GMS Zeitschrift für Medizinische Ausbildung最新文献

{"title":"Congress Memorandum: Day of Teaching 2011 at the Medical Faculty Mannheim, Heidelberg University, 01.07.2011","authors":"N. Deis, Harald M. Fritz","doi":"10.3205/zma000810","DOIUrl":"https://doi.org/10.3205/zma000810","url":null,"abstract":"Kommunikation in der medizinischen Ausbildung – das Thema zum diesjährigen Tag der Lehre an der Medizinischen Fakultät Mannheim der Universität Heidelberg. Am 1. Juli waren internationale Experten zum Symposium und der anschließenden Lehrpreisverleihung im Rahmen des Modellstudiengangs MaReCuM eingeladen. Wie bereits in den Vorjahren ist auch in diesem Jahr ein Thema aufgegriffen worden, das für die Lehre in der Fakultät und darüber hinaus von aktuellem Interesse ist: „Ärztliche Kommunikation –mehr als das Patientengespräch“. Das Kommunizieren mit Patienten und Kollegen ist die erste der sogenanntenMannheimer Kernkompetenzen, die im MaReCuM-Modellstudiengang verankert sind. Aktuell werden alle diesbezüglichen Veranstaltungen imRahmen der Curriculumsentwicklung in ein longitudinales Modul integriert. Wesentliche Bausteine diesesModuls sind das Simulationspatienten-Programmder Fakultät, das gerade sein fünfjähriges Bestehen gefeiert hat, sowie das 2008 eröffnete Lernkrankenhaus Thesima. Gleichzeitig begann im August die erste Kohorte der Studierenden desModellstudiengangs MaReCuM mit dem Praktischen Jahr. Anlässe für die Fakultät, auf die vergangenen fünf Jahre zurückzublicken und die Weichen für die Zukunft zu stellen. Der Tag der Lehre gab die Möglichkeit, einen Überblick über aktuelle wissenschaftliche Erkenntnisse im Bereich der Kommunikationsforschung und –lehre zu erlangen und in Diskussionen mit externen internationalen Experten zahlreiche Anregungen für das Curriculum zu sammeln. In seinem Eröffnungsvortrag beleuchtete Wim Gijselaers (Universität Maastricht, Department of Educational Research and Development) die interprofessionelle Kommunikation in der Medizin. Als entscheidende Faktoren für den Erfolg von Teams identifizierte er neben der wahrgenommenen „psychological safety“ dieWertschätzung von Unterschieden, die Offenheit für neue Ideen und die Zeit, die für Reflektion zur Verfügung steht. Herr Gijselaers berichtete über Studien, die in Krankenhäusern den Zusammenhang zwischen der Anzahl der gemeldeten Fehler und dem in den einzelnen Teams vorherrschenden Führungsstil untersuchten. Die auf den ersten Blick überraschenden Ergebnisse zeigten: je positiver das Teamklima, die Zielvereinbarungen und das Ausmaß an Coaching durch den Chef eingeschätzt wurden, desto mehr Fehler wurden von den Teams gemeldet. Werden in autoritär geführten Teams also weniger Fehler gemacht? Die Kombination aus „psychological safety“ und den anderen genannten Faktoren schaffe in den eher kooperativ geführten Teams ein Klima, in dem ein konstruktiver Umgang mit Fehlern ermöglicht werde, während in autoritär geführten Teams Fehler eher verschwiegen werden. Kommunikation sei entscheidend für das Funktionieren von Teams – und bedeutemehr alsmiteinander zu reden. Zur Klärung der Frage nach der Lehrund Lernbarkeit guter Arzt-Patient-Kommunikation gab Wolf Langewitz (Universitätsspital Basel; European Association of Communication in Health Care, Past President and Execu","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117322204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"M. Spallek: Medizin kompakt: Die Quintessenz des medizinischen Wissens","authors":"M. Angstwurm","doi":"10.3205/ZMA000809","DOIUrl":"https://doi.org/10.3205/ZMA000809","url":null,"abstract":"","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115531279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Success Factor Family\": Continuous Expansion of Family-Friendly Conditions for Career and Family in Medicine","authors":"Jutta Struck","doi":"10.3205/zma000793","DOIUrl":"https://doi.org/10.3205/zma000793","url":null,"abstract":"Against the background of the shortage of doctors, hospitals and medical universities can no longer afford to dismiss issues of compatibility of family and work as matters solely of the responsibility of employees. Because the number of unoccupied positions for doctors is increasing and more and more young doctors are turning their backs on Germany, being family-friendly is more important than ever. This is because when making career decisions, highly qualified medical students do not only decide based on salary and career opportunities but increasingly pay attention to whether their prospective employer is considerate of their family responsibilities. \u0000 \u0000In Germany conditions are needed which enable physicians to perform well in their profession and to take responsibilities within the family. The expansion of childcare and child benefits are important steps in doing so. With the corporate program \"Erfolgsfaktor Familie” (success factor family), the Federal Ministry for Family Affairs supports employers in implementing family-conscious