The Ob/Gyn Podcast
This podcast focuses on providing accessible information about a range of topics in obstetrics and gynecology. It aims to educate listeners on women's health issues, pregnancy, and related medical care. The show covers clinical topics in a way that is understandable for both patients and professionals. It serves as a resource for those seeking reliable insights into Ob/Gyn care.
Episodes
73: Menopause Part 1
In Part 1 of our menopause series, we explore two fundamental questions: Why does menopause exist, and what physiologic changes drive the menopausal transition? Topics include: Definitions of perimenopause, menopause, and postmenopause Why humans are unusual among mammals in having a long post-reproductive lifespan The Mother and Grandmother hypotheses Chimpanzee and whale comparisons Oocyte deve
72: Diabetes in Pregnancy - Part 2
In this episode we dive into the world of insulins and the management of preexisting diabetes in pregnancy. feedback@obgyn.fm Uteroplacental blood flow in diabetic pregnancy: Measurements with iridium 113m and a computer-linked gamma camera. L. Nylund et al. AJOG. 1982 Pre-existing diabetes, maternal glycated haemoglobin, and the risks of fetal and infant death: a population-based study . P. Te
71: Fertility Equality
Drs. Jillian Kurtz & Vai Umesh join me to discuss fertility equality. Drs. Jillian Kurtz & Vai Umesh join me to discuss fertility equality. feedback@obgyn.fm Discord Server The Fight for Fertility Equality - NYT How Much does IVF Really Cost? CNY Fertility West Coast Surrogacy
70: Journal Club - July 2020
Join us as we discuss "Intra-abdominal Irrigation at Cesarean Delivery" from a the Green Journal in 2012. Guests: Dr. Jerry Ballas & Dr. Heather Link feedback@obgyn.fm
69: Infertility Work-Up
Dr. Jillian Kurtz walks us through an evidence-based approach to infertility.
68: Life in the time of COVID
Join myself and Dr. Jerry Ballas to discuss what life has been like for us as Ob/Gyn's in the last 6 months. We delve into what COVID has done to our units and give some tips on how to protect ourselves. OB Leadership - CoVID Response
67: Maternal Mortality - Part 3
Dr. Heather Link joins me to discuss maternal mortality in Lousiana. Racial Inequities in Preventable Pregnancy-Related Deaths in Louisiana, 2011–2016 louisiana maternal mortality review report 2011-2016
66: Journal Club January 2020
Drs. Jillian Kurtz and Caiyun Liao join me to discuss "Association Between Fertility Treatment and Cancer RIsk in Children" published 12/19 in JAMA
65: Progesterone to Prevent Preterm Birth
Dr. Ballas joins me to discuss the PROLONG trial and discuss the role of progesterone in the prevention of preterm birth. PROLONG Trial
64: The 4th Trimester w/ Drs. Ballas and Zawisza
Join us to discuss the changes in postpartum care and how we can help better support women. ACOG Bulletin
63: Monthly Check Up - September 2019
Drs. Sara Kim & Vai Umesh join me to dicuss stillbirth rates and medical treatment of uterine fibroids.
62: Diabetes in Pregnancy - Part 1
Join me while we discuss the history of diabetes in pregnancy in the first part of our tour de force!
