International Journal of Community Based Nursing and Midwifery最新文献

{"title":"Research trends and perspectives on the usefulness of oxytocin as a biomarker for postpartum depression","authors":"Kawano Atsuko, Sankai Chihoko","doi":"10.5897/ijnm2022.0495","DOIUrl":"https://doi.org/10.5897/ijnm2022.0495","url":null,"abstract":"As postpartum depression has become a major problem, it is necessary to identify mothers who need intensive support to cope with this disorder. Therefore, by summarizing literature from the past five years, this study aimed to clarify the current progress of research on the usefulness of oxytocin as a biomarker for postpartum depression; it also aimed to discuss the prospects for future research based on these findings. Literature published from 2016 to 2020 that examined the relationship among postpartum psychological state, postpartum depression, and oxytocin using the Medical Journal Web and PubMed for local and international literature were reviewed respectively. The search was conducted using the following keywords: “oxytocin,” “postpartum,” “depression,” “anxiety,” “mentality,” “sensation” and “psychology.” Furthermore, research articles (original papers and research reports) were the main focus of the search. Seven articles were extracted from the search. All of them reported an association between oxytocin and maternal psychological state. However, the views among them differed, and studies on the usefulness of oxytocin as a biomarker of postpartum depression were limited. Although various methods have been utilized to measure oxytocin, this study highlights the need for more consistent research methods, accounting for individual differences and factors that may influence oxytocin levels, to ensure accurate oxytocin measurement. This will enable the development of preventative interventions in","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81182609","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":"Women's Empowerment Status in Menopausal Transition: A Cross-sectional Study.","authors":"Narjes Bahri,&nbsp;Khadigeh Mirzaiinajmabadi,&nbsp;Habibollah Esmaeily,&nbsp;Robab Latifnejad Roudsari","doi":"10.30476/IJCBNM.2022.94547.2003","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.94547.2003","url":null,"abstract":"<p><strong>Background: </strong>Women's empowerment status in menopausal transition is of great importance due to the increasing trend of life expectancy and population aging. This study was conducted to evaluate the empowerment status of women during the menopausal transition in Gonabad, Iran.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Gonabad city in Northeast of Iran from April 2017 to March 2018. Cluster sampling was used for selecting 680 women who were in the menopausal transition. Demographic questionnaire and Women's Empowerment Status Questionnaire - a researcher-made questionnaire- was used for data collection. Pearson's correlation coefficient, one-way ANOVA, and linear regression were used to analyze the data using SPSS version 16; A p-value less than 0.05 was considered as significant.</p><p><strong>Results: </strong>The majority of the participants (510; 76.10%) had a high empowerment level. A high empowerment status in the family, economic, social, and health domains was observed in 499 (74.50%), 534 (79.70%), 523 (78.05%), and 493 (73.60%) participants, respectively. The majority of the participants had moderate empowerment status in political (427; 70.40%) and religious domains (464; 69.30%). There was a negative correlation between the total empowerment score and the participants' age (P&lt;0.001), husband's age (P&lt;0.001), and the number of children (P&lt;0.001). There was a positive correlation between the total empowerment score and education (P=0.003) as well as age of marriage (P=0.03).</p><p><strong>Conclusion: </strong>Overall empowerment status of women in menopausal transition in Gonabad -Iran was high. However, in political and religious domains, the status was moderate. We suggest that empowered women should be invited to share their experiences with other females. Development of social networks could provide the basis for sharing the experiences of these women and helps policy makers to develop community empowerment programs.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"279-289"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/b3/IJCBNM-10-279.PMC9579448.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral hazard in Home Health Care in Iran: Recommendations for Policymakers.","authors":"Zohreh Koohi Rostamkalaee,&nbsp;Ahmad Nejatian","doi":"10.30476/IJCBNM.2022.94815.2021","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.94815.2021","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"315-316"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/61/IJCBNM-10-315.PMC9579450.