Parents of children with disabilities: an essential link in the education chain

“OF SIMONI SYMEONIDOU”
 

With the pretext of the biased views expressed in the media regarding the role of parents of children with disabilities in their education, as well as the whispers that have been circulating for years, I feel it necessary to share some of my opinions, which are supported by the literature. Initially, the notion that “parents of children with disabilities do not accept their child’s disability” arises from a faction of professionals who believe that the interests of children with disabilities are not aligned with those advocated by their parents. This position is also connected to another one, that “professionals in the field of public education should have the right to evaluate children they believe have a disability, without the consent of their parents.” The aforementioned positions demonstrate that individuals and organized groups expressing them verbally or in writing have no clue about the rights of children with disabilities and the role of their families in education. In this manner, they construct the concepts of “good parent,” “good professional practice,” and “well-adjusted child” (Goodley, 2014), where a “good parent” is one who “accepts” their child’s disability and consents to their evaluation, “good professional practice” involves the evaluation, and a “well-adjusted child” is one who is evaluated and receives special education without the consent of their parents.

Initially, when we refer to parents of children with disabilities, we should bear in mind that they are a heterogeneous group of individuals with different identities (e.g., gender, ethnicity, mother tongue, religion, disability, etc.), roles (e.g., parent, single parent, spouse, partner, son/daughter, caregiver), and beliefs. We cannot express generalized judgments about this group so easily. The parents of all children may strive for their children’s well-being, or they may be parents who mistreat them. They may be parents who meticulously explore every detail of legislation and pedagogy to decide what is best for their child, or they may be parents who are not interested or lack the skills to search and expect others to guide them. At the same time, we must keep in mind that raising a child with a disability is the same as raising a child without a disability, but it is also different. The experience of parents of children with disabilities differs from that of parents of children without disabilities, as they are confronted with a system of policies and practices, as well as a culture that excludes instead of including, erects barriers instead of removing them, and considers that school is for some children and not for all (Karagianni & Koutsoklenis, 2023; Symeonidou & Mavrou, 2020; Vlachou & Fyssa, 2016).

In any case, when we refer to parents, we should consider how their identities and roles are linked to their beliefs about their child’s education. For example, if we are discussing with a mother who is a victim of domestic violence, she may understand that her child needs assessment, but if she mentions it to her spouse, she may only trigger a new cycle of violence. In another scenario, if parents have consulted with many professionals (special education teachers, psychologists, doctors, etc.) before the school suggests the need for an assessment, they may disagree for reasons they consider important (e.g., they want to avoid labeling their child, withdrawing from the class for support through special education, etc.) and prefer to support it themselves. There is also the case where assessment may be suggested at the wrong time (e.g., in kindergarten, a child does not sit in his chair for half an hour and therefore assessment is suggested to the parents) and in the wrong way (e.g., threat/warning that if the child is not assessed, they will not receive the support they need). Parents are faced with the “dilemma of difference,” according to which if the “difference” is “officially recognized,” then their child may benefit to some extent (perhaps with reasonable adjustments), but they will be stigmatized, whereas if the “difference” is not “officially recognized,” their child may not fully benefit academically but will not be stigmatized (Graham et al., 2020).

Secondly, parents of children with disabilities have all the rights that parents have. Therefore, it is imperative that they give their consent for anything concerning their child, from whether they will be photographed at school to whether they will be evaluated by a team of specialists. Especially regarding the issue of assessment, the current legislation on inclusion, despite its distortions, has ensured that parents give their consent for the assessment process to begin, are informed in advance about when their child will be evaluated, and have the right to attend evaluation meetings and provide information during the assessment process. This is necessary because parents live with the child, so they have a view of their behaviors at home and in other contexts, as well as their knowledge and skills. Thus, their presence during the assessment ensures that they can explain how the child responds, understand which aspects of their behavior are different outside of assessment conditions, and gives the child a sense of security in a process that requires collaboration with professionals they may not always know beforehand.

Instead of making nihilistic judgments that negatively characterize parents and suggesting evaluations without parental consent, if we truly want to support the children, the requests should be as follows:

  • Reduction of the number of children in the classroom
  • Co-teaching by two educators (general and special or two general educators)
  • Modification of the curricula to allow for differentiated teaching and assessment
  • Mandatory differentiation of teaching in the general classroom
  • Institutionalization of procedures that comprehensively support children and their families (at home, at school, in therapies they may need)

All of the above require a change in the roles of general and special educators, their training, redistribution of financial resources, and the way services are provided, as well as long-term strategic planning for change.

