International Journal of Public Health and Clinical Sciences最新文献

{"title":"META-ANALYSIS OF THE EFFECTS OF THE EDUCATIONAL AND COUNSELING INTERVENTIONS ON MENTAL ADJUSTMENT AND QUALITY OF LIFE IN BREAST CANCER","authors":"Ahmed Al-hidary, K. Hayati, N. Mz, Huda Bassalim Faisal Ali Zubaidah Jamil Osman, M. H. Juni","doi":"10.32827/ijphcs.6.5.89","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.89","url":null,"abstract":"Background: Education and counselling are widely used independently or as supplementary components in the psychosocial interventions. However, there is a certain level of ambiguity if used separately. In this analysis, we attempted to answer the following question; “Does the education and counseling support improve of the adjustment to cancer in women diagnosed with breast cancer?” Methods: An online search was undertaken in 12 databases for the longitudinal studies for the period from January 2007 to March 2018. The effects of the interventions on the adjustment to breast cancer, were calculated based on the results of the mental adjustment and quality of life (QoL). Three distinct periods were examined; baseline, three months, and six months. The methodological quality, risk of bias, publication bias, and attrition rate were examined. Meta-analysis was carried out using Review Manager 5.3 with the results graphically presented. Results: A comprehensive systematic review was conducted for 5,464 titles, of which 22 studies fulfilled the inclusion criteria, however 14 studies completed the data and included in the qualitative synthesis; included 3,419 patients. The mean of overall attrition rate in both groups was 14.37% (SE= 2.87, median= 12.28). In mental adjustment, the total mean differences for the three trials were statistically significant 0.40 (0.24 to 0.57). For the QoL, the mean differences of the three trials were statistically non-significant 0.18 (-0.48 to 0.84). Conclusion: The educational and/or counseling interventions can be beneficial and useful for patients to adapt with the breast cancer, however, it is less effective on the QoL. Keywords: mental adjustment, quality of life, education, counseling","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77261168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE ROLE OF POLICY ANALYSIS IN NATIONAL IMMUNIZATION PROGRAMS: A SCOPING REVIEW","authors":"Nurul Iman A.R, Siti Hafsah A.H, H. ShiehafielFieqri, I. Faisal","doi":"10.32827/ijphcs.6.5.70","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.70","url":null,"abstract":"Policy analysis is widely being used in multiple disciplines such as politic, economy, social, history and administration. It has a variety of definition as it is variously defined by different scholars. This is no exception to the health sector especially in the nationwide program such as immunization. In order for the immunization programmes to be successful, it primarily depends on up-to-date policies and its effectiveness to ensure their goals to be achievable and to secure its sustainability. This manuscript reviewed twelve articles to extract the roles of policy analysis. The aim of this manuscript is to review the role of policy analysis in selected countries regarding national immunization program policy. As the role of policy analysis has not been explicitly explained in literatures, the result of roles of policy analysis in this manuscript are extracted from the articles found in this scoping review. The roles are evaluating existing policy, modification of policy, formulating new policy, choosing best alternatives and prescribing recommendation. Most policy analysis plays not only one but multiple roles depending on the context of the policy. This results in the development of a framework to illustrate the roles of policy analysis and their interactions. Despite the simplicity of the framework of policy analysis, health policy analysis is indeed a tedious endeavour. By having a clear picture of what role it plays in making policy analysis, perhaps the process can be less daunting to ensure the effectiveness and efficiency of immunization policy. Keywords: Policy analysis, roles, national, immunization, vaccination","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86978565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HEALTH INSURANCE INEQUITY IN SELECTED ASIA COUNTRIES","authors":"Izzanie M.R, Nada Khaled, M. Aidalina","doi":"10.32827/ijphcs.6.5.39","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.39","url":null,"abstract":"Background: Health insurance is the primary mechanism that enables people to obtain health care services, the three major types of health insurance involves private health insurance, social health insurance and community-based health insurance. It is important to note that universal health coverage (UHC) has three dimensions, population coverage, and service coverage and financial coverage. Aims: This systematic review aims to identify the implication on equity after implementation of health insurance focusing on selected Asian countries. Materials and methods: A systematic search for articles was conducted form 4 search engines, Scopus, Science Direct, Proquest, and Google scholar. A total of 13 articles were selected after screenings and equity implications were