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing a Social Marketing-Based Intervention to Promote Sun-protective Behaviors among Urban Adolescent Boys: A Study Protocol.","authors":"Mostafa Maleki,&nbsp;Mohsen Shams,&nbsp;Narges Roustaei,&nbsp;Elham Shakibazadeh","doi":"10.30476/IJCBNM.2022.94408.1988","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.94408.1988","url":null,"abstract":"<p><strong>Background: </strong>Skin cancer is one of the most preventable diseases. The purpose of this study is to describe a social marketing-based intervention design protocol to promote sun-protective behaviors among adolescent boys living in urban areas in Yasuj, south west of Iran.</p><p><strong>Methods: </strong>This study will be conducted based on six specific steps including a qualitative study, a systematic review, development of appropriate tools, a cross-sectional study, intervention designing, and a feasibility study. The main objective of the qualitative study is to elicit the views and opinions of adolescent boys, their parents, and teachers about sun-protective behaviors. In the second step, factors affecting sun-protective behaviors will be reviewed systematically. Based on the findings of the first and second steps, an appropriate model/theory of behavior change will be selected, and a standardized questionnaire will then be developed. In the fourth step, a cross-sectional survey will be conducted using the developed questionnaire to assess current sun-protective behavior practices.</p><p><strong>Results: </strong>Findings of the first to fourth stages will provide a comprehensive picture of the issue and the affecting factors. During the fifth step, the structure and the content of the intervention package, as well as educational and promotional materials, will be developed and pre-tested. Finally, in the sixth step, a feasibility study will be conducted.</p><p><strong>Conclusion: </strong>This study will provide practical information on the achieving of content and construct of a community-based social marketing intervention. This protocol reports on how to achieve audience-oriented insights for designing a tailored intervention aimed at promoting sun-protective behaviors among adolescent boys using social marketing.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"290-300"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/c9/IJCBNM-10-290.PMC9579451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stroke Survivors and Their Family Caregivers' Experiences of Health Information Seeking: A Qualitative Study.","authors":"Fatemeh Merati-Fashi, Asghar Dalvandi, Zohreh Parsa Yekta","doi":"10.30476/IJCBNM.2022.94489.1997","DOIUrl":"10.30476/IJCBNM.2022.94489.1997","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a significant and unpredictable event that affects physical and mental functions. A useful approach to returning to a normal life is to seek out health information. This study aimed to explore the experiences from health information seeking in the stroke survivors and their family caregivers.</p><p><strong>Methods: </strong>This study was carried out using qualitative content analysis. Participants included five stroke survivors and fifteen family caregivers who were selected purposively from the Rofideh Rehabilitation Center and private physiotherapy centers in Tehran. Data were collected from semi-structured interviews. Data analysis was performed using Graneheim and Lundman's method manually in Word software. Sampling was carried out in 2021.</p><p><strong>Results: </strong>Two main categories were extracted 1): adapting and learning resulting from awareness including optimization of living environment and disease management, and 2) fear and inquietude on the information way including confused and insolvent in receiving information, and doubts about the accuracy of information.</p><p><strong>Conclusion: </strong>The health information seeking created adaptability and relative stability in some stroke survivors and their family caregivers. However, in others, there was still a sense of anxiety and uncertainty. Thus, understanding health information seeking experiences helps health policymakers and administrators to provide information and training based on evidence and individual needs of the client and family.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"269-278"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/9f/IJCBNM-10-269.PMC9579452.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Saving of Maternal and Infant Lives with Sustainable Midwifery Services.","authors":"Helvy Yunida","doi":"10.30476/IJCBNM.2022.95877.2092","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.95877.2092","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"313-314"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/a9/IJCBNM-10-313.PMC9579454.