Articles de revues : « GI. Training »

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Schmitt, Colleen M. « Private practice career after GI training ». VideoGIE 4, n^o 12 (décembre 2019) : 545–46. http://dx.doi.org/10.1016/j.vgie.2019.07.006.

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Adler, Douglas G., Gennadiy Bakis, Walter J. Coyle, Barry DeGregorio, Kulwinder S. Dua, Linda S. Lee, Lee McHenry et al. « Principles of training in GI endoscopy ». Gastrointestinal Endoscopy 75, n^o 2 (février 2012) : 231–35. http://dx.doi.org/10.1016/j.gie.2011.09.008.

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Kirsch, Michael. « GI Fellowship Training-The Missing Piece ». American Journal of Gastroenterology 100, n^o 9 (septembre 2005) : 1912–13. http://dx.doi.org/10.1111/j.1572-0241.2005.50888.x.

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Elta, Grace H. « GI Training : Where Are We Headed ? » American Journal of Gastroenterology 106, n^o 3 (mars 2011) : 395–97. http://dx.doi.org/10.1038/ajg.2010.416.

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Mettler, Samuel, Caspar Wenk et Paolo C. Colombani. « Influence of Training Status on Glycemic Index ». International Journal for Vitamin and Nutrition Research 76, n^o 1 (1 janvier 2006) : 39–44. http://dx.doi.org/10.1024/0300-9831.76.1.39.

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The glycemic index (GI) represents the relative postprandial blood glucose response to the ingestion of a food containing carbohydrate. Although regular physical exercise may influence glucose metabolism, it is not yet known if chronically performed exercise also affects the GI. The objective of this study was, therefore, to determine the GI of common meals (three breakfast cereals: B, C, D) in healthy, nonsmoking young males who were either endurance-trained (n = 12) or sedentary (n = 11). Glucose was used as the reference food. The GI value between the endurance-trained and sedentary subjects differed significantly (p < 0.01). Pair-wise comparisons between endurance-trained and sedentary subjects within the different test meals were significant for test meal D (p = 0.002), marginally non-significant for meal C (p = 0.052) and not significant for meal B (p = 0.204). These results suggest that the GI of some complex foods may depend on the training status of healthy young subjects.

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Goyal, Neerav, KR Vasudevan et Ramdip Ray. « Training of GI surgeons in liver transplantation ». Indian Journal of Transplantation 5, n^o 2 (juillet 2011) : 81–83. http://dx.doi.org/10.1016/s2212-0017(11)60076-2.

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Kurtz, James, Edward E. Cho, Kei Nagatomo, Lily B. Hsieh, Houssam Osman et D. Rohan Jeyarajah. « Mo1996 SSAT-SPONSORED ADVANCED GI SURGERY FELLOWSHIP FILLS TRAINING NEED : ELECTIVE GI SURGERY PRACTICE ». Gastroenterology 158, n^o 6 (mai 2020) : S—1573. http://dx.doi.org/10.1016/s0016-5085(20)34614-x.

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Sarkar, Avik, Edward Belkin, Erik A. Holzwanger et Wahid Wassef. « ESD Training in GI Fellowship : Proof of Concept ». American Journal of Gastroenterology 112 (octobre 2017) : S449. http://dx.doi.org/10.14309/00000434-201710001-00806.

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Maiss, Juergen, Anke Ende, Peter Konturek, Yurdaguel Zopf, Andreas Naegel et Eckhart G. Hahn. « Strategies for Training in Diagnostic Upper GI-Endoscopy ». Gastrointestinal Endoscopy 67, n^o 5 (avril 2008) : AB298. http://dx.doi.org/10.1016/j.gie.2008.03.868.

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Lis, Dana, Kiran D. K. Ahuja, Trent Stellingwerff, Cecilia M. Kitic et James Fell. « Case Study : Utilizing a Low FODMAP Diet to Combat Exercise-Induced Gastrointestinal Symptoms ». International Journal of Sport Nutrition and Exercise Metabolism 26, n^o 5 (octobre 2016) : 481–87. http://dx.doi.org/10.1123/ijsnem.2015-0293.

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Athletes employ various dietary strategies in attempts to attenuate exercise-induced gastrointestinal (GI) symptoms to ensure optimal performance. This case-study outlines one of these GI-targeted approaches via the implementation of a short-term low FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols) diet, with the aim to attenuate persistent running specific GI symptoms in a recreationally competitive multisport athlete (male, 86 kg, 57.9 ml·kg·min-1 V02max, 10–15 hr/week training, with no diagnosed GI disorder). Using a single-blinded approach a habitual diet was compared with a 6-day low FODMAP intervention diet (81 ± 5g vs 7.2 ± 5.7g FODMAP s/day) for their effect on GI symptoms and perceptual wellbeing. Training was similar during the habitual and dietary intervention periods. Postexercise (During) GI symptom ratings were recorded immediately following training. Daily GI symptoms and the Daily Analysis of Life Demands for Athletes (DALDA) were recorded at the end of each day. Daily and During GI symptom scores (scale 0–9) ranged from 0–4 during the habitual dietary period while during the low FODMAP dietary period all scores were 0 (no symptoms at all). DALDA scores for worse than normal ranged from 3–10 vs 0–8 in the habitual and low FODMAP dietary periods, respectively, indicating improvement. This intervention was effective for this GI symptom prone athlete; however, randomized-controlled trials are required to assess the suitability of low FODMAP diets for reducing GI distress in other symptomatic athletes.

