State v. Jacinto , 2020 Ohio 3722 ( 2020 )


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  • [Cite as State v. Jacinto, 
    2020-Ohio-3722
    .]
    COURT OF APPEALS OF OHIO
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    STATE OF OHIO,                                      :
    Plaintiff-Appellee,                :
    No. 108944
    v.                                 :
    KAINOA JACINTO,                                     :
    Defendant-Appellant.               :
    JOURNAL ENTRY AND OPINION
    JUDGMENT: AFFIRMED
    RELEASED AND JOURNALIZED: July 16, 2020
    Criminal Appeal from the Cuyahoga County Court of Common Pleas
    Case No. CR-18-633255-A
    Appearances:
    Michael C. O’Malley, Cuyahoga County Prosecuting
    Attorney, and Sean M. Kilbane, Assistant Prosecuting
    Attorney, for appellee.
    Patituce & Associates, L.L.C., Joseph C. Patituce and
    Megan M. Patituce, for appellant.
    EILEEN A. GALLAGHER, J.:
    Defendant-appellant Kainoa Jacinto appeals his conviction for
    felonious assault following a jury trial. Jacinto contends that the trial court erred in
    failing to give the jury a self-defense instruction, in admitting evidence of a 911 call
    from a caller who did not testify and in admitting “expert” opinion testimony from
    a paramedic that had not been disclosed in a written expert report and that exceeded
    the scope of his expertise. Jacinto further contends that his conviction is not
    supported by sufficient evidence and is against the manifest weight of the evidence
    and that his four-year prison sentence is not supported by the record. For the
    reasons that follow, we affirm the trial court’s decision.
    Procedural History and Factual Background
    On October 9, 2018, a Cuyahoga County Grand Jury indicted Jacinto
    on one count of felonious assault in violation of R.C. 2903.11(A)(1), a second-degree
    felony. The charge arose out of September 16, 2018 incident in which Jacinto
    punched and “knocked out” Bryant Lee (“Lee”), who struck his head on the concrete
    sidewalk as he fell to the ground. As a result of the incident, Lee sustained a serious
    brain injury. Jacinto pled not guilty and, on July 24, 2019, a jury trial commenced.
    A summary of the relevant evidence presented at trial follows.
    On September 15, 2018, Jacinto and Lee were in Cleveland, attending
    a conference for a company for which they both worked, ACN, Inc. (“ACN”), a “one-
    stop shop” for services such as gas and electric utility services, high speed internet,
    home security services and identity theft protection. Jacinto traveled to Cleveland
    from Michigan for the conference, and Lee and his wife, Jaime Lee (“Jaime”),
    traveled to Cleveland from Wisconsin for the conference. Jacinto and the Lees were
    staying at the Hilton Garden Inn on Carnegie Avenue in Cleveland.
    The Lees and Jacinto met for the first time that evening at the hotel
    bar.    Around midnight, Jacinto, the Lees and several other ACN conference
    attendees decided to leave the hotel bar and go to other downtown bars. Along the
    way, they bumped into another ACN conference attendee, Orlando Contreras, who
    was also staying at the Hilton Garden Inn. Contreras had never met Jacinto or the
    Lees prior to the conference.
    Jaime described Jacinto as “obnoxious,” “loud” and “cocky.” She
    stated that he talked about being a mixed martial arts (“MMA”) fighter, bragged
    about his houses, cars and how much money he had made and was “poking at
    everybody and kind of flaunting * * * the entire night.” Jaime stated that she talked
    and laughed with the other ACN conference attendees and “played the role” because
    she knew her husband wanted to “climb the ladder of the team in this organization.”
    She testified that Lee and Jacinto talked a lot and seemed to be getting along very
    well.
    Contreras testified that Jacinto carried himself as being “someone of
    importance” and that Jacinto told him that he was “a fighter” and that he “trained
    semi-pro MMA.” Because Contreras also spent a lot of the time in the gym and had
    fought some men with professional training, the two men discussed their past
    experiences and training history. Jacinto told Contreras that he had been “known
    to beat several people up in a single incident if needed.”
    Contreras testified that “everyone got along well” that night with “lots
    of laughs, jokes, situations” and that everyone was drinking heavily. At around 2:00
    a.m., the group headed back to the hotel.
    Jaime testified that once they arrived back at the hotel, Jacinto made
    a “slick,” “annoying” comment to her that made her “very angry.” Jaime told Jacinto
    that she was “not one to mess with” and her husband suggested that she go to bed.
    Jamie took her husband’s advice and went back to their hotel room.
    Contreras testified that as they were walking back to the hotel, Jacinto
    told Contreras he could have “hooked him up” with a girl at the bar but that his
    “dance moves” “f***** it up.” Contreras said he did not react to Jacinto’s comment,
    but that Lee intervened and told Jacinto he had been “rude” and “disrespectful” and
    owed Contreras an apology. Contreras stated that Lee was “trying to prove a point”
    to Jacinto, i.e., that “you can’t be rude to people,” but that Jacinto “wouldn’t accept
    it” and said he had done nothing wrong. The two men went back and forth about
    the issue for several minutes.
    Contreras testified that, during this time, Jacinto told him he was
    “trying not to get mad” and was “antsy,” “pacing back and forth,” “[l]ike he had to
    like basically walk it off.” After a bit, the situation deescalated. Jacinto and Lee
    shook hands and appeared to be “cool,” and the three men began walking back
    toward the hotel.
    Before the three men went back into the hotel, however, the situation
    re-escalated. According to Contreras, “somebody said something and then it started
    right back up again * * * just about the same thing.” The two men got “real close to
    each other,” “chest to chest,” and Lee poked Jacinto in the chest “like three times,”
    “saying something.”
    Contreras testified that, by this time, all three men were “pretty
    intoxicated.” In addition to whatever else the men had had to drink earlier that
    evening, Contreras stated that the men had gone to three or four bars, were “taking
    turns” buying rounds and all had had “one shot, one drink at each location, [with]
    probably an extra drink at the last location.”
    After the “poking,” the situation calmed down again for a bit.
    Contreras testified that after Lee poked Jacinto, Jacinto turned around and walked
    away, trying to “walk it off” as Lee kept talking, lecturing Jacinto about his
    disrespectful conduct.
    At some point during their interaction, Jaime came out of the hotel
    and told Lee it was “time to go to bed.” Jaime testified that Lee had his hands in his
    pockets, that the three men laughed at her remark and that it “seemed like
    everything was fine.” “[S]ens[ing] nothing being wrong,” Jaime went back to her
    hotel room, took a shower and went to bed. Lee remained outside with Jacinto and
    Contreras. The next time Jaime saw Lee was in the intensive care unit at a nearby
    hospital.
    In the last four minutes of their interaction, the situation re-escalated
    once again. Jacinto was about to enter the hotel, but suddenly turned back.
    Contreras stated that, at this point, Lee said something “petty” to Jacinto and
    Jacinto “just couldn't take it anymore,” his eyes were locked on Lee, he was “clearly
    mad” and Contreras could tell he was “ready to fight,” i.e., that he had “hit that
    switch” and was in “attack mode.”
    Contreras testified that as Jacinto started moving towards Lee, he got
    in between the two men and, for approximately three or four minutes, held Jacinto
    back from Lee, stepping in front of Jacinto, blocking him and “pressing him away”
    from Lee, who was “standing still” but “kept talking.” At the time, Lee and Jacinto
    were “like three to four feet [apart,] just outside striking distance.”
    Contreras testified that, eventually, Lee said, “Let him go. I will fight
    him,” and assumed a “fighting stance.” Deciding there was “nothing more [he] could
    do about it” and that the two men were “clearly going to fight,” Contreras dropped
    his hands, turned around and walked back towards the hotel entrance. At this time,
    Lee and Jacinto were approximately eight feet apart. Contreras stated that he was
    “trying not to see anything” and was “just trying to go to the door,” but that he heard
    “a very brief fight,” i.e., “scruffles.” Four or five seconds later, Jacinto was “walking
    up right by [his] side” and they walked into the hotel together. Contreras testified
    that he felt “terrified” as he rode the elevator with Jacinto because he “did not want
    to be involved” and “did not want to get assaulted” himself.
    Contreras stated that although Lee may have “verbally initiated” the
    fight by “arguing” with Jacinto, “trying to make things right,” Lee never pushed or
    punched Jacinto.       According to Contreras, although it was an “emotional
    conversation” between Lee and Jacinto in which Lee “yelled” and “raised his voice,”
    Lee never threated Jacinto and never said anything “derogatory” or used “fighting
    words”; he “just took it too far” trying to make a point. Contreras testified that the
    “fight” occurred approximately ten minutes after Lee “poked” Jacinto in the chest.
    Surveillance footage from the hotel’s security cameras captured
    portions of the interaction between the three men until the last four or five minutes
    leading up to the “fight.” The surveillance video has no audio but shows Jacinto with
    his hand on the door to the hotel lobby, opening the door at approximately 3:15:40.1
    He closes the door and turns back to shake hands with Contreras. Jacinto and Lee
    shake hands and Lee pulls Jacinto towards him in a hug at approximately 3:15:54.
    Jacinto then moves towards Lee, talking and gesturing with his right hand in close
    proximity to Lee. It cannot be seen from the video whether Jacinto makes contact
    with Lee when gesturing. As the two men continue talking, Lee moves toward
    Jacinto and gestures and points his index finger at Jacinto, ultimately touching or
    poking Jacinto in the chest with his fingers at 3:16:14. The two men continue
    talking. Jacinto backs away at first, then, once again, moves closer towards Lee,
    gesturing with his right hand as he talks. Then Lee moves towards Jacinto, pointing
    his finger and gesturing at Lee. Both men continue gesturing with their hands and
    talking in close proximity to one another.
    1  3:15:40 and the numbers that follow refer to the elapsed time on the surveillance
    video, which starts at 3:00:00. It is unclear from the record whether that elapsed time
    directly correlated with time of day, i.e., whether the events depicted at 3:15:40 occurred
    precisely at 3:15:40 a.m.
    At approximately 3:16:53, Contreras steps in, places his hand on
    Jacinto’s shoulder and proceeds to get in between the two men as they continue to
    talk or spar at one another, slowly walking around and then away from the hotel
    door. The men go off camera at approximately 3:18:10.
    At approximately 3:22:40, Lee’s wife opens the hotel door and stands
    outside, holding the open door, apparently talking to the men, for approximately
    eight seconds, before going back into the hotel. At approximately 3:25:04, Jacinto
    opens the hotel door with Contreras following him, then closes the door and turns
    back toward Lee, who can be seen gesturing behind him. Jacinto walks toward Lee,
    saying something and gesturing at Lee while Contreras has his hand on the hotel
    door.
    At approximately 3:25:40, both Lee and Jacinto are off camera again.
    Contreras takes his hand off the door and walks off camera to the left at
    approximately 3:26:02. The three men remain off camera until approximately
    3:30:42 when Jacinto opens the hotel door for Contreras and he and Jacinto walk
    back into the hotel. Lee is never seen on the hotel surveillance footage again.
    Toni Newborn, a 911 operator and paramedic for the city of Cleveland,
    testified that at approximately 3:41 a.m. on September 16, 2018, she received a 911
    call from a male caller reporting that someone had punched a person at the Hilton
    Garden Inn and that the victim had fallen to the ground. The 911 call was played for
    the jury in its entirety. The male caller stated: “A guy walked up to him and hit him
    and knocked him out and his head hit the concrete, so he is knocked out, so I don’t
    know if he is breathing or what.” The caller stated that he had been sitting in his car
    and heard the sound of the person’s head hitting the ground from across the street
    “so he hit the ground hard.” He indicated that the victim was “barely breathing” and
    “gasping for air” and had urinated all over himself. The caller further stated that he
    and a woman had tried to pick up the victim but that they could not do so because
    he was “knocked out.” The caller indicated that after “the guy hit him and [the
    victim] hit the ground, the two other guys walked on back into the hotel.” The 911
    operator asked the caller whether the man had been assaulted, and he replied,
    “evidently, yeah.” The caller did not identify or describe the perpetrator(s) but
    stated, in response to further inquiry by the 911 operator, that he could “point [the
    police] in their direction.”
    Leah Sessoms, a night auditor at the Hilton Garden Inn, testified that
    she observed a white male (later identified as Jacinto) and an African-American
    male (later identified as Lee) on the sidewalk in front of the hotel “in what seemed
    to be a verbal altercation.” She indicated that the two men would be arguing and
    then they would appear friendly, e.g., embracing each other in a friendly manner or
    smoking a cigarette together, and that it kept going “back and forth,” escalating and
    deescalating and re-escalating again. She testified that she did not believe she
    needed to call police because there was a third male (later identified as Contreras)
    who “seemed to keep the guys apart when they were getting into each other’s faces.”
    Sessoms testified that she went outside for an unrelated reason and when she was
    returning to the hotel, she saw Lee laying on the ground. She stated that he had
    urinated himself and was not moving at all. She called the police. When the police
    arrived, she told them what she had observed.
    Cleveland Police Officer Domenic Ragazzo was among the first to
    arrive at the scene. He testified that he received a call at approximately 3:45 a.m.
    that a “male [was] down” at the Hilton Garden Inn. Officer Ragazzo testified that
    when he and his partner arrived at the scene a few minutes later, he saw a black
    male, later identified as Lee, lying down on the ground outside the hotel, face up,
    unconscious with “what looked like vomit or spit coming out of his mouth.”
    According to Officer Ragazzo, at first, he did not believe Lee had been assaulted
    because he saw no blood, bruising or injuries or “sign of any assault” to Lee’s face
    and Lee’s body was not in a position one would expect after a fist fight. Officer
    Ragazzo testified that upon arrival, Lee was “laying very stiff” with his arms down
    on the side and his feet “straight up.” EMS arrived around the same time as Officer
    Ragazzo, and immediately began tending to Lee.
    Gregory Hyde, a paramedic with the city of Cleveland, was one of the
    EMS personnel who was dispatched to the scene in response to the 911 call. He had
    been a paramedic for 29 1/2 years and had been on several hundred calls involving
    head trauma. Hyde testified that when he arrived on scene at 3:51 a.m., he learned
    from a bystander that Lee had been punched in the mouth, that he had then fallen,
    striking his head on the sidewalk, and that Lee had not moved after falling to the
    ground. Hyde testified that when he first observed Lee, Lee was unconscious and
    was in a decorticate posture, i.e., his arms were in towards the body, his hands were
    out, his legs were stiff and rigid, which was “indicative of a significant brain injury.”
    Hyde also noted that Lee had vomit in his airways, a strong radial pulse and high
    blood pressure and that his respiratory rate was shallow and irregular — all of which
    was consistent with a serious head injury. Hyde also observed a small, “fresh”
    abrasion to Lee’s mouth or upper lip. Hyde stated that he did not see any bruising
    but was not surprised, notwithstanding the information he had received that Lee
    had been punched, because bruising takes time from “several minutes up to several
    hours” to start showing.       Hyde indicated that Lee’s condition was “quickly
    deteriorating” and “very concerning,” with all signs pointing to a significant brain
    injury.
    Hyde stated that Lee’s injury was not consistent with someone
    stumbling over drunk and hitting his head against the ground because although
    people can sustain significant head injuries from stumbling while drunk, they do not
    typically fall backwards as Lee did here. He testified that, based on his training and
    experience, “it would take a significant amount of force,” i.e., “[i]t would not be a
    light slap or just a push away * * * it would have to be a very hard purposefully
    thrown punch meant to cause damage,” to “knock somebody out and over” and
    cause the type of injuries Lee sustained.
    Hyde further testified that, based on his experience and training, he
    would not expect to see such a significant injury from an individual being punched,
    knocked to the ground and then losing consciousness (i.e., losing consciousness only
    after hitting the ground) because if a person gets knocked to the ground, the body
    has basic reflexes that will engage to protect itself from serious injury. Hyde stated
    that Lee’s injuries were more consistent with someone being punched and knocked
    unconscious before hitting the ground because an individual’s reflexes do not work
    when a person is unconscious. He stated that he believed Lee’s “head trauma” was
    “[p]robably a combination of both” the punch and hitting the ground.
    When defense counsel asked Hyde, on cross-examination, what he
    thought had happened to Lee, Hyde stated that he believed Lee “took a blow that
    knocked him unconscious,” that he then “fell straight backwards with nothing
    protecting him” and “smacked his head on the concrete,” “[c]reating a very
    significant head injury.” Hyde testified that his theory of what had occurred was an
    “assumption” based on his experience and training, what he had been told by
    bystanders and what he had personally observed regarding Lee’s injuries, including
    the fresh abrasion on his face and Lee’s condition at the scene,
    Dr. Laura Brown, a trauma surgeon at MetroHealth Medical Center,
    treated Lee following the incident. She testified that Lee had sustained a “rare”
    “brain bleed,” i.e., a subdural hematoma to the right side of his brain caused by
    tearing of veins leading from the brain to the dura, and was admitted to the trauma
    intensive care unit in critical condition after having a hemicraniectomy, a procedure
    involving the removal of a piece of a patient’s skull to relieve pressure caused by
    swelling of the brain. Dr. Brown testified that she did not have “a complete
    mechanism” as to how the tear developed in Lee’s case. However, she noted that the
    hospital staff had been told that he had been hit or punched and that a CT scan
    revealed bruising on the outside of the skull and a “significant amount” of “acute”
    swelling and bruising on the left side of the jaw, “meaning it happened as a result of
    some injury just prior.” Dr. Brown testified that a “pretty significant amount of
    force” would have been necessary “to cause that amount of bruising.” She testified
    that she did not observe any facial bruising on Lee but explained that bruising is
    caused by broken blood vessels underneath the tissue, so if the broken blood vessels
    are under the surface, “you may not see it right away”; “you will see it over time.”
    She also noted that the mandible is one of the strongest bones in the body and that
    there is a lot of soft tissue around it so “it can hide it very easily.”
    Dr. Brown testified that she could not say “medically” that “a single
    punch” caused Lee’s brain injury because she did not know “if the mechanism of his
    injury was the punch and then a fall” but that she also could not say that “it didn’t
    have anything to do with it.” She stated that “it’s very rare for a person of [Lee’s] age
    to sustain a subdural from a fall” and that, in her view, the cause of Lee’s injury was
    “both the punch and the fall * * * he didn’t have a subdural before that happened.”
    She explained:
    [A]ny injury, significant injury that shakes the brain can cause tearing
    of those veins. So if there was enough force from an impact to the left
    jaw, it could shake the brain inside the dura causing tearing of the vein.
    It can also happen from when the head hit the concrete. We wouldn’t
    be able to differentiate between those two. I can’t tell you for sure.
    Q.      You are unable to say whether the tearing came from a punch or
    a fall?
    A.     Correct.
    Lee was hospitalized for 59 days in Cleveland before being med-
    flighted back to Wisconsin, where he continued receiving treatment at a brain injury
    rehabilitation facility. Lee has significant memory issues, cannot walk, cannot talk
    above a whisper, has never been able to return to his home and has been declared
    incompetent.
    Cleveland Police Detective Aaron Reese was one of the detectives who
    investigated the case.   He conducted three interviews of Jacinto — two over the
    telephone (recorded on his body camera) and one in-person interview (also
    recorded). Portions of all three interviews were played for the jury. In the first
    telephone interview, conducted on September 17, 2018 at approximately 4:30 p.m.,
    Jacinto told Detective Reese that he had no recollection of getting into an altercation
    or fight with anyone that evening and that he only recalled going out, waking up in
    the hotel with his father the next morning and then going to the ACN conference.
    Jacinto denied telling anyone that he was an MMA fighter. He said that he had never
    been an MMA fighter and that he did not “even know how to fight.”
    In a second telephone interview later that night, Jacinto told
    Detective Reese that he had been thinking about the incident “nonstop” and that his
    memory was “coming back.” Jacinto told Detective Reese that he could not recall
    specifically what he and Lee were arguing about but that he was “in a situation where
    a few people were trying to tell me that I’m doing something bad and * * * I didn’t
    understand it.” Jacinto told Detective Reese that “[a]ll of us were being drunk idiots”
    and that Lee had been “getting in [his] face” and kept “tapping [Jacinto’s] chest”
    “over and over.” Jacinto stated that he felt like he had been “egged on” and was “in
    [his] own corner.” He told the detective that he hit Lee “in the head or in the jaw”
    once and “that’s it,” that Lee did not hit his head on anything “on the way down” and
    that Lee “went to sleep” after he hit him and was “unconscious and snoring when he
    hit the ground.” When Detective Reese asked Jacinto whether Lee had punched or
    pushed him, Jacinto responded, “The only thing that happened was just me hurting
