{"title":"Health team practices to improve vaccination coverage of children in a favela.","authors":"Gean Mascaranhas Gomes, Giulia Gazineo Trindade Assis, Sandra Cristina de Souza Borges Silva, Liana Amorim Corrêa Trotte, Marluci Andrade Conceição Stipp","doi":"10.1590/1980-220X-REEUSP-2024-0337en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0337en","url":null,"abstract":"<p><strong>Introduction: </strong>The Brazilian National Immunization Program currently faces numerous challenges, such as vaccine hesitancy, the spread of fake news, and the impacts of COVID-19, especially in vulnerable communities, where social and structural barriers affect vaccination coverage.</p><p><strong>Objective: </strong>To report the experience of planning and implementing practices to expand vaccination coverage for children up to two years old in a favela in Rio de Janeiro.</p><p><strong>Method: </strong>An experience report carried out between June and November 2023, structured in two stages: planning, using GeoVacina Rio to identify vaccination gaps; and execution, which included active search, vaccination \"D-Days\", educational activities and digital communication with guardians.</p><p><strong>Results: </strong>100% vaccination coverage was achieved for registered children, strengthening ties with the community and reducing access barriers through integrated and humanized strategies.</p><p><strong>Conclusion: </strong>The use of technology, health education and humanized care proved effective in expanding vaccination coverage in vulnerable areas, serving as a model for other locations.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240337"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251594","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":"Incidence of prevalent diseases in infants in Primary Health Care: a cohort study.","authors":"Luana Bartsch, Veronica Souza Cavalheiro, Keli Verissimo Couto, Débora Cristina Limberger, Aline Cammarano Ribeiro, Darielli Resta Fontana, Leonardo Bigolin Jantsch","doi":"10.1590/1980-220X-REEUSP-2024-0358en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0358en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the health problems prevalent in infants in the first year of life in a municipality in northern Rio Grande do Sul.</p><p><strong>Method: </strong>This is a retrospective, documentary cohort study, with a search in electronic medical records of Primary Health Care services for live births in 2022. These participants were followed through access to the electronic medical record report from January 29, 2022 to December 30, 2023, excluding the neonatal period. Data were analyzed using frequency comparison.</p><p><strong>Results: </strong>More than half of the children monitored in the cohort received at least one treatment for a prevalent childhood condition; approximately 43% received two treatments; and 30% received three treatments in the first year of life in Primary Care. Most of the problems are associated with respiratory conditions, begin after the 2nd month of life, and persist until the 10th month.</p><p><strong>Conclusion: </strong>The importance of continuous monitoring and appropriate preventive and therapeutic interventions during the first year of life and at critical moments is highlighted.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240358"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210604","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}
Victoria Castilho Bartolomeu, Luiz Humberto Vieri Piacezzi, Karina Aparecida Lopes da Costa, Ruth Ester Assayag Batista, Cássia Regina Vancini Campanharo, Maria Carolina Barbosa Teixeira Lopes
{"title":"Assessment of the performance of early warning scores in patients with COVID-19.","authors":"Victoria Castilho Bartolomeu, Luiz Humberto Vieri Piacezzi, Karina Aparecida Lopes da Costa, Ruth Ester Assayag Batista, Cássia Regina Vancini Campanharo, Maria Carolina Barbosa Teixeira Lopes","doi":"10.1590/1980-220X-REEUSP-2024-0371en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0371en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the performance of the early warning scores Modified Early Warning Score, National Early Warning Score 2, National Early Warning Score Age and quick Sepsis Related Organ Failure Assessment for identifying clinical deteriorations in patients with COVID-19.</p><p><strong>Method: </strong>A retrospective cohort study. Patients with confirmed diagnosis of COVID-19 were included. Clinical deteriorations were acute respiratory failure, shock and cardiorespiratory arrest, and the outcomes were unscheduled admission to the Intensive Care Unit, discharge and death. The sensitivity and probability of a positive result in patients (true positive) and the specificity and probability of a negative result in non-patients (true negative) were determined.