Hamstring syndrome surgery in 591 Orthopedic surgery clinics worldwide

An amazing facility with an amazing level of care. Better than any US or German hospital I have ever been in. The office of international patients is very professional and thorough. Dr. Taboada is very thorough and professional. I can't recommend this hospital enough. Super experience.

I came to see if giving birth at Serena del Mar was an option. When I was given a tour of where the mothers and babies stay it was great. I was told to male an appointment to be seen by an obgyn so that they would have a history of me. The nurse took my info days before my appointment but apparently never followed through with setting up my profile. I showed up for my appointment and was never told who I would be seen by. Dr Maria Fernanda Toro Wils was upset that she had to wait on me because the staff had not created my profile. I finally went into my appointment with the doctor and she scolded me and told me she had no time we had to rush. I told her I did not understand whybinwas being treated this way when her staff was a mess. She told me she always does 40 minutes and she dedicated about 20 minutes if that. I left there feeling so upset and totally changed my mind about having my baby there. The treatment from Dr. MARIA Fernanda Toro Wils was terrible. I would not recommend her or her staff in a million years.

They neither answer their phones nor respond to emails seeking an appointment! Terrible customer service. I communicated in Spanish as well so not a language issue.

Malpractice. My grandmother was left to die. After an isquémic stroke. Proper measures were not taken within first 6 hours. Instead of ICU, she was put in a regular room. Nurses shifts had no records of prior shifts. Avoid at all costs.

I was supposed to have surgery in this clinic on 10/17/22. I arrived around 10:30 at the O.R floor, 4th floor in the building, and no one was there. The reception desk was dark with zero employees. While I sat waiting for someone to show up I looked at my paperwork handed to me at check-in, when I realized they had me as a Colombian citizen born in Barranquilla. I'm a U.S citizen. The address, phone number, and emergency contact provided by me earlier had been overlooked and ignored. I went downstairs and corrected it. Finally, the nurse showed up; she was a nice lady. There isn't anything negative to say about her. Around 3:30 a nurse assistant brings a wheelchair and wheels me into the OR. My surgeon, Dr. Carlos Cala was running late, she said. The O.R had a two way-in, bidirectional, restaurant style, swing door with small windows. At his point I had not been sedated, medicated, nor given a relaxant to prepared me for the cultural shock I was about to experience. There was, right in the middle of the room, an overwhelming sight of a surgical bed dressed in brown sheets ready for a bloodbath; and a dented, shallow bucket, right at my feet. The pan was wide enough for my feet to fit in. The N.A explained to me that she was going to bathe me with antiseptics and soap before surgery. I followed her with my gaze, noticing a disturbing sight of two soiled, worn out, filthy, and grotty, styrofoam coolers. There they kept the antiseptic and soap warm that she was about to use on me. She asked me to stand in the pan facing the door and those swinging doors started to open and close while medical staff came in and out. I was naked and a swing away to be seen by everyone sitting at the desk just outside the OR (recovery area). Then, as I’m looking around in dismay, I spotted a recording video camera IN the OR. All the feelings of humiliation, indignity, disrespect, and violation of privacy took over me at this point. I complained about this to the NA and she called the floor manager. The manager explained to me that the video was for liability reasons and to cover their backs, privacy wasn't a concern to them and video recording was a common practice. I requested an appointment with the clinic’s director and It seemed as if I threw a stone in a hornets nest. The floor manager called the anesthesiologist, Dr. Bernal, and he asked me what was the problem. All of this time I was still naked. I tried to explain to him that I felt my privacy was not being respected as I had never gone through anything like I was experiencing at that moment before and his replied was: “you should go back to the United States and get surgery there.” I don’t know what was more upsetting; the fact that this doctor represented COLOMBIA so poorly, not aspiring to anything beyond mediocrity as a professional, stepping over his Hippocratic Oath, and having a condescending tone towards a CUSTOMER (I’m a paying client in a private clinic, I reminded him), or the fact that his lack of character, dignity, and vulgar behavior, were an irrevocable proof of his unprofessionalism. When did lack of HYGIENE and violation of privacy became a common practice in healthcare?! Both, Dr. Bernal and the floor manager, proceeded to tell me to calm down and that if I wasn’t ready for surgery I could reschedule. I kept saying that I still was interested in an appt with the clinic’s manager. The floor manager kept hinting that there was not going to be a surgery if I insisted to see the director because that meant I was upset, while Dr. Bernal kept using my request as leverage pertaining to the final success and outcome of the surgery. Again, all of this time I was naked. Because I didn’t shut up and submissively obeyed, the surgery was canceled and I was scorted out of the OR while the nurse assistant was making signs behind me at everyone we were passing by (medical staff, patients, and their families around) that I was crazy. I did speak to the director days later. Even though he was nice, I opted to have my surgery elsewhere. Avoid at all cost unless you're dying.