    [Lee] at the end with that one punch.” When Detective Reese asked Jacinto whether
    it had “crossed [his] mind” to get help for Lee, Jacinto replied, “yes,” but stated that
    he had been drinking and “tried to make like nothing had happened” because he
    “didn’t want anything to do with it.”
    In the third interview, an in-person interview at the Third District
    Detective Bureau conducted on September 30, 2018, Jacinto told Detective Reese
    that when they got back to the hotel, after everyone had been having a good time
    and drinking that evening, “things started going sideways.” He stated that Contreras
    and Lee “started an argument” with him regarding a comment he had made about
    Contreras’ dancing. Jacinto stated that Lee began “tapping” on his chest, telling
    Jacinto what he had “done wrong.” Jacinto said that he did not know what he had
    done wrong and tried to apologize, but that “it didn’t work out.” Jacinto stated that
    he told Lee to stop touching him and tried to “swat” his hand away but that Lee kept
    “tapping” and “poking” his chest and getting “in [his] face.” Jacinto indicated that
    eventually he had had enough. Jacinto stated that Contreras tried to stop him and
    told him that “it wasn’t worth it,” but that he put his vape down, took off his shirt
    and gave Lee a “quick right jab” to the jaw. Jacinto told Detective Reese that after
    he hit Lee, Lee “let out a loud snore,” fell backwards and “collapsed” on the ground
    “snoring.” Jacinto said that he “didn’t even really connect very hard” and that he
    did not realize he could cause “that kind of damage” and felt “horrible about it.”
    Jacinto said that he had told people he was an MMA fighter — even though he was
    not — because he was “cocky” and “trying to be cool” and wanted people to like him.
    Jacinto acknowledged that he could have walked away from the situation, but that
    he chose not to.
    At the close of the state’s case, Jacinto moved for acquittal pursuant
    to Crim.R. 29(A), arguing that there was insufficient evidence that Jacinto, by
    throwing a single punch, had knowingly caused Lee serious physical harm. The trial
    court denied the motion. Jacinto rested without presenting any witness testimony.
    He renewed his Crim.R. 29 motion and the trial court, once again, denied it.
    The trial court instructed the jury on felonious assault and the lesser-
    included offense of assault in violation of R.C. 2903.13(B). Jacinto also requested a
    jury instruction on self-defense. The trial court denied the request, concluding,
    based on the evidence presented, that no reasonable jury could find that Jacinto had
    acted in self-defense when he struck Lee.
    On July 31, 2019, the jury found Jacinto guilty of felonious assault.
    Jacinto was referred to the Cuyahoga County Probation Department for a
    presentence investigation report (“PSI”). After reviewing the PSI and sentencing
    memorandum, hearing from Lee’s family, the state, Jacinto’s family, Jacinto and
    defense counsel and considering the purposes and principles of sentencing, the
    relevant sentencing factors and “other cases,” the trial court sentenced Jacinto to
    four years in prison with three years of mandatory postrelease control.
    Jacinto appealed, raising the following six assignments of error for
    review:
    ASSIGNMENT OF ERROR 1: The trial court erred in failing to instruct
    the jury that the state of Ohio was required to prove, beyond a
    reasonable doubt, that appellant did not act in self-defense.
    ASSIGNMENT OF ERROR 2: The trial court abused its discretion in
    admitting a 911 call from an unidentified individual who was not
    subjected to cross-examination in violation of appellant’s rights
    protected under the United States and Ohio Constitutions.
    ASSIGNMENT OF ERROR 3: The trial court erred in permitting EMT
    Hyde to provide expert testimony in violation of the Ohio Rules of
    Evidence, the Ohio Rules of Criminal Procedure, and appellant’s
    constitutionally protected rights under the United States and Ohio
    Constitutions.
    ASSIGNMENT OF ERROR 4: Appellant’s conviction was against the
    manifest weight of the evidence.
    ASSIGNMENT OF ERROR 5: The state failed to present sufficient
    evidence to prove each and every element of the offense beyond a
    reasonable doubt.
    ASSIGNMENT OF ERROR 6: The trial court erred in sentencing
    appellant to a four-year term of incarceration.
    For ease of discussion, we address Jacinto’s assignments of error out
    of order where appropriate.
    Law and Analysis
    Self-Defense Jury Instruction
    In his first assignment of error, Jacinto argues that the trial court
    erred in denying his request for a self-defense jury instruction. He contends that
    sufficient evidence was presented at trial to submit the issue of whether he acted in
    self-defense to the jury.
    As a general matter, the trial court must “‘fully and completely give all
    jury instructions which are relevant and necessary for the jury to weigh the evidence
    and discharge its duty as the fact finder.’” State v. White, 
    142 Ohio St.3d 277
    , 2015-
    Ohio-492, 
    29 N.E.3d 939
    , ¶ 46, quoting State v. Comen, 
    50 Ohio St.3d 206
    , 
    553 N.E.2d 640
     (1990), paragraph two of the syllabus; State v. Joy, 
    74 Ohio St.3d 178
    ,
    181, 
    657 N.E.2d 503
     (1995). Requested jury instructions should ordinarily be given
    if they are correct statements of law, if they are applicable to the facts in the case and
    if reasonable minds might reach the conclusion sought by the requested instruction.
    State v. Adams, 
    144 Ohio St.3d 429
    , 
    2015-Ohio-3954
    , 
    45 N.E.3d 127
    , ¶ 240; State v.
    Crawford, 
    2016-Ohio-7779
    , 
    73 N.E.3d 1110
    , ¶ 14 (8th Dist.). In determining
    whether a jury instruction on an affirmative defense should be given, “‘the court
    must view the evidence in a light most favorable to the defendant. The question of
    credibility is not to be considered.’” State v. Sullivan, 11th Dist. Lake Nos. 2019-L-
    143 and 2019-L-144, 
    2020-Ohio-1439
    , ¶ 45, quoting State v. Belanger, 
    190 Ohio App.3d 377
    , 
    2010-Ohio-5407
    , 
    941 N.E.2d 1265
    , ¶ 6 (3d Dist.). Appellate courts
    review a trial court’s refusal to give a requested jury instruction for abuse of
    discretion. Adams at ¶ 240.
    Under Ohio law, a person is permitted to act in self-defense. R.C.
    2901.05(B)(1). Self-defense is an affirmative defense. In cases involving the use of
    nondeadly force2 it applies where: (1) the defendant was not at fault in creating the
    situation giving rise to the affray in which the use of force occurred, (2) the
    defendant had reasonable grounds to believe and an honest belief, even if mistaken,
    that he or she was in imminent danger of bodily harm and (3) the only means to
    protect himself or herself from such danger was the use of force not likely to cause
    death or great bodily harm, i.e., the defendant did not use more force than was
    reasonably necessary to defend against the imminent danger of bodily harm. See,
    e.g., Ohio Jury Instructions CR Section 421.19 (Rev. April 13, 2019); State v.
    Kilbane, 8th Dist. Cuyahoga No. 106753, 
    2019-Ohio-863
    , ¶ 13; State v. Hunt, 8th
    Dist. Cuyahoga No. 94534, 
    2011-Ohio-92
    , ¶ 20; Cleveland v. Welms, 
    169 Ohio App.3d 600
    , 
    2006-Ohio-6441
    , 
    863 N.E.2d 1125
    , ¶ 19 (8th Dist.); State v. Chavez, 3d
    Dist. Seneca Case Nos. 13-19-05, 13-19-06 and 13-19-07, 
    2020-Ohio-426
    , ¶ 40; see
    also State v. Palmer, 10th Dist. Franklin No. 
    2013-Ohio-5970
    , ¶ 13 (“A defendant
    * * * cannot establish self-defense using non-deadly force if he or she uses force
    2 There is no dispute in this case that the force used by Jacinto was nondeadly force.
    See, e.g., State v. Triplett, 
    192 Ohio App.3d 600
    , 
    2011-Ohio-816
    , 
    949 N.E.2d 1058
    , ¶ 14
    (8th Dist.) (one punch is not “comparable to deadly force”); State v. Redding, 3d Dist
    Union No. 14-19-01, 
    2019-Ohio-5302
    , ¶ 19 (“‘A single punch, standing alone, may not
    constitute deadly force.’”), quoting State v. Jeffers, 11th Dist. Lake No. 2007-L-011, 2008-
    Ohio-1894, ¶ 81; State v. Davis, 10th Dist. Franklin No. 17AP-438, 
    2018-Ohio-58
    , ¶ 25
    (“A single punch with a fist is ordinarily considered use of non-deadly force.”).
    greater than that reasonably necessary to defend against the imminent use of
    unlawful force.”). There is no duty to retreat to avoid the danger in cases involving
    the use of nondeadly force, even if retreat is possible. Welms at ¶ 19; Chavez at ¶ 40.
    Under former R.C. 2901.05(A), the defendant had the burden of
    proving self-defense by a preponderance of the evidence. Former R.C. 2901.05(A)
    stated:
    Every person accused of an offense is presumed innocent until proven
    guilty beyond a reasonable doubt, and the burden of proof for all
    elements of the offense is upon the prosecution. The burden of going
    forward with the evidence of an affirmative defense, and the burden of
    proof, by a preponderance of the evidence, for an affirmative defense,
    is upon the accused.
    Effective March 28, 2019, Ohio’s self-defense law was changed to
    require the state to prove that a defendant did not act in self-defense where the
    defense could reasonably be found apply. 3 R.C. 2901.05(A), as amended, states, in
    relevant part:
    Every person accused of an offense is presumed innocent until proven
    guilty beyond a reasonable doubt, and the burden of proof for all
    elements of the offense is upon the prosecution. The burden of going
    forward with the evidence of an affirmative defense, and the burden of
    proof, by a preponderance of the evidence, for an affirmative defense
    other than self-defense * * * as described in division (B)(1) of this
    section, is upon the accused.)
    (Emphasis added.) R.C. 2901.05(B)(1) further states:
    A person is allowed to act in self-defense, defense of another, or defense
    of that person’s residence. If, at the trial of a person who is accused of
    3
    In this case, although the incident occurred prior to the effective date of the
    amended statute, the trial occurred after the effective date. The parties agree that the
    amended version of the statute applies.
    an offense that involved the person’s use of force against another, there
    is evidence presented that tends to support that the accused person
    used the force in self-defense, defense of another, or defense of that
    person’s residence, the prosecution must prove beyond a reasonable
    doubt that the accused person did not use the force in self-defense,
    defense of another, or defense of that person’s residence, as the case
    may be.
    Thus, if evidence is presented at trial that tends to support that a
    defendant used nondeadly force in self-defense, the state must now prove beyond a
    reasonable doubt that the defendant did not use that force in self-defense. In other
    words, the state must disprove at least one of the elements of the use of nondeadly
    force in self-defense beyond a reasonable doubt, i.e., the state must prove that (1)
    the defendant was at fault in creating the situation giving rise to the affray in which
    the force was used or (2) the defendant did not have reasonable grounds to believe
    or an honest belief that he or she was in imminent danger of bodily harm or (3) the
    defendant used more force than was reasonably necessary to defend against the
    imminent danger of bodily harm. See, e.g., State v. Carney, 10th Dist. Franklin No.
    19AP-402, 
    2020-Ohio-2691
    , ¶ 31; State v. Nestingen, 5th Dist. Richland No. 2019
    CA 110, 
    2020-Ohio-2965
    , ¶ 17.
    The state has no obligation to disprove all possible affirmative
    defenses a defendant may claim applies. The state need not disprove an affirmative
    defense unless evidence is presented that is sufficient to raise that defense. “A bare
    assertion by the defendant that he acted in self-defense will not bring the affirmative
    defense of self-defense into issue in the trial.” State v. Gideons, 
    52 Ohio App.2d 70
    ,
    73, 
    368 N.E.2d 67
     (8th Dist.1977). “Coupled with such an assertion must be
    supporting evidence from whatever source introduced of a nature and quality
    sufficient to raise the defense and which ‘* * * if believed, would under the legal tests
    applied to a claim of self-defense permit a reasonable doubt as to guilt * * *.’”
    Gideons at 73, quoting State v. Robinson, 
    47 Ohio St.2d 103
    , 113, 
    351 N.E.2d 88
    (1976).
    Black’s Law Dictionary defines “tend” as “[t]o be disposed toward
    (something),” “[t]o serve, contribute, or conduce in some degree or way; to have a
    more or less direct bearing or effect” and “[t]o be directed or have a tendency to (an
    end, object, or purpose).” Black’s Law Dictionary 1696 (10th Ed.2014).
    Thus, evidence “tends to support” that a defendant used force in self-
    defense, and a defendant is entitled to a jury instruction on the defense of self-
    defense under R.C. 2901.05, as amended, where the evidence in the record is
    sufficient to raise a question of reasonable doubt of guilt, based on a claim of self-
    defense, in the mind of a reasonable juror. See, e.g., State v. Tolle, 4th Dist. Adams
    No. 19CA1095, 
    2020-Ohio-935
    , ¶ 23-24 (Evidence is sufficient to support a self-
    defense jury instruction under R.C. 2901.05, as amended, “‘where a reasonable
    doubt of guilt has arisen based upon [the affirmative defense].’ * * * In order for
    evidence [to] ‘tend[]’ to support an affirmative defense, it must be sufficient to raise
    a question in the mind of a reasonable juror.”), quoting State v. Melchior, 
    56 Ohio St.2d 15
    , 20, 
    381 N.E.2d 195
     (1978); see also State v. Sullivan, 11th Dist. Lake Nos.
    2019-L-143 and 2019-L-144, 
    2020-Ohio-1439
    , ¶ 33-34, 45 (“When a defendant’s
    testimony, if believed, would have raised the question of self-defense in the mind of
    a reasonable juror, the defendant’s burden of production has been met.”). If the
    evidence presented “‘generates only a mere speculation or possible doubt, such
    evidence is insufficient to raise the affirmative defense, and submission of the issue
    to the jury will be unwarranted.’” Tolle at ¶ 23, quoting Melchior at 20.
    The record reflects that, prior to denying Jacinto’s request for a jury
    instruction on self-defense, the trial court carefully considered whether a self-
    defense jury instruction was appropriate, including eliciting and considering the
    arguments of counsel, analyzing applicable legal authority and re-reviewing the
    relevant testimony, the surveillance video footage and the recordings of Jacinto’s
    statements to police. The trial court ultimately denied Jacinto’s request for a jury
    instruction on self-defense because it found that no evidence had been presented
    that Jacinto felt that “his physical wellbeing was in any way, shape or form in
    danger” when he struck Lee.
    Based on the record before us, we cannot say that the trial court
    abused its discretion or otherwise erred in denying Jacinto’s request for a self-
    defense jury instruction. Tolle at ¶ 26-32 (where the evidence presented was
    insufficient to create a question in the minds of reasonable jurors regarding whether
    defendant was “not at fault in creating the situation giving rise to the affray,” trial
    court did not abuse its discretion in denying defendant’s request for a self-defense
    instruction under R.C. 2901.05(B)(1), as amended). Even assuming a reasonable
    juror could find that Jacinto was not at fault in creating the situation that gave rise
    to the altercation, no evidence was presented that “tended to support” that Jacinto
    believed he was in imminent danger of bodily harm prior to striking Lee or from
    which a rational juror could reasonably infer that Jacinto believed he was in
    imminent danger of bodily harm prior striking Lee.
    No evidence was presented that Lee struck, pushed or physically
    threatened Jacinto in any way or used any physically threatening, “fighting” words
    prior to Jacinto punching Lee. Although Contreras testified that Lee “poked”
    Jacinto in the chest, he indicated that the “poking” occurred approximately ten
    minutes before Jacinto punched Lee. Contreras testified that after the poking, the
    situation deescalated. The surveillance video confirms this.
    Jacinto did not testify at trial. In his police interviews, Jacinto told
    police that Lee “tapped” or “poked” him in the chest repeatedly, but indicated that
    he at no point he felt threatened by, or feared he might be physically harmed in any
    way by, Lee. According to his statements to police, Jacinto punched Lee because
    they were both “drunken idiots” and Jacinto was aggravated, annoyed or frustrated
    by his conversation with Lee and the fact Lee was “getting in [his] face” about it.
    After carefully reviewing the record in this case, we find that there was
    insufficient evidence to warrant a jury instruction on self-defense. There is no
    evidence from which a jury might reasonably conclude that Jacinto had a bona fide
    belief that he was in imminent danger of bodily harm. Cf. State v. Arnett, 11th Dist.
    Ashtabula No. 95-A-0005, 
    1995 Ohio App. LEXIS 3294
    , 3-4 (August 11, 1995)
    (insufficient evidence to warrant a jury instruction on self-defense where victim did
    not strike, push or threaten defendant and defendant testified that he struck victim
    because victim accused him of something he did not do and poked his finger in
    defendant’s face). Accordingly, the trial court did not abuse its discretion or
    otherwise err in failing to give a self-defense jury instruction.
    Although not identified as a separate assignment of error, Jacinto also
    contends that the trial court erred in excluding “extensive evidence of Mr. Lee’s prior
    violent conduct, including that against court staff and that which had occurred at
    prior work functions” based on his claim of self-defense. “A trial court has broad
    discretion in admitting or excluding evidence, and a trial court’s ruling on the
    admissibility of evidence will be upheld absent an abuse of that discretion and a
    showing of material prejudice.” See, e.g., State v. Ortiz-Vega, 8th Dist. Cuyahoga
    No. 107694, 
    2019-Ohio-2918
    , ¶ 52. Jacinto acknowledges that a defendant asserting
    self-defense cannot introduce evidence of specific instances of a victim’s conduct to
    prove that the victim was the initial aggressor. See, e.g., State v. Barnes, 
    94 Ohio St.3d 21
    , 
    759 N.E.2d 1240
     (2002), syllabus. However, he contends that, because he
    was denied a self-defense instruction, this rule does not apply and he should have
    been permitted to introduce evidence of prior instances of “violent conduct” by Lee.
    There was no evidence Jacinto was aware of Lee’s background at the
    time of the altercation. As such, it could not have had any bearing on Jacinto’s state
    of mind. Jacinto has not shown that such evidence was admissible regardless of
    whether a self-defense instruction was provided or that he was materially prejudiced
    by the exclusion of this evidence. Jacinto’s conclusory assertion in his brief that such
    evidence was “relevant, material, and otherwise admissible,” without any
    explanation or citation to legal authority supporting his assertion, does not satisfy
    his obligation under App.R. 16(A)(7). An appellate court is not obliged to construct
    or develop arguments to support a defendant’s assignment of error and “will not
    ‘guess at undeveloped claims on appeal.’” See, e.g., State v. Piatt, 9th Dist. Wayne
    No. 19AP0023, 
    2020-Ohio-1177
    , ¶ 39, quoting McPherson v. Goodyear Tire &
    Rubber Co., 9th Dist. Summit No. 21499, 
    2003-Ohio-7190
    , ¶ 31; see also State v.
    Collins, 8th Dist. Cuyahoga No. 89668, 
    2008-Ohio-2363
    , ¶ 91 (“‘[I]t is not the duty
    of this Court to develop an argument in support of an assignment of error if one
    exists.’”), quoting State v. Franklin, 9th Dist. Summit No. 22771, 
    2006-Ohio-4569
    ,
    ¶ 19; App.R. 12(A)(2).
    We overrule Jacinto’s first assignment of error.
    Admission of 911 Call
    In his second assignment of error, Jacinto contends that the trial
    court abused its discretion in allowing the state to admit the recording of the 911 call
    without having the 911 caller testify and be subject to cross-examination. Jacinto
    contends that call contained hearsay that “did not fit an exception” and that by
    allowing the state to play the 911 call for the jury, the trial court violated his
    constitutional right to confront the witnesses against him.
    Confrontation Clause
    The Sixth Amendment’s Confrontation Clause provides: “In all
    criminal prosecutions, the accused shall enjoy the right * * * to be confronted with
    the witnesses against him.” Only testimonial hearsay implicates the Confrontation
    Clause. A statement is “testimonial” if it is made for “‘a primary purpose of creating
    an out-of-court substitute for trial testimony.’” State v. Montgomery, 
    148 Ohio St.3d 347
    , 
    2016-Ohio-5487
    , 
    71 N.E.3d 180
    , ¶ 87, quoting Michigan v. Bryant, 
    562 U.S. 344
    , 358, 
    131 S.Ct. 1143
    , 
    179 L.Ed.2d 93
     (2011); see also State v. Knox, 8th Dist.
    Cuyahoga No. 107414, 
    2019-Ohio-1246
    , ¶ 67 (“[T]he core class of statements
    implicated by the Confrontation Clause” includes those “‘made under circumstances
    which would lead an objective witness to reasonably believe that the statement
    would be available for use at a later trial.’”), quoting Crawford v. Washington, 
    541 U.S. 36
    , 52, 
    124 S.Ct. 1354
    , 
    158 L.Ed.2d 177
     (2004).
    The admission of a testimonial, out-of-court statement by a declarant
    who does not testify at trial violates the Confrontation Clause unless the declarant is
    unavailable and the defendant had a prior opportunity to cross-examine the
    declarant. Crawford at 53-54, 68. We review evidentiary rulings that implicate the
    Confrontation Clause de novo. State v. McKelton, 
    148 Ohio St.3d 261
    , 2016-Ohio-
    5735, 
    70 N.E.3d 508
    , ¶ 97.
    911 calls are generally nontestimonial and are admissible if the
    statements contained therein satisfy a hearsay exception. As the United States
    Supreme Court explained in Davis v. Washington, 
    547 U.S. 813
    , 
    126 S.Ct. 2266
    , 
    165 L.Ed.2d 224
     (2006), in determining that a victim’s statements to a 911 operator
    during and shortly after a violent attack by her boyfriend were nontestimonial:
    Without attempting to produce an exhaustive classification of all
    conceivable statements — or even all conceivable statements in
    response to police interrogation — as either testimonial or
    nontestimonial * * * [s]tatements are nontestimonial when made in the
    course of police interrogation under circumstances objectively
    indicating that the primary purpose of the interrogation is to enable
    police assistance to meet an ongoing emergency. They are testimonial
    when the circumstances objectively indicate that there is no such
    ongoing emergency, and that the primary purpose of the interrogation
    is to establish or prove past events potentially relevant to later criminal
    prosecution.
    ***
    A 911 call * * * and at least the initial interrogation conducted in
    connection with a 911 call, is ordinarily not designed primarily to
    “establis[h] or prov[e]” some past fact, but to describe current
    circumstances requiring police assistance.
    