</p><p><strong>Results: </strong>The National Early Warning Score 2 and the National Early Warning Score Age showed better sensitivity values for early identification of deteriorations and outcomes.</p><p><strong>Conclusion: </strong>NEWS 2 and NEWS A showed better sensitivity and specificity, and their use is recommended to support the clinical assessment of patients with COVID-19. This study contributes to healthcare practice by assessing scores that can improve clinical assessment, allowing rapid identification of signs of deterioration in patients affected by COVID-19 and early interventions.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240371"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164133","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}
Diana Fonseca Rodrigues, António Luís Rodrigues Faria de Carvalho, Cristina Maria Correia Barroso Pinto
{"title":"Experiences and challenges of family caregivers of people with lower limb amputation: a qualitative study.","authors":"Diana Fonseca Rodrigues, António Luís Rodrigues Faria de Carvalho, Cristina Maria Correia Barroso Pinto","doi":"10.1590/1980-220X-REEUSP-2024-0264en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0264en","url":null,"abstract":"<p><strong>Objective: </strong>To explore the experiences of family caregivers transitioning to their roles of caregivers for people with dysvascular major lower limb amputation, identify the challenges they face, understand their specific needs during this transition, examine their experiences during the hospital-to-home transition, and gather insights into strategies that promote empowerment in caregiving.</p><p><strong>Method: </strong>This exploratory, cross-sectional descriptive study employed a qualitative approach, conducting semi-structured interviews with 40 family caregivers of individuals with dysvascular major lower limb amputation. Data were analyzed using ATLAS.ti software and Bardin's content analysis method.</p><p><strong>Results: </strong>Content analysis identified five categories: 1) family caregiver role, 2) amputee needs/difficulties, 3) family caregiver needs/difficulties, 4) home transition, and 5) strategies to promote family caregiver empowerment, highlighting critical aspects of the caregiving experience and identifying areas for intervention.</p><p><strong>Conclusion: </strong>The findings emphasize the need for family-centered empowerment programs combining hospital-based training with community support. Future research should evaluate their impact on reducing caregiver burden and improving outcomes for both caregivers and amputees.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240264"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164137","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}
Clarissa Oliveira Guimarães Lopes de Sousa, Síntia Nascimento Dos Reis, Gisele Nepomuceno de Andrade, Bruna Nicole Soares Dos Santos, Mariana Santos Felisbino-Mendes
{"title":"Women's knowledge about Intrauterine Device and user satisfaction in Brazil: a systematic review.","authors":"Clarissa Oliveira Guimarães Lopes de Sousa, Síntia Nascimento Dos Reis, Gisele Nepomuceno de Andrade, Bruna Nicole Soares Dos Santos, Mariana Santos Felisbino-Mendes","doi":"10.1590/1980-220X-REEUSP-2024-0262en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0262en","url":null,"abstract":"<p><strong>Objective: </strong>To identify women's knowledge about Intrauterine Device (IUD) and user satisfaction with the method in Brazil.</p><p><strong>Method: </strong>A systematic review, with searches carried out in the PubMed, Scopus, Web of Science and LILACS bibliographic databases via the Virtual Health Library Regional Portal in June 2023. The research followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, and the risk of bias was measured according to JBI criteria. Studies with no restriction on publication time, with a qualitative or quantitative methodological approach, assessing the satisfaction and knowledge about IUD of Brazilian women were selected.</p><p><strong>Results: </strong>A total of 1,215 articles were identified; of these, 12 met the final inclusion criteria, dated 1997-2023, seven on satisfaction with IUD use, and five related to knowledge about the method. No study addressed both outcomes simultaneously. Inadequate knowledge about IUD was observed, permeated by misconceptions. Women's satisfaction with IUD was greater than 80% in most studies.</p><p><strong>Conclusion: </strong>The findings point to the stigmatization of IUD and gaps in knowledge about the method, in addition to showing a high rate of satisfaction among users of the method.