Merrill Singer – författare

The purpose of this book is to provide an introduction and overview to the critical perspective as it has evolved in medical anthropology over the last ten years. Standing as an opposition approach to conventional medical anthropology, critical medical anthropology has emphasized the importance of political and economy forces, including the exercise of power, in shaping health, disease, illness experience, and health care.

Features a collection of seven research-based articles on AIDS. This work seeks to cut through popular misunderstanding and conventional ideas about the spread and impact of AIDS by employing a political economic perspective in the analysis of the epidemic in diverse settings.

This book explains the growing field of syndemic theory and research, a framework for the analysis and prevention of disease interactions that addresses underlying social and environmental causes. This perspective complements single-issue prevention strategies, which can be effective for discrete problems, but often are mismatched to the goal of protecting the public's health in its widest sense. "Merrill Singer has astutely described why health problems should not be seen in isolation, but rather in the context of other diseases and the social and economic inequities that fuel them. An important read for public health and social scientists."—Michael H. Merson, director, Duke Global Health Institute"Not only does this book provide a persuasive theoretical biosocial model of syndemics, but it also illustrates the model with a wide variety of fascinating historical and contemporary examples."—Peter J. Brown, professor of Anthropology and Global Health and director, Center for Health, Culture, and Society, Emory University"The concept of syndemics is Singer's most important contribution to critical medical anthropology as it interfaces with an ecosocial approach to epidemiology."—Mark Nichter, Regents Professor, Department of Anthropology, University of Arizona"Merrill Singer offers the public the most comprehensive work ever written on this key area of research and policy making."—Francisco I. Bastos, chairman of the graduate studies on epidemiology, Fundacao Oswaldo Cruz"Exquisitely describes how this new approach is a critical tool that brings together veterinary, medical, and social sciences to solve emerging infectious and non-infectious diseases of today's world."—Bonnie Buntain, MS, DVM, diplomate, American College of Veterinary Preventive Medicine"For too long the great integrative perspectives on modern biomedicine and public health disease ecology and social medicine-have remained more or less separate. In this innovative and provocative book, Merrill Singer develops a valuable synthesis that will reshape the way we think about health and disease."—Warwick H. Anderson, MD, PhD, professorial research fellow, Department of History and Centre for Values, Ethics, and the Law in Medicine, University of Sidney

When Communities Assess their AIDS Epidemics is a detailed ethnographic description of the AIDS epidemic in ten U.S. cities and the U.S. Virgin Islands. Employing a rapid ethnographic assessment methodology, cities from the Atlantic to the Pacific have implemented Project RARE (Rapid Assessment, Response, and Evaluation) efforts. These RARE projects examine the moving edge of the AIDS epidemic through descriptions of high-risk sites and identifications of segments of the populations at greatest risk. Utilizing a series of focus groups and street interviews, local field research teams gain an insider's perspective on HIV risk within social contexts. Dr. Benjamin P. Bowser, Dr. Ernest Quimby, and Dr. Merrill Singer have compiled these critical studies that analyze current conditions, challenges, and recommendations encountered by RARE. When Communities Assess their AIDS Epidemics is a powerful and engaging text that will appeal to those interested in public health and anthropology.

When Communities Assess their AIDS Epidemics is a detailed ethnographic description of the AIDS epidemic in ten U.S. cities and the U.S. Virgin Islands. Employing a rapid ethnographic assessment methodology, cities from the Atlantic to the Pacific have implemented Project RARE (Rapid Assessment, Response, and Evaluation) efforts. These RARE projects examine the moving edge of the AIDS epidemic through descriptions of high-risk sites and identifications of segments of the populations at greatest risk. Utilizing a series of focus groups and street interviews, local field research teams gain an insider's perspective on HIV risk within social contexts. Dr. Benjamin P. Bowser, Dr. Ernest Quimby, and Dr. Merrill Singer have compiled these critical studies that analyze current conditions, challenges, and recommendations encountered by RARE. When Communities Assess their AIDS Epidemics is a powerful and engaging text that will appeal to those interested in public health and anthropology.

