Chapter 3_Prescription and prescription handling.pptxVinayGaikwad14
Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
dispensed medications (Main label, ancillary label, pictograms), brief instructions on medication
usage, Dispensing process, Good Dispensing Practices, dispensing errors and strategies to minimize
them.
Prescription types, parts of prescription, handling and care required during dispensing prescription, sources of error in prescription & calculations involved in dispensing prescription-Imperial System & Metric System.
Chapter 3_Prescription and prescription handling.pptxVinayGaikwad14
Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
dispensed medications (Main label, ancillary label, pictograms), brief instructions on medication
usage, Dispensing process, Good Dispensing Practices, dispensing errors and strategies to minimize
them.
Prescription types, parts of prescription, handling and care required during dispensing prescription, sources of error in prescription & calculations involved in dispensing prescription-Imperial System & Metric System.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
The Role of Pharmacist in Patient SafetyArwa M. Amin
Module: Pharmacy Professional Skills
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
A community pharmacy, often referred to as retail pharmacy or retail drug outlets, is places where medicines are stored and dispensed, supplied or sold
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
Community pharmacy-Definition ,scope and Roles and responsibilities of commun...MerrinJoseph1
Second Pharm D , Community Pharmacy -first chapter,definition of community pharmacy,its scope and the roles and responsibilities of community pharmacist in health care of common people,Dr.Merrin Joseph,Department of pharmacy practice
It covered all topics from syllabus of prescription chapter
of pharmaceutics-2,
It's become helpfull for diploma students, took all topics from R.M.Mehta pharmaceutics-2, 3rd edition-2010, vallabh prakashan.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
The Role of Pharmacist in Patient SafetyArwa M. Amin
Module: Pharmacy Professional Skills
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
A community pharmacy, often referred to as retail pharmacy or retail drug outlets, is places where medicines are stored and dispensed, supplied or sold
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
Community pharmacy-Definition ,scope and Roles and responsibilities of commun...MerrinJoseph1
Second Pharm D , Community Pharmacy -first chapter,definition of community pharmacy,its scope and the roles and responsibilities of community pharmacist in health care of common people,Dr.Merrin Joseph,Department of pharmacy practice
It covered all topics from syllabus of prescription chapter
of pharmaceutics-2,
It's become helpfull for diploma students, took all topics from R.M.Mehta pharmaceutics-2, 3rd edition-2010, vallabh prakashan.
Prescription | Parts of Prescription | Handling of PrescriptionSHIVANEE VYAS
A prescription is an order written by a physician, dentist, or veterinarian to a pharmacist to compound and dispense a specific medication for the patient.
SOURCES OF ERROR IN PRESCRIPTION
1. Abbreviation
2. Name of the drug
3. Strength of the preparation
4. Dosage form of the drug prescribed
5. Dose
6. Instructions for the patient
7. Incompatibilities
1. ABBREVIATION
Abbreviation presents a problem in understanding parts of
prescription order.
Extreme care should be taken by a pharmacist in interpreting the
abbreviation.
Pharmacist should not guess at the meaning of an ambiguous
abbreviation.
E.g: Dispense Achromycin for “Achro” may cause difficulty when a
intention of the prescriber is to dispense Achrostatin.
2. NAME OF THE DRUG
There are certain drugs whose name look or sound like those of
other drugs.
E.g: Digitoxin Digoxin
Prednisone Prednisolone
3. STRENGTH OF THE PREPARATION
The strength of preparation should be stated by prescriber.
It is essential when various strengths of a product are available in
the market.
E.g: It will be a wrong decision on the part of pharmacist to
dispense paracetamol tablet 500 mg when prescription for
paracetamol tablet is received with no specific strength.
4. DOSAGE FORM OF THE DRUG PRESCRIBED
Many medicines are available in more than one dosage form.
E.g: Liquid, Tablet, Capsule and Suppository.
The pharmaceutical form of the product should be written on the
prescription in order to avoid ambiguity.
5. DOSE
Unusually high or low doses should be discussed with the
prescriber.
Paediatric dosage may present a problem. So pharmacist should
consult paediatric posology to avoid any error.
Sometimes a reasonable dose is administered too frequently.
E.g: A prescription for sustained release formulation to be
administered after every 4 hours should thoroughly check
because such dosage forms are usually administered only two or
three times a day.
6. INSTRUCTIONS FOR THE PATIENT
The instructions for the patient which are given in the
prescription are incomplete or omitted.
The quantity of the drug to be taken, the frequently and timing of
administration and route of administration should clearly give in
the prescription so as to avoid confusion.
7. INCOMPATIBILITIES
It is essential to check that there are no pharmaceutical or
therapeutic incompatibilities in a prescribed preparation and
that different medicines prescribed for the same patient do not
interact with each other to produce any harm to the patient.
Certain antibiotics should not be given with meals since it
significantly decrease the absorption of the drug.