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240262"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164193","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":"An evaluation of the Syrian pregnant women's prenatal care satisfaction: a cross-sectional study.","authors":"Sibel İçke, Sema Çifçi","doi":"10.1590/1980-220X-REEUSP-2025-0002en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0002en","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the satisfaction levels of Syrian migrant pregnant women living in Mardin with prenatal care services and the factors influencing their satisfaction.</p><p><strong>Method: </strong>This is a cross-sectional study. The population of the study consisted of Syrian pregnant women who applied to Mardin Training and Research Hospital between August 15 and September 16, 2023. A total of 146 Syrian pregnant women who met the inclusion criteria participated in the study. The sociodemographic information form and the Prenatal Care Satisfaction Scale were used as data collection tools.</p><p><strong>Results: </strong>The rate of those who received prenatal care from a midwife/nurse is 80.1% and those who received less than 4 prenatal care was 89.7%. The most common reason for not receiving adequate prenatal care was lack of information with a rate of 39.7%. The mean score of the PCSS was 73.39 ± 14.78.</p><p><strong>Conclusion: </strong>The study findings indicate that lack of information is one of the major barriers to healthcare access for migrant pregnant women. In addition, receiving prenatal care services from midwives/nurses affected satisfaction with prenatal care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250002"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082963","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}
Robson Giovani Paes, Isabella Bueno Fusculim, Luciane Lachouski, Ingrid Marcela Pinto Gariba de Andrade, Shirley Boller, Maria de Fátima Mantovani
{"title":"Health literacy of adults from primary care with type 2 diabetes mellitus: a cross-sectional study.","authors":"Robson Giovani Paes, Isabella Bueno Fusculim, Luciane Lachouski, Ingrid Marcela Pinto Gariba de Andrade, Shirley Boller, Maria de Fátima Mantovani","doi":"10.1590/1980-220X-REEUSP-2024-0338en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0338en","url":null,"abstract":"<p><strong>Objective: </strong>To relate health literacy of adults from primary health care with type 2 diabetes mellitus and sociodemographic and clinical variables.</p><p><strong>Method: </strong>Descriptive analytical cross-sectional study with 169 participants aged 18 to 65 with type 2 diabetes mellitus, from six primary care units in the Metropolitan Region of Curitiba, Paraná, Brazil. Data collection took place from July 2023 to March 2024, and a sociodemographic and clinical questionnaire was used, as well as subscales six and nine of the Health Literacy Questionnaire, Brazilian version. Data were analyzed descriptively and using Student's t-test, Mann-Whitney, Anova, Kruskal-Wallis, and Spearman tests.</p><p><strong>Results: </strong>Of the 169 participants, the mean age was 56.5 ± 6.2 years. There was a significant association between the ability to interact with health professionals and male gender (p = 0.057), fasting blood glucose ≤ 130 mg/dL (p = 0.033), and between education and understanding health information and knowing what to do (p = <0.001). A weak correlation was found between understanding health information and knowing what to do and education and family income (r = 0.50 and 0.35, respectively) and significant value with glycated hemoglobin (p = 0.031).</p><p><strong>Conclusion: </strong>There was a relationship between health literacy and male gender, education, family income, and glycemic values. These results can contribute to the development of educational actions aimed at strengthening health literacy.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240338"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113197","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}
Azucena Lizalde Hernández, María Mercedes Moreno González, Juliana Graciela Vestena Zillmer, Elizabeth Guzmán Ortíz, Josefina Valenzuela Gandarilla
{"title":"Meanings that mothers of obese children attribute to eating habits: grounded theory.","authors":"Azucena Lizalde Hernández, María Mercedes Moreno González, Juliana Graciela Vestena Zillmer, Elizabeth Guzmán Ortíz, Josefina Valenzuela Gandarilla","doi":"10.1590/1980-220X-REEUSP-2024-0330en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0330en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the meanings that mothers of obese children attribute to eating habits in Morelia, Michoacán, Mexico.</p><p><strong>Method: </strong>Qualitative study, based on grounded theory and the premises of symbolic interactionism, conducted through semi-structured, individual, recorded and transcribed interviews, using intentional and theoretical sampling, with data analysis using the constant comparative method and the help of the ATLAS.ti software.