{"id":1634,"date":"2021-01-22T11:19:09","date_gmt":"2021-01-22T08:19:09","guid":{"rendered":"http:\/\/acilbulten.net\/?p=1634"},"modified":"2021-11-10T22:38:16","modified_gmt":"2021-11-10T19:38:16","slug":"covid-19-ve-asistanlik","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/aciltipbulteni\/2021\/01\/22\/covid-19-ve-asistanlik\/","title":{"rendered":"COVID-19 ve Asistanl\u0131k"},"content":{"rendered":"\n

Yazar: Zafer BE\u015eER<\/em><\/strong><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

29.10.1983 Adana do\u011fumluyum. Evli ve ikiz k\u0131z babas\u0131y\u0131m. Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi’nden 2008 y\u0131l\u0131nda mezun olduktan sonra zorunlu hizmetimi Ordu\u2019da yerine getirdim. Sonras\u0131nda Ankara Alt\u0131nda\u011f Toplum Sa\u011fl\u0131\u011f\u0131 Merkezinde idari ve t\u0131bb\u0131 hizmetlerde g\u00f6rev ald\u0131m. TUS sonucu kazand\u0131\u011f\u0131m Acil T\u0131p Uzmanl\u0131k e\u011fitimim i\u00e7in 2016 y\u0131l\u0131nda Ankara \u00dcniversitesi Acil T\u0131p Anabilim Dal\u0131nda \u00e7al\u0131\u015fmaya ba\u015flad\u0131m. Acil t\u0131bb\u0131 ve hayat\u0131 kolayla\u015ft\u0131ran teknolojik ve pratik uygulamalar ilgi alan\u0131m.<\/p>\n\n\n\n

Aral\u0131k 2019\u2019da Wuhan\u2019da \u00e7al\u0131\u015fan hekimlerin fark etti\u011fi, standart tedaviye yan\u0131ts\u0131z ve s\u00fcre\u00e7te yo\u011fun bak\u0131m ihtiyac\u0131 gerektirebilen pn\u00f6moni vakalar\u0131ndaki gariplikleri dile getirmelerinin ard\u0131ndan; t\u00fcm D\u00fcnya\u2019n\u0131n ya\u015fam \u015feklini de\u011fi\u015ftiren, sa\u011fl\u0131k sistemlerini sorgulatan, y\u0131llar sonra D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn pandemi ilan\u0131na neden olan Coronavir\u00fcs ya da COV\u0130D-19 salg\u0131n\u0131, Ocak 2020\u2019de \u00c7in, \u015eubat ay\u0131nda Avrupa ve Mart ay\u0131nda \u00fclkemizde g\u00f6r\u00fclen ilk vakayla g\u00fcndemimizdeki yerini ald\u0131.<\/p>\n\n\n\n

\u0130talya, \u0130spanya ve Fransa\u2019da sa\u011fl\u0131k sistemlerinin \u00e7\u00f6kmesine neden olan Covid-19 ile ilgili \u00fclkemizin m\u00fccadelesi, Mart ay\u0131ndan \u00f6nce Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019m\u0131z\u0131n b\u00fcnyesinde kurulan \u201cBilim Kurulu\u201d<\/strong> ile ba\u015flam\u0131\u015ft\u0131. Bilim Kurulu\u2019nun tavsiyeleri ile \u00fclkemizde tan\u0131 koyma s\u00fcrecinde al\u0131nabilecek \u00f6nlemler planlanmaktayken; 11 Mart\u2019ta ilk vakan\u0131n tespitiyle Covid-19 salg\u0131n\u0131 bamba\u015fka bir boyut kazand\u0131. Avrupa\u2019da g\u00fcnl\u00fck tan\u0131s\u0131 konan vaka say\u0131s\u0131ndan ziyade Covid-19 nedenli \u00f6l\u00fcm say\u0131lar\u0131 k\u0131sa s\u00fcrede tedirginlik, korku ve panik havas\u0131n\u0131n olu\u015fmas\u0131na neden oldu.<\/p>\n\n\n\n

T\u00fcm bu tedirginli\u011fin, korkunun ve panik havas\u0131n\u0131n tam ortas\u0131nda yer alan Acil T\u0131p Asistanlar\u0131 olarak akl\u0131m\u0131za neler geldi? Neler hissettik? Acaba Covid-19\u2019lu hasta muayene ettim mi? Acaba ben olmad\u0131m ama sevdiklerime Covid-19 ta\u015f\u0131d\u0131m m\u0131? Ya da bug\u00fcnden sonra neler yapmal\u0131y\u0131m?<\/p>\n\n\n\n