personnel policies. Many hospitals have joined our corporate network which bears the same name and benefit from our support offerings.","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129529538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Time\" as a key factor in the compatibility of career plans and family planning","authors":"M. Müller-Schilling","doi":"10.3205/zma000796","DOIUrl":"https://doi.org/10.3205/zma000796","url":null,"abstract":"Both doctors and medical students of either gender today are faced with many demands which appear to make the medical profession less attractive today than previously. The numerous changes and the restructuring of the healthcare system and the increasing economisation of patient care in particular contribute to this view. The challenge today is to ensure patient-centred, world-class patient care, innovative research and teaching and structured education and training at the highest level against the backdrop of increasing output volume (higher life expectancy, multi-morbidity, innovation) and new ethical and legal issues. How can the personal aspects of the physician be reconciled with such requirements? \u0000 \u0000An important step in increasing the attractiveness of the medical profession and to combat the skills shortage is the definition and establishment of modern, family-friendly working patterns. Specifically by offering structured education and training to junior doctors. \u0000 \u0000Examples: \u0000 \u0000 \u0000The adaptation of the daily work (hospital/research/teaching) to the changing ways of life (“work-life balance”) of the next generation of the medical profession, resulting in an optimisation process in clinical practice. \u0000 \u0000 \u0000Shifting activities which do not have to be carried out by doctors to trained non-medical personnel. \u0000 \u0000 \u0000Establishing family-friendly structures, such as flexible work schedules and a motivating work atmosphere. \u0000 \u0000 \u0000Promotion of a variety of career designs - science/clinic/research with time for research, time for engagement in teaching, time for clinical specialisation, time for the acquisition of management and communication skills, establishing mentoring programs in education and training, ensuring transparency and planability. \u0000 \u0000 \u0000To increase attractiveness of the medical profession it must be ensured that female doctors progress their career (percentage of female doctors against all doctors in Germany in 1991 was 33.6%; in 2008 41.5%; working in hospital in 2008: 48.1%; the percentage of female medical graduates in 2008 was 58% (Federal Statistical Office), the percentage of female undergraduate students in 2007 was 70%). \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000Competing interests \u0000The author declares that she has no competing interests.","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"44 17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113936866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Services and Institutions of the Heidelberg Association for Student Affairs","authors":"Ulrike Leiblein","doi":"10.3205/zma000801","DOIUrl":"https://doi.org/10.3205/zma000801","url":null,"abstract":"Das Studentenwerk Heidelberg sieht sich als modernes Dienstleistungsunternehmen, weshalb wir „Service für Studierende“ zu unserem Leitspruch gemacht haben. Ca. 320 hauptamtliche Mitarbeiter und zahlreiche studentische Aushilfen gestalten diesen Service. Mit einigem Stolz blicken wir darauf zurück, dass wir vor 40 Jahren die bundesweit erste Kinderkrippe für Studierende aus der Taufe gehoben haben und bis heute kompetente Betreuung für die Kleinsten anbieten. Hierbei kooperieren wir seit mehr als 20 Jahrenmit demKlinikum und der Universität Heidelberg, sodass nicht nur studentische Eltern, sondern auchMitarbeiter der anderen Institutionen und natürlich des Studentenwerks ihren Nachwuchs bei uns unterbringen können. Insgesamt werden rund 215 Kinder von uns betreut. Bei der Planung sind wir auf die Wünsche der Universität und des Klinikums eingegangen und bieten daher ganzjährig von montags bis freitags Kinderbetreuung von 06.15 Uhr bis 20.15 Uhr an. Bei der entsprechenden Nachfrage könnte dieses Angebot auch auf den Samstag ausgedehnt werden. Das Studentenwerk unterhält fünf Einrichtungen zur Kinderbetreuung; drei davon richten sich an die Kleinsten im Alter von zwei Monaten bis zu drei Jahren und zwei an Kinder bis zu sechs Jahren. Es ist uns ein besonderes Anliegen, für jedes Alter und jede der kindlichen Entwicklungsstufen die bestmögliche Versorgung und Förderung anzubieten, wobei wir uns in Hinblick auf die Finanzierung mit der Stadt Heidelberg auf einen zuverlässigen Partner verlassen können. Insbesondere in den Krabbelstuben liegt der Arbeitsschwerpunkt unseres Betreuungspersonals auf emotionaler Erziehung, um den Jüngsten Selbstvertrauen und soziale Kompetenz außerhalb des Elternhauses bei den ersten Schritten mit auf den Weg zu geben. In