刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877478815},{"body":{"content":"开药?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877540497},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671700},{"body":{"content":"你好能给我开一下药?吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878722371},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878762072},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878768086},{"body":{"content":"没有****，无货，开不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878352},{"body":{"content":"定单也开了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954299},{"body":{"content":"等审核了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879139326},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161678},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365472}]

男44岁

2022.05.20

[{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114305},{"body":{"content":"您好，我是京东皮肤专业主治医生***，由于问诊时间或者次数有限制，为给您提供更好的的诊疗方案，请问您依次回答您这种情况多久了？最近都用过什么药物治疗（具体药物名称），如果有过敏药物，肝肾，心脏等慢性疾病以及备孕请提前说明（不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879239331},{"body":{"content":"最近一直在涂抹*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879283186},{"body":{"content":"口服的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365203},{"body":{"content":"没有口服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879395084},{"body":{"content":"之前在地方医院开过药是口服的 但是忘了叫啥名字了 因为是前年看的病 那个医生说是痤疮 开口服的就行 好像是去火的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879460551},{"body":{"content":"因为我是军人 所以外出看病有些限制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879477824},{"body":{"content":"当时口服那个药物确实痘痘下去了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498922},{"body":{"content":"什么时候严重一些？与熬夜，饮食辛辣，作息不规律，心情不好，长期使用电子产品（电脑前工作，刷**，玩游戏），***等有关系嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879542397},{"body":{"content":"都有一点吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879572253},{"body":{"content":"因为职业问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879579311},{"body":{"content":"熬夜几乎不会 除非晚上执勤 几乎都十点半左右入睡了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879632755},{"body":{"content":"根据您目前的情况，我建议口服******一天2次，一次50mg（如果口服后有头晕等不适，放到睡前一次性吃2粒），白天外用******一天两次。晚上点涂******一次，外用药物都只摸痘痘上（您需要的处方已开，审核通过后按照提示购买，京东大药房的都是正品）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720639},{"body":{"content":"好的我已经购买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879821448},{"body":{"content":"如果有不适我再联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879837819},{"body":{"content":"医生这和饮食有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980571},{"body":{"content":"成人奶粉和***增肌类型的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880035989},{"body":{"content":"主要与饮食辛辣，熬夜，作息不规律有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880054885},{"body":{"content":"这段时间尽量要注意休息，清淡饮食，不要吃辛辣刺激的食物（麻辣烫，火锅，烧烤等），少吃油腻的食物（肯德基，麦当劳，红烧肉等），甜食（巧克力，糖果等），多吃蔬菜水果，保持大**畅，少熬夜，少抽烟喝酒，尽量不要长期玩电脑游戏，刷**，看**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880059065},{"body":{"content":"牛奶和成人奶粉之类的奶制品可以饮用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153298},{"body":{"content":"而且我是油性皮肤 易出汗 我们训练量也很大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880180838},{"body":{"content":"洗面奶护肤之类的有要求吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880274343},{"body":{"content":"高脂的牛奶尽量少喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881745118},{"body":{"content":"********的这几个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881772419},{"body":{"content":"好的明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882190289},{"body":{"content":"嗯，好的，不客气，按时用药治疗的同时注意我说的注意事项同等重要，一般2周左右复诊，根据病情变化调整治疗方案（如果用药过程中有不适请及时复诊或者附近医院及时就诊）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882283910}]

男23岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131145},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138810},{"body":{"content":"复发性溃疡可以吃点复合维生素B族和****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173986},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192698},{"body":{"content":"那现在口腔溃疡吃点或者喷点什么药好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221490},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免疫力。可以减少复发性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222266},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231232},{"body":{"content":"可以吃点***或者***或者用****漱口","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050238206},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261760},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284549}]

女23岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067075},{"body":{"content":"可以提问了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076085},{"body":{"content":"这个情况会不会是受孕时间太短 所以没有心管搏动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168551},{"body":{"content":"末次月经哪天的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249143},{"body":{"content":"4月6号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276632},{"body":{"content":"平时月经规律吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965354765},{"body":{"content":"推迟的话也是一两天的样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965390834},{"body":{"content":"它这个hcg可以看出受孕周期吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468282},{"body":{"content":"看不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965519811},{"body":{"content":"因为我们这边的医生说我这个hcg也蛮高 B超显示没有心管搏动 考虑胎停 要住院 可是我什么症状都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531891},{"body":{"content":"建议一个星期后再复查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576929},{"body":{"content":"我还想问一下 如果按实际同房时间来算的话 是4月16号之后的受卵 按这个时间推算可以吗 因为之前没有同房过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965694712},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770595},{"body":{"content":"那综合hcg来看的话 这个B超没有心管搏动是不是可能是正常的 因为月份太小了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842765},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965880520}]