Acil T\u0131p Klinikleri olarak \u00e7ok say\u0131da hasta ba\u015fvurular\u0131na, kaotik ortamlarda \u00e7al\u0131\u015fmaya al\u0131\u015f\u0131k olmam\u0131z; sonu belli olmayan bu s\u00fcrece di\u011fer bran\u015flara g\u00f6re al\u0131nan \u00f6nlemlerle en h\u0131zl\u0131 \u015fekilde adapte olmam\u0131z\u0131 sa\u011flad\u0131. Ki\u015fisel Koruyucu Ekipman kullan\u0131m\u0131, kritik hasta yakla\u015f\u0131m\u0131, hastane \u00f6ncesi ve sonras\u0131 yap\u0131lmas\u0131 gerekenler, Covid-19 ile ilgili en g\u00fcncel bilgilerin konu\u015fuldu\u011fu TATD g\u00f6rsel ve sosyal medya yay\u0131nlar\u0131 sayesinde salg\u0131nla m\u00fccadelede Acil T\u0131p Asistanlar\u0131 olarak daha donan\u0131ml\u0131 olmam\u0131z\u0131 ve emin \u00e7al\u0131\u015fmam\u0131z\u0131 sa\u011flad\u0131.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Y\u0131llar sonra Covid-19 salg\u0131n d\u00f6nemindeki Acil T\u0131p Asistanl\u0131k s\u00fcrecimizde bahsi ge\u00e7ecek olmazsa olmazlar neler \u2026 De\u011fi\u015fen \u00e7al\u0131\u015fma \u015feklimiz, ortamlar\u0131m\u0131z, ailelerimizden ayr\u0131 kalmalar\u0131m\u0131z, e\u011fitimlerimizin, tez ve hatta uzmanl\u0131k s\u0131navlar\u0131m\u0131z\u0131n sanal ortama ta\u015f\u0131nmas\u0131, di\u011fer kliniklerin de\u011fi\u015fen ve de\u011fi\u015fmeyen kons\u00fcltasyon cevaplar\u0131, ya\u015fanan sa\u011fl\u0131kta \u015fiddet olaylar\u0131 \u2026<\/p>\n\n\n\n

Asl\u0131ndan burada s\u00f6z\u00fc Acil T\u0131p Asistanlar\u0131na b\u0131rakmak isterim\u2026.<\/em><\/strong><\/p>\n\n\n\n

Merhabalar, ben Bak\u0131rk\u00f6y E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Acil T\u0131p Klini\u011fi\u2019den Dr. M\u00fcge Arslan.<\/em><\/strong><\/p>\n\n\n\n

