Medical-Surgical Nursing Journal最新文献

{"title":"Exploring the Experiences of Patients with Psoriasis: A Phenomenological Study","authors":"Farshid Saeedinezhad, Hanieh Dahmardeh, F. Yaghoubinia, Jamshid Hossein Zehi Zamani","doi":"10.5812/msnj-135520","DOIUrl":"https://doi.org/10.5812/msnj-135520","url":null,"abstract":"Background: Psoriasis is an inflammatory skin disease that leads to mental complications followed by the patient’s isolation. Therefore, understanding patients’ perceptions of this disease can be effective in planning their care. Objectives: The present study sought to explore the experiences of patients with psoriasis. Methods: This qualitative study was conducted using a descriptive phenomenological approach within 2018 - 2019 on psoriasis patients admitted to the skin clinics of hospitals in Zahedan, Iran. The participants were 10 patients with psoriasis who were selected via purposive sampling. The data were collected using in-depth and individual semi-structured interviews, and data analysis was performed simultaneously with data collection using Colaizzi’s content analysis model. Results: The main themes describing the experiences of patients with psoriasis were the progression of the disease in the shadow of the ignorance of the medical staff, physical and psychological suffering, and the ominous shadow of fear of the disease recurrence. Conclusions: The results showed that the progression of the disease due to inadequate knowledge of the medical staff is an important challenge for patients with psoriasis. Furthermore, the recurrence of the disease can be a serious threat to trust in the current treatments of this disease. Physical and mental suffering can lead to the isolation of these patients and makes bearing the burden of the disease very challenging for the affected individuals. Therefore, psychiatrists, doctors, and nurses should try to raise the patients’ morale and improve their body image, self-confidence, and physical care by increasing their awareness of patients’ experiences and understanding them.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73094261","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":"Prevalence of Birth Injury and Its Determinants Factors in West Iran in 2020 - 2021","authors":"B. Basiri, Maryam Shokouhi Solgi, Mohammad Kazem Sabzehi, F. Eghbalian, S. Nasrolahi, Nasrin Jiriaee, N. Pezeshki, Kiana Kimiaie Asadi","doi":"10.5812/msnj-133627","DOIUrl":"https://doi.org/10.5812/msnj-133627","url":null,"abstract":"Background: Birth injuries occur during the birth process. The progress made in birth care and prenatal diagnosis has reduced the prevalence of birth injuries around the globe. Objectives: This study aimed to determine the prevalence of birth injuries and their determining factors in Hamadan Fatemieh Hospital, 2020 - 2021. Methods: In this case- control study, all live births between 2020 and 2021 were examined on the first day of birth. In the case of detecting any birth injury, the cases were categorized by injury type and were recorded on a pre-designed form along with the risk factors. An equal number of neonates with no birth injuries were also examined for the same risk factors. Independent test and chi-square test was used to assess in two groups. The results were analyzed using SPSS version 16. Results: During the study, 66 birth injuries were recorded among 5,592 births (incidence rate 11.8 per 1,000 live births). Proportion incidence of birth injuries were caput succedaneum (28.8%), cephalohematoma (22.7%), ecchymosis (9.1%), subgaleal hemorrhage (7.6%), hypoxic-ischemic encephalopathy (7.6%), Erb’s palsy (6.1%), abrasion and subconjunctival hemorrhage (3%), and laceration and humerus fracture and clavicle fracture (1.5%). Control group was included 65 neonates without any types of birth injury whom matched with cases in gestational age and weight. According to findings of two groups, these factors lower gestational age, lower Apgar, delivery method (vaginal), and responsible person for delivery significantly related with incidence of birth injuries (P-value < 0.05). Conclusions: The most prevalent birth injury in Fatemieh Hamadan Medical Training Center was soft tissue injuries, that course training should be provided for health workers.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74956788","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":"Effect of mHealth Training on Treatment Adherence in Hemodialysis Patients","authors":"Benyamin Saadatifar, S. Sharifi, Hamed Faghihi, Narjeskhatoun Sadeghi Googhary","doi":"10.5812/msnj-134851","DOIUrl":"https://doi.org/10.5812/msnj-134851","url":null,"abstract":"Background: Technological advancements and ease of communicating with and educating patients with kidney failure using various technologies have facilitated the achievement of treatment goals. Objectives: The present study aimed to examine the effect of mHealth training on treatment adherence in hemodialysis patients in Zahedan. Methods: This quasi-experimental study was conducted on 80 hemodialysis patients admitted to teaching hospitals in Zahedan in 2022. The participants were selected using convenience sampling and were divided into two intervention and control groups by allocation with permutation blocks. In addition to routine training, the participants in the intervention group received mHealth training in five areas of treatment adherence using a smartphone application (My Dialysis) developed by the researcher. The participants in the control group received only routine training. The data were collected by a demographic information form, the Media Literacy Questionnaire, and the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) in both groups before and three months after the intervention. The collected data were analyzed with SPSS (version 26) using the paired and independent samples t-test, chi-square test, and analysis of covariance (ANCOVA) at the significance level of less than 0.05 (P < 0.05). Results: The mean treatment adherence score for the patients in the control group increased from 1011.87 ± 150.96 before the intervention to 1110.62 ± 86.95 after the intervention, showing a significant increase (P < 0.001). Besides, the mean treatment adherence score for the patients in the intervention group increased significantly from 1067.50 ± 122.24 before the intervention to 1161.25 ± 49.98 after the intervention (P > 0.001). The results of ANCOVA to control for the significant effect of the pretest scores and the disease duration showed that the patients' mean treatment adherence scores in the two groups significantly differed after the intervention (P < 0.05). Conclusions: This study confirmed the significant positive effects of mHealth training on the treatment adherence of dialysis patients. Thus, considering the effectiveness of routine training, mHealth training can be used with routine training in treatment programs for hemodialysis patients to improve their treatment adherence.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80826113","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 Blood Groups in Health Anxiety, Marital Adjustment, and Quality of Life in Nurses","authors":"Asiyeh Gordahani, Bahman Kord Tamini","doi":"10.5812/msnj-130349","DOIUrl":"https://doi.org/10.5812/msnj-130349","url":null,"abstract":"Background: This study aimed to determine the effect of blood groups on dyadic adjustment, quality of life, and health anxiety in nurses. Methods: In this causal-comparative research, 200 married nurses working in the health care centers of Iranshahr City were selected by simple random sampling using Cochran's sample size formula in 2019. Data were collected using Spinner's marital adjustment questionnaire, War and Sherborn's quality of life questionnaire, and Salkovskis' health anxiety inventory. Results: To investigate the difference among the groups, SPSS was applied, and multivariate and one-way analyses of variance were run. Among the subscales of dyadic adjustment, only the mean score of dyadic cohesion was higher in blood group A than in groups B and AB. Among the subscales of life quality, the mean score of affective role play was higher in blood group A than in groups B and AB, the mean score of social function was lower in blood group B than in blood group O, and the mean score of general health was higher in blood group A than in group B. However, the mean score of health anxiety was lower in blood group A than in blood group B. Conclusions: Given the relationship between health anxiety, marital compatibility, and quality of life with blood types among married nurses, the present study results can help increase people's awareness about at-risk blood types. As a result, vulnerable groups can be screened and trained to improve their lifestyles, healthy behavior, and environment to live a better life.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85546049","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":"Clinical Competence and Clinical Performance of Nurses: A Cross-Sectional Study","authors":"Naeimeh Eshraghi Arani, Mohsen Adib Hajbaghery, Ismail Azizi Fini","doi":"10.5812/msnj-132816","DOIUrl":"https://doi.org/10.5812/msnj-132816","url":null,"abstract":"Background: In organizational analysis, competence and performance are fundamental issues. To ensure the quality of ‎nursing care, it seems essential to evaluate nurses’ clinical competence (CC) and clinical performance (CP) as the largest group ‎of professionals in the healthcare system. Objectives: This study aimed to examine the ‎CC and CP of nurses and other related factors. Methods: This cross-sectional study involved 220 nurses from various wards of Shahid Beheshti hospital in Kashan, Iran, in 2020. The samples were randomly selected based on the quota assigned to each section (coin toss). Then, 220 selected nurses filled out the CC questionnaire by self-reporting, and among them, the performance of 50 nurses was observed randomly (tossing a coin) in an entire work shift. The data collection tools included a personal information questionnaire and a checklist ‎for evaluating CC and CP. The data were analyzed using SPSS software (version 16; SPSS Inc., Chicago, IL, USA). Data analysis was carried out using descriptive statistical ‎methods, t-tests, analysis of variance, and Spearman and Pearson correlation coefficients. A P-value < 0.05 was considered statistically significant in all tests. Results: The mean age of the participants was 31.15 ± 6.26 years. Moreover, the participants’ mean scores of work experience and work experience in the current ward ‎were 7.57 ± 5.73 and 4.02 ± 3.88 years, respectively. The nurses’ mean scores of CC and CP were 80.79 ± 12.09 (out of 100) and 70.30 ± 11.94 (out of 100), respectively. Female subjects had a significantly higher mean score in terms of CC than male subjects. Additionally, ‎married nurses had a higher mean score than single nurses (P < 0.05). Nurses in the critical care wards and ‎emergency wards scored the highest (89.09 ± 12.09) and lowest (76.39 ± 12.65) regarding CC, ‎‏respectively, ‏which was statistically significant (P < 0.05). Furthermore, nurses with official employment had the ‎highest mean CC score; nevertheless, nurses with designated employment had the lowest mean CC score, which was statistically ‎significant (P < 0.05). According to the correlation test, nurses’ CC and CP were ‎also associated with age, marital status, work experience in the current ward, and type of employment (P < 0.05).