Basic principles of compounding and dispensing (Prescription) MANIKImran Nur Manik
Weight, measure and units calculation for compounding and dispensing. Fundamental operation in compounding. Good pharmaceutical practices in compounding and dispensing. Containers and closures for dispensed products. Responding to prescription, labeling of dispensed medications.
This ppt is useful for all pharmacy students specially for students who are in first year B.pharmacy. this will including all the important points with proper explanation. language is kept very much simple for easy understanding.
Lipid metabolism is the synthesis and degradation of lipids in cells.
It involves the breakdown or storage of fats for energy and the synthesis of structural and functional lipids, such as those involved in the construction of cell membranes.
In animals, these fats are obtained from food or synthesized by the liver.
All living cells require energy to carry out various cellular activities.
This energy is stored in organic molecules (e.g. carbohydrates, fats, proteins) that we eat as food.
These organic molecules are broken down into smaller units: proteins into amino acids, polysaccharides into simple sugars, and fats into fatty acids and glycerol by enzymatic reactions in cells to generate energy in the form of adenosine triphosphate (ATP).
The ATP generated by these pathways in cells is used to drive fundamental cellular processes.
Glucose is utilized as a source of energy, & stored as glycogen to release glucose as & when the need arises.
Vitamins are organic compounds that are essential for normal growth and nutrition and are required in small quantities, their deficiency causes diseases.
Biochemist Casimir Funk discovered vitamin B1 in 1912 in rice bran.
It cannot be synthesized in sufficient quantities by an organism and must be obtained from the diet.
Catalysts are something that speeds up the chemical reaction. Almost all biochemical reactions require catalysts.
Enzymes are biocatalysts. Biochemical catalysts speed up the biochemical reactions.
In presence of an enzyme, less energy is required for the reaction to take place.
A catalyst may be defined as a substance that increases the velocity or rate of chemical reactions without itself undergoing any change in the overall process.
Nuclei acid is a naturally occurring chemical compound containing phosphoric acid, sugars, and a mixture of organic bases (purines and pyrimidines).
The two main classes of nucleic acids are deoxyribonucleic acid (DNA) and ribonucleic acid (RNA).
DNA is the master blueprint for life and constitutes the genetic material in all free-living organisms and most viruses. DNA is the chemical basis of heredity and may be regarded as the reserve bank of genetic formation. DNA is exclusively responsible for maintaining the identity of different species of organisms over millions of years.
RNA is the genetic material of certain viruses, but it is also found in all living cells. The genes control protein synthesis through the mediation of RNA.
“These are the naturally Organic compounds, insoluble in water, soluble in organic solvents (alcohol, ether, etc.), which are potentially related to fatty acids & utilized by living cells."
Lipids are a heterogeneous group of compounds.
They are esters of fatty acids. Lipids occur widely in plants and animals. Lipids include fats, oils, waxes, and related compounds.
Lipids are a family of organic compounds, composed of fats and oils. These molecules yield high energy and are responsible for different functions within the human body.
Proteins are naturally occurring polymers made up of amino acids and linked together by peptide bonds.
Proteins are the most abundant organic molecules in the living system.
The term "protein" is derived from the Greek word proteios, meaning holding the first place.
These are nitrogenous organic compounds that have large molecules weight of one or more long chains of amino acids.
Proteins are made from 20 ɑ-amino acids. (chains of amino acids)
A single unit of amino acid is known as a monomer. When many monomers combine together, they form polymers.
Carbohydrates are polyhydroxy aldehydes, ketones, or compounds derived from their hydrolysis.
Carbohydrates are also known as sugars.
Carbohydrates have the general formula C(H2O)n, where n is the number of carbon atoms.
Carbohydrates are mainly composed of carbon, hydrogen, and oxygen.
The term “sugar” is applied to carbohydrates that are soluble in water and sweet to taste.
The term "biochemistry" originated from combining the words "bios," meaning life, and "chemistry."
Biochemistry is defined as the branch of science that deals with the study of chemical reactions that take place inside a living organism.
The word "biochemistry" was first introduced by a German chemist, Carl Neuberg, in 1903.
Introduction to Clinical Pharmacy Practice.pptxSHIVANEE VYAS
Clinical pharmacy is a branch of hospital pharmacy that deals with various aspects of patient care, including the dispensing of drugs and advising the patient on the safe and rational use of those drugs.
It is an electronic device that stores, retrieves, and processes data, and can be programmed with instructions. It can also perform several complex and complicated functions.
A computer is composed of hardware and software and can exist in a variety of sizes and configurations.
Solid unit dosage forms the drug is enclosed within the water-soluble shell or an envelope either a hard or soft shell. Shell is typically made of gelatin primarily intended for oral delivery and provides a rapid release of contents.
Generally, the shells are formed from gelatin.
COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time.
Normally, the airways and air sacs in the lungs are elastic or stretchy.
When we breathe in, the airways bring air to the air sacs.
