I feel being told I am selfish and putting others at risk is insulting," she said. However, a CBT therapist in her 30s, who also works in the north-west of England believed all NHS staff should be vaccinated, regardless of their role. She said her hospital trust’s values emphasised “care, compassion and commitment” and individuals who refused the vaccine could potentially harm others. “If we’re going to be caring for people, it comes under that value and it’s a core part of what the NHS is about. So if someone is saying they don’t want the vaccine, it puts into question whether you are going against the values of the trust.” Read full story Source: The Guardian, 3 March 2021
  10. News Article
    The development of coronavirus vaccines tweaked to target new variants will be fast-tracked in the UK and four other countries, Britain’s regulator has said, adding that “robust evidence” on effectiveness and safety will still be required for authorisation. The approach, similar to the regulatory process for the modified flu vaccine, will not need a brand new approval or “lengthy” clinical studies, the Medicines and Healthcare Products Regulatory Agency (MHRA) said on Thursday. This will "significantly reduce" the length of time it takes for the vaccines to be ready, with concern mounting over the threat posed by the South African and Brazilian variants and their ability to partially evade the body’s immune response. Under the new guidance, developers will need to provide clear evidence their adapted vaccines produce a strong immune response to the variant and meet the high safety standards outlined by the MHRA. “This is based on scientific principles and does not cut any corners on safety or effectiveness,” said Dr Christian Schneider, chief scientific officer at the MHRA. Read full story Source: The Independent, 4 March 2021
  11. News Article
    The NHS’s London regional team has told its integrated care systems (ICS) to draw up plans for ‘another possible [covid-19] surge later in 2021’, HSJ has learned. The guidance, dated February 2021 says: “Later in March/early April we will ask for systems to begin to plan for a possible wave 3 covid surge.” The NHS England and Improvement London presentation adds: “[The] purpose of the critical care de-surge plan [is to] ensure that the… bed base can expand safely in the event of a 3rd covid surge and/or other major incident/event.” Any surge in covid cases is likely to be caused by new variants of the virus, such as those originating in Brazil and South Africa, which are more resistant to vaccines, becoming dominant in the UK. At present government advisers think this is unlikely and that even if this scenario did arise, it will be possible to modify vaccines to combat the new strain. The guidance sets out three other “strategic goals” the ICSs should address. But it has “surprised” senior figures from outside London who were waiting for the national framework for tackling the NHS’ growing elective waiting list expected later this month. The presentation said the other key goals were to: ensure “staff get… immediate rest and respite”; set out plans to “desurge critical care”; and plan for elective recovery. Read full story (paywalled) Source: HSJ, 3 March 2021
  12. News Article
    Care home residents and staff were put at risk of infection because personal protective equipment (PPE) was used wrongly, a health watchdog has said. Croft House, in Ossett, near Wakefield, has been put in special measures after being deemed "inadequate" by Care Quality Commission (CQC) inspectors. The home was "not well-led", according to the inspectors who visited last year. The CQC report, which was published last week, highlighted a number of measures had not been taken, meaning staff and residents were exposed to the risk of infection transmission, according to the Local Democracy Reporting Service. "Staff could not safely put on and take off PPE as this was stored in people's rooms. Staff needed to cross the room to collect the PPE," the report said. Meanwhile, there was no hand sanitiser in the corridors or bins to dispose of PPE and staff "were not effectively wearing PPE", it added. Residents at the home, which provides nursing and residential care for up to 68 people, were at "risk of missing medication or being given incorrect medication" because of how systems were managed, the report said. However, relatives spoke highly of staff at the home, with one family member describing an employee they knew as "accommodating and helpful", according to the report. Countrywide Care Homes, which runs the site, said improvements had been made since the inspection on 18 December. Read full story Source: BBC News, 2 March 2021
  13. News Article
