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ADHD in adults: what it’s like living with the condition – and why many still struggle to get diagnosed

Many of us think of ADHD (attention deficit hyperactivity disorder) as a childhood condition – which is typically when it’s diagnosed. But a growing number of people are sharing their experiences of being diagnosed with ADHD in adulthood. Social media has even played a role in this, with reports of people going to see their doctor after first learning about symptoms on TikTok. In fact, around 2.5% of adults are thought to live with ADHD – including us. Yet despite this growing awareness, many adults continue to struggle to get a diagnosis. ADHD is a genetic neurodevelopmental disorder, in which the brain grows differently, lacking action from specific chemicals involved in pleasure and reward. This means ADHD brains often search for ways to stimulate these chemicals, which is why people can experience inattentiveness, hyperactivity and impulsivity. Common traits of ADHD include: Not following through on longer tasks (or not starting them) Getting distracted by other tasks or thoughts Seeking out risk or activities that provide immediate reward Restlessness (either outwardly or internally) Interrupting other people (without wanting to) Symptoms are similar for both adults and children, although elements of them differ or change as we age. For example, inattention is the most persistent symptom in adults. ADHD can be debilitating and is associated with higher likelihood of lower quality of life, substance use issues, unemployment, accidental injuries, suicide and premature death. In addition, ADHD can cost adults around £18,000 per year because of things like medical care or paying for social support. It’s also commonly associated with a wide range of co-existing conditions in adults. For example, depression is almost three times more prevalent in adults with ADHD. And nearly half of all adults with ADHD also have bipolar spectrum disorder. Around 70% of adults with ADHD also experience emotional dysregulation, which can make it more difficult to control emotional responses. It’s also thought that almost all adults with ADHD have rejection sensitive dysphoria, a condition where perceived rejection or criticism can cause extreme emotional sensitivity or pain. On top of this, adults with ADHD may have poor working memory – such as being unable to remember a simple shopping list – and “time blindness” (the inability to perceive time). Some may also have oppositional defiant disorder, which means they often react poorly to perceived orders or rules. While none of these co-existing conditions are used to diagnose ADHD, they can make ADHD feel all the more difficult to live with. Being diagnosed Getting an ADHD diagnosis as an adult in the UK is notoriously difficult – with reports of some people waiting up to five years. Waiting for a diagnosis is common for adults with ADHD. Roman Kosolapov/ Shutterstock This is because you can only be diagnosed by a specialist psychiatrist. But even with a referral to a specialist, a person has to show clear evidence of almost all ADHD traits, having had these traits since childhood, and that they’re having a serious affect on their life – such as causing issues with work, education, or maintaining relationships. For us, our experiences of being diagnosed with ADHD aren’t all that different from what other adults have gone through. Like many people I (Alex) was only diagnosed with ADHD “by accident” after being referred to an NHS psychiatrist to get help with (what I now know to be) alcohol self-medication. Because of my ADHD, my brain demands quite extreme inputs most of the time. Ironically, I’ve published scientific papers on ADHD and – probably due to a classic ADHD lack of self-awareness – it didn’t cross my mind that I could have it. The “label” has since helped me move away from feeling broken toward an understanding of my behaviour. My main challenges remain prioritising tasks based on importance (instead of excitement) and quite extreme anti-authority behaviour (sometimes called oppositional defiance). I am also a terrible spectator, struggling to attend conference talks or sit still at the theatre – it can feel like physical pain. On the other hand, I (James) was diagnosed pretty quickly because I used a private clinic – though there was still a long wait for medication. Yet I’d known for five years before this that I probably had ADHD, but coped with it well until the pandemic. The added pressure of isolation and increased workload impacted my mental health, so I sought a diagnosis. Now diagnosed and medicated, life is getting easier to cope with – although there are still many challenges every day. I frequently get anxiety about the silliest things, like talking to a friend, but appearing on television is fine. On a daily basis I forget many simple things, such as where I left my keys, or that I am running a bath. I struggle immensely with controlling my emotions and with rejection especially. For example, when no one responded to a joke I made about my ADHD on a senior management messaging group I was tempted to quit my job. I am utterly unable to pay full attention in meetings or seminars and cannot control my impulse purchasing. While there’s a growing recognition of ADHD in adults, many people still live with it undiagnosed for any number of reasons – sometimes even because they’re unaware that what they experience is actually different from other people. Understanding the condition in adults, taking it more seriously as a disorder, raising awareness of it, and investing in services to improve diagnosis times are key. Diagnosis opens the door to treatment, which can have a marked impact on living with the disorder – such as improving self-esteem, productivity and quality of life. This article was co-written by Dr James Brown (Aston University) and Dr Alex Connor (University of Birmingham)

