Central European journal of public health最新文献

{"title":"Using the ErgoScope work simulator and ICF in insurance medicine and occupational health.","authors":"Sarolta Nagy, András Lászik","doi":"10.21101/cejph.a8591","DOIUrl":"https://doi.org/10.21101/cejph.a8591","url":null,"abstract":"<p><strong>Objectives: </strong>Instrumental work diagnostic examinations can be used for capability assessment in evaluating work suitability, job selection, complex and occupational rehabilitation, and career counselling. According to the literature, assessments performed with work simulators and the International Classification of Functioning, Disability and Health (ICF) are suitable for monitoring changes in functional capacity. We propose that instrumental work diagnostic measurements - specifically, measurements conducted on the ErgoScope work simulator - along with the ICF, can be effectively used for the objective assessment of functional capacity and tracking changes over time.</p><p><strong>Methods: </strong>At the request of an insurance company, a targeted examination was performed using the ErgoScope work simulator to determine the extent of force exertion. The measurement plan, evaluation of results, and ICF coding were prepared based on a methodology developed in our previous research with qualified assessors.</p><p><strong>Results: </strong>The measurement results were recorded in an examination report. The examined individual was able to complete all tasks. If there was a difference in exertion between the two hands, the right hand/arm was always weaker.</p><p><strong>Conclusion: </strong>Based on our experience, determining ICF qualifiers requires not only measurement data but also precise, documented observations from the examiner. Our study suggests that the measurement results obtained from ErgoScope work simulator examinations, along with ICF categories assigned by qualified assessors, are suitable for tracking changes in functional capacity. This methodology supports medical professionals in insurance medicine and occupational health services in making objective, data-driven decisions.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"209-215"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of screening asymptomatic patients admitted to healthcare facilities during the COVID-19 pandemic.","authors":"Petr Smejkal, Filip Hrubý, Anna Horňáková","doi":"10.21101/cejph.a8739","DOIUrl":"https://doi.org/10.21101/cejph.a8739","url":null,"abstract":"<p><strong>Objectives: </strong>Screening of asymptomatic patients upon hospital admission became a key strategy to prevent nosocomial transmission of SARS-CoV-2 during the COVID-19 pandemic, particularly in facilities treating immunocompromised patients. Rapid antigen tests (RATs) were widely used due to their speed, but their reliability in detecting potentially infectious individuals remained debated. In parallel, the role of immunosuppression, especially in solid organ transplant (SOT) recipients, as a risk factor for asymptomatic positivity and prolonged viral shedding raised additional concerns. The aim of the study was to evaluate the diagnostic performance of rapid antigen testing compared to RT-PCR in asymptomatic patients admitted to a high-risk hospital, and the difference in SARS-CoV-2 PCR positivity between asymptomatic patients with and without a history of solid organ transplantation.</p><p><strong>Methods: </strong>We retrospectively analysed 17,086 paired RAT and RT-PCR tests collected from 11,858 asymptomatic patients admitted to a tertiary care hospital between October 2020 and October 2022. Viral load was assessed via PCR cycle threshold (Ct) values. The sensitivity and specificity of RATs were calculated using PCR as the reference (Ct < 28).</p><p><strong>Results: </strong>RATs showed a sensitivity of 83.5% and a specificity of 99.3% in detecting patients with high viral loads (Ct < 28). False negatives occurred predominantly in cases with low viral loads (Ct ≥ 28). SARS-CoV-2 PCR positivity was significantly higher in SOT patients (5.4%) than in non-transplant patients (3.2%) (p < 0.001), a difference that was consistent across viral variants.</p><p><strong>Conclusions: </strong>RATs reliably identified the majority of asymptomatic patients with high viral loads who pose a risk of in-hospital transmission. SOT recipients represent a high-risk subgroup for asymptomatic SARS-CoV-2 carriage, underscoring the importance of rigorous admission screening protocols in specialized healthcare settings.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"170-175"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food safety knowledge and practices of preschool employees with food contact in Podgorica, Montenegro.","authors":"Maja Milanović, Boban Mugoša, Biljana Popović Kolašinac","doi":"10.21101/cejph.a8315","DOIUrl":"https://doi.org/10.21101/cejph.a8315","url":null,"abstract":"<p><strong>Objectives: </strong>This is the first study in Montenegro to assess food safety knowledge, hygiene practices, and perceived barriers among childcare centre employees (N = 972) with both direct and indirect contact with food. It aimed to identify high-risk practices through structured observation and evaluate the need for targeted educational interventions in preschool institutions in Podgorica. Two hypotheses were tested: H1: there is a difference in knowledge and practices between employees with direct and indirect food contact. H2: socio-demographic characteristics influence the knowledge and practices of employees involved in food handling.