Disability and Health Journal最新文献

{"title":"Needs assessment of training midwifery, nursing, and medical students in sexual and reproductive health care for people with disabilities in Tanzania.","authors":"Kristen P Mark, Stella E Mushy, Marguerite Puchner-Hardman, Lucy R Mgopa, Gift G Lukumay, B R Simon Rosser, Agnes F Massawe, Dorkasi L Mwakawanga, Victor Z Chikwala, Emmanuel I Sumari, Ally A Lyimo, Gudrun Kilian, Maria E Trent, Michael W Ross, Charlotta Löfgren, Jennifer J Connor, Rashid H Mfinanga, Dickson A Mkoka","doi":"10.1016/j.dhjo.2025.101919","DOIUrl":"https://doi.org/10.1016/j.dhjo.2025.101919","url":null,"abstract":"<p><strong>Background: </strong>Tanzania has a sexual and reproductive health (SRH) crisis, a particularly vulnerable population of people with disabilities (PWD), and a need for healthcare providers trained in PWD-focused SRH care. However, SRH services are limited, and the inclusion of PWD in SRH efforts is rare in Tanzania. The current study examined the feasibility and acceptability of addressing this critical gap by training future healthcare professionals in SRH for PWD.</p><p><strong>Objective: </strong>To determine the feasibility and acceptability of a PWD-focused SRH training to be delivered to healthcare students attending Muhimbili University of Health and Allied Science (MUHAS) in Dar es Salaam, Tanzania.</p><p><strong>Methods: </strong>A mixed methods design via a survey taken by 409 medical, nursing, and midwifery student participants was employed to determine the feasibility and acceptability of a new curriculum focused on the SRH needs of PWD. Data were assessed using descriptive statistics and reflexive content analysis.</p><p><strong>Results: </strong>Data indicate that 83.6% and 97.6% of medical, nursing, and midwifery students believe that an SRH training centered on the needs of PWD is feasible and acceptable, respectively. Moreover, findings indicated that 50.4% of medical, nursing, and midwifery students at MUHAS receive little to no training in SRH for PWD. Participants' qualitative responses indicated that the training would improve the quality of life for PWD, address their vulnerability and healthcare neglect, and benefit society.</p><p><strong>Conclusion: </strong>MUHAS students find a PWD-focused SRH training to be feasible, acceptable, and needed, presenting an opportunity for great impact.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101919"},"PeriodicalIF":3.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status of local governments' disaster preparedness targeting persons with physical disabilities in Japan.","authors":"Kyo Takahashi, Kenji Takaki, Shutaro Koyama, Jun Suzurikawa","doi":"10.1016/j.dhjo.2025.101918","DOIUrl":"10.1016/j.dhjo.2025.101918","url":null,"abstract":"<p><strong>Background: </strong>During disasters, persons with physical disabilities face various difficulties. Local governments need to improve disaster preparedness to support persons with physical disabilities.</p><p><strong>Objective: </strong>This study aimed to identify the status and concerns of different-sized local governments in Japan on disaster preparedness (designation of welfare evacuation centers and development of individual evacuation plans) for persons with physical disabilities.</p><p><strong>Methods: </strong>In February 2023, questionnaires were distributed among the local governments of all 1724 municipalities in Japan. In this survey, the officials responsible for disaster preparedness for persons with disabilities answered questions on welfare evacuation centers and individual evacuation plans. Further, the associations between responses and population sizes were examined using a chi-square test.</p><p><strong>Results: </strong>In total, 812 Japanese municipalities responded to the survey. Results revealed that approximately half of the municipalities did not have designated welfare evacuation centers. Further, the larger the population, the higher the proportion of undesignated welfare evacuation centers. At the time of this study, only 59 local governments had completed the individual evacuation plans for targeted persons. The biggest difficulty was understanding the needs of persons with disabilities.</p><p><strong>Conclusions: </strong>The difficulty in designating welfare evacuation centers and developing individual evacuation plans progressively increases with the increase in a municipality's population size. Although large local governments may possess abundant disaster preparedness resources, they often find it difficult to advance such measures to persons with physical disabilities because such actions require detailed responses from these individuals.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101918"},"PeriodicalIF":3.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor concerning Van Deynse's et al. \"one-year employment outcome prediction after traumatic brain injury: a CENTER-TBI study\".","authors":"Brason Lee","doi":"10.1016/j.dhjo.2025.101916","DOIUrl":"10.1016/j.dhjo.2025.101916","url":null,"abstract":"","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101916"},"PeriodicalIF":3.