unseren Kindertagesstätten legt das pädagogisch geschulte Personal verstärkt Wert auf die didaktische Komponente der frühkindlichen Förderung. So wird der akademischeNachwuchs imVorschulaltermit Bewegungsspielen körperlich gefördert, während für deutsche wie ausländischeKinder die Sprachförderung im Vordergrund steht. Neben demWürzburger Sprachtrainingsprogramm wird die englische Sprache bei unserem Programm „English for Kids“mit gemeinsamemSingen, Spielen oder englischen Bilderbüchern ab dem vierten Lebensjahr spielerisch vermittelt. Auch das naturwissenschaftliche Interesse der Kinder wird geweckt. Besonders wertvoll ist die Zusammenarbeit der Klaus Tschira Stiftungmit einer unserer Kindertagesstätten. Damit das musische Element nicht zu kurz kommt, bieten wir den Kleinen musikalische Früherziehung in Kooperationmit HeidelbergerMusikstudierenden. Die Heidelberger Mensen, die zum Teil als bundesweit beste Mensen ausgezeichnet wurden, beliefern auch unsere Kinderbetreuungseinrichtungen, weshalb unsere Ansprüche an die Qualität der Lebensmittel besonders hoch sind. Viele der zubereiteten Produkte sind aus biologischem Anbau und eigener Herstellung. Die Babykost bspw. kommt ausschließlich aus kontrolliert ök","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129314641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Securing Medical Provision through Family-Friendly Personnel Policies","authors":"A. Schütze","doi":"10.3205/zma000795","DOIUrl":"https://doi.org/10.3205/zma000795","url":null,"abstract":"Enabling better reconciliation of work and family is one of the main pillars of the gender equality policy of the Ministry for Science, Research and Art. In the competition for the best minds at our universities and university hospitals, a family-friendly HR policy is key, especially in medicine. More and more well-trained doctors are lost, especially specialist surgeons, to other European countries. Therefore Germany urgently needs to create more family-friendly medical workplaces. This needs to start in medical school and needs to continue during specialisation. \u0000 \u0000For this reason we are promoting the project “Family-friendly medical studies in Baden-Wurttemberg\" at the University of Ulm. In addition, the Association for Student Affairs supports students through childcare facilities, family housing and counselling centres at the universities. \u0000 \u0000The fact that 39% of employed physicians have not specialised is unsatisfactory. With a share of 58% of graduates, specialist training in all specialisations should be more easily reconcilable with family responsibilities in order to safeguard medical care in Germany in the coming years.","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132853729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family-friendly working conditions as an advantage in the competition for the next generation of doctors","authors":"C. Benninger","doi":"10.3205/zma000800","DOIUrl":"https://doi.org/10.3205/zma000800","url":null,"abstract":"Despite a constant number of medical students and graduations, the exodus from the curative medicine has led to a shortage of physicians. The reasons for this - in addition to work intensification which is frequently coupled with long and often unpaid working hours, excessive bureaucracy and increasing economising - can be also found in the changing expectations and roles of young men and women who have a stronger desire for leisure and time for their families. The growing proportion of female doctors reinforces this tendency, as they are more likely to work part-time or to work limited hours or not be available at all to the workplace when pregnant or with young children. Having children usually falls into the period of professional development, so part-time employment or cessation of employment leads to longer training periods or on occasion to a complete withdrawal from a woman’s career. The under-representation of women in executive positions may also be down to the fact that when there is the double burden of work and family, career is often put on hold regardless of potential earlier plans and desires. This is likely to be the most common at university hospitals where, in addition to an already labour intensive workload beyond normal working hours in patient care, additional engagement is expected in research and teaching. And a career predominantly means postdoctoral degrees and appointments via research. \u0000 \u0000The outlined development has caused calls for “family-friendly hospitals,” with better conditions for reconciling family and working life and with more and more regular leisure time. That aside, such working conditions would also represent an advantage in the competition for the next generation of doctors. Medical Practitioner Associations have raised this issue repeatedly in various campaigns and at events in the recent past. The handbook \"Familienfreundlicher Arbeitsplatz fur Arztinnen und Arzte – Lebensqualitat in der