International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Transitioning from hospital to home after a major lower extremity amputation: Interview study on patients' and relatives’ perspectives","authors":"Charlotte Abrahamsen ,&nbsp;Dorte Dall-Hansen ,&nbsp;Malene Tofteng Igelski ,&nbsp;Thea-Louise Schober ,&nbsp;Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2024.101103","DOIUrl":"10.1016/j.ijotn.2024.101103","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients often feel unprepared and concerned about their new life after a major lower extremity amputation (LEA). Therefore, we implemented an integrated care program, <em>Safe Journey</em>, to optimize the quality and continuity of care for patients with LEA due to vascular disease when transitioning from hospital to home. This study aims to illuminate and explore the experiences of patients with LEA and their relatives with the transition from hospital to home after implementing <em>Safe Journey</em>.</p></div><div><h3>Material and methods</h3><p>This qualitative, exploratory study individually interviewed six patients with a major LEA and four relatives and jointly interviewed eight patients with their relatives.</p></div><div><h3>Results</h3><p>The participants’ experiences transitioning from hospital to home were centered around two major themes: (1) Going home: mixed emotions and confusion, and (2) bridging the gap. The main themes encompassed six subthemes: (1) simultaneously expectant and worried, (2) a lack of knowledge creating uncertainty, (3) an unexpressed but pending need for psychosocial support, (4) reassurance but safety comes at a price, (5) navigating the system, and (6) lack of involvement.</p></div><div><h3>Conclusion</h3><p>Transitioning from hospital to home after a major LEA creates mixed emotions. Knowledge, feeling involved, and being prepared and cared for were highlighted as important during the transition. The <em>Safe Journey</em> program made patients and relatives feel physically reassured and safe, but all the home visits strained the families. The program's benefits are consistent with existing knowledge on patients with complex needs benefitting from integrated care models. However, a more individualized and person-centered approach is needed.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101103"},"PeriodicalIF":1.4,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000236/pdfft?md5=ffd9e367e6c049f1c210729aefb47dca&pid=1-s2.0-S1878124124000236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785405","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":"Focus on Fragility Fracture Training and education for Nurses","authors":"Ms Lingli Peng","doi":"10.1016/j.ijotn.2024.101102","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101102","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101102"},"PeriodicalIF":1.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140641325","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":"Adult patients' experiences after a distal radius fracture – A qualitative systematic review","authors":"Caroline Moos ,&nbsp;Charlotte Abrahamsen ,&nbsp;Bjarke Viberg ,&nbsp;Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2024.101101","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101101","url":null,"abstract":"<div><h3>Background</h3><p>Distal radius fractures are a common presentation in emergency departments. Synthesis of qualitative research of treatment, care and rehabilitation this fracture presents from the patient perspective could improve clinical practice and care. The purpose of this systematic review was to synthesize the qualitative literature on patient experiences after sustaining a distal radius fracture.</p></div><div><h3>Methods</h3><p>We searched Embase, MEDLINE, CINAHL, Psycinfo and CINAHL to identify qualitative studies published from database conception to May 2023. All studies were screened, extracted, analysed and quality assessed by two blinded reviewers. A thematic synthesis approach was used to analyse the findings from included studies.</p></div><div><h3>Results</h3><p>A total of 9 studies interviewing 160 unique patients were included. We identified 3 themes in relation to patient experiences after sustaining a distal radius fracture: 1) Concerns about dependency, 2) Fear and pain and 3) Motivators for recovery. The themes did not exist as sharply demarcated topics but were intertwined with patients reflecting that more information and knowledge could assist in managing expectations and the recovery period.</p></div><div><h3>Conclusion</h3><p>Our synthesis highlighted that adult patients with DRF experience a lack of information about the care and treatment inhibiting independence and successful management of expectations due to pain, fear and lack of motivation. Our findings can inform orthopaedic units and assist in tailoring information to patient needs.