Rwanda Journal of Medicine and Health Sciences最新文献

{"title":"Psychology of Abortion: A Qualitative Exploration of Women’s Quality of Life after Termination of Pregnancy Service Provision","authors":"S. Musabwasoni, Gerard Nyiringango, Peace Uwambaye, Madeleine Mukeshimana, Eugene Ngoga, T. Uhawenimana, Priscile Musabirema, Laetitia Ishimwe Bazakare, Vincent Sezibera, D. Mukamana, Marie Klingberg-Allvin, Stephen Rulisa, O. Bazirete","doi":"10.4314/rjmhs.v7i1.9","DOIUrl":"https://doi.org/10.4314/rjmhs.v7i1.9","url":null,"abstract":"BackgroundAlthough safe abortion is a human right, some research indicates that abortion can be considered a life event that could trigger an adverse psychological reaction, including mental ill health, particularly in vulnerable women. Unplanned pregnancies and abortions affect women’s mental and physical health while increasing psychological risk; hence, measures are needed to improve the quality of life (QoL) of women post termination of pregnancy (ToP). The purpose of this study was to explore the psychological effects of abortion on women provided with this service in Rwanda, and factors surrounding QoL after service provision.MethodsAn interpretive description design was used. Focus group discussions were used to hear the voices of 30 women and girls who had sought ToP services. The six steps of interpretive description together with framework analysis guided the analysis.ResultsFrom responses provided by the participants with experience of ToP services five themes and six sub-themes were generated, (1) Ambivalence with mixed feelings and uncertainty, anger, wonder, and frustration; (2) Insecurity and abortion stigma, with judgement and inadequacy; (3) Personalized care with respectful care and dignity and self-reliance; (4) Lack of connection with relationships, coping, and a sense of belonging; (5) Wellness and preferences for care with hope and positive physical health. ConclusionThe lack of psychological support post ToP negatively affects QoL and indicates an opportunity to include a psychological support package in the ToP service provision, which is the predictor of positive mental health to improve QoL in Rwanda.Rwanda J Med Health Sci. 2024;7(1):116-130","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"23 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697412","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":"Exploring Perceptions about Enablers of Women’s Attendance and Adherence to the Recommended Antenatal Care Visits in Rwanda: A Qualitative Study","authors":"O. Tengera, P. Meharry, A. Nkurunziza, J. Rugema, Yolanda Babenko-Mould, Stephen Rulisa, Laetitia Nyirazinyoye","doi":"10.4314/rjmhs.v7i1.8","DOIUrl":"https://doi.org/10.4314/rjmhs.v7i1.8","url":null,"abstract":"BackgroundAntenatal care (ANC) helps ensure the best health conditions of the mother and foetus during pregnancy. However, achieving optimal ANC attendance and adherence to the World Health Organization (WHO) recommendations remains a global challenge, with significant disparities in attendance rates. A qualitative study was conducted exploring pregnant women's perspectives of various enablers to their attendance and adherence to recommended ANC visits in Rwanda. MethodsThis exploratory qualitative study involved 22 pregnant women attending ANC in four public health centres in the Eastern province, of Rwanda. An interview guide with semi-structured questions was used to gather information about the moderators of ANC attendance and adherence among pregnant women. Data were audio-recorded and transcribed verbatim, and thematic analysis was used to categorize themes under the five-level Social Ecological Model (SEM).ResultsEarly recognition of pregnancy, financial stability, and female participation in decision-making were identified as intrapersonal enabling factors of ANC attendance and adherence; spousal support was identified as an interpersonal enabling factor; community health workers, and community relationships as community enabling factors; availability and cost of ANC services as institutional enabling factors; and media campaign, community outreach as public policy enabling factors contributing to the pregnant women's attendance and adherence to ANC visits.ConclusionEnablers at multiple levels affect women’s attendance and adherence to ANC visits. It is essential to consider each level when implementing effective strategies to maximize ANC attendance and adherence to the WHO recommendations in order to improve maternal- foetal well-being in Rwanda.Rwanda J Med Health Sci. 2024;7(1):101-115","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"2000 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140718765","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":"Effectiveness of Smartphone Application “Gororokapp” for Type 2 Diabetes Patients’ Self-Management in Rwanda: A Randomized Controlled Trial","authors":"Chance Christian Ndahiriwe, Juliette Gasana, Jacques Nshimiyimana, Charlotte Bavuma, Emmy Bucyana, Cedrick Manirafasha, Jean de Dieu Bugingo, M. Tuyizere, Reverien