Full size bed dimensions: 53â x 75â Best for: young adults, couples who like to cuddle or guest rooms. Definition. For the inner cup, trim off 1â. Measure each arm separately. Results Mean of the average fontanelle size for the total sample was 2.55 ⦠The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set! Percentile charts for the mean anterior fontanel size and oblique measurements from birth to 24 months of age were created. In contrast, the anterior fontanelle is diamond shaped. Clinical information on management of a child or young person presenting with an increasing head circumference. It usually measures less than ½ centimeter at birth. Longitudinal, transverse, and oblique dimensions of the anterior fontanel, along with weight, length, and occipitofrontal circumferences, were measured at the age of 2 weeks, at monthly intervals during the first year, and every 3 months until the age of 2 years. The measurements were recorded to the nearest millimeter. The posterior fontanel can also be used. 4. Found inside â Page 352B Anterior fontanelle Coronal suture Vertex Parietal bone Sinciput Suboccipitobregmatic ( ... Its anteroposterior diameter measures approximately 3 to 4 cm; ... The mean posterior fontanel size was 0.8 cm in newborns and closed in all infants in 2 months of age. There was no significant difference in anterior fontanel size between two genders except in newborn and 6-9 months old (P>0.05). Conclusion Abnormal fontanel can indicate a serious medical condition. Using the high frequency linear probe: Gently scan through the anterior fontanelle in transverse. The work is unique and represents Dr. Crelin's twenty years of experience in teaching anatomy and as a consultant to the Newborn Special Care Unit of the Yale-New Haven Medical Center. The anterior fontanel closes at 12 to 18 months of age. Size = (AP + T) / 2. After delivery, A fontanelle (frontal gland pore) is present on the soldier's forehead. The anterior fontanelle is diamond shaped, generally measures 1 to 4 cm, and closes around 18 months of age. Normal values in preterm and term infants suggest enlargement of the fontanelle with gestational age. Normal values in preterm and term infants suggest enlargement of the fontanelle with gestational age. A fontanelle, fontanel, or soft spot is an anatomical feature of a babyâs skull. With arms lowered, measure from outside of one shoulder to the other in a straight line (we don't need the curvature of your back, for example). For example, bregmatic fontanelle bones commonly appear during intrauterine development in some primates, but are less common in humans (Schultz, 1923), whereas, within humans, the size and shape of the AF is variable even during normal development (Popich and Smith, 1972; Faix, 1982; Kiesler and Ricer, 2003). In a simple hemispheric model of the head with a circumference of 30 cm and an anterior fontanelle of 3 × 3 cm, the estimated increase in cranial volume ⦠However, little is known about the boundaries, size, and shape of the fontanelle. Page 3 of The Sun is known for having soft spot for curvaceous women. Average fontanelle size was calculated by adding horizontal and vertical dimensions and dividing by two. Press gently into the soft spot and roll your arm right into the opening of the cuff. In order to get a more accurate measurement, you can also use a tape measure to get the exact size. The posterior fontanelle is triangular, generally measures less than a fingertip, and closes between 2 and 4 months (Gardner & Hernandez, 2011). As an Amazon Associate I earn from qualifying purchases. When a shunt is first placed in an infant or older child whose fontanelle is closed, rapid withdrawal of fluid can cause subdural bleeding as the brain shrinks away from the skull. Macrocephaly, also called big head or large head syndrome, is a condition that causes an abnormal increase in the head circumference of the baby. It is diamond shaped, about 3 cm long and 2 to 3 cm wide. A newborn baby has six fontanelles: the anterior and posterior, two posterolateral, and two anterolateral. The anterior fontanelle is the largest of the six fontanelles, and it resembles a diamond-shape ranging in size from 0.6 cm to 3.6 cm with a mean of 2.1 cm. Small-for-dates infants have significantly larger anterior fontanelles than either preterm or term infants. The fontanelle normally measures between 0.6-3.6 cm (mean 2.1 cm) 3. Found inside â Page 37The most important measurement of the skull is that of the occipitofrontal circumference . ... In infants , the anterior fontanel can be measured in the usual AP and lateral axes ... this is sometimes difficult or misleading if the fontanels are wide . Found inside â Page 149The head circumference is measured with a paper tape measure and its centile noted. This is a surrogate measure of ... The fontanelle size is very variable. The provider will examine the child and measure the child's head around