61: Journal Club - July 2019
Dr. Umesh joins me to discuss Umbilical Cord Clamp Milking in preterm neonates. Delayed clamping vs milking of umbilical cord in preterm infants: a randomized controlled trial feedback@obgyn.fm
60: The Ethics of Breastfeeding with HIV
Dr. Mariel Gross joins me to discuss the ethics of breastfeeding with HIV. Breastfeeding with HIV: An Evidence-Based Case for New Policy Contact Dr. Gross
59: Maternal Mortality - Part 2
Dr. Heather Link joins me to discuss US health policy around maternal mortality. Alliance for Innovation on Maternal Health E. Warren Op ed in Essence CDC MMWR Maternal Mortality 5/10 California Maternal Quality Collaborative
58: Postpartum Mood Disorders - Part 2
Greg Kirschen takes us through the treatment of postpartum depression and psychosis. feedback@obgyn.fm American Psychiatric Association. (2013). In Diagnostic and statistical manual of mental disorders (5th ed.). doi:10.1176/appi.books.9780890425596.744053 Tate G. 1830. "A Treatise on Hysteria." London: S. Highley, 174 Fleet St & Webb St, Maze Pond, Borough. Smith TN. 1830. "Observations on hyste
57: Postpartm Mood Disorders - Part 1
Medical Student Gregory Kirschen takes us through the history of postpartum depression from hippocrates to present day. References American Psychiatric Association. (2013). Cautionary statement for forensic use of DSM-5. In Diagnostic and statistical manual of mental disorders (5th ed.). doi:10.1176/appi.books.9780890425596.744053 King, H. 1998. Hippocrates' Woman: Reading the Female Body in Anc
National Perinatal Association - Episode 2
http://www.marchformoms.org
56: Elective Cesarean Delivery
Dr. Bergoy walks us through the risks and benefits of elective cesarean delivery. www.obgyn.fm feedback@obgyn.fm neonatal and maternal mortality https://www.acog.org/Clinical-Guidance-and-Publications/Obstetric-Care-Consensus-Series/Safe-Prevention-of-the-Primary-Cesarean-Delivery https://www.ncbi.nlm.nih.gov/pubmed/?term=24631705%5Buid%5D https://www.uptodate.com/contents/cesarean-delivery-
National Perinatal Association - Episode 1
Dr. David Gagnon leads us through the origins of the National Perinatal Association.
55: Post-Delivery IUDs
Dr. Gina Milone takes us through the pros and cons of post-delivery IUD placement. feedback@obgyn.fm Blumenthal, P. D., et al. (2018). "Comparative safety and efficacy of a dedicated postpartum IUD inserter versus forceps for immediate postpartum IUD insertion: a randomized trial." Contraception98(3): 215-219. Center for Disease Control, U.S. Medical Eligibility Criteria for Contraceptive Use
54: Monthly Check Up - March 2019
We follow-up last months dicsussion of termination by discussing the challenging stories of women who chose to terminate after 24 weeks and then have a great discsussion about embryo adoption.
53: Journal Club - March 2019
Dr. Lian joins me to discuss "Opioid use after laparoscopic hysterectomy: prescriptions, patient use, and a predictive calculator" from AJOG. feedback@obgyn.fm
52: Monthly Check-up - February 2019
Please join Drs. Jillian Kurtz and Heather Link to discuss extended cycle contraception, changes to abortion laws, and the role of OB hospitalists. feedback@obgyn.fm How Abortion Law in New York Will Change, and How It Won't FSRH Clinical Guidance: Combined Hormonal Contraception - January 2019 Obstetric hospitalists can screen for postpartum depression
51: Journal Club - February 2019
Dr. Oystein Bergoy joins me to discuss the LaPS Study looking at the effect of Zhang's partograph on cesarean deliveries for labor dystocia. www.obgyn.fm feedback@obgyn.fm The frequency of intrapartum caesarean section use with the WHO partograph versus Zhang's guideline in the Labour Progression Study (LaPS): a multicentre, cluster-randomised controlled trial Friedman E. The graphic a
50: Why Ob/Gyn?
