World Journal of Acupuncture-Moxibustion最新文献

{"title":"Current status, considerations and suggestion on real-world acupuncture research","authors":"Ming-lin SUN (孙铭璘) ,&nbsp;Yang LI (李 杨) ,&nbsp;Bao-yan LIU (刘保延) ,&nbsp;Li-yun HE (何丽云) ,&nbsp;Jia LIU (刘佳) ,&nbsp;Yan-ke AI (艾艳珂)","doi":"10.1016/j.wjam.2023.10.005","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.10.005","url":null,"abstract":"<div><p>In recent years, the importance of real-world research based on real-world data has been widely recognized in many countries and regions around the world. Oriented by real-world data, real-world research is conducted to obtain real-world evidence, which becomes a hot spot in clinical study. In such circumstances, how to use the diagnosis and treatment data of clinical practice to evaluate the effect and safety of acupuncture becomes future direction of acupuncture research. This paper analyzed the current situation of the real-world research in the field of acupuncture and put forward the influencing factors and the countermeasures to provide the references for the real-world research of acupuncture.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 305-308"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hotspots and emerging trends in acupuncture research during 2012–2022: A bibliometric analysis","authors":"Fang-hua ZHAO(赵芳华) ,&nbsp;Mei-ling SUN(孙美玲) ,&nbsp;Man GAO(高曼),&nbsp;Hai-yan LI(李海燕)","doi":"10.1016/j.wjam.2023.09.005","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.09.005","url":null,"abstract":"<div><h3>Objective</h3><p>To find the hotspots of acupuncture research in the last decade and predict future trends.</p></div><div><h3>Methods</h3><p>The Web of Science Core Collection was used to retrieve articles published on the topic of acupuncture from January 1, 2012, to August 31, 2022. CiteSpace 6.1.R3, VOSviewer 1.6.18, SCImago Graphics and other tools were used to visualize and analyze the number of publications, countries, authors, journals, institutions, keywords, and cited articles.</p></div><div><h3>Result</h3><p>A total of 10,942 articles published from January 2012 to August 2022 were analysed. A total of 97 countries and regions have conducted acupuncture research, with the highest number of research conducted in China. Furthermore, 8,056 institutions were involved in acupuncture research. In addition, 1,823 journals have published articles related to acupuncture research, with the highest number published by the journal <em>Evid-Based Compl Alt</em><span> (1,096 articles). The hotspots of acupuncture research are acupuncture analgesia<span> (low back pain, knee osteoarthritis<span><span><span><span>, headache, shoulder pain, neck pain, cancer pain, migraine), acupuncture anti-inflammatory (allergic rhinitis [AR], inflammatory pain), female-related diseases (polycystic ovary syndrome and breast cancer), cerebrovascular diseases (stroke and hemiplegia), rehabilitation </span>treatment (postoperative nausea and vomiting, </span>postoperative pain, and trauma pain in veterans), resting functional magnetic resonance imaging (fMRI), </span>nervous system diseases (nerve regeneration and neuroprotection), depression, insomnia, Alzheimer's disease (AD), evidence-based researches, etc.</span></span></span></p></div><div><h3>Conclusion</h3><p>From the analysis of acupuncture research hotspots, acupuncture research was mainly focused on acupuncture mechanisms, clinical efficacy, and acupuncture standards. The emerging trends for the future include the standardization of acupuncture research and the treatment of chronic diseases with a clinical basis and more efficacy through the use of acupuncture in internal medicine.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 328-341"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review and meta-analysis of moxibustion on urinary incontinence among women","authors":"Shuo DU (杜朔),&nbsp;Ji-ping ZHAO (赵吉平),&nbsp;Shi-hao DU (杜世豪),&nbsp;Wei GUO (郭玮),&nbsp;Xiao-long XIE (解小龙),&nbsp;Guan-qun WANG (王冠群),&nbsp;Guan-xiong HAN (韩冠雄),&nbsp;Chao YANG (杨超)","doi":"10.1016/j.wjam.2023.09.007","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.09.