Category Archives: NSMC News

Twenty-one years ago, Ora Nellum stopped by North Sunflower Medical Center to apply for a job.

“They called me right back and hired me the same day. When I met everyone, they were all nice, like a family. I knew it was the place for me,” Ora tells us.

Since then, Ora has become a respected and longstanding hospital fixture. The mother of four was named Non-Clinical Employee of the Year for 2022.

“I was shocked. I never expected it. They wanted to keep it a secret from me. I was so happy,” says Ora, the Ward Clerk for Acute Care.

Lindsey Flowers had a similar experience about ten years ago when she considered leaving her home health job. She planned to drop off her resume at North Sunflower. Instead, she spent two hours meeting the hospital team—and left with a job.

“They made me feel right at home from that very first day. I’ve had other opportunities, but I enjoy who I work with. I’ve made lifelong friends at North Sunflower Medical Center. I absolutely love it here,” Lindsey says.

Lindsey, the 2022 Clinical Employee of the Year, was also shocked by the announcement.

“I was very, very surprised. I had to pick my mouth up off the table,” says Lindsey, the RN discharge coordinator.

NSMC Employee of the Year Awards for 2022

Both Ora and Lindsey stress that while they appreciate the honors, they consider themselves part of a team united in caring for the community.

The award may have been a surprise to them, but to most everyone here at North Sunflower, honoring the two was a privilege for us. Ora and Lindsey’s dedication is inspiring.

Ora has two sets of twins and a new grandchild born just this month. As a ward clerk, Ora ensures everyone has the supplies they need, and she is a friendly voice for people calling the hospital.

“I like the fast pace here. I get to know the patients. I work with a lot of young people,” Ora says. “I tell everybody this is a good place to work. Everyone here is easy to get along with. This is just a nice place.”

Lindsey remembers the day she decided to become a registered nurse.

“My grandmother got sick and was rushed to the hospital. Seeing the hospital nursing atmosphere, that’s the day I knew where I wanted to be,” Lindsey tells us. “When I look back now, there was no other career for me.”

As discharge director, Lindsey hears feedback from our patients. She says she gets compliments daily about all the staff at the hospital, including the floor employees, doctors, nurses, and dieticians.

“Patients say, ‘it’s just top-notch here.’ I thank them for that because we truly love what we do. It’s a family here and team-oriented,” Lindsey says.

Lindsey tells us that her children, ages 8 and 3, were excited about the goodie bag that came with her award.

Ora says the plaque will have a special place in her home.

“I’m not going to take a chance of ever losing it,” Ora says.

The past couple of years has transformed the North Sunflower tradition of Christmas parties.  In the past, we had huge Christmas parties that brought the entire family together for one big celebration. 

COVID halted that as we opted for gift cards for every member of the NSMC family. This year, by a vote of the vast majority, employees are hosting their own smaller, more intimate Christmas parties for each department.

One thing that hasn’t changed is the spirit of giving that Ruleville is known for this time of year.

The North Sunflower Medical Foundation gives gift cards to every employee who donates to the Foundation. The focus of the North Sunflower Medical Foundation is to provide resources for North Sunflower Medical Center for equipment, educational grants, programs, and services that otherwise would not be possible. Cards can be redeemed at local, Ruleville businesses like Simply Sunflower and other locally owned businesses.

These gift cards also make nice stocking stuffers for friends and co-workers and are an easy way to make giving to the Foundation a gift for the entire Ruleville community.

Another tradition that is not going away, North Sunflower Medical Foundation will also provide gifts to patients in the hospital during the Christmas holidays. We started this tradition many years ago. No one wants to be in the hospital during the holiday season, but this small gesture helps put a smile on our patients’ faces.

And if you think you get busier over the Holidays, imagine what a crazy time of year this is for Santa Claus. 

That is why we feel so special that Jolly Ole St Nick made time to come through town to take a ride on the Firetruck for the Ruleville Chamber of Commerce Ride Around last Saturday. Kris Kringle was in town doing final checks on who had been naughty and nice before heading back to the North Pole to get ready for his trip around the world on Christmas Eve.

And coming up next month …

The very popular Heart Healthy Program is expanding to all year long for 2023 starting in January.  Because heart problems can occur at any age – from infancy to adulthood – North Sunflower Medical Center is committed to helping you take care of your heart with a heart-healthy screening. 

