{"title":"[Advanced maternal age as a risk factor for adverse maternal and perinatal outcomes]","authors":"Maria Eugenia Carducci, Gustavo Izbizky","doi":"10.31053/1853.0605.v81.n1.41447","DOIUrl":"10.31053/1853.0605.v81.n1.41447","url":null,"abstract":"<p><strong>Introduction: </strong>A progressive increase in the age of women at first pregnancy is observed, a situation that has been associated with a greater risk of adverse maternal and perinatal effects.</p><p><strong>Objective: </strong>The aim of this study was to describe the characteristics and the maternal and perinatal outcomes of nulliparas of 40 years and older and compare them with those of nulliparas under 40.</p><p><strong>Study design: </strong>This was a retrospective cohort analysis of a database of pregnancy population who had attended their deliveries in a private university hospital.</p><p><strong>Results: </strong>An association was observed between maternal age ≥ 40 with the maternal compound adverse outcome (OR 1,3; 95% CI: 1,1-1,6), gestational diabetes (OR 3,6; 95% CI: 1,80-3,7), hypertensive disorders/preeclampsia (OR 2,2; 95% CI: 1,6-3,1) and postpartum hemorrhage (4,7; 95% CI: 1,2-16,3), with advanced maternal age persisting as an independent risk factor for the maternal compound adverse outcome (OR 1,3; 95% CI: 1,1 -1,6) and the perinatal compound adverse outcome (OR 1,40; 95% CI: 1,2-1,7) in the multivariate analysis. A higher rate of preterm birth was observed in the group of older nulliparas (OR 1,6; 95% CI: 1,3-2,0) with a higher requirement for admission to NICU for their newborns (OR 1,3; 95% CI: 1,0-1,8).</p><p><strong>Conclusions: </strong>Women with advanced maternal age constitute a high-risk population, whose attention and follow-up would require a differential approach aiming to improve maternal and perinatal outcomes.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"24-39"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Alfredo Hernández Villarroel, Mercedes De Lera Alfonso
{"title":"[Medullary infarction secondary to endovascular treatment of thoracoabdominal aortic aneurysm]","authors":"Luis Alfredo Hernández Villarroel, Mercedes De Lera Alfonso","doi":"10.31053/1853.0605.v81.n1.41439","DOIUrl":"10.31053/1853.0605.v81.n1.41439","url":null,"abstract":"<p><p>Medullary infarction is a severe and infrequent pathology, which represents 1% of all ischemic strokes, and is also a rare complication of different surgical procedures. It is caused by the acute interruption of the blood flow of the spinal cord, manifesting itself with clinical neurological deficits related to the affected vascular territory.</p><p><strong>Methods: </strong>We present the case of an 80-year-old patient, with cardiovascular risk factors, who is present on post-surgical day 13, after placement of a vascular endoprosthesis for a thoracoabdominal aneurysm, sudden appearance of paraparesis with progression to paraplegia and hypoesthesia in both lower extremities. CT angiography of the aorta rules out local complications in the endoprosthesis. Medullary MRI showed images compatible with acute dorsal medullary infarction from level D9.</p><p><strong>Results: </strong>On discharge, the patient presented paraplegia and hypoesthesia of both lower extremities with fecal and urinary incontinence.</p><p><strong>Conclusion: </strong>Spinal cord infarction may be limited to a vascular territory or be more extensive according to its pathogenesis. The affectation of the anterior spinal artery is the most common and is characterized by bilateral motor deficits and loss of thermoalgesic sensitivity, which could have a great impact on the quality of life of patients. Its etiology is varied, including aortic surgery within its causes. MRI is very useful for its diagnosis and currently there are no clinical guides for the optimal treatment.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"143-154"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eloy Salinas, María Cecilia De Pauw, María Fernanda Aguirre, María Jimena Marro, Christian Ballejo, Alejandro Félix Sturniolo, Alicia E B Lawrynowicz