4 min. read

Aston University credit rating expert wins prestigious Fulbright scholarship

Aston Law School’s Dr Daniel Cash is the first member of the University to be awarded a Fulbright scholarship since Donald Biggs in 1974. The Fulbright Program is one of the largest and most prestigious educational exchange programs ever developed It has awarded over 8000 fellowships to students and scholars since its creation in 1946 by Senator J. William Fulbright An Aston University credit rating expert has been awarded a prestigious 12-month scholarship as part of the Fulbright Program in the United States of America. Dr Daniel Cash is the first member of Aston Law School to win one and is the first University staff member to enrol since Donald Biggs in 1974. He will start at New York University’s Stern Business School in April. Whilst there, he will be developing a sector-leading edited collection, bringing together the leading figures in credit rating research. He will also be creating articles on developments within the credit rating sector, and particularly the effect of credit rating agencies on the sovereign debt of the world’s poorest countries. Dr Cash said: “This is the accumulation of more than a decade’s worth of dreaming. I first visited New York in 2007 to try to gain some inspiration after a tough time in my life and ever since then have focused solely on moving over there. “I contacted a professor at NYU during my Masters in 2011 and have kept in touch with him since, even having Visiting Fellowships under him since being at Aston University. This Scholarship is the prize for all of that.” The Fulbright Program is one of the largest and most prestigious educational exchange programs ever developed. It has awarded over 8000 fellowships to students and scholars. Amongst its alumni counts are 39 Heads of State, 60 Nobel Prize Laureates, 75 MacArthur Foundation Fellows and 88 Pulitzer Prize Recipients. Professor George Feiger, executive dean of the College of Business and Social Sciences, who was himself a Fulbright Scholar at Harvard University, said: “The Fulbright Program is highly selective and exclusive and being awarded a scholarship through it is a phenomenal accomplishment for Daniel. It is a flagship initiative that is highly regarded globally and is a just reward for all of his hard work here at Aston University.”

2 min. read

Aston University cybersecurity experts hold key to vaccine passport rollout

Vaccine passports are certificates to establish proof of vaccination linked to the identity of the holder Renowned expert, Koji Fusa, visiting professor at the Cyber Security Innovation Research Centre (CSI), on the project to develop a global database for citizens to use in real-time. The CSI Centre at Aston University say creating a clear framework of rules for digital identities is achievable Leading cybersecurity industry expert, Koji Fusa, has made progress towards developing a framework for the world’s citizens to store their digital identities and access them in real-time. Koji is a Visiting Professor at the Cyber Security Innovation Research Centre (CSI) at Aston University. The idea would see a platform that has the capability to distribute over 200 individual keys to each of the world’s eight billion people. Each key could be assigned to personal information such as vaccine passports. It will work by vaccine administrators sending the vaccination details of each individual to a dedicated server. That server will issue a QR code which will be passed to the vaccinated person as the digital key for access. The passport holder will keep the QR code which enables access to the server to check their own record at any time. The framework would segment private data in a separate database, which can only be accessed with the individual key along with fingerprint, face and voice recognition technology, making it extremely hard for cyber attackers and scammers to hack. Koji Fusa, a visiting professor at the CSI Centre, said: “The current EU Green Pass initiative and World Health Organisation's initiative have struggled to find the solution for private data protection and counterfeit prevention. This proposed system would solve these two challenges. We have a solution that is secure, something that others have failed to achieve so far. “By having a cloud security server which gives unique reference numbers to all devices, technology issues pointed out by The Royal Society* have been solved. “This will be a huge step forwards for digital identification globally. Not only for vaccine passports, but for people’s personal information too. The framework would make everyday life more secure and simpler. Professor Vladlena Benson, an industry-recognised expert in cybersecurity risk management and director of CSI Centre at Aston Business School, said: “I am delighted to be working on this project with Koji Fusa. With his experience, I’m confident this could become the first such system where the authenticity of the vaccine certification instantly can be checked globally, something that can’t be done currently. "This work is aligned to the trusted identities framework proposed by the UK Government and addresses the issues of data sovereignty and individual information privacy."

