Journal of Health, Population, and Nutrition最新文献

{"title":"A Cross-sectional study on the link between mediterranean diet adherence and overactive bladder in American adults.","authors":"Li Wang, Shan Yin, Jian-Wei Yang, Kang-Yu Wang, Kun-Peng Li, Shun Wan, Si-Yu Chen, Li Yang","doi":"10.1186/s41043-025-01100-0","DOIUrl":"https://doi.org/10.1186/s41043-025-01100-0","url":null,"abstract":"<p><strong>Background: </strong>Overactive bladder (OAB) is a prevalent condition that negatively impacts quality of life. This study evaluated the association between adherence to the Mediterranean diet, measured by the alternative Mediterranean diet (aMED) score, and OAB among U.S. adults under 65 years of age.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using data from the National Health and Nutrition Examination Survey (NHANES) spanning 2005 to 2018. This analysis evaluated the association between adherence to the Mediterranean diet, assessed by the alternative Mediterranean diet (aMED) score-a 0-9 scale based on intake of vegetables, fruits, whole grains, legumes, nuts, fish, red/processed meats, alcohol, and the ratio of monounsaturated to saturated fat-and the prevalence of overactive bladder (OAB) in U.S. adults under 65 years of age. The aMED score was categorized into quartiles, and its association with OAB was examined using weighted logistic regression, restricted cubic spline (RCS) models, and stratified analyses, with adjustments for relevant confounders.</p><p><strong>Results: </strong>Among 23,104 participants, higher aMED scores were associated with lower odds of OAB (odds ratio [OR] = 0.996, 95% CI 0.993-0.999, p = 0.007). In the fully adjusted model-accounting for age, sex, race/ethnicity, marital status, poverty-to-income ratio, education level, smoking, alcohol consumption, body mass index, energy intake, diabetes, hypertension, cardiovascular disease, and cancer-individuals in the highest aMED quartile (Q4) had significantly lower odds of OAB compared to those in the lowest quartile (Q1) (OR = 0.832, 95% CI 0.707-0.979, p = 0.028). The restricted cubic spline (RCS) analysis indicated a nonlinear association between the aMED score and OAB, with poverty level potentially modifying this relationship.</p><p><strong>Conclusion: </strong>Greater adherence to the Mediterranean diet (MD) correlates with a reduced prevalence of OAB among U.S. adults aged 20-65. this study provides cross-sectional evidence supporting dietary interventions for OAB prevention.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"354"},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional disparities and sociodemographic determinants of food insecurity in Somalia: a secondary cross-sectional analysis of a National survey.","authors":"Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed, Ahmed Abdiaziz Alasow, Gallad Dahir Hassan","doi":"10.1186/s41043-025-01078-9","DOIUrl":"https://doi.org/10.1186/s41043-025-01078-9","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity represents a critical public health challenge in Somalia, where four decades of state fragility, environmental vulnerability, and sociopolitical instability have created chronic food access limitations. Although existing research has primarily examined macro-level determinants, there remains a substantial gap in understanding how individual-level sociodemographic factors influence food security outcomes among various population subgroups.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data from the Somalia Demographic and Health Survey involving 52,154 participants aged 13 years and above. A multistage stratified cluster sampling technique ensured representation across urban, rural, and nomadic populations. Bivariate and multivariate logistic regression analyses were used to examine the associations between sociodemographic characteristics and household food insecurity, with adjusted odds ratios calculated to identify independent predictors.</p><p><strong>Results: </strong>Significant disparities were observed across multiple dimensions. Educational attainment demonstrated strong protective effects, with higher education reducing food insecurity odds by 82% compared with no formal education. Middle-aged adults divorced and widowed individuals, and female-headed households showed elevated vulnerability. Extreme regional heterogeneity was observed, with residents in Bakool and Gedo facing more than 13 times greater risk than those in Awdal. Rural and nomadic populations had significantly higher odds than urban dwellers.</p><p><strong>Conclusion: </strong>Food insecurity in Somalia operates through complex, intersecting pathways of sociodemographic vulnerability and pronounced geographical inequalities. Food insecurity in Somalia results from a complex, multifaceted crisis spanning social, political, economic, and environmental domains. Effective interventions must simultaneously address educational infrastructure development, provide targeted support for vulnerable demographic groups, and implement place-based strategies that recognize the extreme geographic clustering of vulnerability across Somalia's diverse regions.