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Baillie, J. « “Gastrointestinal Endoscopy : Time for Change” ». Scottish Medical Journal 34, n^o 1 (février 1989) : 389–90. http://dx.doi.org/10.1177/003693308903400102.

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In the thirty years since the flexible fibreoptic gastroscope was introduced, gastrointestinal (GI) endoscopy has undergone a spectacular evolution. The explosion in technology and an ever-increasing demand for procedures has left us poorly equipped to provide the quantity and quality of endoscopy required now and into the next century. With increasing sophistication, the risks of GI endoscopy have become appreciable, particularly in therapeutic procedures. These risks can only be contained by adequate training and experience. The present system of higher training in gastroenterology serves endoscopy badly: there is no structure for developing a career interest in GI endoscopy. This is a waste of limited financial and human resources. GI endoscopy should be identified as an area of gastroenterology requiring additional training. New teaching tools such as computer simulation may provide opportunities to learn endoscopy without patient involvement. Research in GI endoscopy, which has been neglected, should be actively encouraged.

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Finocchiaro, Martina, Pablo Cortegoso Valdivia, Albert Hernansanz, Nicola Marino, Denise Amram, Alicia Casals, Arianna Menciassi, Wojciech Marlicz, Gastone Ciuti et Anastasios Koulaouzidis. « Training Simulators for Gastrointestinal Endoscopy : Current and Future Perspectives ». Cancers 13, n^o 6 (20 mars 2021) : 1427. http://dx.doi.org/10.3390/cancers13061427.

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Gastrointestinal (GI) endoscopy is the gold standard in the detection and treatment of early and advanced GI cancers. However, conventional endoscopic techniques are technically demanding and require visual-spatial skills and significant hands-on experience. GI endoscopy simulators represent a valid solution to allow doctors to practice in a pre-clinical scenario. From the first endoscopy mannequin, developed in 1969, several simulation platforms have been developed, ranging from purely mechanical systems to more complex mechatronic devices and animal-based models. Considering the recent advancement of technologies (e.g., artificial intelligence, augmented reality, robotics), simulation platforms can now reach high levels of realism, representing a valid and smart alternative to standard trainee/mentor learning programs. This is particularly true nowadays, when the current demographic trend and the most recent pandemic demand, more than ever, the ability to cope with many patients. This review offers a broad view of the technology available for GI endoscopy training, including platforms currently in the market and the relevant advancements in this research and application field. Additionally, new training needs and new emerging technologies are discussed to understand where medical education is heading.

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Sweigert, Patrick, Adam Van Huis, Eric Marcotte et Bipan Chand. « Flexible Endoscopy : The Fundamentals ». Digestive Disease Interventions 02, n^o 04 (décembre 2018) : 289–98. http://dx.doi.org/10.1055/s-0038-1675754.

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Endoscopy highlights the intersection of technological advancements and medical application. Innovation in optics, illumination, imaging, and manufacturing has allowed for the development of a complex array of instruments for use by endoscopists. Flexible gastrointestinal (GI) endoscopy has emerged to become a well-established minimally invasive aspect of prevention, diagnosis, and treatment of GI disease.Flexible endoscopes and their associated instruments and platforms are described, acknowledging that such lists are dynamic. The procedure environment is also described in terms of location, equipment, ergonomics, personnel involved, and recovery considerations.Recommendations from GI and anesthesiology associations are outlined to summarize current practices in the administration of sedative drugs to reduce patient discomfort, allow for a technically successful procedure, and reduce patient memory of the procedure.The training process for GI endoscopy is described for general surgery residents and GI fellows. Training involves didactic and technical curriculum along with mentor-supervised endoscopic procedures. After the completion of training, residents and fellows proceed through a credentialing process, which culminates in granting privileges to an individual to perform GI endoscopic procedures. Once in practice, providers must stay up to date on the ever-changing world of medical documentation, coding, and billing to ensure appropriate reimbursement.

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Razik, Roshan, Maria Cino et Geoffrey C. Nguyen. « Employment Prospects and Trends for Gastroenterology Trainees in Canada : A Nationwide Survey ». Canadian Journal of Gastroenterology 27, n^o 11 (2013) : 647–52. http://dx.doi.org/10.1155/2013/950649.

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BACKGROUND: Many gastroenterology (GI) trainees face a variety of barriers to stable employment and are finding it increasingly difficult to secure employment in their chosen field.OBJECTIVE: To elucidate factors that contribute to the burden of unemployment and underemployment, and to examine solutions that may remedy this growing problem in the field of GI.METHODS: A nationwide survey of current, incoming and recently graduated individuals of GI training programs in Canada was conducted. Trainees in pediatric GI programs and those enrolled in sub-specialty programs within GI were also included.RESULTS: The response rate was 62%, with 93% of respondents enrolled in an adult GI training program. Many (73%) respondents planned to pursue further subspecialty training and the majority (53%) reported concerns regarding job security after graduation as contributory factors. Only 35% of respondents were confident that they would secure employment within six months of completing their training. Regarding barriers to employment, the most cited perceived reasons were lack of funding (both from hospitals and provincial governments) and senior physicians who continue to practice beyond retirement years. Sixty-nine per cent perceived a greater need for career guidance and 49% believed there were too many GI trainees relative to the current job market in their area. Most residents had a contingency plan if they remained unemployed >18 months, which often included moving to another province or to the United States.CONCLUSION: GI trainees throughout Canada reported substantial concerns about securing employment, citing national retirement trends and lack of funding as primary barriers to employment. Although these issues are not easily modifiable, certain problems should be targeted including optimizing training quotas, tailoring career guidance to the needs of the population, and emphasizing credentialing and quality control in endoscopy.

