AIMS Public Health最新文献

{"title":"Capacity building among frontline health workers (FHWs) in screening for cardiovascular diseases (CVDs): Findings of an implementation study from Bihar, India.","authors":"Neeraj Agarwal,&nbsp;C M Singh,&nbsp;Bijaya Nanda Naik,&nbsp;Abhisek Mishra,&nbsp;Shamshad Ahmad,&nbsp;Pallavi Lohani,&nbsp;Saket Shekhar,&nbsp;Bijit Biswas","doi":"10.3934/publichealth.2023017","DOIUrl":"https://doi.org/10.3934/publichealth.2023017","url":null,"abstract":"<p><strong>Background: </strong>Community-based screening is one of the key preventive strategies to tackle the ever-rising burden of non-communicable diseases (NCDs) under the National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS).</p><p><strong>Objective: </strong>The current study was aimed to build capacity among frontline health workers (FHWs) in screening for cardiovascular diseases (CVDs) under NPCDCS in the selected districts of Bihar state.</p><p><strong>Methodology: </strong>This was an implementation study with follow-up components, conducted among 75 FHWs [14 auxiliary nurse midwives (ANMs) and 61 accredited social health activists (ASHAs)] from 15 primary healthcare facilities across four districts of Bihar state from October 2019 to September 2021. The selected FHWs were initially trained on NPCDCS for a day, including pre- and post-training knowledge assessment. Then, supportive supervision (SS) visits using a predesigned questionnaire were done.</p><p><strong>Results: </strong>The pre- and post-training mean knowledge scores of the FHWs were 12.9 and 22.1, respectively, with an overall effect size of 2.5. During SS visits, only 20.0% of the visited primary healthcare facilities had all the required logistics to conduct weekly NCD screening clinics for CVDs. Considering different measurements and operative skill proficiencies of FHWs, waist circumference skills (41.7% for ANMs and 50.8% for ASHAs), followed by blood pressure (BP) (41.7%) and random blood sugar (RBS) measurement (25.0%), were found to be the most deficient skills (among ANMs). Moreover, the quality of initial and follow-up home visits was found to be satisfactory for only 54.1% of the ASHAs. The reported barriers of NCD screening were reported to be non-cooperation, unawareness among community dwellers, lack of knowledge and skill of FHWs, logistic constraints and delayed honorarium credit.</p><p><strong>Conclusion: </strong>One-day training on NCDs for FHWs was quite effective. However, for translating all the desired skills for CVD screening into action, periodic training needs assessment, and SS of FHWs might be fruitful.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 1","pages":"219-234"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315583","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":"The quiet quitting scale: Development and initial validation","authors":"Petros Galanis, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Ioannis Moisoglou, Parisis Gallos, Daphne Kaitelidou","doi":"10.3934/publichealth.2023055","DOIUrl":"https://doi.org/10.3934/publichealth.2023055","url":null,"abstract":"<abstract><sec> <title>Introduction</title> <p>COVID-19 pandemic causes drastic changes in workplaces that are likely to increase quite quitting among employees. Although quiet quitting is not a new phenomenon, there is no instrument to measure it.</p> </sec><sec> <title>Objective</title> <p>To develop and validate an instrument assessing quiet quitting among employees.</p> </sec><sec> <title>Methods</title> <p>We identified and generated items through an extensive literature review and interviews with employees. We carried out the content validity by content experts and we calculated the content validity ratio. We checked face validity by conducting cognitive interviews with employees and calculating the item-level face validity index. We conducted exploratory and confirmatory factor analysis to investigate the quiet quitting scale (QQS) factorial structure. We checked the concurrent validity of the QQS using four other scales, i.e., Copenhagen burnout inventory (CBI), single item burnout (SIB) measure, job satisfaction survey (JSS) and a single item to measure turnover intention. We estimated the reliability of the QQS measuring Cronbach's alpha, McDonald's omega, Cohen's kappa and intraclass correlation coefficient.</p> </sec><sec> <title>Results</title> <p>After expert panel review and item analysis, nine items with acceptable corrected item-total correlations, inter-item correlations, floor and ceiling effects, skewness and kurtosis were retained. Exploratory factor analysis extracted three factors, namely detachment, lack of initiative and lack of motivation, with a total of nine items. Confirmatory factor analysis confirmed this factorial structure for QQS. We found statistically significant correlations between QQS and CBI, SIB, JSS and turnover intention confirming that the concurrent validity of the QQS was great. Cronbach's alpha and McDonald's omega of the QQS were 0.803 and 0.806 respectively.</p> </sec><sec> <title>Conclusion</title> <p>QQS, a three-factor nine-item scale, has robust psychometric properties. QQS is an easy-to-administer, brief, reliable and valid tool to measure employees' quiet quitting. We recommend the use of the QQS in different societies and cultures to assess the validity of the instrument.