    Some 1 in 10 people still experience persistent ill health 12 weeks after having COVID-19, termed “long COVID” or post-COVID conditions. A new policy brief from the European Observatory on Health Systems and Policies documents responses to post-COVID conditions in different countries of the WHO European Region and looks at how sufferers, including medical professionals, are driving some of those responses. Written for decision-makers, this brief summarises what is known about the conditions, who and how many people suffer from them, diagnosis and treatment, and how countries are addressing the issue. Commenting on long COVID, WHO Regional Director for Europe Dr Hans Henri P. Kluge said, “COVID-19 has caused a great deal of suffering among people across the Region, with reports of long COVID an extra cause for concern. It’s important that patients reporting with symptoms of long COVID are included as part of the COVID-19 response to mitigate some of the longer-term health impacts of the pandemic. This policy brief makes clear the need for policy-makers to take the lead on this issue.” Read full story Source: WHO, 25 February 2021
  14. News Article
    A single shot of either the Oxford-AstraZeneca or the Pfizer-BioNTech Covid jab reduces the chance of needing hospital treatment by more than 80%, an analysis in England shows. The Public Health England (PHE) data showed the effect kicked in three to four weeks after vaccination. It was based on people aged over 80 who were the first to receive the jab. Government scientists hailed the result, but stressed that two doses were needed for the best protection. It comes after similar findings were published by Scottish health authorities last week, which they hailed as "spectacular". The PHE data, which has not been peer reviewed, also suggested the Pfizer vaccine, which started being rolled out a month before the AstraZeneca vaccine, leads to an 83% reduction in deaths from Covid. This was based on people over the age of 80 who had died. The data also showed vaccination cuts the risk of people over 70 developing any Covid symptoms by around 60%, three weeks after an initial dose. Prof Van-Tam, England's deputy chief medical officer, said the decision to give the AstraZeneca vaccine to older people was "clearly vindicated". Read full story Source: BBC News, 1 March 2021
  15. News Article
    The government has been called on to take action over the national “backlog” for a specialist mental health service after a woman died after a substantial wait to access treatment. Carole Mitchell, who died by suicide on 22 November 2019, waited almost seven months for a first appointment after being referred to Greater Manchester Mental Health Foundation Trust for psychology services. In a prevention of future deaths report, published earlier this month, coroner Alison Mutch said the inquest was told waits had since increased and “someone in Mrs Mitchell’s position today would be more likely to wait nine months”. The coroner added evidence heard suggested the delay experienced was “reflective of both the regional and national backlog for appointments”. The report has been sent to both the Department of Health and Social Care and Greater Manchester Health and Social Care Partnership. Read full story (paywalled) Source: HSJ, 1 March 2021
  16. News Article
    More than 34,000 people with dementia are estimated to have died from coronavirus in the UK since the start of the pandemic, according to new figures. The condition has been identified in just over a quarter of all deaths due to COVID-19, partly due to the large number of deaths in care homes. Nearly 12,000 care home residents have died since January alone. A coalition of charities, including Alzheimer's Society, Dementia UK, John's Campaign and Together in Dementia Every Day (tide), are now calling for introduction of universal social care – free at the point of use like the NHS – as a legacy of COVID-19. It comes as new figures from the Office for National Statistics revealed that deaths of care home residents, where around 70% of people have dementia, are 30%t higher than previously thought. Nearly 12,000 have died since January alone. The charities also revealed the result of a survey of 1,001 people who care for someone close to them with dementia, demonstrating that the toll of the pandemic reaches further than simply deaths from the virus. More than nine in ten (92%) said the pandemic had accelerated their loved one's dementia symptoms, with a third (31%) reported a more rapid increase in difficulty speaking and holding a conversation, and a quarter (25%) in eating by themselves. Nearly a third (32%) of those who lost a loved one during the pandemic thought that isolation/lack of social contact was a significant factor in that loss. The Alzheimer Society and Dementia UK said their helplines had been flooded with calls from relatives reporting how quickly their loved ones were deteriorating. Read full story Source: The Independent, 1 March 2021
  17. News Article