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Brodin, Nina, Peter Lindholm, Claudia Lennartsson et Malin Nygren-Bonnier. « Effects of Glossopharyngeal Insufflation in Ankylosing Spondylitis : A Pilot Study ». International Journal of Rheumatology 2014 (2014) : 1–6. http://dx.doi.org/10.1155/2014/594708.

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In Ankylosing Spondylitis (AS), thoracic range of motion is often greatly limited. The objective of the study was to describe the effects of 12 weeks of Glossopharyngeal Insufflation (GI) training in patients with AS. Dynamic spirometry included vital capacity, forced expiratory volume, and peak expiratory flow. Thoracic and lumbar range of motion was assessed by tragus-to-wall distance, modified Schober test, and tape measure. Disease activity, activity limitation, and health perception were assessed using the BAS-Indices, and tension in the thoracic region during GI was assessed using the Borg CR-10 scale. Adherence to training was recorded in an activity log, along with any remarks on the training. Ten patients were recruited and six male patients fulfilled the study protocol. Three patients were able to learn GI by exceeding their maximal vital capacity with 5% using GI. A significant increase in thoracic range of motion both on costae IV(P=0.04)and at the level of the xiphoid process(P=0.04)was seen. Thus, patients with AS can practice GI, it is safe if maximal exertion is avoided, and patients with some mobility in the chest can increase their lung function substantially by performing GI during 12 weeks.

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Kekkonen, Riina A., Tommi J. Vasankari, Timo Vuorimaa, Tari Haahtela, Ilkka Julkunen et Riitta Korpela. « The Effect of Probiotics on Respiratory Infections and Gastrointestinal Symptoms during Training in Marathon Runners ». International Journal of Sport Nutrition and Exercise Metabolism 17, n^o 4 (août 2007) : 352–63. http://dx.doi.org/10.1123/ijsnem.17.4.352.

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Heavy exercise is associated with an increased risk of upper respiratory tract infections. Strenuous exercise also causes gastrointestinal (GI) symptoms. In previous studies probiotics have reduced respiratory tract infections and GI symptoms in general populations including children, adults, and the elderly. These questions have not been studied in athletes before. The purpose of this study was to investigate the effect of probiotics on the number of healthy days, respiratory infections, and GI-symptom episodes in marathon runners in the summer. Marathon runners (N = 141) were recruited for a randomized, double-blind intervention study during which they received Lactobacillus rhamnosus GG (LGG) or placebo for a 3-mo training period. At the end of the training period the subjects took part in a marathon race, after which they were followed up for 2 wk. The mean number of healthy days was 79.0 in the LGG group and 73.4 in the placebo group (P = 0.82). There were no differences in the number of respiratory infections or GI-symptom episodes. The duration of GI-symptom episodes in the LGG group was 2.9 vs. 4.3 d in the placebo group during the training period (P = 0.35) and 1.0 vs. 2.3 d, respectively, during the 2 wk after the marathon (P = 0.046). LGG had no effect on the incidence of respiratory infections or GI-symptom episodes in marathon runners, but it seemed to shorten the duration of GI-symptom episodes.

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Friedman, Lawrence S., Lawrence J. Brandt, Grace H. Elta, J. Gregory Fitz, Gregory J. Gores, Philip O. Katz, John F. Kuemmerle, Darrell S. Pardi, John J. Vargo et Michael H. Stolar. « Report of the Multisociety Task Force on GI Training ». Gastroenterology 137, n^o 5 (novembre 2009) : 1839–43. http://dx.doi.org/10.1053/j.gastro.2009.07.003.

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Williams, Renee, Roy Miler, Brijen Shah, Sita Chokhavatia, Michael Poles, Sondra Zabar, Colleen Gillespie et Elizabeth Weinshel. « Observing Handoffs and Telephone Management in GI Fellowship Training ». American Journal of Gastroenterology 106, n^o 8 (août 2011) : 1410–14. http://dx.doi.org/10.1038/ajg.2011.107.

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Geraghty, J., A. Kankwatira, M. Feeney, M. Hendrickse, L. Kalongolera, R. Malamba, N. Mtunthama, H. Mwandumba, P. O'Toole et M. Gordon. « OC-028 Developing sustainable GI endoscopy training in Malawi ». Gut 61, Suppl 2 (28 mai 2012) : A12.2—A12. http://dx.doi.org/10.1136/gutjnl-2012-302514a.28.

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Kimberly, Jim, et John Baillie. « Endoscopy of the Upper GI Tract : A Training Manual ». Gastroenterology 131, n^o 5 (novembre 2006) : 1654. http://dx.doi.org/10.1053/j.gastro.2006.09.047.

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Hochberger, J., J. Maiss et E. G. Hahn. « The Use of Simulators for Training in GI Endoscopy ». Endoscopy 34, n^o 9 (septembre 2002) : 727–29. http://dx.doi.org/10.1055/s-2002-33445.

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Friedman, Lawrence S., Lawrence J. Brandt, Grace H. Elta, J. Gregory Fitz, Gregory J. Gores, Philip O. Katz, John F. Kuemmerle, Darrell S. Pardi, John J. Vargo et Michael H. Stolar. « Report of the Multisociety Task Force on GI Training ». Gastrointestinal Endoscopy 70, n^o 5 (novembre 2009) : 823–27. http://dx.doi.org/10.1016/j.gie.2009.08.018.

