Advances in Mind-Body Medicine最新文献

{"title":"An Interview with Dr. Bonni Goldstein Discussing the Virtues of Cannabis.","authors":"Bonni Goldstein, Sheldon Baker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No Abstract Available.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"39 2","pages":"34-38"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036915","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":"Ayurvedic Stress Management: Balancing Mind * Body in Men * Women.","authors":"Anand Swaroop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ayurvedic stress management offers a comprehensive, individualized approach to health by viewing stress as a disruption of the body's natural equilibrium rather than solely a psychological condition. Rooted in the ancient principles of mind-body-spirit integration, Ayurveda identifies stress as a manifestation of imbalances influenced by physical, emotional, and environmental factors. Central to this framework is the concept of dosha-based stress expression: Vata imbalances result in anxiety and restlessness; Pitta imbalances manifest as irritability and inflammation; and Kapha imbalances lead to lethargy and emotional withdrawal. Gender-specific stress patterns also play a role, with women more prone to Vata-related imbalances and men to Pitta-related conditions, due to hormonal and physiological differences. At the core of Ayurvedic stress reduction lies the preservation of Agni (digestive fire), which supports optimal metabolism and mental clarity. Disruption in Agni contributes to toxin accumulation (ama), further intensifying stress and health issues. Ayurveda addresses these disruptions through dietary guidelines emphasizing warm, nourishing foods; lifestyle practices such as dinacharya (daily routines) aligned with circadian rhythms; and therapeutic techniques like yoga, meditation, pranayama, Abhyanga (self-massage), and Shirodhara (oil therapy). Special attention is given to stress-related reproductive challenges and the holistic rejuvenation offered by Panchakarma detox therapies. Gender-specific recommendations further refine treatment protocols, offering Pitta-pacifying regimens for men and Vata-soothing practices for women. Ayurvedic herbs, classified for their adaptogenic and nervine properties, play a vital role in modulating stress responses by supporting the nervous system and balancing doshic influences. Through its integrative and preventative approach, Ayurveda provides a time-tested, personalized pathway to enhance resilience, restore equilibrium, and cultivate long-term emotional and physical well-being.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"39 2","pages":"26-29"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039877","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":"Development, Validation, and Feasibility of Yoga Intervention Module for Optimizing Safe Use of Screen Time: A Pilot Study.","authors":"Manisha Mona, Sony Kumari, Nitin Anand, Manoj Kumar Sharma","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>Frequent screen use in adolescents is linked to adverse health effects. Yoga practice fosters self-regulation, which can help limit screen time and promote healthy behaviors. This study developed and validated a first-of-its-kind yoga module to minimize excessive screen time among adolescents.</p><p><strong>Objective: </strong>This pilot study aimed to assess the feasibility and potential efficacy of yoga intervention in promoting healthy screen time regulation and reducing related symptoms like depression, anxiety, eye strain, and physical health issues.</p><p><strong>Design and setting: </strong>A yoga module was designed using the Integrative Approach to Yoga Therapy, incorporating holistic yogic principles. The study was conducted at the Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA) University, Bengaluru, India.</p><p><strong>Participants: </strong>The module was developed and validated by 26 yoga professors from various yoga schools in India. The pilot study included 26 female adolescents (ages 16-17 years) from Bengaluru, South India.</p><p><strong>Intervention: </strong>The intervention group underwent a four-week, expert-approved integrated yoga program comprising 12 sessions of 45-minute yoga techniques. The control group received digital hygiene education.</p><p><strong>Outcome measures: </strong>Content validity was assessed using Lawshe's Content Validity Ratio (CVR), and standard questionnaires were used to measure screen time, anxiety (GAD-7), depression (PHQ-9), well-being (WHO-5, KIDSCREEN-10), and smartphone addiction (SAS-SV).</p><p><strong>Results: </strong>Six practices were removed due to low CVR scores, and 21 out of 27 validated practices were retained in the final module (CVI = 0.72). After 12 yoga sessions, participants showed a significant decline in screen time and associated complications.</p><p><strong>Conclusion: </strong>The study suggests that yoga reduces anxiety and depression, enhances physical and psychological well-being, and improves self-regulation, leading to a decline in excessive screen time behaviors.