Journal of Public Health Management and Practice最新文献

{"title":"Describing Intellectual Disability in Local Public Health Community Health Assessments and Community Health Improvement Plans.","authors":"Haleigh Leslie, Kate Beatty, Dawn Rowe, Thomas Quade, Kailee Havrda, Casey Balio","doi":"10.1097/PHH.0000000000002390","DOIUrl":"10.1097/PHH.0000000000002390","url":null,"abstract":"<p><strong>Abstract: </strong>To describe intellectual disability inclusion in local health department (LHD) community health assessments (CHAs) and community health improvement plans (CHIPs), this study used a cross-sectional design, analyzing CHAs and CHIPs of Public Health Accreditation Board-accredited LHDs. We find that approximately 5% (n = 17) of CHAs included an intellectual disability (ID) partner in the development process. Less than 2% (n = 3) of CHIPs included a goal, objective, or activity that specifically included people with ID. Many CHAs used language that identified ID as a health outcome to be prevented. CHAs and CHIPs play a key role in informing the work conducted by LHDs. Intellectual disability inclusion and representation in CHAs and CHIPs are limited. These findings identify a gap in ID-inclusive verbiage and community-based participation in developing CHAs and CHIPs and the need to increase ID inclusion in these planning processes and documents.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"817-820"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354448","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":"Working With Risk: Improving Collection of Industry and Occupation Data During Public Health Surveillance Case Follow-Up in Wisconsin.","authors":"Paul D Creswell, Collin R Morris, Wendy Fall, Rachel F Klos, Katherine E McCoy","doi":"10.1097/PHH.0000000000002395","DOIUrl":"10.1097/PHH.0000000000002395","url":null,"abstract":"<p><strong>Context: </strong>Surveillance of occupational health conditions has historically lagged behind other types of public health surveillance.</p><p><strong>Objective: </strong>Improving the capture of industry and occupation variables in surveillance case follow-up interviews is one avenue for improving occupational health surveillance.</p><p><strong>Design: </strong>Five approaches were implemented to maintain and improve capture of industry and occupation data during case follow-up in Wisconsin.</p><p><strong>Setting and participants: </strong>This project involved efforts at the state, local, and Tribal health department level.</p><p><strong>Main outcome measures: </strong>Counts and completion percentages were assessed for working-age case-patients with reportable conditions in Wisconsin from 2022 through 2024.</p><p><strong>Results: </strong>The completion of industry and occupation fields increased across the 3 years under study, particularly in those conditions with lower initial completion.</p><p><strong>Conclusions: </strong>This project was successful in improving the capture of industry and occupation data for potentially work-related infectious diseases and, generally, for occupational surveillance in the state of Wisconsin.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E194-E201"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370449","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":"Examining Data Access Gaps for Tribal Epidemiology Centers: Qualitative Interviews and a 50-State Syphilis Data Audit.","authors":"Kathleen Conte, Ashley Hoover, Levi Mattoon, Brigg Reilley, Jessica Leston","doi":"10.1097/PHH.0000000000002386","DOIUrl":"10.1097/PHH.0000000000002386","url":null,"abstract":"<p><strong>Context: </strong>Federal law establishes American Indian and Alaska Native Tribes and Tribal Epidemiology Centers (TECs) as public health authorities with rights to state data to conduct public health activities. Tribal authorities, however, struggle to access public health data.</p><p><strong>Objectives: </strong>To examine TECs' access and barriers to public health surveillance data, and using syphilis as a case study, to assess data availability and timeliness nationwide.</p><p><strong>Design: </strong>In-depth qualitative interviews and a desk audit of syphilis data by states.</p><p><strong>Setting: </strong>All 12 TECs who collectively provide epidemiologic and public health support to 574 Tribes and 41 Urban Indian Centers nationwide.</p><p><strong>Participants: </strong>Sixteen interviewees from 7 TECs participated; their positions ranged from staff epidemiologists to center directors.</p><p><strong>Main outcome measures: </strong>Interviews explored access to sexually transmitted infections data, barriers, and improvement recommendations. Desk audit applied Google searches to locate state-published syphilis data. We extracted information on reporting detail, including time from reporting period end to publication, demographic and geographic variables, and syphilis-specific indicators (eg, type and risk factors).</p><p><strong>Results: </strong>Participants reported considerable difficulties accessing timely, useful health data from states, instead relying on publicly facing data. The primary barrier was state health departments' lack of recognition of TECs' and Tribes' public health authority. Data gatekeeping affected public health functions from data access to Tribal health outcomes. Desk audit revealed 12 of 50 states reporting syphilis data within the past year; only 4 are among the top 10 states by American Indian and Alaska Native population share.