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Korman, Louis Y. « An ounce of prevention : ergonomic training in GI endoscopy ». Gastrointestinal Endoscopy 92, n^o 5 (novembre 2020) : 1081–82. http://dx.doi.org/10.1016/j.gie.2020.07.035.

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Hutter, Matthew M., Kevin E. Behrns, Nathaniel J. Soper et Fabrizio Michelassi. « Advanced GI Surgery Training—a Roadmap for the Future : the White Paper from the SSAT Task Force on Advanced GI Surgery Training ». Journal of Gastrointestinal Surgery 21, n^o 4 (24 janvier 2017) : 755–60. http://dx.doi.org/10.1007/s11605-016-3331-8.

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Lee, Tzu-Hao, et Richard Wood. « S1241 The COVID-19 Pandemic Effect on Fellow Education in U.S. GI Training Programs (CAFE-GI) ». American Journal of Gastroenterology 115, n^o 1 (octobre 2020) : S623. http://dx.doi.org/10.14309/01.ajg.0000707012.47774.77.

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Bohm, M., H. Dorner, P. Htun, H. Lensche, D. Platt et E. Erdmann. « Effects of exercise on myocardial adenylate cyclase and Gi alpha expression in senescence ». American Journal of Physiology-Heart and Circulatory Physiology 264, n^o 3 (1 mars 1993) : H805—H814. http://dx.doi.org/10.1152/ajpheart.1993.264.3.h805.

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The present study investigated the influence of physical training on alterations leading to reduced adenosine 3–,5–-cyclic monophosphate (cAMP) formation in aged myocardium. Senescent (28-mo-old) rats underwent a moderate treadmill exercise program and were compared with sedentary controls. In myocardial membranes from aged rats, isoprenaline-stimulated adenylate cyclase activity (AC) was reduced compared with that in young animals and was accompanied by an increase of pertussis toxin substrates (17.5%) and an increased amount of immunodetectable inhibitory guanine nucleotide-binding proteins (Gi alpha; 72%). Physical training reduced the amount of Gi alpha proteins (30–35%) in young and old animals and enhanced only isoprenaline-stimulated AC in the aged rats, and basal and 5'-guanylylimidodiphosphate [Gpp(NH)p]- as well as isoprenaline-stimulated AC in young rats. Physical training or aging had no effect on the number of beta-adrenoceptors or m-cholinoceptors or on forskolin-stimulated AC in either group. The amount of immunodetectable stimulatory guanine nucleotide-binding proteins (Gs alpha) using an antiserum raised against the COOH-terminal peptide of Gs alpha (RMHLRQYELL) was unchanged in either condition. It is concluded that enhanced Gi alpha expression might be one mechanism leading to depressed cAMP formation in aged myocardium. Depressed AC and increased Gi alpha can be partially reversed by physical training, especially in young myocardium. Gi alpha might serve as a regulator of cardiac AC in a variety of physiological and pathophysiological situations in the absence of beta-adrenoceptor changes.

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Chiang, Austin L., Allison L. Yang, Navin L. Kumar, Molly L. Perencevich et Walter W. Chan. « Social Media in GI Training Programs : Preliminary Results of a National Survey of GI Fellowship Program Directors ». Gastroenterology 152, n^o 5 (avril 2017) : S232. http://dx.doi.org/10.1016/s0016-5085(17)31066-1.

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Malter, Lisa B., Amanda Israel et David T. Rubin. « Proposal to Update the Curriculum in Inflammatory Bowel Diseases for Categorical Gastroenterology Fellows ». Inflammatory Bowel Diseases 25, n^o 9 (22 mai 2019) : 1443–49. http://dx.doi.org/10.1093/ibd/izz107.

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Abstract Education in inflammatory bowel disease (IBD) varies widely between categorical gastroenterology (GI) programs and is largely related to the presence of expert clinicians, patient population, and the presence of an IBD center. The treatment of IBD is becoming increasingly complex at a rapid pace, widening this educational divide. This manuscript outlines all the current US educational offerings in IBD for GI fellows, including how to obtain supplemental education during the 3-year training period and beyond. It reviews how to assess trainee knowledge in the field of IBD and proposes 8 clinically anchored, entrustable professional activities that should help prioritize important aspects of IBD management to incorporate during categorical GI training.

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Vichrová, Martina, et Václav Čada. « Digital Terrain Model of the Second Military Survey – Part of the Military Training Area Brdy ». Geoinformatics FCE CTU 6 (21 décembre 2011) : 346–53. http://dx.doi.org/10.14311/gi.6.43.

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The Second Military Survey in the territories of the former Austro-Hungarian Monarchy was performed between 1806 and 1869. The territory of Bohemia was surveyed from1842 to 1852 and Moravia and Silesia from 1836 to 1840. After detailed study of the Lehmann´s theory of displaying the topographic landforms using hachure’s, it was detected that the hachure’s in the maps of the Second Military Survey were created by means of the modified Lehmann´s scale. The representation of landforms in maps of the Second Military Survey was accomplished by spot heights represented mostly by points of geodetic control. The aim of this contribution is to propose and describe the methodology of creating the digital terrain model (DTM) from the Second Military Survey hypsometry and to analyse its accuracy. A part of the map sheet (W_II_11) of the Second Military Survey, representing the long-standing military training area Brdy, was chosen as a model area. The resulting DTM was compared with the recent reference digital ground model – DMR ZABAGED®. The conformity of terrain relief forms and elevation accuracy of the DTM derived from the Second Military Survey hypsometry were also investigated.

