Who can guarantee that I shall not AIDS? (Wu Yi Ke Zou Xiaobo)

Case: The patient, Dengmou, female, 20 years old, two old college student.

Chief Complaint: fear of fear, fear that they will get AIDS more than a year.

History of present illness: patients with avian influenza epidemic period last year, worried about being infected, try to hospital blood test results were negative, but when patients feel that blood is not a clean nurse operation since then began to worry whether the result of fear of HIV infection. Many times more than the hospital in Guangzhou HIV testing, although the results are negative, but she is not realistic, while not worried about the safety inspection office appliances will cause cross-infection, while they still worried about the window period, testing it out. Was developed to have a little bit of skin damage, even when the hair off a piece of dandruff, is very worried that these “wounds” of HIV infection. Doctors repeatedly told her that she’s worried about is uncalled for, but she stressed that even if the chance of infection is 1/10000000 themselves may be infected, repeatedly asking: “Who guarantees that I shall not AIDS?” Because of fears the day, the whole days of pondering this 1/10000000 infection and seriously affect the patient’s learning, living, it is now hospitalized. Since the onset, the spirit of poor appetite can be, urine normal.
Past history: usually abled.

Personal history: a more introverted personality. Denied history of alcohol and other bad habits, and other special interest history.

Family history: the two branches of the family denied that the three generations of mental illness and a history of genetic disease.

Physical examination: vital signs were stable. Cardiopulmonary examination was normal. Abdomen is soft, no tenderness, rebound. Neurological examination was normal.

Psychiatric examination: clear consciousness, anxiety, fear face, irritability, restlessness, hallucinations without delusions, insight there, and urgent demand.

The female students in rural secondary school, often results in the first class, admitted to university, poor grades, and learn, the more effort, performance has declined since last year’s performance, but also, and her boyfriend broke up. Study of stress and emotional frustration, that she inadvertently turning their attention to their own illness. As she is very anxious, nervous, accompanied by insomnia, significant effect on learning and normal life. We put her income homes in exchange for a relaxed environment, psychological and drug treatment.

We use Cipramil and estazolam, improve her anxiety and depression, insomnia condition. After a week of some of her emotions calm, and we started counseling. We specifically her current troubles, telling her, met the learning and emotional problems is not easy to resolve, so she had no intention to real-life troubles into their own concerns about the physical condition.

After several psychological treatment, with some understanding, I encouraged her to start to design programs to solve real trouble, and then join us for these programs to analyze their respective advantages and disadvantages, and finally select a program by himself. Are: study hard, get undergraduate diploma. The concept of the suspected disease, take no notice, do not be afraid, do not fight with, go with the flow, while with a small amount of active drug treatment, control anxiety and insomnia, and temporarily separated with her boyfriend, does not consider the feelings of things.

Discharged, we meet once a week, encouraged her to put everything into action. Gradually she felt enriched life, experience the fun of learning and life, no longer worried about the physical condition.

Dengmou suffer from hypochondria.

Hypochondriasis, as long as that of the patients suffering from fear or believe that one or more serious physical illness lasting preemptive concept v. somatic symptoms of patients, repeated treatment, although repeated negative medical examination and doctors to explain there is no corresponding evidence of disease can not be dispel the concerns of patients, often accompanied by anxiety or depression. Physical deformity of the first account concerns or ideas belong to the disease.

The disease is less common, according to 12 regions nationwide epidemiological survey of neurosis, in which the overall prevalence rate was 0.15%. West China Medical University Hospital psychiatric clinic in the county survey found that 9.0% of total neurosis. Neurology outpatient clinics in the analysis of 5000 cases, in neural disorders, only see one case, very different. International surveys of this disease accounted for 1% of the total number of patients. No difference between the sexes, age men was 40 years old, more than 50 years old women, the elderly are not uncommon.

Hypochondria psychological barrier

In two forms, a feeling for the suspected disease, feeling body parts or to increase the sensitivity of a site, then hypochondria, or excessive concern. Patients describe the ambiguous position is not constant. But another patient described in vivid, vivid and specific, that people with certain diseases, the patient himself, I believe, does not actually exist, but requires various inspections, to doctors sympathy, despite the examination was normal, a doctor’s Jie Shi and guarantee is not sufficient to eliminate their hypochondriacal beliefs, Department of the concept of a class of super price. With strong emotion.