    Id. at 822, 827
    , quoting Crawford at 51. The court observed that, in the case of 911
    calls, the declarants are generally “speaking about events as they [are] actually
    happening” and that “[a]lthough one might call 911 to provide a narrative report of
    a crime absent any imminent danger,” 911 callers are typically facing ongoing
    emergencies. (Emphasis deleted.) Davis at 827. Under such circumstances, the 911
    caller is not testifying; the 911 caller is not acting as a witness and the statements of
    a 911 caller are not testimonial in nature. 
    Id. at 827-828
    .
    In Michigan v. Bryant, 
    562 U.S. 344
    , 
    131 S.Ct. 1143
    , 
    179 L.Ed.2d 93
    (2011), the court clarified “what Davis meant” by “‘an ongoing emergency’” and its
    role in determining whether a declarant’s statements are testimonial for purposes of
    the Confrontation Clause. 
    Id. at 359
    , quoting Davis at 822. The court rejected the
    Michigan Supreme Court’s reading of Davis “as deciding that ‘the statements made
    after the defendant stopped assaulting the victim and left the premises did not occur
    during an “ongoing emergency’”” and stated that “whether an emergency exists and
    is ongoing is a highly context-dependent inquiry.” (Emphasis deleted.) The court
    explained:
    An objective analysis of the circumstances of an encounter and
    the statements and actions of the parties to it provides the most
    accurate assessment of the “primary purpose of the interrogation.” The
    circumstances in which an encounter occurs — e.g., at or near the scene
    of the crime versus at a police station, during an ongoing emergency or
    afterwards — are clearly matters of objective fact. The statements and
    actions of the parties must also be objectively evaluated. That is, the
    relevant inquiry is not the subjective or actual purpose of the
    individuals involved in a particular encounter, but rather the purpose
    that reasonable participants would have had, as ascertained from the
    individuals’ statements and actions and the circumstances in which the
    encounter occurred. * * *
    [T]he existence of an “ongoing emergency” at the time of an
    encounter between an individual and the police is among the most
    important circumstances informing the “primary purpose” of an
    interrogation. * * * The existence of an ongoing emergency is relevant
    to determining the primary purpose of the interrogation because an
    emergency focuses the participants on something other than “prov[ing]
    past events potentially relevant to later criminal prosecution.” Davis,
    