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence of Misophonia and Its Relationship with Obsessive-compulsive Disorder, Anxiety, and Depression in Undergraduate Students of Shiraz University of Medical Sciences: A Cross-Sectional Study.","authors":"Shahrzad Yektatalab,&nbsp;Agrin Mohammadi,&nbsp;Ladan Zarshenas","doi":"10.30476/IJCBNM.2022.92902.1888","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.92902.1888","url":null,"abstract":"<p><strong>Background: </strong>Misophonia is a severe emotional response to repetitive sounds. This disorder may limit a person's communication, reduce his/her ability, or disrupt his/her social and personal life. This study aimed to determine the prevalence of Misophonia and its relationship with obsessive-compulsive disorder, anxiety, and depression in undergraduate students of Shiraz University of Medical Sciences.</p><p><strong>Methods: </strong>The present study is an analytical descriptive study conducted in October 2020. The study samples consisted of 390 undergraduate students of Shiraz University of Medical Sciences. A relative and systematic sampling method was used. In this study, demographic questionnaire, misophonia questionnaire (A score of 7 or higher is considered as misophonia), Beck anxiety questionnaire, Beck depression questionnaire, and Maudsley obsessive-compulsive inventory questionnaire were used, and the data were analyzed using SPSS 24 software. In this study, chi-square test was used to examine the relationship between the variables. Due to the non-normality of the data, the Spearman correlation coefficient was used for data analysis. The significance level was considered equal to and less than 0.05.</p><p><strong>Results: </strong>Of the 390 participants in the study, 93 (23.8%) had experienced misophonia. Among these 93 students, 37 (39.8%) had obsessive-compulsive disorder, 8 (8.6%) suffered anxiety, and 9 (9.7%) were depressed. There was a significant and direct relationship between misophonia and obsessive-compulsive disorder,anxiety and depression respectively(P&lt;0.001).</p><p><strong>Conclusion: </strong>Due to the prevalence of misophonia among students and its direct relationship with obsessive-compulsive disorder, anxiety and depression, we recommend that future studies should be conducted to find the ways to prevent and reduce the incidence of misophonia.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"259-268"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/f3/IJCBNM-10-259.PMC9579453.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitudes Regarding Donated Milk and their Socio-demographic Predictors in Healthcare Providers in Tabriz, 2021: A Cross-sectional Study.","authors":"Sima Golsanamloo,&nbsp;Mina Hosseinzadeh,&nbsp;Mojgan Mirghafourvand,&nbsp;Mohammad Hasan Sahebihagh,&nbsp;Marjaneh M Fooladi,&nbsp;Fariborz Roshangar","doi":"10.30476/IJCBNM.2022.93927.1963","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.93927.1963","url":null,"abstract":"<p><strong>Background: </strong>Donated milk is the best choice for infants who cannot receive breast milk from their mothers. Researchers in this study evaluated the knowledge and attitude of healthcare providers regarding milk-donation and examined their socio-demographic predictors in Tabriz-Iran, 2021.</p><p><strong>Methods: </strong>In this cross-sectional analytic study, the total sample size consisted of 535 healthcare providers including 272 nurses and midwives working at maternal hospitals and 263 healthcare providers working at healthcare-centers. Census-sampling method was used during October 2020 to February 2021, and data collection tools included socio-demographic, knowledge and attitude questionnaires. Pearson-correlation test, independent t-test, one-way analysis of variance, and adjusted general linear model were used to analyze the data using SPSS version 16.</p><p><strong>Results: </strong>The mean (SD) of the knowledge score was 12.04±4.30 (score range of 0-22) and that of the attitude score was 134.27±20.23 (score range of 42-210). Results of general linear model was adjusted for socio-demographic characteristics and showed that predictors of knowledge variable were associated with having prior experience of breastfeeding another infant (P=0.006) and encouraging others to breastfeed (P=0.008); also, the predictor of attitude variable was aligned with encouraging others to breastfeed (P&lt;0.001).</p><p><strong>Conclusions: </strong>The findings of this study affirm that knowledge and attitude of healthcare providers were moderately influential for breast milk donation. Since they could play a responsible role in providing education, positive atmosphere for specialized training for the general public, the efforts to improve their knowledge and attitudes can contribute to acceptability of a milk-bank in the community and reduction of the rate of neonatal mortality in Iran.