{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T11:18:11Z","timestamp":1770722291948,"version":"3.49.0"},"reference-count":48,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T00:00:00Z","timestamp":1635465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The study aim was to understand the availability of personal protective equipment (PPE) and the levels of anxiety, depression, and burnout of healthcare workers (HCWs) in the United Arab Emirates (UAE). This study was an online-based, cross-sectional survey during July and August 2020. Participants were eligible from the entire country, and 1290 agreed to participate. The majority of HCWs were females aged 30\u201339 years old, working as nurses, and 80% considered PPE to be available. Twelve percent of respondents tested positive for SARS-CoV-2. Half of HCWs considered themselves physically tired (52.2%), reported musculoskeletal pain or discomfort (54.2%), and perceived moderate-to-high levels of burnout on at least one of three burnout domains (52.8%). A quarter of HCWs reported anxiety (26.3%) or depression (28.1%). HCWs reporting not having musculoskeletal pain, having performed physical activity, and higher scores of available PPE reported lower scores of anxiety, depression, and burnout. UAE HCWs experienced more access to PPE and less anxiety, depression, and burnout compared with HCWs in other countries. Study findings can be used by healthcare organizations and policymakers to ensure adequate measures are implemented to maximize the health and wellbeing of HCWs during the current COVID-19 and future pandemics.<\/jats:p>","DOI":"10.3390\/ijerph182111410","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T22:21:34Z","timestamp":1635805294000},"page":"11410","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Occupational Health of Frontline Healthcare Workers in the United Arab Emirates during the COVID-19 Pandemic: A Snapshot of Summer 2020"],"prefix":"10.3390","volume":"18","author":[{"given":"Suad","family":"Ajab","sequence":"first","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, United Arab Emirates"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9765-7142","authenticated-orcid":false,"given":"Bal\u00e1zs","family":"\u00c1dam","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, United Arab Emirates"}]},{"given":"Muna","family":"Al Hammadi","sequence":"additional","affiliation":[{"name":"Tawam Hospital, Al Ain P.O. Box 17666, United Arab Emirates"}]},{"given":"Najwa","family":"Al Bastaki","sequence":"additional","affiliation":[{"name":"Department of Medical Education and Research, Dubai Health Authority, Dubai P.O. Box 4545, United Arab Emirates"}]},{"given":"Mohamed","family":"Al Junaibi","sequence":"additional","affiliation":[{"name":"Ministry of Presidential Affairs, Abu Dhabi P.O. Box 280, United Arab Emirates"}]},{"given":"Abdulmajeed","family":"Al Zubaidi","sequence":"additional","affiliation":[{"name":"Ministry of Presidential Affairs, Abu Dhabi P.O. Box 280, United Arab Emirates"}]},{"given":"Mona","family":"Hegazi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mediclinic City Hospital, Dubai P.O. Box 505004, United Arab Emirates"}]},{"given":"Michal","family":"Grivna","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, United Arab Emirates"},{"name":"Department of Public Health and Preventive Medicine, Second Faculty of Medicine, Charles University, 150 06 Prague, Czech Republic"}]},{"given":"Suhail","family":"Kady","sequence":"additional","affiliation":[{"name":"Ministry of Presidential Affairs, Abu Dhabi P.O. Box 280, United Arab Emirates"}]},{"given":"Erik","family":"Koornneef","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, United Arab Emirates"},{"name":"Ministry of Presidential Affairs, Abu Dhabi P.O. Box 280, United Arab Emirates"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7842-4095","authenticated-orcid":false,"given":"Raquel","family":"Neves","sequence":"additional","affiliation":[{"name":"Health Science Faculty, Higher College of Technology Abu Dhabi, Abu Dhabi P.O. Box 25026, United Arab Emirates"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7751-5430","authenticated-orcid":false,"given":"Ant\u00f3nio Sousa","family":"Uva","sequence":"additional","affiliation":[{"name":"CHRC, Comprehensive Health Research Center, Escola Nacional de Sa\u00fade P\u00fablica, Universidade NOVA de Lisboa, 1600-560 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4925-2447","authenticated-orcid":false,"given":"Mohamud","family":"Sheek-Hussein","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, United Arab Emirates"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1687-6587","authenticated-orcid":false,"given":"Tom","family":"Loney","sequence":"additional","affiliation":[{"name":"College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai P.O. Box 505055, United Arab Emirates"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7211-2843","authenticated-orcid":false,"given":"Florentino","family":"Serranheira","sequence":"additional","affiliation":[{"name":"CHRC, Comprehensive Health Research Center, Escola Nacional de Sa\u00fade P\u00fablica, Universidade NOVA de Lisboa, 1600-560 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6982-8063","authenticated-orcid":false,"given":"Mar\u00edlia Silva","family":"Paulo","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. 