This new collection turns a critical anthropological eye on the nature of health policy internationally. The authors reveal that in light of prevailing social inequalities, health policies may intend to protect public health, but in fact they often represent significant structural threats to the health and well being of the poor, ethnic minorities, women, and other subordinate groups. The volume focuses on the 'anthropology of policy,' which is concerned with the process of decision-making, the influences on decision-makers, and the impact of policy on human lives. This collaboration will be a critical resource for researchers and practitioners in medical anthropology, applied anthropology, medical sociology, minority issues, public policy, and health care issues.

Killer Commodities enters the increasingly heated debate regarding consumer culture with a critical examination of the relationship between corporate production of goods for profit and for public health. This collection analyzes the nature and public health impact of a wide range of dangerous commercial products from around the world, and it addresses the question of how policies should be changed to better protect the public, workers, and the environment.

Killer Commodities enters the increasingly heated debate regarding consumer culture with a critical examination of the relationship between corporate production of goods for profit and for public health. This collection analyzes the nature and public health impact of a wide range of dangerous commercial products from around the world, and it addresses the question of how policies should be changed to better protect the public, workers, and the environment.

In the contemporary world, war rivals infectious disease as a global cause of morbidity and mortality. Since the end of World War II, there have been at least 160 wars around the world with as many as 25 million (and probably many more) people killed, most of them civilians. Directly or indirectly, war touches the lives of most people on the planet, often with lasting and costly impact. Framed by the holistic and ethnographically grounded theoretical perspective of critical medical anthropology, and more broadly by the political economy of health, this book of essays by leading medical anthropologists and other health social scientists carefully examines the global effects of war, the war industry, and the international weapons trade on human health and well-being. Further, this book goes beyond offering a lively and readable account of a pressing health concern by critically analyzing the political and economic forces driving the war machine to inflict ever-increasing levels of social suffering and loss of life.

Learn the public health implications of shifting drug-related risks among the inner city poorInner city drug use behavior shifts and changes, leaving past drug treatment programs, drug prevention efforts, health care provisions for drug users, and social service practice unprepared to effectively respond. New Drugs on the Street: Changing Inner City Patterns of Illicit Consumption tackles this problem by presenting the latest ethnographic and epidemiological studies of emerging and changing drug use behaviors in the inner city. This one-of-a-kind resource provides the latest research to help readers reconceptualize ways to think about today’s drug use to more effectively address the growing problem.Unless public health and social service professionals keep in step with the shifting patterns of drug behaviors, drug use epidemics will inevitably unfold. New Drugs on the Street reveals the latest drug use practices of the poor in the inner city, with a concentration on the research in African-American and Latino populations. Each chapter gives an in-depth look at the use of various psychotropic drugs most recently gaining popularity, along with the surprising reemergence of PCP. The rampant use of ecstasy in the rave scene is explored, along with the effects of its heavy use, its after-effects, the likelihood of poly-drug mixing, and dangerous sex risk behaviors. Urban youth drug networking is examined in detail. The alarming use of embalming fluid mixtures is discussed, along with the disturbing public health implications of its use. The illicit use of narcotics analgesics (NA) like Vicodin and other pain killers is also explored, including the unclear association between NA use and Hepatitis C. A final chapter presents the latest information on Haitian youth and young adults in Miami, Florida, with ethnographic background to illustrate the reasons for drug use in this and other ethnic minorities. This valuable source is extensively referenced and includes several helpful tables to clarify research data.New Drugs on the Street examines:ecstasy diverted pharmaceutical painkillers PCP embalming fluid narcotics analgesics (NA) drug use dynamics the changing street drug scene new drug combinations new drug-involved populations New Drugs on the Street reveals the nature and direction of the latest drug use and is essential reading for health professionals in the health social sciences, public health, nursing, and substance abuse fields that deal with low income, ethnic minority, and inner city populations.

