Health & Medical Journal最新文献

{"title":"Dilated Cardiomyopathy Concomitant with Acute Rheumatic Fever and Sporadic Hereditary Spherocytosis","authors":"Fitrisia Amelin, D. Hariyanto, Amizah Zatil Izzah","doi":"10.33854/heme.v2i2.460","DOIUrl":"https://doi.org/10.33854/heme.v2i2.460","url":null,"abstract":"Dilated cardiomyopathy (DCM) is a heart muscle disorder defined by the presence of a dilated and poorly functioning left ventricle in the absence of abnormal loading conditions (hypertension, valve disease) or ischaemic heart disease sufficient to cause global systolic impairment. A 5 years old and 6 months old girl with unremarkable cardiac history hospitalized for congestive heart failure due to dilated cardiomyopathy concomitant with acute rheumatic feverandsporadic hereditary spherocytosis.Acute rheumatic fever diagnosed based on the presentation of carditis, fever, high erythrocyte sedimentation rate, C-Reactive Protein (+), and antistreptolysin titer O (+).DCM was diagnosed after echocardiography. Sporadic hereditary spherocytosis was diagnosed based on anamnesis of pale and jaundice, splenomegaly on physical examination, hemolytic anemia, reticulocytosis, spherosit (+). Both parents reveals normal hematologic finding and the osmotic resistance test showed increasing of osmotic fragility. Prognosis of this patient remains worse because of inadequateleft ventricle-right ventricle (LV-RV) function and highly increasing The N-terminal prohormone of brain natriuretic peptide (NT-proBNP) level.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125205697","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":"Dilated Cardiomyopathy Concomitant with Acute Rheumatic Fever and Sporadic Hereditary Spherocytocis","authors":"Fitrisia Amelin, D. Hariyanto, Amirah zatil Izzah","doi":"10.33854/heme.v2i2.552","DOIUrl":"https://doi.org/10.33854/heme.v2i2.552","url":null,"abstract":"Dilated cardiomyopathy (DCM) is a heart muscle disorder defined by the presence of a dilated and poorly functioning left ventricle in the absence of abnormal loading conditions (hypertension, valve disease) or ischaemic heart disease sufficient to cause global systolic impairment. A 5 years old and 6 months old girl with unremarkable cardiac history hospitalized for congestive heart failure due to dilated cardiomyopathy concomitant with acute rheumatic fever and sporadic hereditary spherocytosis. Acute rheumatic fever diagnosed based on presentation of carditis, fever, high erythrocyte sedimentation rate, C-Reactive Protein (+) and anti-streptolysin titer O (+). DCM was diagnosed after echocardiography. Sporadic hereditary spherocytosis was diagnosed based on anamnesis of pale and jaundice, splenomegaly on physical examination, hemolytic anemia, reticulocytosis, sferosit (+). Both parents reveals normal hematologic finding and the osmotic resistance test showed increasing of osmotic fragility. Prognosis of this patient remain worse because of poor left ventricle-right ventricle (LV-RV) function and highly incerasing The N-terminal prohormone of brain natriuretic peptide (NT-proBNP) level.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132706254","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":"Profil Penderita Hemoroid di Rumah Sakit Islam Siti Rahmah Padang Sumatera Barat Periode 2016-2017","authors":"Sindy Sekarlina, M. Nurhuda, S. Sriwahyuni","doi":"10.33854/heme.v2i2.551","DOIUrl":"https://doi.org/10.33854/heme.v2i2.551","url":null,"abstract":"Hemorrhoids (wasir) are widening of  venous artery plexus surrounding the distal part of the rectum and  canal anal. However, most people don’t know about the symptoms that arise from disease. Medical record data from  RSUP Dr.  M. Djamil Padang, noted that sufferers of Hemorrhoids disease in 2009  were 244 people,  from 2015 to 2016 there were an increase of  75 to 109 cases.This aims to knowing profile of hemorrhoids patients in Islamic Siti Rahmah Padang Hospital in 2016-2017 years. The study is descriptive by using secondary data from patient’s medical record and primary data from patient interview. Conducted at medical record at RSI Siti Rahmah  Padang from November 2018 - February 2019, the population are 45 samples by simple random sampling technique.The results showed that the highest age group was the age group 15-44 years (60%), the highest sex male (57,8%), internal hemorrhoids classification  (88.9%), III and IV degrees  with each there were (42,2%). A history was pain (100%) and followed by a lumpof (97,77%), defecation position is sitting (55.5%), and constipation (95.6%).","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129702765","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":"Hubungan Efektivitas Diskusi Kelompok dengan Nilai Modul Kardiorespirasi pada Mahasiswa Angkatan 2018 di Fakultas Kedokteran Universitas Baiturrahmah","authors":"Ilham Maulana Rifyandi, Resti Rahmadika Akbar, M. Nurhuda","doi":"10.33854/heme.v2i2.543","DOIUrl":"https://doi.org/10.33854/heme.v2i2.543","url":null,"abstract":"In medical education,  student centered learning(SCL) system was applied with