Rutayisire, Samuel Ntakirutimana, Joanitah Kemigisha, Jonas Ruzirakuvuka, Maryse Umugwaneza, Jean Claude Habineza, L. Mukaruzima, Celestin Twizere, D. Tumusiime","doi":"10.4314/rjmhs.v7i1.6","DOIUrl":"https://doi.org/10.4314/rjmhs.v7i1.6","url":null,"abstract":"BackgroundType 2 diabetes has become a public health concern, representing more than 90%of all types of diabetes and affecting 536.6 million people worldwide in 2021. It isa disabling condition and is considered a major risk factor for developing chroniccomplication such as cardiovascular diseases if not well controlled. Studies haveshown that individuals with diabetes can make a positive impact on the outcomesof their disease by participating to their healthcare. Contextualized innovative andeffective applications are needed to facilitate individuals with diabetes to participateto their care.AimTo assess the effectiveness of Smartphone Application “GororokApp” in monitoringof glucose control among type 2 diabetes individuals.Materials & MethodsA Randomized Controlled Trial (RCT) was used to assess the effectiveness of smartphoneapplication (GororokApp) in monitoring of glucose control for self-management bythe patients with type 2 diabetes in Rwanda. Participants in intervention group usedthe GororokApp and recorded their blood glucose measurements and received healthcare advice remotely while the control group continued routine care. The participantswere followed up over a period of 12 weeks. The primary outcomes were glycatedhaemoglobin, and daily blood glucose measurements.ResultsAfter 12 weeks of follow up, the intervention and control, groups demonstrateddifference of changes in glycated haemoglobin; whereby in the intervention groupthe glycated haemoglobin reduced from 8.45±2.93 to 6.89±1.86 (p ≤ 0.001),whereas in the control group the glycated haemoglobin increased from 7.12±2.52 to 8.14±2.17 (p ≤0.001).ConclusionThe smartphone application “GororokApp” is effective in self-monitoring andmanagement of the daily blood glucose levels in intervention group to achievetreatment targets of blood glucose and glycated haemoglobin among individualswith type 2 diabetes.Rwanda J Med Health Sci. 2024;7(1):79-88","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"38 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732220","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":"Lived Experiences of Adolescents with HIV in Rwanda: A Phenomenology Study","authors":"Dieudonne Kayiranga, Darius Gishoma, Gallican Nshogoza Rwibasira, Eric Remera, Michael V Relf, D. Mukamana","doi":"10.4314/rjmhs.v7i1.5","DOIUrl":"https://doi.org/10.4314/rjmhs.v7i1.5","url":null,"abstract":"BackgroundHIV is a chronic disease with a potentially negative impact on quality of life.Globally, adolescents with HIV (AWH) face incredible challenges related to theirgrowth, social interactions, and well-being. The experiences and choices of AWHin Rwanda are poorly known.ObjectiveThe current study explored the lived experiences of AWH in Rwanda using aninterpretive phenomenological approach.MethodsA purposive and snowball sampling was used to recruit twenty AWH from fivehealth centers. A semi-structured interview guide was used to conduct in-depthinterviews from April to August 2022. All interviews were recorded, and field noteswere taken. The recorded interviews were transcribed verbatim, translated inEnglish, and analyzed using Interpretative phenomenological analysis (IPA).ResultsThree main themes and nine subthemes emerged from data: burden of HIV(existential crisis, experiences with stigma, keep it a secret), owning my story(awareness of having HIV, making decisions) and successful living with HIV(features of successful living, continuum of self-acceptance, behavioural impact,social interaction).ConclusionThe AWH face challenges related to HIV condition and develop strategies toovercome challenges that hinder their well-being. Results provide valuable insightsthat inform targeted interventions and support programs, ultimately promotingthe well-being of AWH.Rwanda J Med Health Sci. 2024;7(1):63-78","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140728719","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 about Vitamin D among General Population in Baghdad City","authors":"Hasanain Faisal Ghazi, Taqi Mohammed Jwad Taher, T. Hasan","doi":"10.4314/rjmhs.v7i1.7","DOIUrl":"https://doi.org/10.4314/rjmhs.v7i1.7","url":null,"abstract":"Background Globally and in Iraq, vitamin D insufficiency is becoming more of a problem. Knowledge is crucial in preventing deficiency and future consequences. The current study intends to investigate the general population's knowledge about vitamin D in Baghdad, Iraq.MethodsA cross-sectional online study including 1,011 residents of Baghdad, Iraq, was carried out. To choose participants, a non-probability convenience sampling method was applied. Knowledge questionnaires with 17 items were taken from earlier research. Fisher exact and Chi-Square were utilized to identify associations between the variables.Results The overall