Hypochondriacal worry is that too much attention to health; hypochondriacal discomfort; doubt the concept of the four patients have a variety of over-and mixed to form a variety of clinical symptoms with the suspect.

Hypochondriacal worry: refers to a serious health or imaginary “disease” itself caused the trouble, does not refer to the consequences of disease and social effects (such as illness caused by restrictions on the actions of people, living a lot of inconvenience, obstruct the work of learning and cultural activities, etc.) of trouble. This kind of life, health anxiety and severity of a patient’s actual health situation is not commensurate. As mentioned above, containing one, after numerous inspections, confirmed that he had no serious illness, he still has for his own health and imaginary “disease” irritated.

Too much attention on health: Some patients focus attention on a particular body part or a particular aspect. Such as heartbeat, digestion and sexual function. Some patients continued to consciously monitor all parts of their body, the body of any minor “abnormal” situation was ever allowed. For example, after running activities palpitation, sweating, take the long way back leg hurts and so on, they are considered a “disease” around the first symptoms seek medical advice. There are patients performance phase, a period of time special attention to certain circumstances, over time they turned their attention to another problem. For example: a patient day to see a newspaper for a news report said that “pieces of heart disease sudden death of star high Xiumin,” and his recent activities, have chest tightness, palpitations performance, so think yourself, think they have heart disease, there Air started for the hospital to run, to see his heart is normal, in January a day after he and his colleagues with the team, making for awkward, but also feel chest tightness, heart palpitations, to the hospital after the relevant examination results showed that no significant heart disease, He does not believe his assertion, heart, and hospitals lack the advanced equipment, often require doctors to give him all the checks.

The concept of Hypochondria who believe they are suffering from a disease that does not exist in reality, despite the fact that insufficient, they can not accept the medical explanation, often cited medical literature and discourse, an attempt to refute a doctor. Some patients in the doctors before it speak of strategy, they intend to avoid confrontation, and even doctors agree on the surface view, the purpose is to secure some kind of examination or treatment. For example: a student at the school and escort girl had a one night stand, one day mosquito bites suddenly find yourself some leg swelling, very nervous that it is the skin manifestations of sexually transmitted diseases. Went to the doctor, the doctor said it was insect bite dermatitis, no special treatment. Of this diagnosis he was very much worried, went to the library to read medical books and the Internet to find information about dermatology. Writes that “mole” in the event pigmentation, skin lesions and the rapid proliferation of hair removal, pain and other phenomena, stating the possible cancer should be vigilant. And he was very anxious, your knots have identified a cancer. Then dropped out of school around medical treatment, he had seen all the dermatologists were diagnosed as insect bite dermatitis, he did not believe. At first he was always arguing with doctors; gradually changed the strategy, in order to get more checks, he respectfully before the expert, admitted “there are skeptical to others”, asking the doctors feel sorry for him and for him to be a minor operation to remove the knots do pathological examination, to remove his “doubts.” Doctors according to his request did, certainly not the cancer pathology report. But his heart still believes his cancerous lesions, and that the pathology report was not reliable. After that he pay more attention to their skin and body changes, as long as a small lesion was found, she would repeat the process, know that surgery, pathology negative so far. Less than a year, he has done a dozen similar minor operation.

Some suspect the slow onset of disease, and some in a health-related accident, the acute onset. Course lasting.

The treatment of hypochondria:
Significant anxiety or depression, insomnia, can be used anxiolytics or antidepressants.
Psychotherapy is a more primary treatment. The psychological methods of treatment should vary depending on conditions.

For example, if the patient before the disease is difficult to tell whether there is real difficult to get rid of the trouble, then psychotherapy is to make patients feel hypochondriacal worry is trouble in real life alternative or enrichment. Help patients overcome resistance to turning the patient to pay attention to the experience before the advent of hypochondria, so it possible for patients to understand the origin and nature of the suspected disease, and only create new value in the creation satisfied in order to be free from worry. If you have some experience of the patient, attitude to life will also change, which is conducive to positive action to eliminate worry. Doctors also can try to mobilize families and unit leaders and other relevant personnel strength, to help patients solve problems, but also conducive to the success of psychotherapy.