    Hospitals across London are racing to tackle a backlog of tens of thousands of urgent operations that need to be carried out in the coming weeks to prevent patients dying or losing limbs, The Independent has learnt. The slow decline in Covid patient numbers means many hospitals across the capital are warning they will still be relying on extra staff, and “surge” beds opened at the height of the crisis, well into March. NHS bosses have been briefed that across the city there are about 15,000 priority two (P2) patients. These are classed as needing urgent surgery, including for cancer, within 28 days, or they could die or be at risk of losing a limb. But the lack of available operating theatres, nurses and anaesthetists mean the city has a shortfall of more than 500 half-day surgical lists a week. The Independent has spoken with multiple NHS insiders and seen briefing documents detailing the challenges facing the capital’s hospitals, which are expected to last up to 21 March in some areas. One briefing warned: “Hospitals have insufficient capacity to meet urgent elective demand for P2. P2 demand is intended to be seen within 28 days, the surge has occurred for over 28 days. Patients who would normally have been seen are waiting longer than clinically advisable." Read full story Source: The Independent, 25 February 2021
  18. News Article
    Almost half of people with potential cancer symptoms did not contact their GP during the first wave of the pandemic, a survey suggests. Symptoms left unchecked included coughing up blood, lumps and changes to the appearance of moles. NHS figures showed a fall in referrals to cancer services last spring. However, this study, of almost 8,000 people, captures the fall in people contacting their GP in the first place. The team that carried out the study, from Cardiff University and Cancer Research UK, said this raised concerns that people could be diagnosed later - and so be less likely to be treated successfully and recover. They surveyed a representative sample of people across the UK and found that of 3,025 people who said they had experienced at least one symptom which could be a warning sign of cancer, 45% did not seek help. They also found that: 31% did not seek help after coughing up blood 41% did not seek help for an unexplained lump or swelling 59% did not seek help after noticing changes to the appearance of a mole. Some of the reasons given by people who did not contact their GP were not wanting to waste doctors' time or put extra strain on the NHS; not wanting to be seen as someone who made a fuss; and fear of catching Covid at appointments. But people who did contact their GP reported feeling "safe" and "secure" when attending face-to-face appointments. Read full story Source: BBC News, 25 February 2021
  19. News Article
    Shortages of oxygen are endangering the lives of more than half a million COVID-19 patients every day in the world’s poorest nations, new research has shown. Despite being vital for the effective treatment of people admitted to hospital with coronavirus, sustained access to oxygen has proven difficult in low- and middle-income countries (LMICs) due to cost, infrastructure and logistical barriers. According to Unitaid, a global health agency, more than half a million people in LMICs currently need 1.1 million cylinders of oxygen per day, with 25 countries currently reporting surges in demand, the majority in Africa. Supplies of oxygen were already constrained prior to COVID-19 and have been exacerbated by the pandemic, Unitaid says. Read full story Source: The Independent, 25 February 2021
  20. News Article
    Senior doctors are leading a programme of work to review deaths caused by hospital-acquired covid in the North West, which has had disproportionately high rates of nosocomial infections over the last three months. According to internal NHS England papers seen by HSJ, a number of common themes have been identified as driving the infections in the region, including “breaches in the basic tenets of infection prevention control”, insufficient numbers of cleaning staff at some trusts, and a lack of consistent testing. The papers say there is also evidence that covid occupancy rates above 20 per cent drives nosocomial transmission. Occupancy rates in the North West have been near or above this level since the start of December, but have still been significantly lower than other areas, such as London. Read full story (paywalled) Source: HSJ, 24 February 2021
  21. News Article
    One in five people hospitalised with COVID-19 experienced hair loss within six months of first being infected with the virus, a cohort study of patients found. A team of Chinese experts looking into the long-term health consequences of the disease surveyed patients who had been discharged from Jin Yin-tan Hospital in Wuhan last year. Of the 1,655 people who took part 359 (22%) reported losing hair. Fatigue or muscle weakness, difficulty sleeping, smell disorder, anxiety and depression were some of the other most commonly reported symptoms, with a higher percentage of these reported among women. The long-term consequences of Covid-19 after six months remained "largely unclear", the study concluded. Read full story Source: The Independent, 23 February 2021
  22. News Article