{"title":"[Prevalence of noncommunicable diseases and risk factors in rural population of San Luis, Argentina]","authors":"Eloy Salinas, María Cecilia De Pauw, María Fernanda Aguirre, María Jimena Marro, Christian Ballejo, Alejandro Félix Sturniolo, Alicia E B Lawrynowicz","doi":"10.31053/1853.0605.v81.n1.42138","DOIUrl":"10.31053/1853.0605.v81.n1.42138","url":null,"abstract":"<p><p>The objective of this study was to estimate the prevalence of diabetes mellitus (DM) and cardiovascular risk factors in a rural population in the province of San Luis, Argentina. Cross-sectional study developed between September and November 2017 with 18-year-old inhabitants and more than four towns in the Juan Martín de Pueyrredón department, San Luis. The participants answered questions by self-report on sociodemographic aspects, habits, psychosocial and risk factors for non-communicable diseases; physical measurements, FINDIRSC questionnaire and blood sample extraction were performed. Univariate estimates stratified by sex with their 95% confidence interval (95%CI) were obtained. We worked with sample expansion factors; crude and adjusted prevalences were calculated. The population consisted of 424 men (52.5%, 95%CI: 46.0-58.9) and 384 women (47.5%, 95%CI: 41.1-54.0). The adjusted prevalences for both sexes (by self-report) were: DM 11.8% (95%CI: 8.2-15.4); arterial hypertension (AHT): 35.5% (95% CI: 31.0-40.1); high cholesterol: 20.3% (CI 16.0-24.7). Males had significantly higher desirable HDL cholesterol and elevated blood pressure than females; women abdominal obesity in greater magnitude. 16.4% (95% CI: 11.0 - 23.6) had a high-very high risk of developing type 2 DM in the next 10 years. The adjusted prevalences of DM, hypertension, and high cholesterol were lower than those of the urban population of the province of San Luis. We highlight the pioneering contribution of this work to the knowledge of the health profile of rural communities in Argentina.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"5-23"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dengue in Argentina: confirmation of our worst suspicions]","authors":"Adrián Diaz","doi":"10.31053/1853.0605.v81.n1.44575","DOIUrl":"10.31053/1853.0605.v81.n1.44575","url":null,"abstract":"<p><p>.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ivon Johana Avila Ovalle, Ana Cristina Arango Arango, Freiser Eceomo Cruz Mosquera, Nathalia Andrea Gómez-Barreiro, Yerly Alexandra Márquez-Pérez, Claudia Lorena Perlaza, Katherine Lozano Gómez, Sary Zamora-Vidal, Marcela Nayibe Garzón-Morera
{"title":"[Excessive daytime sleepiness in older adults of a municipal physical activity program]","authors":"Ivon Johana Avila Ovalle, Ana Cristina Arango Arango, Freiser Eceomo Cruz Mosquera, Nathalia Andrea Gómez-Barreiro, Yerly Alexandra Márquez-Pérez, Claudia Lorena Perlaza, Katherine Lozano Gómez, Sary Zamora-Vidal, Marcela Nayibe Garzón-Morera","doi":"10.31053/1853.0605.v81.n1.41826","DOIUrl":"10.31053/1853.0605.v81.n1.41826","url":null,"abstract":"<p><strong>Introduction: </strong>Physical exercise has been shown to have a favorable impact on the health of the individual. Its combination with other healthy lifestyles can positively impact various areas, including sleep quality.</p><p><strong>Objective: </strong>To determine the frequency of excessive daytime sleepiness in older adults of a municipal physical activity program in Santiago de Cali, Colombia.</p><p><strong>Methodology: </strong>Cross-sectional study that included 605 older adults from a community program of the Secretary of Recreation and Sports of the City of Cali, Colombia, during October 2018 and June 2019. To determine the presence of excessive daytime sleepiness, the Epworth Sleepiness Scale was used.</p><p><strong>Results: </strong>81.5% of the population was female with a mean age of 73±8 years. The prevalence of excessive daytime sleepiness was 10.5%. Significant differences were only found in the frequency of excessive daytime sleepiness by socioeconomic stratum, being more common in the low socioeconomic stratum (13% vs 4% P=0.03).</p><p><strong>Conclusion: </strong>Excessive daytime sleepiness is a phenomenon that affects older adults; however, its frequency may be lower in those who are physically active.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"40-52"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Betiana Alejandra Guidetto, Sebastian Fonseca, Alejandro Martin Abrate, Maria Teresa Politi