Concluding, parents of children with disabilities have the same chances as parents of children without disabilities to know their child very well because they live with them every day, or not to observe their child as much as they should. Also, parents of children with disabilities choose how they will handle the educational system and its representatives, depending on their knowledge and experiences. If after evaluation, the educational system proposes a support package (i.e., special education outside the classroom), parents may choose not to proceed with evaluation. Even if they give their consent for evaluation, they may later demand quality education without segregation and full access to the detailed curriculum, but they may still be considered unreasonable because some believe they have not accepted their child.

It’s a vicious cycle that will only cease to exist if we consider that children with disabilities should be supported in school in the best possible way, just like their families.

References

Goodley, D. (2014). Dis/ability studies. Theorising disablism and ableism. London: Routledge.

Graham, L., Medhurst, M., Tancredi, H., Spandagou, I. & Walton, E. (2020). Fundamental concepts of inclusive education. In L. Graham (Ed.). Inclusive education for the 21st century (27-54). London: Routledge.

Ryan, S., & Runswick-Cole, K. (2008). Repositioning mothers: Mothers, disabled children and disability studies. Disability and Society, 23(3), 199–210.

Symeonidou. S. & Mavrou. K. (2020). Problematising disabling discourses on the assessment and placement of learners with disabilities: can interdependence inform an alternative narrative for inclusion?, European Journal of Special Needs Education, 35(1), 70-84.

Vlachou, A. & Fyssa, A. (2016). ‘Inclusion in Practice’: Programme Practices in Mainstream Preschool Classrooms and Associations with Context and Teacher Characteristics. International Journal of Disability, Development and Education, 63(5), 529-544.

Karagianni, G., & Koutsoklenis, A. (2023). Studies on Disability and Inclusive Pedagogy [Undergraduate Handbook]. Kallipos: Open Academic Editions. http://dx.doi.org/10.57713/kallipos-226
 

*Assistant Professor
 

University of Cyprus

Ablebook has developed a partnership with the Mall of Cyprus and the Mall of Engomi

The Ablebook app is pleased to announce its new collaboration with the Mall of Cyprus and the Mall of Engomi, incorporating their spaces into its platform. This partnership aims to facilitate access and provide information for people with disabilities and other vulnerable groups.

Ablebook is an innovative app available on Android and iOS devices that aims to improve accessibility and support for people with disabilities and other vulnerable groups by offering information and services that make their daily lives easier.

The Mall of Cyprus and the Mall of Engomi offer a range of accessible facilities, such as designated parking spaces near entrances, ramps, accessible restrooms, and comfortable spaces for wheelchairs. Through this collaboration, Ablebook app users visiting these shopping centers can get information about accessible facilities and request assistance, if needed, from the shopping center’s staff. This ensures that all visitors can enjoy their shopping experience and moments without barriers.

Our collaboration with the Mall of Cyprus and the Mall of Engomi is another step towards a more equitable and open society for all. By offering facilities and services that meet the needs of people with disabilities, these shopping centers positively contribute to social progress and solidarity.

New Partnership Between Ablebook App and McDonald’s Restaurants

We are pleased to announce the collaboration between McDonald’s and the Ablebook app, incorporating their 23 restaurants into its platform. This partnership aims to facilitate access and provide information for people with disabilities and other vulnerable groups.

Ablebook is an innovative app available on Android and iOS devices that aims to improve accessibility and support people with disabilities and other vulnerable groups by offering information and services that make their daily lives easier.

McDonald’s restaurants offer a range of accessible facilities, such as designated parking spaces near entrances, ramps, accessible restrooms, and spacious areas for wheelchairs. Through this collaboration, Ablebook app users who visit McDonald’s restaurants can get information about accessible locations and request assistance if needed from the relevant staff. This ensures that all customers can enjoy their meals and moments without obstacles.

Our collaboration with McDonald’s restaurants is another step towards a more equal and open society for everyone. By providing facilities and services that meet the needs of people with disabilities, McDonald’s positively contributes to social progress and solidarity.