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt;Urinary incontinence (UI) is a common condition that bothers women's lives, including &lt;/span&gt;stress urinary incontinence (SUI), urgency urinary incontinence (UUI) and &lt;/span&gt;mixed urinary incontinence&lt;span&gt; (MUI). The current non-surgical treatment of Western medicine includes pelvic floor muscle training (PFMT), medication, &lt;/span&gt;&lt;/span&gt;electric stimulation&lt;span&gt;&lt;span&gt;, etc., all of which have varied limitations. For instance, the patients are poor in compliance with PFMT and medication results in frequent adverse effects. Being one of the featured treatments of TCM, &lt;/span&gt;moxibustion has several merits including safety, low cost and simple operation. In recent years, the clinical evidences prove increasingly that moxibustion may be effective for women with UI. However, there is no high-quality &lt;/span&gt;&lt;/span&gt;systematic review of moxibustion for this disease.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To evaluate the effect and safety of moxibustion on UI (including SUI, UUI and MUI) among women.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;From the inception to October 13, 2022, the data of the randomized controlled trials&lt;span&gt; (RCTs) of moxibustion on UI among women were collected from CNKI, WanFang Data, VIP, SinoMed, Web of Science, Pubmed, EMBASE and Cochrane Library databases. Two investigators screened the articles independently and extracted the data according to the inclusion and exclusion criteria developed in advance. Using the risk of bias assessment tool of Cochrane Handbook, the included RCTs were evaluated. With RevMan 5.3 software, meta-analysis was performed, and the GRADE tool was adopted to assess evidence certainty of different outcomes.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;A total of 1176 articles were retrieved and 19 of them with 1397 patients were eligible and included in the review. In experimental groups, moxibustion combined with PFMT was used, while in control groups PFMT was applied alone. And the subjects were all women with SUI. Meta-analysis showed that compared with PFMT alone, moxibustion combined with PFMT reduced the urine leakage volume (1-hour pad test) (&lt;em&gt;MD&lt;/em&gt; = -1.95g, 95%&lt;em&gt;CI&lt;/em&gt; [-2.32, -1.57], &lt;em&gt;P&lt;/em&gt; &lt; 0.001), the frequency of UI in 24-hour (&lt;em&gt;MD&lt;/em&gt; = -0.64, 95%&lt;em&gt;CI&lt;/em&gt; [-0.88, -0.40], &lt;em&gt;P&lt;/em&gt;&lt;span&gt; &lt; 0.001) and the score of the short form of International Consultation on Incontinence Questionnaire (ICIQ-SF) of women with SUI (&lt;/span&gt;&lt;em&gt;MD&lt;/em&gt; = -2.53, 95%&lt;em&gt;CI&lt;/em&gt; [-3.43, -1.63], &lt;em&gt;P&lt;/em&gt; &lt; 0.001); and this combined intervention measure did not increase significantly the adverse events (&lt;em&gt;RR&lt;/em&gt; = 0.82, 95%&lt;em&gt;CI&lt;/em&gt; [0.15, 4.6], &lt;em&gt;P&lt;/em&gt; = 0.82). GRADE assessment showed that the UI frequency in 24-hour and the incidence of adverse events were rated as low quality, the urine leakage volume of 1-hour pad test and ICIQ-SF score were very low quality.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;Compared with PFMT alone, the interventio","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 314-324"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of acupuncture duration in patients with knee osteoarthritis: A secondary analysis of a multi-center randomized controlled trial","authors":"Ying YU(余英) ,&nbsp;Si-bo KANG(康思博) ,&nbsp;Jian-feng TU(屠建锋),&nbsp;Xue-zhou WANG(王雪舟),&nbsp;Li-qiong WANG(王丽琼),&nbsp;Cun-zhi LIU(刘存志),&nbsp;Guang-xia SHI(石广霞)","doi":"10.1016/j.wjam.2023.10.004","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.10.004","url":null,"abstract":"<div><h3>Objective</h3><p><span>To explore the influence of acupuncture duration on the effect of acupuncute for patients with </span>knee osteoarthritis (KOA).</p></div><div><h3>Methods</h3><p><span>This secondary analysis was conducted based on the data of a randomized controlled trial about acupuncture on KOA. A total of 480 patients were recruited at nine centers. Only data from the manual acupuncture (MA) group and </span>electroacupuncture<span><span> (EA) group were included in this secondary analysis. The needles were retained for 30-min each time and treatment was given three times a week for 8 weeks. The follow-up visit lasted until week 26. Outcomes were </span>numerical rating scale<span> (NRS) on pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function and the response rate.