Good service but they would have bigger watings rooms...

The emergency service was not able/ willing to apply an intramuscular injection. Clowning.

My recent experience at this medical facility was incredibly disappointing. Despite paying for the premium plan, the service was incredibly slow and disorganized, and the communication was almost non-existent. The nurses and security staff were consistently rude and unhelpful, making the already stressful situation even worse. We had to ask multiple times for updates on the patient's health status, and even then, we were met with angry faces and a lack of information. It took hours before we were given a decent status update, which was an awful experience. I hope that this facility can improve their customer service and communication skills to better serve their patients in the future.

It was a horrible visit. The nurses and stuff are not professional at all. Went in to get some exams done and just because they did want to they didn’t do it correctly. I don’t recommend this clinic.

Terrible service as health officials from the doorman to the nurses, most lacking in humanity. Do not bring your families here because the sick must have a complementary plan or be prepared to be cared for on their own because one pays to be cared for like others because there must be discrimination, they need a lot of humility and empathy so that it is not noticeable that They work only for the salary. This career is about love and patience and serving.

That clinic is a complete hell, they leave the emergency patients in chairs, on the floor, they are not attended to, they lose their papers, there is overcrowding of patients in hydration, men and women, in the emergency room observation, please if you love your family member, don't take him there, the eps famisanar is rubbish, we need to transfer a patient from that hell, my son @supersalud, @famisanar. I attach photos that I was able to take in the terrible places that prohibited me from taking photos.

Foreign and locals please abstain from attending these very old and outdated hospital facilities. I've been a patient in the US, Spain, Germany and Colombia. This is by far one of the most frightening hospitals sub standard even for a tiny 3rd world town. Readers beware. Avoid at all cost, unless of course you happen to be a malpractice attorney. 1. Patient surgery intake. Expect a minimum of 2 hours 2. Nursing and Patient Information Systems. Pre and post surgical nursing staff use notebooks and handwritten notes as a the regular protocol for patient care. Despite revealing allergies with 5 different people and 5 different notebooks, the staff failed to write patient allergies in the surgical board and also failed to place the standard red bracelet. It had to be bluntly requested by the patient in the OR. The nursing staff laughed it off as normal noting it was goog "they" caught it on time. OMG. The nerve. 3. Institutional tardiness. Expect 3-4hour delay past scheduled surgical start time. Do not expect an apology nor a justification for tardiness. 4. During surgery expect nurses to answer questions to family at 8am, 11am 3pm. Should your family happen to run into a nurse and ask a question expect nurses to raise their voice rudely, only to be reminded to wait until the scheduled time. If your family receives a call from the OR team with a request (for information or supplies) and wish for you to ring the door, expect no responses to either of the two doors and one window. A family member witnessed a lady who could not find her father for 2 hours. Whiled the nursing staff dissed her, she had to appeal to a surgeon that was leaving the area. The information systems could not locate the patient. Frightening. Very Frightening. 5. After surgery expect 2 nurses to handle patient care for all 16 ORs. OMG. Frightening very frightening. Little help, fend for yourself. 6. Patient out-take. Expect the process to last a few minutes. But by all means do not expect it dignified changing room and or patient lockers. It's pretty gross 6. One week surgery follow up. Expect two hours wait on the 3rd floor of a brand new building just for check-in. Expect rude and insufficient check-in staff. Then expect another hour for the doctor to see you. I hope my comments help you make an informed decision. I hope my comments save lives and hardship. Steer clear if you can. Colombia has great hospitals. This is by fas substandard even for small towns in a 3rd world country.