Berufsausubung ” published by A Buhren, A E Schoeller (Federal Medical Association 2010), this issue is looked at in more detail. \u0000 \u0000The regulations on CPD attempt to recognise the desire for greater flexibility, especially for doctors of either gender with families, by recognising part-time work and CPD units with breaks, while bearing in mind the limitations caused by the need for quality.","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116250560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equal opportunities between women and men in medicine – a key concern of science policy in Baden-Württemberg","authors":"Klaus Tappeser","doi":"10.3205/zma000806","DOIUrl":"https://doi.org/10.3205/zma000806","url":null,"abstract":"Die Chancengleichheit von Frauen und Männern ist ein großes Anliegen derWissenschaftspolitik unseres Landes. Dies gilt vor allem auch für die Medizin. Betrachten wir die medizinischen Fakultäten Baden-Württembergs im Jahre 2009, so fällt auf: Während der Anteil der Absolventinnen bei 59,4% liegt, beträgt der Anteil der Professorinnen nicht mehr als 10,5%. Und während wir bei den Promotionen noch einen Frauenanteil von 57,1% haben, kommt es auf der nächsten Qualifikationsstufe zu einem starken Einbruch bei den Habilitationen beträgt der Frauenanteil nur 17,6%. Doch nicht nur der Wissenschaft gehen die jungen Ärztinnen nach einem erfolgreichen Studium verloren auch in der Krankenversorgung fehlen sie uns. So hatten im Jahr 2008 von allen berufstätigen Ärztinnen in Deutschland 39% keine Facharztbezeichnung. Ein Grund dafür könnte die Dauer der Facharztausbildung sein, die bei einer Teilzeitbeschäftigung bis zu 8 Jahre betragen kann. Wenn sich Frauen überhaupt für eine Facharztausbildung entscheiden, dann überwiegend auf den Gebieten Innere Medizin, Allgemeinmedizin, Frauenheilkunde, Anästhesiologie oder Kinderund Jugendmedizin. In operativen Fächern wie z. B. der Chirurgie stehen 427 berufstätigen Ärztinnen 3002 männliche Kollegen gegenüber. Mit Blick auf den steigenden Frauenanteil imMedizinstudium einerseits und die wachsende Abwanderungsrate von Medizinerinnen und Medizinern in das europäische Ausland wegen besserer Bezahlung und familienfreundlicher Arbeitsbedingungen andererseitsmüssenwir alles daran setzen, auch in Deutschland die Medizin familienfreundlicher zu machen. Vereinbarkeit von wissenschaftlicher Karriere und Familie","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129204748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investment in childcare facilities as task of the State and the Federal Countries","authors":"R. Strehl","doi":"10.3205/zma000794","DOIUrl":"https://doi.org/10.3205/zma000794","url":null,"abstract":"Traditionally hospitals and university hospitals have had a high proportion of women and were therefore always faced with the problem of childcare. As a result of the changing perception of family roles (both parents working, men playing a bigger part in childcare), the demand for appropriate support is growing. \u0000 \u0000Compared to other federal states, Baden-Wurttemberg is lagging behind in the provision of childcare facilities and needs to catch up and seriously expand capacities. This first of all requires investment and despite the ban of cooperation the federal government could do more, especially for medical schools in the universities. There is also, however, the issue of operating costs, which university hospitals cannot carry on their own. Public investment so far needs to be stepped up. \u0000 \u0000In terms of distribution, employee representation has a strong legal position. All practical experience suggests that they tend to lobby for quotas according to social aspects. This sometimes leads to other professional groups relevant to university hospitals and couples being disadvantaged. \u0000 \u0000So the necessary measures are clear: more state and federal money for investment and operating childcare facilities but also staff representation laws of Baden-Wurttemberg could also do with an update to make them more family-friendly.","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115815367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influencing the Attractiveness of the Medical Profession through Family-Friendly Structures","authors":"N. Heinemann","doi":"10.3205/ZMA000797","DOIUrl":"https://doi.org/10.3205/ZMA000797","url":null,"abstract":"If the medical profession is to remain attractive to the next generation, more focus must be put on family and career. More family-friendly structures are needed. \u0000 \u0000Family changes everything \u0000When a young person decides to start a family, everything changes. A family takes time, energy and love. Things that are not in limitless supply in a demanding job with long working hours.","PeriodicalId":125822,"journal":{"name":"GMS Zeitschrift für Medizinische Ausbildung","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116482922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}