</span></span></p></div><div><h3>Results</h3><p>The NRS and WOMAC function at week 8 were lower than those at week 4 (<em>P</em>&lt;0.05), and were no significant difference compared with those at week 26 in MA and EA groups (<em>P</em>&gt;0.05). Greater changes were observed in NRS and WOMAC function during 0–4 weeks compared with those during 4–8 weeks (<em>P</em>&lt;0.05) in both groups. The response rate at week 8 was higher than it at week 4 (<em>P</em>&lt;0.05), and was no significant difference compared with it at week 26 (<em>P</em><span>&gt;0.05) in both groups. Association was found between BMI and changes of NRS (</span><em>P</em>&lt;0.05), but not between BMI and WOMAC function (<em>P</em>&gt;0.05) in MA group, while no asscoaition was found between BMI and NRS or WOMAC function in EA group (<em>P</em>&gt;0.05). There was no association found between other factors and NRS or WOMAC function in both groups (<em>P</em>&gt;0.05).</p></div><div><h3>Conclusion</h3><p>For KOA patients, 8-week acupuncture was more effective than 4-week acupuncture in relieving pain and improving joint function, but growth rate of the effect slowed down with increasing duration of intervention. It was uncertain whether the long-term effect of 8-week acupuncture was better than that of 4-week acupuncture. Further studies are required to further determine the effect of duration of intervention.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 372-376"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpretation of the Guideline for Acupuncture-Moxibustion Clinical Research Registration 《针灸临床研究注册指南》解读","authors":"Jia LIU (刘佳) ,&nbsp;Ming-lin SUN (孙铭璘) ,&nbsp;Hui DENG (邓辉) ,&nbsp;Yan-ke AI (艾艳珂) ,&nbsp;Li-yun He (何丽云)","doi":"10.1016/j.wjam.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.10.002","url":null,"abstract":"<div><p><span><span>Acupuncture and </span>moxibustion<span><span>, which are important treatment modalities in </span>traditional Chinese medicine, have gained global recognition and research interest due to their effectiveness. While the number of acupuncture and moxibustion studies continues to increase, the quality vary widely. This inconsistency can have a negative effect on production of high-quality evidence and development of acupuncture and moxibustion science. In 2022, the China Association of Acupuncture-Moxibustion published the </span></span><span><em>Guideline for Acupuncture-Moxibustion </em><em>Clinical Research</em><em> Registration</em></span>. This guideline standardizes methods and approaches used in the clinical research of acupuncture and moxibustion in China, and aims at improving data quality and enhancing transparency, thereby promoting the normalization of clinical studies on acupuncture and moxibustion and improving the quality of evidence. This study aimed to present interpretations of the contents of the <em>Guideline for Acupuncture-Moxibustion Clinical Research Registration</em> to facilitate a better understanding and application among researchers.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 352-357"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92009445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Placebo effect of acupuncture in clinical study","authors":"Yi-xuan XIE,&nbsp;Zhi-yi XIONG,&nbsp;Cun-zhi LIU,&nbsp;Shi-yan YAN","doi":"10.1016/j.wjam.2023.10.003","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.10.003","url":null,"abstract":"<div><p><span>Placebo control is designed to evaluate the specific effect of one intervention. Relevant studies showed that acupuncture has a considerable </span>placebo effect<span> affected by many factors. In this paper, the relevant articles of acupuncture placebo studies all around the world were reviewed comprehensively to clarify the definition of acupuncture placebo effect and its psychological mechanism. The factors of acupuncture placebo effect were discussed in view of three aspects, i.e. types of sham acupuncture as control, patient-doctor interaction and outcome types. Eventually, the issues encountered in current studies of acupuncture placebo effect were described, e.g. lack of relevant studies especially with systematic and in-depth approaches in this field, inappropriate classification of specific non-needling effect relevant with acupuncture theory, and inaccurate assessment of acupuncture placebo effect due to the difficulty of sham-acupuncture design. In order to drive the future research direction of acupuncture placebo effect, it is suggested that more attention should be paid on the topic, including but not limited to correct recognition of the holistic effect of acupuncture, the appropriate design of sham acupuncture and in-depth research of mechanism of acupuncture placebo effect and its contributing factors.