Learn the public health implications of shifting drug-related risks among the inner city poorInner city drug use behavior shifts and changes, leaving past drug treatment programs, drug prevention efforts, health care provisions for drug users, and social service practice unprepared to effectively respond. New Drugs on the Street: Changing Inner City Patterns of Illicit Consumption tackles this problem by presenting the latest ethnographic and epidemiological studies of emerging and changing drug use behaviors in the inner city. This one-of-a-kind resource provides the latest research to help readers reconceptualize ways to think about today’s drug use to more effectively address the growing problem.Unless public health and social service professionals keep in step with the shifting patterns of drug behaviors, drug use epidemics will inevitably unfold. New Drugs on the Street reveals the latest drug use practices of the poor in the inner city, with a concentration on the research in African-American and Latino populations. Each chapter gives an in-depth look at the use of various psychotropic drugs most recently gaining popularity, along with the surprising reemergence of PCP. The rampant use of ecstasy in the rave scene is explored, along with the effects of its heavy use, its after-effects, the likelihood of poly-drug mixing, and dangerous sex risk behaviors. Urban youth drug networking is examined in detail. The alarming use of embalming fluid mixtures is discussed, along with the disturbing public health implications of its use. The illicit use of narcotics analgesics (NA) like Vicodin and other pain killers is also explored, including the unclear association between NA use and Hepatitis C. A final chapter presents the latest information on Haitian youth and young adults in Miami, Florida, with ethnographic background to illustrate the reasons for drug use in this and other ethnic minorities. This valuable source is extensively referenced and includes several helpful tables to clarify research data.New Drugs on the Street examines:ecstasy diverted pharmaceutical painkillers PCP embalming fluid narcotics analgesics (NA) drug use dynamics the changing street drug scene new drug combinations new drug-involved populations New Drugs on the Street reveals the nature and direction of the latest drug use and is essential reading for health professionals in the health social sciences, public health, nursing, and substance abuse fields that deal with low income, ethnic minority, and inner city populations.

Comprehending Drug Use, the first full-length critical overview of the use of ethnographic methods in drug research, synthesizes more than one hundred years of study on the human encounter with psychotropic drugs. J. Bryan Page and Merrill Singer create a comprehensive examination of the whole field of drug ethnography-methodology that involves access to the hidden world of drug users, the social spaces they frequent, and the larger structural forces that help construct their worlds. They explore the important intersections of drug ethnography with globalization, criminalization, public health (including the HIV/AIDS epidemic, hepatitis, and other diseases), and gender, and also provide a practical guide of the methods and career paths of ethnographers.

Features a collection of seven research-based articles on AIDS. This work seeks to cut through popular misunderstanding and conventional ideas about the spread and impact of AIDS by employing a political economic perspective in the analysis of the epidemic in diverse settings.

This book focuses on syndemics in the Global South and uses COVID‑19 as a window to understand clusters of disparities and disease comorbidities. The pandemic has exposed and multiplied structural inequalities and certain subpopulations were more exposed to COVID‑19 as well as experienced greater morbidity and mortality. The effects of the pandemic differ between countries but have had an especially major impact, although in varying ways, in the Global South. The contributions in this volume explore the differential impacts of COVID‑19 at individual, community, national, or regional levels, considering how structural violence is institutionalized in a way that creates vulnerable situations and disproportionate suffering. The book will be of interest to anthropologists and sociologists as well as to those working in global and public health.

This book focuses on syndemics in the Global South and uses COVID‑19 as a window to understand clusters of disparities and disease comorbidities. The pandemic has exposed and multiplied structural inequalities and certain subpopulations were more exposed to COVID‑19 as well as experienced greater morbidity and mortality. The effects of the pandemic differ between countries but have had an especially major impact, although in varying ways, in the Global South. The contributions in this volume explore the differential impacts of COVID‑19 at individual, community, national, or regional levels, considering how structural violence is institutionalized in a way that creates vulnerable situations and disproportionate suffering. The book will be of interest to anthropologists and sociologists as well as to those working in global and public health.

This book applies a critical perspective to anthropogenic climate change and the global socio-ecological crisis.The book focuses on the critical anthropology of climate change by opening up a dialogue with the two main contending perspectives in the field, namely the cultural ecological and the cultural interpretive perspectives. Guided by these, the authors take a firm stance on the types of changes that are needed to sustain life on Earth as we know it. Within this framework, they explore issues of climate and social equity, the nature of the current era in Earth’s geohistory, the perspectives of the elite polluters driving climate change, and the regrettable contributions of anthropologists and other scholars to climate change. Engaging with perspectives from sociology, political science, and the geography of climate change, the book explores various approaches to thinking about and responding to the existential threat of an ever-warming climate. In doing so, it lays the foundation for a brave new sustainable world that is socially just, highly democratic, and climatically safe for humans and other species.This book will be of interest to researchers and students studying environmental anthropology, climate change, human geography, sociology, and political science.