</p><p><strong>Methods: </strong>Data were collected using a structured questionnaire and an observation checklist covering food safety knowledge, self-reported and observed practices, and perceived barriers.</p><p><strong>Results: </strong>Food safety knowledge scores were high (mean = 84.15 ± 6.22), while observed hygiene practices were substantially lower (53.09 ± 1.71%) compared to self-reported ones (78.52 ± 1.08%), revealing a marked discrepancy between knowledge and actual practices. Statistically significant differences were found between employees based on their role (direct vs. indirect contact with food), education level, prior work experience, training frequency, and presence of the Hazard Analysis and Critical Control Points (HACCP) systems (p < 0.05 to p < 0.001). Although a weak but statistically significant correlation between knowledge and practice was identified (r = 0.16, p < 0.001), it suggests that knowledge alone does not reliably predict hygiene practices. Reported barriers included time constraints, inadequate equipment, and limited workspace.</p><p><strong>Conclusions: </strong>The findings emphasize the need for practical, job-specific training programmes and improved working conditions to effectively translate knowledge into safe hygiene practices. This evidence supports the development of context-specific policies and interventions aimed at enhancing food safety and safeguarding children's health in preschool settings. Both study hypotheses were confirmed.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"200-208"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limited awareness about the role of dietitians among medical students: a qualitative study.","authors":"Victoria H Hawk, Zlata Kapounová, Martin Krobot, Veronika Zelenková, Lauren Haldeman","doi":"10.21101/cejph.a8605","DOIUrl":"https://doi.org/10.21101/cejph.a8605","url":null,"abstract":"<p><strong>Objectives: </strong>Dietitians are well qualified to work as nutrition professionals on interprofessional healthcare teams and to provide education to health professionals at academic institutions. However, opportunities for the knowledge and utilization of dietitians in health care are different around the world. With rising global rates of nutrition-related diseases and the availability of university-based dietetic programmes, it is important to consider factors that may impact opportunities for dietitians in different countries. Thus, this study aimed to explore perceptions about the role of dietitians in medical care and medical education in the Czech Republic.</p><p><strong>Methods: </strong>Thirty-six students and faculty members from a Czech medical school participated in semi-structured interviews focusing on the role of dietitians. Interviews were transcribed, coded, and analysed using thematic analysis.</p><p><strong>Results: </strong>From the central theme regarding the perceived role of dietitians in medical care and education, three sub-themes emerged: limited awareness and interaction in the clinical setting; importance in interprofessional care; and essential member of the medical school faculty.</p><p><strong>Conclusions: </strong>Participants expressed support for dietitians in interprofessional collaboration and medical education but identified that they had limited interaction clinically and a lack of awareness about their role as nutrition experts in medical care. To support dietitians' involvement in interprofessional collaboration and to combat and improve outcomes for nutrition-related diseases, additional research is needed to recognize possible barriers along with identifying and assessing strategies to increase awareness and recognition among medical students and faculty about the role of dietitians in medical care.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"193-199"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of telemedicine in prenatal care for low-risk pregnancies: a comparative study of remote and in-person approaches in the Czech Republic.","authors":"Adéla Tefr Faridová, Eva Miletínová, Ondřej Tefr, Jitka Bušková, Beáta Čečetková, Jiří Pecina, Ladislav Krofta, Hynek Heřman","doi":"10.21101/cejph.a8520","DOIUrl":"10.21101/cejph.a8520","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to evaluate the feasibility and acceptability of remote prenatal care using a smartphone application for women with low-risk pregnancies, and to compare outcomes with standard in-person care.</p><p><strong>Methods: </strong>A prospective observational study was conducted at the Institute for Maternal and Child Care in Podolí, Prague. A total of 225 pregnant women were enrolled: 119 received combined telemedicine and standard in-person follow-ups (W-DF group), while 106 received only standard in-person care (W-PF group). Data on patient satisfaction across various domains of care were collected and analysed.</p><p><strong>Results: </strong>Women in the W-DF group reported significantly higher satisfaction with information adequacy, confidentiality, and understanding of test results (p < 0.001). Conversely, the W-PF group showed greater satisfaction in childbirth preparedness, access to community programmes, and lifestyle guidance (p < 0.05). Overall satisfaction scores were comparable between the two groups (W-DF mean = 263.0, W-PF mean = 275.1; p = 0.263).