The Heart Healthy Screening can detect your risk for heart disease or stroke. Also, we will perform a high blood pressure evaluation and a calcium score test.  

An order from your primary care physician is required for the Heart Healthy screening, so tell everyone you know to call and ask for a referral today! We also have physicians from Jackson Heart at NSMC each week should you need to see a Cardiologist.

We don’t miss a beat at North Sunflower Medical Center – your heart is in good hands! So, when you need a check-up, follow your heart to North Sunflower Medical Center. We would love to take care of you!

The end of the year means it’s time to vote for who becomes the Healthcare Hero of the Year. 

Everyone who comes in contact with our happy hospital here in Ruleville becomes part of the North Sunflower family in one way or another.  And, like in every family, each person plays a vital role in making us who we are. 

Once a month, we select two people who exemplify this spirit and name them Healthcare Hero of the month – one who works in a clinical role and one who works in a non-clinical position.

Kind of like picking your favorite child; it is a difficult choice every month. This year, another 22 exceptional people were selected from over 500 truly remarkable family members (11 clinical and 11 non-clinical).

In 2021, our clinical Healthcare Hero of the year was Sharon Davis. We talked with both Sharon last week now that their reign as Healthcare Hero is coming to an end.

Sharon said she was proud to be honored, but she was ready for the honor to go to someone else. “Being Healthcare Hero of the Year Made me feel very appreciated.  It made me feel like my work was noticed.  But I want everybody to have a chance to feel like that.”

Sharon told us the secret to being Healthcare Hero of the year is in two words: Patience and Patients.

“You have to have a lot of patience to do this job, or this is not the place for you.  We are here to take care of our patients, whatever their needs.  This is their home, and we are here to care for them.

Ballots will be emailed to all employees with email addresses. You can get a paper ballot through your department if you don’t have an email address.  All ballots must be turned in by the 16th of December.

Earlier this month, Sunflower Diagnostic Center teamed up with the Delta Cotton Belles and Delta State University to do a free breast screening as part of Breast Cancer Awareness Month. Sunflower Rural Clinic’s Certified Family Nurse Practitioner, Hanna Farmer, teamed up with the Belles to host a breast screening at Delta State University.
 
According to Terri Burrell, they screened 18 women during the event, “It was a big day. They kept Hannah busy.” The event was part of the Delta Cotton Belles Pink Checkup program – which provides clinical breast exams at no cost to the patient.
 
“Breast cancer is among the leading causes of death among women,” Terri told us. “Especially in the Delta. It is mind-blowing if you look at the statistics.”  In 2007 Beth McKnight was diagnosed with Stage IV breast cancer, and it was during the time following her diagnosis that she was made aware of the high incidence of later-staged breast cancer in the Delta and the complete lack of resources available.

Beth recognized the need and immediately reacted with a vision that would come to fruition as Delta Cotton Belles. She initially secured a grant from Delta Health Alliance and, with the help of a small group of friends, began providing education, breast health awareness, and mammograms under the umbrella of the Susan G. Komen Foundation. Two years later, Delta Cotton Belles was recognized as an independent non-profit organization so that all of the funding could remain in the Delta to serve those whose needs were the greatest.
 
In addition to the Pink Checkups, The Belles also have a “Wrapped in Pink” program that provides services to women who have been diagnosed with breast cancer; those services include emotional support, a Beth’s Blessing Bag for newly diagnosed women, transportation assistance, mastectomy supplies, wigs, and professional counseling. “The bag, which is named in honor of our founder, contains many comfort items suggested by our “Thrivers”…who know the needs based on their own experiences. In addition to love and prayers, each bag includes a pink pashmina, an insulated DCB tumbler, a daily devotional book, a hot & cold neck wrap, soothing lotion, and even note cards handmade by a DCB “Thriver.”
 
The Pink Promise program provides free mammograms for working women who are uninsured or underinsured. “Many insurance companies will not cover a mammogram for women under 40. We fill the gap,” Terri told us.

The Belles also host a monthly “Thrivers” group.
 
The word ‘thriver’ is also kind of important to the Belles. “They don‘t like to be called ‘survivors,’” Terri told us. “We want them to come through the experience stronger than ever. So, they are not just surviving their bout with breast cancer. They are thriving.”
 