    547 U.S. at 822
    , 
    126 S.Ct. 2266
    , 
    165 L.Ed.2d 224
    . Rather, it focuses
    them on “end[ing] a threatening situation.” 
    Id. at 832
    .
    ***
    [T]he existence and duration of an emergency depend on the
    type and scope of danger posed to the victim, the police, and the public.
    Id. at 360-361, 370-371.
    Statements made by a 911 caller in response to questioning by a 911
    operator are likewise nontestimonial where the “primary purpose” of the exchange
    is to obtain assistance in an emergency. See, e.g., Davis at 822, 827-828; State v.
    McGee, 1st Dist. Hamilton No. C-150496, 
    2016-Ohio-7510
    , ¶ 16, citing State v. Siler,
    
    116 Ohio St.3d 39
    , 
    2007-Ohio-5637
    , 
    876 N.E.2d 534
    , ¶ 24-25.
    Jacinto argues that the 911 call was testimonial in nature, at least in
    part, because the caller was not “attempting to provide police assistance to an
    ongoing criminal act,” but rather, was “simply seeking to notify emergency services
    so that an ambulance could be sent.” He also contends that the 911 call was
    testimonial because the caller, “[w]hile seeking medical assistance,” “delved deeply
    into multiple, sometimes inconsistent, past events that would certainly be relevant
    in later criminal proceedings.” We disagree.
    As explained above, when determining whether a 911 caller’s
    statements are testimonial or nontestimonial, the issue is not whether the
    statements would “be relevant” in later criminal proceedings. The issue is the
    “primary purpose” for which the statements are made. Further, an “ongoing
    emergency” is not limited to circumstances imposing an ongoing, immediate threat
    of physical harm to a victim. “An ongoing emergency can exist after the original
    threat to the victim has ceased to exist if there is a potential threat to police or the
    public or the victim is in need of emergency medical services.” Cleveland v. Merritt,
    
    2016-Ohio-4693
    , 
    69 N.E.3d 102
    , ¶ 10 (8th Dist.), citing Bryant, 
    562 U.S. at 376
    , 
    131 S.Ct. 1143
    , 
    179 L.Ed.2d 93
    ; see also State v. Wade, 11th Dist. Lake No. 2019-L-065,
    
    2020-Ohio-2894
    , ¶ 35-37 (911 calls made immediately after a shooting to report the
    shooting and to obtain medical assistance for a victim who had been shot were
    nontestimonial).
    Based on Davis, this court has identified “four characteristics of a
    statement that meets the emergency exception”: (1) the declarant describes
    contemporaneous events rather than events that occurred hours earlier, (2) an
    objective emergency exists, (3) the questions asked of the declarant are necessary to
    resolve the emergency and (4) the interview is of an informal nature. Cleveland v.
    Johnson, 8th Dist. Cuyahoga No. 107930, 
    2019-Ohio-3286
    , ¶ 18, citing State v.
    Clark, 
    2016-Ohio-4561
    , 
    67 N.E.3d 182
    , ¶ 38 (8th Dist.), citing Davis, 
    547 U.S. at 826-830
    , 
    126 S.Ct. 2266
    , 
    165 L.Ed.2d 224
    . All four characteristics are present here.
    In this case, the 911 call was made by someone at the scene just after
    the incident occurred for the purpose of obtaining emergency medical services for
    Lee. The 911 caller describes the victim’s current condition, informing the 911
    operator that the victim was “knocked out,” “barely breathing” and “gasping for air.”
    Although the caller describes the immediately preceding events that gave rise to the
    need for emergency services, i.e., that the victim had been punched and knocked out
    and his head had hit the concrete, it is clear that the primary purpose of the caller’s
    statements was not to establish or prove past events potentially relevant to later
    criminal prosecution, but rather, to obtain immediate emergency medical assistance
    for the victim. Simply because the 911 caller used the past tense and described
    certain events that had just occurred, rather than as they were occurring, does not
    mean that there was not an ongoing emergency that rendered his statements
    nontestimonial. See, e.g., State v. Conyer, 7th Dist. Mahoning No. 16 MA 0021,
    