The attention was terrible, I had to be there from 4 o'clock to reach a shift of 40 that they gave for a panoramic x-ray of the spine (goniometry and orthogram) 14" x 36" format (adults) and despite getting up so early there were already people queuing, additional They did not inform me that the numbers to make x-ray appointments do not work, no one is going to answer you and I found out about the appointments because I missed the first trip that I made at 1 in the afternoon so I got my appointment this time but I did not know that it was time to take copy of the history and if you have more than one exam in the order you must also make a copy, in short photocopy everything up to the ID so as not to be running if you do not have the order at the time they give you your turn they will not give it to you And even if you get up early and your turn is delivered at 6 in the morning, they begin to distribute them because customer service starts at type 7 or 8 so you have to wait and wait, there are very few who pay good and human attention, almost no one gives you gives reason for nothing and it's up to the users themselves to look for solutions, the photocopier in the cafeteria will be type 6 and there is another one inside where you wait your turn according to what they informed me on the second floor, if you still need to print something it is better to do the queue to receive your turn and after you enter, go up to the second one to make copies. It happened to us that together we sent someone else to make the copies and we kept him in place and when the time came for the turn to be handed over, the guard refused to wait and without order there was no take a turn! Another thing is that you have to line up for everything for the laboratory, for MRIs or diagnostic images, to make appointments with specialists for everything! Before standing in such long lines, ask carefully where it is your turn, many arrive and lose their turn for being where they should not be, where the photo public is where you have to line up for the laboratory, x-ray and in front is for appointments with specialists.

This hospital has modern facilities and good qualified and humane staff who provide good care to their patients.

I arrived at 10 when they say they open, no one. A girl arrived at 10:10 and they couldn't open the door for 10 minutes. We went in and another 10 minutes waiting to be attended to. I ask to be shaved and a boy who looks like he is 16 attends to me. I cut myself 3 times; He leaves the sideburns different and finishes them with a shaver. I could do better at home. Horrible service…. Avoid this site!

My gratitude to all the professionals who work in this hospital. It is a sacrificed job, my admiration goes to the entire team, who carry out their work with professionalism, patience and a good attitude. God bless you.

Terrible service, it is a clinic of low quality and deficient medical care without professional ethics. Due to malpractice, a great doctor died when he was only admitted for an appendicitis operation, the operation went wrong and it became complicated. All for a hospital without a well-sterilized and clean room to do their operations.

Very professional in patient care and attention. Currently they are one of the few hospitals that has prostheses for knee arthroplasty. They have a very good rehabilitation service. The facilities are very clean and permanently disinfected.

Just was released yesterday after being admitted last Thursday in need of a pacemaker. My husband and I were so pleased with our experience. Dr Marlon and Dr Francisco from the cardiology department were amazing. I was treated very well. I will be forever grateful.

Such an amazing experience! I went to the emergency with a stomach issue and they immediately took me in for checks and tests. Super professional - totally recommend!

Terrible (i.e. no) pain management after severe accident. Got also pain chock due to rush in changing linnen. As I chose to be operated at my home hospital (one of the top three hospital in pelvis operations in the whole World) they got upset and delayed my ambulance flight with a day (by not filling in papers on time). You can imagine the cost of having an ambulance flight waiting for you one extra day..

Great Service, Doctors are so respectful of patients times. Very clean hospital. Quite a different experience from other hospitals. Very pleased.

I went in with back pain. Got excellent care ,x-rays, diagnosis in less than 2 hrs.

This hospital is amazing! My husband had to attend and I was so impressed with the staff! As we do not speak Spanish, they were all very amazing and did their best to help us. They were kind, caring and detailed to ensure that we were well taken care of. Thank you so much for taking care of my husband! You are the best!

It is a hospital with very good facilities and good medical staff. It is noticeable that they are trying to improve many aspects, but they have failures at the level of internal logistics, since they frequently drop hospitalized patients hours in advance for diagnostic imaging and other tests, clarifying that in the waiting room for Imaging diagnostic rooms have air conditioning, which ends up making some patients more sick; The truth is that in this regard there is a great deal of disregard for patients and a great lack of organization on the part of the hospital. There is also a large overpopulation of patients in the emergency room that obviously exceeds the capacity of the hospital, since even in the emergency corridors there are stretchers with patients and companions who do not even have a place to sit.

The emergencies of this hospital are chaos! The disrespect towards the patient is total, you must stay 3 to 4 days in the emergency room under undignified conditions so that they give the patients a bed there is a doctor Moros who is the head of the emergency room and the man does not appear! No one provides a solution or an answer!