‎ Conclusions: The CP and CC of the nurses participating in this study were satisfactory. Regarding the relationship between the CP score with marital status, workplace sector, employment status, age, ‎general work experience, and current work experience, it is suggested to consider the aforementioned ‎variables in programs for the improvement of nurses’ CP.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84014961","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":"Residual Gallbladder Stones After Cholecystectomy: A Case Report","authors":"M. Hashempour, Fatemeh Bagheri, Maryam Baniaqeel, Tayebeh Azarmehr, Abdalreza Fazel, Fatemeh Pouladkhay","doi":"10.5812/msnj-134652","DOIUrl":"https://doi.org/10.5812/msnj-134652","url":null,"abstract":"Introduction: Cholecystectomy is one of the most common surgeries in the world. The gallbladder is removed due to acute or chronic cholecystitis, obstruction of the bile duct, or residual stones. In some cases, part of the gallbladder may remain in place for various reasons, including lack of access and visibility. Case Presentation: In this study, we introduced a 41-year-old male patient who, after subtotal laparoscopic cholecystectomy, showed residual symptoms of the gallbladder and underwent laparoscopic surgery to remove the remnants. Conclusions: Performing subtotal cholecystectomy surgery involves a lot of complications and costs due to the possibility of recurrence and the need for re-surgery, which should be minimized.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83792239","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":"Environmental Challenges to the Clinical Supervision of Nursing Instructors","authors":"Mehdi Rezvani Amin, Z. Vanaki, Robabeh Memariean","doi":"10.5812/msnj-134143","DOIUrl":"https://doi.org/10.5812/msnj-134143","url":null,"abstract":"Context: Nursing students must have the minimum necessary competencies to enter the nursing profession, and supervision in clinical education is one of the critical strategies to improve students' clinical skills. Clinical supervision in clinical education for nursing students leads to developing the desired standards in patient care. Accordingly, as was the objective of this study, an awareness of the challenges facing nursing instructors' clinical supervision can help improve the effectiveness of clinical supervision. Methods: This qualitative study was conducted using a conventional content analysis approach. The participants were 18 individuals, including 11 instructors, three students, and four experienced nurses, who were selected using purposive sampling. The sampling process continued until data saturation. The data were collected using semi-structured interviews and analyzed via the conventional content analysis approach. Results: Clinical supervision in nursing education is influenced by a non-constructive setting, which is characterized by (1) student overcrowding, (2) clinical education with limited equipment, (3) negative attitudes in the clinical setting, (4) physician-oriented education, and (5) the inefficiency of the education-treatment system to support students. Conclusions: Non-constructive supervisory settings disrupt the instructor's performance as a supervisor and increase the complexity of clinical supervision. Thus, recognizing the challenges in the environment and solving them by educational managers can pave the way for the effective implementation of clinical supervision in nursing education.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83930109","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":"Effect of Home-based Pulmonary Rehabilitation Program on Anxiety and Depression in COVID-19 Patients","authors":"Fahimeh Hashemi, Atena Samarehfekri, Shayan Vafaei, H. Mirzaei, Niloofar Rashidipour, Mozhgan Taeby, M. Sadeghi","doi":"10.5812/msnj-129612","DOIUrl":"https://doi.org/10.5812/msnj-129612","url":null,"abstract":"Background: Respiratory failure caused by pneumonia is the leading cause of death in coronavirus disease 2019 (COVID-19) patients; furthermore, anxiety and depression caused by this disease and its complications, as the most common psychological disorders might harm the mental health of COVID-19 patients. Objectives: This study aimed to look into the effect of a home-based pulmonary rehabilitation (HBPR) program on anxiety and depression in COVID-19 patients (severe acute respiratory syndrome). Methods: This randomized clinical trial was conducted on 70 COVID-19 patients in Kerman, Iran, in 2021, randomly allocated into 2 equal groups of control (n = 35) and intervention (n = 35). In the control group, the patients received only routine post-discharge care, and in the intervention group, the patients received HBPR procedures based on the “Guide to Restoring Movement COVID-19 