S\u00fcrecin en ba\u015f\u0131nda ocak ay\u0131n\u0131n ilk g\u00fcnlerinde, arkada\u015flar\u0131m\u0131n g\u00f6sterdi\u011fi \u00c7in\u2019de \u00e7ekilmi\u015f bir anda bay\u0131lan fenala\u015fan hastalar\u0131n videolar\u0131na inanmayarak ba\u015flad\u0131 benim pandemi s\u00fcrecim asl\u0131nda. Sonra bir anda \u00e7al\u0131\u015ft\u0131\u011f\u0131m klinikte fark etti\u011fimiz ama konduramad\u0131\u011f\u0131m\u0131z \u00f6len, yo\u011fun bak\u0131ma giden hastalarla devam etti. Ge\u00e7en arkada\u015flar\u0131m\u0131n hat\u0131rlatt\u0131\u011f\u0131 o d\u00f6nemlerde s\u00f6yledi\u011fim bir c\u00fcmle var mesela: \u201cGriple gelen gen\u00e7 hastalara dikkat edin. Klinikleri \u00e7ok h\u0131zl\u0131 k\u00f6t\u00fcle\u015febiliyor bu ara.\u201d Ger\u00e7ekten \u00f6yleydi. T\u00fcrkiye\u2019de vakalar a\u00e7\u0131kland\u0131ktan sonra bir panik havas\u0131 ve sonra ba\u015flayan belirsizlik durumu \u00e7ok depresif ve korkutucuydu. Bug\u00fcn ekipman bulduk yar\u0131n bulabilecek miydik? Ya i\u00e7imizden biri hastalan\u0131rsa ya birimiz yo\u011fum bak\u0131ma yatar ve \u00f6l\u00fcrse? Arkada\u015flar\u0131ma bir mesaj atm\u0131\u015ft\u0131m o d\u00f6nem: \u2018\u2019Gen\u00e7ler her g\u00fcn foto\u011fraf \u00e7ekilelim mi? Bu s\u00fcrecin sonunda kim \u00f6l\u00fcr kim kal\u0131r belli olmaz.\u2019\u2019<\/em><\/strong> M\u00fc\u015fahade odam\u0131zda yat\u0131\u015f bekleyen bir s\u00fcr\u00fc Covid-19 \u015f\u00fcpheli hasta ve pandemi polikliniklerimizde metrelerce kuyruk vard\u0131. T\u00fcm bunlar\u0131n yan\u0131 s\u0131ra Nisan ay\u0131nda planlad\u0131\u011f\u0131m\u0131z d\u00fc\u011f\u00fcn\u00fcm\u00fcz, mart ay\u0131nda da nikah\u0131m\u0131z vard\u0131.\u00a0 Nikah\u0131m\u0131z i\u00e7in annemlere ve ni\u015fanl\u0131m\u0131n ailesine \u201cGelmeyin l\u00fctfen kendinizi riske atmay\u0131n\u201d derken bir anda \u015fehirleraras\u0131 ula\u015f\u0131m durduruldu. Nikah g\u00fcn\u00fcm\u00fcze kadar nikah ertelenecek mi diye d\u00fc\u015f\u00fcnerek haberleri izledik. Nikah g\u00fcn\u00fc ise \u201cSadece iki \u015fahide izin var, yak\u0131nlar\u0131n\u0131z gelse de kap\u0131da bekleyecekler\u201d dendi. Ayn\u0131 dedikleri gibi oldu iki \u015fahidimiz ve biz ve gelen 4-5 yak\u0131n\u0131m\u0131z uzak bir yerden nikah\u0131 izlediler. Nikah\u0131n ertesi g\u00fcn\u00fc ben ve e\u015fim g\u00f6rev yerlerimize ve n\u00f6betlerimize geri d\u00f6nd\u00fck.<\/p>\n\n\n\n\n\n\n\n

\"\"<\/figure>\n\n\n\n

Kendime bir rutin olu\u015fturdum. Hastaneden \u00e7\u0131kmadan temiz k\u0131yafetler giyip bula\u015f olu\u015fturabilecek y\u00fcz\u00fck, kol saati gibi aksesuarlar\u0131 kullanm\u0131yor eve gelir gelmez e\u015fyalar\u0131m\u0131 y\u0131k\u0131yor du\u015f al\u0131yor \u00e7anta ve ayakkab\u0131lar\u0131m\u0131 a\u00e7\u0131k alanda bekletip eve \u00f6yle al\u0131yordum. Mart sonu hafif kuru \u00f6ks\u00fcr\u00fc\u011f\u00fcm ba\u015flad\u0131 ama kendime konduramad\u0131m. Biraz halsizli\u011fim ve koku alamama sorunum da vard\u0131. Ama sonu\u00e7ta benim kronik sin\u00fczitim vard\u0131 kesin onunla ili\u015fkiliydi. Tabii ki ka\u00e7\u0131n\u0131lmaz olarak s\u00fcr\u00fcnt\u00fc \u00f6rne\u011fi verdim. Bir n\u00f6bet ertesi \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019nden telefon geldi, testimin pozitif oldu\u011fu izolasyon kurallar\u0131na uymam gerekti\u011fi s\u00f6ylendi. Ben \u015fansl\u0131 olanlardand\u0131m. Hafif \u015fikayetler ile sadece iki g\u00fcn s\u00fcren ate\u015f ve kas a\u011fr\u0131lar\u0131yla atlatt\u0131m. Ama hasta oldu\u011fum andan itibaren b\u00fct\u00fcn arkada\u015flar\u0131m\u0131n ve e\u015fimin sonu\u00e7lar\u0131n\u0131 korkuyla bekledim. Tamam, ben iyiydim. Ama ya birine bula\u015ft\u0131r\u0131p a\u011f\u0131r ge\u00e7irmesine sebep olursam korkusu daha k\u00f6t\u00fcyd\u00fc. Bir de Sel\u00e7uk abi vard\u0131. Ah Sel\u00e7uk abi hastanemizin d\u00fcnya tatl\u0131s\u0131 kibar insan\u0131 G\u00f6\u011f\u00fcs Cerrah\u0131 abimiz yo\u011fun bak\u0131mdayd\u0131 ve kendisine canland\u0131rma giri\u015fimleri yap\u0131ld\u0131\u011f\u0131 haberi al\u0131p evde saatlerce a\u011flad\u0131\u011f\u0131m\u0131 hat\u0131rl\u0131yorum. Sonra \u00c7a\u011fla abla, minno\u015f G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 uzman\u0131m\u0131z ablam\u0131z hastanede yat\u0131yordu. T\u00fcm bu s\u00fcre\u00e7 boyunca korktu\u011fum hi\u00e7bir \u015fey olmad\u0131; e\u015fim negatifti, arkada\u015flar\u0131m negatifti, Sel\u00e7uk abi toparl\u0131yordu, \u00c7a\u011fla abla taburcu olmu\u015ftu. Vir\u00fcs\u00fcm sadece bana kadard\u0131 \u015f\u00fck\u00fcr. Sonras\u0131 evde yoga yapmaya \u00e7al\u0131\u015farak ge\u00e7ti. Hayat\u0131nda spor, meditasyon yapmam\u0131\u015f olan ben; o iki hafta d\u00fcnyan\u0131n en sportmen insan\u0131ym\u0131\u015f\u00e7as\u0131na spor yaparak ge\u00e7irdim. Bir de s\u00fcrekli arkada\u015flar\u0131mdan haber bekleyerek.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