“The first National Strategy for Autism has been approved.”

The Cabinet proceeded today with the approval of the first National Strategy and Action Plan for Autism

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“The Cabinet progressed today with the approval of the first National Strategy and Action Plan for Autism, with Deputy Minister of Social Welfare Marilena Evangelou emphasizing that the implementation of the strategy will allow authorities to have a comprehensive approach and a real image of this disability, which presents increasing trends both internationally and in Cyprus.”

“In statements following the Cabinet meeting, Ms. Evangelou said that action for the implementation of the Strategy is beginning, with one of the first actions involving the creation of a national electronic platform for autism, as well as information programs, training, upgrading, and expansion of the services provided.”

“The establishment of the national strategy and action plan for autism separately from other disabilities was deemed necessary due to the increase in autism diagnoses both in our country and internationally, and because autism spectrum disorder is a developmental disorder characterized by varying degrees of difficulty, with diverse levels and gradations of symptoms and challenges,” explained Ms. Evangelou.

According to Ms. Evangelou, the National Strategy and Action Plan for Autism 2024 – 2028 includes 53 actions under 7 thematic pillars, following the life course of a child, an adult with autism, namely research, early detection and diagnosis, health and therapeutic intervention, early childhood and family intervention, education, social protection and independent living, employment, and participation in leisure, culture, and society.

She further emphasized that the importance of the national strategy lies in its ability to centralize all services related to autism under the umbrella of the national strategy for better coordination of actions and holistic addressing of needs as well as challenges.

“The action now begins,” she continued, “for the implementation of the strategy and Action Plan. Our first priority is to continue the operation of the National Committee, which I will convene very soon, the establishment of permanent subcommittees under the coordination of the Department of Social Integration of Persons with Disabilities of the Ministry of Social Welfare, and the systematic cooperation of all stakeholders, especially the organizations representing individuals with autism themselves.”

As she said, the coordinating body of the National Strategy is the Ministry of Social Welfare, and other ministries participate in it, such as the Ministries of Labor, Health, Education, Transportation, and Finance.

“We want to have a complete picture in Cyprus.”

Asked about autism cases in Cyprus, Ms. Evaggelou stated that according to data from the World Health Organization, 1 in 100 children or adults worldwide are diagnosed with autism, while in Cyprus, the recorded data from the Department of Social Inclusion of Persons with Disabilities reports about 2,000 cases.

She noted, however, that “one of the reasons for the need for this national strategy is to capture the true picture of the situation in the country because clearly the Department of Social Inclusion of Persons with Disabilities of the Ministry has the data of individuals who apply to the Department for the benefits or services it provides.”

So, she said, one of the goals of the national strategy is to have a true picture of the number and not only in terms of numbers but also what is provided to these individuals in terms of services, how they live, what treatment they follow, how their integration and activation in society are.

Ms. Evaggelou further explained that there is a wide spectrum of autism with different symptoms, needs, and challenges. “Therefore, there may be individuals who do not feel that they need support or services. However, we need to know the real picture that exists,” she added.

“I personally believe that there are more (people with autism), how many more and why they have not turned to the Department of Social Integration with Disabilities remains to be proven along the way,” she added.

At this point, Ms. Evaggelou also mentioned that “we are not starting from scratch,” as there are programs targeting people with autism. She referred to the “Aktida” program for preschool-aged children with autism, which intervenes immediately after diagnosis, offering psycho-social and educational support both to the individuals with autism and to their families.

She cited as an example that through the national strategy, there will be continuous training based on all new scientific data for professionals such as doctors, pediatricians, educators, and kindergarten teachers in schools and wherever there are children for the early diagnosis of autism. “Because early diagnosis and intervention matter,” she emphasized.

Ms. Evaggelou stated that as part of the Strategy, the organization of a national conference on autism is also planned for this coming autumn, which will be established annually.

Source: CNA

“A Spectrum of Possibilities”

“The Greek Community of South Australia stands by autistic individuals.”

“For the first time in its history, the Greek Orthodox Community of South Australia (GOCASA) celebrated World Autism Month with a special event aimed at raising awareness and understanding of the condition among the general public, highlighting the contribution of autistic individuals to the broader community, and encouraging more multicultural communities to join the conversation.”