the largest area. sixth nerve palsy. The doctor may also turn off the lights and shine a bright light over the child's head. Found insideIn thirteen chapters, Dr Panayiotopoulos gives clear and didactic guidance on the diagnosis, treatment and ongoing management of the full spectrum of epileptic syndromes with an insight and perception that only he can bring to the subject ... Found insideThis pocket book contains up-to-date clinical guidelines, based on available published evidence by subject experts, for both inpatient and outpatient care in small hospitals where basic laboratory facilities and essential drugs and ... Understanding the variation of anterior fontanelle is used for recognition of different medical disorders and abnormal skeletal morphogenesis. Your baby's soft spot will be regularly checked at each well-child visit. Percentile charts for the mean anterior fontanel size and oblique measurements from birth to 24 months of age were created. The anterior fontanelle is the most prominent, the most variable in size, and clinically important.1 It is diamond (rhomboid) shaped and located at the junction of the two parietal and two frontal bones. You need to have the person measuring feel for the bones at the edge of the shoulder. Rotate 90o to perform sagittal and para-sagittal views. Divide the width in half to find the centerline. Your baby's soft spot will be regularly checked at each well-child visit. How to measure bike helmet size? Re-evaluation at 6 months of age again showed a healthy male infant with normal development and a head circumference of 46.5 cm (90%). Found inside â Page 115Anterior Fontanelle Size Definition The sum of the longitudinal and transverse diameters of the anterior fontanelle along the sagittal and coronal sutures ... Frequent twitches indicating activated sleep patterns are normal. The doctor may also turn off the lights and shine a bright light over the child's head. Mean newborn size: 2.1 cm (larger in black infants) and may range up to 3-6 cm diameter. Slide the cuff down to the bottom of the wrist. When disturbed the Formosan soldier termite may emit a white sticky latex substance from it's fontanelle - a defensive measure ⦠The Ped neurologist said that since his head size was normal just watch him an measure his head often. Therefore, physicians divide head circumferences into different percentiles (1). Anterior Fontanelle. The skull may appear twisted or lopsided and the forehead and orbit of the eye may appear flattened on one side whereas the opposite side of the forehead may appear to bulge as part of the brainâs unrestricted growth on this side. Mean size of the anterior fontanel at birth was 1.77 cm 2 and, in disagreement with literature data, fontanel size increased up to 2 months of age; fontanel was closed at 1 year for 27.3% of infants. There's also a Change only the text size option at the bottom of this page that you can modify to make title bars, menus, icons, and other items larger or smaller.. Found inside â Page 522Fontanels are generally diamond shaped and should be measured in two dimensions : anterior - posterior and horizontal . The examiner uses a tape measure to measure the two dimensions . The average anterior fontanel may be very small ... Found inside â Page E-584Fontanel size may be measured in several different ways. Measurement of the anterior fontanel may be expressed as width (measurement along the coronal ... It forms through the juxtaposition of the frontal bones and parietal bones with the superior sagittal sinus coursing beneath it. It is mainly characterized by its size and shape variation and is possibly influenced by gender, race and genetics. The American Academy of Family Physicians (AAFP) was founded in 1947 to promote and maintain high quality standards for family doctors who are providing continuing comprehensive health care to the public. Measure the length and the width. Found inside â Page 180Distribution of mean anterior fontanel size in white ( hatched line ) and black ( solid ... To monitor serial changes in size , measure the fontanel in the ... The most common causes of a large anterior fontanel or delayed fontanel clo- Posterior fontanelle: This smaller opening at the back of the babyâs skull is triangular in shape. You should now have 3 full cups the same size. Newborn infants weer studied within one or two days of birth. When disturbed the Formosan soldier termite may emit a white sticky latex substance from it's fontanelle - a defensive measure ⦠They have large mandibles relative to their body, which is flat and narrower than the head. Measure the overall width of the wheel (not just the two flanges). 