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101101"},"PeriodicalIF":1.4,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000212/pdfft?md5=68e6b87c832a6078d5f958daafee5ac2&pid=1-s2.0-S1878124124000212-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140605125","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":"Evaluation of reduced (‘Lite’) compression versus brief bandaging to manage post-operative pain after total knee arthroplasty surgery; a single-centre randomised controlled trial","authors":"Matt Dawson ,&nbsp;William Hage ,&nbsp;Cristian Nita ,&nbsp;Lucy Bell ,&nbsp;Janice Gorman ,&nbsp;Leon Jonker","doi":"10.1016/j.ijotn.2024.101100","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101100","url":null,"abstract":"<div><h3>Purpose</h3><p>Investigate efficacy of reduced compression bandage for the control of pain after total knee arthroplasty.</p></div><div><h3>Patients &amp; methods</h3><p>Prospective, single-centre, randomised controlled trial involving data for 56 out of 94 consented patients; 29 standard care versus 27 Andoflex TLC Calamine Lite. Comparison of standard care (non-compression bandage applied for up to one day) versus Andoflex TLC Calamine Lite (25–30 mmHg) two-layer compression bandage worn for five days. Outcomes measured with validated pain (McGill, 10-cm visual scale) and functionality (KOOS) tools.</p></div><div><h3>Results</h3><p>At day 5 post-surgery, the median pain level was 3.0 cm vs 4.0 cm (p-value 0.47, Mann-Whitney <em>U</em> test) respectively. Generic pain levels, pain types, and knee functionality did not differ between the interventions at days 3/5/12 and week 6 post-surgery. An exception was the degree of ‘tender’ pain at day 12, which was significantly lower in the Andoflex TLC Calamine Lite arm (p-value 0.041, Mann-Whitney <em>U</em> test). Binary logistic regression analysis showed that application of Andoflex TLC Calamine Lite, administration of oxycodone, and male sex were all significantly associated with less ‘tender’ pain.</p></div><div><h3>Conclusion</h3><p>Reduced compression bandaging does not affect overall pain levels post knee arthroplasty surgery, but may alleviate pain experienced as ‘tender’, highlighting the different types of pain that may be experienced. Patients' need for, and the use of, opioid medication (oxycodone) is a significant confounding variable when assessing adjuvant therapy to control pain. The applicability of reduced compression bandaging may therefore be limited and is less efficient than medical pain control.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101100"},"PeriodicalIF":1.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000200/pdfft?md5=164c65c72f05a14819f5dd2a5f890c16&pid=1-s2.0-S1878124124000200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140554799","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":"Literature reviews","authors":"Mary Drozd,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2024.101097","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101097","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101097"},"PeriodicalIF":1.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350724","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":"Sense of coherence as a predictor for patients’ quality of recovery after total hip or knee arthroplasty - A descriptive cohort study","authors":"Dorthe Hasfeldt ,&nbsp;Jimmy Højberg Holm ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Søren Overgaard","doi":"10.1016/j.ijotn.2024.101099","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101099","url":null,"abstract":"<div><h3>Background</h3><p>Patients' postoperative quality of recovery (QOR) is an important outcome measurement and predicting and preventing impaired quality of recovery is essential. In this study, we aimed to investigate if patients Sense of Coherence (SOC) could be a potential predictor and screening instrument for impaired quality of recovery. We hypothesized that patients’ SOC is positively related to their QOR.</p></div><div><h3>Material and methods</h3><p>The study was performed as a descriptive single-center prospective cohort study. Data was collected using digital questionnaires. Patients undergoing total hip (THA) or knee arthroplasty (TKA) received the SOC13 questionnaire prior to their surgery to establish their SOC and a questionnaire on postoperative day 2 and 7, respectively, establishing their QOR. Multiple linear regression was used to fit a model for the QOR score using SOC, age, sex, and type of surgery as potential explanatory variables.</p></div><div><h3>Results</h3><p>206 patients were included in the study analysis. The results showed a highly significant positive correlation between patients’ SOC and their postoperative QOR on both postoperative day 2 and 7 (p &lt; 0.01). Patients with a lower SOC score also presented a significantly lower QOR score, meaning they experienced impaired QOR compared to patients with a higher SOC score.