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diaphragmatic mobility and its relationship with the functional exercise capacity, fatigue severity, symptoms of fatigue, and health-related quality of life in children with cerebral palsy.","authors":"Ümit Erkut, Hasan Bingöl","doi":"10.1016/j.dhjo.2025.101915","DOIUrl":"https://doi.org/10.1016/j.dhjo.2025.101915","url":null,"abstract":"<p><strong>Background: </strong>Evidence suggests that diaphragmatic mobility (DM) is reduced in children with cerebral palsy (CP). However, the relationships between DM and physical fitness, fatigue, and quality of life in children with CP have yet to be established.</p><p><strong>Objective: </strong>This study examined the relationship between DM and functional exercise capacity (FEC), fatigue severity, fatigue symptoms, and health-related quality of life (HRQOL) in children with CP.</p><p><strong>Methods: </strong>Twenty children with the ambulatory CP and 10 healthy peers participated in the study. DM was assessed using ultrasonography, while FEC, fatigue severity, HRQOL, and fatigue symptoms were evaluated using the 6-Minute Walking Test (6-MWT), Fatigue Severity Scale (FSS), Pediatric Quality of Life Inventory 3.0 Cerebral Palsy Module (PedsQL 3.0 CP module), and Pediatric Quality of Life Inventory 3.0 Multidimensional Fatigue Scale (PedsQL 3.0-MFS), respectively. Linear correlations, and non-parametric tests were performed using IBM SPSS Statistics 25.0, while path analysis was performed using IBM SPSS AMOS version 20.0.</p><p><strong>Results: </strong>Significant correlations were found between DM and FEC (right DM: r = 0.85; left DM: r = 0.84), fatigue severity (right DM: r = -0.73; left DM: r = -0.72), the General Fatigue subdomain of the PedsQL 3.0-MFS (right DM: r = 0.66; left DM: r = 0.65), and the Daily Activities (right DM: r = 0.79; left DM: r = 0.80), Movement and Balance (right DM: r = 0.73; left DM: r = 0.73), and Fatigue (right DM: r = 0.83; left DM: r = 0.82) subdomains of the PedsQL CP module Path analysis revealed that DM had significant direct effects on FEC and fatigue severity (β₁ = -0.72, p < 0.001; β₂ = 0.84, p < 0.001) and an indirect effect on PedsQL 3.0-MFS General Fatigue (β = -0.72 ∗ 0.50) through aerobic capacity and fatigue severity.</p><p><strong>Conclusion: </strong>The findings suggest that specific management strategies, including inspiratory muscle training, respiratory exercises, manual diaphragmatic stretching techniques, and feedback devices, are necessary to address reduced DM in children with CP.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101915"},"PeriodicalIF":3.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-center improvement in screening for pain that affects activities in adults with cerebral palsy.","authors":"Amy F Bailes, Garey H Noritz, Duncan O Wyeth, Elizabeth J Lucas, Elisabeth B Bates, Hana Azizi, Cristina A Sarmiento, Deborah E Thorpe, Stephen A Nichols, Jodi Kreschmer, Stephen Wisniewski, Mary Gannotti","doi":"10.1016/j.dhjo.2025.101911","DOIUrl":"10.1016/j.dhjo.2025.101911","url":null,"abstract":"<p><strong>Background: </strong>Descriptions of how centers implement standardized screening for pain and how pain affects activities among adults with cerebral palsy (CP) are lacking.</p><p><strong>Objective: </strong>Improve screening for pain in adults with CP across three centers and examine factors associated with pain that affect activities.</p><p><strong>Methods: </strong>Using the quality improvement (QI) infrastructure of the Cerebral Palsy Research Network (CPRN), we implemented interventions to improve screening at clinic visits for pain that affects activities for adults with CP. Four physicians from three CPRN centers in the United States performed interventions. To track progress, we collected visit data cross sectionally every two weeks. Descriptive statistics, analysis of variance, and logistic regression evaluated relationships in a cohort of visits after screening practices had been established.</p><p><strong>Results: </strong>Screening improved from 42 % at baseline to over 90 %. After three months of sustained screening, we assessed 423 visits. Pain was reported at 185/423 (44 %) of visits. 100/185 (54 %) reported pain that affected activities. Increasing age, female gender, and greater motor function were associated with pain (p < 0.001) and pain that affects activities (p < 0.01). Females reported pain 3.4 times and pain that affects activity 2.2 times more than males.</p><p><strong>Conclusion: </strong>QI methodology was successful at improving screening for pain that affects activities in adults with CP. Lower rates of pain were found (44 %) than previous reports, with similar findings about pain affecting activities and associated characteristics. Next steps should include continued screening with improvement in differentiating proxy vs self-report and including other domains of pain important to guide care.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101911"},"PeriodicalIF":3.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the prevalence of activity limitation for Māori in Aotearoa New Zealand using the Washington Group Short Set on Functioning: A national survey.","authors":"Tristram R Ingham, Meredith A Perry, Bernadette Huatau Jones, Paula Toko King, Andrew Sporle, Tom Elliott, Gabrielle Baker, Barry Milne, Linda Waimarie Nikora","doi":"10.1016/j.dhjo.2025.101896","DOIUrl":"https://doi.org/10.1016/j.dhjo.2025.101896","url":null,"abstract":"<p><strong>Background: </strong>Māori, the Indigenous people of Aotearoa/New Zealand, experience higher rates of activity limitation compared to the general population, and are therefore at greater risk of disability, yet disaggregated data within this population remain limited.