Vladlena Benson
2 min. read

Aston University experts discuss 'psychology of penalties' for EURO 2020 podcast series

"I know from my research that when a penalty is taken is key, but there are so many other factors at play... However, the data suggests we can predict the outcome - especially if there's a miss at a crucial time" Dr Shehzad Naroo, Aston University

1 min. read

Is Herschel Walker game-ready for the gridiron of Georgia politics?

He once dominated the NFL and is still considered the greatest college running back of all time. But Herschel Walker is now suiting up for a different game and as the original GOAT gets ready to enter the political arena, Joshua Kennedy, Ph.D., an associate professor of political science at Georgia Southern University, is being contacted by media for what he thinks the former superstar needs to do to get across the electoral goal line. In a recent interview with WJCL, Kennedy said, "When it comes to a potential candidate like Herschel Walker who has the celebrity factor in the state of Georgia, who helped bring UGA their national title in 1980, who won the Heisman trophy, is still very well-beloved by the people of Georgia, it could make for an interesting race." At this point, Kennedy believes Warnock would be more likely to win the race. "I think Sen. Warnock has an engaged base and if I were prognosticating at this point, I would say he is a little likelier than not to win," he said. However, Kennedy believes the former president's endorsement of Walker would help the Georgia Bulldog secure a significant number of votes. "The fact that he has the endorsement and support of the former president would carry a lot of weight with Republican voters in the state," he said. In order for someone like Walker to win, Kennedy said he would have to appeal to both the Republican base and independents. "I think that Walker needs to energize the base first and foremost, then focus on finding particular issues that speak to the concerns of Georgians including those non-affiliated voters who could be gettable for a Republican," Kennedy said. He would also need to instill a sense of reliance and competence in Georgians. "Voters want politicians who are oriented towards solving problems," Kennedy said. "He’s going to have demonstrate that he is able to do that, that he has that level of competence, which will be difficult considering he has not been in political office before. That will give Raphael Warnock a bit of that incumbent advantage by virtue of being in office, he can point to things he's worked on that Herschel Walker can’t." Kennedy said if Walker were to win, it would make it difficult for Democrats to maintain control of the senate. June 30 – ABC News If you are a reporter looking to cover this subject – then let our experts help. Contact Georgia Southern Director of Communications Jennifer Wise at jwise@georgiasouthern.edu for an interview with Joshua Kennedy.

2 min. read

Psychological trauma expert Laura C. Wilson shares insight on Colorado shooting with The Washington Post

A veteran police officer and a bystander were gunned down in a Denver suburb earlier this week in what authorities are saying was a targeted attack by someone who “expressed hatred” for police. A 19-year veteran of the force, Gordon Beesly was allegedly killed because he was simply wearing a uniform and a badge. The tragic fatality is getting massive coverage and UMW’s Laura C. Wilson was interviewed by The Washington Post to provide her expert perspective on the impact this incident will have on survivors. Laura C. Wilson, an associate professor of psychology at the University of Mary Washington in Virginia, said that years ago she might have thought about each mass shooting or shooting in a public place as having unique characteristics that affect survivors. But she now considers the trauma of multiple events. “When we start to see a lot of these events happening in a small community or within the country, we start to have these compounding impacts,” she said. “People now have more evidence that the world is unpredictable, more evidence that regardless of what I do I can’t keep myself safe.” But Wilson stressed that the effects of trauma are unique to every individual, every survivor. There will be extensive coverage of this killing and if you are a reporter looking to cover the issues survivors of mass shooting events will experience, then let us help. Dr. Laura C. Wilson is a clinical psychologist whose expertise focuses on post-trauma functioning, particularly in survivors of sexual violence or mass trauma (e.g., terrorism, mass shootings, combat). Her research interests extend to predictors of violence and aggression, including psychophysiological and personality factors, as well as indicators of PTSD following mass trauma, long-term functioning among first responders, outcomes among survivors of sexual violence and the influence of media on mental illness stigma. Dr. Wilson is available to speak with media, simply click on her icon to arrange an interview today.

