Pediatric emergency care最新文献

{"title":"Association Between Early Bedside Clinical Findings and Need for Organ Support or Mortality in Critically Ill Children: A Multicenter Study.","authors":"Yolanda Ballestero, María T Leonardo, Imanol Urreta, Borja Santos, Sara Andérez, Santiago Mintegi","doi":"10.1097/PEC.0000000000003731","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003731","url":null,"abstract":"<p><strong>Objectives: </strong>To identify early bedside clinical predictors of the need for organ support and mortality among critically ill children presenting to pediatric emergency departments (EDs).</p><p><strong>Methods: </strong>We conducted a prospective, registry-based, multicenter observational study across 21 pediatric emergency departments endorsed by the Spanish Society of Pediatric Emergencies. Critically ill children evaluated on the 4th, 14th, and 24th days of each month between February 2021 and July 2024 were included. Critical illness was defined as pediatric intensive care unit admission or advanced airway or circulatory intervention in the ED. The Pediatric Assessment Triangle (PAT) was recorded at arrival. Multivariable logistic regression was used to identify factors associated with severe clinical outcomes and mortality. Model discrimination was assessed using the area under the receiver operating characteristic curve (AUC).</p><p><strong>Results: </strong>We included 412 critically ill children; 63 (15.3%) had severe clinical outcomes, and 12 (2.9%) died. Abnormal circulation and appearance when evaluating the PAT and abnormal systolic blood pressure were independently associated with severe clinical outcomes (AUC: 0.75; 95% CI: 0.68-0.82). Prior pediatric intensive care unit admission and abnormal appearance and abnormal circulation when evaluating the PAT were independently associated with mortality (AUC: 0.85; 95% CI: 0.76-0.95).</p><p><strong>Conclusions: </strong>Structured bedside assessment at ED presentation may provide clinically meaningful prognostic insight, supporting earlier prioritization and escalation of care for critically ill children, pending external validation.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Childhood Opportunity Index and Pediatric Emergency Department Utilization of Youth With Experiences of Trafficking: A National Multicenter Retrospective Cohort Study.","authors":"Preeti Panda, Yaowei Deng, Anastasia Lynge, Andy Forest, Bella Triolo, Andrea Fang, Victoria Ward, Ewen Wang, Jennifer Newberry, Maya Mathur, Anisha Patel","doi":"10.1097/PEC.0000000000003737","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003737","url":null,"abstract":"<p><strong>Objective: </strong>To understand associations between the Child Opportunity Index (COI), a neighborhood-based measure of resources that influence child health and development, and pediatric ED utilization among youth with experiences of trafficking in the United States, as well as to describe their range of COI, sociodemographic characteristics, and pediatric ED utilization.</p><p><strong>Methods: </strong>This was a retrospective, observational, cohort study. We identified (by ICD-10 code) youth with experiences of trafficking who presented to pediatric EDs across 50 US children's hospitals between January 2018 and February 2023 within the Pediatric Health Information System database. Descriptive analyses and multivariate regression were performed.</p><p><strong>Results: </strong>We identified 908 youth with experiences of trafficking who presented to pediatric EDs. Among them, 55% (n=499) were from neighborhoods with Very Low and Low COI, while 45% (n=409) were from neighborhoods with Moderate to Very High COI. Mental health diagnoses were common (n=584, 65.3%), and mental health, child abuse, and physical trauma were the top diagnosis categories for ED visits. Low-resource intensity visits were uncommon (12.8%). One-third of patients had an ED visit in the year prior. We did not find major statistically significant associations between COI and hospital utilization.</p><p><strong>Conclusions: </strong>In this cohort of youth with experiences of trafficking, all levels of COI and a wide range of visit acuity levels were represented. Further study is needed to better understand the prevalence and health needs of youth with experiences of trafficking who receive ED care, to develop effective screening and intervention programs to support these youth.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human Factors-Driven Optimization of Pediatric Resuscitation Workflow Using Integrated Color-Coded Systems: A Randomized Crossover Study.","authors":"Manal A Halwani, Abdullah A Bakhsh","doi":"10.1097/PEC.0000000000003742","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003742","url":null,"abstract":"<p><strong>Aim: </strong>This study evaluated whether a human factors-driven, integrated, color-coded resuscitation system that combines equipment standardization and prefilled-medication cognitive aids improves workflow efficiency and accuracy compared with a conventional crash cart during simulated pediatric resuscitations.