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"39 2","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001704","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":"Heather Granato Talks About the Creation of Women In Nutraceuticals and Industry Impact.","authors":"Heather Granato, Sheldon Baker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No Abstract Available.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"39 2","pages":"30-33"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038052","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":"Effective Management of Type-2 Diabetes Mellitus with Unani Medications: A Case Report.","authors":"Faiza Nasir, Malik Itrat, Fauzia Shahabuddin, Sadia Nikhat","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Diabetes mellitus (DM) presents a formidable global health challenge, with conventional treatments often accompanied by limitations and adverse effects. Moreover, accessibility and affordability of conventional treatments remain barriers for many individuals, particularly in low-resource settings. Hence, there is a compelling need to explore alternative therapeutic modalities, such as Unani medicine, which offer the potential for effective management of type 2 diabetes mellitus (T2DM) while potentially mitigating these drawbacks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Case presentation: &lt;/strong&gt;A 35-year-old female patient presented with symptoms including fatigue, increased thirst, frequent urination, and a burning sensation in both feet. Her medical history revealed Type 2 Diabetes Mellitus (T2DM), with fasting blood glucose (FBS) levels at 276 mg/dl, postprandial blood glucose levels (PPBS) at 380 mg/dl, and a glycated haemoglobin percentage (HbA1c) of 11.2%. Initially prescribed with a combination of glimepiride (1mg) and metformin (500mg) twice daily, she discontinued the treatment due to discomfort. The patient was diagnosed with Dhayābῑtus Shakari and subsequently treated with Unani medications including Qurs Ziabetus (tablets), Zulal Ziabetus (decant), Safoof Darchini (powder), and Arq Zeera (distillate), commonly used in Unani Medicine for T2DM. Additionally, she received dietary recommendations and was advised to engage in a daily 30-minute walk. The patient underwent follow-up assessments every 2 weeks for a total of 12 weeks. Over this period, the patient exhibited positive responses to treatment, evidenced by notable improvements in glycaemic control. Specifically, fasting blood glucose (FBS) levels decreased to 139 mg/dl, postprandial blood glucose (PPBS) levels dropped to 179 mg/dl, and glycated hemoglobin percentage (HbA1c) decreased to 8.7%. Additionally, there was a significant amelioration in overall symptoms, as evaluated through the Asian Diabetes Quality of Life questionnaire scores and Diabetic Neuropathy Symptom score. At baseline, the AsianDQOL score indicated poor quality of life at 47, which notably improved to 85 post-treatment, indicating a shift towards a good quality of life. Furthermore, the Diabetic Neuropathy Symptom score reduced from 3 at baseline to 0 at the conclusion of treatment, indicative of alleviated pain and burning sensation in the feet.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This case report highlights the potential effectiveness of Unani medications in managing T2DM, suggesting its viability as a treatment option within a comprehensive diabetes management strategy. The patient's positive response underscores Unani medicine's potential not only as a complementary treatment but also as an integrative approach. However, to substantiate these findings and explore the integration of Unani treatments with conventional therapies, further research, including controlled clinical trials, is imperative. ","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"38 4","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509501","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":"Therapeutic Applications of Neem (Azadirachta indica): A Narrative Review.","authors":"S Mehnaz, Yasmeen Shamsi, Md Wasi Akhtar, Sujata Mohanty, Sayeed Ahmad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is no surprise that nature has provided us with many therapeutic compounds for thousands of years. Throughout history, plants and their derivatives have been used orally and locally to treat most of the diseases. In addition to providing a wealth of health benefits, Azadirachta indica stands out among all of them as one of the most universal and prolific trees. Since antiquity, this medicinal plant has been used in the Unani System of Medicine as well as in other traditional systems of medicine (Ayurveda, Homeopathic, Chinese, and European \"Materia Medica\") to treat a wide range of diseases. Almost every part of the tree can be used as medicine, including its leaves, flowers, seeds, fruits, roots, and bark, both locally and systemically after being properly processed in pharmaceutical industries. Apart from treating various skin ailments like dermatitis, eczema, acne, and fungal and bacterial infections, it also exhibits anti-malarial, anticancer, antifertility, antioxidant, antidiabetic, anti-inflammatory, hepatoprotective, neuroprotective, and wound healing properties. In modern times, it is also used in cosmetics, toiletries, and pharmaceutical products. The purpose of this review is to gather all the information available about Azadirachta indica, including its distribution, botanical description, commercial use, and medicinal properties.