女24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049907041},{"body":{"content":"白天明显还是晚上明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912894},{"body":{"content":"一开始是晚上睡前好几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049932152},{"body":{"content":"现在白天也会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049941714},{"body":{"content":"刚刚吃奶尿了三次了。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954445},{"body":{"content":"看电视，玩耍会吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049972231},{"body":{"content":"晚上睡觉睡着睡着也会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049975437},{"body":{"content":"刚刚就是边吃奶边看电视，撒尿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049998203},{"body":{"content":"最近多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050033359},{"body":{"content":"有一个月了大概","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050054358},{"body":{"content":"疫情关在家里开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065281},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050155790},{"body":{"content":"没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156990},{"body":{"content":"先锻炼膀胱功能看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050164431},{"body":{"content":"为什么会这样呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186042},{"body":{"content":"可能功能性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199922},{"body":{"content":"这个三四岁很常见-","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209040},{"body":{"content":"怎么锻炼膀胱呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050226374},{"body":{"content":"尿急时候让他适当憋尿，鼓励，奖励，转移注意力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050276941},{"body":{"content":"不需要进一步观察，治疗对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050324449},{"body":{"content":"暂时不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363807},{"body":{"content":"锻炼一段时间看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368241},{"body":{"content":"如果不能改善再进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374296},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050386039},{"body":{"content":"现在也不敢带去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050393478},{"body":{"content":"嗯没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050432359},{"body":{"content":"大部分锻炼就好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439474},{"body":{"content":"近期出现，不是原来就有，先行为疗法干预","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458819},{"body":{"content":"有没有什么吃的东西能改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050777863},{"body":{"content":"比如鸡汤之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783855},{"body":{"content":"没什么影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050801191}]

男4岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906600},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921163},{"body":{"content":"最好喝***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049929073},{"body":{"content":"***吸收好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934220},{"body":{"content":"如果没有药物过敏和不良反应可以按说明书使用，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051672333}]

女1岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187595},{"body":{"content":"淋巴癌肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965238839},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965275173},{"body":{"content":"淋巴癌肿大，治疗方法？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965310785},{"body":{"content":"是什么样的淋巴癌？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965323324},{"body":{"content":"有没有什么资料图片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337592},{"body":{"content":"肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354794},{"body":{"content":"疼痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965370933},{"body":{"content":"没有资料的话只能说个大概，多数是放疗化疗，或者加上手术切除这些办法。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422939}]

女20岁

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797221},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049808584},{"body":{"content":"我想开几个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049826004},{"body":{"content":"以前吃过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866399},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873066},{"body":{"content":"但是我现在没有处方买不到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889519},{"body":{"content":"您好，如果您要买药或开电子处方，请发一下患者的线下医院就诊资料（非京东及其他互联网医院处方）。\n包括含有“患者基本信息+诊断+所要开具的药品”的旧处方，或线下就诊病历，或诊断证明的照片（以上均时间不限）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895057},{"body":{"content":"那些都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049923804},{"body":{"content":"以前在北京**医院看的。 现在在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961858},{"body":{"content":"在京东开药需要您有线下就诊资料才能帮您开，如果没有不允许开的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049964864},{"body":{"content":"那怎么办？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003923},{"body":{"content":"如果一个都没有的话抱歉帮您开不了，平台不允许的，我们也需要您线下就诊资料做参考才能帮您开电子处方。\n您需要再去医院开药，拍个处方单，以后在这里上传一下处方单照片我就能帮您开药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017422},{"body":{"content":"这个嘛？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117902},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125590},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133789},{"body":{"content":"稳定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141968},{"body":{"content":"没有副反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155990},{"body":{"content":"几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050214441},{"body":{"content":"8盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221160},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235513},{"body":{"content":"十颗的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237291},{"body":{"content":"您这是给谁开？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270249},{"body":{"content":"给我小舅子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289012},{"body":{"content":"叫啥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307562},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319211},{"body":{"content":"您需要填加他的信息问诊买才行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355573},{"body":{"content":"不然开处方就是你的名字","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368289},{"body":{"content":"不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050372974},{"body":{"content":"名字不一致修改：\n在手机京东首页搜索（互联网医院）进入，点击我的-健康档案,里面可以完善个人资料实名，填加与患者名字一致后重新问诊。但是这个问诊单医生是无法开方的，需要重新提交一个问诊，用实名问诊可以开方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378016},{"body":{"content":"那开我的名字吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387521},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416731},{"body":{"content":"那肯定不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458766},{"body":{"content":"好吧，我从新弄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475423},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481720},{"body":{"content":"是不是还得从新交钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497533},{"body":{"content":"是的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517408},{"body":{"content":"需要重新问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525224},{"body":{"content":"不然改不过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530639}]

男28岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653047863538},{"body":{"content":"结婚几年没孩子 怀过一次 没胎心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047905267},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047915960},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047921312},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047969892},{"body":{"content":"做过相关检查吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048257411}]

女32岁

2022.05.20