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"353"},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum vitamin D and lipid profile differences between breastfed and Formula-fed infants.","authors":"Sara Ghazi Zadeh, Hamid Reza Rahimi, Melika Malek, Kiana Rahimi, Maryam Mohammadi-Bajgiran, Gordon A Ferns, Khosrow Adeli, Reza Assaran-Darban, Majid Ghayour-Mobarhan","doi":"10.1186/s41043-025-01092-x","DOIUrl":"https://doi.org/10.1186/s41043-025-01092-x","url":null,"abstract":"","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"352"},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global, regional, and national burden of lower extremity peripheral arterial disease: a systematic analysis of prevalence, incidence, deaths, and dalys from 1990 to 2021 with projections and dietary risk factors to 2036.","authors":"Yujun He, Miao Zhou, Jie Tang, Yaling Zheng, Jianying Chen, Bowen Xing, Dan Li, Mengya Liang, Weiwei Tang, Xiaojun Li, Xiaoyi Wang","doi":"10.1186/s41043-025-01094-9","DOIUrl":"https://doi.org/10.1186/s41043-025-01094-9","url":null,"abstract":"<p><strong>Objective: </strong>This research aims to analyze the global, regional, and national burden of LE-PAD from 1990 to 2021 through the GBD 2021 database. We also assess the impact of dietary risk factors and use decomposition and frontier analyses to identify key drivers and disparities in disease burden.</p><p><strong>Methods: </strong>We used data from the GBD 2021 study (covering 204 countries and territories) to analyze LE-PAD-related prevalence, incidence, mortality, and DALYs, and conducted trend analysis and projections via joinpoint regression and autoregressive integrated moving average (ARIMA) models. Decomposition analysis evaluated the contributions of population growth, aging, and epidemiological changes, and frontier analysis identified countries with high LE-PAD rates relative to their SDI.</p><p><strong>Results: </strong>From 1990 to 2021, global LE-PAD prevalence and incidence rose significantly. Females had higher prevalence, and males under 75 had higher mortality. Dietary risk factors like high processed meat and low whole-grain intake were major contributors. Population growth drove the increased burden, somewhat mitigated by epidemiological changes. Frontier analysis showed country disparities, with some high-income countries having relatively high LE-PAD burden.</p><p><strong>Conclusion: </strong>The growing burden of LE-PAD demands targeted interventions, better healthcare infrastructure, and sustained research. Addressing modifiable risk factors, promoting healthy lifestyles, and conducting effective public health campaigns and education are crucial to reduce its impact.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"351"},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Toward enhanced nutritional interventions in community pharmacies: personal attitude construct analysis.","authors":"Ryota Kumaki, Momoko Hatamoto, Rina Iida, Keiko Kishimoto","doi":"10.1186/s41043-025-01105-9","DOIUrl":"https://doi.org/10.1186/s41043-025-01105-9","url":null,"abstract":"","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"350"},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the relationship between blood factors and HDL-C levels in the bloodstream using machine learning methods.","authors":"Somayeh Ghiasi Hafezi, Marzieh Hosseini, Mahtab Panahi, Sahar Arab Yousefabadi, Amin Mansoori, Iman Atighi, Mark Ghamsary, Gordon Ferns, Habibollah Esmaily, Majid Ghayour-Mobarhan","doi":"10.1186/s41043-025-01069-w","DOIUrl":"10.1186/s41043-025-01069-w","url":null,"abstract":"<p><strong>Introduction: </strong>The study investigates the relationship between blood lipid components and metabolic disorders, specifically high-density lipoprotein cholesterol (HDL-C), which is crucial for cardiovascular health. It uses logistic regression (LR), decision tree (DT), random forest (RF), K-nearest neighbors (KNN), XGBoost (XGB), and neural networks (NN) algorithms to explore how blood factors affect HDL-C levels in the bloodstream.</p><p><strong>Method: </strong>The study involved 9704 participants, categorized into normal and low HDL-C levels. Data was analyzed using a data mining approach such as LR, DT, RF, KNN, XGB, and NN to predict HDL-C measurement. Additionally, DT was used to identify the predictive model for HDL-C measurement.