</p><p><strong>Objective: </strong>The primary aim was to quantify the prevalence and types of activity limitation among Māori adults using the Washington Group Short Set (WG-SS) of Questions on Functioning, with a secondary objective to examine demographic variations in reported limitations.</p><p><strong>Methods: </strong>This cross-sectional study analysed data from a nationally representative survey of 7230 Māori adults. Participants self-reported activity limitations across six functional domains (vision, hearing, mobility, cognition, self-care, and communication) using the WG-SS. Weighted analyses were performed to estimate prevalence and demographic variations, with results presented for both \"At least a lot of difficulty\", \"Some difficulty\" and \"Any difficulty\" categories.</p><p><strong>Results: </strong>In total, 15.1 % reported \"At least a lot of difficulty\" and 70.2 % reported \"Any difficulty\". Almost 50 % of participants experienced multiple limitations. Cognitive difficulties were most prevalent, affecting 47.6 % of participants, with 8 % reporting severe difficulty. No significant differences in prevalence were observed between males and females, age, nor urbanicity.</p><p><strong>Conclusion: </strong>A substantial burden of activity limitation, particularly cognitive, were found amongst Māori. The WG-SS, while effective for quantifying activity limitation, does not fully capture socio-cultural dimensions or broader participation barriers critical to understanding the experience of disability for Māori. Culturally responsive disability frameworks are urgently required to inform policies and practices which recognize the unique needs and address the existing inequities of Māori.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101896"},"PeriodicalIF":3.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring menstrual symptom frequency and impact on people with neurodevelopmental conditions.","authors":"Laura St John, Emma Osness, Anmol Panech, Yona Lunsky, Patricia K Doyle Baker","doi":"10.1016/j.dhjo.2025.101914","DOIUrl":"10.1016/j.dhjo.2025.101914","url":null,"abstract":"<p><strong>Background: </strong>Menstruation can be a physically, mentally and emotionally challenging time, especially for individuals who have neurodevelopmental disabilities. Sensory impairments, emotional dysregulation and challenges communicating pain can make managing menstruation challenging for this population.</p><p><strong>Objective: </strong>To describe common symptoms and the effect of symptoms on those with neurodevelopmental disabilities.</p><p><strong>Methods: </strong>A mixed methods study design was employed. Qualitative data regarding symptom experience were collected through a semi-structured interview, while quantitative data were collected using the Menstrual Symptom Questionnaire.</p><p><strong>Results: </strong>Participants described debilitating cramping which often impacted activities of daily living. Participants also discussed challenges with emotional dysregulation, with many experiencing extreme moods swings and/or depressive episodes during menstruation.</p><p><strong>Conclusion: </strong>For the participants in this study, their periods were physically and emotionally taxing and had significant impacts on their day to day lives. Future research is needed to explore why those with neurodevelopmental disabilities may be experiencing such extreme menstrual symptoms.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101914"},"PeriodicalIF":3.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The inclusion of people with disabilities in COVID-19 preventive measures: Qualitative research from vietnam.","authors":"Luong-Anh Ngoc, Nguyen Thi Hue, Nguyen Thi Kim Dung, Xanthe Hunt, Tom Shakespeare, Shaffa Hameed, Vu Quynh Mai, Minh Van Hoang, Morgon Lena Banks","doi":"10.1016/j.dhjo.2025.101910","DOIUrl":"https://doi.org/10.1016/j.dhjo.2025.101910","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has posed unique challenges for people with disabilities, highlighting significant structural disparities in access to essential health information and services. In Vietnam, these challenges are pronounced, necessitating an investigation into the experiences of people with disabilities during the pandemic.</p><p><strong>Objective: </strong>This study aimed to investigate the experiences of people with disabilities in three major cities in Vietnam in accessing COVID-19 information and adhering to preventive measures.</p><p><strong>Methods: </strong>In-depth interviews were conducted with 23 adults with disabilities from Hanoi, Da Nang, and Ho Chi Minh City. Participants were purposively selected from government registers based on age, gender, residence location, and disability type. Data were analysed thematically.