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":" ","pages":"301-312"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/e3/IJCBNM-10-301.PMC9579449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Malva Sylvestris Cream on Episiotomy Pain and Healing: A Randomized Controlled Clinical Trial.","authors":"Zaynab Mohaghegh,&nbsp;Fereshteh Golfakhrabadi,&nbsp;Shahla Faal Siahkal,&nbsp;Maryam Dastoorpoor,&nbsp;Zeinab Zaheri Abdevand,&nbsp;Simin Montazeri,&nbsp;Foruzan Sharifipour,&nbsp;Hadis Bahmaei,&nbsp;Mojgan Javadnoori","doi":"10.30476/IJCBNM.2022.95772.2082","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.95772.2082","url":null,"abstract":"<p><strong>Background: </strong>Episiotomy is one of the common procedures during childbirth in Iran, which causes pain, discomfort, and scar in the perineum. This study aimed to pursue the effect of Malva Sylvestris cream on episiotomy pain and healing.</p><p><strong>Methods: </strong>This study was a double-blinded randomized-controlled clinical trial that was conducted from April to December 2021 at the Sina hospital in Ahvaz, Iran. Sixty women were selected and randomly assigned to control and intervention groups using block randomization. The main outcomes included pain assessment and episiotomy wound healing that are assessed by the Visual analog scale (VAS), and perineal healing scale included redness, edema, ecchymosis/bruising, discharge, approximation (REEDA). The cream was used twice a day for up to 14 days. The participants were followed on the first, seventh, and fourteenth days postpartum. Independent T-test, Mann-Whitney, and Chi-square, and Generalized Estimating Equations (GEE) model were used by SPSS software version 22 for data analysis. Statistically significant level was considered less than 0.05.</p><p><strong>Results: </strong>There were no significant statistical differences between the two groups in demographic characteristics (P>0.05). No significant statistical differences were found in both groups in terms of perineal healing (B=-0.05; P=0.89) and pain scores (B=0.15; P=0.56). However, the chance of external dysuria in the intervention group decreased by 77% (P=0.01).</p><p><strong>Conclusion: </strong>Despite showing the positive effect of Malva Sylvestris extract on wound healing in animal and in-vitro studies, this clinical study failed to show the positive effect of this extract on wound healing and pain relief of episiotomy. However, future clinical trials are needed to substantiate the above findings.<b>Trial Registration Number:</b> IRCT20190826044621N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"10 4","pages":"248-258"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/0b/IJCBNM-10-248.PMC9579455.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10761107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspects Influencing Access to HIV/AIDS Services among Afghan Immigrants in Iran: A Qualitative Study.","authors":"Elham Ghasemi,&nbsp;Fatemeh Rajabi,&nbsp;Reza Majdzadeh,&nbsp;AbouAli Vedadhir,&nbsp;Reza Negarandeh","doi":"10.30476/IJCBNM.2021.91724.1805","DOIUrl":"https://doi.org/10.30476/IJCBNM.2021.91724.1805","url":null,"abstract":"<p><strong>Background: </strong>A successful response to the risk of human immunodefficiency virus (HIV) infection among immigrants requires improved access to HIV prevention, diagnosis, and treatment services. However, most immigrants face significant challenges in accessing HIV/AIDS services. The aim of this study was to explore the aspects influencing access to HIV/AIDS services among Afghan immigrants in Iran.</p><p><strong>Methods: </strong>This was a qualitative study using conventional content analysis that was conducted from June 2018 to April 2020 in Tehran, Iran. Purposeful sampling method was performed. We conducted 25 semi-structured interviews with three groups of stakeholders including Afghan immigrants infected with or at risk of HIV (n=8), service providers (n=8), and policymakers/managers/experts (n=9). Inductive qualitative content analysis was applied according to the Granheim and Lundman method. Data were analyzed using Open Code software version 4.03.</p><p><strong>Results: </strong>Aspects influencing access to HIV/AIDS health services were categorized into 3 themes (that were extracted from 9 categories): 1. Cultural aspects (cultural similarities and differences, values and beliefs); 2. Psychosocial aspects (social support, stigma and discrimination); and 3. Service delivery related aspects (awareness, health services coverage and integrity, health services financing, accessibility, and continuity of care).</p><p><strong>Conclusion: </strong>The findings suggest that efforts to improve Afghan immigrants' access to HIV/AIDS health services in Iran need to consider the cultural aspects, increasing HIV awareness, providing support, reducing stigma and discrimination, and improving health services coverage, integrity, financing, and continuity of accessible services.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"10 3","pages":"172-183"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/79/IJCBNM-10-172.PMC9287570.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}