Rehabilitacja Medyczna最新文献

{"title":"Physiotherapy in diastasis of the rectus abdominis muscle for woman during pregnancy and postpartum – a review paper","authors":"D. Gruszczyńska, A. Truszczyńska-Baszak","doi":"10.5604/01.3001.0013.5015","DOIUrl":"https://doi.org/10.5604/01.3001.0013.5015","url":null,"abstract":"Introduction: Diastasis recti abdominis (DRA) is defined as the increase between two abdominal rectal muscles located on both sides of the linea alba at the height of the navel. It occurs in pregnant and postpartum women due to the loosening of the linea alba during pregnancy under the influence of hormones and the developing foetus. The most common risk factors for dehiscence are: large foetus, large volume of foetal waters, multiple pregnancy, excessive abdominal muscle overload during the third trimester, obesity and too intense pressure during delivery.\u0000Study aim: The aim of the study was to present diagnostics and surgical as well as non-operative treatment for women with abdominal muscle diastasis due to pregnancy and during the puerperium period. Diagnosis of dehiscence primarily includes palpation, calliper measurements, ultrasound and CT scan.\u0000Materials and methods: Scientific bases such as Pubmed, Sciencedirect, Google Scholar and Ebsco were searched.\u0000Results: A total of 48 scientific reports from Pubmed, Sciencedirect and Google Scholar were collected.\u0000Conclusions: Diastasis of the rectus abdominis muscle can be treated preventively by introducing appropriate prophylaxis, which aims to strengthen the transverse and the rectus abdominis muscles, as well as learning the right posture and principles of proper performance of activities such as lifting heavy objects. In the event of diastasis occurring in the puerperium period, its size can be reduced in a non-invasive manner or even completely eliminated after introducing appropriate exercises, being supported with orthopaedic equipment if necessary. Exercises should be individually selected by a therapist and performed under his/her supervision at the initial stage of training to teach the patient to properly activate the transverse abdominal muscle. Pregnant women who do not have contraindications to physical activity can reduce the risk of the DRA by performing appropriate exercises.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41642723","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":"Analysis of the impact of age and work experience on palpatory skills of visually impaired and sighted massage therapists","authors":"Marcin Piwecki, R. Wozniacka","doi":"10.5604/01.3001.0013.5021","DOIUrl":"https://doi.org/10.5604/01.3001.0013.5021","url":null,"abstract":"Introduction: Palpation is a basic diagnostic tool. However, difficulties in obtaining unambiguous results make it less reliable. Questions about the reliability of palpation are still valid. The abilities of people who use this type of examination and factors which affect palpation must also be taken into consideration. \u0000Aim: Analysis was conducted by means of an experimental study without randomisation. Its aim was to determine the influence of age and work experience on the palpatory skills of massage therapists.\u0000Materials and methods: 58 people were studied. They were divided into 2 groups. The first group consisted of 45 massage therapists (students or practitioners). The control group consisted of 13 people with no massage experience. The studied people were subjected to the “hair test”, the “weight test” and the measurement of Static Two-Point Discrimination (STPD) within the thumb-middle fingertips, the thenar and hypothenar.\u0000Results: The level of STPD worsens with age in the index and middle fingertips. In the study group, work experience positively influenced the “hair test” and STPD within the thumb and the index finger. In the other tests, the factor of age and work experience did not determine the results.\u0000Conclusions: In the research, it is indicated that there are factors affecting palpation skills. However, it is not possible to observe the influence of the analysed factors in each test. This is due to a variety of tests and areas to be measured. Work experience was considered a factor positively affecting palpation skills. Age was considered a factor worsening the tested abilities.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48966819","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 effects of a 2-hour physical exercise session using the oriental dance training mechanism on changes in selected indices of blood morphology","authors":"A. Zawadzka, B. Ptaszek, Andrzej Mikuśkiewicz, A. Teległów","doi":"10.5604/01.3001.0013.4972","DOIUrl":"https://doi.org/10.5604/01.3001.0013.4972","url":null,"abstract":"Introduction: Movement in combination with music, i.e. dance, is one of the most popular types of physical activity at all ages. Dance is a form of activity that differs in style and technique, and thus, energy consumptions during training are different. Under the name of oriental dance one can find: folklore, religious, ritual and popular dances that are associated with everyday life. In Polish and international literature on the subject, there are no studies in which changes in blood morphological properties of dancers practicing oriental style dance would be demonstrated. The results of laboratory tests published so far rarely describe the effect of dance on morphological blood indices, in addition, they are results for styles other than oriental dance.