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Singh, Harminder, et Donald R. Duerksen. « Survey of Clinical Nutrition Practices of Canadian Gastroenterologists ». Canadian Journal of Gastroenterology 20, n^o 8 (2006) : 527–30. http://dx.doi.org/10.1155/2006/835462.

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OBJECTIVE: Nutrition education is a required part of gastrointestinal training programs. The involvement of gastroenterologists in clinical nutrition once their training has been completed is unknown. The aim of the present study was to determine the practice pattern of gastroenterologists in clinical nutrition and their perceived adequacy of nutrition training during their gastroenterology (GI) fellowship.METHODS: The Canadian Association of Gastroenterology mailed a survey to all of its 463 Canadian clinician members and 88 trainee members. Components of the survey included knowledge of nutritional assessment and total parenteral nutrition, involvement in a nutrition support service, physician involvement in nutritional assessment and nutrition support teams, obesity management, insertion of gastrostomy (G) tubes and management of tube-related complications, and adequacy of training in clinical nutrition.RESULTS: Sixty per cent (n=279) of the Canadian Association of Gastroenterology clinicians and 38% (n=33) of the fellows responded. Of the clinicians, 80% were practicing adult gastroenterologists with the following demographics: those practicing full time in academic centres (42%), community practice (45%), completed training in the last 10 years (32%) and those that completed training in the United States (14%). Although only 6% had a primary focus of nutrition in their GI practices, 65% were involved in nutrition support (including total parenteral nutrition), 74% placed G tubes and 68% managed at least one of the major complications of G tube insertion. Respondents felt a gastroenterologist should be the physician’s consultant on nutrition support services (89%). Areas of potential inadequate training included nutritional assessment, indications for nutrition support, management of obesity and management of G tube-related complications. The majority of clinicians (67%) and trainees (73%) felt that nutrition training in their GI fellowship was underemphasized.CONCLUSIONS: The majority of Canadian gastroenterologists are involved in nutrition support. However, this survey demonstrated that nutritional training is underemphasized in most training programs. It is important for GI fellowship programs to develop standardized nutrition training that prepares trainees for their practice.

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Nguyen, Anh D., Caitlin H. Siropaides, Amar Bansal, Zachariah Hoydich et Julie Childers. « Sa1068 GI TALK : A COMMUNICATION SKILLS TRAINING PROGRAM FOR GASTROENTEROLOGISTS ». Gastroenterology 158, n^o 6 (mai 2020) : S—265. http://dx.doi.org/10.1016/s0016-5085(20)31343-3.

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Tse, Frances, Louis Liu, John K. Marshall et David Armstrong. « GI Endoscopy Training : Validation of a Computer-Based Endoscopy Simulator ». Gastrointestinal Endoscopy 65, n^o 5 (avril 2007) : AB316. http://dx.doi.org/10.1016/j.gie.2007.03.767.

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Ekkelenkamp, Vivian E., Arjun D. Koch, Robert A. de Man et Ernst J. Kuipers. « Training and competence assessment in GI endoscopy : a systematic review ». Gut 65, n^o 4 (30 janvier 2015) : 607–15. http://dx.doi.org/10.1136/gutjnl-2014-307173.

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Sedlack, Robert E. « Impact of Hands-On Simulation Training in GI Hemostasis Skills ». American Journal of Gastroenterology 101 (septembre 2006) : S525. http://dx.doi.org/10.14309/00000434-200609001-01370.

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Rees, Colin J., Sara Koo, John Anderson, Mark McAlindon, Andrew M. Veitch, Allan John Morris, Pradeep Bhandari et al. « British society of gastroenterology Endoscopy Quality Improvement Programme (EQIP) : overview and progress ». Frontline Gastroenterology 10, n^o 2 (18 janvier 2019) : 148–53. http://dx.doi.org/10.1136/flgastro-2018-101073.

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High quality gastrointestinal (GI) endoscopy improves patient care. Raising standards in endoscopy improves diagnostic accuracy, management of pathology and ultimately improves outcomes. Historical identification of significant variation in colonoscopy quality led to the development of the Joint Advisory Group (JAG) on GI Endoscopy, the Global Rating Scale (GRS), JAG Endoscopy Training System (JETS) training and certification. These measures led to major improvements in UK endoscopy but significant variation in practice still exists. To improve quality further the British Society of Gastroenterology Endoscopy Quality Improvement (EQIP) has been established with the aim of raising quality and reducing variation in the quality of UK endoscopy. A multifaceted approach to quality improvement (QI) will be undertaken and is described in this manuscript. Upper GI EQIP will support adoption of standards alongside regional upskilling courses. Lower GI EQIP will focus on supporting endoscopists to achieve current standards alongside approaches to reducing postcolonoscopy colorectal cancer rates. Endoscopic retrograde cholangiopancreatography EQIP will adopt a regional approach of using local data to support network-based QI. Newer areas of endoscopy practice such as small bowel endoscopy and endoscopic ultrasound will focus on identifying key performance indicators as well as standardising training and accreditation pathways. EQIP will also support QI in management of GI bleeding as well as standardising the approach to new techniques and technologies. Where evidence is lacking, approaches to gather new evidence and support the translation into clinical practice will be supported.

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Lu, Bingxin, et Hon Wai Leong. « GI-Cluster : Detecting genomic islands via consensus clustering on multiple features ». Journal of Bioinformatics and Computational Biology 16, n^o 03 (juin 2018) : 1840010. http://dx.doi.org/10.1142/s0219720018400103.