    All adults with a learning disability will be offered the vaccine against coronavirus after new advice from government experts warned they were at greater risk from the virus. The decision is a major win for disability charities and campaigners. The decision will mean as many as 150,000 more people could be offered the vaccine. The government’s Joint Committee on Vaccination and Immunisation (JCVI) has issued new advice saying any adult on GP Learning Disability Register should be prioritised for vaccination along with adults with related conditions such as cerebral palsy. The JCVI had previously said only those were severe learning disabilities and those living in care homes should be prioritised for vaccinations. Disability rights campaigners and charities warned this left vulnerable people at increased risk from the virus. Read full story Source: The Independent, 24 February 2021
  23. News Article
    The NHS has been warned not to use or distribute a batch of high-grade face masks after government officials warned they may not meet safety standards. The Department of Health and Social Care (DHSC) said it had “received urgent information” suggesting the items did not meet UK government specifications. Hospital bosses and others including GPs have been told to stop using the FT-045A FFP3 masks, quarantine any remaining supplies and then track down any they might have sent on to other health providers through mutual aid schemes. DHSC said it was pausing further distribution while a rapid review was carried out. Some 1.12 million masks are affected, the department said. DHSC’s warning document told health bosses: “Please be assured that we are working with regional teams and providers to fit-test staff to alternative models and provide of them with alternative masks in the quantities needed. We have a good supply of other FFP3 masks.” Rob Harwood, consultants committee chairman of the British Medical Association, told the BBC: “Healthcare staff working on the frontline do so facing the grave risk of contracting Covid, and deserve the best protection from this deadly virus." “Many will be incredibly concerned to learn that some masks designed to offer enhanced protection, as well as gloves, may not meet standards, potentially placing them at greater risk.” Read full story Source: The Independent, 24 February 2021
  24. News Article
    Local groups of GPs have decided to prioritise all patients with learning disabilities for COVID-19 vaccination, after fresh evidence showed that disabled patients were at much higher risk from the disease. Latest figures from the Office for National Statistics1 showed that 60% of people in England who died from covid-19 from January to November 2020 (30 296 of 50 888) had a disability. This week an extra 1.7 million people in England—including some with severe learning disabilities—are being added to the list of people identified as clinically extremely vulnerable to COVID-19, although this does not include people with mild or moderate learning disabilities. But some clinical commissioning groups (CCGs) have deviated from national guidance and said that they will prioritise all patients with learning disabilities for vaccination given the disproportionate impact on them. In a statement published on its website, Kent and Medway CCG said that it had decided to include all adults with learning disabilities in the current priority phase for vaccination delivery. “Given the evidence of covid-19 inequalities increasing deaths amongst people with learning disabilities, the NHS in Kent and Medway has agreed to prioritise vaccinating the 9500 people on GP learning disability registers,” it said. Oxfordshire CCG was also praised by local campaigners for adjusting its priority list so that everybody with a learning disability is included in priority group 6, regardless of its severity. Read full story Source: BMJ, 19 February 2021
  25. News Article
    People who need to receive their covid vaccinations at home are missing out because their eligibility is not being recognised by GPs, experts have warned. There have been numerous reports of housebound people being told they are ineligible for a home visit in recent weeks, with some home care providers saying only a minority of their elderly clients have been vaccinated so far. Chit Selvarajah, policy manager at the charity Independent Age, said: “We have heard from people who say they are housebound being told they weren’t considered as housebound and told to go to a vaccination centre as they are not eligible for a home visit." “We don’t know how many people have been vaccinated but it’s likely to be very small numbers at the moment.” Ruthe Isden, head of health and care influencing at Age UK, believes some older people have “slipped into being effectively housebound” over the last year, and are not yet registered as such on GP databases. She said: “The pandemic has hit the fast forward button on ageing for a lot of people. They’ve aged a long way in a short period and seen their health really deteriorate, and often they are not going to proactively identify themselves as needing more help." “It’s vital we are thinking systematically about reaching this group. At the moment, there seems to be considerable variation in how people are followed up.” Read full story (paywalled) Source: HSJ, 22 February 2021
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