Journal of Fatima Jinnah Medical University最新文献

{"title":"Health Consequences of Smokeless Tobacco Substance Abuse among High School Adolescents","authors":"Fahad Ali Mangiro, Shafqat Ali Mangrio, Musarat Fatima","doi":"10.37018/piuk9961","DOIUrl":"https://doi.org/10.37018/piuk9961","url":null,"abstract":"Background: People currently reside in a smokeless tobacco -oriented society, and the threat of illicit substances is visible in every part of the world, including Pakistan. Moreover, Substance abuse has become a big problem in our society now days, therefore current study conducted on health consequences and prevalence of smokeless tobacco substance abuse among high school adolescents at taluka Qasimabad, Hyderabad, Sindh, Pakistan. \u0000Methodology: A cross sectional study conducted through predesigned survey form, in which 308 respondents were selected at random level from the full targeted sample of ninth and tenth grade pupils.. \u0000Results: the researcher revealed 22.9% of smokeless tobacco abuse among high school adolescents, in which male participants showed high prevalence as compare female. Furthermore, Areca nuts (57.1%), Safina sachet smokeless tobacco (19.2%), betel (14.6%), and Tara chewing smokeless tobacco (13.3%) had the highest percentage of smokeless tobacco used. In addition, data showed significant 0.05 association with smokeless tobacco abuse with health-related problem, i.e., throat pain, cough, mouth ulcer and headache, abdominal pain, loss of appetite and sleeping pattern disturb problem. \u0000Conclusion: It is revealed that High school adolescents abused smokeless tobacco substances and suffered worst health consequences.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115989216","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 Indices of Stress with Degree of Insomnia and Academic Performance in Undergraduate Medical Students","authors":"G. Nasir, Rehab Zafar, Hamza Hussain, Jawad Ahmad, Huzaifa Zafar, Arooma Aziz","doi":"10.37018/dskz2702","DOIUrl":"https://doi.org/10.37018/dskz2702","url":null,"abstract":"Background: Studying medicine is quite challenging as medical students have to work hours and hours which leads to continuous psychological stress and as a result decrease in sleep duration and quality. This study aims to determine the prevalence as well as the relationship of academic stress and pattern of sleeping problems among medical students. \u0000Subjects and Methods: In this cross-sectional study,128 non-obese medical students (18 -23 years old, BMI=18.5-24.9) are included and they are divided into 2 groups as non-stressed (K10≤19) and stressed (K10>19) medical students. We have used Kessler Psychological Distress Scale(K10), Pittsburgh Sleep Quality Index Scale (PSQI) and percentage of Professional Examination Result to assess stress, sleep quality and academic performance, respectively. \u0000Results: PSQI scores were less in the stressed[8.5(3─17)] as compared to non-stressed [6(1─17)] subjects (p=0.000) while academic score (percentage) in stressed [70.9(59─77)] was lesser than that of non-stressed[76.7(57─86)] subjects (p=0.000).Within the non-stressed subjects,K10 scores were positively correlated to PSQI scores (rho=0.294, p=0.018) and negatively correlated to academic score (rho= -0.319, p=0.010).Similarly in the stressed subjects there was a positive correlation between K10 and PSQI scores (rho=0.435, p=0.000) and a negative correlation between K10 and academic scores( rho= -0.251, p=0.045) \u0000Conclusion: This study suggests that both sleep quality and academic performance reduces with increase in stress among non-obese medical students. \u0000Keywords: stress, non-obese, medical students, sleep quality, academic performance.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129483462","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":"Chest Radiograph appearance of SARS-Cov-2 Infection: A Prospective Observational Study of Ambulatory Patients from a Field Hospital in a Middle-Income Country","authors":"Faryal Farooq, Wiqar Ahmad, Waris Ahmad, Arsalan Rahat Ullah, Baakh Nusrat, Muhammad Ijaz, Muhammad Usman Noor, Muhammad Aman","doi":"10.37018/etlb4789","DOIUrl":"https://doi.org/10.37018/etlb4789","url":null,"abstract":"Background: The ongoing COVID-19 pandemic has had a profound impact on both individuals and society, resulting in widespread illness and death, as well as a global economic downturn. In order to examine chest X-rays (CXRs) of ambulatory patients diagnosed with COVID-19 in a field isolation center, our aim is to determine the proportion of patients with normal versus abnormal chest radiographs. Moreover, in cases where abnormal findings are present on the CXR, our goal is to document the distribution and patterns of these abnormalities. \u0000Method: This prospective observational study was conducted on a cohort of 510 consecutive COVID-19 patients who tested positive for the virus and presented at the field isolation center between March 15th and May 15th, 2020. The study encompassed patients of all ages and both genders, with the exclusion criteria being patients requiring intensive care and those with unreadable CXRs due to technical limitations. The review of CXRs was performed