This book applies a critical perspective to anthropogenic climate change and the global socio-ecological crisis.The book focuses on the critical anthropology of climate change by opening up a dialogue with the two main contending perspectives in the field, namely the cultural ecological and the cultural interpretive perspectives. Guided by these, the authors take a firm stance on the types of changes that are needed to sustain life on Earth as we know it. Within this framework, they explore issues of climate and social equity, the nature of the current era in Earth’s geohistory, the perspectives of the elite polluters driving climate change, and the regrettable contributions of anthropologists and other scholars to climate change. Engaging with perspectives from sociology, political science, and the geography of climate change, the book explores various approaches to thinking about and responding to the existential threat of an ever-warming climate. In doing so, it lays the foundation for a brave new sustainable world that is socially just, highly democratic, and climatically safe for humans and other species.This book will be of interest to researchers and students studying environmental anthropology, climate change, human geography, sociology, and political science.

A Companion to the Anthropology of Environmental Health presents a collection of readings that utilize a medical anthropological approach to explore the interface of humans and the environment in the shaping of health and illness around the world. Features the latest ethnographic research from around the world related to the multiple impacts of the environment on health and of societies on their environmentsIncludes contributions from international medical anthropologists, conservationists, environmental experts, public health professionals, health clinicians, and other social scientistsAnalyzes the conditions of cultural and social transformation that accompany environmental and ecological impacts in all areas of the worldOffers critical perspectives on theoretical and methodological advancements in the anthropology of environmental health, along with future directions in the field

A Companion to Medical Anthropology examines the current issues, controversies, and state of the field in medical anthropology today. Provides an expert view of the major topics and themes to concern the discipline since its founding in the 1960sWritten by leading international scholars in medical anthropologyCovers environmental health, global health, biotechnology, syndemics, nutrition, substance abuse, infectious disease, and sexuality and reproductive health, and other topics

Explores the human impacts on environment that lead to serious ecological crises, an innovative resource for students, professionals, and researchers alikeEcosystem Crises Interaction: Human Health and the Changing Environment provides a timely and innovative framework for understanding how negative human activity impacts the environment, and how seemingly disparate factors connect to, and magnify, hazardous consequences under a changing climate. Presenting a coherent, holistic perspective to the subject, this compelling textbook and reference examines the diverse, often unexpected links that connect our complex world in context of global climate change.The text illustrates how eco-crisis interaction—the synergistic interface of two or more environmental events or pollutants—can multiply to produce harmful health effects that are greater than their additive impact. This concept is highlighted through numerous real and relatable examples, from the use of sediment rock in hydraulic and drinking water filtration systems, to the connections between human development and crises such as deforestation, emergent infectious diseases, and global food insecurity. Throughout the text, specific examples present opportunities to consider broader questions about the extinction of species, populations, and ways of life. Presenting a balanced investigation of the interaction of contemporary ecological dangers, human behavior, and health, this unique resource: Explores how complex interactions between global warming and anthropogenic impairments magnify the diverse ecological perils and threats facing humans and other speciesDiscusses roadblocks to addressing environmental risk, such as global elite polluters, the organized denial of climate change, and deliberate environmental disruption for financial gainDescribes how the production and use of fossil fuels are driving a significant rise in carbon dioxide and other pollutants in the atmosphere and in the oceansIllustrates how industrial production is contributing to an array of environmental crises, including fuel spills, waste leakages, and loss of biodiversityExamines the critical ecosystems that are at risk from interacting stressors of human origin Ecosystem Crises Interaction: Human Health and the Changing Environment is an ideal textbook for advanced undergraduate and graduate students in courses including public and allied health, environmental studies, medical ecology, medical anthropology, and geo-health, and a valuable reference for researchers, practitioners, and policy makers in fields such as environmental health, global and planetary health, public health, climate change, and medical social science.