For example, patients lack of maternal love since childhood, without a sense of security, then the adult health status on their own to take unsafe, do not worry attitude, fear of serious illness. Such a person susceptible to hypochondria. Such patients should be focused on the analysis of childhood experiences from the beginning, inspired him to realize the impact of insecurity on him, have a mature attitude towards their bodies, “not” hypochondriac will slowly heal.

If the patient is the only son in his growing up, God of milk by the parents and meticulous care, in particular, pay close attention to his physical condition, he can learn by imitating their parents and too concerned about their health, well into doubt disease. For such patients, can be behavioral therapy. Such as aversion therapy, which uses the method of conditioned, the “symptoms” and not a pleasant experience together. As in too much attention to his health, the use of electric shock caused by too much attention to his health on the “symptoms” of disgust and the automatic stay “symptoms.

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NOTE: Network QQ consultation and telephone consultation fees were 200 yuan / time, For many a one-time consultation can also be enough to pay the cost.

Mental Test: Is your heart vulnerable?

If you go on the road trip was the site of the iron, your first instinct will be how to do?
A. find the site in charge theory.
B. Application claims.
C. nothing with even a.

Mental Test: Is your heart vulnerable?
A. Theory to find the site director.

Now untenable as you like scary and vulnerable: this type of work people look pretty good life, but when a person he would want a lot of heart, but when it wants to encounter pressure to avoid crying.

B. Application claims.

Pretending to be a strong look inside your fragile emotional matter of fact: This type of person seemingly very powerful, as if someone had defeated him, and in fact his heart is very fragile, and only his closest people to feel .

C. nothing with even a.

Yuecuoyueyong of your frustration but the larger more powerful: this type of person when he was faced with many difficult challenges will be brave to face the solution, that tomorrow will be better, he will slowly move on, but the more major difficulty will stimulate his courage.

psychiatrist: Six bills to deal with insomnia

“Too much stress is a crucial reason leading to insomnia.” Xianyueshan hospital psychologist, said one physician.

The just-concluded general population, insomnia six cities in China Survey shows that in the past 12 months, Beijing, Shanghai, Guangzhou, Nanjing, Tianjin, Hangzhou, adult prevalence rate of 57% of insomnia. The survey also confirmed that: “life and work pressure has become the city’s ‘sleeping enemy’.”

How to deal with insomnia? The physician provides the following ease the psychological pressure of tricks for your reference:

1. Be appropriate in their understanding of realistic life goals;

2. Frequent contacts with the outside world, maintaining good interpersonal relationships;

3. To be good at finding the fun in life, know how to pleasure, “pleasure-seeking capability” poor people are easy to insomnia;

4. To know how to appropriately express and control their emotions, to learn some bad emotional outlet;

5. To take more exercise, exercise is the treatment of all diseases of a “medicine”;

6. Necessary to seek the help of a psychiatrist.

This transferred from Xiamen Daily

good love - psychological adjustment and no less

Love is the most beautiful experiences of life, love, good for the normal development of mental health, life and career will be a powerful driving force, in addition to experience love in addition to psychological knowledge should learn love.

One should not have to suppress their emotions

With the physical and psychological development of young mature love would naturally come, young people are not stressed the supremacy of love, to love despite everything; do not have to suppress their emotions too much, force yourself to love in order to avoid abnormal psychology distance.

Second, regulating emotional responses in Love

Love can cause mood changes such as agitation, anxiety stress, anxiety, longing, regret, pain, happiness, intoxication, etc. If these normal psychological reaction is too strong and not conducive to lasting physical and mental health, and even lead to physical and mental illness. So be careful not to head over love, restlessness, Chafanbusi, sleep, trance, so that “Queer.”

3, should show the love revealed normal

Love is the exchange of feelings between the sexes, with increasingly better understanding of both sides, psychological compatibility improved, the feeling is more intense, some of the unique intimacy lovers will both be more affectionate, more increase in the sheer joy of love and happiness. However, if the two sides have not yet mature and premature emotional intimacy to the contrary, the development of negative feelings.

Fourth, we must understand and respect each other’s wishes

Need not be hard in pursuit of unrequited love, death wrapped around a hard grind, this will give the other unpleasant emotional stimuli, but also to their great frustration psychological. When the attitude of refusing to clear sided love, not ambiguous, nor rude to refuse each other, hurt each other to avoid the vicious psychological stimulation to produce shattered self-esteem, feelings of despair and revenge, leading to tragic consequences.