</p></div><div><h3>Conclusions</h3><p>The results indicate that a weak SOC (low SOC score) can be considered a clinically important indicator for risk of impaired QOR (low QOR score) after THA and TKA. The SOC13 questionnaire may be a potential screening instrument identifying patients in risk of impaired postoperative QOR based on a low SOC score.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101099"},"PeriodicalIF":1.4,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000194/pdfft?md5=f8f0864d5f42b1e65e6e32eb50e21c2c&pid=1-s2.0-S1878124124000194-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140536910","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":"Non-linear relationship between preoperative albumin-globulin ratio and postoperative pneumonia in patients with hip fracture","authors":"Daxue Zhang ,&nbsp;Yu Zhang ,&nbsp;Shiwei Yang","doi":"10.1016/j.ijotn.2024.101098","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101098","url":null,"abstract":"<div><h3>Background and objective</h3><p>Postoperative pneumonia (POP) is the leading cause of death among patients with hip fractures. Simple and cost-effective markers can be used to assess the risk of these patients. This study aims to investigate the association between POP and preoperative albumin-globulin ratio (AGR) in patients with hip fractures.</p></div><div><h3>Methods</h3><p>A retrospective analysis was conducted on data from 1417 hip fracture patients admitted to the Department of Orthopaedics at the hospital. Generalized additive and logistic regression models were used to determine both linear and non-linear associations between preoperative AGR and POP. A two-piece regression model was employed to determine the threshold effect.</p></div><div><h3>Results</h3><p>The study included 1417 participants, with a mean age of 77.57 (8.53) years and 26.96% (382/1417) male patients. The prevalence of POP was 6.21%. Following full covariate adjustment, each unit increase in AGR was associated with a 79% reduction in the incidence of POP (OR, 0.23; 95% CI: 0.08–0.63; P = 0.0046). The inflection point was found to be 1.33 using a two-piecewise regression model. For each unit increase in AGR on the left side of the inflection point, the incidence of POP decreased by 93% (OR, 0.07; 95%CI: 0.02–0.34; P = 0.0010). However, there was no statistically significant correlation on the right side of the inflection point (OR, 0.84; 95% CI: 0.17–4.10; P = 0.8287).</p></div><div><h3>Conclusion</h3><p>There exists a non-linear association between preoperative AGR and the incidence of POP in elderly hip fracture patients. When AGR is less than 1.33, the incidence of POP is negatively correlated with AGR. However, there is no correlation when AGR is greater than 1.33.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101098"},"PeriodicalIF":1.4,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140545967","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":"Older people's experiences of hospitalization for surgical intervention for hip fracture: A systematic review","authors":"Zexuan Liu ,&nbsp;Zhenlan Xia ,&nbsp;Yuanfang Kuang ,&nbsp;Beibei Liu","doi":"10.1016/j.ijotn.2024.101096","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101096","url":null,"abstract":"<div><h3>Background</h3><p>Hip fracture always requires hospitalization with high cost, which cause the complicated experiences and feelings.</p></div><div><h3>Objective</h3><p>To inform pre- and in-hospital communication practices between healthcare professionals and patients through a systematic review and qualitative research that synthesizes the experiences and feelings of older patients with hip fracture during the perioperative period.</p></div><div><h3>Methods</h3><p>We searched the Cochrane Library, PubMed, Web of Science, CINAHL, and three Chinese databases for relevant studies. Qualitative studies were included if they were related to the experiences and needs of hospitalization of older patients with hip fracture. Study quality was evaluated using the 2016 Joanna Briggs Institute quality evaluation criteria for qualitative research, and the results were consolidated using an thematic synthesis approach.</p></div><div><h3>Results</h3><p>Sixteen studies were included in our meta-synthesis. We extracted 58 clear research topics. Eight new categories were formed after induction and integration, which were finally merged into three integrated results. Integration result 1: Patients suffered a large amount of physical and psychological trauma. Integration result 2: A balance of proper protection and independence for patients is required. Integration result 3: Adequate pre-discharge preparation is required.</p></div><div><h3>Conclusions</h3><p>Our review suggests that healthcare professionals should reduce pain catastrophizing and the fear of falling after surgery among older people with hip fracture. Furthermore, adequate pre-discharge preparation should be made jointly with patients. Meeting patients’ diverse needs by various methods will promote active and healthy aging.