concluded in three UHC dimensions based on equity index reported or equity improvement observed in time series studied. Result and discussion: All the three health insurance has different implication on equity between countries or within country. In terms of population coverage, SHI in Thailand showed an equitable coverage. Philippine also reported to have equitable population coverage in terms of geographical while in Vietnam, CBHI showed inequitable population coverage. The financial coverage has showed an inequity of CBHI in India, China, and Thailand. The inequity was also observed for SHI in Philippine, Vietnam and Philippines. More apparent is inequity in PHI for Malaysia and Philippines. The only equitable financial coverage reported was Thailand for its SHI. The final aspect is on service delivery coverage with equity has been observed in CBHI in China and SHI in Vietnam and Thailand. Conclusion: Social health insurance schemes can be further improved in addressing equity in all UHC aspects. CBHI of which showed some equitable measures for certain population subgroups, such as the poor, and formal workers can collectively be the way to go for SHI. Keywords: social health insurance, equity, private insurance, universal health coverage.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87117391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EDUCATIONAL TRAINING INTERVENTION ON WORKPLACE VIOLENCE AMONG HEALTHCARE WORKERS","authors":"I. Mohd.Safwan, Ahmad Azuhairi Ariffin","doi":"10.32827/ijphcs.6.5.56","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.56","url":null,"abstract":"Background: Workplace violence is defined as incidents where staff are abused, threatened or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being or health. In healthcare setting, it can bring serious consequences to the workers, organization and quality of patient care. Educational training is one of the methods to reduce the incident and prepare the workers in order to face this challenge. This manuscript aims to analytically analyse educational intervention on workplace violence among health workers. Materials and Methods: Systematic review was conducted via Pubmed and ScienceDirect, using keywords of (aggression OR violence) AND healthcare workers) AND (education OR training). A total of 1914 articles from search engines and other sources were obtained. After screening, 12 articles were included in this manuscript. Result: There are 12 studies in this review including two randomised controlled trials (RCTs), five quasi-experimental design and five before-after experimental design. Studies were conducted across various healthcare organizations and most of these were hospitals. Most of the studies include multiple modules including de-escalating techniques, assessing risk of violence, communication skills, workers responsibility, notification and post incident procedure, and legal aspect of workplace violence. Studies showed improvement in knowledges, attitude, confidence and coping. Conclusion: Majority of this evidence were weak and more high-quality research is needed in this area of study. Sound methodology and controlled study design to avoid biases should be done to prove the effectiveness of educational learning in workplace violence. Keywords: workplace violence, educational, intervention, review","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83000826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FILLING THE GAP: DEVELOPING INDICATORS FOR EFFECTIVE SERVICE COVERAGE OF NONCOMMUNICABLE DISEASES IN THE CONTEXT OF UNIVERSAL HEALTH COVERAGE","authors":"M. Aidalina","doi":"10.32827/ijphcs.6.5.144","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.144","url":null,"abstract":"Background: Universal health coverage (UHC) indicators for monitoring the progress of effective service coverage for non-communicable diseases (NCDs) are still lacking. This paper aims to prove the possibility of adapting Quality Performance Indicators (QPIs) as indicators for effective service coverage of NCDs in the context of UHC. Materials and Methods: By reviewing major literatures on UHC framework and indicators between the years 2012 and 2015, service coverage indicators criteria and effective coverage indicator criteria were compiled. Two QPIs: one on breast cancer and one on acute myocardial infarction from renowned sources were selected as examples and their fulfilment of the indicator criteria was analysed. Result: The findings demonstrated that the selected QPIs were able to fulfil the criteria for indicators to measure effective service coverage component of Universal Health Coverage. Conclusion: It is proposed that suitable QPIs be considered to be adapted as indicators for UHC monitoring for non-communicable diseases. Keywords: Quality performance indicators, effective service coverage, universal health coverage.