the problem based learning (PBL) model. This is an innovation in learning methodology in order to train students thinking critically, creatively, rationally and to increase understanding of the material and provide real experiences for students. One of the methods is group discussion. Objective to find out how the relationship between group discussions with the value of the CardiorespirationModule of first years grade students in the Faculty of Medicine, University of Baiturrahmah.This is in type of research was a correlative analytic study with cross sectional design. This research was conducted in the class of first years grade students in May 2019 with the samples are 60 persons and use google form that send to the group. The data analysis was univariate presented in the form of a frequency distribution table and bivariate analysis by using the Spearman test in the SPSS program. In this study from 150 students, it was found that 60 respondents are obtained the most living alone, rented or boarding was around 53 people (88.3%) and the most filling in the data was female which is 48 persons (80%). The module value was dominated by D score of 31 people (51.3 demotivational aspects as much as 67%. Then the relationship between the effectiveness of group discussions with the module value on the demotivational aspects r = 0.385 and p = 0.002. There is of the three aspects contained in the effectiveness of group discussion, it was only demotivational aspects which have a relationship with the module value and it showed the correlation coefficient with p = 0.002 and the value of r = 0.385, therefore, the more higher of demotivational value aspects, the failure rate will be higher too.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115752524","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":"Karakteristik Penderita Epilepsi di Bangsal Anak RSUP Dr. M. Djamil Padang Tahun 2018","authors":"Khalvia Khairin, Laura Zeffira, R. Malik","doi":"10.33854/heme.v2i2.407","DOIUrl":"https://doi.org/10.33854/heme.v2i2.407","url":null,"abstract":"Background: Epilepsy is a condition characterized by recurrent seizures that occur due to the disruption of brain function caused by an abnormal electrical charge on brain neurons. Epilepsy has two categories of seizures, they are focal seizures and generalized seizures. The incidence of epilepsy is estimated to be more prevalent in developing countries than developed countries. In 2017, the number of cases of children with epilepsy in West Sumatra, especially at RSUP Dr. M. Djamil Padang, there are 1081 cases in the outpatient and inpatient cases and will be expected to increase every year.Purpose: To find out the characteristics of epilepsy disease in the children's ward RSUP Dr. M. Djamil Padang in 2018.Method: This research was conducted at RSUP Dr. M. Djamil Padang. This research is descriptive with cross sectional design. Data sources from secondary data derived from medical records. Samples were selected using inclusion and exclusion criteria. Data analysis uses univariate analysis.Results: The results of the study were obtained from 65 samples suffering from epilepsy, there are age 0-5 years as many as 37 people (56.9%), male gender as many as 39 people (60%), do not have a family history of epilepsy as much as 62 people (95.4%), picture of sharp wave and spikes EEG as many as 30 people (46.2%), generalized seizure type as many as 57 people (87.7%) and valproic acid as one of the management of epilepsy as many as 32 people (49, 2%).Conclusion: From the results of this study, it can be concluded that most people with epilepsy are aged 0-5 years with male sex and do not have a family history of epilepsy. The types of EEG images are sharp waves and spikes, the type of generalized seizures with the most management of valproic acid.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121181523","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":"Profil Penyakit Malaria di Rumah Sakit Islam Siti Rahmah Padang Tahun 2018","authors":"Y. RahmaTriyana, Salmi Salmi","doi":"10.33854/heme.v2i2.546","DOIUrl":"https://doi.org/10.33854/heme.v2i2.546","url":null,"abstract":"Malaria is one of the health problems in Indonesia, especially West Sumatra. Determination of the description of Malaria disease in an area is needed to determine the spread and severity of the disease. This study aims to determine the frequency distribution according to age, sex and place of residence, description of the types of Plasmodium causes of Malaria and hematological features in Malaria patients at Siti Rahmah Padang Hospital in 2018. This type of research is a descriptive observational study with an approach or design cross section (cross sectional). The frequency distribution of Malaria sufferers in Siti Rahmah Padang Hospital in 2018 according to the highest age was in the age group 21-30 years as many as 28 cases (36.8%), the highest sex among men was 46 (60.5%) and the highest number of residences was found in Koto Tangah sub-district there were 31 cases (40.8%). The type of Plasmodium found in Malaria cases in Siti Rahmah Padang Hospital in 2018 was P. vivax (73 cases (96.05%)) and P. falciparum (3 cases (3.95%)). The results of laboratory tests on Hb, hematocrit, platelet and leukocyte levels in Malaria positive patients in Siti Rahmah Padang Hospital in 2018 were in the normal range.