The air sacs fill up with air, like a small balloons.
When we breathe out, the air sacs deflate, and the air goes out.
In COPD, less air flows in and out of airways because of one or more problems:
-The airways and air sacs in the lungs become less elastic
-The walls between many of the air sacs are destroyed
-The walls of the airways become inflamed
-The airways make more mucus than usual and can become clogged
Asthma is a chronic disease involving the airways in the lungs.
Asthma is a condition in which your airways narrow and swell and may produce extra mucus.
This can make breathing difficult and trigger coughing, a whistling sound (wheezing) when you breathe out, and shortness of breath.
Blood pressure is the force of the blood pushing against the walls of the arteries.
Each time our heart beats pumps blood into the arteries.
Blood pressure is highest when the heart beats, pumping the blood. This is called systolic pressure.
When our heart is at rest, between beats, our blood pressure falls. This is called diastolic pressure.
A blood pressure reading uses these two numbers. Usually, the systolic number comes before or above the diastolic number.
Congestive heart failure is a chronic progressive condition in which the heart cannot pump enough blood to meet the metabolic need of the body because of pathological changes in the myocardium.
Angina pectoris and myocardial infraction.pptxSHIVANEE VYAS
Angina may feel like pressure or squeezing in your chest. The pain also can occur in your shoulders, arms, neck, jaw, or back. Angina pain may even feel like indigestion.
Angina is chest pain or discomfort that occurs if an area of your heart muscle doesn't get enough oxygen rich blood.
A career in pharmacy is one of the best careers across the globe. Today Pharmacy is a part of healthcare services, and today this discipline has made enormous progress in community, production, and research.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Antimicrobial stewardship to prevent antimicrobial resistanceGovindRankawat1
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
3. 3
Prescription is an order written by a
physician, dentist, veterinarian to a pharmacist to
compound and dispense a specific medication for
the patient.
Important feature of prescription is it
contain directions for the patient to follow when
taking the drug and the directions for the
pharmacist about what type of dosage form to be
dispensed.
PRESCRIPTION
Definition
4. 4
Prescriber’s name license no.
(Professional degree)
Address
Office telephone numbers
Patient’s name Date
Address
Drug name and strength
Quantity
WARNING PRESCIBER’S
SIGNATURE
Prescriber's other
identification data
5. 5
PARTS OF A PRESCRIPTION:
1. Date
2. Name & age of the patient
3. Superscription
4. Inscription
5. Subscription
6. Signatura
7. Renewal instructions
8. Signature, address and registration number of
the prescriber
6. 6
1. Date - Date on the prescription helps the
pharmacist to know when the medicine ware last
dispensed. In the case of habit forming drug the date
prevents the misuses of the drug.
2. Name and age of the patient - By name of
the patient the prescription can be identified. Age of the
patient is especially required for child patients.
3. Superscription - It is represented by a Latin
symbol which means “take thou” or “you take”.
4. Inscription - This is the main part of the
prescription. It contain the name of the prescribed
medicaments.
7. 7
5. Subscription - In this part the prescriber gives
directions to the pharmacist regarding the dosage
form to be dispensed.
6. Signatura – It is usually written as “Sig”. In this
part the prescriber gives direction to the patients.
The instructions may include
• The quantity to be taken
• The route of administration
• The frequency and timing of the administration
• Other special instructions
8. 8
Sources of error in prescriptions
1. Abbreviation
2. Name of the drug
3. Strength of the preparation
4. Dosage form of the drug prescribed
5. Instructions to the patient
6. Incompatibilities
9. 9
1. Abbreviation
It is preferable to avoid this types of misleading
abbreviations .
E.g. ‘SSKI’ is the abbreviated term of ‘Saturated
Solution of Potassium Iodide’.
2. Name of the drugs
Names of some drugs (especially the brand names)
either sounds alike or looks alike (SALA). So any error in
the name of a drug will lead to major danger to the
patient.
E.g. Althrocin – Eltroxin , Acidin – Apidin etc
10. 3. Strength of the preparation
Drugs are available in the market in various strengths.
So a drug must not be dispensed if the strength is not
written in the prescription.
Ex. Paracetamol tablet 500mg should not be dispensed
when no strength is mentioned in the prescription.
Many drugs are available in more than one dosage
forms.
Ex. Liquid, tablets, injections or suppositories. The
dosage form intended for the patient must be mentioned
in the prescription.
11. 11
5. Instructions to the patient
Some times the instruction for a certain
preparation is either omitted or mentioned partially.
The quantity of the drug to be taken, the frequency
and timing of administration and route of
administration should be mentioned clearly.
6. Incompatibilities
It is essential to check that there is no pharmaceutical
or therapeutic incompatibilities in the prescription.
12. 12
If more than two medicines are prescribed then it is
the duty of the pharmacist to see whether their
interactions will produce any harm to the patient or
not.
Ex. Tetracycline should not be taken with milk or
antacid.