Join us for this special 50th episode where we get together to discuss why we do what we do. feedback@obgyn.fm
49: Maternal Mortality - Part 1
Dr. Heather Link starts a new series on Maternal Mortality by discussing what that even means and how we get those numbers. feedback@obgyn.fm Maternal mortality is a key indicator of a health system's strength. Safe Motherhood Week. https://www.safemotherhoodweek.org/maternal-mortality-key-indicator-health-systems-strength/.Published October 30, 2017. Accessed July 19, 2018. Organization WH,
48: Journal Club - November 2018
Drs. Lian and Blaber join me to discuss "Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer" from NEJM. https://www.nejm.org/doi/full/10.1056/NEJMoa1806395 https://journals.lww.com/greenjournal/Fulltext/2018/10000/Noninferiority_Complex.5.aspx feedback@obgyn.fm
47: Monthly Check-up - November 2018
Drs. Sara Kim and Vai Umesh join me to discuss sexism in medicine. https://creogsovercoffee.com feedback@obgyn.fm Ending Sexual Harassment in Academic Medicine
46: Esomeprazole and Preeclampsia w/ Dr. Cluver
I speak with Dr. Cathy Cluver about her article in the October issue of American Journal of Obstetrics and Gynecology. https://www.ajog.org/article/S0002-9378(18)30606-9/fulltext feedback@obgyn.fm www.obgyn.fm
45: Intrahepatic cholestasis of pregnancy
Dr. Sara Kim discusses the etiology, diagnosis, and management of intrahepatic cholestasis of pregnancy. Website Slack Patreon feedback@obgyn.fm Fast, B., & Roulston, T. (1963). Idiopathic jaundice of pregnancy. Am J Obstetrics and Gynecology, 314-320. Geenes, V., & Williamson, C. (2009). Intrahepatic cholestasis of pregnancy. World Journal of Gastroenterology, 2049-2066. Gynecologists, R. C. (
44: Journal Club - October 2018
Join us as we discuss "Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia A Randomized Clinical Trial" from JAMA October 2018. Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial AnalgesiaA Randomized Clinical Trial Patreon link to suppor
43: Monthly Checkup - October 2018
Join us as we discuss the future of residency training in the United States. The First National Summit on Women's Health feedback@obgyn.fm
42: Vaginal Seeding with Dr. Suchi Hourigan
In this episode we speak with Dr. Hourigan about her randomized controlled trial on the effect of vaginal seeding on the neonatal microbiome and long-term health outcomes. Dr. Suchitra Houriman - Bio RCT on Vaginal Seeding Contact Dr. Houriman
41: Ovulation Induction
Dr. Jillian Kurtz discusses the ins and outs of ovulation induction. feedback@obgyn.fm
40: Aneuploidy - Part 2
Join me as we finish our discussion on anueplody screening. In this episode we discuss the risks of amniocentisis and chorionic villus sampling, cell-free DNA, and different screening strategies. Comparing Different Strategies The assessment of combined first trimester screening in women of advanced maternal age in an Asian cohort Amnio/CVS A report of the safety and accuracy o
39: Monthly Checkup - August 2018
Join us for a discussion on sexism in medicine, STD screening for women diagnosed with PID, and the removal of the Essure device from the market. Feedback@obgyn.fm Sexism in Obstetrics & Gynecology: Not just a "women's issue" HIV and Syphilis Screening Among Adolescents Diagnosed With Pelvic Inflammatory Disease Bayer Will Stop Selling the Troubled Essure Birth Control Implants
38: Interview with Dr. Quirk
In this episode we talk with Dr. J. Gerald Quirk about his efforts to start a state wide AFP screening program in Arkansas in the 1980s. obgyn.fm Slack
37: The Monthly Checkup - July 2018
Dr. Ballas and Dr. Lian join us to discuss three great topics. 1. Social structure of the operating room 2. Ethical issues in laparoscopic surgery 3. US administration position on breast feeding Slack invite link
36: Journal Club - July 2018
I am joined by minimally invasive gynecologic surgeons Dr. Blaber and Dr. Lian to discuss a paper from the May issue of AJOG. Laparoscopic vs transvaginal cuff closure after total laparoscopic hysterectomy: a randomized trial by the Italian Society of Gynecologic Endoscopy Uccella S, Malzoni M, Cromi A, et al. Laparoscopic vs transvaginal cuff closure after total laparoscopic hysterectomy: a rando
35: Monthly Check-Up - June 2018
In this episode Dr. Sara Kim and Dr. Jillian Kurtz join me to discuss some basic research papers about pregnancy dating and PCOS. Noninvasive blood tests for fetal development predict gestational age and preterm delivery Elevated prenatal anti-Müllerian hormone reprograms the fetus and induces polycystic ovary syndrome in adulthood
34: Aneuploidy - Part 1
In this episode we trace the history of aneuploidy screening from the early days of amniocentesis to the modern day serum screening. feedback@obgyn.fm 1987 Cuckle Paper: Estimating a woman's risk of having a pregnancy associated with Down's syndrome using her age and serum alpha-fetoprotein level Other references in no particular order: First-Trimester or Second-Trimester Screening, or Both
33: Monthly Check-Up - May 2018
In this episode Dr. Ballas and I discuss the declining US birth rate and paretnal leave for ob/gyn residents. Births: Provisional Data for 2017 Pregnancy and parental leave among obstetrics and gynecology residents: results of a nationwide survey of program directors
32: Oncofertility and fertility preservation
In this episode Dr. Jillian Kurtz walks us through the methods and rationale behind fertility preservation for patients with cancer or undergoing transgender procedures.