prevalence of good knowledge among participants was 74.3%. About 48.8% did blood tests before to check vitamin D levels. Around half of respondents (47.1%) did take vitamin D supplements before. The level of good knowledge among respondents was 74.3%. Multivariable logistic regression model showed that respondents taking vitamin d supplements had better knowledge (AOR; 2.241, 95 CI: 1.701-3.444). Conclusion People living in Baghdad have a good knowledge level about Vitamin D but more health education and promotion are needed to address specific issues like dietary sources and, the best season to get vitamin D as the majority did not know it. Rwanda J Med Health Sci. 2024;7(1):89-100","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"39 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140729421","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":"Risk Factors Associated with Preterm Birth at a Tertiary Teaching Hospital in Dar es Salaam, Tanzania: An Unmatched Case-Control Study","authors":"M. R. Njunwa, Helga Naburi, F. A. Al-beity","doi":"10.4314/rjmhs.v6i3.7","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.7","url":null,"abstract":"BackgroundPreterm birth contributes to significant neonatal and under-five mortality and morbidities. This study assessed the risk factors associated with preterm births at a tertiary teaching hospital in Dar es Salaam, Tanzania. MethodsCase-control study to compare risk factors of preterm birth amongst 140 women with preterm deliveries as cases and 280 women with term deliveries as controls. A structured interviewer-administered questionnaire was used. Univariate and multivariable logistic regression analyses were done using STATA version 17 software. ResultsThe proportion of preterm deliveries was 17.9%. Women with less than four antenatal visits were three times more likely to have a preterm birth than those with four or more attendances (aOR 3.6, 95% CI 1.95–6.57, P < 0.001). The odds of preterm birth increased among women who experienced antepartum haemorrhage (aOR 25.7, 95% CI 12.72–52.03, P < 0.001), pre-eclampsia/eclampsia (aOR 29.9, 95% CI 7.78–115.41, P < 0.001) and preterm membrane rupture (aOR 62.8; 95% CI 23.51–168.21, P < 0.001). Among multiparous women, short interpregnancy intervals, prior preterm birth, or stillbirth increased the odds of preterm birth.ConclusionPoor antenatal attendance, obstetric complications, and premature rupture of membranes were among the identified risk factors. All could be addressed by quality antenatal care. Rwanda J Med Health Sci 2023;6(3):335-345","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207106","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 Practices of Health Care Providers towards Disaster and Emergency Preparedness in Mtwara, Tanzania","authors":"Silvester Walles, Emmanuel Z. Chona, M. Ndile, Fatina B. Ramadhani","doi":"10.4314/rjmhs.v6i3.4","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.4","url":null,"abstract":"BackgroundOver the past decade, the magnitude and intensity of reported natural and human-made disasters have been rising globally with substantial mortality and long-term morbidity. ObjectivesTo assess the health care providers´ knowledge, attitude and practices towards disaster and emergency preparedness at Ligula Regional Referral Hospital in Mtwara, Tanzania.MethodsA descriptive and analytical cross-sectional study was conducted among 94 health care providers; and a stratified sampling technique was employed to recruit the participants. Bivariate and multivariable regression analyses were performed using IBM SPSS Statistics for Windows version 25.0 (IBM Corp, Armonk, NY, USA) to determine the association between independent and dependent variables. A P < 0.05 was considered statistically significant.Results More than half 50 (53.2%) and more than three-quarters 75 (79.8%) of the participants had adequate knowledge and positive attitude towards disaster and emergency preparedness respectively. Younger participants aged 20–29 years had 5.252 (95% CI 1.313–21.016) times higher odds of having adequate knowledge of disaster and emergency preparedness than the older groups. ConclusionsMore disaster and emergency preparedness training programs and clinical simulations are needed to enhance the competencies of health care providers in handling disastrous events efficiently.Rwanda J Med Health Sci 2023;6(3):303-314","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"50 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207166","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":"Quality of Life after Traumatic Spinal Cord Injury in Rwanda, the Impact of Personal and Contextual Factors: A Follow-Up Exploratory Study","authors":"Maurice Kanyoni, Nilsson‐Wikmar Lena, Phillips Joliana, David K Tumusiime","doi":"10.4314/rjmhs.v6i3.6","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.6","url":null,"abstract":"BackgroundTraumatic spinal cord injury (TSCI) affects quality of life (QoL) depending on the severity and access to rehabilitation. A good QoL is of paramount