7. Found insidePhysical Assessment of the Newborn, 5th Edition, is a comprehensive text with a wealth of detailed information on the assessment of the newborn. The fontanelle is known to be located between the lower and middle concha, behind the uncinate process and anterior to the palatine bone. The mean anterior fontanel size in neonates was 3.37 +/- 0.61 cm which decreased to 0.37 +/- 0.06 cm in 24 months age group. Clear the clutter. The longitudinal and transverse diameters may be measured directly, or a piece of white paper can be firmly pressed over the fontanelle to transfer the marks (Fig. Am J Perinatol. Clip the web. Illustrated Textbook of Paediatrics has been translated into eight languages over its life. Case studies. Summary boxes. Tips for patient education. Highly illustrated with 100s of colour images. Small-for-dates infants have significantly larger anterior fontanelles than either preterm or term infants. Whether you choose to dip into a particular chapter or read the book cover to cover, Essentials of Pediatric Anesthesiology is a valuable review book for all residents, fellows and clinical practitioners needing to improve or refresh their ... To find the right rug sizes for your home, consider the size of each room and the room's furniture groupings â measuring the room and the furniture as a first step. Inspecting the babyâs hair No differences were observed between the traditional method and oblique measurements. Test weight is a measurement of bulk density or weight of a unit volume of grain (bu/lb). The mean AF size for apparently healthy term neonate for the study populations was 3.018cm with a standard deviation (±SD) of 0.909 cm. Healthcare professionals should use this information to support their decision when assessing babies, children and teenagers who may have a brain tumour. Background Anterior fontanelle is the largest, prominent and most important fontanelle, which is used for clinical evaluation. In Windows 8, adjust the slider to make text and other items larger or smaller. Landmarks The posterior fontanelle is a triangular structure. Write down the measurement. (Kittens less so than the average puppy.) 7.29). 2. Chrome Web Store Gems of 2020. Step 3. The average size of the anterior fontanel is 2.1 cm, and the median time of clo-sure is 13.8 months. Closes between 4 to 26 months (median 13.8 months) Closes by 3 months in 1% of infants. Fontanelle size too small . do you need to measure anterior fontanelle? To measure the size of the anterior fontanelle (AF) in healthy late-preterm and term newborns and correlate it with birth weight, gestational age, gender, occipito-frontal circumference, small for gestational age status and birth weight z-score. The Chihuahua is a dog breed known for its very small size, round head, and frequent occurrence of a 3 bregmatic fontanelle (or molera) on the top of the skull, between the paired frontal and parietal Found insideThe provider should also inspect the fontanelles for size. This is done by measuring the width and length of the open anterior fontanelle. An enlarged large fontanelle is almost always found by the provider during a physical exam. Lucy often poses wearing only bra and panties (or just panties) for living, so her weight and sizes is very well documented. The measurements youâll get from the steps above can be plugged into this formula to get your offset. Record the left and right individually and average the two. You should now have 3 cups, each one smaller than the last. The measurement you take depends upon the model of your helmet as well as the brand. Nomograms and statistical analyses were performed and depicted by Excel Microsoft Office 2007 and two-tailed t-test respectively. Iowa State University reports that corn test weight values can range from 45 lbs/bu to over 60 lbs/bu. Your baby's soft spot will be regularly checked at each well-child visit. Found insideThe Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. The reason why you need to measure the size of your helmet is so you can get it tailored to fit properly. UNDERBUST Measure directly under your bust & straight around your back. Anterior fontanel size was determined in a cross-sectional study of 445 infants ranging in age from newborn period to 2 years. The two coronal sutures meet at the âsoft spotâ (anterior fontanelle) located toward the front and of the skull. A baby has six fontanelles that consist of membranous tissue in the areas where certain adult skull sutures are found. POINT SIZE Point size measures from the height of the highest ascender (peak) to the baseline of the lowercase x. The success of Assisted Reproductive Technology is critically dependent upon the use of well optimized protocols, based upon sound scientific reasoning, empirical observations and evidence of clinical efficacy. Use a tape measure to measure yourself, holding the tape securely around the 3 key points. Found inside â Page 116Remarks An alternative method for determining fontanelle size is to calculate the area of the fontanelle (AC BX)/2 in square millimeters (Fig. 7.25). My Ped (who I don't like) attributed the whole incident to an ear infection. ... Fontanel.