</p><p><strong>Result: </strong>This study identified gender-specific hematological predictors of HDL-C levels using multiple ML models. Logistic regression exhibited the highest performance. NHR and LHR were the most influential predictors in males and females, respectively, with SHAP analysis confirming their critical roles alongside LYM, NEUT, and WBC in HDL-C classification.</p><p><strong>Discussion: </strong>The results show that blood inflammation plays a role in HDL-C homeostasis. The mechanisms of these relationships are not fully understood, but a complex interplay between inflammation and HDL-C levels as well as cardiometabolic health is evident. These findings support the pathophysiological role of inflammatory pathways in cardiometabolic disorders and provide insights into how modulation of hematological inflammation may contribute to disease prevention or treatment.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"349"},"PeriodicalIF":2.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital intervention targeting nutrition and physical activity behaviours among healthy individuals in low- and middle-income countries: a scoping review.","authors":"Adi Lukas Kurniawan, Theresia Theresia, Amelia Faradina, Rathi Paramastri, Nila Reswari Haryana, Riska Mayang Saputri Ginting, Bira Arumndari Nurrahma, Larasati Sekar Kinasih, Achmed Forest Khan, Arif Sabta Aji, Zakia Umami, Olivinia Qonita Putri, Noor Rohmah Mayasari","doi":"10.1186/s41043-025-01091-y","DOIUrl":"10.1186/s41043-025-01091-y","url":null,"abstract":"<p><strong>Background: </strong>The adoption of digital technologies to enhance health behaviours is on the rise due to their high accessibility. This scoping review summarized evidence on digital interventions designed to improve nutritional status and physical activity (PA) among healthy individuals in low- and middle-income countries (LMICs).</p><p><strong>Methods: </strong>A comprehensive search of five electronic databases, including MEDLINE via PubMed, Embase, Web of Science, CINAHL, and CENTRAL through the Cochrane Library from January 2000 to September 2024 was conducted. The search strategy was guided by the Participants, Concept, and Context model. Eligible studies included randomized controlled trials and quasi-experimental designs that implemented digital nutrition interventions among healthy individuals in LMICs.</p><p><strong>Results: </strong>The review included 53 studies, predominantly from Asia, that employed various digital platforms, including social media, text messages, mobile apps, video games, and websites. The interventions primarily targeted children or adolescents and youth, focusing on PA and nutrition-related knowledge, attitudes, and practices. The majority of studies reported significant improvements in PA levels, nutrition knowledge, and healthy food consumption. However, the impact on anthropometric and body composition outcomes was inconsistent might be due to the heterogeneity of intervention, varying duration, diverse target populations, and methodological approaches.</p><p><strong>Conclusion: </strong>Digital interventions were generally effective in improving PA levels, nutrition knowledge, and healthy food consumption. However, our review identified several gaps, including the limited application of theoretical frameworks and needs assessments in the development of interventions, as well as a narrow focus on specific outcomes. Future studies should expand to diverse regions, incorporate theory-based, context-specific approaches, and adopt double-duty action strategies to enhance the effectiveness and reach of digital nutrition interventions in LMICs.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"348"},"PeriodicalIF":2.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of ketogenic diet on muscle mass, strength, aerobic metabolic capacity, and endurance in adults: a systematic review and meta-analysis.","authors":"Yaqi Wang, Quanzhou Xiao, Zhenming Zhang, Yan Yang","doi":"10.1186/s41043-025-01090-z","DOIUrl":"10.1186/s41043-025-01090-z","url":null,"abstract":"<p><strong>Background: </strong>The ketogenic diet (KD) has gained popularity as an efficient approach to weight loss and body fat loss. Concerns about reducing muscle mass and performance have been rising during weight loss, as muscle mass and functionality are crucial for health. However, the effects of the KD on muscles not only for athletes or trainers but also for adults with less physical exercise are still controversial.</p><p><strong>Methods: </strong>We conducted a thorough search of databases including Embase, PubMed, Cochrane Library, and Web of Science up to July 19, 2025. Three aspects of muscle assessment were conducted, including muscle mass, power and strength, aerobic metabolic capacity, and endurance. We included randomized and non-randomized controlled studies that compared the KD with other dietary interventions. Studies without control groups were excluded. A random-effects model would be utilized when significant differences in populations and interventions across studies were of concern. The GRADE system was employed to assess evidence quality, while evidence reliability was gauged via sensitivity analysis.