Laura Wilson
2 min. read

UK inflation rate jumps to 2.1%: University of Warwick experts comment

The Office of National Statistics reports that the inflation rate in the UK has risen to 2.1%, passing the Bank of England target of 2%. Professor Abhinay Muthoo of the University of Warwick Department of Economics and Professor Nigel Driffield of Warwick Business School comment here on what factors could have caused this jump. Professor Abhinay Muthoo of the Department of Economics at the University of Warwick said: "Figures released by the UK’s Office for National Statistics (ONS) show UK inflation has jumped to 2.1% in the year to May. This means inflation is now above the Bank of England target of 2%. There is concern amongst some economists that inflation will rise further, and more importantly, that these higher levels of inflation are permanent. Hence, for example a call by some that the Bank of England should quickly raise interest rates. "I believe this higher than target inflation is very likely to be temporary. This current increase is driven by a few factors. One being a sudden and sharp increase in consumer spending as consumers are rushing to spend their savings from the past year of lockdown, and supply cannot, at the moment, keep up with that strong demand. I expect inflation to return to under Bank of England’s 2% target by around early next year." Professor Nigel Driffield of Warwick Business School said: “Supply of various goods and services is or has been constrained by Covid, and while many people have suffered financially because of Covid there is also a high level of pent up demand. This pertains not only to goods and services made here, but also imported. So for a while we are going to see pressure on inflation as the economy opens up.”

2 min. read

New Access to Health Care Comes to Kingswood Community Center: ChristianaCare Virtual Health at The Coker Family Resource Center