The event with the theme “A Spectrum of Possibilities” took place symbolically at the Community Meeting Room on Wednesday, April 3rd, one day after the 17th World Autism Awareness Day, when the Malinauskas Labor Government inaugurated the state’s first Autism Inclusion Charter.

The speakers were the country’s first Assistant Minister for Autism, Emily Bourke, the president and founder of the Gold Foundation, Angela Pangallo OAM, and the world’s No. 2 in Australia and No. 5 in the world tennis player with intellectual disability, Andriana Petraki.

“I am very proud of everyone who participated in the event. It is important as one of the oldest multicultural organizations in the state to play our role in raising awareness about autism, removing barriers, and promoting acceptance and inclusion of autistic individuals, their caregivers, and families,” said Panagiotis Gonis, Vice President of the Hellenic Orthodox Community of South Australia.

“Through education and dialogue, we can understand autism in communities like ours and reduce the stigma and misconceptions associated with it,” emphasized Mr. Gonis.

According to recent statistics, it is estimated that 3.2% of school-aged children have been diagnosed with autism in Australia, while the quality of life of autistic Australians is among the lowest in Australian society.

“Autism is the largest primary disability group in the NDIS, and South Australia is above the national average, with 41% of NDIS participants in South Australia being autistic,” said Assistant Minister for Autism, Emily Bourke.

“Many wonder why we need an Assistant Minister for Autism – and it’s unique. We are the only government in the world to have this position. It’s because if we let down the largest disability group in our community, then we let down every disability group.”

Angela Pangallo OAM, the president and founder of the nonprofit organization Gold Foundation, moved the audience with the story of her son, Connor, who was diagnosed with Asperger’s syndrome fifteen years ago. She shared how the challenges he faced after the diagnosis, particularly without available support, inspired her to “give kids a chance” and help other families.

In her speech, following a few words from the Mayor of the City of West Torrens, Michael Coxon, Ms. Pangallo made a special mention of how the late president of the Greek Orthodox Community of South Australia, Vasilis Gonis, whom she referred to as a “pioneer and visionary,” helped the organization find a new home at the Camden Park Community Centre.

“It’s a huge privilege to do this work for the autism community, and the special honor is doing it with the support of the GOCASA. I grew up in the Greek Orthodox Community, and my parents were part of it from its inception. That gives it more meaning and purpose,” Ms. Pangallo said.

In her touching and inspiring presentation, Australian tennis champion of Greek descent, Andriana Petraki, stated that as an autistic individual, she has faced challenges but maintains a “positive and resilient” attitude.

“We need to encourage each other and people with disabilities to participate more in sports, schools, workplaces, and organizations,” she said.

“The technology ‘ally’ of blind pregnant women: How they were able to ‘see’ their unborn babies”

An unexpected “gift of life” was provided by technology to a 44-year-old mother with vision problems. She managed to “see” her unborn baby through the sense of touch. The new type of ultrasound has a relief form and even combines Braille writing, so blind mothers can experience this milestone in their pregnancy.

Karen Tripp passes her fingers over the relief ultrasound of her baby. Unlike her previous pregnancy, this time she is able to feel all the characteristics of the fetus she is carrying.

Born with a rare eye condition, 44-year-old Karen from England never believed she could experience this touching moment for all future mothers.

“When I was pregnant ten years ago, it was very difficult. Ultrasounds were not a pleasant experience. Because the staff didn’t have the time to explain it to me,” she said.

In the 8th month of her pregnancy, technology, as well as her doctor, gave her the unique “gift” of feeling the image of her unborn baby, beyond just hearing its heartbeat.

Photos of Karen’s baby are included in the “Invisible World” exhibition, hosted for a few days in London, featuring a series of photographs taken by world-renowned photographers, some of whom also have vision problems.

Visitors will thus be able to have a unique tactile experience, designed entirely for people with little or no vision, including relief prints, audio descriptions, and incorporating Braille code.

Edited by Athena Korovesi

Increase of 115% in kidney patients undergoing dialysis, says the Nephrology Society

“Increase of 115% in kidney patients undergoing dialysis,” says the Nephrological Society – On the occasion of the second Thursday of March, which has been established globally as World Kidney Day.

An increase of 115% in the number of our fellow citizens undergoing hemodialysis and peritoneal dialysis is observed in our country during this period, according to the Nephrological Society of Cyprus.