\u0130ki haftan\u0131n sonunda i\u015fe geri d\u00f6nd\u00fc\u011f\u00fcmde de\u011fi\u015fen acilime geldim. Ye\u015fil alana be\u015f y\u0131ll\u0131k bel a\u011fr\u0131lar\u0131 gelmiyordu. K\u0131rm\u0131z\u0131 alanda s\u00fcrekli res\u00fcsitasyon yap\u0131yorduk; \u00e7\u00fcnk\u00fc g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 olan nefes darl\u0131\u011f\u0131 olan hastalar hastaneye gelmektense son raddeye kadar evde bekliyordu. E\u011fitimlerimiz art\u0131k video konferansla yap\u0131l\u0131yor, sevdi\u011fimiz n\u00f6bet devirlerinde sar\u0131ld\u0131\u011f\u0131m\u0131z arkada\u015flar\u0131m\u0131zla birbirimize dokunmuyorduk. Ger\u00e7ekten bu s\u00fcre\u00e7 \u00e7ok de\u011fi\u015fik, \u00e7ok zorlay\u0131c\u0131, \u00e7ok e\u011fitici ve bir o kadar da ilgin\u00e7 geliyordu. Ve umuyorum ki art\u0131k ge\u00e7ti. Ve galiba art\u0131k hi\u00e7birimiz eskiden oldu\u011fumuz insanlar de\u011filiz.<\/p>\n\n\n\n

Bir ba\u015fka asistan arkada\u015f\u0131m\u0131z Ege Acil\u2019den Dr. B\u00fc\u015fra Sapmaz ya\u015fanan s\u00fcreci \u015f\u00f6yle anlat\u0131yor\u2026<\/em><\/strong><\/p>\n\n\n\n