    2017-Ohio-7506
    , ¶ 11-20. There is nothing to suggest that caller was “giving
    testimony” or “speaking with the intention of providing testimony at a later time.”
    State v. Naugler, 12th Dist. Madison No. CA2004-09-033, 
    2005-Ohio-6274
    , ¶ 22.
    The caller was seeking immediate assistance and was providing information for that
    purpose.
    Although “a conversation which begins as an interrogation to
    determine the need for emergency assistance” can “‘evolve into testimonial
    statements’ * * * once that purpose has been achieved,’” this is not that case. Davis
    at 828, quoting Hammon v. State, 
    829 N.E.2d 444
     (Ind.2005).
    The questions the 911 operator asked the caller, e.g., questions
    relating to the location of the perpetrator and the location and condition of the
    victim, clearly related to the ongoing emergency and were directed to determining
    the nature and scope of the emergency to which law enforcement or other
    responders would need to respond. See, e.g., State v. Douglas, 3d Dist. Marion Nos.
    9-18-19 and 9-18-20, 
    2019-Ohio-2067
    , ¶ 29-30 (statements during 911 call were not
    testimonial where “dispatcher was determining the emergency to which law
    enforcement needed to respond; whether the victim needed medical attention; and
    whether law enforcement should be aware if the assailant was present”).
    Although the 911 caller provided some limited information regarding
    the perpetrator, i.e., that he was a male and went into the hotel with another male
    after punching the victim, the focus of the call was not on the perpetrator or the “past
    events.” The caller did not identify the perpetrator or even describe the perpetrator
    in any detail during the call; he simply indicated that the perpetrator had left the
    scene and went into the hotel. The “nature of what was asked and answered,” viewed
    objectively, “was such that the elicited statements were necessary to be able to
    resolve the present emergency, rather than simply to learn * * * what had happened
    in the past.” Davis, 
    547 U.S. at 827
    , 
    126 S.Ct. 2266
    , 
    165 L.Ed.2d 224
    .
    Considering the totality of the circumstances, there is no indication in
    the record that any reasonable person in the position of the 911 caller would have
    intended to use the 911 call as a means of testifying regarding the events he was
    witnessing. The out-of-court statements by the 911 caller concerned an ongoing
    emergency and were not testimonial. Accordingly, no violation of the Confrontation
    Clause occurred.
    Having determined that the 911 emergency call was nontestimonial
    and, therefore, not barred by the Confrontation Clause, we next consider whether
    the call was admissible under an exception to the hearsay rules. See State v. Jones,
    
    135 Ohio St.3d 10
    , 
    2012-Ohio-5677
    , 
    984 N.E.2d 948
    , ¶ 165.
    Applicable Hearsay Exceptions
    Hearsay is “a statement, other than one made by the declarant while
    testifying at the trial or hearing, offered in evidence to prove the truth of the matter
    asserted.” Evid.R. 801(C). Hearsay is generally inadmissible unless it falls into one
    of the applicable exceptions. Evid.R. 802.
    Although Jacinto asserts that the 911 call “did not fit” any of the
    hearsay exceptions, he does not explain why he contends none of the relevant
    exceptions are applicable.
    Typically, 911 calls are admissible as either excited utterances or
    present sense impressions. See, e.g., State v. Rose, 8th Dist. Cuyahoga No. 89457,
    
    2008-Ohio-1262
    , ¶ 42 (“Precedent overwhelmingly supports the conclusion that 911
    calls are admissible either as excited utterances or present sense impressions.”); see
    also Wade, 
    2020-Ohio-2894
    , at ¶ 28; State v. Urso, 
    195 Ohio App.3d 665
    , 2011-
    Ohio-4702, 
    961 N.E.2d 689
    , ¶ 69 (11th Dist.); State v. Johnson, 10th Dist. Franklin
    No. 08AP-652, 
    2009-Ohio-3383
    , ¶ 22.
    An excited utterance is “[a] statement relating to a startling event or
    condition made while the declarant was under the stress of excitement caused by the
    event or condition.” Evid.R. 803(2). The admission of a statement as an excited
    utterance “is not precluded by questioning which: (1) is neither coercive nor leading,
    (2) facilitates the declarant’s expression of what is already the natural focus of the
    declarant’s thoughts, and (3) does not destroy the domination of the nervous
    excitement over the declarant’s reflective faculties.” State v. Wallace, 
    37 Ohio St.3d 87
    , 
    524 N.E.2d 466
     (1988), paragraph two of the syllabus. “There is no per se
    amount of time after which a statement can no longer be considered to be an excited
    utterance. The central requirements are that the statement must be made while the
    declarant is still under the stress of the event and the statement may not be the result
    of reflective thought.” (Emphasis deleted.) State v. Taylor, 
    66 Ohio St.3d 295
    , 303,
    
    612 N.E.2d 316
     (1993); see also Jones, 
    135 Ohio St.3d 10
    , 
    2012-Ohio-5677
    , 
    984 N.E.2d 948
    , at ¶ 166.
    A present sense impression is “[a] statement describing or explaining
    an event or condition made while the declarant was perceiving the event or
    condition, or immediately thereafter unless circumstances indicate lack of
    trustworthiness.” Evid.R. 803(1).
    In this case, the statements by the 911 caller were admissible both as
    excited utterances and present sense impressions. The 911 caller reported an
    startling event he had personally observed just moments earlier, i.e., “[a] guy walked
    up to him and hit him and knocked him out and his head hit the concrete,” and
    provided a contemporaneous description of the victim’s condition as he was
    perceiving it, i.e., that the victim was unconscious, “barely breathing” and “gasping
    for air.” Although the perpetrator had left the scene when the caller spoke with the
    911 operator, the crisis was ongoing because the victim was in need of immediate
    medical attention. The tone of the caller’s voice reflects that he is still under the
    stress of what he had just observed and what he was currently observing and there
    is a sense of urgency related to the condition of the victim for whom he is seeking
    emergency medical assistance.         There is nothing to suggest that the caller’s
    statements to the 911 operator were the result of reflective thought. The questions
    from the 911 operator were not coercive or leading; they facilitated the caller’s
    expression of the natural focus of his thoughts — what had happened to the victim
    and the victim’s present condition.
    Accordingly, the trial court did not violate the Confrontation Clause
    when it admitted the 911 call into evidence.          The caller’s statements were
    nontestimonial and were admissible under exceptions to the hearsay rule.
    Jacinto’s second assignment of error is overruled.
    “Expert” Opinion Testimony by EMT
    In his third assignment of error, Jacinto contends that the trial court
    erred in allowing Hyde, a paramedic who treated Lee, to offer expert opinion
    testimony regarding the amount of force needed to cause Lee’s injuries, the direction
    from which that force would come and whether Lee was knocked unconscious prior
    to hitting the ground. Jacinto asserts that the trial court erred in admitting this
    opinion testimony because (1) it did not meet the requirements for lay opinion
    testimony under Evid.R. 701; (2) Hyde’s opinions were not disclosed in an expert
    report as required under Crim.R. 16(K), (3) Hyde lacked the expertise necessary to
    render the proffered “expert” opinions under Evid.R. 702 and (4) Hyde’s opinions
    were based on “assumptions” and lacked an adequate factual foundation. Jacinto
    argues that his conviction should be vacated and that he should be granted a new
    trial based on the improper admission of this testimony.
    Evid.R. 701 governs opinion testimony by lay witnesses. It provides:
    If the witness is not testifying as an expert, the witness’ testimony in
    the form of opinions or inferences is limited to those opinions or
    inferences which are (1) rationally based on the perception of the
    witness and (2) helpful to a clear understanding of the witness’
    testimony or the determination of a fact in issue.
    Evid.R. 702 governs the admissibility of expert testimony. A witness
    may testify as an expert if all of the following apply: (1) the witness’ testimony relates
    to matters beyond the knowledge or experience possessed by lay persons or dispels
    a misconception common among lay persons; (2) the witness is qualified as an
    expert by specialized knowledge, skill, experience, training or education regarding
    the subject matter of the testimony and (3) the witness’ testimony is based on
    reliable scientific, technical or other specialized information. Evid.R. 702. In
    addition, Crim.R. 16(K) requires that a party seeking to introduce expert testimony
    provide a written expert report “summarizing the expert witness’[] testimony,
    findings, analysis, conclusions, or opinion” and “qualifications.” See also State v.
    Boaston, Slip Opinion No. 
    2020-Ohio-1061
    , ¶ 59 (trial court erred in admitting
    expert opinion testimony on topics that were not set forth in a written report
    prepared in compliance with Crim.R. 16(K)). The purpose of the rule “‘to avoid
    unfair surprise by providing notice to the defense and allowing the defense an
    opportunity to challenge the expert’s findings, analysis, or qualifications, possibly
    with the support of an adverse expert who could discredit the opinion after carefully
    reviewing the written report.’” Boaston at ¶ 48, quoting State v. Perry, 11th Dist.
    Lake No. 2011-L-125, 
    2012-Ohio-4888
    , ¶ 55.
    The state contends that Hyde’s testimony on direct examination that
    (1) Lee’s injuries were consistent with someone being punched and immediately
    knocked unconscious rather than someone being punched and losing consciousness
    only after hitting the ground and (2) “it would take a significant amount of force to
    knock someone into unconsciousness before even hitting the ground” was
    admissible lay opinion testimony under Evid.R. 701, because it was rationally based
    on his perception and was helpful to the jury because it helped the jury to
    understand “not only [that] Lee suffered serious physical harm, but how he suffered
    that harm.” (Emphasis deleted.) The state asserts that it was defense counsel who
    “tried to elicit expert testimony from Hyde” by asking Hyde, on cross-examination,
    “[i]n order to knock somebody out, how much force is required, specific PSI or
    pounds” and “what happened here.”
    “‘The line between expert testimony under Evid.R. 702 and lay
    opinion testimony under Evid.R. 701 is not always easy to draw.’” State v. Mathis,
    8th Dist. Cuyahoga No. 107365, 
    2019-Ohio-3654
    , ¶ 59, quoting Hetzer-Young v.
    Elano Corp., 
    2016-Ohio-3356
    , 
    66 N.E.3d 234
     (2d Dist.). As the Ohio Supreme Court
    has stated:
    [C]ourts have permitted lay witnesses to express their opinions in areas
    in which it would ordinarily be expected that an expert must be
    qualified under Evid.R. 702. * * * Although these cases are of a
    technical nature in that they allow lay opinion testimony on a subject
    outside the realm of common knowledge, they still fall within the ambit
    of the rule’s requirement that a lay witness’s opinion be rationally based
    on firsthand observations and helpful in determining a fact in issue.
    These cases are not based on specialized knowledge within the scope of
    Evid.R. 702, but rather are based upon a layperson’s personal
    knowledge and experience.
    State v. McKee, 
    91 Ohio St.3d 292
    , 296-297, 
    744 N.E.2d 737
     (2001).
    However, a distinction between lay opinion testimony and expert
    opinion testimony remains. “[L]ay person opinion testimony ‘results from a process
    of reasoning familiar in everyday life, while expert opinion testimony results from a
    process of reasoning that only specialists in the field can master.’” State v. Russell,
    12th Dist. Butler No. CA2012-08-156, 
    2013-Ohio-3079
    , ¶ 36, quoting State v. Lewis,
    
    192 Ohio App.3d 153
    , 
    2011-Ohio-187
    , 
    948 N.E.2d 487
    , ¶ 23 (5th Dist.). We review a
    trial court’s determination of the admissibility of lay witness opinion testimony for
    abuse of discretion. Mathis, 
    2019-Ohio-3654
    , at ¶ 59, citing State v. Allen, 8th Dist.
    Cuyahoga No. 92482, 
    2010-Ohio-9
    , ¶ 46.
    Following a thorough review of the record, we agree that Hyde’s
    testimony exceeded the scope of permissible lay opinion testimony under Evid.R.
    701. What happened within Lee’s brain after Jacinto punched him, what happened
    within Lee’s brain after he hit the ground and the amount and direction of the force
    required to cause Lee’s brain injury were not matters “rationally based on [Hyde’s]
    perception.” Evid.R. 701. We likewise agree that Hyde’s opinions regarding these
    issues were not properly admitted under Crim.R. 16(K) and Evid.R. 702. No expert
    report was provided to the defense — aside from the EMS report which did not
    address these issues — and Hyde was not shown to have any expertise or specialized
    training in traumatic brain injuries or the forces required to cause those injuries as
    would be necessary to render expert opinions regarding these issues.
    Nevertheless, we find that the trial court’s error in admitting this
    testimony was harmless. Crim.R. 52(A) provides: “Any error, defect, irregularity, or
    variance which does not affect substantial rights shall be disregarded.” See also R.C.
    2945.83(C) (“No motion for a new trial shall be granted or verdict set aside, nor shall
    any judgment of conviction be reversed in any court because of * * * [t]he admission
    or rejection of any evidence offered against or for the accused unless it affirmatively
    appears on the record that the accused was or may have been prejudiced thereby.”);
    State v. Morris, 
    141 Ohio St.3d 399
    , 
    2014-Ohio-5052
    , 
    24 N.E.3d 1153
    , ¶ 24 (“Not
    every error requires that a conviction be vacated or a new trial granted.”). In order
    to prejudice a defendant, i.e., to “affect” a defendant’s “substantial rights” under
    Crim.R. 52(A), the error “‘must have affected the outcome of the [trial] court
    proceedings.’” State v. Fisher, 
    99 Ohio St.3d 127
    , 
    2003-Ohio-2761
    , 
    789 N.E.2d 222
    ,
    ¶ 7, quoting United States v. Olano, 
    507 U.S. 725
    , 734, 
    113 S.Ct. 1770
    , 
    123 L.Ed.2d 508
     (1993).
    The Ohio Supreme Court has articulated a “three-part analysis” to be
    used in determining whether the erroneous admission of evidence “affected the
    defendant’s substantial rights so as to require a new trial or whether the admission
    of that evidence was harmless error under Crim.R. 52(A).” Boaston, Slip Opinion
    No. 
    2020-Ohio-1061
    , at ¶ 63. As the court explained in Boaston:
    “First, it must be determined whether the defendant was prejudiced by
    the error, i.e., whether the error had an impact on the verdict. [Morris,
    