</span></p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 309-313"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92009446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preface to the “Special issue on acupuncture clinical research methodology”:Three major challenges of clinical acupuncture research","authors":"Shiyan YAN (闫世艳) ,&nbsp;Cunzhi LIU (刘存志)","doi":"10.1016/j.wjam.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.09.002","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 301-302"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92009449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture clinical research methodology: Advances and challenges","authors":"Shiyan YAN (闫世艳) ,&nbsp;Cunzhi LIU (刘存志)","doi":"10.1016/j.wjam.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.09.003","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 303-304"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92009448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reporting quality assessment of acupuncture case reports of adverse events using the CARE Guideline","authors":"Xiao-yu TANG (唐晓宇) ,&nbsp;Yan ZHENG (郑妍) ,&nbsp;Cheng ZHENG (郑成) ,&nbsp;Ze CHEN (陈泽) ,&nbsp;Jue-xuan CHEN (陈珏璇) ,&nbsp;Jing-jing DENG (邓晶晶) ,&nbsp;Qian-mei WANG (王倩玫) ,&nbsp;Zhi-rui XU (徐之睿) ,&nbsp;David Riley ,&nbsp;Yu-ting DUAN (段玉婷) ,&nbsp;Chun-zhi TANG (唐纯志)","doi":"10.1016/j.wjam.2023.04.003","DOIUrl":"10.1016/j.wjam.2023.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>As a popular complementary therapy, the safety of acupuncture must be considered. Acupuncture case reports of adverse events (ACR-AEs) significantly contribute to the assessment of acupuncture safety. However, the reporting quality of ACR-AEs remains unclear. We aimed to promote the application of the CARE (case report) guidelines and improve the reporting quality of ACR-AEs.</p></div><div><h3>Methods</h3><p>We systematically searched for ACR-AE from six databases: Medline, Embase, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, Wanfang Data, and VIP, and collected published ACR-AEs from January 1, 2016, to December 31, 2020. We included only case reports of adverse events related to acupuncture therapy. The retrieved case reports were screened and filtered by two reviewers independently. Then, basic information extraction and CARE evaluation of the included ACR-AEs were performed.</p></div><div><h3>Results</h3><p>A total of 56 ACR-AE were included, 15 of which were from China. The top two major diseases were nervous system diseases (28.6%) and infections (21.4%). For all ACR-AEs, seven of 30 CARE subordinate items were reported in 30% or less, seven items were reported in 30–60%, and only five items got reporting proportion over 90%. In Chinese ACR-AE, only three items, “the main concerns and symptoms of the patient(5b)”, “types of intervention(9a)” and “adverse and unanticipated events (10d)” were sufficiently reported. In English ACR-AE, item “the main concerns and symptoms of the patient(5b)” and item “the primary takeaway lessons(11d)” were also generally reported.</p></div><div><h3>Conclusion</h3><p>Overall, the reporting quality of ACR-AE was unsatisfactory, and we believe that a special reporting guideline for clinical cases targeted at acupuncture should be extended in future studies.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 342-351"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41879728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Federation of Acupuncture-Moxibustion Societies: Promoting acupuncture and moxibustion of traditional Chinese medicine spread into the world","authors":"Yu-yang YANG (杨宇洋),&nbsp;Hui-jun QIAO (乔慧珺)","doi":"10.1016/j.wjam.2023.10.006","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.10.006","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 379-380"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92015482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}