</p> </sec></abstract>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135009690","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":"Sources, diffusion and prediction in COVID-19 pandemic: lessons learned to face next health emergency.","authors":"Mario Coccia","doi":"10.3934/publichealth.2023012","DOIUrl":"https://doi.org/10.3934/publichealth.2023012","url":null,"abstract":"<p><p>Scholars and experts argue that future pandemics and/or epidemics are inevitable events, and the problem is not whether they will occur, but when a new health emergency will emerge. In this uncertain scenario, one of the most important questions is an accurate prevention, preparedness and prediction for the next pandemic. The main goal of this study is twofold: first, the clarification of sources and factors that may trigger pandemic threats; second, the examination of prediction models of on-going pandemics, showing pros and cons. Results, based on in-depth systematic review, show the vital role of environmental factors in the spread of Coronavirus Disease 2019 (COVID-19), and many limitations of the epidemiologic models of prediction because of the complex interactions between the new viral agent SARS-CoV-2, environment and society that have generated variants and sub-variants with rapid transmission. The insights here are, whenever possible, to clarify these aspects associated with public health in order to provide lessons learned of health policy that may reduce risks of emergence and diffusion of new pandemics having negative societal impact.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 1","pages":"145-168"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315588","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":"Public health implications of computer-aided diagnosis and treatment technologies in breast cancer care","authors":"Kai Cheng, Jiangtao Wang, Jian Liu, Xiangsheng Zhang, Yuanyuan Shen, Hang Su","doi":"10.3934/publichealth.2023057","DOIUrl":"https://doi.org/10.3934/publichealth.2023057","url":null,"abstract":"<abstract> <p>Breast cancer remains a significant public health issue, being a leading cause of cancer-related mortality among women globally. Timely diagnosis and efficient treatment are crucial for enhancing patient outcomes, reducing healthcare burdens and advancing community health. This systematic review, following the PRISMA guidelines, aims to comprehensively synthesize the recent advancements in computer-aided diagnosis and treatment for breast cancer. The study covers the latest developments in image analysis and processing, machine learning and deep learning algorithms, multimodal fusion techniques and radiation therapy planning and simulation. The results of the review suggest that machine learning, augmented and virtual reality and data mining are the three major research hotspots in breast cancer management. Moreover, this paper discusses the challenges and opportunities for future research in this field. The conclusion highlights the importance of computer-aided techniques in the management of breast cancer and summarizes the key findings of the review.</p> </abstract>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135314374","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":"Alcohol use during the COVID-19 pandemic: gender, parenthood, intimate partner violence, and stress.","authors":"Kassidy C Colton,&nbsp;Stephanie A Godleski,&nbsp;Joseph S Baschnagel,&nbsp;Rebecca J Houston,&nbsp;Shine M DeHarder","doi":"10.3934/publichealth.2023027","DOIUrl":"https://doi.org/10.3934/publichealth.2023027","url":null,"abstract":"<p><p>Some preliminary work during the COVID-19 pandemic indicates that adult alcohol use increased, particularly for parents. This cross-sectional study examined the quantity and frequency of adults' alcohol use during the early stages of the pandemic. Additionally, the influences of gender, parenthood, COVID-19-related stressors and intimate partner violence (IPV) on alcohol consumption were examined. The sample consisted of 298 adults (98 parents) from across the United States who completed self-report surveys through Qualtrics at the beginning of the pandemic in May 2020. In the present study, all men reported higher levels of drinking compared to all women. Although stress levels did not impact alcohol consumption, findings indicate that increased IPV experiences were associated with higher levels of heavy drinking during the pandemic. Results also suggested that having children in the home particularly impacted drinking levels during the pandemic, above and beyond the influence of gender, IPV, and stress levels. These findings suggest that parenthood may have had a cascading influence on drinking experiences during the COVID-19 pandemic. Implications and recommendations for further research are discussed.