{"title":"[Predictive value of C-reactive protein on hospital admission and mechanical ventilation requirement in adults hospitalized for COVID-19]","authors":"Betiana Alejandra Guidetto, Sebastian Fonseca, Alejandro Martin Abrate, Maria Teresa Politi","doi":"10.31053/1853.0605.v81.n1.41799","DOIUrl":"10.31053/1853.0605.v81.n1.41799","url":null,"abstract":"<p><strong>Introduction: </strong>During the COVID-19 pandemic, patients with worse evolution presented clinical deterioration 7-10 days after the onset of symptoms, which suggests that the inflammatory response could participate in the pathophysiology of the disease. The objective of this study was to evaluate the association between plasma C-reactive protein (PCr) on hospital admission and mechanical ventilation requirement during hospitalization in adults with COVID-19.</p><p><strong>Methods: </strong>Retrospective, observational cohort at a private center in the province of Buenos Aires. Hospitalized adults diagnosed with COVID-19 by nasal swab using real time transcription polymerase chain reaction or antigen were included. The primary outcome was the association between high plasma PCr values on hospital admission (≥8 mg/L) and mechanical ventilation requirement during hospitalization.</p><p><strong>Results: </strong>Of the 1,242 patients enrolled, 19.4% required mechanical ventilation and 11.7% died during the hospitalization. The PCr of the patients who required mechanical ventilation was higher than that of those who did not require mechanical ventilation (9.45 [5.20-18.70] mg/L vs 4.95 [1.80-10.70] mg/L; p < 0.01). PCr analyzed as a continuous variable (OR = 1.39; 95%CI 1.21-1.60; p < 0.001) and as a categorical variable (≥8 mg/L) (OR = 2.66; 95%CI 2.19 -3.78, p < 0.001) presented a significant association with the requirement of mechanical ventilation during hospitalization. Additionally, a significant association was found between PCr and in-hospital mortality.</p><p><strong>Conclusion: </strong>Plasma PCr on hospital admission could predict clinical evolution in adult patients hospitalized for COVID-19.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"67-82"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentino Latallade, Matias Pereira Duarte, Sebastian Gamsie, Gonzalo Rodrigo Kido, Matías Gustavo Petracchi, Marcelo Fernando Gruenberg
{"title":"[ Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review]","authors":"Valentino Latallade, Matias Pereira Duarte, Sebastian Gamsie, Gonzalo Rodrigo Kido, Matías Gustavo Petracchi, Marcelo Fernando Gruenberg","doi":"10.31053/1853.0605.v81.n1.43229","DOIUrl":"10.31053/1853.0605.v81.n1.43229","url":null,"abstract":"<p><strong>Introduction: </strong>Simultaneous spinal stenosis in three regions of the spine is an unusual condition that demands proper clinical evaluation and imaging. Currently, there are no established guidelines for its diagnostic and therapeutic approach.</p><p><strong>Objective: </strong>The objective of this study is to describe, based on a case report, the clinical presentation, treatment, and patient progression concerning triple stenosis, contrasting it with available evidence through a narrative review of the literature.</p><p><strong>Case presentation: </strong>A 69-year-old woman presented with a progressive paraparesis accompanied by right sciatica and positive signs of upper motor neuron involvement. Imaging confirmed triple stenosis: cervical, dorsal, and lumbar. Dorsal decompression and tumor resection were performed in association with conservative treatment for cervical and lumbar stenosis, resulting in a favorable evolution one year post-surgery.</p><p><strong>Conclusion: </strong>Symptomatic triple-region spinal stenosis is an unusual condition. Proper clinical and radiological assessments will enable accurate diagnosis and timely management.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"53-66"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiomiopatía cirrótica – ¿Realidad clínica o simple curiosidad académica? Revisión.","authors":"Hugo Ramos, Mario Altieri","doi":"10.31053/1853.0605.v81.n1.44419","DOIUrl":"10.31053/1853.0605.v81.n1.44419","url":null,"abstract":"<p><p>El diagnóstico de Cardiomiopatía Cirrótica está basado en la presencia de cirrosis hepática avanzada con alteraciones de la función cardíaca sin cardiopatía pre-existente, pero en gran parte de su evolución natural ésta es subclínica. Por ello son imprescindibles los estudios complementarios no invasivos para confirmar el diagnóstico y su rol pronóstico en pacientes con o sin trasplante hepático. En esta segunda parte revisamos los métodos de diagnóstico desde el ECG hasta las imágenes de resonancia magnética cardíaca.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307218","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}