The fully revised new edition of the defining reference work in the field of medical anthropologyA Companion to Medical Anthropology, Second Edition provides the most complete account of the key issues and debates in this dynamic, rapidly growing field. Bringing together contributions by leading international authorities in medical anthropology, this comprehensive reference work presents critical assessments and interpretations of a wide range of topical themes, including global and environmental health, political violence and war, poverty, malnutrition, substance abuse, reproductive health, and infectious diseases. Throughout the text, readers explore the global, historical, and political factors that continue to influence how health and illness are experienced and understood.The second edition is fully updated to reflect current controversies and significant new developments in the anthropology of health and related fields. More than twenty new and revised articles address research areas including war and health, illicit drug abuse, climate change and health, colonialism and modern biomedicine, activist-led research, syndemics, ethnomedicines, biocommunicability, COVID-19, and many others. Highlighting the impact medical anthropologists have on global health care policy and practice, A Companion to Medical Anthropology, Second Edition: Features specially commissioned articles by medical anthropologists working in communities worldwideDiscusses future trends and emerging research areas in the fieldDescribes biocultural approaches to health and illness and research design and methods in applied medical anthropologyAddresses topics including chronic diseases, rising levels of inequality, war and health, migration and health, nutritional health, self-medication, and end of life care Part of the acclaimed Wiley Blackwell Companions to Anthropology series, A Companion to Medical Anthropology, Second Edition, remains an indispensable resource for medical anthropologists, as well as an excellent textbook for courses in medical anthropology, ethnomedicine, global health care, and medical policy.

The year 2016 was the hottest year on record and the third consecutive record-breaking year in planet temperatures. The following year was the hottest in a non-El Nino year. Of the seventeen hottest years ever recorded, sixteen have occurred since 2000, indicating the trend in climate change is toward an ever warmer Earth. However, climate change does not occur in a social vacuum; it reflects relations between social groups and forces us to contemplate the ways in which we think about and engage with the environment and each other.Employing the experience-near anthropological lens to consider human social life in an environmental context, this book examines the fateful global intersection of ongoing climate change and widening social inequality. Over the course of the volume, Singer argues that the social and economic precarity of poorer populations and communities—from villagers to the urban disadvantaged in both the global North and global South—is exacerbated by climate change, putting some people at considerably enhanced risk compared to their wealthier counterparts. Moreover, the book adopts and supports the argument that the key driver of global climatic and environmental change is the global economy controlled primarily by the world’s upper class, which profits from a ceaseless engine of increased production for national middle classes who have been converted into constant consumers. Drawing on case studies from Alaska, Ecuador, Bangladesh, Haiti and Mali, Climate Change and Social Inequality will be of great interest to students and scholars of climate change and climate science, environmental anthropology, medical ecology and the anthropology of global health.

The year 2016 was the hottest year on record and the third consecutive record-breaking year in planet temperatures. The following year was the hottest in a non-El Nino year. Of the seventeen hottest years ever recorded, sixteen have occurred since 2000, indicating the trend in climate change is toward an ever warmer Earth. However, climate change does not occur in a social vacuum; it reflects relations between social groups and forces us to contemplate the ways in which we think about and engage with the environment and each other.Employing the experience-near anthropological lens to consider human social life in an environmental context, this book examines the fateful global intersection of ongoing climate change and widening social inequality. Over the course of the volume, Singer argues that the social and economic precarity of poorer populations and communities—from villagers to the urban disadvantaged in both the global North and global South—is exacerbated by climate change, putting some people at considerably enhanced risk compared to their wealthier counterparts. Moreover, the book adopts and supports the argument that the key driver of global climatic and environmental change is the global economy controlled primarily by the world’s upper class, which profits from a ceaseless engine of increased production for national middle classes who have been converted into constant consumers. Drawing on case studies from Alaska, Ecuador, Bangladesh, Haiti and Mali, Climate Change and Social Inequality will be of great interest to students and scholars of climate change and climate science, environmental anthropology, medical ecology and the anthropology of global health.

In addressing the urgent questions raised by climate change, this book provides a comprehensive overview of the anthropology of climate change, guided by a critical political ecological framework. It examines the emergence and slow maturation of the anthropology of climate change, reviews the historic foundations for this work in the archaeology of climate change, and presents three alternative contemporary theoretical perspectives in the anthropology of climate change.This second edition is fully updated to include the most recent literature published since the first edition in 2014. It also examines a number of new topics, including an analysis of the 2014 American Anthropological Association’s Global Climate Change Task Force report, a new case study on responses to climate change in developed societies, and reference to the stance of the Trump administration on climate change. Not only does this book provide a valuable overview of the field and the key literature, but it also gives researchers and students in Environmental Anthropology, Climate Change, Human Geography, Sociology, and Political Science a novel framework for understanding climate change that emphasizes human socioecological interactions.