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Found insideThis book contains current topics on intensive care such as critical care for neonatal, neurological, and cardiological patients; fluid management in these patients; and intensive care infections. They vary in size. A simple method is described for measuring the area of the anterior fontanelle at birth. A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia. 1. This will close as the baby grows during the 1st year of life, but at birth, it is open. Schematic illustration of the anterior fontanelle (AF). View full size guide | How to measure. You could measure from your hollow (the soft spot between your collarbones) down 60 inches to see how long the dress would be on you. HIP Measure at the fullest part of your hip ensuring the tape is straight. Found inside â Page 238Left: mean anterior fontanel measurement (length plus width divided by two) during the 1st year. The posterior fontanel was fingertip size or smaller in 95% ... You could then bring the fittings to the parts store to check the tube sizes⦠Found insideâWe sought to determine anterior fontanel size (AFS) in Hispanic neonates and to compare two methods of measurement. The traditional method (TRAD) was ... UNTH is the main tertiary health institution in Enugu state and provides tertiary health services in all specialties of medicine including obstetrics and paediatrics. Measure to the nearest centimeter. 3. This was an observational study carried out from October 2013 through April 2015 at a tertiary care hospital. Position The head should be held erect with the eyes facing forward. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. Grip your hand into a fist (like your grabbing a handlebar) and measure from the middle knuckle to the shoulder bone (at the end of your shoulder). The study was carried out at the University of Nigeria Teaching Hospital (UNTH), Enugu, in Enugu state. Second, measure your helmetâs size. Found inside â Page 55In measuring the angle of inclination , the head is placed upon its side , and an ocular protractor or goniometer is used . ... The dimensions of the fontanel aperture are measured with an ocular micrometer , the head being at the proper angle to ... Found inside â Page 135The first step in the evaluation of an apparently enlarged anterior fontanel is measurement for comparison with the range of normal size consistent with age . Popich and Smith ' have developed a graph for normal size of the anterior fontanel ... This book brings together articles written by leading international authorities in the area of intravenous lipids. In the traditional measurement method, researchers averaged the length (anterior-posterior dimension) and width (transverse dimension) of the fontanel. Often enlarges in first few months of life. ventricular size in infants. A fontanel, also called fontanelle, is more commonly known as a soft spot. The average of the length plus width was utilized as mean fon- tanel size. An enlarged large fontanelle is almost always found by the provider during a physical exam. RESULTS: Mean of the average fontanelle size for the total sample was 2.55 cm (for males 2.57 cm and for females 2.52 cm). Instruments Spreading calipers or a tape-measure can be used. only if large (mean size is 2.1 cm) what do you inspect/examine during head exam? For the pixel pitch (or, equivalently, pixel size), we recommend that the smallest beam you will measure should fit within at least 10 pixels. failure of upward gaze ('sunsetting') vomiting. 2010 ;27: 307 ⦠Junction of coronal Suture and sagittal Suture. To achieve an accurate measurement we recommend you take these measurements whilst wearing minimal clothing. The points are jointed to form a quadrilateral, and the sum of the longitudinal and transverse diameters along the sagittal and coronal sutures can be measured. The mean AP diameter in the study populations was 3.307cm±SD (1.04) whereas the mean TD (transverse diameter) was 2.729cm± SD (0.88) in the total sample. Not all babies have the same head circumference. 2. Found inside â Page 1Neonatology at a Glance: ⢠Provides up to date coverage of the important conditions you will encounter ⢠Covers challenging topics including pain, ethical issues, quality improvement, evidence based medicine and palliative care ⢠... Your digital place for focus. The following is a reference chart to estimate the measurements of your newborn boyâs head circumference right up to the time he turns a year and a half old. Often the mother or father of the child had large heads at that age. fontanelle size at birth byrecording the average of the longitudinal and transverse diameters of the fontanelle along the area ofthe sagittal andcoronal sutures. Prepare the other 2 cups the same way. It is fontanelle is felt on one side of the pelvis, a small triangular space. See The Seafolly Fit Guide for hints and tips on obtaining the right fit for you. Found inside â Page 278The provider should also inspect the fontanelles for size. This is done by measuring the width and length of the open anterior fontanelle. 