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Available online: https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/situation-reports\/20200304-sitrep-44-covid-19.pdf?sfvrsn=783b4c9d_2."},{"key":"ref_4","unstructured":"Johns Hopkins University (2020, June 22). COVID-19 Map\u2014Johns Hopkins Coronavirus Resource Center. Available online: https:\/\/coronavirus.jhu.edu\/map.html."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e25219","DOI":"10.1097\/MD.0000000000025219","article-title":"Epidemiology of asymptomatic and symptomatic Coronavirus Disease 2019 confirmed cases in the Emirate of Abu Dhabi, United Arab Emirates","volume":"100","author":"Aden","year":"2021","journal-title":"Medicine"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"17720","DOI":"10.1038\/s41598-020-74666-w","article-title":"Multiple early introductions of SARS-CoV-2 into a global travel hub in the Middle East","volume":"10","author":"Loney","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Leontitsis, A., Senok, A., Alsheikh-Ali, A., Al Nasser, Y., Loney, T., and Alshamsi, A. (2021). Seahir: A specialized compartmental model for covid-19. Int. J. Environ. Res. Public Health, 18, Available online: https:\/\/pubmed.ncbi.nlm.nih.gov\/33800896\/.","DOI":"10.3390\/ijerph18052667"},{"key":"ref_8","unstructured":"Department of Health\u2014Abu Dhabi (2020, June 24). Abu Dhabi\u2019s Health Workforce Management System, Available online: https:\/\/www.doh.gov.ae\/en\/covid-19\/Health-Workforce-Management-System.\u00a0Published\u00a02020."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Shah, S.M., Loney, T., Al Dhaheri, S., Vatanparast, H., Elbarazi, I., Agarwal, M., Blair, I., and Ali, R. (2015). Association between acculturation, obesity and cardiovascular risk factors among male South Asian migrants in the United Arab Emirates\u2014A cross-sectional study. BMC Public Health, 15, Available online: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25885030.","DOI":"10.1186\/s12889-015-1568-x"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5271\/sjweh.3935","article-title":"Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries","volume":"47","author":"Canu","year":"2021","journal-title":"Scand. J. Work Environ. Health"},{"key":"ref_11","unstructured":"Ruotsalainen, J.H., Verbeek, J.H., Marin\u00e9, A., and Serra, C. (2021, April 06). Preventing occupational stress in healthcare workers, Cochrane Database of Systematic Reviews, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6718215\/."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Koornneef, E.J., Dariel, A., Elbarazi, I., Alsuwaidi, A., Robben, P.B.M., and Nikiforakis, N. (2018). Surveillance cues do not enhance altruistic behavior among anonymous strangers in the field. PLoS ONE, 13, Available online: https:\/\/ideas.repec.org\/p\/nad\/wpaper\/20180017.html.","DOI":"10.1371\/journal.pone.0197959"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1192\/bji.2020.39","article-title":"Protecting the mental health of healthcare workers during the COVID-19 emergency","volume":"18","author":"Chirico","year":"2021","journal-title":"BJPsych. Int."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"435","DOI":"10.4103\/jfmpc.jfmpc_199_17","article-title":"Burnout and depression among medical residents in the United Arab Emirates: A Multicenter study","volume":"7","author":"Abdulrahman","year":"2018","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_15","unstructured":"Maslach, C., Jackson, S.E., and Leiter, M.P. (1996). The Maslach Burnout Inventory Manual. Maslach Burn. Invent., 191\u2013217. Available online: https:\/\/www.researchgate.net\/publication\/277816643."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"De Kock, J.H., Latham, H.A., Leslie, S.J., Grindle, M., Munoz, S.A., Ellis, L., Polson, R., and O\u2019Malley, C.M. (2021). A rapid review of the impact of COVID-19 on the mental health of healthcare workers: Implications for supporting psychological well-being. BMC Public Health, 21, Available online: https:\/\/pubmed.ncbi.nlm.nih.gov\/33422039\/.","DOI":"10.1186\/s12889-020-10070-3"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Dutour, M., Kirchhoff, A., Janssen, C., Meleze, S., Chevalier, H., Levy-Amon, S., Detrez, M.