    141 Ohio St.3d 399
    , 
    2014-Ohio-5052
    , 
    24 N.E.3d 1153
    , at ¶ 25, 27].
    Second, it must be determined whether the error was not harmless
    beyond a reasonable doubt. Id. at ¶ 28. Lastly, once the prejudicial
    evidence is excised, the remaining evidence is weighed to determine
    whether it establishes the defendant’s guilt beyond a reasonable doubt.
    Id. at ¶ 29, 33.”
    Boaston at ¶ 63-70 (improper admission of deputy coroner’s expert opinions beyond
    the scope of her report did not affect the substantial rights of the defendant where
    the remaining evidence adduced by the state established the defendant’s guilt
    beyond any reasonable doubt), quoting State v. Harris, 
    142 Ohio St.3d 211
    , 2015-
    Ohio-166, 
    28 N.E.3d 1256
    , ¶ 37.
    Applying that analysis in this case, we find that Jacinto was not
    prejudiced by the admission of Hyde’s testimony and that the trial court’s error in
    admitting Hyde’s improper opinion testimony was harmless beyond a reasonable
    doubt. As detailed above and further explained below, the state presented ample
    evidence besides Hyde’s testimony establishing Jacinto’s guilt beyond any
    reasonable doubt. Whether Jacinto lost consciousness immediately after he was
    punched and before his head hit the ground or whether he lost consciousness only
    after his head hit the ground “was not essential” to the state’s prosecution of the
    felonious assault charge. Boaston at ¶ 64. Regardless of how or when Lee lost
    consciousness, i.e., whether Lee was rendered unconscious by the punch itself or
    became unconscious only after his head struck the ground, there was ample
    evidence to support the jury’s finding, beyond a reasonable doubt, that Jacinto
    knowingly caused serious physical harm to Lee by punching him.
    Further, Hyde’s testimony that a significant amount of force was
    necessary to cause Lee’s injuries and that Jacinto’s punch could have been the source
    of that force was duplicative of testimony by Dr. Brown, who testified that Lee’s
    brain injury came either from the punch or the fall that followed and that the punch
    involved a “pretty significant amount of force” given the significant acute swelling
    and bruising she observed on Lee’s jaw. No one disputes that her testimony was
    properly admitted by the trial court. The fact that Jacinto punched Lee with
    significant force was also clear from Jacinto’s statement to detectives that, after he
    punched Lee once, Lee “let out a loud snore” and immediately fell to the ground.
    Accordingly, we overrule Jacinto’s third assignment of error.
    Sufficiency of the Evidence
    In his fifth assignment of error, Jacinto contends that his conviction
    should be overturned because there was insufficient evidence that Jacinto
    “knowingly” caused serious physical harm to Lee.
    A challenge to the sufficiency of the evidence supporting a conviction
    requires a determination of whether the state met its burden of production at trial.
    State v. Hunter, 8th Dist. Cuyahoga No. 86048, 
    2006-Ohio-20
    , ¶ 41. When
    reviewing sufficiency of the evidence, an appellate court must determine “‘whether,
    after viewing the evidence in a light most favorable to the prosecution, any rational
    trier of fact could have found the essential elements of the crime proven beyond a
    reasonable doubt.’” State v. Leonard, 
    104 Ohio St.3d 54
    , 
    2004-Ohio-6235
    , 
    818 N.E.2d 229
    , ¶ 77, quoting State v. Jenks, 
    61 Ohio St.3d 259
    , 
    574 N.E.2d 492
     (1991),
    paragraph two of the syllabus. In a sufficiency inquiry, an appellate court does not
    assess whether the evidence is to be believed but whether, if believed, the evidence
    admitted at trial would support a conviction beyond a reasonable doubt. State v.
    Starks, 8th Dist. Cuyahoga No. 91682, 
    2009-Ohio-3375
    , ¶ 25; Jenks at paragraph
    two of the syllabus.
    Jacinto was convicted of felonious assault in violation of R.C.
    2903.11(A)(1), which provides, in relevant part: “No person shall knowingly * * *
    [c]ause serious physical harm to another.” For purposes of his sufficiency argument,
    Jacinto does not dispute that the state presented sufficient evidence that he caused
    serious physical harm to Lee. Rather, Jacinto contends that the state lacked
    sufficient evidence to prove beyond a reasonable doubt that he “knew” his punch
    “could cause serious physical harm.”
    Jacinto first argues that the state did not present “any legitimate
    evidence” that Jacinto “knowingly” caused Lee serious physical harm and, instead,
    “relied heavily on allegations that [Jacinto] was an MMA fighter” to support his
    conviction. Jacinto contends that because it is a “universal truth” that “[d]runk
    people tell tall tales,” his “drunken[ ] boasting about his skills” could not be
    considered “evidence” that Jacinto knew his punch could cause serious physical
    harm to Lee.
    Simply because an individual made statements while intoxicated does
    not mean those statements cannot be believed and used to support a conviction. Cf.
    State v. Melton, 8th Dist. Cuyahoga No. 103341, 
    2016-Ohio-1227
    , ¶ 7 (intoxication
    “bears upon” a witness’ credibility, but it does not render a witness’ testimony “per
    se incredible”). Although Jacinto told police after the incident that he was simply
    “boasting” when he told others he was an MMA fighter and that, in fact, he did not
    “even know how to fight,” Contreras testified that he had an extended conversation
    with Jacinto regarding their training histories and experience with fighting.
    Accordingly, the jury could have reasonably determined that Jacinto had fighting
    experience and knew what he was doing when he struck Lee in the jaw.
    Even if, however, Jacinto had had no fighting experience, it would not
    preclude a rational jury from finding, beyond a reasonable doubt, that Lee
    knowingly caused Lee serious physical harm.
    Although Jacinto may not have specifically intended to cause Lee any
    serious physical harm — much less the catastrophic injuries Lee ultimately
    sustained — and although Jacinto may not have known that his punch would cause
    the particular injuries Lee sustained, “neither [Jacinto’s] purpose nor his lack of
    knowledge that his act would cause the precise injury [Lee] suffered are the relevant
    inquires when examining the evidence required to establish the knowingly element.”
    State v. Murphy, 9th Dist. Summit No. 24753, 
    2010-Ohio-1038
    , ¶ 20.
    To have acted “knowingly,” a person need not have specifically
    intended to cause a particular result. “A person acts knowingly, regardless of
    purpose, when the person is aware that the person’s conduct will probably cause a
    certain result or will probably be of a certain nature.” R.C. 2901.22(B). In other
    words, a defendant acts knowingly when, although not necessarily intending a
    particular result, he or she is aware that the result will probably occur.
    If a result is a probable consequence of a voluntary act, the actor
    “‘will be held to have acted knowingly to achieve it’” because a person “‘is charged
    by the law with knowledge of the reasonable and probable consequences of his [or
    her] own acts’.” State v. Dixon, 8th Dist. Cuyahoga No. 82951, 
    2004-Ohio-2406
    ,
    ¶ 16, quoting State v. McDaniel, 2d Dist. Montgomery No. 16221, 
    1998 Ohio App. LEXIS 2039
    , 16 (May 1, 1998); see also State v. McCurdy, 10th Dist. Franklin No.
    13AP-321, 
    2013-Ohio-5710
    , ¶ 16 (“‘[F]elonious assault under R.C. 2903.11,
    combined with the definition of “knowingly” found in R.C. 2901.22(B), does not
    require that a defendant intended to cause “serious physical harm,” but rather, that
    the defendant acted with an awareness that the conduct probably would cause such
    harm.’”) (emphasis deleted), quoting State v. Smith, 10th Dist. Franklin No. 04Ap-
    726, 
    2005-Ohio-1765
    , ¶ 28. “Stated another way, when a defendant voluntarily acts
    in a manner that is likely to cause serious physical injury, the factfinder can infer
    that the defendant was aware that his actions would cause whatever injury results
    from his actions, or, in other words, that he acted knowingly.” State v. Reed, 8th
    Dist. Cuyahoga No. 89137, 
    2008-Ohio-312
    , ¶ 10. “‘To be actionable it is only
    necessary that the result is within the natural and logical scope of risk created by the
    conduct.’” State v. Hampton, 8th Dist. Cuyahoga No. 103373, 
    2016-Ohio-5321
    , ¶ 13,
    quoting State v. Smith, 4th Dist. Ross No. 06CA2893, 
    2007-Ohio-1884
    , ¶ 29. The
    defendant need not have known that his or her actions would cause the precise
    injury sustained by the victim. See, e.g., State v. Perez, 8th Dist. Cuyahoga No.
    91227, 
    2009-Ohio-959
    , ¶ 42, citing Dixon at ¶ 24; see also Hampton at ¶ 13 (“A
    person need not foresee the precise consequences of criminal conduct.”).
    Absent an admission, whether a defendant acted “knowingly” must
    be determined “from all the surrounding facts and circumstances, including the
    doing of the act itself.” Dixon at ¶ 16, quoting State v. Huff, 
    145 Ohio App.3d 555
    ,
    563, 
    763 N.E.2d 695
     (1st Dist.2001).
    Jacinto argues that there was insufficient evidence that he
    knowingly caused Lee serious physical harm because it was “not reasonable to
    believe,” under the circumstances, that a single punch would cause “serious physical
    harm.” We disagree.
    “Serious physical harm,” as defined in R.C. 2901.01(A)(5), is very
    broad and includes any of the following:
    (a) Any mental illness or condition of such gravity as would normally
    require hospitalization or prolonged psychiatric treatment;
    (b) Any physical harm that carries a substantial risk of death;
    (c) Any physical harm that involves some permanent incapacity,
    whether partial or total, or that involves some temporary, substantial
    incapacity;
    (d) Any physical harm that involves some permanent disfigurement or
    that involves some temporary, serious disfigurement;
    (e) Any physical harm that involves acute pain of such duration as to
    result in substantial suffering or that involves any degree of prolonged
    or intractable pain.
    Loss of consciousness, “‘irrespective of its duration,’” has been found to constitute
    severe physical harm under R.C. 2901.01(A)(5)(c). Watson, 
    2018-Ohio-4964
    , ¶ 11,
    quoting State v. Sales, 9th Dist. Summit No. 25036, 
    2011-Ohio-2505
    , ¶ 19.
    In support of his argument that the evidence did not demonstrate
    he knowingly caused serious physical harm to Lee, Jacinto cites State v. McCleod,
    7th Dist. Jefferson No. 00 JE 8, 
    2001-Ohio-3480
    , and State v. McFadden, 10th Dist.
    Franklin No. 95APA03-384, 
    1995 Ohio App. LEXIS 5144
     (Nov. 21, 1995). In
    McFadden, the defendant was convicted of felonious assault after throwing one
    “blind-side punch” to the right side of the victim’s head. Id. at 4, 12. The defendant
    and the victim were of “similar size and body weight” and the defendant lacked any
    “boxing or fighting experience.” Id. at 11. The court indicated that, under the
    circumstances of that case, while it was “reasonable to assume that a person would
    expect one punch to cause physical harm to another person,” it could not be said
    that “a reasonably prudent person would have been aware that the throwing of one
    punch had the propensity to cause serious physical harm to another person.” Id. at
    11-12. Accordingly, the court held that the evidence was insufficient to convict the
    defendant of felonious assault. Id.
    In McCleod, the Seventh District held that the trial court’s failure to
    instruct the jury on assault warranted a reversal of the defendant’s conviction for
    felonious assault. 
    2001-Ohio-3480
     at ¶ 1, 57. In that case, the defendant had
    “sucker-punched” and possibly kicked his victim. The court held that a reasonable
    jury could have acquitted the defendant of felonious assault because it was “not
    clear” that he was aware that one punch and possibly a kick “would certainly or likely
    result in the type of serious injury which occurred.” Id. at ¶ 45. That is not the issue
    in this case. In this case, the trial court instructed the jury both on felonious assault
    and assault.
    In numerous other cases, this court and others have held that a
    single punch to the head or face can support a conviction for felonious assault even
    in the absence of evidence that the defendant had fighting or boxing experience or
    was “more physically imposing” than the victim. See, e.g., Watson, 2018-Ohio-
    4964, at ¶ 16 (affirming felonious assault conviction where defendant struck the
    victim “with a strong closed fist punch to the side of his head” with enough force
    “that it knocked [the victim] to the ground, left him unconscious for an extended
    period of time, and damaged his skull and brain”); State v. Eisenman, 10th Dist.
    Franklin No. 17AP-475, 
    2018-Ohio-934
    , ¶ 11-12 (affirming felonious assault
    conviction where defendant punched the victim once in the head with sufficient
    force to “knock [the victim] out immediately”); Hampton, 
    2016-Ohio-5321
    , at ¶ 2,
    14, 24, 27-28 (evidence of a single, forceful intentional punch to the head could
    support the inference that defendant knowingly caused serious physical harm);
    State v. Westfall, 9th Dist. Lorain No. 10CA009825, 
    2011-Ohio-5011
    , ¶ 2, 10 (single
    punch to the victim’s face was sufficient to support felonious assault conviction);
    State v. Shepherd, 11th Dist. Ashtabula No. 2003-A-0028, 
    2006-Ohio-4315
    , ¶ 28
    (one punch to the face with sufficient force to crack two of the victim’s teeth was
    sufficient to support a conviction for felonious assault); see also State v. Redman,
    3d Dist. Allen No. 1-15-54, 
    2016-Ohio-860
    , ¶ 22 (“‘Punching someone in the face
    satisfies the requisite culpable mental state for felonious assault.’”), quoting State v.
    Beaver, 3d Dist. Union No. 14-13-15, 
    2014-Ohio-4995
    , ¶ 37; State v. Vanover, 4th
    Dist. Lawrence No. 98CA38, 
    1999 Ohio App. LEXIS 2357
    , 14-15 (May 16, 1999)
    (“[T]he mere act of punching someone in the head area carries with it the risk of
    causing serious physical harm. * * * Serious physical harm is unquestionably a
    natural and logical consequence of punching, without warning or provocation, an
    intoxicated person whose faculties are likely impaired.”).
    As explained above, the determination of whether a defendant acted
    knowingly requires a review of all the relevant facts and circumstances. See, e.g.,
    State v. Porter, 10th Dist. Franklin No. 19AP-29, 
    2019-Ohio-4868
    , ¶ 18 (“[I]n
    analyzing an attack, inferences about mens rea depend on the nature and
    circumstances of the event.”). In this case, the evidence shows that Lee weighed 180
    pounds. After Jacinto punched Lee in the jaw, he immediately fell to the ground,
    was unconscious and gasping for breath and sustained a severe brain injury. Dr.
    Brown could not state whether Lee’s brain injury came from the punch or the fall
    that followed, but testified that a “pretty significant amount of force” would have
    been necessary to cause the significant acute swelling and bruising she observed on
    Lee’s jaw. This was not a case of a light jab or minor clip. Jacinto’s punch was a
    voluntary, significant, forceful blow to Lee’s face.
    As the court explained in State v. Ayers, 3d Dist. Marion No. 9-81-
    1, 
    1981 Ohio App. LEXIS 10550
     (Aug. 18, 1981), in concluding that there was
    sufficient evidence to support a felonious assault conviction where the defendant hit
    the victim twice with his fist with sufficient force to break his cheekbone:
    [T]he evidence clearly shows the blows were directed to the victim’s
    face and head. This is the site of the sense of smell, of taste, of sight,
    and of hearing. It is the situs of the brain. As such, any violent blow
    can be expected to probably cause * * * some temporary substantial
    incapacity and to cause acute pain of such duration as to result in
    substantial suffering.
    Id. at 4.
    Although Jacinto may not have reasonably anticipated that Lee
    would sustain a serious brain injury, considering all the circumstances, it could be
    reasonably inferred that Jacinto knew that some form of serious physical harm to
    Lee was a reasonable and probable consequence of his forceful punch to Lee’s jaw.
    Furthermore, after punching Lee and seeing him fall to the ground, Jacinto simply
    walked away. Jacinto’s response to the immediate impact of his punch could
    reasonably support the inference that Jacinto was “unsurprised by its severity” and
    that Jacinto was aware that his punch to Lee’s jaw would probably cause him serious
    physical harm. See Watson, 
    2018-Ohio-4964
    , at ¶ 16.
    Viewing the evidence in the light most favorable to the state and
    considering the reasonable inferences to be drawn therefrom, we find that the
    evidence presented was sufficient to support a finding, beyond a reasonable doubt,
    that Jacinto knew that his conduct would probably cause serious physical harm to
    Lee.
    Accordingly, we overrule Jacinto’s fifth assignment of error.
    Manifest Weight of the Evidence
    In his fourth assignment of error, Jacinto contends that his felonious
    assault conviction was against the manifest weight of the evidence.
    In contrast to a challenge based on sufficiency of the evidence, a
    manifest weight challenge attacks the credibility of the evidence presented and
    questions whether the state met its burden of persuasion. State v. Bowden, 8th Dist.
    Cuyahoga No. 92266, 
    2009-Ohio-3598
    , ¶ 13. Weight of the evidence “addresses the
    evidence’s effect of inducing belief,” i.e., “whose evidence is more persuasive — the
    state’s or the defendant’s?” State v. Wilson, 
    113 Ohio St.3d 382
    , 
    2007-Ohio-2202
    ,
    