31: Journal Club May 2018
In this episode I am joined by Dr. Ballas and Dr. Kim to dicsuss the paper "Pregnancy Exercise and Nutrition With Smartphone Application Support" from the May edition of Obstetrics & Gynecology. feedback@obgyn.fm
30: The Monthly Checkup - April 2018
In this episdoe we discuss the new postpartum guidelines from ACOG, newborn microbiome seeding, and the gentle cesarean. ACOG Committee Opinion: Optimizing Postpartum Care ACOG Committee Opinion: Vaginal Seeding OBG Management: Gentle Cesarean Podcast: Conversations in Obstetrics and Gynecology
29: Journal Club - April 2018
In this episode we discuss the mode of delivery in twin gestation Paper: Schmitz T, Korb D, Battie C, et al. Neonatal morbidity associated with vaginal delivery of noncephalic second twins. Am J Obstet Gynecol 2018;218:449.e1-13. feedback@obgyn.fm Other References: Association Between Planned Cesarean Delivery and Neonatal Mortality and Morbidity in Twin Pregnancies How singleto
28: PCOS - Part 2
In this episode we finish up PCOS by discussing the management and long-term consequences. feedback@obgyn.fm Polycystic ovary syndrome: etiology, pathogenesis and diagnosis Combined oral contraceptives in the treatment of polycystic ovary syndrome Ovarian Suppression in Normal-Weight and Obese Women During Oral Contraceptive Use: A Randomized Controlled Trial Ovulation incidence with oral co
27: The Monthly Checkup - November 2017
In this Months Checkup Drs. Ballas and Kim join me to discuss the link (or non-link) between acetaminophen use during pregnancy and ADHD, the new NIH funded PregSource initiative, and how we architecture affects how we provide care. feedback@obgyn.fm Prenatal Exposure to Acetaminophen and Risk of ADHD PregSource The case against hospital beds
26: Antenatal Steroids - Part 2
In this episode Dr. Øystein Bergøy discusses the evidence behind the risks of antenatal corticosteroids for women at risk for preterm delivery. feedback@obgyn.fm ACOG guidelines on fetal maturation NICE guidelines on risk of premature labour Norwegian guidelines on risk of premature labour 2015 cochrane analysis of repeat steroids Study were microsimulation was used to make a ratio
25: Antenatal Steroids - Part 1
In this episode Dr. Øystein Bergøy discusses the evidence behind antenatal corticosteroids for women at risk for preterm delivery. feedback@obgyn.fm Uptodate articles on RDS 1 2 3 Liggins 1972 paper 2013 cochrane analysis on type of steroid and regimens 2017 cochrane analysis of antenatal corticosteroids for accelerating fetal lung maturation 2015 cochrane analysis of repeat antenat
24: Journal Club - September 2017
In this episode Dr. Kim joins me to discuss an article about postplacental IUD placement from the American Journal of Obstetrics and Gynecology. Postplacental intrauterine device expulsion by 12 weeks: a prospective cohort study
23: The Monthly Checkup - August 2017
Please consider giving to www.breac225.org to help support the victims of Hurricane Harvey. In this episode we discuss the link between baby powder and ovarian cancer, the effect of breastfeeding on endometriosis, and the long term emotional effect of mode of delivery. Does Baby Powder Cause Cancer? A Jury Says Yes. Scientists Aren't So Sure History of breast feeding and risk of incident endomet
22: PCOS - Part 1
In this episode we trace the history of polycystic ovarian syndrome, learn about the underlying physiology, and how to diagnosis it. feedback@obgyn.fm Current Practices of Measuring and Reference Range Reporting of Free and Total Testosterone in the United States. Diagnostic Criteria for Polycystic Ovary Syndrome: Pitfalls and Controversies Clinical Findings and Hormonal Responses in Patients
Opioid Survey
feedback@obgyn.fm
21: Journal Club - August 2017
In this episode we discuss "Patterns of Opioid Prescription and Use After Cesarean Delivery" published in Obstetrics & Gynecology in July 2017 by Brian Bateman et al. If you want to get in contact with Dr. Ballas then please send email to feedback@obgyn.fm
20: The Monthly Checkup - July 2017
In this episode Dr. Kim and I discuss three current topics from the medical world. 1. CDC MMR - Placenta Encapsulation https://www.ncbi.nlm.nih.gov/pubmed/27440542 https://www.ncbi.nlm.nih.gov/pubmed/27809380 2. Effect of Cervical Screening Changes on STD testing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279217/ 3. Menstruation & Oral Contraceptives