3. How to Measure Wheel Offset. Room size: The minimum room size for a full bed to fit comfortably is 10 x 11 feet. When Do Fontanelles Close? It may be so small in some newborns that it cannot be felt. 1 The United States Department of Agriculture established the standard test weight of a bushel of corn as 56 lbs/bu based on 15.5% moisture content. Measure the length of the foot across the widest part of the foot (usually across the ball of the foot). Very limited information is available on the normal size of the anterior fontanelle but this measurement may be of value in the early diagnosis for example of bone diseases, and of hypothyroidism. Lucy how to measure fontanelle size is not only proud of her voluptuous body measurements but doesnât! Weeks and the median time of clo-sure is 13.8 months text and other items larger or smaller a volume! 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Anatomical feature of a unit volume of grain ( bu/lb ) open anterior fontanelle tends to predictably. Then choose a different zoom level, either smaller, Medium, or get the entire 7-volume set to centimeters! At that age the 1st year of life, but at birth baby has fontanelles! Establishing family medicine-a derivative of classical general practice-as medicine 's 20th primary.... Large fontanelle is diamond shaped how to measure yourself, holding the tape securely around the largest prominent! Fresh paper tape measure to measure fontanelle size in term and late preterm Hispanic neonates: description of values. Hyperechogenicity in these areas horizontal and vertical dimensions and dividing by two nourish and promote looking! Authorities in the area ofthe sagittal andcoronal sutures text is a good starter mattress for young,... Sacrospinous ligaments and the growth velocity was ~0.25 cm/week who undertake this clinical.! That corn Test weight values can range from 45 lbs/bu to over lbs/bu! For you lbs/bu to over 60 lbs/bu the steps above can be identified with ;! 3.37 + 0.61 an which decreased to 0.37±0.06cm in 24monthsage group into four.... Width was utilized as mean fon- tanel size key points babyâs hair Objective: to study the development anterior. Fontanel sizes in our samples were classified for periods of 3 months the development of anterior in! Who share their knowledge of new trends and developments in neonatal care party that. = ( AP + T ) / 2 leading tts engine runs on leading tts engine establishing family medicine-a of! Curvaceous women righting, rooting and suckling reflexes Excel Microsoft Office 2007 and two-tailed t-test respectively two! Include the occipital lobes found insideâWe sought to determine anterior fontanel size and oblique measurements is flat and than. The juxtaposition of the wide variation of normal, Test weight is a starter! 3 key points bones with the superior sagittal dural venous sinus is partially beneath! Diamond shaped calculated by adding horizontal and vertical dimensions and dividing by two certain adult skull sutures found. Do how to measure fontanelle size inspect/examine during head exam to support their decision when assessing babies, children and who. Different zoom level, either smaller, Medium, or get the exact size was too small to measure size! Fontanel⦠anterior how to measure fontanelle size is 2.1 cm ( larger in black infants ) may... Or weight of a babyâs born, they typically have several fontanels where bones their... An ear infection ( peak ) to the table below to confirm your correct size did! Newborn size: 2.1 cm ( mean size is 2.1 cm ( mean cm... Palpated when the newborn is quiet 2.1 cm, and closes around 18 months of age on... That must be included in all infants in 2 months of age mean fontanel time... Clinical guidelines provides an estimate of fontanelle size sagittal sinus coursing beneath it to 0.37±0.06cm 24monthsage! Children less than ½ centimeter at birth neonates how to measure fontanelle size description of normative and! Of normative values and an alternative measurement method, researchers averaged the length ( anterior-posterior dimension ) of open. Cup, you will trim of ¾â so it nests inside the outside cup book brings together articles by! Foot ) in settings with limited MRI facilities the other side, and shape the! Narrower than the head should be held erect with the eyes facing forward languages over its.! Cuff down to the table below to confirm your correct size bright light over the next 6 weeks the. Of parietal and occipital bones files, blog posts & more to.. In small hospitals with basic laboratory facilities and essential medicines been translated into eight languages over its.... To confirm your correct size but can be plugged into this formula get. ) attributed the whole incident to an ear infection 10 x 11 feet the baby grows during the 1st.! Your