If you need breast cancer resources or know someone who is, please email Terri at Deltacottonbelles@gmail.com.
 
The Belles have a database of over 600 women diagnosed with breast cancer that they have assisted – and are continuing to help. Terri tells us, “Once you are a Delta Cotton Belle, you are always a Belle. It is a never-ending need.”

North Sunflower Medical Center Pink Walk for Breast Cancer Awareness

Later this month, on October 27th, North Sunflower Medical Center is hosting a Pink Walk in Ruleville with a Pink Balloon Release for breast cancer awareness. If you would like more information, contact Alice Pyles at Alice.Pyles@northsunflower.com.
 
And if you need a mammogram or know someone who does, contact the Sunflower Diagnostic Center by calling (662)756-2100.

Dr. Erica Bass went through four years of college, four years of medical school, five years of surgical training, and three years of specialized training in surgery before she began her six years in practice as one of the best cosmetic surgeons in Mississippi.
 
But that is just part of her lifelong training growing up in a medical family that makes Dr. Bass one of the most qualified surgeons currently working in the Delta across any field. “Growing up, my dad was a cardiologist, so I knew I wanted to be a physician. I liked fixing things with my hands, and that made me want to be a surgeon,” Dr. Bass told us.
 
Dr. Bass is the daughter of cardiologist Dr. Gene Hutcheson. “Dr. Hutch”, as most people around North Sunflower Medical Center call him, was part of an innovative program to bring highly qualified specialists to Ruleville a few days a month to provide top-quality specialized care closer to home. He was featured as part of CNN’s online magazine’s profile of our hospital back in 2017.

The program was so successful that Dr. Bass decided to follow in her father’s footsteps a little further. “Through him, I came up to North Sunflower, met the people, and loved them.”
 
Dr. Bass works monthly at the Sunflower Med Spa in Ruleville, providing a wide range of cosmetic surgical services, including Botox, Juvederm, hydrafacials, and others.
 
“More than anything, it’s having her expertise available to us right here in Ruleville,” said Alice Pyles, director of Sunflower Med Spa here at NSMC. “In the Delta, we don’t have a plastic surgeon. So having her come once a month is a huge plus. She has done complex excision with reconstruction on cancerous lesions here at NSMC, which saves a trip to Jackson. This is a big help for our patients.”

“Plastic surgery appeals to the problem-solving part of my brain,” Dr. Bass said. “Using those principles and knowledge of anatomy allows me to find a solution.”
 
“She’s very sweet and very nice, “Alice told us. “She is a very caring surgeon. She listens to her patients very well and provides them with some options. She is very good at finding out from her patients what they are looking for and providing with the best options.”
 
“People want to feel good about themselves as they age,” Dr. Bass said. “When you feel like you are the best version of yourself, it gives you more opportunities because you feel good in your own skin.”
 
If you want to meet with Dr. Bass, contact the Sunflower Med Spa at (662) 756-4000 to make an appointment.

This Friday, Sept 23 & Saturday, Sept 24

Last year our friend Robyn Marlow wrote this about the Great Ruleville roast:

“There are a lot of things that make Ruleville special. We love the special feeling you get when you walk up to people you know downtown. We take pride in neighbor helping neighbor and rallying around friends in good times and bad. We love that feeling when the hot summer gives way to crisp, cooler fall.
 
All of these things make Ruleville special to us. But what makes Ruleville truly one of a kind is our annual fall festival – The Great Ruleville Roast. Just like our town, The Great Ruleville Roast that started in 2005 keeps growing every year.“

The Great Ruleville Roast 2022

This year’s Great Ruleville Roast 2022 will begin Friday, Sept 23 at 6 pm in downtown Rule Park with the MBN-sanctioned Barbecue Competition, followed at 6:30 pm by a free concert with Lovin’ Ledbetter. The firework show starts at 9:45 pm.

The Festival will continue Saturday, Sept 24, in downtown Rule Park beginning at 9 am with Championship smokers, basters, tasters, and everyday eaters being serenaded by the live entertainment throughout the day, starting again this year with Boundless Love Gospel Group from 9 am – 10 am. Joe Garcia will perform at 10:00 am, followed by Blaze Elite Tumble and Cheer at 10:30 am. The Bayou Band plays at 11:00 am, and last but not least, Mississippi Marshall plays at 2 pm. Saturday will also feature MBN BBQ Competitions and the World Junior BBQ League Competition. We will have arts, crafts, food vendors, and more filling up the park for a family fun day. Come ready for a full day of entertainment.