5, inhibition of sexual impulse interference

Love and sex are inseparable, love is the inevitable result of psychological development, but this does not mean that love equals sex and sexual temptations. Sex drive when on the love, the need to strengthen morality, culture noble sentiments and self-control, to be mitigated in various ways or sublimation. Premarital sexual relations and marriage for love of life, there are many negative psychological impact, and therefore the correct treatment of love in the sex drive, women should pay more attention to protect themselves.

6, to prevent suspicion and jealousy

Love between men and women have specific and selfish, but can not be allowed their normal contacts with the opposite sex lovers, can not be jealousy, infidelity the other groundless suspicion, otherwise easily lead to feelings of both sides rupture. Between lovers should cultivate a sense of mutual trust, correct understanding of the relationship between opposite sex friendship and the difference between love, open mind, eliminate selfishness, remember not to grossly interfere in each other’s normal contacts with the opposite sex.

good love - psychological adjustment and no less

Expert Answer: do not want to have sex is not love her boyfriend?
Questions User: Slim Shady

My boyfriend before intercourse, no one had asked me a relationship made the request, I feel very relaxed, because I insisted on having sex before marriage is not the appearance. Now my boyfriend for the “stubborn” did not understand that love is wonderful that he can further be even better. He said he loved me, probably because he suspected that I do not love him. He likes philosophy of life of things, I hope he can understand me if I give some advice?

Expert Answer: do not want to have sex is not love her boyfriend? answered experts: Lizi Xun ( Director-Japan Friendship Hospital, Beijing psychiatrist)

Basically, on the attitude of love can be seen as a person’s attitude to life, to realize an arbitrary Eros who have greater freedom in life, do not want to bind themselves. Like philosophy, life, knowledge of the people, more emphasis on the realization of life, life is gathering experience. In other words, the pursuit of such a person has, but do not care about always have, always there, and there is no almost no difference, because it can not stimulate fresh experience. It can be said that the pursuit of life, liberty and passion eventually no freedom and passion.

If you love him, should be like him, but sometimes life is strange in that you like him he is a stimulus, a fresh experience. For some men, the more things get the more the irritation, he even willing to share life with you (marriage) to maintain your interest in his cause. If you really like him, need him to maintain an appropriate desire satisfied, not satisfied, so there is experience, but also because of these feelings of discontent is to point you only for you to meet, so love and live for ever.

In turn, you have to think of sex you desire it? You long for it? What is the idea of impeding the realization of your desire to get and be satisfied? If you and your boyfriend ear coming from the motor account, easier when calm and then I would be more worried about you. If a woman is some traditional, “right” by the concept of building a complete, life becomes a kind of step by step process, so that the creativity of the women’s lack of love. So, you need to give each other a tenable, not to accept premarital sex to say, but also hints to the boyfriend of a broadly to the period. If that love is a game, then good time will experience the longer the more deep? In fact, it may not. If you know what kind of love man model, and his past experience is different, he is a kind of stimulus. You change him you could get him to change you, you will like his former girlfriend as gone. However, the concept of existentialism is that if this man enough to make you cherish and love, you get his moment in the continuity of life, you never get him some time in your life in a moment with his shared, and this time is an important part of your life.

Permanent teachers working in front of the podium is a very hard job, according to statistics, around sixty percent of teachers have different levels of occupational diseases, such as cervical spondylosis, back pain, varicose veins and so on. Occupational disease for teachers to introduce some knowledge of training methods and health care.

Symptoms: neck and shoulder pain

Due to preparing lessons, correcting homework, teachers need to work long hours at his desk bow, posture support

Continued fixed, resulting in neck muscle tension, which can easily lead to neck and shoulder pain. Especially over the age of 40 middle-aged teachers, often because the neck muscles and ligaments of the chronic injury, but developed into cervical spondylosis.

Recommendation: should try to avoid long-term change in the desk position, repeat for an hour and rest for a while. Do some cervical Aerobics: First back of the head top wall movement, each should adhere to withstand a few minutes, then release, and then repeated; Second, shrugging movement; third is to do word meter head movement (for neck and shoulder muscles acid, inflation, tired, pain and other symptoms). M the word need to head movement has to eight directions, but avoid circling the head. Head tilt in one direction first, for 5 seconds, then standing for 5 seconds, then down tilt in one direction for 5 seconds, repeat the eight directions.