    865 N.E.2d 1264
    , ¶ 25, citing State v. Thompkins, 
    78 Ohio St.3d 380
    , 386-387, 
    678 N.E.2d 541
     (1977). When considering an appellant’s claim that a conviction is
    against the manifest weight of the evidence, the appellate court functions as a
    “thirteenth juror” and may disagree “with the factfinder’s resolution of * * *
    conflicting testimony.” Thompkins at 387, citing Tibbs v. Florida, 
    457 U.S. 31
    , 42,
    
    102 S.Ct. 2211
    , 
    72 L.Ed.2d 652
     (1982). The appellate court examines the entire
    record, weighs the evidence and all reasonable inferences that may be drawn
    therefrom, considers the witnesses’ credibility and determines whether, in resolving
    conflicts in the evidence, the trier of fact “‘clearly lost its way and created such a
    manifest miscarriage of justice that the conviction must be reversed and a new trial
    ordered.’” Thompkins at 387, quoting State v. Martin, 
    20 Ohio App.3d 172
    , 175, 
    485 N.E.2d 717
     (1st Dist.1983). Reversal on manifest weight grounds is reserved for the
    “‘exceptional case in which the evidence weighs heavily against the conviction.’”
    Thompkins at 387, quoting Martin at 175.
    Jacinto contends that jury lost its way and that his felonious assault
    conviction was against the manifest weight of the evidence because Jacinto and Lee
    were engaged in “mutual combat” and there was “no legitimate evidence”
    establishing that Jacinto caused the injuries Lee suffered as a result of their “mutual
    combat.”
    Jacinto has cited no legal authority in support of his “mutual combat”
    argument. Under such circumstances, an appellate court may properly disregard an
    assignment of error. See App.R. 12(A)(2); App.R. 16(A)(7); State v. Lynch, 8th Dist.
    Cuyahoga No. 95770, 
    2011-Ohio-3062
    , ¶ 18 (If an argument exists that can support
    an inadequately argued assignment of error, it is not the duty of the appellate court
    “‘to root it out.’”), quoting Cardone v. Cardone, 9th Dist. Summit Nos. 18349 and
    18673, 
    1998 Ohio App. LEXIS 2028
    , 22 (May 6, 1998); see also State v. Lynch, 8th
    Dist. Cuyahoga No. 95770, 
    2011-Ohio-3062
    , ¶ 16-17 (observing that the “only place”
    in which the court found “mention of the term mutual combat” was in connection
    with jury instructions on voluntary manslaughter and in which “mutual combat”
    was defined as “‘[a] consensual fight on equal terms — arising from a moment of
    passion but not in self-defense — between two persons armed with deadly
    weapons’”), quoting Black’s Law Dictionary 1045 (8th Ed.2004); State v. Shane, 
    63 Ohio St.3d 630
    , 635, 
    590 N.E.2d 272
     (1992) (listing “mutual combat” as a “classic”
    example of a “voluntary manslaughter situation”).
    Indeed, courts have held that “where two persons agree to fight each
    other in a non-competitive boxing situation, each may be held guilty of * * * felonious
    assault * * * where the harm visited upon one of the fighters constitutes serious
    physical harm.” McCurdy, 10th Dist. Franklin No. 13AP-321, 
    2013-Ohio-5710
    , ¶ 21;
    State v. Dunham, 
    118 Ohio App.3d 724
    , 729-730, 
    693 N.E.2d 1175
     (1st Dist.1997)
    (“The fact that street fighters agree to engage in a public brawl to settle old or current
    differences cannot and does not negate the penal consequences. * * * [W]here * * *
    two persons agree to fight each other not in conformity with statutes authorizing
    boxing matches, each may be held guilty of assault, and where * * * the harm visited
    upon one of the fighters constitutes serious physical harm, the fact that the fight was
    begun by mutual consent is not a defense, in law, to a charge brought pursuant to
    R.C. 2903.11(A)(1).”); see also In re D.W., 8th Dist. Cuyahoga No. 79262, 2002-
    Ohio-4173, ¶ 47-48.
    Finally, even if some “mutual combat” defense applied to the charge
    here, Jacinto has not shown that he and Lee were engaged in “mutual combat” at
    the time Lee’s injuries occurred. The 911 caller stated that “[a] guy walked up to
    [Lee] and hit him and knocked him out and his head hit the concrete.” Jacinto
    admitted to Detective Reese that Lee did not punch, push or hit him and that “the
    only thing that happened was me hurting him at the end.” He told the detective that
    he hit Lee “in the head or in the jaw” once and “that’s it,” that Lee did not hit his
    head on anything “on the way down” and that Lee “went to sleep” after he hit him
    and was “unconscious and snoring when he hit the ground.”
    After a careful review of the record in its entirety, weighing the
    strength and credibility of the evidence presented and the inferences to be
    reasonably drawn therefrom, we cannot say that this is one of those “exceptional
    cases” in which the trial court clearly lost its way and created such a manifest
    miscarriage of justice that Jacinto’s conviction for felonious assault was against the
    manifest weight of the evidence. Thompkins, 78 Ohio St.3d at 387, 
    678 N.E.2d 541
    ,
    quoting Martin, 20 Ohio App.3d at 175, 
    485 N.E.2d 717
    .
    Jacinto’s fourth assignment of error is overruled.
    Challenge to Sentence
    In his sixth and final assignment of error, Jacinto argues that his
    conviction should be overturned because the trial court failed to “properly consider”
    the principles and purposes of sentencing under R.C. 2929.11 and the relevant
    sentencing factors under R.C. 2929.12 when sentencing him to a four-year prison
    term. Jacinto’s argument is meritless.
    When sentencing a defendant for a felony offense, a trial court must
    consider both the principles and purposes of felony sentencing set forth in R.C.
    2929.11 and the seriousness and recidivism factors set forth in R.C. 2929.12. State
    v. Hodges, 8th Dist. Cuyahoga No. 99511, 
    2013-Ohio-5025
    , ¶ 7. A sentence imposed
    for a felony shall be “reasonably calculated” to achieve “three overriding purposes of
    felony sentencing” (1) protect the public from future crime by the offender and
    others, (2) punish the offender and (3) promote the effective rehabilitation of the
    offender “using the minimum sanctions that the court determines accomplish those
    purposes without imposing an unnecessary burden on state or local resources.” R.C.
    2929.11(A), (B). In addition, the sentence imposed “shall be commensurate with
    and not demeaning to the seriousness of the offender’s conduct and its impact upon
    the victim” and “consistent with sentenced imposed for similar crimes committed
    by similar offenders.” R.C. 2929.11(B).
    A court imposing a felony sentence “has discretion to determine the
    most effective way to comply” with these purposes and principles of sentencing.
    R.C. 2929.12(A). R.C. 2929.12 sets forth a nonexhaustive list of factors related to
    the seriousness of the offender’s conduct and the likelihood the offender will commit
    future crimes that the trial court must consider when imposing a sentence.
    Jacinto first argues that his sentence should be vacated because the
    trial court improperly considered the seriousness of Lee’s injuries when imposing
    his sentence. Jacinto asserts that because “[s]erious physical harm is an element of
    felonious assault,” it “cannot be used to elevate the seriousness of [Jacinto’s]
    conduct.” This court, however, previously rejected such an argument in State v.
    Davis-Bey, 8th Dist. Cuyahoga No. 79524, 
    2002-Ohio-3437
    . As the court explained:
    Although [the defendant] contends that the trial court erred in
    considering the seriousness of the victim’s injury because serious injury
    is one of the elements of the offense of felonious assault, this argument
    ignores the fact that there are different degrees of serious harm. As the
    court held in State v. Patterson, [10th Dist. Franklin No. 99AP-105,
    