The Great Ruleville Roast 2022 is the 2nd step for those entering the Delta BBQ Battle. MBN Championship and Patio Division BBQ awards will be handed out around 5 pm Saturday. We hope families from across the delta will join us to celebrate the town we proudly call home. We are “Ruleville & Proud”.
For details, visit our Facebook page, “The Great Ruleville Roast” www.facebook.com/thegreatrulevilleroast, call (662) 719-6655 or email rulevillechamber@gmail.com.

Great Ruleville Roast 2022 Sponsors

Event Sponsors

Planters Bank & Trust Company – North Sunflower Medical Center – Two Brooks Farm — RCI Delta — Cleveland Trophy & Awards – Southern Bancorp – Whitfield Media — Delta Radio Network

Platinum Sponsors

Cannon Ford Lincoln, LLC – Coopwood Communications – Enterprise Tocsin – Haire Drug Center – Mad Cow Cutlery – Mexico Grill Ruleville – Mosquito Mist Control – Scott Petroleum – The Pharm

Gold Sponsors

Advance Physical Therapy – Arant Acres – AsurePrint – Carver Brothers Partnership – City of Ruleville – Cleveland Rent All Outdoors – Delta Staffing – J&J Refrigeration – Katherine Carver – Mississippi Police Supply & Sales LLC – Sonny’s, Inc. – Taylor’s Air Conditioning & Heating, Inc

Silver Sponsors

Andrews Dental Clinic – Barfield, Salley & Associates, PLLC – Becky Tollison – Bill’s Body Shop, Inc. – Bill’s Tire & Alignment, LLC – Brandon Cummins/Ruleville Farm Bureau – Brooks Rizzo, FNP-BC – Chandler Planting – Cleveland Funeral Hime – Delta Thunder Motorsports Delta Sky – Denton’s Dairy Products, Inc. – Fleming Lumber Co., Inc. – Garland Moody Painting – Henly & Sons Motors, LLC – Horizon Ag, LLC – Lamar Outdoor Advertising – Lampard’s Wholesale Meats, Inc. – Lovett Auto & Tractor Parts – Mike Myers, Constable – Moody’s Plumbing – Robinson Electric – Race Addict – Ray’s Funeral Home – Ruleville Cash & Pay – Ruleville Manufacturing Co. Inc. – Sassy Jones Sauce & Spice Co. – Sullivan’s Grocery – Sunflower County Board of Supervisors – Sunflower Med Spa – Sunflower Diagnostic Clinic – Superior Heat & Air – The Imagine Specialist – Total Lawn Services – Townsend, McWilliams & Holladay, LLP – Victoria’s – Williams & Lord Funeral Home – Woodard Eubanks & Sons, LLP.

A certified pediatric nurse practitioner at the Sunflower Rural Health Clinic Pediatrics, Ms. Summers had a lot of patients in the run-up to school starting last week. “Lots of kids were getting wellness checks before school starts,” she told us. “We had lots of 4-year-olds and seventh graders getting shots and vaccinations that are required here in Mississippi.” 
 
Back to school is a good time to have young patients come in for their annual wellness checks. “It’s important to schedule a wellness check once per year, either at back to school or around their birthday,” Ms. Summers said. “That makes it easy for busy parents to remember. At least once a year, we like to see that they are developing and growing bigger and stronger as they should.”

The steady rush of young patients has trailed off this week now that schools in the Delta are back in session after the summer break. But Ms. Summers expects those numbers to tick up again “once they get back spreading germs with all their friends.” She said the last couple of years taught us the importance of washing hands and using hand sanitizers, especially before eating. “Taking Germ-X to school and washing up before eating will decrease their risk of spreading germs and getting sick,” she pointed out.

And if our kids are feeling sick, they must stay home, especially if they have a fever of over 100.4 degrees. “A fever could be a sign of a number of things, from COVID to strep throat, but it is a clear indicator of general infection,” Ms. Summers said. “They need to stay home or come see us until they feel better.”