</p><p><strong>Conclusions: </strong>Publicly facing data are generally not timely or detailed enough for public health monitoring response, underscoring need for TEC access to timely, state-held epidemiological data. TEC and Tribal public health authority must be reinforced through formal recognition by states, and enforced by federal agencies who can hold states accountable through funding agreements.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"768-777"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Clinic to Community: Deploying Harm Reduction Vending Machines Across a Veterans Affairs System.","authors":"Tessa Rife-Pennington, Andie Ruggles, Michael P Douglas, Donna Dare","doi":"10.1097/PHH.0000000000002379","DOIUrl":"10.1097/PHH.0000000000002379","url":null,"abstract":"<p><strong>Abstract: </strong>Harm reduction vending machines (HRVMs) can expand low-barrier access to overdose prevention, sexual health, safer-use, and basic self-care supplies; however, practical guidance for implementing HRVMs in health system and supportive housing settings is limited. This practice report describes a clinical pharmacist practitioner (CPP)-led deployment of 15 HRVMs across a Veterans Affairs (VA) system and Veterans supportive housing in California. Beginning in December 2021, the CPP conducted site engagement, market research, and funding applications; convened cross-departmental stakeholders (logistics, engineering, biomedical, environmental management, information security/technology); and completed contracting. Contracts were awarded to VendNovation, LLC, for HRVMs which were placed in 7 community-based outpatient clinics, 6 supportive-housing sites, and 2 hospital locations. The CPP designed the HRVM wrap and interior layout; curated product assortments (eg, fentanyl/xylazine test strips, syringes, safer-sex supplies, wound-care, and hygiene items; naloxone added after launch) based on prior quality improvement interventions and Veteran feedback surveys; and established barcode-based user access and software-enabled inventory management. Implementation challenges included staff concerns (eg, stigma, not in my backyard attitudes), connectivity barriers (eg, Wi-Fi requirements), and added costs for deliveries to non-VA locations. HRVMs within VA clinics were accessible during business hours; supportive-housing HRVMs operate 24/7. Planning and installation required nearly 2 years, underscoring the need for dedicated staffing (CPP plus logistics technician), braided funding for start-up and recurring costs, and standardized purchasing and installation pathways. HRVMs seem feasible and acceptable in VA clinical and housing settings and may increase anonymous, low-barrier access to harm-reduction supplies. Implications for scale-up include development of centralized or prevetted procurement pathways, clearer implementation guidance, and operational supports to reduce site-level contracting burden.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"698-710"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346934","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":"Implementation and Outcomes of 9 Deflection Teams in Ohio.","authors":"Brandon N Bledsoe, Sarah Light, Sarah M Manchak, Bradley J O'Guinn, Cory P Haberman, Kimberly G Sperber, Aaron T Vissman, Fan Xuan Chen","doi":"10.1097/PHH.0000000000002405","DOIUrl":"10.1097/PHH.0000000000002405","url":null,"abstract":"<p><strong>Context: </strong>Ohio has been severely affected by the opioid epidemic for more than a decade, leading to the development of diversion and deflection programs that seek to intervene with individuals experiencing substance use disorder in the community.</p><p><strong>Program: </strong>The Comprehensive Opioid, Stimulant, and Substance Use Program provided funding to develop or enhance 9 first responder-led diversion/deflection efforts across the state of Ohio and examine their operations and impact on client outcomes from 2021 to 2024.</p><p><strong>Implementation: </strong>Although heterogeneously implemented, each of the 9 funded deflection teams engaged in overdose response or proactive outreach, targeting people with substance use disorder to connect them to community-based treatment resources, overdose prevention materials, and other supports based on the needs of the individual.</p><p><strong>Evaluation: </strong>Demographics for referrals across the sites, number of referrals/unique individuals recorded per team, deflection team activities (ie, contact attempts, successful contact rates, overdose prevention material distribution), and clients' proximal outcomes of connection to treatment are reported. In addition, successful rates of contact and connection to treatment were examined across demographic groups. Less than 25% of all teams had any significant differences in rates of contact or connections to treatment between demographic groups. Nearly 80% of the teams showed significant differences in mean number of contact attempts between successful and nonsuccessful contacts.</p><p><strong>Discussion: </strong>This multisite evaluation contributes to a small but growing body of research on deflection programs. It emphasizes 2 proximal outcomes that are directly tied to team activities. It also builds on past research by examining how client demographics and team activities (ie, contact attempts) may influence client outcomes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"731-738"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354453","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":"Continuous Community Engagement and Local Leadership: Essential Components for Public Health Emergency Preparedness, Response, and Recovery.","authors":"Judith A Lipshutz, Michele Flippo Bolduc, Rachel Powell, Zoe Freggens, Rashid Njai","doi":"10.1097/PHH.0000000000002391","DOIUrl":"10.1097/PHH.0000000000002391","url":null,"abstract":"<p><strong>Context: </strong>Public health emergencies disproportionately affect marginalized communities across the United States, challenging public health to address local-level factors contributing to persistent differences in community health outcomes. The Centers for Disease Control and Prevention (CDC) capability standards for public health preparedness recommend strengthening community partnerships to better understand and address these factors, including engagement of trusted community spokespersons. Even with growing governmental public health interest in community engagement, more examples are needed for deeper engagement across the public health emergency spectrum.