\u0000Study aim: The objective of the study was to demonstrate the effects of 2-hour physical exercise using the mechanism of oriental dance training on changes in selected quantitative indices of blood morphology in a group of young women.\u0000Materials and methodology: The study group consisted of 12 young women between the age of 20 and 35, with the average of 26.4±0.52 years, training oriental dance. Blood tests were performed twice: before and after the 2-hour workout. The dancers practiced a variation of oriental dance called shaabi, a high-intensity dance with a lot of jumping figures.\u0000Results: Analysing the average values of morphological indices before and after oriental dance training showed a statistically significant increase in WBC [109/L] by 23.28% and a decrease in RBC [10¹²/L] by 1.29%, HGB [g/L] by 1.00% and HCT [L/L] by 1.22% in the study group after the 2-hour oriental dance training session.\u0000Conclusions: The applied training influenced the results of blood indices in dancers participating in the study. Physical activity carried out in the form of dance causes quantitative changes in morphological blood indices.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48896095","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":"Transcranial direct current stimulation for nonspecific low back pain: double-blind randomized sham-controlled trial","authors":"Z. Rezasoltani, Sirous Azizi, S. Najafi, S. Sedighi, Maysam Elahi Movahed, A. Dadarkhah","doi":"10.5604/01.3001.0013.4195","DOIUrl":"https://doi.org/10.5604/01.3001.0013.4195","url":null,"abstract":"Introduction: Low back pain is recognized as a major cause of morbidity worldwide. Between 70 and 80% of adults experience at least one occasion of low back pain with duration of 3 months or longer in their lifetime. Aside from the classic treatment methods, there are other new techniques yet to be clinically investigated. Transcranial direct current stimulation (tDCS) has been reported to alleviate pain by affecting the central nervous system. To date only a small number of studies have been published on the effects of tDCS on chronic low back pain. Some of these were pilot studies and others were low-powered in terms of their inference. Therefore the clinical application of tDCS requires further careful evaluation. Objective: To assess the efficacy of transcranial direct current stimulation for treatment of chronic nonspecific low back pain. Materials and methods: We carried out a double-blind randomized sham-controlled trial in a University Hospital. In total 70 people (15 women) with low back pain were randomized to either active or sham stimulation. The primary outcome was intensity of low back pain on the Visual Analog Scale. We also used the Oswestry Disability Questionnaire to evaluate the effects of back pain on daily activities. For the active stimulation group we administered 2 mA tDCS, 20 minutes for each session, once daily, 5 days per week for 2 weeks, totaling 10 sessions. For the sham stimulation group a similar program was followed with no stimulation. Both groups used analgesic medication. Results: Within-group analysis showed that an initial decrease in pain intensity was significant in both groups (both p < 0.001). However, pain reduction became stable only in the active treatment group. There was a significant difference in the pattern of change in mean pain scores in favor of tDCS (p < 0.001). Active treatment also significantly reduced disability scores (all p values < 0.001), whereas participants in the sham treatment group did not experience functional recovery. Mixed ANOVA indicated that the pattern of change in mean scores of disability differed between the two groups throughout the study course, in favor of active stimulation (p < 0.001). Conclusion: Transcranial direct current stimulation is an effective and safe initial treatment for chronic nonspecific low back pain, and the benefits remain for at least several months.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42422509","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":"Frailty as the basis for physiotherapeutic procedures for 65+ patients","authors":"Izabela Kowalczyk-Habiak","doi":"10.5604/01.3001.0013.3768","DOIUrl":"https://doi.org/10.5604/01.3001.0013.3768","url":null,"abstract":"Introduction: The frailty syndrome (FS) is a syndrome of functional limitations related to the older age, and its specificity, as well as the scale of occurrence, justify the need for its description and ordering of knowledge in this area. Aim: The aim of the literature review is to systematize knowledge in the field of individual descriptive elements of FS and rehabilitation dedicated to FS. Material and metods: The publication is a review and systematizes research material in the field of syndrome frailty. The narrative review was based on the analysis of publications contained in the Pubmed database in the period 2012-2017 and Polish sources published in this period. The sources were selected in accordance with the purpose of the work. Results: The frailty syndrome is defined and defined in various ways, although the main reference refers to its first description, formulated by L. Fried et al. There are three main phenotypes of the weakness group, classified based on the criteria of the creators of this team. Different scales are used in diagnostics: CHS, FRAIL, ESF, as