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78681234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DETERMINANTS FOR POSITIVE COMPUTED TOMOGRAPHY PULMONARY ANGIOGRAPHY (CTPA) IN DIAGNOSING PULMONARY EMBOLISM IN NORTHEAST STATE OF PENINSULAR MALAYSIA","authors":"H. Arif, Hafizuddin Awang, M. Abdullah","doi":"10.32827/ijphcs.6.5.131","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.131","url":null,"abstract":"Background: This study was conducted to estimate the annual proportion of positive computed tomography pulmonary angiography (CTPA) in diagnosing pulmonary embolism and determine its socio-demographic and clinical determinants. Materials and Methods: CTPA datasets of 431 patients from 2014 to 2017 were analysed retrospectively to estimate the annual proportion of cases with pulmonary embolism in Kelantan, a northeast state of peninsular Malaysia. Comparative cross-sectional study between positive and negative CTPA cases among 388 randomly selected patients that fulfilled the inclusion criteria was conducted to determine associated factors for positive CTPA finding. Descriptive statistics, simple and multiple logistic regressions were used for data analysis. Result: The annual proportion of positive CTPA cases ranged from 25.2% to 33.3%. The mean age of patients with positive CTPA finding was 50.32 years old and majority of positive CTPA patients were male (67.0 %), cigarette smoker (67.0 %), non-hypertensive (58.9%) and had high Well’s score (74.5%). Older age, male gender and high Wells score were the significant determinants for positive CTPA findings with an adjusted odds ratio (aOR) of 1.03 (95% confidence interval (CI): 1.01-1.05; p = 0.004), 5.42 (95% CI: 2.31-12.68; p < 0.001), and 13.45 (95% CI: 6.93-26.11; p < 0.001), respectively. Conclusion: Patients with older age, male gender and high Wells score were more likely to get positive CTPA finding. These significant determinants might help clinicians in preventing unnecessary CTPA examination, thus unjustified radiation to the patient can be avoided.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88237598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMPLICATIONS OF ARTIFICIAL INTELLIGENCE IN HEALTHCARE DELIVERY IN THE HOSPITAL SETTINGS: A LITERATURE REVEIW","authors":"Nada Khaled, Turki","doi":"10.32827/ijphcs.6.5.22","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.22","url":null,"abstract":"Background: Artificial intelligence use in healthcare is increasing over the years. The aim of this review is to determine the positive and negative implications of artificial intelligence in healthcare delivery in hospital settings. Methods: Literature search was done using keywords “artificial intelligence”, “hospital” and “implications” from databases of Scopus, Science Direct, Google scholar and PubMed. The literature search was limited to articles published in English, available in open access and articles that are able to be retrieved in full text format. Result: Artificial intelligence has positive influence on health care delivery especially in hospitals in terms of quality of care, efficiency and accuracy. On the other hand, artificial intelligence can also have negative implications in terms of ethical, privacy and dehumanization of care. Conclusion: In conclusion, the positive implication of artificial intelligence and the wide range opportunities for technological development exceed the negative aspect, especially when the negative aspects are addressed appropriately or avoided.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82012919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE DEVELOPMENT OF HEALTH-RELATED QUALITY OF LIFE PROGRAMME AMONG TYPE 2 DIABETIC PATIENTS IN TAM BINH DISTRICT, VINH LONG PROVINCE, VIETNAM","authors":"N. Le, Niruwan Turnbull, C. V. Dam, Santisith Khiewkhern","doi":"10.32827/ijphcs.6.5.167","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.167","url":null,"abstract":"Background: The number of diabetic people is rapidly increasing in Vietnam as well as in the world. Type 2 diabetic patients were reported reduced health-related quality of life. The research investigates on: (1) Exploration of the relative factors to health-related quality of life of diabetic patients in Tam Binh district, Vinh Long province, Vietnam in 2018 - 2019. (2) Implementation the health-related quality of life programme of diabetic patients. (3) Evaluation of the effectiveness of health-related quality of life programme of diabetic patients after six months of the implementation programme. Methods: The participants are the type 2 diabetic patients with aging 35 and over, diabetic duration more than 6 months and living at least 6 months in Tam Binh district. The mixed methods research is used with: Phase 1: The quantitative method is performed to assess the quality of health-related quality of life of 500 type 2 diabetic patients by the Vietnamese diabetes quality of life questionnaire. Phase 2: The quasi-experimental method is designed to set up an empowerment programme, then will compare the health behaviour the 85 diabetic patient group by the Knowledge of diabetes, Attitude toward to deal with diabetes and Practice with diabetic management questionnaire. Phase 3: We will evaluate the effectiveness of the programme of the patients with both questionnaires on phase 1 and 2. The data will be analysed with the Package for Social Sciences version 22 program. One-way analysis of variance is used to evaluate the differences in the domains of the health-related quality of life among the different groups. The T-test is used for analysis on the quasi-experimental research. Discussion : This research will assess the health-related quality of life of type 2 diabetes in Tam Binh district, Vinh Long province, Vietnam. Diabetes’ health-related quality of life is usually lower than the healthy people. However, the other studies showed that this was improved after the implementation programme. Therefore, this experimental study will increase the health-related quality of life of type 2 diabetic patients. Key words: Diabetes, Vietnam, health-related quality of life, KAP questionnaire, empowerment programme.