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The accurate detection of genomic islands (GIs) in microbial genomes is important for both evolutionary study and medical research, because GIs may promote genome evolution and contain genes involved in pathogenesis. Various computational methods have been developed to predict GIs over the years. However, most of them cannot make full use of GI-associated features to achieve desirable performance. Additionally, many methods cannot be directly applied to newly sequenced genomes. We develop a new method called GI-Cluster, which provides an effective way to integrate multiple GI-related features via consensus clustering. GI-Cluster does not require training datasets or existing genome annotations, but it can still achieve comparable or better performance than supervised learning methods in comprehensive evaluations. Moreover, GI-Cluster is widely applicable, either to complete and incomplete genomes or to initial GI predictions from other programs. GI-Cluster also provides plots to visualize the distribution of predicted GIs and related features. GI-Cluster is available at https://github.com/icelu/GI_Cluster.

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Janoušková, Eva, et Stanislava Pachrová. « Importance of practical training for preparing future workers in tourism ». Geografické informácie 18, n^o 1 (2014) : 82–92. http://dx.doi.org/10.17846/gi.2014.18.1.82-92.

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Almeda, Christian G., Gerald T. Mangine, Zackary H. Green, Yuri Feito et Duncan N. French. « Experience, Training Preferences, and Fighting Style Are Differentially Related to Measures of Body Composition, Strength, and Power in Male Brazilian Jiu Jitsu Athletes—A Pilot Study ». Sports 11, n^o 1 (5 janvier 2023) : 13. http://dx.doi.org/10.3390/sports11010013.

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To examine relationships between Brazilian Jiu Jitsu (BJJ) descriptors (belt rank, experience, gi preference, and fighting style), resistance training (RT) experience, and measures of body composition, strength (maximal handgrip, 3-5-repetition maximum [RM] in barbell glute bridge [GB], prone bench row [PBR], and bench press [BP]), and velocity (GB, PBR, and BP at 7 kg and 30–60% 1-RM), 13 experienced (4.3 ± 3.4 years) BJJ athletes were recruited for this cross-sectional, pilot study. Significant (p < 0.05) Kendall’s tau and Bayesian relationships were seen between belt rank and body fat percentage (τ = −0.53, BF10 = 6.5), BJJ experience and body fat percentage (τ = −0.44 to −0.66, BF10 = 2.6–30.8) and GB velocity (τ = −0.45 to −0.46, BF10 = 2.8–3.1), RT experience and strength (τ = 0.44 to 0.73, BF10 = 2.6–75.1) and velocity (τ = −0.44 to 0.47, BF10 = 2.6–3.3), gi preference-training and relative PBR strength (τ = 0.70, BF10 = 51.9), gi preference-competition and height and lean mass (τ = −0.57 to 0.67, BF10 = 5.3–12.4) and BP velocity (τ = −0.52 to 0.67, BF10 = 3.5–14.0). The relevance of body composition and performance measures to sport-specific training and research interpretation are differentially affected by a BJJ athlete’s experience (BJJ, belt rank, RT), gi preferences, and fighting style.

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Stelmaszczuk-Górska, M. A., E. Aguilar-Moreno, S. Casteleyn, D. Vandenbroucke, M. Miguel-Lago, C. Dubois, R. Lemmens et al. « BODY OF KNOWLEDGE FOR THE EARTH OBSERVATION AND GEOINFORMATION SECTOR – A BASIS FOR INNOVATIVE SKILLS DEVELOPMENT ». ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLIII-B5-2020 (24 août 2020) : 15–22. http://dx.doi.org/10.5194/isprs-archives-xliii-b5-2020-15-2020.

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Abstract. With new Earth Observation (EO) and Geoinformation (GI) data sources increasingly becoming available, evermore new skills for data collection, processing, analysis and application are required. They are needed not only from scientists, but also from practitioners working in businesses, public and private EO*GI and related sectors. Aligning the continuously evolving skill sets demanded by the market and existing academic and vocational training programmes is not an easy task. Training programmes should be grounded in real needs of the sector and its labour market. To do this, it is necessary to identify the knowledge and skills needed, and map their interconnectivity in specific frameworks, which can later be used for the definition of new curricula or job-oriented learning paths. This paper presents a framework for the EO*GI sector, based on a Body of Knowledge (BoK), by creating a complete set of concepts with a semantic structure underneath that supports academia and industry. Creating and updating the BoK is supported by an editing tool, the Living Textbook and by experts in the EO*GI domain, who contributes to the BoK’s enrichment.

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Srivastava, Anugamini Priya, et Sonal Shree. « Examining the effect of employee green involvement on perception of corporate social responsibility ». Management of Environmental Quality : An International Journal 30, n^o 1 (14 janvier 2019) : 197–210. http://dx.doi.org/10.1108/meq-03-2018-0057.

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PurposeThe purpose of this paper is to understand the extent to which green involvement (GI) can affect employee perception of corporate social responsibility (CSR), with the intervening role of green training (GT).Design/methodology/approachThe sample for the study was collected from employees working in tourist hotels. Exploratory factor analysis and confirmatory factor analysis was conducted to assess the fit of the hypothesized model, and hierarchical regression analysis to test the hypothesis.FindingsThe results showed that GI of employees has a positive and significant relationship with their perception of CSR. The study further revealed that when there is an increase in GT, the relationship between GI and perception of CSR gets more positive.Originality/valueIt adds value to the ongoing research in the field of environment, training and CSR. The findings will be helpful for policy makers and researchers in the field of stakeholder management.