</p><p><strong>Results: </strong>Respondents revealed significant barriers to accessing information on COVID-19 prevention. Key issues included the use of technical language, combined with low literacy among respondents, poor access to assistive and information-communication technology, and lack of accessible information formats or unsuitable adaptations. Difficulties in implementing preventive measures and heightened anxiety were common among participants, leading some to be unable to adequately protect themselves, while others undertook additional, unconventional measures.</p><p><strong>Conclusions: </strong>This research emphasizes the urgency of redefining disability inclusion in public health responses, particularly during crises like the COVID-19 pandemic. Tailored guidance and resources are essential to address the unique challenges faced by people with disabilities to ensure equitable health outcomes.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101910"},"PeriodicalIF":3.7,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare access by disability and race among United States Adults: Behavioral Risk Factor Surveillance System 2019 to 2021.","authors":"Jennifer Choi, Franz Castro, Bonnielin Swenor, Varshini Varadaraj","doi":"10.1016/j.dhjo.2025.101908","DOIUrl":"https://doi.org/10.1016/j.dhjo.2025.101908","url":null,"abstract":"<p><strong>Background: </strong>National data on ongoing inequities in healthcare access is crucial for setting priorities and ensuring that all individuals, regardless of disability or race, have access to adequate care.</p><p><strong>Objective: </strong>To examine healthcare access by disability and race in the United States.</p><p><strong>Methods: </strong>Using 2019-2021 Behavioral Risk Factor Surveillance System data, multivariable logistic regression assessed the association of disability with healthcare access outcomes (absence of healthcare coverage, absence of healthcare provider, >1 year since last checkup, and forgoing healthcare due to cost).</p><p><strong>Results: </strong>Among 1,258,919 adults surveyed, most were female (51.0 %) and non-Hispanic (NH) white (61.0 %), and 28.9 % had a disability. Regression analysis indicated that disabled adults were less likely to lack a healthcare provider (OR = 0.89, 95 % CI = 0.86, 0.91) and less likely to have gone without a recent checkup (OR = 0.90; 95 % CI = 0.88, 0.93), but more likely to forgo healthcare due to cost (OR = 2.33, 95 % CI = 2.26, 2.41), than non-disabled adults. There was no difference in healthcare coverage prevalence by disability status (OR = 1.02, 95 % CI = 0.98, 1.06). When further stratifying by race, difficulties accessing healthcare were most prevalent among those who identified as Hispanic and disabled across all measures.</p><p><strong>Conclusion: </strong>Individuals with disabilities, especially those from racial or ethnic minorities, encounter greater barriers to accessing healthcare.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101908"},"PeriodicalIF":3.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of tailored cardiopulmonary resuscitation training for middle-aged and older adults with visual impairment: A cluster-randomized controlled trial.","authors":"Eunjin Yang, Kyung Hee Lee, Youngshin Joo","doi":"10.1016/j.dhjo.2025.101909","DOIUrl":"https://doi.org/10.1016/j.dhjo.2025.101909","url":null,"abstract":"<p><strong>Background: </strong>Despite the widespread dissemination of cardiopulmonary resuscitation (CPR) training, CPR training for individuals with visual impairment is lacking.</p><p><strong>Objective: </strong>This study aimed to provide tailored CPR training for older adults with visual impairment and verify its effectiveness.</p><p><strong>Methods: </strong>A cluster-randomized controlled trial involving six clusters and 35 participants was conducted in February 2023. The intervention group received tailored CPR training with several considerations for visual characteristics, such as video-based training with descriptive video service, a higher instructor-to-participant ratio, braille stickers, educational materials of choice, and booster education two weeks later. The control group received standard video-based training designed for laypeople. CPR knowledge, self-efficacy, and actual performance were evaluated at three time points, and generalized estimating equations were used for statistical analysis.</p><p><strong>Results: </strong>The intervention and control groups exhibited significant improvements over time in CPR knowledge, self-efficacy, overall CPR quality, and quality of compression, including depth, rate, and accuracy. However, a significant interaction effect between the groups and time was observed in the overall CPR quality, with the intervention group demonstrating more improvement than the control group over time.</p><p><strong>Conclusions: </strong>This study demonstrated the positive effects of tailored CPR training for older adults with visual impairment, underscoring the importance of developing tailored training that considers disability characteristics. The findings also emphasize that CPR training designed for laypeople can help address educational disparities among individuals with visual impairment.</p>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":" ","pages":"101909"},"PeriodicalIF":3.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}