by two certified radiologists, ensuring reliable and accurate assessments. Age, gender, and X-ray findings were noted. \u0000Results: Among the total of 510 patients included in the study, 463 (90.8%) were male, while 47 (9.2%) were female. The age range of the study population spanned from 12 to 64 years, with the majority falling within the 23-33 year age group. During the review of CXRs, 433 (84.90%) were classified as normal, while 77 (15.10%) were deemed abnormal. The most frequently observed abnormal pattern was ground glass opacification, accounting for 54.5% of the cases, followed by the reticular pattern at 45.5%. \u0000Conclusion: CXRs obtained from confirmed COVID-19 patients were normal in 85% of the patients. The most common abnormality seen in our study population was involvement of the lower lobes with patchy peripheral ground glass opacities or reticular shadowing, which was focal or multifocal in location.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130828126","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":"Level of Adherence to the Gold Strategy Document for the Management of Patients with Acute Exacerbation of COPD in Sahiwal","authors":"Muhammad Waseem, Muhammad Ameer Hamza, Saliha Virk, Aqsa Mukhtar, Hamza Saeed, M. Rafiq","doi":"10.37018/vbdj8042","DOIUrl":"https://doi.org/10.37018/vbdj8042","url":null,"abstract":"Background: Chronic Obstructive Pulmonary Disease (COPD) and its exacerbation are a major cause of pulmonology OPD and emergency visits in Pakistan. The objective of this study was to measure the level of adherence to the GOLD (Global Initiative for Chronic Obstructive Lung Disease) strategy document in the management of patients with acute exacerbation of COPD, in Sahiwal Punjab Pakistan. \u0000Methodology: This retrospective cross-sectional study comprised 480 patients with acute exacerbation of COPD. It was conducted in the Pulmonology Department DHQ Teaching Hospital, Sahiwal. The treatment given to these patients was compared to treatment guidelines mentioned in the GOLD strategy document for management of acute exacerbation of COPD. \u0000Results: Out of total 480 patients, 408 (85%) were males. 312 (65%) patients belonged to age group 50-70 years. 100% Gold strategy treatment standards were not followed in any patient. Five out of ten management steps were followed in all cases. While remaining five steps were followed variably. \u0000Conclusion: Overall adherence to the AECOPD management standards set by GOLD strategy document was not good. Improved physician’s awareness of guidelines and better adherence to treatment standards can improve patient care and outcome.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130472525","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 Recovery of Left Ventricular Function in Cases of Primary Angioplasty for Acute Myocardial Infarction","authors":"Muhammad Ramzan, Azhar Shehzad, Abdul Razzaq, Kashif Javed, Jahan Zaib, Ali Bin Saeed","doi":"10.37018/pmgf5081","DOIUrl":"https://doi.org/10.37018/pmgf5081","url":null,"abstract":"Background: This study is to investigate the recovery in left ventricular ejection fraction in the first 3 months after acute myocardial infarction treated with primary angioplasty. Left ventricular function (LVF) is the main predictor of long term prognosis in cases of survival after acute myocardial infarction. Study aims to investigate successful improvement in left ventricular ejection fraction after primary angioplasty. \u0000Methodology: A cross sectional study was conducted at Chaudhary Pervaiz Ellahi Institute of Cardiology, Multan from 1stSeptember 2019 to 30thSeptember 2020. Left ventricular ejection fraction was evaluated in 100 patients treated with primary angioplasty. Primary angioplasty is a very 1st treatment to re-open the locked artery after acute myocardial infarction. Ejection fraction was measured with Echocardiography Simpson’s biplane method at 3rd day and 3 months after angioplasty. Collected data was analyzed by using SPSS version 23. Chi square test was applied to see association among variables. \u0000Results: One hundred patients were included this study. The mean age and BMI of the patients was 59.45±6.01 years and 24.76±8.02 kg/m2, respectively. Male 70 (70%) and female 30 (30%) ratio was 7:3. LVEF at 3rd month was observed in ≤40% in 223 (23.0%) patients and >40% in 77 (77%) patients. Male patients were greater in number that’s why LVEF is also observed in greater in male gender (p<0.001). Increase in age also have no impact on procedure success (p>0.050). \u0000Conclusion: Results of this study reveal that primary angioplasty is successful treatment plan in patients with acute myocardial infarction. A significant recovery of left ventricular function during 3 months after primary angioplasty in acute Myocardial infarction (MI) patients was observed.