In addressing the urgent questions raised by climate change, this book provides a comprehensive overview of the anthropology of climate change, guided by a critical political ecological framework. It examines the emergence and slow maturation of the anthropology of climate change, reviews the historic foundations for this work in the archaeology of climate change, and presents three alternative contemporary theoretical perspectives in the anthropology of climate change.This second edition is fully updated to include the most recent literature published since the first edition in 2014. It also examines a number of new topics, including an analysis of the 2014 American Anthropological Association’s Global Climate Change Task Force report, a new case study on responses to climate change in developed societies, and reference to the stance of the Trump administration on climate change. Not only does this book provide a valuable overview of the field and the key literature, but it also gives researchers and students in Environmental Anthropology, Climate Change, Human Geography, Sociology, and Political Science a novel framework for understanding climate change that emphasizes human socioecological interactions.

Now in its third edition, this textbook serves to frame understandings of health, health-related behavior, and health care in light of social and health inequality as well as structural violence. It also examines how the exercise of power in the health arena and in society overall impacts human health and well-being.Medical Anthropology and the World System: Critical Perspectives, Third Edition includes updated and expanded information on medical anthropology, resulting in an even more comprehensive resource for undergraduate students, graduate students, and researchers worldwide. As in the previous versions of this text, the authors provide insights from the perspective of critical medical anthropology, a well-established theoretical viewpoint from which faculty, researchers, and students study medical anthropology. It addresses the nature and scope of medical anthropology; the biosocial and political ecological origins of disease, health inequities, and social suffering; and the nature of medical systems in indigenous and pre-capitalist state societies and modern societies. The third edition also includes new material on the relationship between climate change and health. Finally, this textbook explores health praxis and the struggle for a healthy world.

Now in its third edition, this textbook serves to frame understandings of health, health-related behavior, and health care in light of social and health inequality as well as structural violence. It also examines how the exercise of power in the health arena and in society overall impacts human health and well-being.Medical Anthropology and the World System: Critical Perspectives, Third Edition includes updated and expanded information on medical anthropology, resulting in an even more comprehensive resource for undergraduate students, graduate students, and researchers worldwide. As in the previous versions of this text, the authors provide insights from the perspective of critical medical anthropology, a well-established theoretical viewpoint from which faculty, researchers, and students study medical anthropology. It addresses the nature and scope of medical anthropology; the biosocial and political ecological origins of disease, health inequities, and social suffering; and the nature of medical systems in indigenous and pre-capitalist state societies and modern societies. The third edition also includes new material on the relationship between climate change and health. Finally, this textbook explores health praxis and the struggle for a healthy world.

The chapters in Foundations of Biosocial Health: Stigma and Illness Interactions, drawn primarily from medical anthropology, highlight the diverse ways in which various stigmatized health conditions interact with social inequalities and stigma to form syndemics. The authors delineate multiple examples of stigma-driven syndemics to demonstrate both the nature of disease interactions and how stigma contributes to, promotes, exacerbates, or perpetuates a syndemic. In so doing, the authors also address how stigma translates from a social condition to various biological conditions. The authors’ contributions cover a variety of topics, including HIV, substance use, obesity, depression, homelessness, poverty,and political oppression. This book is recommended for scholars of anthropology, sociology, psychology, political science, and public health.

Central to this volume, and critical to its unique creative significance and contribution, is the conceptual unification of syndemics and stigma. Syndemics theory is increasingly recognized in social science and medicine as a crucial framework for examining and addressing pathways of interaction between biological and social aspects of chronic and acute suffering in populations. While much research to date addresses known syndemics such as those involving HIV, diabetes, and mental illness, this book explores new directions just beginning to emerge in syndemics research – revealing what syndemics theory can illuminate about, for example the health consequences of socially pathologized pregnancy or infertility, when stigmatization of reproductive options or experiences affect women’s health. In other chapters, newly identified syndemics affecting incarcerated or detained individuals are highlighted, demonstrating the physical, psychological, structural, and political-economic effects of stigmatizing legal frameworks on human health, through a syndemic lens. Elsewhere in the volume, scholars examine the stigma of poverty and how it affects both nutritional and oral health. The common thread across all chapters is linkages of social stigmatization, structural conditions, and how these societal forces drive biological and disease interactions affecting human health, in areas not previously explored through these lenses.