well as GFI, TFI and PLFI indicators. The frailty syndrome develops based on the causes and effects of the so-called a cascade of weaknesses, among them chronic inflammatory processes, sarcopenia and immunological changes are of key importance. Recommended physiotherapy regimens cover various cycles and types of physical activity, with the use of a 12-week program of exercises of various types most often emphasized. Conclusions: Frailty is a state of exhaustion of reserves and functional limitations of the older age, also referred to as a team of weakness, frailty and fragility. Most reports confirm the use and usefulness of the CHS scale. Lack of unambiguous physiotherapy regimens for FS. Article received: 04.01.2019; Accepted: 16.07.2019 Key words: frailty, weakness syndrome, exhaustion syndrome, the elderly, rehabilitation","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45722817","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":"Differences in male and female lower extremity joint kinematics during walking","authors":"K. Szymańska, M. Domzalski, A. Stolarczyk","doi":"10.5604/01.3001.0013.3767","DOIUrl":"https://doi.org/10.5604/01.3001.0013.3767","url":null,"abstract":"Introduction: Men and women are claimed to walk differently- with modern techniques we are able to quantify gait parameters and establish whether those perceived dissimilarities are supported by precise measurements. Creating separate normative values for men and women may help in gait disturbances diagnosis, prevention and therapy.\u0000Objectives: We review available studies on normal locomotion in adult men and women, to clarify if there is scientific evidence to create separate normative values of normal gait according to gender.\u0000Methods: Potentially relevant articles were identified with an electronic search of PubMed, Web of Science and Science Direct. Combination of keywords ‘gait’, ‘sex’, ‘gender’, ‘men’, ‘women’, ‘male’, ‘female’ were used. Articles were included if they met following criteria: article was written in English, the article contained information about non-pathological subjects, the study analyzed biomechanics of walking, the article compared metrics of both sexes, the study included data for adults. If additional papers were identified from cited references and met the inclusion criteria they were incorporated into the catalog of references.\u0000Results: The inclusion criteria was met by 12 articles. After reviewing abstracts and full-text articles 8 were included and 4 were excluded due to not applying common gait biomechanics parameters or studying gait biomechanics for purposes not connected to the review’s topic.\u0000Conclusions: There are differences between males’ and females’ gait kinematic values for coronal plane pelvis and hip movement and possibly in sagittal plane ankle movement. Creating separate normative values is recommended.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47116597","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":"Isometric exercise, acupuncture, and magnet therapy for knee osteoarthritis: randomized clinical trial","authors":"F. Hakimi, M. Asheghan, S. E. Hashemi","doi":"10.5604/01.3001.0013.3766","DOIUrl":"https://doi.org/10.5604/01.3001.0013.3766","url":null,"abstract":"Introduction: Knee osteoarthritis is a common disease, particularly in the elderly population. Degenerative disorders of the cartilage cause pain and stiffness in the knee joint. As a result, patients frequently experience limitation in their daily activities.\u0000\u0000Purpose: To compare the effects of exercise, acupuncture, and magnet therapy on symptoms and physical function among middle-aged and elderly people with knee osteoarthritis.\u0000\u0000Materials and methods: We carried out a parallel three-arm randomized clinical trial in an outpatient clinic of the Department of Physical Medicine and Rehabilitation at a University Hospital. In total, 60 female patients of age ≥ 40 years with chronic knee osteoarthritis were randomly allocated to one of three groups of isometric exercise, acupuncture, and magnet therapy. The primary outcome measure was subjective pain rated according to the Visual Analog Scale. We also used the Western Ontario McMaster Universities Osteoarthritis Index for assessing and monitoring the symptoms of knee osteoarthritis in order to evaluate the efficacy of the interventions. An isometric exercise program was prescribed, consisting of three sessions per week for six weeks. Participants in the acupuncture group received three treatment sessions per week for six weeks, each lasting for 30 minutes. For pulsed electro-magnetic field therapy, a total of three 30-minute sessions per week for a period of 6 weeks were administered to each patient.\u0000\u0000Results: There were no statistically significant differences between the study groups in terms of the outcome measures (all p values > 0.05). However, within-group analyses showed that there were significant differences regarding the clinical outcomes in each group (all p values < 0.05).\u0000\u0000Conclusion: All three therapeutic modalities are effective and could be used as the first line of treatment for knee osteoarthritis. Moreover, it should be noted that the favorable outcomes remained at least two months after treatment concluded.