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130910292","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":"Hubungan Onset Keluhan Nyeri Perut dan Jumlah Leukosit dengan Tingkat Keparahan Apendisitis Akut pada Anak","authors":"W. Wibowo, T. O. R. Wahid, Huriatul Masdar","doi":"10.33854/heme.v2i2.538","DOIUrl":"https://doi.org/10.33854/heme.v2i2.538","url":null,"abstract":"Acute appendicitis always need surgical treatment. If appendectomy is not performed immediately, perforation of appendix and peritoneal contamination will complicate the disease. The highest incidence of appendicitis is in late teen, with 5% incidence in children under 5 years old. The aim of this study was to determine the correlation between onset of abdominal pain with the severity of pediatric acute appendicitis and to know the different of average leukocyte count of pediatric acute appendicitis between appendicitis and appendicitis complication. This study was analytical comparative and analytical correlative with retrospective approach. About 68 medical records of pediatric acute appendicitis patient in Arifin Achmad General Hospital Riau Province period January 2018 – December 2019 were analyzed. The result showed appendicitis case in children was same affected girls and boys mostly in group age 6-12 years old. Onset of abdominal pain was mostly after 48 hours of the disease. About 69.1% patient was suffering of appendicitis complication. Leukocytosis was found in 76.5% patients. Statistics analysis using unpaired t test showed p=0.00, it meant a significant different of average leukocyte count between appendicitis and appendicitis complication. IC95%=4015.7-6683.1.  Statistics analysis using Somers’d correlative test show p=0.00. From this study, it can be concluded that there was a significant different of average leukocyte count between appendicitis and appendicitis complication also there was a significant correlation between onset of abdominal pain with severity of pediatric acute appendicitis with strong power correlation.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132792956","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":"Faktor- Faktor yang Berhubungan dengan Kejadian Hipertensi pada Lansia di PuskesmasAir Dingin Lubuk Minturun","authors":"I. Imelda, Fidiariani Sjaaf, Tri Puspita Paf","doi":"10.33854/heme.v2i2.532","DOIUrl":"https://doi.org/10.33854/heme.v2i2.532","url":null,"abstract":"Hypertension is a non-communicable disease which is a very serious health problem today and is the biggest cause of stroke, both systolic and diastolic blood pressure. The incidence of hypertension is very high especially in the elderly population. The purpose of this study was to determine the factors associated with the incidence of hypertension in the elderly at the Lubuk Minturun Air Dingin Health Center. This research is an analytic study with cross sectional design and conducted a qualitative study with in-depth interviews. This research was conducted at the Air Dingin Lubuk Minturun Health Center from July to November 2019. The sample used was 110 people taken by accidental sampling. Univariate analysis is presented in the form of a frequency distribution table while bivariate analysis uses the Chi-Square test with α = 0.05 and a confidence level of 95%. The results of this study are there is a correlated between the level of salt consumption with the incidence of hypertension in the elderly (p = 0.025), there is a relationship between the level of consumption of fatty foods with the incidence of hypertension in the elderly (p = 0.010), there is no correlated between smoking habits with the incidence of hypertension in the elderly elderly (p = 0.846), there is no correlated between sports habits with the incidence of hypertension in the elderly (p = 0.179), there is no correlated between obesity and the incidence of hypertension in the elderly (p = 0.980), there is a correlated between the level of stress with the incidence of hypertension in the elderly (p = 0.011), there was no correlated between socioeconomic status and the incidence of hypertension in the elderly (p = 0.101).","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134563766","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":"Pengaruh Cangkang Keong Sawah (Pila ampullacea) Terhadap Pembentukan Tulang Baru (Remodeling Tulang)","authors":"Edrizal Edrizal, Eka Desnita, L. S. Geminastiti","doi":"10.33854/heme.v2i2.559","DOIUrl":"https://doi.org/10.33854/heme.v2i2.559","url":null,"abstract":"Rice fields conch is believed by people as an alternative medicine that capable to treat many kind of diseases, such as diabetes, jaundice, liver, ulcer, cholesterol, and preventing osteoporosis, more in-depth scientific studies regarding the efficacy of rice field conch for human health are still