M. Mohtar, Subhannur Rahman, Ahmad Apriannor, Gusti Restu Auliyah
{"title":"Efektifitas Metode Pengkajian Siriraj Stroke Score (SSS) dan National Institute of Health Stroke Scale (NIHSS) dalam Penetapan Diagnosa Keperawatan Aktual pasien Stroke di Ruang IGD","authors":"M. Mohtar, Subhannur Rahman, Ahmad Apriannor, Gusti Restu Auliyah","doi":"10.33859/dksm.v12i2.741","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.741","url":null,"abstract":"Latar Belakang: Stroke adalah penyakit pada otak berupa gangguan fungsi syaraf fokal disebabkan oleh terganggunya peredaran darah pada otak dan menimbulkan gejala-gejala berupa defisit neurologis. Prevalensi stroke di Indonesia mengalami kenaikan dari 7% menjadi 10,9%. Provinsi Kalimantan selatan menempati urutan ketiga dengan prevalensi 12,7 % permil. Seiring meningkatnya jumlah penderita stroke, perlu pengkajian berfokus pada neuorologi dan bersifat darurat.Tujuan : Penelitian ini bertujuan untuk menganalisis efektifitas metode pengkajian sss dan nihss dalam penetapan jumlah diagnosa keperawatan aktual dan kecepatan waktu penetapan diagnosa pasien stroke di Ruang IGD.Metode : Penelitian ini menggunakan pendekatan pra-eksperimen (the one shot case study).Hasil : Hasil penelitian menggunakan analisis uji korelasi sperman pada metode SSS menunjukkan durasi pengkajian p=0,000, jumlah diagnosa p=0,000 dan durasi penetapan p=0,000 α (0,05). Sedangkan NIHSS menunjukkan durasi pengkajian p=0,000, jumlah diagnosa p=0,887 dan durasi penetapan p=0,000 α (0,05). Sehingga ada hubungan metode pengkajian SSS dan NIHSS terhadap penetapan diagnosa keperawatan aktual. Sedangkan hasil tingkat keeratan yang dianalisis menggunakan koefisien korelasi bahwa terdapat hubungan yang sangat kuat adalah metode NIHSS terhadap lama durasi penetapan (r=0,858). Terdapat hubungan yang sama kuatnya adalah metode SSS dan NIHSS terhadap lama durasi pengkajian (r=0,653) namun lebih tinggi nilai SSS (r=0,696) sedangkan lama durasi penetapan SSS (r=0,696). Terdapat hubungan yang cukup adalah metode SSS terhadap jumlah diagnosa yang ditetapkan (r=0,495). Tidak terdapat hubungan, sehingga hubungan menjadi tidak berarti terjadi pada metode NIHSS terhadap jumlah diagnosa (r=-0,027).Kesimpulan : Metode pengkajian SSS dan NIHSS efektif dalam menetapkan diagnosa keperawatan aktual pada pasien stroke di Ruang IGD, namun secara durasi pengkajian dan penetapan jumlah diagnosa lebih efektif SSS. sedangkan dari durasi penetapan diagnosa keperawatan lebih efektif NIHSS.","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126776247","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 Pemberian Dukungan Kesehatan Jiwa Dan Psikososial Terhadap Penurunan Tingkat Stres Dan Kecemasan Pada Masyarakat Banjar Di Masa Pandemi Covid 19","authors":"Subhannur Rahman, Rian Tasalim","doi":"10.33859/dksm.v13i1.788","DOIUrl":"https://doi.org/10.33859/dksm.v13i1.788","url":null,"abstract":"Latar Belakang : Prevalensi kejadian Covid-19 di Kalimantan Selatan mengalami peningkatan jumlah, baik kasus yang terkonfirmasi sampai dengan kasus kamatian karena Covid-19. Banyaknya dampak yang ditimbulkan dari permasalahan ini menjadikan masyarakat banjar merasakan kerugian secara fisik, sosial, ekonomi dan psikologis. Perasaan stress, was-was, khawatir, cemas, takut, dan gelisah menghadapi kondisi seperti ini menyebabkan resiko penurunan imun selama masa pandemi yang dikhawatirkan berdampak pada mudahnya penularan Covid-19 di lingkungan individu, keluarga dan masyarakat banjar. Selama masa pandemi Covid-19 masyarakat Kalimantan Selatan hanya berfokus pada bagaimana meningkatkan kesehatan fisik, namun masih mengenyampingkan usaha untuk meningkatkan kesehatan jiwa dan psikososial mereka. Oleh sebab itu dengan adanya dukungan kesehatan jiwa dan psikososial selama masa pandemi kemungkinan dapat menurunkan tingkat stress dan kecemasan masyarakat banjar.Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh pemberian dukungan kesehatan jiwa dan psikososial dalam menurunkan tingkat stress dan kecemasan masyarakat Banjar selama masa pandemic covid 19.Metode : Penelitian ini menggunakan jenis penelitian eksperimen dengan desain penelitian pre eksperimental (one group pretest-posttest design) dengan jumlah sampel sebanyak 30 orang. Teknik pengambilan sampel dilakukan dengan cara purposive sampling.Hasil : Berdasarkan hasil uji statistik menggunakan uji Wilcoxon Tes untuk mengukur tingkat stress dan kecemasan sebelum dan sesudah intervensi didapatkan nilai p value 0,000 lebih kecil dari α = 0,05.Simpulan : Adanya pengaruh pemberian dukungan kesehatan jiwa dan psikososial terhadap penurunan tingkat stres dan kecemasan masyarakat banjar di masa pandemi Covid-19. Kata kunci: Dukungan Kesehatan Jiwa dan Psikososial, Kecemasan, Stres. The Effect of Providing Mental Health and Psychosocial Support on Reducing Stress and Anxiety Levels in the Banjar Community During the Covid 19 PandemicBackground: The prevalence of Covid-19 in South Kalimantan has increased, both confirmed cases and deaths due to Covid-19. The many impacts caused by this problem make the Banjar community suffer physical, social, economic and psychological losses. Feelings of stress, anxiety, worry, anxiety, fear, and dealing with conditions like these cause a decrease in immunity during the pandemic which has an impact on the ease of transmission of Covid-19 in individuals, families and the Banjar community. During the Covid-19 pandemic, the people of South Kalimantan only focused on how to improve their physical health, but still put aside efforts to improve their mental and psychosocial health. Therefore, with mental health and psychosocial support during the pandemic, it is possible to reduce the stress and anxiety levels of the Banjar community.Objective: This study aims to determine the effect of providing mental health and psychosocial support in reducing stress and anxiety leve","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"515 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123084737","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":"Terapi Bermain Lego dalam Menurunkan Tingkat Kecemasan Anak Usia Pra Sekolah Saat Hospitalisasi di Ruang Rawat Anak RSUD Pambalah Batung Amuntai","authors":"Malisa Ariani, S. Hamidah, Rifa’atul Mahmudah","doi":"10.33859/dksm.v12i2.735","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.735","url":null,"abstract":"","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132230529","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 Pengkajian Nyeri Menggunakan CPOT Terhadap Perubahan Status Hemodinamik pada pasien di ICU","authors":"E. E. Gaghauna, B. Santoso","doi":"10.33859/dksm.v12i2.777","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.777","url":null,"abstract":"Masalah Nyeri merupakan suatu respon alami yang bersifat langsung terhadap suatu peristiwa atau kejadian yang tidak mengenakkan karena kerusakan jaringan, seperti proses penyakit atau tindakan pengobatan dan pembedahan ( Hayati, 2014 dalam Apriani et al, 2018). Munculnya nyeri pada pasien penurunan kesadaran disebabkan oleh penyakit akut dan banyaknya intervensi dan tindakan yang dilakukan di ICU seperti: operasi, trauma, tindakan invasif, perawatan luka dan perubahan posisi pada pasien (Sutari, 2014 dalam Apriani et al, 2018).Tujuan: penelitian ini untuk menganalisis hubungan pengkajian nyeri menggunakan CPOT terhadap perubahan status hemodinamik pada pasien.Metode: Desain penelitian ini adalah penelitian korelasi yang dilakukan analisis data statistik menggunakan Mann-Whitney. Lembar penilaian skala nyeri CPOT dan Lembar Observasi Status hemodinamik.Hasil: pengukuran tingkat nyeri menggunakan CPOT berhubungan dengan perubahan status hemodinamik dengan kenaikan yang beragam tergantung tingkatan nyeri yang dirasakan oleh pasien.Kesimpulan: perlunya monitoring tingkat nyeri khususnya pada pasien yang menggunakan ventilator diruang Intensive care sebagai salah satu upaya monitoring status hemodinamik yang berpengaruh dalam perbaikan kondisi pasien di ICU. Kata Kunci: CPOT, Nyeri, Status Hemodinamik The Effect of Family Health Seek Behavior to the Outcome of Stroke Patient using National Institute of Health Stroke Scale (NIHSS) in Emergency Department Introduction: Pain is a natural response that is direct to an unpleasant event or event due to tissue damage, such as a disease process or treatment and surgery (Hayati, 2014 in Apriani et al, 2018). The emergence of pain in patients with decreased consciousness is caused by acute illness and the many interventions and actions carried out in the ICU such as: surgery, trauma, invasive procedures, wound care and position changes in patients (Sutari, 2014 in Apriani et al, 2018).Purpose: To analyze the