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44279726","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":"Congenital muscular torticollis - a proposal for treatment and physiotherapy","authors":"A. Michalska, Z. Śliwiński, Justyna Pogorzelska, M. Grabski, J. Dudek, M. Szmurło, Maciej Szczukocki","doi":"10.5604/01.3001.0013.3728","DOIUrl":"https://doi.org/10.5604/01.3001.0013.3728","url":null,"abstract":"Congenital muscular torticollis (CMT) is a condition manifested by unilateral thickening and/or shortening of the sternocleidomastoid muscle. It can lead to local or global consequences (i.e., forced position and limitation of mobility of the cervical spine and head, delay of motor development). Early recognition of CMT symptoms and the implementation of conservative treatment, considered effective in the majority of cases, are an important part of physical therapy in CMT. The aim of the study is to review literature presenting the methods of physical therapy in CMT and to create the authors’ own proposals for treatment, based on the results of this review. Based on subject-matter literature and our own experience, algorithms for the rehabilitation procedure have been proposed, presenting the general scheme of action in CMT and management depending on the clinical form and age of the child in whom therapy was started (up to 5 months and after 6 months). The authors’ proposed algorithm did not strictly specify the frequency of sessions with a physiotherapist, because this is the resultant of many factors. The main ones include the child's age on the day of initiation of therapy, the clinical form of torticollis, the presence of muscle tone disorders and/or skull asymmetry, but also, the correctness of performing exercises proposed as part of the home-based programme, regularity of therapy and compliance with postural programme principles.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47716059","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 virtual reality exercise on physical fitness","authors":"Dawid Bedrunka, K. Buchta, Patryk Szary, Katarzyna Maniakowska, P. Kiper, Anna Rutkowska, Sebastian Rutkowski","doi":"10.5604/01.3001.0013.3717","DOIUrl":"https://doi.org/10.5604/01.3001.0013.3717","url":null,"abstract":"Introduction: The aim of this study was to assess physical fitness (PF) in healthy volunteers using the Senior Fitness Test (SFT) after a series of training sessions in virtual reality (VR) using the X-box 360 Kinect System.\u0000\u0000Materials and methods: This pilot study consisted of 32 healthy subjects aged 19 to 24 years (12 males and 20 females) with the mean age of 20.6±1.4 years and the mean BMI of 23.29±2.3. The subjects participated in the study for 2 weeks, at a frequency of 4 sessions weekly. Each session comprised 4 Kinect Adventures games: 20 000 Leaks, Curvy Creak, Rally Ball and Reflex Ridge. The Senior Fitness Test was used to assess physical fitness.\u0000\u0000Results: Analysis of data showed improvement in Arm-Curl (30.0 repetitions (rep.)) vs. 35.8 rep., p<0.001), Chair Stand (26.6 rep. vs. 30.2 rep., p<0.001), Back Scratch (3.1 cm vs. 6.1 cm, p<0.033), Chair Sit-and-Reach (1.0 cm vs. 5.3 cm, p<0.001), Up-and-Go (3.5 sec. vs. 3.2 sec., p<0.001) and 6-Minute Walk Test (731.3 m vs. 747.8.m, p<0.220). Statistically significant improvement was noted in 5 out of 6 STF trials. Only the 6-Minute Walk test results were not statistically significant.\u0000\u0000Conclusions: Training using a console with the Kinect motion sensor had positive effects on the physical fitness of the healthy volunteers.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48757732","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":"Methodologies of inspiratory muscle training techniques in obstructive lung diseases","authors":"M. Kaszuba, A. Śliwka, Rafał Piliński, R. Nowobilski, Tomasz Włoch","doi":"10.5604/01.3001.0013.1474","DOIUrl":"https://doi.org/10.5604/01.3001.0013.1474","url":null,"abstract":"Background: Inspiratory muscle training (IMT) is a non-pharmacological, non-invasive therapeutic method that can improve the quality of life in patients with obstructive lung diseases. The effectiveness of IMT may depends on the type of the device used in the training and the parameters of the training programme.\u0000\u0000Objectives: The aim of the review was to present different techniques and protocols of IMT used in patients with obstructive lung diseases.\u0000\u0000Methods: The MEDLINE and EMBASE were searched to identify the potentially eligible publications from the previous 5 years. The various protocols of IMT used in different studies were analysed and described in detail.\u0000\u0000Results: A database search identified 333 records, of which 22 were included into the final analysis. All of the finally analysed studies were conducted in patients with chronic obstructive pulmonary disease (COPD). The protocols of IMT used in the studies differed in the type of the device used, the duration of the training programme, the number and the duration of training sessions, the initial load, and the rate at which the load was changed during the training.\u0000\u0000Conclusions: IMT is used mainly in studies on patients with COPD and not with asthma. There is no one approved training programme for IMT. The most predominant type of IMT is a training with threshold loading. The most frequently used devices for IMT are POWERbreath and Threshold IMT. The protocols of IMT used in the studies are very diverse.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45835256","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}