Protocol” by John Hopkins University, the United States, that teaches to patients after discharge. The Hospital Anxiety and Depression Scale was used to determine anxiety and depression status and scores before and after 4-week procedures. Additionally, the chi-square, Fisher’s exact, and Mann-Whitney U tests were used to compare anxiety and depression status and scores between the 2 groups. P < 0.05 was considered statistically significant. Results: The median score of anxiety (5 vs. 14, P < 0.0001) and depression (6 vs. 10, P < 0.0001), 4 weeks after discharge from the hospital in the intervention group, was significantly lower than in the control group based on the Mann-Whitney U test (P < 0.0001). Conclusions: This rehabilitation procedure is effective in the reduction of anxiety and depression in COVID-19 patients and their pulmonary status. Therefore, it can be used as a treatment procedure for mental recovery in these patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83396854","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":"Assessment of Surgical Teams’ Teamwork Skills in Paediatric Surgery: A Cross-Sectional Study","authors":"Hamed Parnikh, R. Kalantari, Elham Alaei, Zahra Ahmadi Khajoogh, Seyedeh Fatemeh Nourani, Zahra Movahednia","doi":"10.5812/msnj-134001","DOIUrl":"https://doi.org/10.5812/msnj-134001","url":null,"abstract":"Background: The operating room is a high-risk environment in which practitioners with different educational backgrounds work together to provide safe care for surgical patients. The surgical team needs to use teamwork skills for safe performance and error prevention. Pediatric surgery is a very sensitive surgery type that needs special psychological skills. Objectives: This study aimed to assess surgical teams’ teamwork skills in pediatric surgery. Methods: This cross-sectional study was conducted on 154 surgical teams working in the pediatric operating rooms of two public hospitals in Shiraz, Iran, during the summer of 2021 using convenience sampling. The data were collected by the Mayo High-Performance Teamwork Scale. An operating room technologist collected the data by observing surgeries. Descriptive statistics were used for the analysis of the data. The data were analyzed using SPSS software (version 22). Results: The mean value of the teamwork score was 1.57 ± 0.20 (out of 2). The total teamwork score was 25.20 ± 3.31 (out of 32). The majority of items had a score of more than average. The team members had the highest score in recognizing a leader. The studied surgical teams had low scores in verbalizing their activities and repeating back the instructions. Conclusions: The overall teamwork score in the studied teams in the pediatric operating rooms was at an acceptable level. However, the studied teams did not do well in team communication behaviors. Interventions, such as educating, standardizing communications, and implementing a pediatric surgical safety checklist, can improve team communication skills.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84154323","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 Effect of the Family-Centered Empowerment Model on Family Functioning in Type 1 Diabetic Children: A Quasi-Experimental Study","authors":"F. Ghaljaei, Moeinoddin Motamedi, Najmeh Saberi, A. Arbabisarjou","doi":"10.5812/msnj-134004","DOIUrl":"https://doi.org/10.5812/msnj-134004","url":null,"abstract":"Background: The family-centered empowerment model seems to be effective in empowering the patient and engaging family members in identifying the patient’s care needs and cooperating with the patient to control diabetes and its complications. Objectives: The present study aimed to evaluate the effect of the family-centered empowerment model on family functioning in children with type 1 diabetes. Methods: This quasi-experimental study was conducted on 80 primary caregivers of children with type 1 diabetes admitted to the diabetes clinic of Hazrat Ali Asghar (AS) Hospital in Zahedan, southeast Iran, in 2021. The diabetic children were selected using convenience sampling, and then the participants were equally classified by the random block method and were assigned to 2 groups (intervention and control groups). The data were collected using the family assessment device (FAD) and a demographic information form. Repeated measures analysis of variance (ANOVA) was used to assess the effectiveness of the training intervention by modifying the effect of some quantitative variables. The significance level in this study was set at 0.05 (P = 0.05) using SPSS version 26. Results: The mean age of the children was 8.95 ± 2.18 years in the intervention group and 9.10 ± 1.97 years in the control group (P = 0.75). The mean family functioning scores were not significantly different between the intervention and control groups before the intervention. However, the 2 groups showed a significant difference in terms of family functioning scores one and a half and 3 months after the intervention (P < 0.001). Conclusions: Teaching family members about disease control can be very useful because there is a strong connection between the family and the health status of its members. People, especially those with chronic diseases, are dependent on their family members, and even their attitudes are affected by the family.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83971430","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}