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"38 4","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509503","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":"Integrated Yoga and Naturopathy Intervention on Glycemic Profile and Autonomic Variables in Co-Existence of Diabetes Mellitus with Hypertension: A Two-Arm Observational Study.","authors":"S Lekshmi Mohan, K J Sujatha, Prashanth Shetty, H L Nanjeshgowda","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Diabetes Mellitus coexisting with hypertension has received significant global attention and remains a public health challenge in the past two decades. The states of hyperinsulinemia and insulin resistance have been postulated as causes or consequences of hypertension. Evidence shows that alternative systems of medicine can play a significant role in achieving glycemic control. This study aimed to compare and evaluate the impact of yoga and naturopathy-based lifestyles on patients with diabetes mellitus and diabetes mellitus with hypertension.</p><p><strong>Methods: </strong>Sixty subjects were recruited into two groups, group 1 (diabetes mellitus with hypertension) and group 2 (diabetes mellitus) based on the inclusion and exclusion criteria. Both the groups underwent naturopathy and yoga intervention for ten days. The glycemic profile and heart rate variability (HRV) of the patients were assessed at the baseline and 10 days after the intervention.</p><p><strong>Results: </strong>Study resulted in a significant change in both time domain and frequency domain variables (HRV, FBS, and PPBS) in both group 1 and group 2 (P < .05, for all) but the mean difference was more in group 2 with a significant difference between the two groups, P < .05. The diastolic blood pressure significantly decreased only in group 2, whereas the systolic blood pressure decreased in both groups without any difference between the two groups.</p><p><strong>Conclusion: </strong>The results of the present study show that integrated yoga and naturopathy management significantly help in glycemic control and autonomic functions in both groups.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"38 4","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509502","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":"Comprehensive In-Patient Neuro-rehabilitation: Harnessing Yoga's Potential - A Pilot Study in Germany.","authors":"B C Ashwini, R Nagarathna, C Garner, Ashween Bilagi, Shreedhar Palukuru","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Neurological diseases require rehabilitation due to the disabling effects they induce, yet cost and therapist availability make long-term therapy difficult. However, innovative, cost-effective strategies that cater to patients' physical and mental requirements are vital to address this gap in care. Incorporating Yoga into in-patient neuro-rehabilitation holds promise as a complementary approach to enhance physical and mental recovery for individuals in a German neurological rehabilitation hospital. This study explores the potential benefits of integrating Yoga within the multimodal care framework, shedding light on its role in improving patient outcomes and overall well-being.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To study the effect of integrated yoga therapy and multimodal rehabilitation techniques in the neuro-rehabilitation of Multiple Sclerosis, Stroke, and others in an in-patient setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design and setting: &lt;/strong&gt;A single group pre-post study was conducted at a neurological rehabilitation centre- KWA-Klinik, Stift Rottal, Bad Griesbach, Germany. Twenty patients (11 female and nine male, age 54.4 ± 9.50 years) with different neurological diseases (12-Multiple Sclerosis, 3-Stroke, 5- others) volunteered to participate in the study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Intervention: &lt;/strong&gt;The integrated yoga intervention was designed by experts from Yoga and neurology to suit neuro-rehabilitation patients. Yoga intervention included Breathing practices, yogic loosening practices, Rapid breathing (Kapalabhati), Alternate nostril breathing (Nadishuddi Pranayama), Physical postures (Asanas), and Relaxation techniques. Participants underwent yoga training for one hour daily, five days a week, for three weeks, along with other conventional rehabilitation procedures.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcome measures: &lt;/strong&gt;The Pain Analog Scale and Spasticity Analog Scale were used to determine the extent of the problem. Barthel Index, Timed up and go Test, and Hand Grip Strength were used to determine the baseline functioning of a patient. Hospital Anxiety and Depression Scale (HADS) to assess anxiety and depression symptoms in patients.WHOQOL-BREF questionnaire used to assess QoL.