Rude guards that don't know medical status but won't allow access or questions to medical personnel. This goes for guards outside and inside. Doctors do not provide status to patients and send students to relay status. Students can't answer questions. Poor communication and follow up by all personnel which have led to 3 wrong diagnosis by doctors. Once realized we asked and the staff blamed the family members of making up stories and medical visit history missing information. This review is based on the past year with various family members appointments and emergencies I am basing my rating. This rating applies to various areas: emergency room, intensive care, critical area, and maternity ward.

In Sept 2023 in Cuenca, my upper arm was broken in 4 places and I needed surgery to repair the bones (titanium screws, metal plate,). I was hospitalized at Mt Sinai for two days, required a month of 6 hr/day in-home care by rotating team of Mt Sinai nurses, and had subsequent 5x/wk physicaltherapy x 2 months .The care I received was extraordinary at every level. I can't praise the competence and personal care enough.

I was just digging through some old boxes and I found the paperwork from when I had to make a visit to Monte Sinai hospital when I got sick in Cuenca back in 2017. It brought back the memories of the amazing treatment I received there. I got insanely sick while visiting Ecuador. Before I got to the hospital, I thought I was going to meet my demise and I was saying my prayers. Thank goodness to the wonderful doctors and staff at this place because they took great care of me. I didn't get to see the entire hospital, but from what I saw from my point of view, they seemed to have pretty much everything there that you would find at a regular United States hospital. Plus, all the doctor's I saw there spoke English too. The experience also really opened my eyes to make me aware of how the statesides hospital rip Americans off. I don't know if their prices have changed since then, but my entire cost with testing and treatments and medication was right around $100. No you did not read that wrong, ONLY about one hundred dollars USD. Another way Ecuador helped me to realize that the United States is good at taking advantage of their citizens, is that when you go into the pharmacies there, the medication is a fraction of the price in the United States and many of them you do not even need a prescription for. Well I just thought I would share my experience for whoever wanted to read a real review on this place.

There is only one internationally rated hospital in Ecuador and it is in Quito. After 10 days in this hospital, they are decades away from being accredited. They do not have a lot of basic equipment. Suffice it to say… it took 5 days just to find me a washcloth. Had to stay an extra 3 days due to their neglect. Ecuadorian health care is ranked 101 in the world. U.S. is ranked 32. You chose.

It seems to be the best among the many hospitals in Monterrey for health check-ups. All hospitals are friendly... I was satisfied with the most detailed check. I was able to see the doctor more comfortably than at other general hospitals. The food in the last week was tastier than any other hospital.

Great hospital. Better service than some hospital in the US.

No good guadlupe mendodoza ,I no pay you

Please remove Cynthia Solís (plastic) from this hospital. My family and I were her patients and she almost killed one of us. She is ignorant, an extreme danger to patients and commits medical malpractice for which she is currently under investigation.

My second time here in the past month…this is one of the best Hospitals I’ve ever been in. Excellent staff, World class service. No problems whatsoever like the other reviews. Blue Cross insurance was accepted and I was taken care of around the clock. HIGHLY RECOMMENDED.

Went in to get an abscess removed on three different visits. I was scheduled at 10am but the room wasn't available until 8pm. Told to wait. I luckily asked for a written cost estimate and was told 58,000 PESOS (not including blood work, ultrasound and "hospital fees"). I said "no" and before I left, I paid the receptionist the 2,000 peso consult fee which she strangely handed over to one of the doctors. I never got a receipt for the two times that I paid. I went down the street and had the abscess removed for 2,000 pesos. BE SURE TO GET A WRITTEN COST ESTIMATE BEFORE ANY PROCEDURE. GO ELSEWHERE- THIS PLACE IS A RIP OFF! 30x more than the competition. Shady billing, accounting, payment, no receipts and handing cash to doctors?

Clean and sophisticated hospital, sympathic and skilled people and doctors English speaking doctors Very good experience Recommend 100%

Don't go there if you don't have a brazilian plan, they will force you to pay for unnecessary insurance that is 3x the normal price.

Stellar. professional, humaine, attentive, caring and loving. My mother was admitted 3 times and used the hospital almost daily after discharged. From the valet parking to the doctors, cleaning to nursing staff, everyone was efficient albeit friendly.