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121758541","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":"Correlation in Academic Performance, Purpose in Life and Hopelessness among Final year Medical Students","authors":"Ammara Butt, Marryam Iftikhar, Zainab Mahmood","doi":"10.37018/zqsz5339","DOIUrl":"https://doi.org/10.37018/zqsz5339","url":null,"abstract":"Background: Student’s academic performance is the major concern for the educational sector because students are the future practitioners who will serve the society. The academic performance of students is a key feature in teaching. The present study aims to determine the relationship between academic performance, purpose in life and hopelessness among final year MBBS students, by taking hopelessness as predicting variable. \u0000Methodology: A Correlational study was conduct at Fatima Jinnah Medical University, Lahore Pakistan. A total  no. of 240 final year medical students were included by using convenient sampling technique and they were administered Purpose in Life (PIL) Scale and Beck’s Hopelessness Scale (BHS) along with demographic details. The academic performance of students was measured through 4th year academic scores. Hopelessness was taken as independent variable (IV), while, academic performance and purpose in life served as dependent variables (DVs). \u0000Results: The mean age of students was 22.5 years. Results found negative correlation between hopelessness and academic performance (p<0.01), as well as a negative correlation between hopelessness and purpose in life (p <0.01). Hopelessness negatively predicted academic performance (β= -.19, p<.01) and purpose in life (β= -.72, p<.001) among students. Total 25% students were in the normal range of hopelessness, 45.4% students scored in mild range, 23.8% students were in the moderate category, while 5.8% students were found in the severely hopeless category. \u0000Conclusion: The study concluded that hopelessness does not only predict purpose in life negatively among students but also affect their academic performance. A wide range of students were found hopeless therefore, various interventions for the prediction of hopelessness in various academic institutes should be made by involving appropriate educational and administrative measures.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130485318","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":"Psychological Behavior and Compliance of the General Population with Facemasks during the COVID-19 Pandemic: Implications for the Future","authors":"Samreen Misbah, Shiza Maheen, Memoona Mumtaz, Yumna Rubab","doi":"10.37018/rqvw9508","DOIUrl":"https://doi.org/10.37018/rqvw9508","url":null,"abstract":"Background: Globally people have succumbed to viral infections that posed a stupendous threat. Community wearing of facemask helped lowering the incidence of COVID-19. The objective was to determine the public opinion regarding prolonged mask-wearing practice, and to find out the behavioral differences as pertinent compensations for not wearing that may help combat pandemics because of emerging infections. \u0000Methodology: This cross-sectional study carried out in the outpatient departments of Military Hospital (MH) Rawalpindi, Pakistan from January to June 2021 after ethical approval. Participants selected by non-probability convenience sampling technique of different residential, economic and educational backgrounds, above 16 years of age, from both genders to give their opinion on a validated questionnaire, “Multidimensional face mask perceptions scale” with eight domains. \u0000Results: Among 175 participants, almost 81.7% participants were of the view that when they do not wear mask it is because facemasks get overheated and disrupt the breathing, 60.6% adopted compensation ways by avoiding people and 45.7% considered its wearing a hassle. Female participants felt more uncomfortable by disrupted breathing (p =0.029), male participants reflected about value of independence (p<0.001), and participants from rural area thought a difficult access to get facemasks (p =0.003). \u0000Conclusion: The most likely reason for not wearing mask among participants was uncomfortable breathing. The other reasons includes adopting social distancing guidelines as a compensatory measure, finding facemask wearing practice a hassle, interference with freedom and access issues by rural population. Designing and implementing awareness sessions may halt such spread of pandemics because of emerging infections.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123150393","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":"Persistently Elevated Parathyroid Hormone Level after Curative Parathyroidectomy in Patients with Primary Hyperparathyroidism","authors":"T. Ahsan, Saima Ghaus, Khawaja Mohammad Inam Pal, Uzma Erum, Rukhshanda Jabeen","doi":"10.37018/qwuz3082","DOIUrl":"https://doi.org/10.37018/qwuz3082","url":null,"abstract":"Background: Persistent elevation of parathyroid hormone (PPTH) levels following curative parathyroidectomy is a dynamic & multifactorial process. This study was designed to study the frequency of persistent hyperparathyroidism in our patients and to identify the potential causal factors for persistent PTH elevation following parathyroidectomy. \u0000Methodology: The study included prospectively collected data on post-operative patients of primary hyperparathyroidism who underwent parathyroidectomy from 2004-2018. Data was analyzed by SPSS version-21. For descriptive statistics, frequency and percentages were calculated, while mean ±standard deviation were calculated for age, duration of disease, pre-operative and post-operative biochemical parameters, like serum PTH, calcium and vitamin D levels. \u0000Results: A total of 11 (39.3%) patients, were diagnosed as persistent hyperparathyroidism, out of the 30 patients, who underwent parathyroidectomy. All patients were female with a mean age of 45.27+17.2 years and a mean duration of symptoms of 21.3 months. The mean post-operative PTH level, vitamin D and calcium were 154.04±78.64 pg/ml, 22.28±13.79 ng/ml 9.46±0.79 mg/dl, respectively. Fluctuation of PTH hormone in relation to erratic vitamin D intake was reported in 8 patients, and recurrent parathyroid adenoma was reported in three patients, which was subsequently re-operated. \u0000Conclusion: Adequate vitamin D supplementation is essential in the pre and post-operative period to prevent persistent parathyroid stimulation and possible dysregulation. Surveillance for recurrence of hyperparathyroidism should be maintained long term.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134176330","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":"A study of morphological variations of fissures and lobes of formalin fixed cadaveric lungs","authors":"Farhana Jafri, A. Zahid, Javeria Ali","doi":"10.37018/zlvt6051","DOIUrl":"https://doi.org/10.37018/zlvt6051","url":null,"abstract":"Background: Variation of morphology of lung fissures and lobes affects the interpretation of results of radiological examination as well as line of action in cardiothoracic surgical procedures. A research was done to find out the incidence of variations of fissures and lobes in embalmed cadaveric lungs. \u0000Materials and methods: This is a cross sectional study. All the formalin fixed lung specimens present in dissection halls and museums of the Anatomy Departments were observed for any abnormal fissures that are adding accessory lobes to lungs. Data was entered and analyzed by using SPSS 22.0. Descriptive analysis was applied by using frequencies and percentages for qualitative variables. \u0000Results: Total 80 formalin-fixed specimens of lungs were examined and a total of 29 (36.25%) (%) were found to have incomplete fissures. It was observed that 14 (17.5 %) out of 80 lungs had incomplete oblique fissures, and out of these 6 (17.65%) were found in right lungs and 08 (19.05%) were present in left lungs, whereas 15 (39.47%) right lungs showed incomplete horizontal fissure. Among 80 lungs, 6 (7.5%) presented unusual accessory fissures and lobes, whereas 5 (14.7%) showed absent horizontal fissure reducing the number of lobes to two in right lung specimen. \u0000Conclusion: There is a prevalent incidence of incomplete horizontal fissure that must be kept in mind when investigating and treating any lung pathology.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125952818","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":"Delayed speech in children of working and non-working mothers in Lahore, Pakistan: Prevalence and associated factors","authors":"Robina Zaib, M. Yaqoob, Nayab Iftikhar, E. M. Qureshi, Atia Aur Rehman","doi":"10.37018/grmx3731","DOIUrl":"https://doi.org/10.37018/grmx3731","url":null,"abstract":"Background: Before going to school 2-3% of children have language problems and 3-6% have speech delays. This study was carried out to determine the prevalence of delayed speech in children of working and non-working mothers and to determine if speech and language development in children are affected by the working status of the mothers. \u0000Subjects and methods: This cross-sectional study was conducted at Mayo Hospital, Services Hospital, Sheikh Zaid Hospital, Lahore College for Women University, and the University of Lahore, Pakistan. A total of 288 mothers were recruited. Among them, 144 were working women (aged 25-40, working hours 6-8 for at least 5 days a week), including all professionals, teachers, doctors, and job holders. The other group included 144 non-working women (aged 25-40 years) having both male and female children from 2 to 5 years of age (with normal developmental milestones mean age of 3.5 years). Data were analyzed using SPSS. \u0000Results: The results showed that 44 (30.6%) children of working women and 40 (27.8%) children of non-working women had delayed speech. The overall prevalence of delayed speech in children was 29.1%. No significant relationship was found between the working status of mothers with speech delay. The socioeconomic parameter (Kuppuswami scale) of the study revealed that 29% of delayed speech children (late talkers) belonged to the upper class, while 65.5% belonged to the middle class. Of delayed speech children 41.7% lived in a nuclear family and 58.3% in a joint family system. A significant relationship between delayed speech was seen with gender, birth order, social class, and the schooling status of the child. \u0000Conclusions: Delayed speech is significantly related to gender, birth order, and schooling status. The working status of mothers plays no significant role in the language and speech development of children in the current study.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127873260","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}