María Virginia Boaglio, Gianmarco Llarena Billia, Ingrid Strusberg
{"title":"[Implementation of teleconsultation in hospitals in the city of Cordoba during the SARS-CoV-2 pandemic]","authors":"María Virginia Boaglio, Gianmarco Llarena Billia, Ingrid Strusberg","doi":"10.31053/1853.0605.v81.n1.42231","DOIUrl":"10.31053/1853.0605.v81.n1.42231","url":null,"abstract":"<p><p>Teleconsultation is one of the assets of telemedicine that allows medical professionals to provide diagnostic or therapeutic advice to patients through electronic means. The objective of this study was to estimate the frequency of teleconsultation implementation in hospitals in the city of Cordoba from 2020 to 2022. A descriptive, observational and cross-sectional study was carried out, providing an online survey (Google Forms) to hospital representatives in Córdoba. Descriptive statistics were used. The study was conducted in 30 out of the 50 hospitals in the city, including 17 private (57%) and 13 public institutions (43%). Teleconsultation was provided by a higher percentage of private healthcare facilities (82%) compared to public ones (77%). The results showed that the SARS-CoV-2 pandemic was the main driver behind the implementation of teleconsultation, with 92% of all hospitals having implemented it due to the pandemic while the remaining 8% had already offered this service prior to the pandemic. The most requested services were Internal Medicine and Infectology, and phone calls were the most commonly used tool. Among the hospitals that did not offer teleconsultation, 67% did not plan to do so in the future, while the remaining 33% were making arrangements for its implementation in 2023. Although the pandemic catalyzed the implementation of teleconsultations in most hospitals, there are still some institutions that do not plan to incorporate this modality. This study provides valuable data for improving future medical care strategies in the city of Cordoba.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"128-142"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pablo Gulayin, Laura Gutierrez, Fernando Lanas, Nora Mores, Jacqueline Ponzo, Matías Calandrelli, Rosana Poggio, Vilma Irazola
{"title":"Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina.","authors":"Pablo Gulayin, Laura Gutierrez, Fernando Lanas, Nora Mores, Jacqueline Ponzo, Matías Calandrelli, Rosana Poggio, Vilma Irazola","doi":"10.31053/1853.0605.v81.n1.41876","DOIUrl":"10.31053/1853.0605.v81.n1.41876","url":null,"abstract":"<p><strong>Introduction: </strong>Current recommendations for cardiovascular disease (CVD) prevention are guided CVD risk classification. This study aims to analyze the level of compliance with pharmacological and non-pharmacological recommendations outlined in the World Health Organization (WHO) CVD prevention clinical practice guideline within the general population of two cities in Argentina.</p><p><strong>Methods: </strong>We analyzed the compliance with preventive recommendations from the WHO 2007 Guidelines for Management of Cardiovascular Risk in two cities of Argentina participating in the CESCAS population-based study in the Southern Cone of Latin America.</p><p><strong>Results: </strong>3990 participants were included. Considering the WHO recommendations, the use of antiplatelet medication was 5.6% (95% CI 3.5, 8.9) in primary prevention and 20.5% (95%= CI 16.0, 25.9) in secondary prevention. Regarding lipid-lowering medication, it was 6.7% (CI 95%= 4.4, 10.1) and 15.4% (CI 95%= 11.6, 20.1), respectively. As per non-pharmacological recommendations in the general population: low intake of fruit and vegetables was 78.4% (CI 95%= 76.8, 79.9); low physical activity was 26.9% (CI 95%= 25.3, 28.5), current cigarette smoking was 28.3% (CI 95%= 26.6, 30.0), overweight/obesity was 73.9% (CI 95%= 72.3, 75.6), and excessive alcohol intake was 2.6% (CI 95%= 2.1, 3.4).</p><p><strong>Conclusions: </strong>It was observed a significantly low compliance with pharmacological and non-pharmacological recommendations for CVD prevention in the general population of two cities in Argentina. Urgent efforts are needed to improve compliance to cardiovascular preventive recommendations promoted by CPG, especially in Low- and Middle- Income Countries.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"96-114"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}