</p><p><strong>Results: </strong>There were fourteen mothers as participants, with an average age of 36 years old, 50% in a stable union and 71% with paid work. The emerging categories were: 1. Mothers feeding based on their children's tastes, emotions and preferences; 2. Mothers compensating their children with food; 3. Mothers dealing with emotions; and 4. Mothers working and having to delegate childcare. Significant changes in eating habits were identified, since women, simultaneously exercising the roles of caregivers and providers, opt for quick and easy-to-prepare meals, which are most often ultra-processed food.</p><p><strong>Conclusions: </strong>The meaning attributed to eating habits emerges from the social interaction that the mother establishes with her children and her partner, being constructed based on tastes and food preferences and interpreted as an act of love and care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240330"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050723","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}
Yue Shi, Yujie Guo, Jingjing Dai, Jianli Lu, Suyun Huang, Xiaopeng Lu
{"title":"\"Rebuilding Myself\"- An intervention enhancing adaptability of cancer patients to return to work: a feasibility study.","authors":"Yue Shi, Yujie Guo, Jingjing Dai, Jianli Lu, Suyun Huang, Xiaopeng Lu","doi":"10.1590/1980-220X-REEUSP-2024-0181en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0181en","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this research was to examine the feasibility and effects of the \"Rebuilding Myself\" intervention to enhance adaptability of cancer patients to return to work.</p><p><strong>Methods: </strong>A randomized controlled trial with a two-arm, single-blind design was employed. The control group received usual care, whereas the intervention group received \"Rebuilding Myself\" interventions. The effects were evaluated before the intervention, mid-intervention, and post-intervention. The outcomes were the adaptability to return to work, self-efficacy of returning to work, mental resilience, quality of life, and work ability.</p><p><strong>Results: </strong>The results showed a recruitment rate of 73.17%, a retention rate of 80%. Statistically significant differences were found between the two groups in cancer patients' adaptability to return to work, self-efficacy to return to work, mental resilience, and the dimension of bodily function, emotional function, fatigue, insomnia, and general health of quality of life.</p><p><strong>Conclusion: </strong>\"Rebuilding Myself\" intervention was proven to be feasible and can initially improve cancer patients' adaptability to return to work. The intervention will help provide a new direction for clinicians and cancer patients to return to work.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240181"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039359","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}
Thaise Honorato de Souza, Saulo Fabio Ramos, Janaína da Silva Flôr, Joice Cristina Guesser, Natália Gonçalves, Vânia Marli Schubert Backes, Roberta Waterkemper, Monica Motta Lino
{"title":"Competence of health professionals in problematizing and reflecting on the situations of people with chronic conditions.","authors":"Thaise Honorato de Souza, Saulo Fabio Ramos, Janaína da Silva Flôr, Joice Cristina Guesser, Natália Gonçalves, Vânia Marli Schubert Backes, Roberta Waterkemper, Monica Motta Lino","doi":"10.1590/1980-220X-REEUSP-2024-0314en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2024-0314en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of the Specialization Course in Care for People with Chronic Non-Communicable Diseases on health professionals' work, focusing on the ability to problematize and reflect on situations of people with chronic conditions.</p><p><strong>Method: </strong>Ex-post facto evaluation based on the Experiential Learning Cycle, with emphasis on reflective observation. Conducted between May 2023 and June 2024, the research followed COREQ guidelines and included semi-structured interviews with 41 graduates, after ethical approval. Forty codes, 4 subcategories, and a central axis were identified. Funding: CNPq and FAPESC.</p><p><strong>Results: </strong>Reflective observation, according to the Theory of Experiential Learning, was fundamental to developing skills in problematizing and reflecting on situations and contexts experienced by people with chronic conditions.</p><p><strong>Conclusion: </strong>The study highlights the importance of reflective observation in the development of skills for the management of chronic conditions and the integration of Experiential Learning Theory in the training of health professionals to improve care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240314"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082968","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}