</p><p><strong>Methods: </strong>A prospective, randomized, crossover simulation study was conducted with 28 health care professionals. Each team participated in 2 pediatric resuscitation scenarios using either the SCC or the CCCC in random order. All sessions were video-recorded to measure equipment retrieval and medication preparation times. Statistical comparisons were made using paired statistical tests appropriate for crossover designs, with significance set at P<0.05.</p><p><strong>Results: </strong>Use of the CCCC significantly reduced the time to locate airway devices (13.1±6.9 vs. 41.7±22 s, P<0.001) and airway adjuncts (13.8±11.9 vs. 30.8±17.4 s, P=0.03). Prefilled color-coded syringes significantly reduced medication preparation time (median: 16 vs. 19 s; absolute reduction 3 s, P=0.04), with no dosing errors observed. Teams using the CCCC demonstrated more consistent workflow and fewer procedural delays.</p><p><strong>Conclusions: </strong>In this randomized crossover simulation study, the integrated color-coded system reduced equipment retrieval and medication preparation times for selected pediatric resuscitation tasks. These findings are limited to the simulation setting and should be interpreted in light of the Broselow framework's use for both cart organization and assessment of correct equipment selection. Further research is needed to evaluate the feasibility of color-coded prefilled syringes and determine whether the observed workflow benefits translate to real-world pediatric patient care.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous Pulse Oximetry Analysis to Predict Outcomes in Young Infants With Bronchiolitis Presenting to the Emergency Department.","authors":"Son H McLaren, Murad Megjhani, Carlos A Camargo, Todd A Florin, Cheng-Shiun Leu, Asuncion Mejias, Rakesh Sahni, Tammam Alalqum, Daniel Fenster, Daniel A Green, Marlin V Morel, Oliver Simpson, Peter S Dayan, Soojin Park","doi":"10.1097/PEC.0000000000003735","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003735","url":null,"abstract":"<p><strong>Background: </strong>Predictive analytics using continuously measured vital signs from bedside monitors has improved outcomes in critically ill children. We investigated whether continuous pulse oximetry data collected during emergency department (ED) evaluation can identify infants ≤90 days old with bronchiolitis at low risk of respiratory deterioration.</p><p><strong>Methods: </strong>We conducted a single-center retrospective cohort study of infants ≤90 days old with bronchiolitis who presented to a tertiary-care pediatric ED from November 2021 to November 2025. Infants were identified using the ICD-10 code with manual eligibility confirmation. Heart rate and oxygen saturation features were generated from continuous pulse oximetry during the first 2 hours of ED evaluation. The primary outcome was respiratory deterioration within 24 hours of ED arrival, defined as initiation of high-flow nasal cannula, continuous/bilevel positive airway pressure, or invasive mechanical ventilation. Data were split into derivation and validation cohorts (70/30, stratified by outcome). An L2-regularized logistic regression model estimated the probability of respiratory deterioration, with a classification threshold selected to prioritize sensitivity.</p><p><strong>Results: </strong>Of 290 infants meeting clinical eligibility, 117 had sufficient continuous pulse oximetry data; 57 (49%) had respiratory deterioration. The primary model included 3 features: the median and interquartile range (IQR) of heart rate, and oxygen saturation IQR. In the validation cohort, the model showed moderate sensitivity (0.78, 95% CI: 0.58-0.95) and fair discrimination (AUROC=0.78, 95% CI: 0.62-0.93).</p><p><strong>Conclusion: </strong>We derived and validated a model using data from continuous pulse oximetry to identify low-risk infants with bronchiolitis. With further refinement and integration into monitor design systems, this approach may enhance clinical utility of continuous pulse oximetry.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and Disparities in Pediatric Ophthalmologic Emergency Department Visits in New Jersey, 2020-2024: A 5-Year Population-Based Analysis.","authors":"Sedra T Alabed, Juan M Riestra, Albert S Khouri","doi":"10.1097/PEC.0000000000003736","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003736","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the volume, trends, and demographic disparities in pediatric ophthalmologic emergency department (ED) visits in New Jersey (NJ) from 2020 to 2024.