</p><p><strong>Conclusions: </strong>Telemedicine in prenatal care offers advantages such as reduced time and logistical burdens and improved personalization of care. However, psychosocial and lifestyle support remains stronger in traditional models. A hybrid model that integrates telemedicine with periodic in-person visits may provide more comprehensive support. Further large-scale studies are needed to optimize implementation.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"163-169"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current view on HIV-2 - epidemiology, diagnosis and treatment.","authors":"Dalibor Sedláček","doi":"10.21101/cejph.a8631","DOIUrl":"10.21101/cejph.a8631","url":null,"abstract":"<p><p>Human immunodeficiency virus 2 (HIV-2) is a retrovirus related to HIV-1. It is believed to have evolved from the simian immunodeficiency virus (SIV). The disease caused by HIV-2 is manifested by a slower progression compared to HIV-1. Data from West Africa show that 37% to 50% of HIV-2 infected people have undetected or very low viremia and if left untreated, have a much more gradual decline in CD4 T lymphocytes, thus longer survival. However, treatment should not be postponed even in this case, because the course of immune reconstitution inflammatory syndrome (IRIS) in people with HIV-2 is more severe than in HIV-1, and also the year-on-year increase in the number of CD4 T lymphocytes is approximately half that of HIV-1. Approximately 6% of people living with HIV-2 (PWH2) can be defined as non-progressors and 9% as elite controllers. However, most untreated PWH2 develop AIDS.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"176-180"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 as the occupational disease in employees of the University Hospital Ostrava.","authors":"Silvie Ostřížková, Daniela Vybíralová, Zdeňka Hajduková, Pavlína Kuchařová, Terezie Lichovníková, Renata Zlotkowska, Hana Tomášková","doi":"10.21101/cejph.a8428","DOIUrl":"https://doi.org/10.21101/cejph.a8428","url":null,"abstract":"<p><strong>Objectives: </strong>COVID-19 disease, which has caused a global pandemic, poses significant threat to the healthcare system as healthcare workers (HCW) are at an elevated risk of contracting the disease and being temporarily removed from their regular duties. This study analyses and evaluates a cohort of employees at the University Hospital Ostrava (UHO) who applied for the recognition of COVID-19 as an occupational disease.</p><p><strong>Methods: </strong>The disease characteristics and risk factors for severe cases of COVID-19 were analysed for all 474 claimants who applied for recognition of an occupational disease during the reporting period (March 2020 to November 2022) and were obtained from medical records. Statistical evaluation was performed using Fisher's exact test, Pearson's chi-square test and logistic regression analysis.</p><p><strong>Results: </strong>The largest number of diseases was objectified in the period from September to November 2020. The most frequently reported symptoms were subfebrilia or febrilia (81.4%), olfactory dysfunction (75.1%), and dry cough (74.3%). A severe course of COVID-19 was experienced by 15.4% of the cohort. Additionally, 76.8% reported having at least one chronic disease. The risk of severe course was found to increase with the number of chronic diseases (p = 0.017). Individuals with chronic respiratory disease (CRD) had a 2.75-fold increased risk, and women had an approximately threefold increased risk. Higher risk was also associated with increasing age.</p><p><strong>Conclusions: </strong>Healthcare workers face a heightened risk of severe COVID-19, particularly among those with CRD, women and older age. Identifying these risk factors underscores the need for targeted preventive measures and early interventions to protect this vulnerable group and reduce the incidence of severe outcomes.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 2","pages":"108-115"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body mass index limitation of overweight and obesity in Czech military personnel.","authors":"Blanka Kupsová, Vladimír Pavlík, Jana Fajfrová, Václav Šafka, Petr Lašák, Jan M Horáček","doi":"10.21101/cejph.a8529","DOIUrl":"https://doi.org/10.21101/cejph.a8529","url":null,"abstract":"<p><strong>Objectives: </strong>The first aim of this cross-sectional study was to reveal the prevalence of overweight and obesity among Czech military personnel (CMP). The second aim was to compare accuracy of the body mass index (BMI) classification with the body fat percentage (BF%), waist circumference (WC), and visceral fat area (VFA). BMI is a commonly used method to assess obesity, but its accuracy in reflecting body composition, especially in physically fit individuals, has been questioned.</p><p><strong>Methods: </strong>Data were collected from six military units in the Czech Republic. Soldiers underwent anthropometric assessments including height, weight, WC, BF%, and VFA using the bioelectrical impedance method (BIA).