</p><p><strong>Approach: </strong>Using 2 US-based case studies, we explore how to deeply engage communities throughout the preparedness-response-recovery continuum to help mitigate disproportionate outcomes of public health emergencies.</p><p><strong>Implementation: </strong>Community-led groups in Detroit and Dearborn, Michigan and Helena, Arkansas identified priority public health challenges and advised on how to address them. In Detroit, Wayne State University's Hub for Evaluation and Learning set up a Community Steering Council that identified challenges in housing and mental health as key indicators of poor public health. In Helena, the Healthy Community Initiative, through its Community Action Board, identified and addressed a severe water crisis with input from community health workers. Both communities set up mechanisms for community members to share their concerns and help public health address these issues as part of their prevention strategies.</p><p><strong>Evaluation: </strong>Both communities reported improved capacity to identify and respond to public health crises through engagement with local leaders and creation of community-led groups for consistent involvement before, during, and after public health events.</p><p><strong>Discussion: </strong>Local leadership groups are uniquely positioned to maintain relationships with communities at higher risk for negative public health outcomes. Such groups can draw upon community knowledge and assets to develop solutions tailored to area-specific assets and needs. Successful public health outcomes in disproportionately impacted communities are more likely when governmental public health considers community groups as integral to the public health infrastructure.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E166-E172"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139390","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":"Developing and Operationalizing an Academic Health Department Partnership: A Collaboration Between UTHealth Houston School of Public Health and Dallas County Health and Human Services.","authors":"Robert Hammarberg, Rakima Parson, Katy Womble, Michele Stanton, Connor Russell, Philip Huang, Kevin Rix","doi":"10.1097/PHH.0000000000002383","DOIUrl":"10.1097/PHH.0000000000002383","url":null,"abstract":"<p><strong>Context: </strong>Academic Health Department (AHD) partnerships are increasingly recognized as a mechanism for strengthening public health education, workforce development, and applied research. While many schools of public health and local health departments have collaborated informally for decades, the COVID-19 pandemic exposed both the value and limitations of these informal arrangements. In Texas, sustained pandemic response efforts required frequent, high-stakes coordination between academic institutions and local health authorities, underscoring the need for more intentional and structured academic-practice partnerships. Against this backdrop, UTHealth Houston School of Public Health (UTHSPH) and Dallas County Health and Human Services (DCHHS) sought to formalize a long-standing informal relationship through an AHD model.</p><p><strong>Implementation: </strong>Beginning in early 2022, the partnership was operationalized through leadership engagement, the establishment of a Coordinating Committee, and the development of a thematic framework, guided by the literature, to identify collaborative activities. Five core activity domains were recognized: Planning for Change, Improving Practical Experiences, Nurturing Boundary Spanners, Fostering Joint Research, and Workforce Development. Each domain included defined activities, metrics, and anticipated outcomes to support structured implementation, documentation, and continuous improvement of AHD efforts.</p><p><strong>Evaluation: </strong>The Coordinating Committee discusses progress on action items and goal attainment during regularly scheduled meetings and, annually, facilitates a formal discussion on the overall structure, compliance, and progress toward shared goals, as detailed in the MOU, to ensure minimal mission creep. Engagement and satisfaction data are also collected from collaborative events to inform success and areas of improvement.</p><p><strong>Discussion: </strong>Establishing a partnership with a local health department has proven beneficial for both UTHealth Houston School of Public Health and DCHHS. Early outcomes suggest that formalizing the AHD relationship enhanced coordination, accountability, and strategic alignment between academic and practice partners. The steps pursued to develop this collaboration can serve as a guide for other organizations seeking similar relationships.