</p><p><strong>Methods: </strong>This retrospective cross-sectional study used aggregate data from the NJ State Health Assessment Data (NJSHAD). We identified ED encounters among patients aged 0 to 19 years with primary ophthalmic ICD-10-CM diagnoses (H10, H00-H01, S05, H57.1, and T15). Temporal patterns were assessed using Pearson correlation and linear regression, with 2016 to 2019 used as a prepandemic reference. Demographic, payer, racial/ethnic rate, county, and workforce analyses were restricted to the 2020 to 2024 period.</p><p><strong>Results: </strong>A total of 88,271 ophthalmologic ED encounters were included from 2016 to 2024. Annual volume averaged 12,095 encounters during 2016 to 2019 and fell to 4607 in 2020, 61.9% below the prepandemic mean. Visits subsequently recovered, although 2024 volume remained 15.2% below the 2016 to 2019 mean. Conjunctivitis remained near 30% of its prepandemic mean in 2020 to 2021, while traumatic diagnoses recovered from 51.4% to 71.0%. During 2020 to 2024, 39,890 encounters accounted for 1.37% of pediatric ED visits; Medicaid was the primary payer in 52.1% of cases. Conjunctivitis visit rates were 7.78 times higher among Black non-Hispanic children and 5.13 times higher among Hispanic children than among White non-Hispanic children. County rates correlated with Medicaid enrollment (r=0.861, P<0.001).</p><p><strong>Conclusions: </strong>Pediatric ophthalmologic ED visits in NJ fell sharply during the COVID-19 pandemic and subsequently recovered toward prepandemic levels. Higher conjunctivitis encounter rates among Black non-Hispanic and Hispanic children and in counties with greater Medicaid enrollment suggest persistent disparities in access to outpatient eye care.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Essentials of Pediatric Emergency Medicine Fellowship: Clinical Updates From the Past Decade.","authors":"Ian D Kane, Andrea Fang, James A Meltzer, Heidi Werner, Adam B Johnson, Sing-Yi Feng, Anita A Thomas, Rashida Woods, Abigail M Schuh","doi":"10.1097/PEC.0000000000003740","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003740","url":null,"abstract":"<p><p>Ten years ago, a comprehensive series of articles was published in Pediatric Emergency Care detailing the state of pediatric emergency medicine (PEM) fellowship education. We intend to provide an update to the clinical elements of fellowship training, with a companion article to follow that will address the nonclinical domains. This article will summarize the core components of fellowship as mandated by the Accreditation Council for Graduate Medical Education (ACGME) and review significant changes and challenges to fellowship education that have occurred over the past decade. In light of upcoming modifications to fellowship education, including an increased focus on competency-based medical education and the addition of a 2-year, clinically oriented fellowship option, it is vital for stakeholders to be familiar with the core elements of PEM fellowship training as the curriculum is adapted to meet the needs of trainees and their patients.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Creative Cognition as a Risk and Resilience Factor for Burnout in Pediatric Emergency Medicine.","authors":"Naghma S Khan, Gerard J Puccio, Andrew N Jergel, Molly L Holinger, Claudia R Morris","doi":"10.1097/PEC.0000000000003723","DOIUrl":"10.1097/PEC.0000000000003723","url":null,"abstract":"<p><strong>Objectives: </strong>Burnout is common among pediatric emergency medicine (PEM) physicians, but the relationship between creative problem-solving (CPS) preferences and burnout is not well understood. This study examined associations between CPS mindsets and burnout in PEM.</p><p><strong>Methods: </strong>This cross-sectional study included PEM (attending physicians and fellows) from 3 emergency departments. Measures: Maslach Burnout Inventory-Human Services Survey for Burnout; FourSight for CPS preferences (clarifying, ideating, developing, implementing). The primary outcome was the association between burnout and CPS preferences, and the secondary outcomes were comparisons of burnout prevalence and CPS preferences in PEM compared with published norms.</p><p><strong>Results: </strong>Participation was 100%, with 96.7% providing complete data. Participants: female 58%; median age 41 years; 51% White, 23% Asian, and 83% married. High clarifying scores were associated with greater emotional exhaustion (EE; adjusted β = 0.67; 95% CI, 0.15 to 1.19), with a stronger association among women (adjusted β = 0.76; 95% CI, 0.03 to 1.48). Ideating was associated with higher personal accomplishment (PA; β = 0.31; 95% CI, 0.08 to 0.55). In univariate analysis, female sex (β = 5.03; 95% CI, 0.17 to 9.89) and educational debt (β = 5.46; 95% CI, 0.47 to 10.4) were each associated with higher EE. Compared with health care norms, PEM demonstrated higher PA scores (mean = 5.00; 95% CI, 4.84 to 5.15 vs. 4.30). PEM were more likely to show an implementing mindset (55% vs. 21%, P < 0.001) and less likely to show a Developing mindset (10% vs. 23%, P = 0.007).