relationship of pain assessment using CPOT to changes in hemodynamic status in patients.Results: The design of this research is correlation research which is analyzed statistical data using Mann-Whitney. CPOT pain scale assessment sheet and Hemodynamic Status Observation Sheet.Conclusion: the need for monitoring the level of pain, especially in patients who use a ventilator in the intensive care room as an effort to monitor hemodynamic status that affects the improvement of the patient's condition in the ICU Keywords: CPOT, Hemodynamic Status, Pain","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115578968","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":"Efektifitas Cyber-Counseling Education Services (CCES)Terhadap Disaster Management, Self Care dan Quality of Life Masyarakat Zona Merah Pandemi Covid-19 Di Banjarmasin","authors":"Muhammad Arief Wijaksono, M. Mohtar","doi":"10.33859/dksm.v12i2.742","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.742","url":null,"abstract":"Background: One of the pandemic disasters that has recently become the hottest news in the world is the Novel Coronavirus Disease (COVID-19). WHO said 153,252,000 people died from COVID-19 with 2,231,990 infected cases? Indonesia on May 6, 2020, as many as 12,438 positive patients. The development of COVID 19 in South Kalimantan as many as 229 positive patients. The spread of the COVID 19 red zone in Banjarmasin City on May 6, 2020, as many as 76 positive patients. This pandemic disaster significantly reduced self-care ability and quality of life of the community related to physical function and vitality as well as not be able to optimally managing disaster using their own capacity. Cyber Counseling is an alternative method of counseling services that are considered appropriate to be used during a pandemic. Objecttive","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127737708","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}
Zaqyyah Huzaifah, Noor Amaliah, Rohni Taufika Sari
{"title":"Hubungan Pendampingan Preseptor Terhadap Rasa Percaya Diri Mahasiswa Ketika Melakukan Prosedur Keperawatan Di Rumah Sakit","authors":"Zaqyyah Huzaifah, Noor Amaliah, Rohni Taufika Sari","doi":"10.33859/dksm.v12i2.734","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.734","url":null,"abstract":"","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126432772","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 MEKANISME CEDERA DENGAN STATUS FISIOLOGIS (REVISED TRAUMA SCORE) PADA PASIEN TRAUMA DI RSUD ULIN BANJARMASIN","authors":"Rini Rini, Hanura Aprilia","doi":"10.33859/dksm.v12i2.728","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.728","url":null,"abstract":"Abstrak LATAR BELAKANG Ketepatan pengkajian mekanisme cedera akan mempengaruhi prognosis tingkat keparahan trauma yang dinilai pada status fisiologis pasien trauma dengan menggunakan penilaian revised trauma score.TUJUAN Untuk mengetahui hubungan mekanisme cedera dengan status fisiologis (revised trauma score) pada pasien trauma di RSUD Ulin Banjarmasin.METODE: Penelitian ini menggunakan metode korelasional, dengan desain Cross Sectional dan teknik pengambilan sampel dengan accidental sampling. Sampel penelitian ini berjumlah 58 orang. Teknik pengumpulan data menggunakan lembar observasi mekanisme cedera dan lembar observasi revised trauma score dengan analisis uji statistik spearman rho.HASIL: Menunjukkan ada hubungan mekanisme cedera dengan status fisiologis (revised trauma score) dengan hasil uji statistik diperoleh Ï Value 0,027.KESIMPULAN: Sebagian besar responden didapatkan mekanisme cedera kriteria tumpul dengan keadaan status fisiologis yang bervariasi, namun lebih dominan pada pasien trauma dengan tingkat keparahan kriteria ringan. Kata Kunci: Mekanisme Cedera, Revised Trauma Score, Status Fisiologis, Trauma Abstract BACKGROUND The accuracy of the assessment mechanism of injury will affect the prognosis of the severity of the trauma being assessed on the physiological status of trauma patients by using ratings revised trauma score.OBJECTIVE To determine the relationship of the mechanism of injury with physiological status (revised trauma score) in trauma patients in hospitals Ulin Banjarmasin.METHODS This study uses correlational with cross sectional design and technique of sampling with accidental sampling. Sample this study amounted to 