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90208270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"KNOWLEDGE, ATTITUDE, AND PRACTICE LEVEL OF FAMILY PLANNING SERVICE RECIPIENTS IN THE HEALTH DISTRICT OF PETALING, SELANGOR","authors":"Kun Yun Lee, Eliza Othman, Haslinda Hassan, Fazlina Mohamad Yusof, Mohamed Paid Yusof","doi":"10.32827/ijphcs.6.5.9","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.9","url":null,"abstract":"Background: Family planning (FP) is important to ensure the wellbeing of mothers and children. There are various facilitators and barriers towards a successful FP program. In the health district of Petaling (PKD Petaling), the uptake of FP is not optimum. However, local data are scarce to pinpoint the reasons. This study aims to assess the knowledge, attitude, and practice (KAP) level among the potential FP recipients and its associated factors. Materials and Methods: A cross-sectional study using self-administered questionnaires was conducted at six health clinics in PKD Petaling from May-July 2017. Descriptive analysis with chi-square and logistic regression analysis were conducted to identify associated factors. Result: Majority of the 360 respondents were Malays (75.3%) and married (91.9%). The overall KAP was 80.3%, 71.9%, and 46.7%. OCP and condom were the two most recognised FP methods whereas OCP and Depo Provera were the most commonly used. Education level was associated with a good knowledge and positive attitude towards FP. The predictors of current FP usage included older age, having 4 or more children, good knowledge and attitude about FP. Conclusion: An effective FP programme require the identification and understanding of the various factors associated with the KAP level of FP to formulate appropriate improvement strategies. Based on the results, fear of side effects and husband’s opposition were the most prominent reasons for not using contraception. Dissemination of accurate information, inclusion of husband in FP decision-making, continuous staff training to improve the counselling effectiveness are needed to improve the uptake of FP in PKD Petaling. Keywords: Family planning, contraception, KAP, Malaysia, service recipient","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89983122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREDICTORS OF DENTAL CARIES AMONG ADULTS AND ADOLESCENTS IN A DENTAL CLINIC IN NORTH-EASTERN NIGERIA","authors":"H. A. Disa, Balami A.B, A. Mala, Fusami, U. M. Gimba","doi":"10.32827/ijphcs.6.5.123","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.123","url":null,"abstract":"ABSTRACT Background: Dental caries constitute a public health burden globally. They occur when the balance between their protective factors and risk factors is disturbed. The aim of the study was to determine the predictors of dental caries among adults and adolescents in a dental clinic in north-eastern Nigeria. Materials and Methods: A case-control study design was used, with cases drawn from the dental clinic, and controls from the general out-patient unit of the same hospital. Systematic random sampling was used to select both cases and controls. Those selected from the dental clinic underwent a thorough oral examination, using the specific caries index and were included into the study if they had any of a decayed, missing, or filled tooth. Those selected from the out-patient clinic were examined in a similar manner, and were included into the study as controls, once they did not have a decayed, missing, or filled tooth. A structured questionnaire was used to collect information on respondents’ socio-demographic characteristics and oral care habits. Chi-square test was used to compare the socio-demographic characteristics of the groups and to test the association between dental caries and oral care habits. Multivariate logistic regression was used to determine the predictors of dental caries. Result: A total of 124 respondents were recruited into this study, comprising of 59 respondents with dental caries (cases), and 65 without dental caries (controls). Their ages ranged from 15 to 63 years. Daily teeth cleaning (OR=0.33, 95% CI: 0.11-0.97; p =0.044), and teeth cleaning after every meal (OR=0.28, 95% CI: 0.10-0.78; p =0.015), were associated with lower odds of having dental caries. Tooth ache was the major reason for visiting the dentist, among both cases (78.6%) and controls (68.6%). Conclusion: The study emphasizes the very important role of oral hygiene in preventing dental caries. The study also suggests that with very frequent teeth cleaning, refined sugars may not pose additional risks of developing dental caries. Keywords: Dental caries, predictors, teeth cleaning","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72986826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}