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There was a significant reduction in pain (66.97%, P = .001), spasticity (64.47%, P = .001), and anxiety scores (29.05%, P = .02). There is no significant decrease in depression scores (21.86%, P = .065). Improvement in Barthel index (10.38%, P &lt; .001), timed up and go Test (11.63%, P = .001), and physical (4.92%, P = .031), psychological (4.79%, P = .036) and environmental domains (9.12%, P = .001) of WHOQOL-BREF. The results indicate that yoga therapy can effectively address common and debilitating symptoms associated with neurological disorders. Along with the improvement in daily living activities, mobility, and overall quality of life for patients with neurological conditions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Incorporatin","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"38 4","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509499","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":"Effect of Vakrasana on Blood Glucose Levels in Type 2 Diabetes Mellitus: A Randomized Controlled Study.","authors":"G Tamilselvi, A Mooventhan, S Iswarya, L Nivethitha, S T Venkateshwaran","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus is one of the most prevalent metabolic diseases. Literature suggests that yoga including a group of asanas reduces blood glucose and glycated hemoglobin levels in type 2 diabetes mellitus (T2DM). However, to the best of our knowledge, no known study evaluated the effects of a single asana (i.e., Vakrasana) in T2DM.</p><p><strong>Objective: </strong>This study aimed to determine the effect of Vakrasanana on blood glucose levels in T2DM patients.</p><p><strong>Materials and methods: </strong>Sixty T2DM patients aged 51.12 ± 6.43 years were randomly (1:1 ratio) allocated to yoga group (YG) and control group (CG). YG was asked to perform only one session of Vakrasana, while the CG was on rest in a sitting posture for 10 minutes. Random blood glucose (RBG) levels were assessed before and after the intervention.</p><p><strong>Results: </strong>Within-group analysis showed a significant reduction in RBG levels in YG (P < .001; Effect size (d) = 0.203), while a significant increase in RBG was observed in CG (P < .001; Effect size (d) = 0.077), compared to the respective pre-test assessments. Whereas the between-groups analysis did not show a significant difference in RBG levels between the two groups (z = 1.597; P = 0.110). However, YG had a small effect size (Effect size (d) = 0.288) in reducing RBG levels compared to CG.</p><p><strong>Conclusion: </strong>Ten minutes of Vakrasana has some positive effect in reducing blood glucose levels, unlike rest in sitting posture in patients with T2DM. However, further studies are required to validate the findings of this study.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"38 4","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509500","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":"Healthcare Students' Perceptions About Approaching Spirituality in Their Training and Patient Care: Online, Cross-Sectional Survey.","authors":"Tulio L Correa, Isabella Cunha Porsche Ferreira, Gabriel Dias de Oliveira, Ricardo Tavares de Carvalho","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Recent scientific literature points out that religiosity and spirituality play a relevant role in many aspects of life, including health issues. We aimed to evaluate the healthcare students' perceptions about approaching spirituality in their training and patient care in Brazilian universities.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted following the STROBE guidelines. Through an anonymous online survey, adult healthcare students from two universities in the city of Pelotas (Brazil) answered a questionnaire about their perceptions on approaching spirituality in their training and patient care. Chi-squared tests were performed, and P ≤ .05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 163 students were included in the analysis. Most believed that spirituality is important for their training (74.8%) and patient care (84%). However, a minority had had contact with the theme of spirituality during their training (48.5%) or had experienced a situation in which the spiritual aspects of a patient were addressed (47.2%). The students from the private university had more contact with the theme of spirituality in healthcare during their training. Nursing students had significantly more contact with the theme of spirituality in healthcare (P = .008) and had experienced more situations in which the spiritual aspects of a patient were addressed (P = .031) than other students.</p><p><strong>Conclusion: </strong>Most students believed that the theme of spirituality in healthcare is important for their training and patient care. However, they still had insufficient contact with it during their education. More studies with greater statistical power are needed to better understand this situation globally.</p>","PeriodicalId":34899,"journal":{"name":"Advances in Mind-Body Medicine","volume":"28 1","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094424","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}