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Hassan, Cesare, Lars Aabakken, Alanna Ebigbo, John Gásdal Karstensen, Claire Guy, Mario Dinis-Ribeiro, Olivier Le Moine, Peter Vilmann et Thierry Ponchon. « Partnership with African Countries : European Society of Gastrointestinal Endoscopy (ESGE) – Position Statement ». Endoscopy International Open 06, n^o 10 (octobre 2018) : E1247—E1255. http://dx.doi.org/10.1055/a-0677-2026.

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RecommendationsA new objective for the European Society of Gastrointestinal Endoscopy (ESGE) is to develop long-term partnerships with African countries. For this, an International Affairs Working Group (IAWG) was formed.In conjunction with the World Endoscopy Organization (WEO), ESGE conducted a survey of gastrointestinal (GI) endoscopy in Africa. Survey results showed that many African countries have few GI endoscopy centers with adequate resources. Barriers to the development of endoscopy services include a shortage of endoscopists who have undergone advanced endoscopy training, and a lack of equipment and basic infrastructure.Diseases related to infectious etiology are more prevalent than neoplastic diseases in Africa. Any development of endoscopy services needs to consider the local prevalence of diseases for which GI endoscopy is required, as well as the availability of resources. The IAWG will initiate a cascade approach to identify and adapt ESGE guidelines for local use. The guidelines will consider the level of resources available for each intervention, as well as cost, infrastructure, and training, and will be approved by consensus of local experts who are representative of different African areas. Suitable centers in African countries will be identified, and in future will be developed into WEO/ESGE training centers, to provide local training in both basic and advanced endoscopy according to the needs of the area.

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Miler, Roy, Brijen Shah, Renee Williams, Sita S. Chokhavatia, Michael A. Poles, Sondra Zabar, Colleen C. Gillespie et Elizabeth H. Weinshel. « T1034 Observing Hand-Offs and Telephone Management in GI Fellowship Training ». Gastroenterology 138, n^o 5 (mai 2010) : S—473. http://dx.doi.org/10.1016/s0016-5085(10)62189-0.

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Gerson, Lauren B., et Jacques Van Dam. « Technology review : the use of simulators for training in GI endoscopy ». Gastrointestinal Endoscopy 60, n^o 6 (décembre 2004) : 992–1001. http://dx.doi.org/10.1016/s0016-5107(04)02219-9.

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Buzink, S. N., A. D. Koch, J. Heemskerk, S. M. B. I. Botden, R. H. M. Goossens, H. de Ridder, E. J. Schoon et J. J. Jakimowicz. « Acquiring basic endoscopy skills by training on the GI Mentor II ». Surgical Endoscopy 21, n^o 11 (5 mai 2007) : 1996–2003. http://dx.doi.org/10.1007/s00464-007-9297-6.

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Lee, Jeong Hoon. « The Role of Training Institutions and Academic Societies for the Training and Education of GI Fellows ». Korean Journal of Gastroenterology 77, n^o 5 (25 mai 2021) : 214–16. http://dx.doi.org/10.4166/kjg.2021.404.

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Kingma, Berend, M. Chaudry, Philip Chiu, Peter Grimminger, James Luketich et Richard Van Hillegersberg. « PS02.010 : ESTABLISHMENT OF THE UPPER GI INTERNATIONAL ROBOTIC ASSOCIATION (UGIRA) ». Diseases of the Esophagus 31, Supplement_1 (1 septembre 2018) : 123. http://dx.doi.org/10.1093/dote/doy089.ps02.010.

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Abstract Background Robot-assisted surgery is increasingly performed for both benign and malignant upper gastro-intestinal disease. However, no global consensus exists regarding exact techniques and implementation methods of robotic esophageal and gastric surgery. To facilitate the effective implementation and advancement of these procedures, evidence based guidelines should be generated. In this context, the ‘Upper GI International Robotic Association’ (UGIRA) was established in 2017. Until now, 20 experienced robotic surgeons from 10 different countries in Europe (The Netherlands, Germany, United Kingdom, Denmark), Asia (Japan, Hong Kong, North-Korea, Taiwan), North-America (United States of America), and South-America (Brazil) have confirmed to become a member of the UGIRA. By means of an oral presentation, we would like to announce the establishment of the UGIRA and to introduce its primary aims, which are: To set up a web-based registry for international data collection.An international registry is created to enable international collaboration on research. Data collection should especially focus on the robotic elements of upper gastro-intestinal surgery, such as trocar positions, anastomotic technique, conduit stapling technique, and conduit diameter in esophagectomy.To establish guidelines for robotic upper gastro-intestinal surgical procedures.The approach to robotic upper gastro-intestinal surgical procedures should be standardized by formulating step-by-step guidelines. These guidelines will encompass robotic surgery for both benign (i.e. hiatal hernia, fundoplication) and malignant disease (i.e. esophageal and gastric cancer), with the exception of bariatric procedures.To form effective training programs that involve proctoring by experienced surgeons.In order to safely implement robotic surgery, training pathways that involve proctoring should be followed. The UGIRA will serve as the core platform to establish these training pathways and to appoint proctors in all continents. Completion of the training pathway will result in UGIRA credentialing. Methods Not applicable. Results Not applicable. Conclusion The UGIRA was recently established to facilitate the effective implementation and advancement of robotic esophageal and gastric surgery worldwide. To this end, the primary aims include setting up a web-based international registry, establishing guidelines for robotic upper gastro-intestinal procedures, and forming effective training pathways that involve proctoring. Disclosure All authors have declared no conflicts of interest.