A new model of health care is coming to Wilmington’s Riverside neighborhood and the Kingswood Community Center. ChristianaCare Virtual Health is now available at The Coker Family Resource Center, inside Kingswood Community Center. It offers convenient, personalized, always-accessible care that makes it easier for people to connect with the care they need and stay well. “This is an entirely new model of health care powered by data and technology to make it easier for people to access care when they need it, and one that fosters strong relationships between patients and their care team,” said Janice E. Nevin, M.D., MPH, president and CEO of ChristianaCare. “In our commitment to make a positive impact on health for everyone in the communities we serve, we’re excited to bring this leading-edge model of care to our neighbors at Riverside. We’re grateful for the partnership of The WRK Group and Kingswood Community Center in this collaborative effort that will support the health and wellbeing of the people in this community.” At The Coker Family Resource Center, patients can connect to ChristianaCare Virtual Health for a virtual appointment with a primary care provider or a member of their care team and also receive access to medical services such as vaccines, blood pressure checks and in-person exams. But care doesn’t have to happen at Kingswood Community Center. Patients can have a virtual visit with their care team anytime and from anywhere they have access to the internet with a smartphone, tablet or laptop with a camera. “Throughout the pandemic, many people have learned the convenience of having a video visit with their doctor instead of coming in for an in-person appointment. At ChristianaCare, we’ve actually been developing this kind of care since the launch of our Virtual Primary Care practice for ChristianaCare caregivers in 2018, in addition to our CareVio data-powered care management platform,” said Sharon Anderson, RN, MS, FACHE, chief virtual health officer at ChristianaCare. “What we’re able to provide today is not just video visits, but an entirely new kind of care that’s always on—it enables patients to interact with their care team when they need support through video visits, secure text messages and other ways that provide care in ways that fit into each person’s lifestyle.” Sharon Anderson, RN, MS, FACHE, chief virtual health officer at ChristianaCare In addition to the on-site medical services provided at the Kingswood location, patients can also receive in-person help with the technology so that they can become comfortable with this new model of care, and ask questions or get help when they need it. Kingswood Community Center, a member of The WRK Group (The Warehouse, REACH Riverside, and Kingswood Community Center), has been a pillar of the Riverside community for 75 years and is located at 2300 Bowers St, Wilmington, DE 19802. In-person appointments are available every Tuesday and Thursday from 12:30 – 2:30 (times may vary). Information and appointments are available by calling 302-428-2400. Establishing easily accessible health care within the Riverside neighborhood marks a long-time goal of The WRK Group. “We are incredibly thankful for this partnership with ChristianaCare Virtual Health as they become the first primary care service provider that exists within Riverside,” said Logan S. Herring, Sr., CEO of The WRK Group. “ChristianaCare has created a nimble solution for our neighbors that includes valuable in-person services and care as well as virtual appointments. Creating this physical and virtual space is an achievement for our community and one in a series of initiatives The WRK Group plans to bring to the local area.” The WRK’s Group managing partner, REACH Riverside, is currently overseeing a $250M holistic revitalization project which includes building a new and improved community center, developing a mixed income housing community, and investing in physical capital to create a thriving and vibrant neighborhood. Introducing the Coker Family Resource Center The Coker Family Resource Center is a new addition to the Kingswood Community Center, made possible by the generous donation of the Coker family, a pillar in the Riverside and Wilmington community. From matriarch and civil rights leader Beatrice “Bebe” Coker and her activism efforts to daughters Dr. Joan Coker, Laurie Coker Reid, and Julie Coker's collective philanthropic and community work, the Coker family embodies the values of Kingswood Community Center and The WRK Group’s collective mission to empower the community to reach its full potential. “Thank you to the entire Coker family, who have dedicated themselves to bettering our community for decades, as well as for providing the needed funding to create the physical space that ChristianaCare Virtual Health inhabits,” Herring continued. “The Coker family has once again demonstrated the value of believing and investing in their community. As we look to the future and continue to dream big about the new Kingswood Community Center, I am excited by the prospect of what this space will evolve into and what additional services we can offer our community.” For more information about ChristianaCare Virtual Care at Kingswood Community Center, click here. About ChristianaCare Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a freestanding emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. It also includes the pioneering Gene Editing Institute. ChristianaCare is nationally recognized as a great place to work, rated by Forbes as the 5th best health system to work for in the United States and by IDG Computerworld as one of the nation’s Best Places to Work in IT. ChristianaCare is rated by HealthGrades as one of America’s 50 Best Hospitals and continually ranked among the nation’s best by U.S. News & World Report, Newsweek and other national quality ratings. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. With its groundbreaking Center for Virtual Health and a focus on population health and value-based care, ChristianaCare is shaping the future of health care. About The WRK Group The WRK Group, which is comprised of three organizations and over 130 employees, shares a collective mission to empower the community to reach its full potential by eliminating the barriers of structural racism and revolutionizing teen engagement. REACH Riverside, overseeing a $250M holistic revitalization, also serves as the managing partner for Kingswood Community Center, a pillar of the Northeast Wilmington neighborhood for 75 years, and The Warehouse, an educational and recreational oasis for teens. The Warehouse: Developed "For Teens, By Teens" - Innovative, one-stop center serving ages 13 to 19 Teen-driven programming focused on recreation, education, arts, career, and health Collaborating with over 140 youth-serving organizations Three goals: safety, educational support, and workforce readiness REACH Riverside: Developed "With the Community, For the Community" Member of the national Purpose Built Communities Redevelopment: Up to 600 units of high quality, mixed-income housing Education: cradle-to-college and career readiness pipeline Community Health: health, wellness, safety services, and programming Kingswood Community Center Empowering the Community of Riverside and Northeast Wilmington since 1946 Early Learning Academy: high quality, evidence-based programming (ages one through five) School-age services (ages six through twelve): before, after-school, and summer programming Jimmy Jenkins Senior Center: activities to remain healthy and self-sufficient Kingswood Academy: alternative school, located at The Warehouse (seventh through twelfth grade) Preparing for the development of a new, state-of-the-art facility that will replace and enhance the current community center ####