First-class hospital, very beautiful and organized, not to mention its huge size!!! Top service!

Execelente hospital

Legal

It's similar to a public hospital, I have my doubts if the state isn't behind it. Because it looks like a public office, no one saw it, no one knows anything, everything takes time, any decision. Everything has to go back and ask to insist on something you need, you have to press if nothing works. It's a piece of junk, I use it because my plan pays for it at this hospital. I've been seen in the emergency room a few times in 2020. and 2021 22 or 23. It's even clean where we walk and in the rooms, like the doctors, 70% are old doctors, it gives me the impression that they are legacies of public service, they serve as public servants. But I started looking only for newer doctors. There they have improved care.

Terribly, my elderly father, 86 years old, with shortness of breath, spent more than 6 hours waiting and couldn't get help, he gave up. Unprepared employees, talking, laughing without being interested in providing a good service. I don't recommend it even to my biggest enemy... management should change because they are not good professionals

We all know that the nursing profession is highly responsible and requires a lot of attention from this professional as it takes care of human life. We all know how much excessive heat harms attention and the quality of service, whether in any area, but especially for those who need to take care of their health. life, as is the case of technicians and nurses. It turns out that the corridors on the HED bed floors do not have air conditioning for employees, with temperatures above 40⁰ in the summer, these poor professionals are forced to work dripping with sweat, sometimes even with deconcentration and their memory fails, and they can come making mistakes unintentionally due to the strong heat in the corridors, wrong medication for patients, etc. Patients have air conditioning in their rooms, but the corridors and other facilities where technicians and nurses circulate do not have air conditioning. This is inhumane and those who can pay the price for this are the patients since the HED administration sacrifices its nurses by not providing the basic things that are the appropriate temperature to work, how can you work in such heat? How to concentrate? So every time a family member is admitted there, they will be cared for by professionals who are under strong pressure and heat.

I had my children at the hospital, I had other procedures and today I am hospitalized having a tubal ligation. My biggest disappointment!! The other times I had no problem, but now. Simple surgery that ended at 9:00, I stayed in the recovery room for more than three hours, nurses passed in front of me They ignored my questions, my husband had no news (they said they had warned me) a total disregard. I came to the room and got something to eat for another 9 hours after the surgery. I was in pain and it took more than an hour to take medication. Total disrespect towards me.

I do not recommend the maternity ward at this hospital to anyone. I went through a traumatic process on the day of birth. They induced my labor without my permission, after the birth they left me in the waiting room for more than 10 hours, and hungry. I paid for the most expensive apartment, as the agreement covered everything. When I went to the room, a doctor asked me to take off my underwear and open my leg in front of more than 5 residents (I was bleeding). The experience was so bad that a year passed and I'm still angry about it to this day.

Worst experience of my life I had in this hospital. I was 23 weeks pregnant + 5 days pregnant, a high-risk and cerclated pregnancy, when my water broke on Sunday night, 17/09/23, I went straight to the maternity ward at the mater dei hospital, where they immediately came in with a medication and I did not remain hospitalized there, because my obstetrician assured me that in Vila da Serra I would have better care, especially because she works in that hospital. He guaranteed that my place in the bed, along with that of my baby who would later be born, were guaranteed at the hospital, and so I left the house and went straight to the village, who already received me with the news that they knew nothing and that there would be no No bed was available, but, due to my partner's position in the situation, they freed up a bed for me, even so, with my water broken, no medication was given to me. After a long wait, I was seen by 2 doctors who explained that I could get an infection that would pose risks to my life and that my baby would have to be born anyway, even so, I went to an observation room to wait for a bed and no medication. When it was the next day, 09/18/2023, they started taking medication due to the discharge that was coming out of me, which by the way hurt my entire arm due to the inexperience of the nursing team. When it was afternoon, they took me to the emergency room and found that the umbilical cord was out (cord prolapse). The doctors immediately sent me to the surgical suite, but when I got there, I was surprised by the information that I I didn't want to invest in my baby's survival, since I would never say that and that was not said by me or my partner, in that moment of tension I had to take a stand saying that I wanted a cesarean section and I would like to invest in my baby and I wanted the same to be true for uterine birth, given that 3 years ago I had a natural birth at 22 weeks and my baby was stillborn, I wanted to have a different experience! They performed an emergency cesarean section, my baby was born and went to the neonatal ICU, I went to bed to recover and receive medication. I underwent tests and they medicated me saying that I had an infection in the uterus, but then the torture show began, I felt very ill with the strong medications, I was barely willing to see my baby in the ICU, every time the team was asked to None of them were attended to by the doctor, the nursing team often didn't come, I even registered a police report while still in a hospital bed in the situation I was in, all the treatment coming from the nursing staff was grotesque and inhumane, they even hurt me at the time of doing an ultrasound on my stomach, when the nurse went to take off my pants and shaved my pants on my scar which was swollen with a seroma. After being discharged and spending a few days, on one of the days that I went to visit my baby in the ICU, I was feeling ill with a seroma in the cesarean section scar and I could barely move, we kept moving back and forth in search of care and nothing. meet! On 09/28/23 I received the news that my baby had died in the neonatal ICU, the responsible doctors only issued the death certificate and did not want to give us a verbal and personal explanation, all the doctors hid it, it was very painful to have to Facing this chaos at the most difficult time of my life, even when they reported the death of my baby they were completely rude and inhumane, I am disgusted with this hospital, I will never set foot in it again and I will not recommend it to anyone! But justice will be done!