In a statement issued on the occasion of the second Thursday of March, which is globally established as World Kidney Day, the Nephrological Society reports that kidney health problems are the 10th leading cause of mortality worldwide, while 1 in 10 people worldwide is affected by chronic kidney disease (CKD), and it is estimated that this number will continue to increase over time.

It is noted that even if only a small percentage of these individuals will require support through methods such as dialysis – such as hemodialysis – or kidney transplantation, in our country, these individuals amount to over 200 per year, a rate of inclusion that remains among the two highest in Europe over the past 10 years.

These rates are almost double the average for Europe and other Mediterranean countries, so “we observe an increase of 115% in the number of our fellow citizens undergoing hemodialysis and peritoneal dialysis in our country during this period. This continuous and prolonged increase in patients with serious kidney health problems is accompanied by a significant economic burden on the healthcare system, which, combined with inadequate planning and timely and proper management of CKD in its initial stages, has led to many shortages in specialized medical and nursing staff, areas that also face shortages globally.”

The message of this year’s World Kidney Day, “Kidney Health for Everyone Everywhere,” becomes even more important, it is noted. With the implementation of the General Healthcare System (GHS), it is added, access to healthcare services, both personal and specialist doctors, has become much easier for most residents of our island.

As stated, with more frequent and regular health checks, our primary goal of combating and timely addressing CKD, as well as other significant diseases that feed it – such as Diabetes Mellitus and Arterial Hypertension – becomes more feasible.

“A simple blood analysis to assess kidney function and glucose, a general urine examination to check for the presence of leukocytes (or albumin) or other signs of kidney damage, as well as blood pressure monitoring are often sufficient for the timely diagnosis and treatment of these diseases. As Diabetes Mellitus and Arterial Hypertension are contributory factors to the progression of CKD and affect more than 50% of the patients who are undergoing extrarenal dialysis therapies, it is also important to combat obesity and excessive salt consumption,” it is added.

In combination with what has already been implemented, the Nephrological Society of Cyprus (NSC) promotes and closely collaborates with the Health Insurance Organization (HIO) to adapt to Cypriot data and implement the guidance of the British National Institute of Clinical Excellence (NICE) for the diagnosis and management of CKD.

This process, it is noted, is now at an advanced stage, and we have already committed as a scientific body to contribute to the training and education of healthcare professionals for their correct use and implementation. We also promote the integration of new drugs into the GHS, whose effectiveness in treating CKD is supported by numerous serious and large clinical studies. The evaluation process of these drugs, it is reported, by the HIO and the Drug Advisory Committee has already begun.

Finally, for those patients reaching the final stage of CKD, it is noted that kidney transplantation offers the best clinical outcomes as well as better survival and quality of life.

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Vision: Where is the suspected location on the body for eye conditions that lead to blindness

Could the health of the eyes be related to the functioning of the intestine? A recent study reveals a unique correlation and the role played by the gut microbiota

Recent findings create hope that antibiotics could potentially treat certain genetic diseases that can lead to blindness.

For genetic eye conditions that lead to blindness, according to a recent study published in Cell, bacteria that escape from the intestine and “travel” to the retina may also be implicated. Until recently, specialists estimated that the eyes are usually protected by a layer of tissue that bacteria cannot penetrate. Therefore, these results are “unexpected” according to Dr. Martin Kriegel, a microbiome researcher at the University of Münster in Germany, who was not involved in the study. “This is a major shift in the paradigm we knew until now,” he adds.

Inherited diseases of the retina, such as retinitis pigmentosa, affect about 5.5 million people worldwide. Mutations in the Crumbs homolog 1 (CRB1) gene are the primary cause of these diseases, some of which lead to blindness. Previous studies have shown that bacteria are not as rare in the eyes as ophthalmologists previously believed, leading the authors of the study to wonder if bacteria cause diseases of the retina, says co-author Dr. Richard Lee, an ophthalmologist then at University College London.

As Dr. Lee and his colleagues found, mutations in CRB1 weaken the bonds between the cells lining the intestine, in addition to the role they have long observed in weakening the protective barrier around the eye. This conclusion prompted the study’s co-author, Dr. Lai Wei, an ophthalmologist at Guangzhou Medical University in China, to create mice with CRB1 mutations with reduced levels of intestinal bacteria. These mice did not show signs of distortion of the cellular layers in the retina, unlike those with typical gut flora.