6 min. read

Tennis Pro Naomi Osaka Elevates the Conversation on Athletes and Mental Health

Though Naomi Osaka's announcement of her dropping out of the French Open and German Open tournaments came as a surprise to many of her followers, there has been plenty of support from fans and corporations for the 23-year-old tennis pro who chose to take time off because of mental health concerns. One company, the Calm App, offered to pay fines for tennis players skipping press briefings. And Formula 1 champion Lewis Hamilton—who, when he was 22 years old, found it difficult to deal with media commitments—offered encouragement to Osaka. "When you’re young and you're thrown into the limelight, it weighs heavily, and most of us are not prepared," Hamilton told The New York Times. Guy Weissinger, PhD, an assistant professor in Villanova's M. Louise Fitzpatrick College of Nursing whose research focuses on mental health, says, "Elite athletes are people. They have mental health struggles—good days and bad days—and it's important that we recognize that mental health is complicated, not just 'doing well' or 'not doing well.'  One may be capable of doing one thing (i.e., playing tennis) but not other things (i.e., being peppered by reporters with questions). It saddens me that she needed to withdraw from the tournament rather than the tournament organizers reaching out to find ways to accommodate her mental health needs." He noted that the 23-year-old Osaka is an amazing athlete who rose to global prominence beating Serena Williams in a match that got a lot of negative attention. "While no one was saying that she did not deserve her victory, the conversation was mostly focused on Serena, and Osaka was a teenager caught in a media firestorm. I could see how that would create a high level of baseline anxiety around the Opens and media interactions for her, in addition to the already stressful situation of participating at that elite level of sports. Combine that with the high level of stress that everyone has been experiencing over the last year and a half, with COVID, I'm surprised that she isn't the only person who has said that they would be unable to do media appearances." He says this is a great opportunity for discussion of mental health and how it's a concern for everybody. "Too often, we think of people that are successful as being immune to mental health struggles, but we have to acknowledge that people can be both successful and struggling. Sometimes they will be able to manage (as Naomi has in many circumstances), but sometimes even their best coping mechanisms are not enough." Weissinger hopes that we can find ways for people to 'tap out' of the things that overwhelm their ability to cope. "It's not fair or ethical to only wait until people are not just struggling but completely drowning before trying to support or accommodate them. Like with physical health, prevention before things get bad is better for everyone than trying to fix things when they get really bad."

2 min. read

Georgia Southern grad student researches different planting treatment effects on Tybee Island sand dunes

The sand dunes of Tybee Island have taken a beating in recent hurricane seasons. Georgia Southern University biology graduate student Shannon Matzke is researching ways to combat the destruction of the dunes for her restoration project by collecting data on the effects of various planting techniques to see which technique best increases the longevity of the dunes. As a part of the project, Matzke collects monthly data on the growth and survival of plants, as well as on the sand accumulation associated with different planting densities and groups of species. She also spends time analyzing data, exploring new techniques and tools to use in the field, researching dunes and vegetation, and conducting outreach for the project. “Working on the beach has been such a fun experience,” Matzke said. “It has also been rewarding to learn new techniques and how to use new equipment to answer more questions about the success of the restoration project. Perhaps my favorite part though has been the outreach associated with my project. The overall dune construction and beach nourishment is so important to island locals, and I’ve enjoyed being able to explain how my work fits in with the larger project.” Of the plants surveyed, 95% survived the first growing season. On average, plants doubled in height and canopy cover when compared to their size when initially planted. Matzke is also collecting data in areas of the constructed dune that were left bare to compare against the vegetated sites. Unlike the vegetated dunes, bare sites are experiencing erosion, which further relates the importance of adding native vegetation to any new dune construction. Matzke said she was drawn to Georgia Southern and the biology department because of proximity to the coast. She also appreciated her advisor Lissa Leege, Ph.D., who has worked with native and endangered plant species. “I am so glad that I chose to earn my master’s at Georgia Southern because I have been able to make connections with researchers inside and outside of my department, as well as with industry and government professionals,” she said. “I have also enjoyed being able to work on Tybee and the convenience of having the Armstrong campus close to where I live in Savannah.” Matze, who will graduate in fall 2021, hopes to continue her work with native plant ecology. “After I graduate from Georgia Southern, I’d like to work for a state or local agency continuing in the natural resources management field,” Matzke said. “I am interested in continuing working on invasive species research, endangered plant conservation and habitat restoration using native species. My research at Georgia Southern is the perfect introductory experience to the type of work that I would like to continue doing.” If you're a journalist looking to learn more about this exciting research — simply reach out to Georgia Southern Director of Communications Jennifer Wise at jwise@georgiasouthern.edu.

2 min. read