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Mohamad Selamat, Izyan Ayuni, Shahida Mohd Sharif et Januarius Gobilik. « GREEN INFRASTRUCTURE DEVELOPMENT AS EDUCATION FOR SUSTAINABLE DEVELOPMENT MODEL IN UNIVERSITI MALAYSIA SABAH ». Journal of BIMP-EAGA Regional Development 3, n^o 1 (15 décembre 2017) : 43–55. http://dx.doi.org/10.51200/jbimpeagard.v3i1.1029.

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A development of green infrastructure (GI) on university compound has been acknowledged as one of the foundations of Education for Sustainable Development (ESD), an initiative that could provide various benefits to the campus community. The present study shared the experience of the Faculty of Sustainable Agriculture, UMS in the development of GI, namely, a rooftop garden as a medium for ESD. The project was divided into four phases: formation of planning and management team, participatory planning, site inventory and analysis, and GI design and development. The planning and management team involved academic staff and students interested in the project. In the participatory planning, the team members took part in a discussion on strategies to achieve the development of GI as a medium for ESD including taking part in mini training on hard and softscaping at several locations on the campus. This discussion and training prepared the team members for the site inventory and analysis. In the latter, the roof area of the administrative building was finally selected for the GI development. The selected roof area was originally built as an observatory area but was found to have an archetypal problem associated with the urban environment: absence of vegetation, intense solar radiation, and unfit for multifunctional usage. Based on those factors, during the GI design and development phase, the problems were solved using sustainable landscape approaches, for example, increasing the vegetative cover, reducing the solar radiation and glare, and fitting the area with an efficient irrigation system. At the end of the project, the participants had been exposed directly to the keys to identifying environmental issues and their solutions, and by this way, they were carrying out sustainable initiatives on campus environment. The project signifies the potential of GI development in empowering the campus community towards sustainable development and achieving the objectives of ESD.Â

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Hwang, Sun-Kyung, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim et Yea-In Yoon. « Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea : A Cross-Sectional Study ». International Journal of Environmental Research and Public Health 19, n^o 16 (9 août 2022) : 9795. http://dx.doi.org/10.3390/ijerph19169795.

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Rotating shift work places a serious burden on nurses’ physical and psychological health. Gastrointestinal (GI) symptoms are a common complaint among shift workers. This study assessed GI symptoms and identified the associations between dietary habits, psychological status, and sleep quality among rotating shift nurses. Data from 125 female nurses in rotating shifts who worked at two tertiary hospitals in South Korea were collected using a questionnaire that included the Gastrointestinal Symptoms Questionnaire; the Dietary Habit Questionnaire; the Depression, Anxiety, Stress Scale (DASS)-21; and the Pittsburgh Sleep Quality Index (PSQI). All participants experienced various GI symptoms, and 47% of them complained of at least one severe GI symptom. There were significant differences in GI symptom scores according to the status of depression, anxiety, stress, and sleep quality. In multiple linear regression analysis, the factors associated with an increase in the occurrence and severity of GI symptoms were poor sleep quality and morbid anxiety and stress. The model explained power at 43.2%. As most nurses in rotating shifts experience GI symptoms, they should receive counseling and training programs at work to alleviate psychological symptoms, improve sleep quality, and pay more attention to their health status as well as GI symptom management.

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Vignesh, Shivakumar, Amna Subhan Butt, Mohamed Alboraie, Bruno Costa Martins, Alejandro Piscoya, Quang Trung Tran, Damien Tan Meng Yew et al. « Impact of COVID-19 on Endoscopy Training : Perspectives from a Global Survey of Program Directors and Endoscopy Trainers ». Clinical Endoscopy 54, n^o 5 (30 septembre 2021) : 678–87. http://dx.doi.org/10.5946/ce.2021.140.

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Background/Aims: The coronavirus disease of 2019 (COVID-19) pandemic has impacted the training of medical trainees internationally. The aim of this study was to assess the global impact of COVID-19 on endoscopy training from the perspective of endoscopy trainers and to identify strategies implemented to mitigate the impact on trainee education.Methods: Teaching faculty of gastroenterology (GI) training programs globally were invited to complete a 36-question web-based survey to report the characteristics of their training programs and the impact of COVID-19 on various aspects of endoscopy training, including what factors decisions were based on.Results: The survey response rate was 52.6% (305 out of 580 individuals); 92.8% reported a negative impact on endoscopy training, with suspension of elective procedures (77.1%) being the most detrimental factor. Geographic variations were noted, with European programs reporting the lowest percentage of trainee participation in procedures. A higher proportion of trainees in the Americas were allowed to continue performing procedures, and trainers from the Americas reported receiving the greatest support for endoscopy teaching.Conclusions: This study demonstrated that the COVID-19 pandemic has had a significant negative impact on GI endoscopy training internationally, as reported by endoscopy trainers. Focus-optimizing endoscopy training and assessment of competencies are necessary to ensure adequate endoscopy training.

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Liu, Louis, David Armstrong, John K. Marshall et Frances Tse. « Endoscopy Training for GI Trainees : The Impact of a 2-Day Introductory Training Course On Cognitive Knowledge ». Gastrointestinal Endoscopy 65, n^o 5 (avril 2007) : AB312. http://dx.doi.org/10.1016/j.gie.2007.03.754.

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