In addition, it is best for more than 1 hour every day of aerobic exercise, such as jogging, brisk walking, ball games, ride a bicycle. According to the survey, more than 1 hour a day sports teacher and the following day, 1 hour exercise group compared teachers, sports teachers, 1 hour or more cervical disease, hemorrhoids incidence was significantly lower than the following day, 1 hour exercise teachers.

Symptoms 2: varicose veins

Varicose veins is more common in teachers, which is due to persistent standing, physical activity intensity caused. Teacher lectures from long standing, venous blood in a long time to return to the heart, are deposited on the veins in the legs and feet, swollen legs and feet do not say, the legs will appear the same as earthworms blue veins.

Recommendation: In the lectures, you can try to turn the body center of gravity one foot to another only by the feet, always keep one foot in a resting state. Normally, the movement to strengthen his legs, and promote blood circulation: alternating between both feet or both bring the heel, raising the body; from the toes to the heel to the ground, the ground by the heels to toes on floor; rotation flexion and extension legs, so that left foot ground. Class home, the more hot water deposited leg, foot bath, do some ankle range of motion, is also a good way of mitigation.

Symptoms 3: Chronic pharyngitis

Teachers lecture takes a long time hard to speak loudly, if not to protect voice, easily vocal edema, hyperemia or during nodule, combined with long-term stimulation by dust, or a history of multiple acute laryngitis, the more easily spread to adjacent tissues with chronic inflammation, resulting in chronic pharyngitis. People suffering from chronic pharyngitis throat often feel dry, hot, Youteng itching, especially fatigue and climate change when the most significant voices are hoarse, and some even short speechless.

Recommendation: Note that with the voice of health, not too loud in class, or eager to talk, to amend the way the speech, Xiongshihuxi to abdominal breathing. Usually can do more running, playing other sports, not only can enhance the physical, but also increase lung capacity for breathing, breath and pronunciation has laid a good foundation. In addition, recommended a “counting breathing training method”, suction when the meditation “123″, exhale meditation “4567″, expiratory phase of digital stage to more than breathing, evenly spaced between the numbers. This method is simple, if sustained respiratory muscle training can improve pronunciation. Usually drink warm water with mint throat oral tablets to stimulate saliva secretion, lubrication throat.

Symptoms 4: psychological problems

Work intensity, such as academic pressure, gradually became the factors affecting mental health of teachers. Therefore, the mental health of teachers into new issues. Teachers need to popularize mental health knowledge and to equip them with ways to ease bad feelings.

Recommendation: To note that work and rest, to participate in brain in turn, dynamic and static activities such as table tennis, badminton, etc., in order to ease the psychological pressure. Particularly young teachers, can participate in distance running, mountaineering and development of training, exercise their own will, to better face the challenges. Outside of work, you can more appreciate the music, artwork, etc., helps to regulate mood and maintain happy, open-minded.

The Ministry of Health: to stop using electric shock treatment of addiction!

Today, the Ministry of Health on its Web site “on the cessation of electrical stimulation (or electric shock) treatment of” Internet addiction “clinical application of the notice” over the recent emergence of “Internet addiction shock therapy” should not be used to make temporary clinical The study concluded, calling an immediate end of the treatment.
To the recent, wide social concern, “refreshing shock therapy” cure “addiction”, the Ministry of Health clinics specialized experts on issues related to fully research and demonstration.

Experts agreed that the electrical stimulation (or electric shock) technology addiction treatment safety, efficacy was not exact, there is no domestic and international clinical research and evidence-based medicine based on clinical temporarily not used.

Ministry of Health called on all localities to discuss the views of experts, as well as “medical institution regulations”, “Clinical application of medical technology management practices” and other relevant provisions of the relevant medical institutions to stop area electrical stimulation (or electric shock) in the treatment of Internet addiction clinical application. If the conduct of scientific research, should be required to declare, upon approval shall fully respect the right to know and to choose the subjects, not to impose a fee.