</p><p><strong>Results: </strong>A total of 33 studies were analyzed, revealing no significant differences between the KD and other diets in muscle mass (WMD: 0.06, 95%CI: -1.97 to 2.09, p = 0.95), muscle power (countermovement jump: SMD: -0.06, 95%CI: -0.49 to 0.38, p = 0.80) and strength (squat: SMD: -0.19, 95%CI: -0.53 to 0.15, p = 0.27; bench press: SMD: -0.15, 95%CI: -0.49 to 0.18, p = 0.37). However, a significant decrease in fat-free mass (WMD: -0.48, 95%CI: -0.73 to -0.23, p < 0.001) and fat mass (WMD: -1.31, 95%CI: -2.06 to -0.57, p < 0.001) was observed in the KD group compared with the control group. The KD also improved fat oxidation (WMD: 0.13, 95%CI: 0.08 to 0.17, p < 0.001) and reduced respiratory exchange ratio (WMD: -0.07, 95%CI: -0.11 to -0.03, p < 0.001) during an exercise test. The VO_2max and VO_2max relative to body weight, treadmill time to exhaustion, and rating of perceived exertion were not significantly affected by KD.</p><p><strong>Conclusions: </strong>Among adult populations, KD can increase fat oxidation to modify muscle metabolism, while no significant reduction in muscle mass or strength was observed. Additional well-designed randomized controlled trials are warranted to definitively determine the effects of ketogenic diets on muscle parameters.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"346"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of community-based hypertension screening and referral by village health teams in eastern Uganda: A quasi-experimental study.","authors":"Andrew Marvin Kanyike, Raymond Bernard Kihumuro, Timothy Mwanje Kintu, Lee Seungwon, Ashley Winfred Nakawuki, Kevin Apio, Richard Katuramu","doi":"10.1186/s41043-025-01028-5","DOIUrl":"10.1186/s41043-025-01028-5","url":null,"abstract":"<p><strong>Background: </strong>Uganda has a high prevalence of hypertension (HTN) and low diagnosis rates due to healthcare system deficiencies, like scarce diagnostic resources and a shortage of health workers. Task-shifting roles to community health workers (CHWs) could potentially fill gaps in the control of HTN, but this is still underexplored. This study determined the feasibility of leveraging CHWs, called Village Health Teams (VHTs), for HTN screening and referral in Eastern Uganda.</p><p><strong>Methods: </strong>We conducted a quasi-experimental study from June to November 2023 in Bugembe town council, Jinja City, Eastern Uganda. Twelve VHT members were trained and deployed to screen and refer hypertensive patients in their communities. The training covered the basics of hypertension, blood pressure measurement, and referral protocols. VHTs screened adults aged 18 years or older from their homes or workplaces using automatic blood pressure machines. Participants with elevated blood pressure (≥ 140/90 mmHg) on two measurements 15 min apart were referred to a local health center for diagnosis and management. Data was collected on participant demographics, blood pressure readings, and screening-referral cascade and analyzed using STATA 15.0. Change in the number of newly diagnosed patients at the facility before and after the intervention was assessed using a paired t-test. A p-value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The VHTs screened 5,215 individuals, with a mean age of 34 (SD: 12.3) years. The prevalence of elevated blood pressure (BP) was 22.4% (n = 1167). Factors associated with elevated BP were older age, being male, having had previous blood pressure measurements, and alcohol use. Approximately 23.8% (n = 278/1167) of participants with elevated BPs accepted referral, 24.8% (n = 69/278) reached the facility, and most of these (n = 65/69, 94.3%) were confirmed to be hypertensive. The monthly average number of new hypertensive patients at the health centre increased significantly from 4.6 ± 0.9 to 12.7 ± 1.4 four months before and after the intervention (t = 4.37, p = 0.0014).</p><p><strong>Conclusion: </strong>VHTs can reliably screen for HTN with appropriate training. However, strategies are needed to improve the low referral rates post-screening in the community to achieve the desired outcomes of early diagnosis and management of HTN.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"347"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative management practices of Wilson disease in Californian and Italian providers.","authors":"Sandy Vien, Colin McNamara, Ronald Hsu, Massimo Zuin, Valentina Medici","doi":"10.1186/s41043-025-01072-1","DOIUrl":"10.1186/s41043-025-01072-1","url":null,"abstract":"","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"339"},"PeriodicalIF":2.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}