Twin: New exoskeleton gives mobility to people with disabilities

A new robotic exoskeleton could allow individuals who have lost the ability to move their legs to stand up and even walk again. It can also help them walk independently, guiding their movements and keeping them upright as they participate in rehabilitation therapy.

Named Twin, the exoskeleton designed in Italy for the lower body was presented at the Museum of Science and Technology in Milan. It is still in the prototype stage and is being developed by scientists from the Istituto Italiano di Tecnologia (Italian Institute of Technology) and the Istituto Nazionale Assicurazione Infortuni sul Lavoro (National Institute for Insurance against Accidents at Work).

Designed for use by patients with reduced or absent mobility in the lower body, it moves their legs through motors located at the knee and hip joints. These motors are powered by an integrated battery, which is said to last for about four hours of use per one hour of charging. The Twin can be used in three different operating modes. In Walk mode, intended for individuals who cannot use their legs at all, the exoskeleton moves the user’s legs on their behalf and assists them in sitting and standing up. The person still needs to use crutches for balance, as with other assistive exoskeletons.

Retrain mode is for patients who still have some mobility in their lower limbs. It allows them to walk on their own to the extent they can, but provides adjustable assistance when needed. Throughout the process, the exoskeleton guides them towards a predetermined optimal trajectory of leg movement.

Finally, there is TwinCare mode, intended for individuals who have full use of one leg but not the other. In this case, the exoskeleton enhances the movement of the affected leg to match that of the healthy leg. In all three modes, a physiotherapist or the user themselves can adjust walking parameters, such as step length/type and walking speed, using a wirelessly connected Android tablet.

According to its designers, two things that make Twin stand out from similar exoskeletons are the fact that it is made from lightweight materials – aluminum alloy instead of steel, for example – and that it features an articulated design allowing for the removal of components for transport or upgrade.

The 4 early signs – sos that we suffer from vertigo and we don’t know it.

It can occur at any age. Audiologists share the red “lines” that urgently signal that we should check our ears as soon as possible

While we often believe that hearing loss is something that only happens to much older people, this is not actually true.

According to the National Institute on Deafness and Other Communication Disorders (NIDCD) in the United States, 1 in 8 people aged 12 and older has hearing loss in both ears, and approximately 28.8 million adults in the US could benefit from hearing aids. While difficulty in hearing may be the most obvious sign that we need to check our ears, it is not the only one.

We asked audiologists to share the main signs that it’s time to check our hearing. Here’s what they had to say:

Number 1: We struggle to follow conversations.

If we constantly find ourselves saying “what?” during conversations, it’s probably time to check our ears.

“Terry Zwolan, director of Audiology Access & Standard of Care for Cochlear Americas, says, ‘Making an effort to listen when we talk to others or to continue a conversation is very important. This may include struggling to hear when there is background noise and regularly asking people to repeat what they have said or often mishearing.'”

Number 2: We need to increase the volume of the sound on the television.

Whether others regularly tell us to turn down the volume of the television or we are surprised by the number we see on the volume control, this can be a sign that it’s time to check our hearing.

“We may find ourselves turning up the volume on the television or radio to a level louder than others prefer, or feel that people are mumbling (because of it),” he says.

Number 3: Our ears are ringing.

While ringing in the ears (or tinnitus) isn’t always a sign of hearing loss, it certainly can be at times. “Some people may experience persistent ‘ringing,’ buzzing, pain, or pressure in one or both ears,” says Zvolan. “Also, difficulties hearing from one ear may arise, it may be challenging to distinguish where sounds are coming from, or our own voice may sound different.”

Katie Campbell, an audiologist and Senior Director of Audiology at HearingLife Canada, emphasizes that experiencing symptoms like ringing in the ears is a good reason to consider getting a hearing test. “Ringing in the ears, or tinnitus, is usually associated with situations of hearing loss,” she states. “If it persists for an extended period, it’s a good idea to arrange for a hearing test.”

Number 4: We may struggle to hear the sounds of nature.

If we suddenly find it difficult to hear the sounds of nature, such as birds chirping or rainfall, this could be a red flag, according to Zvolan.