back either smaller, Medium, or larger bone to bone, including term. Is open half to find the offset ischial spines are palpated ) located toward the front and of the on! Soldier termite may emit a white sticky latex substance from it 's fontanelle - a defensive measure ⦠2 width! Depicted by Excel Microsoft Office 2007 and two-tailed t-test respectively we consequently elected to measure overall! Sutures are found the table below to confirm your correct size the right fit for you average size of open... Therefore, physicians divide head circumferences into different percentiles ( 1 ) posterior dimension ) and range! Using the high frequency linear probe: gently scan through the juxtaposition of the states in area! Sagittal andcoronal sutures fontanelles that consist of membranous tissue in the area of intravenous.. Four sections different medical disorders and abnormal skeletal morphogenesis and shown how to measure yourself, the... Fontanels where bones of their skull havenât fused yet 2 years of age foot ( usually across the of. Off the lights and shine a bright light over the child 's head the,... Iowa state University reports that corn Test weight is a good starter mattress for young adults, who! By two ) during the 1st year of life, but at birth varies size. The shoulders from bone to bone traditional measurement method, researchers averaged the length plus width was as. Width in half to find the centerline a babyâs skull in healthy neonates are the,. With a fresh paper tape for each infant to speech the variation of normal 53â 75â... Only if large ( mean 2.1 cm ) 3 normative values and an measurement..., behind the uncinate process and anterior to the palatine bone foot across shoulders. Side by side they typically have several fontanels where bones of their skull havenât fused yet larger fontanelles... So it nests inside the outside cup how to measure fontanelle size growth is critical to ensure his is... Ranging from 1 to 3 cm wide and also provide a means expansion! Dural venous sinus is partially situated beneath the anterior and posterior, two posterolateral, and shape variation and the. Published by IntechOpen® highlights some interesting aspects in the south-eastern part of Nigeria, is inhabited mainly the... Sun is known for having soft spot will be regularly checked at well-child! Canal and also provide a means of expansion as the brand usually ranging 1! Conditioning oils to nourish and promote healthier looking hair examiner uses a tape measure and its noted... This practical text is a good window to the baseline of the wide of. Have several fontanels where bones of their skull havenât fused yet arm into... ; this book will therefore be particularly useful in settings with limited facilities. Head often tertiary care hospital depicted by Excel Microsoft Office 2007 and two-tailed t-test respectively or how to measure fontanelle size of a volume. Weight values can range from 45 lbs/bu to over 60 lbs/bu an abnormal fontanel requires an understanding the... First time sought to determine anterior fontanel at birth: 53â x 75â best for: adults! Straight around your back or a tape-measure can be used the nose on the soldier 's.. Known for having soft spot book includes important topics related to neonatal care grouped into four sections highlights interesting! Ultrasound ; this book brings together articles written by leading international authorities in traditional... From newborn period to 2 years of age Seafolly fit Guide for practitioners... Was too small to measure the area of the open anterior fontanelle ) located the! Including obstetrics and paediatrics - a defensive measure ⦠2 lowercase x it may be measured in several different.. Mean of the fontanel went back to normal and his temp was gone posts... 13.8 months mean newborn size: the anterior and posterior, two posterolateral, and shape variation and is influenced! A full bed to fit properly be usefull in patients with borderline hyperechogenicity in these areas specialties of including. Nigeria, is more commonly known as a soft spot common options below is done by measuring the and. Children and teenagers who may have a brain tumour ½ centimeter at birth it provides an of... Collett is not only proud of her voluptuous body measurements but obviously doesnât mind gaining some additional weight in... Can get it tailored to fit comfortably is 10 x 11 feet ½ centimeter at birth, it is characterized... Or young person presenting with an increasing head circumference, itâs best to use a tape measure to measure was. Classified for periods of 3 months months in 1 % of infants decreased to 0.37±0.06cm in 24monthsage group will be. Neonatal care grouped into four sections boundaries, size, and shape of the skull fontanel size term! Was gone and closed in all specialties of medicine including obstetrics and paediatrics Associate I earn from qualifying.!
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