Wuhan\u2019da nedeni bilinmeyen pn\u00f6moni olgular\u0131n\u0131n, COVID-19 nedeniyle art\u0131k aram\u0131zda olmayan Dr. Li Wenliang taraf\u0131ndan bildirilmesi ile Aral\u0131k 2019 sonunda ba\u015flayan s\u00fcre\u00e7, 11 Mart 2020\u2019de hastal\u0131\u011f\u0131n D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc taraf\u0131ndan pandemi ilan edilmesi ve \u00fclkemizde ilk vakan\u0131n tan\u0131 almas\u0131 ile bizler i\u00e7in de hummal\u0131 bir s\u00fcreci ba\u015flatt\u0131. Acil Servislerde her y\u0131l solunum yolu enfeksiyonu etkenlerine ba\u011fl\u0131 ya\u015fad\u0131\u011f\u0131m\u0131z k\u0131\u015f yo\u011funlu\u011funu yeni atlat\u0131yorduk ve hen\u00fcz deneyimimizin olmayan bu hastal\u0131kla ilgili Avrupa ve \u00c7in\u2019de ya\u015fananlar hepimizi tedirgin etmeye yetmi\u015fti. \u00d6nce \u00e7al\u0131\u015ft\u0131\u011f\u0131m Acil Servis\u2019te temiz ve olas\u0131 enfekte hastalar\u0131 kar\u015f\u0131layaca\u011f\u0131m\u0131z alanlar ayr\u0131ld\u0131. Kurum i\u00e7i algoritmalar belirlendi, \u00e7al\u0131\u015fma saatleri d\u00fczenlendi. Ki\u015fisel Koruyucu Ekipman sorunu olmayan \u015fansl\u0131 bir ekipte \u00e7al\u0131\u015f\u0131yordum, hatta olas\u0131 enfekte hastalar i\u00e7in bak\u0131m alanlar\u0131m\u0131z negatif bas\u0131n\u00e7l\u0131yd\u0131. Alanlar\u0131m\u0131z yeni monit\u00f6rler ve ventilat\u00f6rlerle desteklendi. G\u00fcvenli ent\u00fcbasyon i\u00e7in kabinlerimiz yap\u0131ld\u0131, var olan video laringoskopumuz haricinde yenileri al\u0131nd\u0131. Her g\u00fcn Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 algoritmalar\u0131n\u0131, vaka say\u0131lar\u0131n\u0131, hastanemiz \u00f6zelinde vakalar\u0131, yay\u0131nlanan makaleleri takip eder olduk, gecemiz g\u00fcnd\u00fcz\u00fcm\u00fcz SARS-CoV-2 olmu\u015ftu. Hastalanan sa\u011fl\u0131k personellerinin haberleri, ekibimiz i\u00e7inde birimize bir \u015fey olaca\u011f\u0131 kayg\u0131s\u0131n\u0131 k\u00f6r\u00fckl\u00fcyordu s\u00fcrekli. Kimilerimiz ailesine hastal\u0131\u011f\u0131 ta\u015f\u0131mamak i\u00e7in birbiriyle ev arkada\u015f\u0131 oldu, kimimiz fak\u00fcltemizin \u00f6\u011frenci yurduna ta\u015f\u0131nd\u0131. Acil Servis ekiplerinin do\u011fas\u0131nda olan aile hissiyat\u0131 bu zor g\u00fcnlerle daha da per\u00e7inlendi kan\u0131mca. COVID-19 i\u00e7in g\u00fcncel bilgileri TATD ve \u00e7al\u0131\u015fma gruplar\u0131 sayesinde s\u00fcrekli takip ettik. Acil Servis\u2019te yeri geldi\u011finde afet tad\u0131nda ge\u00e7irdi\u011fimiz \u00e7ok g\u00fcn ya\u015fam\u0131\u015f\u0131zd\u0131r ancak asistan g\u00f6z\u00fcyle bak\u0131nca bu pandemi d\u00f6neminin uzmanl\u0131k g\u00fcnlerim i\u00e7in \u00e7ok farkl\u0131 bir deneyim oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. \u015eimdiye kadar ekibimizden kimseye bir \u015fey olmamas\u0131 halen daha en b\u00fcy\u00fck motivasyonum… Umar\u0131m \u201cNe g\u00fcnlerdi\u2026\u201d diyerek bu g\u00fcnleri hat\u0131rlayaca\u011f\u0131m\u0131z zamanlar yak\u0131nd\u0131r. B\u00fct\u00fcn T\u0131p ve Acil T\u0131p camias\u0131n\u0131 sayg\u0131yla selaml\u0131yorum. \u0130yi ki vars\u0131n\u0131z. Sonu\u00e7ta gerek sosyal hayat\u0131m\u0131zda gerekse acil servis ba\u015fvurular\u0131nda hi\u00e7bir \u015fey eskisi gibi olmayacak. Ama gelece\u011fin Acil T\u0131p Uzmanlar\u0131 olarak sa\u011fl\u0131k sistemimizde her durumda her olayda ve her ortamda ald\u0131\u011f\u0131m\u0131z e\u011fitimler ve g\u00f6sterdi\u011fimiz birliktelik sayesinde en \u00f6n safhada daima haz\u0131r\u0131z.<\/p>\n\n\n\n

\"\"<\/figure>\n","protected":false},"excerpt":{"rendered":"

Yazar: Zafer BE\u015eER 29.10.1983 Adana do\u011fumluyum. Evli ve ikiz k\u0131z babas\u0131y\u0131m. Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi’nden 2008 y\u0131l\u0131nda mezun olduktan sonra zorunlu hizmetimi…<\/p>\n","protected":false},"author":1599,"featured_media":1637,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[10015],"tags":[36,40,70,143],"class_list":["post-1634","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sosyal-blog-yazisi","tag-acil-tip-asistani","tag-acil-tip-uzmani","tag-covid19","tag-pandemi"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/1634","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/users\/1599"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/comments?post=1634"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/1634\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media\/1637"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media?parent=1634"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/categories?post=1634"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/tags?post=1634"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}