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E173-E181"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309841","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":"Development of an Automated, Customized Data Report for Ongoing Aberration Detection in Syphilis Surveillance Data.","authors":"John S Angles, Elizabeth A Torrone, Tracy Pondo, Melissa A Pagaoa, Erika G Martin","doi":"10.1097/PHH.0000000000002396","DOIUrl":"10.1097/PHH.0000000000002396","url":null,"abstract":"<p><strong>Introduction: </strong>Identifying aberrations in live surveillance data representing before year-end data reconciliation can improve public health response and data quality. We developed an automated, customized data report to communicate potential aberrations to jurisdictions submitting syphilis data to the Centers for Disease Control and Prevention.</p><p><strong>Development: </strong>Our multiphase approach encompassed: requirements gathering, exploratory data analyses, rapid prototyping, evaluating relative performance of different aberration detection methodologies, and soliciting end-user feedback on the prototype.</p><p><strong>Evaluation: </strong>The final product encompasses statistical code that generates user-friendly quarterly data reports on live syphilis surveillance data, customized to each US jurisdiction. Data reports include an executive summary highlighting critical issues followed by detailed charts and tables showing anomalies in priority variables. The flexible code includes options for alternative methods, figures, and descriptions. End-users preferred a mix of tables and figures, with simple data representations.</p><p><strong>Discussion: </strong>Evolving epidemics, decentralized data collection, jurisdictions' use of various data systems, and public health workforce shortages are critical challenges for national disease surveillance. Additional technical challenges include setting thresholds for aberrations and jurisdictions' different information needs. End users expressed satisfaction with the prototype, identifying multiple use cases for how jurisdictions with variable morbidity and surveillance capacities could leverage the information for action.</p><p><strong>Conclusion: </strong>Our multiphase, user-centered design approach identified challenges in determining and communicating data quality aberrations in a complex data ecosystem. An important consideration for developing such products is balancing complex methodologies with visualizations that are easy to interpret by nonstatistical audiences.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"658-665"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Health Disease Intervention Job Posting Analysis: Current Trends to Build a Future Workforce.","authors":"Diana Cervantes, Litzy Ocampos, Darashagam Nahal, Teresa Wagner, Emily Spence","doi":"10.1097/PHH.0000000000002399","DOIUrl":"10.1097/PHH.0000000000002399","url":null,"abstract":"<p><strong>Objectives: </strong>To identify employer expectations regarding knowledge, skills, abilities, and other characteristics (KSAOs), compensation capacity, and the structural and population needs influencing a broadly defined disease intervention (DI) workforce.</p><p><strong>Design: </strong>Cross-sectional quantitative job posting analysis using publicly available postings from major public health job boards, public health agency websites, and professional organization sites.</p><p><strong>Setting: </strong>Nationally representative sample of DI-related job postings available from February to June 2025.</p><p><strong>Participants: </strong>Forty-one job postings from 24 public health agencies across 19 states, 8 Health and Human Services regions, and 30 service counties.</p><p><strong>Main outcome measure: </strong>Characteristics of (1) posting agencies, (2) geographic service locations, and (3) job-specific requirements, including KSAOs and compensation.</p><p><strong>Results: </strong>Thirty-seven distinct DI-related job titles were identified across multiple jurisdictional levels. Most postings originated from Public Health Accreditation Board-accredited, mid-sized or large agencies in the Southern United States. Required KSAOs emphasized knowledge of disease characterization, strong communication and collaboration skills, and confidentiality. The ability to serve diverse and highly vulnerable populations is critical for the DI workforce. Employer expectations also reflected the operational realities of DI work, with many postings requiring nontraditional hours or on-call availability. Salary ranges and benefits varied across position groups, illustrating how organizational structure and resource capacity shape compensation and workforce needs.</p><p><strong>Conclusions: </strong>This study provides the first systematic description of DI-related job titles and role expectations from position postings across US public health agencies in the context of a more broadly defined DI workforce. Findings highlight the combined importance of technical competencies, interpersonal skills, and organizational factors such as compensation structures and work-hour requirements. These insights offer a foundation for strengthening DI workforce development, informing academic preparation, guiding recruitment strategies, and supporting uptake of Certified in Disease Intervention certification.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"778-787"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370418","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":"Good Health Is Good Governance.","authors":"John Kasich, John Cranley, Brian C Castrucci","doi":"10.1097/PHH.0000000000002411","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002411","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"32 5","pages":"821-823"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550838","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}