not widely done. All of this statement are still empirical data from the experiences of rice field conch users, so it needs further research. The purpose of this research was to determine whether the content of the rice field conch shell (Pila ampullacea) can affect the bone remodeling process. Types of research that has been used was laboratory experiment with control group post test only design. The population of this research used white type of rat Galur Wistar (Rattus norvegicus L.), with the minimum number of samples needed are 4 rats from each group. So total of the samples are 20 white rats Galur Wistar (Rattusnorvegicus L.). Research conducted at the Pharmacology Laboratory of Andalas University, Anatomical pathology Laboratory Siti rahmah islamic hospital and Anatomical Pathology Laboratory Andalas University using Oneway ANOVA test. The results of the research obtained that the average number of osteoblasts in the control group (-) with the lowest average number of osteoblasts was 14.3 per five fields of view. The highest increase in average occurred in the administration of Pila ampullacea 100 mg, which is 36.6 per five fields of view. The average number of osteoclasts in the control group (-) was also seen to be the lowest at 1.55 per five fields of view and the increase of osteoclasts average was highest in the administration of 100 mg of ampullacea, which was 3.25 per five fields of view and it was shown that the supply of rice field conch shell powder (Pila ampullacea) could affect bone remodeling processes with p <0.05","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130645614","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":"PERILAKU WANITA USIA SUBUR DALAM PEMILIHAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI FAKULTAS KESEHATAN MASYARAKAT UI TAHUN 2018","authors":"Annisa Lidra Maribeth, Ayu Aulia, Nita Adhani Pasundani, Nur Annisa Fauziyah, Siti Ma’rifah, Bidayatul Tsalisatul Sua’idah","doi":"10.33854/heme.v2i2.541","DOIUrl":"https://doi.org/10.33854/heme.v2i2.541","url":null,"abstract":"AbstrakPenggunaan metode kontrasepsi jangka panjang (MKJP) pada wanita usia subur di Indonesia masih tergolong rendah yaitu 4,7 persen. Salah satu jenis MKJP adalah intrauterine device (IUD). Mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) dinilai memiliki pengetahuan yang cukup terhadap MKJP. Tujuan penelitian ini adalah menggali lebih dalam tentang perilaku wanita usia subur dalam pemilihan kontrasepsi IUD di FKM UI. Penelitian ini merupakan penelitian kualitatif dengan metode wawancara mendalam selanjutnya dianalisis dengan content analysis. Sampel penelitian adalah mahasiswi Pasca Sarjana FKM UI berusia 15-49 tahun yang telah menikah dan memutuskan menggunakan alat kontrasepsi. Sampel yang dipilih akan dibagi menjadi dua kelompok yaitu yang menggunakan IUD dan tidak menggunakan IUD. Hasil dari penelitian ini diketahui bahwa faktor yang menghambat perilaku penggunaan kontrasepsi IUD adalah sikap dan faktor yang mendorong perilaku penggunaan IUD adalah dukungan suami. Intervensi yang mungkin dapat dilakukan adalah meningkatkan motivasi dan memperbaiki persepsi pengguna non IUD. Hal ini diharapkan dapat mengubah sikap pengguna non IUD dari tidak setuju menjadi setuju untuk menggunakan IUD. Selain itu peran dukungan suami perlu ditingkatkan dengan berbagai intervensi.Katakunci — Perilaku wanita usia subur, intrauterine device (IUD), kontrasepsi jangka panjang, kualitatif Abstract                                                                                                   The use of long-term contraceptive methods in women of childbearing age in Indonesia is still relatively low (4.7%). One type of long-term contraceptive methods is an intrauterine device (IUD). Students of Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) is considered to have sufficient knowledge of the long-term contraceptive methods. The purpose of this study is to explore the women behavior of childbearing age in the selection of IUD in FKM UI. This research was a qualitative research with in-depth interview method then analyzed with content analysis method. The sample was FKM UI post graduate women students aged 15-49 years who have been married and decided to use contraception. The selected sample would be divided into two groups, those that used an IUD and didn’t use an IUD. The results of this study noted that the factors that inhibit IUD contraceptive use behavior are attitudes and the factors that encourage IUD use behavior are husband support. Interventions that may be done are to increase motivation and improve the perception of non-IUD users. This is expected to change the attitude of non-IUD users from disagreeing to agreeing to use an IUD. In addition, the role of husband support needs to be enhanced with various interventions.Keyword — Behavior of women of childbearing age, intrauterine devices (IUD), long-term contraception, qualitative.","PeriodicalId":210279,"journal":{"name":"Health & Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128533032","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}