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 2","pages":"360-377"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10251053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674189","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":"Attitudes of Italian mental health nurses towards mental illness and recovery: a cross-sectional study.","authors":"Giovanni Napoli,&nbsp;Simone Autuori,&nbsp;Kumi Senkyire Ephraim","doi":"10.3934/publichealth.2023025","DOIUrl":"https://doi.org/10.3934/publichealth.2023025","url":null,"abstract":"<p><strong>Background: </strong>Mental health nurses' (MHNs) stigma and discrimination against people with mental illnesses are obstacles to recovery and the development of effective care and treatment. Although many authors have been interested in exploring stigma among general health professionals, paradoxically, less and non-generalizable evidence is available on this phenomenon among MHNs. Understanding the factors associated with stigma and its relationship to recovery attitudes among MHNs could allow for more accurate interventions and improve patient care outcomes.</p><p><strong>Objective: </strong>This study conducted on a sample of Italian psychiatric nurses had the objective of analyzing the aptitude for recovery and the tendency towards stigma of these professionals towards mental illness.</p><p><strong>Methodology: </strong>A cross-sectional web survey was conducted on a sample of Italian MHNs, who were administered two validated tools, the RAQ-7 (assessment of recovery aptitude) and the WHO-HC-15 (assessment of stigma) respectively.</p><p><strong>Results: </strong>A total of 204 MHNs were interviewed. The analysis showed positive overall scores (high recovery aptitude and low stigma levels) among participating MHNs. The attitude to recovery appeared to be directly related to a lower tendency to stigma towards mental illness. It has been observed that MHNs with advanced levels of education appear to be more predisposed to recovery, as well as generally less stigmatizing. There is evidence that the setting in which care is provided, marital status and age can play a significant role in the tendency to stigmatization.</p><p><strong>Conclusion: </strong>Our manuscript could assist nursing executives, leaders or educators in making decisions about managing and preventing stigma among MHNs.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 2","pages":"333-347"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10251057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674194","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":"Prehospital emergency care patient satisfaction scale [PECPSS] for care provided by emergency medical teams: Scale development and validation.","authors":"Junpei Haruna,&nbsp;Nobuyasu Hayasaka,&nbsp;Yukiko Taguchi,&nbsp;Saori Muranaka,&nbsp;Sachi Niiyama,&nbsp;Hirotoshi Inamura,&nbsp;Shuji Uemura,&nbsp;Keigo Sawamoto,&nbsp;Hirotoshi Mizuno,&nbsp;Nobuaki Himuro,&nbsp;Eichi Narimatsu","doi":"10.3934/publichealth.2023011","DOIUrl":"https://doi.org/10.3934/publichealth.2023011","url":null,"abstract":"<p><p>The purpose of this study was to develop and validate an emergency medical technician (EMT) care patient satisfaction scale to measure patient satisfaction with prehospital emergency care. To date, patient satisfaction surveys of EMTs have been performed subjectively, e using each facility's questionnaire, without the use of a validated patient satisfaction scale. However, no specific scale has been devised to assess patient satisfaction with EMTs. The study population comprised patients who used an ambulance between November 2020 and May 2021 (N = 202). A survey instrument was administered to participants who provided informed consent. In the process of validating the patient satisfaction scale, an exploratory factor analysis (EFA) of construct validity was performed. The results of the EFA showed a factor structure consisting of five factors: \"teamwork\", \"explanation and communication\", \"physical treatment and psychological support\", \"quickness of transport\", and \"environment in the ambulance\". In addition, domain and summary scores showed good internal reliability (Cronbach's range = 0.82-0.94). The patient satisfaction scale developed in this study was designed and validated considering the role of EMTs and patients' needs for prehospital care. This scale may be useful in the development of assessments and interventions to improve patient satisfaction with EMTs.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 1","pages":"129-144"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9308991","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":"Validity and reproducibility of food photographic estimation for evaluating meals in evacuation shelters.","authors":"Haruka Kobayashi,&nbsp;Noriko Sudo,&nbsp;Nobuyo Tsuboyama-Kasaoka,&nbsp;Ikuko Shimada,&nbsp;Keiichi Sato","doi":"10.3934/publichealth.2023013","DOIUrl":"https://doi.org/10.3934/publichealth.2023013","url":null,"abstract":"<p><strong>Objective: </strong>The primary goal was to evaluate the validity of food photographic estimation for nutritional assessment compared with weighed food record (WFR).</p><p><strong>Methods: </strong>We evaluated the validity and reproducibility of photographic estimation of foods provided in evacuation shelters. We analyzed 35 meals served at 12 shelters in Kumamoto Prefecture in Japan, affected by a heavy rain disaster in 2020. In this context, we compared 21 senior students' portion size estimation by food photographs to WFR. In addition, we assigned five meals for each of the 21 senior students, and the same meal photograph was estimated by three students to test reproducibility.