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101096"},"PeriodicalIF":1.4,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540789","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":"Application of a Diabetic Foot Smart APP in the measurement of diabetic foot ulcers","authors":"Nan Zhao ,&nbsp;Ling Yu ,&nbsp;Xiaoai Fu ,&nbsp;Weiwei Dai ,&nbsp;Huiwu Han ,&nbsp;Jiaojiao Bai ,&nbsp;Jingcan Xu ,&nbsp;Jianzhong Hu ,&nbsp;Qiuhong Zhou","doi":"10.1016/j.ijotn.2024.101095","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101095","url":null,"abstract":"<div><h3>Aims</h3><p>In the early stage, we developed an intelligent measurement APP for diabetic foot ulcers, named Diabetic Foot Smart APP. This study aimed to validate the APP in the measurement of ulcer area for diabetic foot ulcer (DFU).</p></div><div><h3>Methods</h3><p>We selected 150 DFU images to measure the ulcer areas using three assessment tools: the Smart APP software package, the ruler method, and the gold standard Image J software, and compared the measurement results and measurement time of the three tools. The intra-rater and inter-rater reliability were described by Pearson correlation coefficient, intra-group correlation coefficient, and coefficient of variation.</p></div><div><h3>Results</h3><p>The Image J software showed a median ulcer area of 4.02 cm², with a mean measurement time of 66.37 ± 7.95 s. The ruler method showed a median ulcer area of 5.14 cm², with a mean measurement time of 171.47 ± 46.43 s. The APP software showed a median ulcer area of 3.70 cm², with a mean measurement time of 38.25 ± 6.81 s. There were significant differences between the ruler method and the golden standard Image J software (Z = −4.123, p &lt; 0.05), but no significant difference between the APP software and the Image J software (Z = 1.103, p &gt; 0.05). The APP software also showed good inter-rater reliability and intra-rater reliability, with both reaching 0.99.</p></div><div><h3>Conclusion</h3><p>The Diabetic Foot Smart APP is a fast and reliable measurement tool with high measurement accuracy that can be easily used in clinical practice for the measurement of ulcer areas of DFU.</p></div><div><h3>Trial registration</h3><p>Chinese clinical trial registration number: ChiCTR2100047210.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101095"},"PeriodicalIF":1.4,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540790","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":"Biopsychosocial complexity in patients scheduled for elective TKA surgery: A feasibility pilot study with the INTERMED self-assessment questionnaire","authors":"M.L. van der Linde ,&nbsp;D.C. Baas ,&nbsp;T.H. van der Goot ,&nbsp;A.M.J.S. Vervest ,&nbsp;C. Latour","doi":"10.1016/j.ijotn.2024.101094","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101094","url":null,"abstract":"<div><h3>Objective</h3><p>Primary aim; to determine the feasibility of implementation of the INTERMED Self-Assessment (IM-SA) in adult patients scheduled for total knee arthroplasty (TKA). Secondary aim; to measure biopsychosocial complexity, referral to psychiatry or psychology in cases of complexity and to gain insight into the relation between biopsychosocial complexity and length of stay (LOS), method of discharge (MOD) and polypharmacy.</p></div><div><h3>Methods</h3><p>A feasibility study was conducted with 76 participants in a general hospital in the Netherlands. Feasibility was determined by the number of completed questionnaires, time spent completing the questionnaire and the attitude of staff and patients towards the IM-SA.</p><p>A cut off point <strong>≥</strong>19 on the IM-SA was used to determine the prevalence of biopsychosocial complexity. A case file study was performed to check if referral to psychiatry or psychology had taken place.</p><p>The Spearman's Rank Correlation Coefficient or Phi was used to determine if there was a relation between biopsychosocial complexity and LOS, MOD and polypharmacy.</p></div><div><h3>Results</h3><p>All participants completed the IM-SA. The average time spent completing the questionnaire was 11.46 min (SD 5.74). The attitude towards the IM-SA was positive.</p><p>The prevalence of biopsychosocial complexity was 11.84%. Referral to psychiatry or psychology did not take place.</p><p>There was no relation between complexity and LOS (Spearman's rho (r) = 0.079, p = 0.499, MOD (Phi = 0.169, p = 0.173) and polypharmacy (Phi = 0.007, p = 0.953).</p></div><div><h3>Conclusion</h3><p>Biopsychosocial complexity can be identified in TKA patients during the pre-operative phase by using the IM-SA. Implementation of the IM-SA in a Dutch general hospital is feasible.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101094"},"PeriodicalIF":1.4,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140161001","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}