A little progress every day
Learning Diary 1 – Introduction to Psychology

Learning diaries 2 – the cognitive process

Learning Diary 3 – motivation, emotion, ability, personality

Learning Diary 4 – The basic elements of human psychological development

Learning Diary 5 – The relationship between the concept of

Learning Diary 6 – The basic theory of human psychological development

e medical journal study 7 – the main stages of psychological development and characteristics of

e medical journal study 8 – the personality theory of psychoanalysis

e doctors to learn diary 9 – school of behaviorism theory of personality

e doctors to learn diary 10 – humanistic personality theory school

e doctors to learn diary 11 – character theory

e doctors to learn diary 12 – the basic theory of social psychology

e doctors to learn diary 13 – Socialization

e doctors to learn diary 14 – social perception and impression management

e doctors diary study of 15 – Social Motivation

e doctors to learn diary 16 – social attitudes

e doctors to learn diary 17 – interpersonal communication and relationships

e doctors to learn diary 18 – Group Psychology and Behavior

e doctors to learn diary 19 – Culture and Mental Health

e doctors diary study of 20 – the basics of psychiatry

e doctors to learn diary 21 – psychological tests

e doctors to learn diary 22 – Health Psychology Overview

e doctors to learn diary 23 – of the reliability and validity, research orientation

e doctors to learn diary 24 – Journal of Clinical Psychology of three research techniques

Beijing’s first counselor letter amateur pilot class of all students (plexus)

e doctors to learn diary 25 – Introduction to Psychotherapy

e doctors to learn diary 26 – psychotherapist growth and culture

e doctors to learn diary 27 – therapist’s own psychological characteristics and mental health

e doctors to learn diary 28 – psychotherapy work ethics and legal issues

e doctors to learn diary 29 – Relationship Therapy

e doctors to learn diary 30 – interview skills: non-verbal skills

e doctors to learn diary 31 – interview skills: listening skills, influencing skills

e doctors to learn diary 32 – psychological treatment and the main variables at different stages

e doctors to learn diary 33 – Psychoanalysis

e doctors to learn diary 34 – Behavior Therapy

e doctors to learn diary 35 – Individual Treatment Center

e doctors to learn diary 36 – Cognitive Therapy

e doctors to learn diary 37 – Marriage and Family Therapy

e doctors to learn diary 38 – Other Psychotherapy

e doctors to learn diary 39 – Anxiety Disorders

e doctors to learn diary 40 – somatoform disorders

e doctors to learn diary 41 – nervous breakdown

e doctors to learn diary 42 – dissociative disorder

e doctors to learn diary 43 – stress-related disorder

e doctors to learn diary 44 – eating disorders

e doctors to learn diary 45 – Sleep Disorders

e doctors to learn diary 46 – Sexual Dysfunction

e doctors to learn Diary 47 – sexual psychology

e doctors to learn diary 48 – the paranoid personality Personality Disorder

e doctors to learn diary 49 – the schizoid personality disorder Personality

e doctors to learn diary 50 – Personality Disorders Antisocial Personality

e doctors to learn diary 51 – Personality Disorders Borderline Personality

e doctors to learn diary 52 – Other types of personality disorders personality Overview

e doctors to learn diary 53 – Mood disorders (affective disorder)

e doctors to learn diary 54 – Schizophrenia

e doctors to learn diary 55 – Suicide

e doctors to learn diary 56 – the behavior of children and adolescents with emotional disorders

e doctors to learn diary 57 – Addiction

e doctors to learn diary 58 – psychosomatic illness

Pathogenic emotions can cure!

When a person suffering from cancer, the mood is very important. This feature film music conductor suffering from cancer, midwives … … the success of their cancer experience tells us that: Cancer is just a cold, when you can dance with cancer, you can create a miracle!

Cancer is not terrible, terrible mood was terrified of cancer.

To divert attention, to face life is the greatest anti-cancer magic. And psychological treatment, it not so? Many people suffering from mental disorder, was concerned only with immediate pain, one-sided manner of thinking, the results deeper and deeper. If the psychological barriers with dance, to face life, not on extended leave, drop out … … all day doing nothing, I think, psychological barriers will be good quickly. Further expansion abroad, the face of other life events, if all in such a mood to face, often found “vista.” In fact, in this world, many of these arguments are connected … …

Open your windows closed it, let the wind come in, your life is definitely more exciting!

Together to learn “dance with cancer”, I hope you have some perception, life on the road in the next dance out of their posture ~ ~