importance for TSCI survivors all over the world. ObjectiveTo assess the QoL of TSCI survivors after one year.MethodsAdults were included who by the time of injury were 18 years or above and registered in a previous epidemiological study. “The International Spinal Cord Injury Quality of Life” standard data set was used to collect data and assess overall QoL (range 0-30) and three domains: satisfaction with life as a whole, physical- and psychological health (range 0-10). A telephone interview was conducted with 58 participants. ResultsThe overall mean score of QoL was 13.12 (SD 7.17), satisfaction with life as a whole 3.91 (SD 2.73), psychological health 5.36 (SD 2.95), and physical health 3.84 (SD 2.59). Marital status significantly influenced overall QoL (P = 0.031) and its two domains; satisfaction with life as a whole (P = 0.037) and satisfaction with physical health (P = 0.022). Linear regression analysis showed that being married or widowed predicted poor QoL.ConclusionLow scores of overall QoL and its domains implying poor QoL and marital status may play a role, hence it is important to take it into consideration when treating patient with TSCI. Rwanda J Med Health Sci 2023;6(3):326-334","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207674","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":"Music as an Adjuvant Therapy in Postoperative Pain and Physiologic Parameters: Pre-Test, Post-Test Intervention Study","authors":"Leonidah Kwamboka Amaya, Anita Bella Collins, Nelson Mokaya Nyauma","doi":"10.4314/rjmhs.v6i3.3","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.3","url":null,"abstract":"BackgroundPoorly controlled postoperative pain remains a significant challenge. Music is a safe, inexpensive, non-invasive intervention that can be used in managing pain in surgical patients.ObjectivesTo evaluate effectiveness of music intervention as an adjuvant therapy in attenuating postoperative pain among patients with tibia/fibula fractures.MethodologyA cross-sectional pre-test, post-test intervention study design was utilized to conduct a study involving 20 tibia-fibula patients, divided equally into intervention and control groups. Self-selected music was administered for 20 minutes to the intervention group once on day-3 after surgery. Data was collected using a demographic questionnaire and Visual Analogue Scale (VAS).Data was analyzed using SPSS software version 29.0. Descriptive statistics analyzed continuous and categorical data. T-test compared means of physiologic parameters and pain levels in pre-and post-intervention. ANCOVA established the relationship between music and post-intervention pain levels.FindingsUse of music alongside conventional therapy significantly reduced pain in the intervention group than in the control group (P = 0.014). Music had no statistically significant impact on the physiological parameters.ConclusionMusic therapy is effective as an adjuvant therapy for pain management and can therefore reduce the use of analgesics among surgical patients.Rwanda J Med Health Sci 2023;6(3):290-302","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139197531","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":"Factors Associated with New HIV Infection among Adolescent Girls and Young Women in the City Of Kigali Rwanda","authors":"Beata Sangwayire, Michael Habtu, Raphael Ndahimana, Japheths Ogendi","doi":"10.4314/rjmhs.v6i3.2","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.2","url":null,"abstract":"BackgroundGlobally, HIV/AIDS continues to be a serious public health issue. In Sub-Saharan Africa, the incidence of new HIV infections among adolescent girls and young women (AGYW) is gradually rising. Despite efforts being made, the high HIV infection positivity rate of 5% in Kigali among adolescent girls and young women continues to be a cause for concern.Objective To assess factors associated with new HIV infection among AGYW in Kigali. MethodsThe study used a case-control design, whereby cases were AGYW confirmed to HIV positive, while controls were AGYW confirmed to be HIV negative. Using SPSS Version 26, bivariate and multivariable logistic regression analyses were performed to identify HIV infection-associated factors. ResultsThe majority 748 (96.6%) of the study participants were in the age category of 20-24 years and 487(63.2%) were single. Multivariable logistic regression model showed the following factors as independent predictors: being employed (aOR: 1.43; 95% CI: 1.02–2.03), being resident of Kicukiro (aOR: 1.59; 95% CI: 1.07–2.36), history of commercial sex worker (aOR: 2.04; 95% CI: 1.29–3.22) and having multiple sexual partners (aOR: .05; 95% CI: 1.41–2.98.ConclusionPublic health interventions from key policymakers are needed to strengthen public health strategies of commercial sex workers to reduce new HIV infection including raising awareness through education for HIV Prevention.Rwanda J Med Health Sci 2023;6(3):280-289","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139200391","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}