    1999 Ohio App. LEXIS 5975
     (Dec. 14, 1999)]:
    ***
    Defendant’s contentions * * * ignore the reality that serious physical
    harm may be in different degrees. Something less than the severe
    beating [the victim] endured may well constitute serious physical harm
    for purposes of R.C. 2903.11(A)(1), but not be a worst form of the
    offense for purposes of the sentencing statute.
    Davis-Bey at ¶ 24-25; see also State v. Galindo-Barjas, 7th Dist. Mahoning No. 12
    MA 37, 
    2013-Ohio-431
    , ¶ 1, 11-12 (“Even though ‘serious physical harm’ is an
    element of aggravated vehicular assault, there is a range of harm possible within the
    concept of what constitutes ‘serious physical harm’”; trial court was permitted to
    consider the kind and extent of harm to the victim in imposing sentence even though
    that harm “form[ed] an element of the crime.”).
    Jacinto next argues that his sentence should be vacated because “the
    evidence within the record does not comport with the sentence imposed” in light of
    R.C. 2929.11 and 2929.12. Jacinto points out that he had no prior criminal history,
    that both he and Lee were “highly intoxicated” at the time of the incident, that the
    PSI indicated that Jacinto had a low risk of reoffending, that he “conveyed heartfelt
    remorse for the events of that night” and that “extensive support letters” had been
    submitted on his behalf at sentencing.
    Although the trial court must consider the principles and purposes
    of felony sentencing set forth in R.C. 2929.11 and the relevant sentencing factors
    listed in R.C. 2929.12 when sentencing a defendant, R.C. 2929.11 and 2929.12 are
    not “fact-finding statutes.” See, e.g., State v. Black, 8th Dist. Cuyahoga No. 108551,
    
    2020-Ohio-3117
    , ¶ 13; State v. White, 8th Dist. Cuyahoga No. 106580, 2018-Ohio-
    3414, ¶ 9; State v. Gaines, 8th Dist. Cuyahoga No. 103476, 
    2016-Ohio-4863
    , ¶ 11.
    Thus, the trial court is not required to make findings or give specific reasons for
    imposing more than the minimum sentence. Black at ¶ 13.
    Where, as here, a sentence is imposed solely after consideration of
    the factors in R.C. 2929.11 and 2929.12, “[a]n appellate court may vacate or modify
    any sentence that is not clearly and convincingly contrary to law only if the appellate
    court finds by clear and convincing evidence that the record does not support the
    sentence.” State v. Marcum, 
    146 Ohio St.3d 516
    , 
    2016-Ohio-1002
    , 
    59 N.E.3d 1231
    ,
    ¶ 23. “‘Clear and convincing evidence is that measure or degree of proof * * * which
    will produce in the mind of the trier of facts a firm belief or conviction as to the facts
    sought to be established.’” State v. Franklin, 8th Dist. Cuyahoga No. 107482, 2019-
    Ohio-3760, ¶ 29, quoting Cross v. Ledford, 
    161 Ohio St. 469
    , 
    120 N.E.2d 118
     (1954),
    paragraph three of the syllabus. This is an “extremely deferential” standard of
    review. State v. Venes, 
    2013-Ohio-1891
    , 
    992 N.E.2d 453
    , ¶ 21 (8th Dist.).
    As a general matter, a sentence is not contrary to law where the trial
    court considers the purposes and principles of sentencing under R.C. 2929.11 and
    the seriousness and recidivism factors listed in R.C. 2929.12, properly applies
    postrelease control and sentences a defendant within the permissible statutory
    range. See, e.g., State v. Barnes, 8th Dist. Cuyahoga No. 108360, 
    2020-Ohio-665
    ,
    ¶ 6; State v. A.H., 8th Dist. Cuyahoga No. 98622, 
    2013-Ohio-2525
    , ¶ 10. A trial
    court’s statement in its sentencing journal entry that it considered the required
    principles, purposes and sentencing factors is sufficient to fulfill a trial court’s
    obligations under R.C. 2929.11 and 2929.12. White, 
    2018-Ohio-3414
    , at ¶ 9.
    In this case, the trial court expressly stated at the sentencing hearing
    that it had “considered” both “the principles and purposes of sentencing” and the
    relevant sentencing factors. It likewise stated in its sentencing journal entry that it
    “considered all required factors of the law” and “finds that prison is consistent with
    the purpose of R.C. 2929.11.” The trial court, therefore, fulfilled its obligations under
    R.C. 2929.11 and 2929.12 when sentencing Jacinto.
    Although it was not required to do so, at the sentencing hearing, the
    trial court explained its evaluation of the relevant sentencing factors and its rationale
    for imposing a four-year prison sentence as follows:
    [T]he sentencing factors regarding the conduct is less serious,
    that the victim induced or facilitated the offense, that the offender acted
    under strong provocation, I don’t believe that those really apply here.
    Mr. Contreras was very clear that he had to hold Mr. Jacinto back
    for at least three minutes, and the video corroborated that.
    ***
    Mr. Contreras was very clear that the victim was simply telling
    the defendant that he needed to be more respectful, that he can’t use
    the language that he was using that night, that he’ll get ahead in life if
    he maybe changes the way that he talks to people or it was — he was
    basically giving him a mentorship speech; and I think that the
    defendant’s pride was injured.
    And, obviously, yes, alcohol did have a lot to do with it, but I don’t
    agree with some of the assertions made that it could have been the
    other way, it could have happened the other way.
    ***
    [P]articularly having sat through this trial, I was — I put a lot of
    emphasis on the defendant’s conduct before and after this punch.
    And like I stated, he had several opportunities to go inside. He
    had several opportunities from Mr. Contreras to back down because
    Mr. Contreras stated that he was ready to go. He was ready to fight.
    That switch went off in his head.
    And Mr. Contreras going up in the elevator with him was afraid
    of the defendant. And the conduct after is what really, really struck me;
    is that in the defendant’s statement to the detective, he knew that he —
    when he threw that punch, that the defendant was knocked out and he
    left him on the sidewalk in the city that was unknown to him alone and
    left him while he was passed out at 3:00 something in the morning.
    So I do consider the defendant’s conduct before and after, but I
    also consider the fact that it was one punch; that although the jury
    found that he knew or should have known to cause serious physical
    harm — like I said, that degree of serious physical harm is what
    separates each individual felonious assault.
    You cannot treat all of them the same. I don’t think that he
    intended to cause that degree of serious physical harm. But then again,
    also I do need to consider that there was a high degree of serious
    physical harm. Not all serious physical harms can be treated the same.
    So I have considered the principles and purposes of sentencing.
    I’ve carefully reviewed the record, the defendant’s history, the
    presentence investigation, all of the letters, the reports, the recidivism
    factors, which I believe are neutral because there is no history.
    I understand that he’s low-to-moderate, but the anger and
    alcohol issues we don’t know if they’re going to represent themselves in
    the future.
    I have considered the statements here today, the impact on the
    victim, the impact on the defendant’s family.
    I understand that any sentence the Court imposes must use the
    minimum sanctions that the Court determines to accomplish these
    purposes without imposing an unnecessary burden on the state or local
    resources.
    So after considering and having sat through this trial, having
    considered the sentencing factors, I do believe that a prison sentence is
    consistent with the principles and purposes of sentencing and the
    defendant is not amenable to a community control sanction.
    And, therefore, I’m imposing a period of incarceration of four
    years.
    The record reflects that the trial court thoroughly and thoughtfully
    considered the principles and purposes of sentencing under R.C. 2929.11 and the
    relevant sentencing factors under R.C. 2929.12 in imposing a four-year prison
    sentence. A trial court’s sentencing decisions are entitled to deference; we are not
    permitted to simply substitute our judgment for that of the trial court. See, e.g.,
    State v. Shivers, 8th Dist. Cuyahoga No. 105621, 
    2018-Ohio-99
    , ¶ 9; Franklin, 2019-
    Ohio-3760, ¶ 47. Following a careful review of the record in its entirety, we cannot
    say that Jacinto’s sentence is clearly and convincingly unsupported by the record.
    Jacinto’s sixth assignment of error is overruled.
    Judgment affirmed.
    It is ordered that appellee recover from appellant the costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate issue out of this court directing the
    Cuyahoga County Court of Common Pleas to carry this judgment into execution.
    A certified copy of this entry shall constitute the mandate pursuant to Rule 27
    of the Rules of Appellate Procedure.
    EILEEN A. GALLAGHER, JUDGE
    ANITA LASTER MAYS, P.J., CONCURS;
    LARRY A. JONES, SR., J., DISSENTS
    WITH SEPARATE OPINION
    LARRY A. JONES, SR., J., DISSENTING:
    Respectfully, I dissent and would sustain Jacinto’s first assignment
    of error and remand for a new trial.
    I believe the evidence was sufficient to warrant a jury instruction on
    self-defense. The evidence (testimonial and video) shows that Jacinto and Lee, who
    were both heavily intoxicated, had been engaged in a prolonged verbal altercation
    leading up to the incident; Lee “poked” Jacinto during the altercation. According to
    the eyewitness, Contreras, Jacinto eventually apologized for his behavior and shook
    Lee’s hand. Contreras testified that Lee would not let it go, however, and kept
    “lecturing” Jacinto about his behavior.        According to Contreras, it was Lee’s
    persistence that got Jacinto agitated again.
    When Jacinato and Lee engaged again, Lee told Contreras, who was
    trying to restrain Jacinto, “[l]et him go. I will fight him”; according to Contreras,
    Lee then assumed a “fighting stance.” Contreras testified that he was done with the
    whole situation, and intentionally did not want to see anything; he only heard
    “scruffles.” The hotel’s surveillance camera did not capture the actual fight.
    On this record, I believe the evidence was sufficient to instruct the
    jury on self-defense. I would sustain the first assignment of error and remand the
    case for a new trial.
    

Document Info

Docket Number: 108944

Citation Numbers: 2020 Ohio 3722

Judges: E.A. Gallagher

Filed Date: 7/16/2020

Precedential Status: Precedential

Modified Date: 7/16/2020

Authorities (46)

State v. Jones , 135 Ohio St. 3d 10 ( 2012 )

State v. Marcum (Slip Opinion) , 146 Ohio St. 3d 516 ( 2016 )

State v. Smith, 06ca2893 (4-17-2007) , 2007 Ohio 1884 ( 2007 )

State v. Wade , 2020 Ohio 2894 ( 2020 )

State v. Sullivan , 2020 Ohio 1439 ( 2020 )

State v. Boaston (Slip Opinion) , 2020 Ohio 1061 ( 2020 )

State v. Piatt , 2020 Ohio 1177 ( 2020 )

State v. Galindo-Barjas , 2013 Ohio 431 ( 2013 )

State v. A.H. , 2013 Ohio 2525 ( 2013 )

State v. Watson , 2018 Ohio 4964 ( 2018 )

State v. Nestingen , 2020 Ohio 2965 ( 2020 )

State v. Douglas , 2019 Ohio 2067 ( 2019 )

State v. Black , 2020 Ohio 3117 ( 2020 )

State v. Porter , 2019 Ohio 4868 ( 2019 )

State v. Eisenman , 2018 Ohio 934 ( 2018 )

State v. Kilbane , 2019 Ohio 863 ( 2019 )

State v. Westfall , 2011 Ohio 5011 ( 2011 )

State v. Mathis , 2019 Ohio 3654 ( 2019 )

State v. Chavez , 2020 Ohio 426 ( 2020 )

State v. Barnes , 2020 Ohio 665 ( 2020 )

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