19: Intrapartum Fetal Monitoring - Part 3
In this episode we conclude our discussion on intrapartum fetal monitoring by discussing fetal pulse oximetry and ST waveform analysis. July Journal Club Article: Patterns of Opioid Prescription and Use After Cesarean Delivery feedback@obgyn.fm ST Waveform Analysis Fetal electrocardiogram: ST waveform analysis in intrapartum surveillance ST waveform analysis versus cardiotocography alone
18: Intrapartum Fetal Monitoring - Part 2
In this episode we discuss the use of fetal scalp pH and scalp stimulation in the triage of abnormal electronic fetal heart rate tracings. Feedback@obgyn.fm Scalp pH http://www.sciencedirect.com/science/article/pii/0002937885903308 http://www.tandfonline.com/doi/abs/10.1080/14767050500526172 http://www.sciencedirect.com/science/article/pii/S0002937899700839 http://www.bmj.com/content/336/7656
17: Journal Club - June 2017
In this episode Dr. Ballas and I review and discuss an article from the American Journal of Obstetrics & Gynecology from April 2017 entitled "Planned home births: the need for additional contraindications". Link: http://www.ajog.org/article/S0002-9378(17)30119-9/abstract feedback@obgyn.fm
16: Intrapartum Fetal Monitoring
In this episode we discuss the evolution of intrapartum fetal monitoring from the Pinard Horn to modern doppler techniques. We also discuss the benefits and harms of these approaches and their role in modern obstetrics. feedback@obgyn.fm A controlled trial of the differential effects of intrapartum fetal monitoring - ScienceDirect Intrapartum electronic fetal heart rate monitoring versus
15: Journal Club May 2017
This is the first in our monthly Journal Club Series with Dr. Jerry Ballas. In this episode we will be discussing a paper from the April 2017 issue of the Green Journal entitled "Sildenafil Citrate Therapy for Oligohydramnios". Article Link feedback@obgyn.fm
14: Puerperal Fever - Part 3
In this closing chapter on Puerperal Fever we will examine GBS related neonatal sepsis and the science behind its prevention. feedback@obgyn.fm Diagnosis and Management of Group B Streptococcus in Pregnancy Use of Cefazolin for Group B Streptococci Prophylaxis in Women Reporting a Penicillin Allergy Without Anaphylaxis Daily antibiotic cost estimates Cost-effectiveness of strategies to
13: Delayed Cord Clamping
Dr. Kim walks us through the history of cord clamping and examines the evidence behind delayed vs. immediate clamping. feedback@obgyn.fm ACOG, Committee Opinion. Delayed Umbilical Cord Clamping After Birth. (American College of Obstetricians and Gynecologists, 2017). Downey, C., and Bewley, S. Third Stage Practices and the Neonate. Fetal and MAternal Medicine Review 20, 229-246 (2009). Downe
12: Puerperal Fever - Part 2
In this episode we explore the differential diagnosis of postpartum fever. Show notes and message board can be found at www.obgyn.fm Please email me at feedback@obgyn.fm if you would like to join the slack community. Puerperal Pyrexia: A Review Part 1 and Part 2 Prevalence of postpartum infections: a population-based observational study Lactation Mastitis Lactation Mastitis: Occurrence and
11: Pueperal Fever - Part 1
Puerperal Fever is one of the leading causes of maternal and neonatal mortality throughout the world. In this episode we trace the role of modern medicine in both the rise and fall of the severity of childbed fever. We also review the causes, diagnosis, treatment, and prevention of chorioamnionitis. feedback@ogbgyn.fm
10: Bacterial Vaginosis
In this episode Dr. Sara Kim discusses the history, diagnosis, consequences, and treatment of bacterial vaginosis. feedback@obgyn.fm ACOG. Vaginisits Practice Bulletin. (2015). Chawla, R. B., Preena; Chadha, Sanjim; Grover, Sujatha; Garg, Suneela. Comparison of Hay's Criteria with Nugent's Scoring System for Diagnosis of Bacterial Vaginosis. Biomed Research International 2013 (2013). Eschenb
Bonus Episode - Russell Earl Marker
A bonus episode describing the life and contributions of Russel Earl Marker. He led a fascinating life and his work made possible the great advances in the understanding of female fertility that took place in the 1950s. Without his work the history of hormonal contraception would likely look completely different and in this episode we pay tribute to his brilliance and dedication.