58 people. The data collection technique using observation sheets observation mechanism of injury and revised trauma score sheet with a statistical test analysis Spearman rho.RESULT Indicates there is a connection mechanism of injury with physiological status (revised trauma score) with statistical test results obtained Ï Value 0.027.Conclusion: Most respondents obtained blunt criteria injury mechanism with varying physiological status, but were more dominant in trauma patients with mild criteria severity Keywords: Mechanism of Injury, Revised Trauma Score, Physiological Status, Trauma","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127579815","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}
Noor Khalilati, Ruslinawati Ruslinawati, Akhmad Nazarudin
{"title":"Pengaruh Pemberian Pendidikan Kesehatan Terhadap Tingkat Pengetahuan Tentang Cardiac Arrest Dan Bantuan Hidup Dasar Tim Komunitas Gabungan Emergency","authors":"Noor Khalilati, Ruslinawati Ruslinawati, Akhmad Nazarudin","doi":"10.33859/dksm.v12i2.729","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.729","url":null,"abstract":"Latar Belakang: Kurangnya pengetahuan masyarakat tentang Cardiac Arrest dan Bantuan Hidup Dasar dalam melakukan pertolongan kegawatdaruratan sehingga pengetahuan masyarakat tentang Cardiac Arrest dan Bantuan Hidup Dasar dirasa perlu dikaji karena kondisi gawat darurat dapat terjadi kapan saja dan dimana saja.Tujuan: Untuk mengetahui pengaruh pemberian pendidikan kesehatan tentang cardiac arrest dan bantuan hidup dasar terhadap tingkat pengetahuan Tim Komunitas Gabungan Emergency (KGE).Metode: Desain penelitian yaitu quasy experiment with one group pre-posttest dan menggunakan lembar kuesioner untuk mendapatkan data dari responden. Sampel berjumlah 30 responden dengan menggunakan teknik probability sampling.Hasil: Penelitian didapatkan rata-rata nilai pretest 72,33 dan nilai posttest 87,50 dan di dapat nilai p-value = 0,000 (α 0,05).Simpulan:Terdapat pengaruh pendidikan kesehatan tentang Cardiac Arrest dan Bantuan Hidup Dasar terhadap tingkat pengetahuan Tim Komunitas Gabungan Emergency HSU. Peranan relawan sebagai penemu pertama sangat berpengaruh. Sehingga dirasa perlu untuk mengikuti pendidikan kesehatan berupa seminar atau pelatihan yang berkaitan dengan Cardiac Arrest dan Bantuan Hidup Dasar secara berkala tiap tahun. Kata Kunci: Pengetahuan, Cardiac Arrest, Bantuan Hidup Dasar, Komunitas Gabungan emergency (KGE) The Effect of Providing Health Education on the Level of Knowledge About Cardiac Arrest and Basic Life Support Emergency Community TeamBackground: Public acknowledgement about Cardiac Arrest and Basic Life Support in providing emergency assistance so that public knowledge about Cardiac Arrest and Basic Life Support is deemed necessary because emergency conditions can occur anytime and anywhereObjective: To determine the effect of providing health education about cardiac arrest and basic life support on the level of knowledge of the KGE TeamMethods: This research using a quasi-experiment design with one group pre-posttest and uses a questionnaire sheet to obtain data from respondents. 30 respondents sample use for this research with probability sampling techniqueResult: This research obtained an average pretest value of 72.33 and a posttest value of 87.50 and the p-value = 0.000 (α 0.05)Conclusion: There is an effect of health education on Cardiac Arrest and Basic Life Support on the level of knowledge of the HSU Emergency Joint Community Team. The role of volunteers as the first inventors is very influential. It is necessary to attend health education in the form of seminars or training related to Cardiac Arrest and Basic Life Support on a regular basis every year. Keywords: Knowledge, Cardiac Arrest, BLS, KGE Team","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130956150","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}
Nita Hestiyana, Dewi Pusparani Sinambela, Nurul Hidayah
{"title":"Deteksi Kejadian Speech Delayed Pada Anak Dengan Algoritma ID3","authors":"Nita Hestiyana, Dewi Pusparani Sinambela, Nurul Hidayah","doi":"10.33859/dksm.v12i2.752","DOIUrl":"https://doi.org/10.33859/dksm.v12i2.752","url":null,"abstract":"","PeriodicalId":269712,"journal":{"name":"DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123000535","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}