Ms. Summers is originally from Birmingham, Alabama, and moved to the Delta to be closer to her husband’s family. Dr. Lisa Huddleston, a Sunflower Rural Health Clinic pediatrician, told us, “Katie is the sweetest.  She is very knowledgeable about pediatrics and really cares about her patients and their families.  She has worked at other children’s hospitals and has a lot of experience caring for children in our area.”

Ms. Summers also told us about the importance of getting kids back in their routines as soon as school resumes. “We stress the need to get at least eight hours of sleep to allow their brain to fully function,” she said. “This whole past week, we have been encouraging parents to set a good bedtime and get their kids back on track with their routines. Bedtime and breakfast are important, even if it’s just a small thing to eat to get the day started.”

If a member of your family has been trading germs with friends or just needs their back-to-school wellness check, you can reach Sunflower Rural Health Clinic Pediatrics by calling the referral line at (662) 756-1788. 

May is always one of our favorite but busy months around North Sunflower Medical Center. The North Sunflower Medical Foundation is excited to be gearing up for our 14^th annual Birdies & Backhands. This May 26 event is a crowd-pleaser that allows the community to get together and celebrate this popular fundraiser for the North Sunflower Medical Foundation.

“We try to make it fun for everyone, not just golf and tennis players,” says Stacy Davis, associate executive director of the Foundation. “The foundation’s work is serious business, but this is an event where we like to get out and have a good time — especially when it is for a great cause.”

Cleveland Country Club will be the headquarters for golfers and tennis players showcasing their skills and supporting the Foundation.

“Having the event at the Cleveland Country Club allows us to bring together the surrounding communities. In addition, it allows us the opportunity to let others know about all the amazing things going on in Ruleville and at North Sunflower Medical Center.   The profits from this fundraiser allow NSMF to continue to support the many needs of our community and hospital,” Davis says.

The combined day of golfing and tennis started in 2008 as the primary fundraising event for the Foundation. Birdies & Backhands continues to be one of the “must-play” tournaments for golf and tennis enthusiasts alike. It is a one-day event that benefits the North Sunflower Medical Foundation and its support of the North Sunflower Medical Center; however, it would not be possible without the generous support from our sponsors. Many local businesses and NSMC supporters join together to sponsor this important fundraiser.
 
Last year’s event was a huge success. Davis says keeping up the event’s previous successes is always a challenge. “Every year, it feels like this event gets bigger. And that keeps us motivated to make the event have the same special family and friends appeal that it had when we started almost 14 years ago.”
 
The cost is $100 per player for the 18-hole scramble or $400 for a four-person team. Registration is at 11:30 on the day of the event; the shotgun start is at 1 p.m. Lunch, and snacks are provided.
 
The entry fee for the ladies’ day mixer tennis tournament is $40 per person. Registration is at 3:00 p.m. on May 26, and the first round is at 4 p.m.

Davis says this event would not happen if not for a dedicated group of volunteers. “So many people dedicate their time to allow our Foundation to do the incredible work we do. Without their help, this event would never have been all it has become. Volunteers make up our Foundation – men and women who believe in our community and are willing to spend the time to help make it a little better,” she says.
   
“The mission of the Foundation is to help fund the innovative work our health care heroes do to make North Sunflower Medical Center thrive. Donating to the Foundation returns an investment to the North Sunflower Medical Center, but more important than that, it is a return of investment to you,” Davis says. “Each new piece of equipment the Foundation can help provide, each new class the Foundation’s work allows our employees to take, each new upgrade the Foundation’s efforts allow – it all translates to advancement in the care North Sunflower Medical Center can provide.”
 
For registration forms, go to North Sunflower Medical Foundation’s Facebook page. For event information, contact Davis at (662) 719-4147.

With the ball dropping on New Year’s Eve, 2021 is officially in the books. And in years to come, we will remember these past 12 months for many things. It was a year where we went from hiding from each other to avoid the virus to finally having the tools to fight back against it.
 
Here at North Sunflower Medical Center, we look fondly back at how our community has come together to look after one another during difficult times. We also celebrated shared experiences that make Ruleville a unique part of who we are.

2021 Honors

Any look back on 2021 has to include the honor bestowed on our happy little medical center back in March by Mississippi Blood Services. NSMC was named one of the “Top 10 Best for 2020 – Outstanding Service during the COVID Pandemic.” As we said at the time, we have always known Zaqua Danielle Ervin was the best dang lab director around. Were just glad the rest of the state is finding out about her team’s excellent work.