09: Contraception - Part 4
In this episode we discuss the history, methods, effectiveness, and pitfalls of permanent sterilization. feedback@obgyn.fm Tubal Techniques D. Bartz & J. Greenberg. Sterilization in the United States. Rev Obstet Gyn. 2008; 1(1): 23-32. CREST Study CREST Study: Regret CREST Study: Ectopic Fit to Be Tied: Sterilization and Reproductive Rights in America, 1950-1980
08: Contraception - Part 3
In this episode we discuss the ancient and modern history of barrier contraceptives and their effect on society. We also review the development of the IUD and its place in the modern contraceptive landscape. The story of the condom. F. Kahn et al. Indian Journal of Urology. 29(1):12-15. 2013 History of Intrauterine Devices. L. Margulies. Bulletin of the NY Academy of Medicine. 51(5). 1975 Tren
07: Contraception - Part 2
In this episode we discuss the menstrual cycle and how a few people figured out how to hack it to provide safe, effective contraception. Menstrual Cycle Graphic #1 Menstrual Cycle Graphic #2 Effectiveness of Birth Control Methods History of the Oral Contraceptive #1 History of the Oral Contraceptive #2
06: Contraception - Part 1
Contraception is major element in the life of women throughout the world. In this episode we chart its history from ancient Egypt to modern times and discuss its implications at the personal and societal levels.
05: Pelvic Inflammatory Disease - Part 3
Pelvic inflammatory disease to PID has been a factor in the lives of women in the western world for at least 500 year. It effects up to 5% of US women at sometime during their life and its effects can be long-lasting and devastating. In this episode, part 3 of 3, we discuss the treatment and prevention of PID along with a detour into antibiotics. feedback@obgyn.fm Goupil Bernutz. Clinical Mem
04: Pelvic Inflammatory Disease - Part 2
Pelvic inflammatory disease to PID has been a factor in the lives of women in the western world for at least 500 year. It effects up to 5% of US women at sometime during their life and its effects can be long-lasting and devastating. In the episode, part 2 of 3, we discuss the diagnosis of PID. feedback@obgyn.fm Diagnosis Howard Kelly. The Diagnosis of Pelvic Inflammatory Diseases. 1894. Wes
03: Pelvic Inflammatory Disease - Part 1
Pelvic inflammatory disease to PID has been a factor in the lives of women in the western world for at least 500 year. It effects up to 5% of US women at sometime during their life and its effects can be long-lasting and devastating. In the episode, part 1 of 2, we delve into the history, prevalence, causes, and consequences of PID. feedback@obgyn.fm History John Hirth. Syphilis – Its early
02: Opioids and Physcians
Opioid addiction has a profound impact on many aspects of society. In this episode we examine the ways that doctors and other practitioners contribute to the epidemic and how we can be part of the solution. feedback@obgyn.fm Links Opioid Abuse in Chronic Pain — Misconceptions and Mitigation Strategies CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016 Abuse-Deterrent Fo
01: Opioids and Pregnancy
Opioid Addiction has a profound impact on many aspects of society, including pregnancy. In this episode we delve into the history, pharmacology, effects, and treatment of opioid abuse with special consideration to its effects on pregnancy. feedback@obgyn.fm Links NIH - America's Addiction to Opioids: Heroin and Prescription Drug Abuse NIH - The Science of Drug Abuse and Addiction: The Basics
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