I was seen super quickly at the doctor..When it was time to do the dressing..I was waiting for 45 minutes..Shift change..No one to be seen, just me and one other person..I thought it was disrespectful..And I had to pay plus an hour of parking..

The structure of the hospital looked great after the renovation. Access and exit very well organized. But in the emergency embarkation and disembarkation part, it was abandoned. I stopped to disembark a friend there. Very close to the zebra area. She moved slowly. It was then that an Uber, with a damaged Kwid, stopped close to the left side of my car, almost hitting my mirror. I stared at him. So I rolled down the window to explain that he couldn't go through there. The citizen still wanted to criticize me, saying that he was in a wheelchair, he went wherever he wanted and that I was completely lost. I think you should paint that zebra area better, as it's a little faded. As far as I know, you can't go over it. It would also be interesting to get someone to instruct these Ubers that are completely lost, because if he had damaged my car, he would charge the hospital!

The hospital in general is good, so far I have received good care in consultations and exams, but today in the ENT the attendants at 217 are to be congratulated for their incompetence. I've been waiting more than 1 hour to be answered, as I couldn't find a location for the website, I came here on Google, I will reformulate this evaluation after receiving an answer and make my next query here.

At the emergency services you can hear load noises from plumbing work inside of the hospital! Wow! Do not come here when they have done their job finished.

We arrived today via the emergency area, my 1.5 years old son fall into glass. We had to wait over 40minutes, I understand there is a waiting time, the real issue was the rudeness and lack of empathy of the staff, whom after we check how long it will take the answer was “the doctor will come, when he will come, the nurse checked and its not deep” it turns out it is deep, so much he will get operated in 4h. My feedback here is to train your staff, specially in the emergency area, where people its full of worry and stress, be kind and empathetic, next time it could be you on the other side.

Nice and friendly staff ( even ask you to use their first name ). competent doctors and nurses. You don't feel like just a number. Can be crowded at times and appointments therefore can run late. Nice modern and spacious rooms.

Unprofessional from head to toe.

The phone is not answered in time

The staff is unprofessional. Laboratory tests are not accurate.

I was sent here after a fall resulted in a deep gash in my chin. As a foreigner, I had no idea what was happening and waited a very long time. Part of the issue was that they had trouble comprehending that we were willing to pay cash. When I finally was treated, the doctors seemed quite competent, although quite young. I later had the stitches removed on a cruise ship and the wound has healed very well. The total cost, including an x-ray was $65. In the US, the service probably would not have been any better and the cost would have been 20 times that or more. Says a lot about healthcare in the USA.

For the first time in my life i wish to give 0 star review for the "best" hospital in Bulgaria. If you have been sent here it meena you are in dire need of medical attention. But with 3 people before me i have been waiting here for 3 hours..... things need to change bring more staff or increase the room capacity.

It is clean and I was accepted almost immediatly. However, the nurses were rude and their attitude was very unprofessional! They treated me and other patients like we work here and know everything and refused to respond adequtely to questions we had! I would reccomend for Pirogoff to not only update its look on the outside, but also to hire adequate personnel.