</p><p><strong>Conclusions: </strong>A clarifying mindset was associated with higher EE, particularly among women, while Ideating was associated with greater PA. CPS self-awareness and targeted training may offer novel strategies to mitigate burnout among PEM.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does End-of-Therapy-Anchored Follow-Up Bias Comparisons of Antibiotic Duration in Acute Otitis Media?","authors":"Ercan Yılmaz, Zeynep Yamancan Yılmaz","doi":"10.1097/PEC.0000000000003713","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003713","url":null,"abstract":"","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Disaster Preparedness at Rural and Critical Access Hospitals: A Mixed-Methods Study.","authors":"Anne Runkle, Michelle Moegling, Erica Popovsky, Anne Lakes, Anna Bowie, Leonardo Barrera, Steven E Krug","doi":"10.1097/PEC.0000000000003727","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003727","url":null,"abstract":"<p><strong>Objectives: </strong>Over 80% of pediatric emergency department (ED) visits in the United States occur outside of children's hospitals. Although previous studies have described gaps in pediatric readiness, few studies have focused on pediatric disaster preparedness at rural and critical access hospitals (CAHs). During periods of pediatric surge, CAHs may be forced to manage pediatric patients with delayed transfer times. This mixed-methods study, conducted by the Region V for Kids (RV4K) Pediatric Disaster Center of Excellence, elicited strengths and barriers to pediatric disaster preparedness in rural and CAHs.</p><p><strong>Methods: </strong>We conducted a qualitative study of clinicians from CAHs in the Health Resources and Services Administration (HRSA) Region 5. After completing a demographic survey, respondents were invited to participate in focus groups about pediatric disaster preparedness, followed by an open-response questionnaire about how RV4K can support rural and CAHs. Descriptive statistics were calculated. Focus group transcripts and questionnaire responses were analyzed using a constant comparative approach to identify themes.</p><p><strong>Results: </strong>Of the 41 survey respondents, 19 participated in focus groups. Most study participants worked at EDs seeing <1800 children per year, and less than half had pediatric inpatient capabilities. Few hospital disaster plans considered children. Four focus group themes emerged: strengths of staff and community, staffing limitations, and desire for targeted pediatric education resources and pediatric disaster plan development.</p><p><strong>Conclusions: </strong>Our study engaged directly with staff at rural and CAHs to gain insights about pediatric preparedness that will be used to develop resources specifically tailored to CAHs' unique clinical needs.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ESR and CRP Testing in an Urban Emergency Department: Should We Still Be Doing This?","authors":"Salih Demirhan, Mahmoud Ali, Betsy C Herold, David L Goldman","doi":"10.1097/PEC.0000000000003730","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003730","url":null,"abstract":"<p><strong>Objectives: </strong>Pediatricians in the Emergency Department frequently evaluate febrile children. To help identify the cause of fever and assess the severity of the underlying condition, practitioners often utilize erythrocyte sedimentation rate and C-reactive protein testing. While these markers of inflammation are deeply embedded in the practice of pediatrics, they were each developed more than 90 years ago, and their utility to current clinical practice is not well characterized.</p><p><strong>Methods: </strong>We conducted a 1-year retrospective study of children who underwent CRP and ESR testing at an urban Children's Hospital. We recorded and analyzed indications for testing, concordance between testing methods and metrics, including admission status and test performance, as reflected by sensitivity, specificity, and likelihood ratios.</p><p><strong>Results: </strong>ESR and CRP tests were frequently ordered in patients with clinically evident diagnoses. There were no cases of occult bacteremia, and patients with bacteremia typically had presentations indicative of bacterial infection. CRP was superior to ESR as a predictor of bacterial infection; however, the positive likelihood ratio was only 2.1. Combined testing was ordered for 39.4% of all CRP tests, and there was a high concordance (69.9%) between CRP and ESR testing. Combined testing offered limited incremental value for the detection of bacterial infections.</p><p><strong>Conclusions: </strong>CRP and ESR testing are currently overused in our Pediatric Emergency Department, providing limited diagnostic value while adding unnecessary hospital cost. Combined CRP and ESR testing provides limited incremental value. Stewardship of these testing modalities and an active reconsideration of how these tests are employed should be considered.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}