</p><p><strong>Results: </strong>The study group consisted of 446 soldiers (337 males, 109 females). The prevalence of obesity in Czech soldiers regardless of gender was 18%-20% according to BF% and 13%-16% according to WC. There were almost one fifth of obese males and more than 5% of females with BMI ≥ 30. The risk level of VFA was observed in 24% of male a 34% of female soldiers. In male soldiers there was a high rate (43%) of false positives according to BMI (BMI ≥ 25, BF% < 20), on the other hand, a certain part (18%) of female soldiers was classified as false negative according to BMI (BMI < 25, BF% ≥ 28). When overweight and obesity were assessed by WC and BMI, significant false positives (56%) were found in male soldiers (BMI ≥ 25, WC < 94). When obesity was evaluated using VFA and BMI, a certain rate of false negatives (30%) was found in female soldiers (BMI < 25, VFA ≥ 100).</p><p><strong>Conclusion: </strong>Through an analysis we explored the limitations of BMI, and we propose an alternative method (measurement of BF%, VFA using BIA) for a more accurate assessment of body composition in this specific population.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 2","pages":"95-100"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of tuberculosis in the city of Cordoba and its relationship with areas in need of social transformation: a study from 2015 to 2021.","authors":"Emilia García Rivera, Carmen Aguilar Romero, Rafael Ruiz Montero, Juan José López Moyano, Mohamed Farouk Allam, Álvaro Serrano Ortiz, Inmaculada Salcedo Leal","doi":"10.21101/cejph.a8452","DOIUrl":"10.21101/cejph.a8452","url":null,"abstract":"<p><strong>Objectives: </strong>In 2022, about 17% of Andalusian population lived in disadvantaged areas, which accounted for 21% of tuberculosis (TB) cases. This concentration of cases resulted in TB rates in these areas being higher than both the regional and national averages. The aim of the present study was to understand the behaviour of TB in terms of person, time, and place in the city of Cordoba during the period 2015-2021 and its association with areas in need of social transformation (ANST).</p><p><strong>Methods: </strong>A retrospective observational analytical study was conducted on cases reported to the Andalusian Epidemiological Surveillance System (Spanish acronym SVEA). Membership in ANST was determined by the SVEA.</p><p><strong>Results: </strong>A total of 136 cases were reported, with 26.5% in ANST. The incidence rate (IR) in the city was 5.97 cases per 100,000 population per year, higher in ANST (11.82) compared to non-ANST (5.06), RR = 2.34 (95% CI: 1.60-3.42). In 2020, fewer cases were reported (IR: 3.99). The mean age was 44.82 years, lower in ANST (38.08) than in non-ANST (47.25), with a p-value < 0.05. Hospitalizations were more frequent in ANST (78% vs. 68%, p = 0.3). In ANST, the IR was highest in men over 60 years old and lowest in women of the same age. No significant difference was found between the groups regarding risk factors, except for HIV status (p = 0.02).</p><p><strong>Conclusions: </strong>TB incidence rates in Andalusia vary by area of residence. To make better public health decisions, it is crucial to enhance the collection of socio-demographic and clinical data related to these cases.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 2","pages":"88-94"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective evaluation of measures in the field of occupational health services during the COVID-19 epidemic.","authors":"Matyáš Fošum, Marie Nakládalová, Ladislav Štěpánek","doi":"10.21101/cejph.a8626","DOIUrl":"https://doi.org/10.21101/cejph.a8626","url":null,"abstract":"<p><strong>Objectives: </strong>In the Czech Republic, employers and employees are bound by legal regulations that ensure occupational health and safety. These regulations are based on international conventions of the International Labour Organization and directives of the European Parliament and Council and have long been incorporated into Czech legislation. During the COVID-19 epidemic, emergency and crisis measures led to a limitation of occupational health examinations (OHEs) in the Czech Republic, which represented a significant disruption of the occupational health and safety system. The aim of the study was to assess the impact of these measures in order to find the right model for providing occupational health services in similar situations in the future.</p><p><strong>Methods: </strong>The method used was a survey, with participants including representatives of employers, state organizations, and employees (trade unions).</p><p><strong>Results: </strong>Participants from all three groups showed differing views on limiting OHEs during emergencies. While representatives of public administration and employers were generally open to postponing or adjusting pre-employment or periodic OHEs for non-hazardous work, the majority consistently opposed any limitation of OHEs for hazardous work. Statistical differences were observed particularly in attitudes toward future regulation of OHEs during epidemics.</p><p><strong>Conclusions: </strong>The dominant conclusion of the survey is a strong recommendation against limiting initial occupational health examinations for jobs with occupational risks and in high-risk work categories.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 2","pages":"116-121"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}