</p><p><strong>Results: </strong>No statistically significant difference was detected between the two methods regarding energy, the total grams of meal, the protein, and vitamins B₁, B₂, and C, except for salt. In addition, the students who never self-cooked underestimated the total grams.</p><p><strong>Conclusion: </strong>Food photographic estimation could simplify the nutritional assessment in evacuation shelters. However, unclear photographs and food items served by weight could weaken the estimation accuracy. According to previous studies and the applied postestimation questionnaire, photographs taken from specified angles and reference food photobooks for portion size estimation may improve accuracy.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 1","pages":"169-182"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315584","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":"Preliminary study of perceived cardiovascular disease risk and risk status of adults in small rural and urban locations in Ibadan, Nigeria.","authors":"Nse A Odunaiya,&nbsp;Opeyemi M Adegoke,&nbsp;Abiodun M Adeoye,&nbsp;Oluwafemi O Oguntibeju","doi":"10.3934/publichealth.2023015","DOIUrl":"https://doi.org/10.3934/publichealth.2023015","url":null,"abstract":"<p><p>The burden of cardiovascular disease (CVD) has been on the rise in developing countries like Nigeria recently. Studies on perceived CVD risk and the risk status of adults in Ibadan are not readily available, hence this study. A mixed-method design involving a cross-sectional survey and an exploratory qualitative study was utilized. Convenience sampling was used to recruit 418 participants (209 from rural and 209 from urban) for the cross-sectional survey, while purposive sampling was used to recruit 14 participants for the qualitative aspect. The INTERHEART risk score and the Perception of Risk of Heart Disease Scale were used to investigate participants' CVD risk status and perceived risk, respectively. The data from the cross-sectional survey were summarized by using descriptive statistics, and the data were then analyzed by using the chi-square test of association and a multiple logistic regression model, while content thematic analysis was used to analyze the qualitative data. In the rural and urban areas, respectively, 39.7% and 52.2% had a positive perception of CVD risk. In the rural and urban areas, 44% and 41.6% of individuals respectively had moderate-to-high risk of CVD. Participants with at least secondary school education [2.66 (0.61-11.53)] and participants in the urban area [2.62 (0.78-7.08)] had twice higher odds of positive CVD risk perception. Males [3.91 (1.58-9.68)], adults aged 40 and above [1.59 (0.63-4.00)] and urban dwellers [1.21 (0.33-4.39)] had higher odds of a high CVD risk status. The qualitative aspect of the study corroborated the findings from the survey, as many participants did not perceive themselves as being at risk of CVD. The majority of the participants in this study were found to have a moderate-to-high risk of CVD, and many had a negative perception of their risk. Health education and CVD prevention programs are required to curb the burden of CVD.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"10 1","pages":"190-208"},"PeriodicalIF":3.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315587","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":"Health and fitness trends in Iran for 2024: A cross-sectional study","authors":"Alexios Batrakoulis, Saeid Fatolahi, Farnaz Dinizadeh","doi":"10.3934/publichealth.2023053","DOIUrl":"https://doi.org/10.3934/publichealth.2023053","url":null,"abstract":"<abstract> <p>The health and fitness sector is evolving and appears to be an important field not only for consumers but also for gym operators/managers, exercise professionals, training providers and educators with great potential worldwide. Our aim of this cross-sectional survey was to investigate the most attractive health and fitness trends in Iran for the first time and to observe any potential differences with the recent results reported in other regions. A national online survey was conducted, using the methodology of similar international surveys conducted by the American College of Sports Medicine since 2007. In total, a web-based questionnaire was sent to 7158 professionals who worked in the Iranian health and fitness industry. A total of 408 responses were collected with a response rate of 5.7%. The 10 most important health and fitness trends in Iran for 2024 were strength training with free weights, exercise for weight loss, group training, low-cost and budget gyms, dance-based workouts, outdoor activities, Pilates, bodyweight training, core training and aquatic exercise. The present findings are not fully aligned with those reported for the top health and fitness trends internationally, showing that trends related to technology and health are not yet popular nationwide. Such outcomes may support all industry stakeholders with making important business decisions, professional development opportunities and innovative concepts to enhance customer engagement through positive exercise experiences.</p> </abstract>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136052985","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}