-A., Piet, E., and Delory, T. (2021). Family medicine practitioners\u2019 stress during the COVID-19 pandemic: A cross-sectional survey. BMC Fam. Pract., 22, Available online: https:\/\/bmcfampract.biomedcentral.com\/articles\/10.1186\/s12875-021-01382-3.","DOI":"10.1186\/s12875-021-01382-3"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.genhosppsych.2021.01.001","article-title":"Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States","volume":"69","author":"Norful","year":"2021","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Orr\u00f9, G., Marzetti, F., Conversano, C., Vagheggini, G., Miccoli, M., Ciacchini, R., Panait, E., and Gemignani, A. (2021). Secondary traumatic stress and burnout in healthcare workers during COVID-19 outbreak. Int. J. Environ. Res. Public Health, 18.","DOI":"10.1101\/2020.09.13.20186692"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"113129","DOI":"10.1016\/j.psychres.2020.113129","article-title":"Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic","volume":"290","author":"Barello","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_21","first-page":"3329","article-title":"The Effect of Stress, Anxiety and Burnout Levels of Healthcare Professionals Caring for COVID-19 Patients on Their Quality of Life","volume":"11","author":"Menekay","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/j.bbi.2020.05.026","article-title":"Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"88","author":"Pappa","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_23","first-page":"806","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies","volume":"2","author":"Altman","year":"2009","journal-title":"UroToday Int. J."},{"key":"ref_24","unstructured":"Escola Nacional Sa\u00fade P\u00fablica (2020). Bar\u00f3metro Covid-19: A Sa\u00fade Ocupacional e o risco de Covid-19. Esc. Nac. Sa\u00fade P\u00fablica, Available online: https:\/\/barometro-covid-19.ensp.unl.pt\/resultados-do-questionario-1-a-saude-ocupacional-e-o-risco-de-covid-19\/."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The Hospital Anxiety and Depression Scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Socaciu, A.I., Ionut, R., Barsan, M., Ungur, A.P., and Rajnoveanu, A.G. (2020). Burnout in gastroenterology unit nurses. Int. J. Environ. Res. Public Health, 17, Available online: https:\/\/pubmed-ncbi-nlm-nih-gov.uaeu.idm.oclc.org\/32365748\/.","DOI":"10.3390\/ijerph17093115"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"73","DOI":"10.47626\/1679-4435-2021-625","article-title":"Prevalence of Covid-19 in health professionals and occupational psychosocial risks","volume":"19","author":"Serranheira","year":"2021","journal-title":"Rev. Bras. Med. do Trab."},{"key":"ref_28","unstructured":"Department of Health\u2014Abu Dhabi (2021, May 21). Circular 137. United Arab Emirates; 2020., Available online: file:\/\/\/Users\/mariliabettencourtsilva\/Downloads\/137%202020.pdf."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2431","DOI":"10.1002\/jmv.26760","article-title":"Co-infection of malaria and early clearance of SARS-CoV-2 in healthcare workers","volume":"93","author":"Mahajan","year":"2021","journal-title":"J. Med. Virol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"3500","DOI":"10.1038\/s41467-020-17318-x","article-title":"Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital","volume":"11","author":"Moncunill","year":"2020","journal-title":"Nat. Commun."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jhin.2020.06.028","article-title":"Dynamics of SARS-CoV-2 RT-PCR positivity and seroprevalence among high-risk healthcare workers and hospital staff","volume":"106","author":"Martin","year":"2020","journal-title":"J. Hosp. Infect."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1001\/jama.2020.14765","article-title":"Prevalence of SARS-CoV-2 Antibodies in Health Care Personnel in the New York City Area","volume":"324","author":"Moscola","year":"2020","journal-title":"JAMA"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.jinf.2020.05.067","article-title":"High SARS-CoV-2 antibody prevalence among healthcare workers exposed to COVID-19 patients","volume":"81","author":"Chen","year":"2020","journal-title":"J. Infect."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/S2213-2600(20)30315-5","article-title":"Point-of-care serological assays for delayed SARS-CoV-2 case identification among health-care workers in the UK: A prospective multicentre cohort study","volume":"8","author":"Pallett","year":"2020","journal-title":"Lancet Respir. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"110247","DOI":"10.1016\/j.pnpbp.2021.110247","article-title":"The prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic: An umbrella review of meta-analyses","volume":"107","author":"Sahebi","year":"2021","journal-title":"Prog. Neuro-Psychopharmacol. Biol. Psychiatry"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"45281","DOI":"10.1136\/bmjopen-2020-045281","article-title":"Stress, anxiety and depression among healthcare workers facing COVID-19 pandemic in Egypt: A cross-sectional online-based study","volume":"11","author":"Aly","year":"2021","journal-title":"BMJ Open"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.bbi.2020.03.028","article-title":"Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study","volume":"87","author":"Kang","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Tasnim, R., Sujan, S.H., Islam, S., Ritu, A.H., Bin Siddique, A., Toma, T.Y., Nowshin, R., Hasan, A., Hossain, S., and Nahar, S. (2021). Prevalence and correlates of anxiety and depression in frontline healthcare workers treating people with COVID-19 in Bangladesh. BMC Psychiatry, 21, Available online: https:\/\/doi.org\/10.1186\/s12888-021-03243-w.","DOI":"10.1186\/s12888-021-03243-w"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"317","DOI":"10.7326\/M20-1083","article-title":"Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore","volume":"173","author":"Tan","year":"2020","journal-title":"Ann. Intern. Med."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Elbarazi, I., Loney, T., Yousef, S., and Elias, A. (2017). Prevalence of and factors associated with burnout among health care professionals in Arab countries: A systematic review. BMC Health Serv. Res., 17, Available online: https:\/\/pubmed-ncbi-nlm-nih-gov.uaeu.idm.oclc.org\/28716142\/.","DOI":"10.1186\/s12913-017-2319-8"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Chemali, Z., Ezzeddine, F.L., Gelaye, B., Dossett, M.L., Salameh, J., Bizri, M., Dubale, B., and Fricchione, G. (2019). Burnout among healthcare providers in the complex environment of the Middle East: A systematic review. BMC Public Health, 19, Available online: https:\/\/pubmed-ncbi-nlm-nih-gov.uaeu.idm.oclc.org\/31640650\/.","DOI":"10.1186\/s12889-019-7713-1"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Arora, T., Grey, I., \u00d6stlundh, L., Lam, K.B.H., Omar, O.M., and Arnone, D. (2020). The prevalence of psychological consequences of COVID-19: A systematic review and meta-analysis of observational studies. J. Health Psychol.","DOI":"10.1177\/1359105320966639"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1192\/bjp.2020.170","article-title":"Mental health services in the wake of COVID-19 and opportunities for change","volume":"217","author":"Arnone","year":"2020","journal-title":"Br. J. Psychiatry"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1192\/bjp.2020.86","article-title":"Coronavirus disease: Challenges for psychiatry","volume":"217","author":"Kelly","year":"2020","journal-title":"Br. J. Psychiatry"},{"key":"ref_45","unstructured":"Dubai Health Authority (2021, May 21). DUBAI CLINICAL SERVICES CAPACITY PLAN 201882030, Available online: https:\/\/www.dha.gov.ae\/DHAOpenData\/Annual%20Statistical%20Books\/DHADoc1260173559-03-06-2020.pdf."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ijregi.2021.08.003","article-title":"COVID-19 Vaccine Acceptance among Health Care Workers in the United Arab Emirates","volume":"1","author":"AlKetbi","year":"2021","journal-title":"IJID Reg."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Park, K.-H., Kim, A.-R., Yang, M.-A., Lim, S.-J., and Park, J.-H. (2021). Impact of the COVID-19 pandemic on the lifestyle, mental health, and quality of life of adults in South Korea. PLoS ONE, 16, Available online: https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0247970.","DOI":"10.1371\/journal.pone.0247970"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.jpsychires.2005.12.006","article-title":"Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: A prospective and periodic assessment study in Taiwan","volume":"41","author":"Su","year":"2007","journal-title":"J. Psychiatr. Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/21\/11410\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:23:12Z","timestamp":1760167392000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/21\/11410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,29]]},"references-count":48,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2021,11]]}},"alternative-id":["ijerph182111410"],"URL":"https:\/\/doi.org\/10.3390\/ijerph182111410","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,29]]}}}