Our Sleep Center was proud to make our state-of-the-art sleep center the full-time home of pulmonologist Dr. Aman Munir. As the leader of NSMC’s expanded pulmonary practice, he continues to bring much-needed quality care to our region. 
 
“Patients don’t have to go far to get treatment now. We are here at their doorstep providing quality care,” Dr. Munir says. That is what North Sunflower Medical Center has always been about.

National Home Care Month

November was National Home Care Month. That allowed us to celebrate the innovative work that Hope Clark at Hospice of North Sunflower and Rodger McClain at Sunflower Medical Equipment provide to our patients’ homes across the Delta. After decades of saying “Take me to Ruleville,” the passion and compassion they bring to their jobs are a large part of how we are now able to bring Ruleville to you.
 
We were also able to celebrate North Sunflower Medical Foundation Board Members’ contributions to our community. North Sunflower Medical Foundation is a large part of what makes this hospital one of the best in Mississippi.
 
And last but not least, 2021 provided us all with the opportunity to gather again and return to some of our favorite local events. That includes North Sunflower Medical Foundations’ fundraiser – Birdies and Backhands, and Ruleville Chamber of Commerce’s festival – The Great Ruleville Roast.

No one is quite sure what surprises 2022 has in store for us. We see a year ahead of promise and perspective. We hope it will give us more and more opportunities to be together as a community and make a brighter future for us all.
 
God bless us all, and have a happy New Year!

This is the third in a series of profiles about the people who are helping make our community better by serving as members of the North Sunflower Medical Foundation’s Board of Directors.

During the holidays, Elise Jenkins is thankful that Ruleville has a small-town hospital with big-city amenities.

“It’s important for people to know what an amazing resource they have here. For such a small rural area, North Sunflower Medical Center has a wide berth of services,” Elise says. “We have things you’d find in a large metropolitan area. And we have it right here without having to travel for miles.”

She is celebrating the success of the North Sunflower Medical Center by finding ways for the North Sunflower Medical Foundation to give back to hospital staff, like holiday gift cards and events.

Elise is a bit of an expert on this. She’s a founding member of the North Sunflower Medical Foundation, which helps the nonprofit hospital raise money for equipment, educational grants, and programs.

“Billy Marlow came to me. He was looking for something to ensure the long-term success of North Sunflower Medical Center. He had me at go.” Elise says. “Billy had a vision that had not been seen here – in putting together people and resources. He was pivotal in seeing that we turned it into the amazing place it is. Our hospital had been through some trying times. We didn’t ever want to see that happen again,” she says.

And the foundation is fortunate to have Elise’s leadership. She retired after a 28-year teaching career at Delta State University. The skills that she used in higher education are now used as she leads the foundation’s main yearly fundraiser, the Birdies and Backhands golf and tennis tournament, and other events.

“I’m deeply rooted in voluntarism. To have a strong viable community, you need community effort and participation,”
Elise tells us.

Elise has seen the benefits of the hospital’s services, through care for her late mother, her husband, and herself. Elise and her husband, Butch, have taken advantage of the wellness center, which she says is a gamechanger for the region.
 
“People look at a hospital and think you only need it when you are sick,” she says. “We were just thrilled when the Beacon Wellness Center was built. It’s an asset. We’re seeing people living longer. There’s so much proof that even in the workplace encouraging wellness saves businesses money.”
 
When Elise is not donating her time in the community, you’ll find her helping Butch at Mississippi Police Supply Company. Her husband of 24 years, Butch is a lifelong Ruleville resident, and Elise also grew up in the Delta.

You may also know her as a celebrity expert in barbecue. She serves on the Memphis Barbecue Network Board of Directors and has been involved in BBQ competitions for several decades.

She says Ruleville is fortunate to have a caring team at all levels at North Sunflower Medical Center. Many employees of the hospital are also donors to the foundation – because they see the benefits of equipment and educational grants for training for staff, Elise says.  “The Foundation is very attentive to making sure we are investing money properly. We are good stewards of every dime donated,’’ she says.

She hopes you consider supporting that work as we head into 2022.

If you are interested in learning more about the North Sunflower Medical Foundation or to make a contribution, contact Stacy Davis at stacy.davis@nsmedicalfoundation.org or call (662) 756-4129.