International Journal of Urological Nursing最新文献

{"title":"Genital and sexual alterations in regular cyclists: A urological point of view","authors":"Mariana Giraldo Gómez BSc,&nbsp;Daniel Andrés Nieva-Posso BSc, MD,&nbsp;Herney Andrés García-Perdomo MD, MSc, EdD, PhD, FACS","doi":"10.1111/ijun.12427","DOIUrl":"https://doi.org/10.1111/ijun.12427","url":null,"abstract":"<p>Cycling is one of the leading sports activities practiced in the Western world; its promotion, even from political spaces, as a non-polluting transportation alternative in urban spaces has led to its frequent practice among men and women. Our objective was to review the association between regular cycling and the development of urological and sexual disorders in men and women. The intensity of cycling, the number of hours invested, the positioning of the seat, and the body position can lead to the development of urological and sexual disorders that can affect the quality of life. As for male cyclists, the intense practice of this sport has been associated with prostatic disturbances and pelvic pain. Sexual disorders have been identified with genital numbness and the development of injuries, and it is still controversial, although most of the literature does negate the development of erectile dysfunction. In women, it has been associated more frequently with dysuria and recurrent urinary infections; as for sexual disorders, it has been associated with chronic pelvic pain, genital numbness, and, more regularly, the development of genital sores. Regular and high-intensity cycling practice has urological and sexual effects in both men and women, but more studies are needed to reach better decisions.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525109","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":"Psychometric testing of the continence and mobility in older adults knowledge quiz","authors":"Sherry Dahlke PhD, RN, GNC(C),&nbsp;Kathleen F. Hunter PhD, RN, GNC(C),&nbsp;Jeffrey I. Butler PhD,&nbsp;Matthew Pietrosanu MSc","doi":"10.1111/ijun.12423","DOIUrl":"https://doi.org/10.1111/ijun.12423","url":null,"abstract":"<p>What are the psychometric properties of the Continence and Mobility in Older Adults Knowledge Quiz? Our previous research revealed gaps in practicing and student nurses' knowledge of mobility and continence in older people. To address this gap, we developed a self-directed e-learning module on continence and mobility to enhance student nurses knowledge. The module provided education about continence, mobility, and the links between them. Since we were unable to locate a continence and mobility measure that captured both lower urinary track symptoms and elements of mobility, we developed a continence and mobility knowledge quiz. For researchers and educators to be able to use this quiz with confidence, psychometric testing of our continence and mobility knowledge quiz was required. When caring for older people, two geriatric challenges—continence and mobility—are often linked and viewed as indicators of frailty. Functional changes related to continence and/or mobility can indicate an acute illness in older persons and, if left untreated, can result in permanent changes managing continence needs. Continence care is often viewed negatively and is not prioritized by nurses. We employed stages in development of the Continence and Mobility Knowledge Quiz. In stage one, we developed 18 item true/false items from the literature with the guidance of a continence expert. In stage two, we tested the Quiz with nursing students from three universities in Canada. In stage three, (the current stage) we assessed the validity of the scale using a factor analysis and a reliability analysis (via standardized Cronbach's alpha). From our sample of 420, factor analysis indicated a two-factor model (as suggested by Kaiser's rule), explained 22% of the variation in responses to the assessment items. We recommend removing item 7 as it does not contribute to the internal consistency of the tool. Cronbach's alpha after removing 7 is 0.65, indicating satisfactory reliability. To our knowledge, this is the first validated tool for measuring nurse knowledge about continence and mobility that addresses both a range of lower urinary tract symptoms and elements of mobility in older adults.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12423","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525097","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 effect of self-care levels on erectile dysfunction in Turkish men with heart disease","authors":"Esra Türker PhD, RN","doi":"10.1111/ijun.12421","DOIUrl":"https://doi.org/10.1111/ijun.12421","url":null,"abstract":"<p>For many years there has been evidence of an association between heart disease and erectile dysfunction (ED). This is a health problem that affects patients both physically and psychologically. Individuals affected by coronary heart disease need a comprehensive care approach to achieve optimal health outcomes. However, there is a gap in nursing research on the sexual life of men with coronary artery disease. This descriptive research will identify the prevalence of self-care and ED in Turkish men having coronary heart disease and examine potential interactions between them. This descriptive study conducted between March 2022 and March 2023 with 178 men aged 18–70 years who were followed up in the cardiology polyclinic of a hospital with a diagnosis of coronary artery disease. Data collected via face-to-face meetings using a Socio-Demographic Questionnaire Form, Coronary Heart Disease Self-Care Inventory and International Index of Erectile Function questionnaire. Ethical approval was obtained before starting research. The Declaration of Helsinki was complied with during the research period. Of the participating patients, 52.2% were older than 65 years and 37.6% had high school education or higher. A significant proportion of patients (42.1%) had been married for 20–29 years. The majority of the participants (59%) were still working and 88.8% reported that their income was equal to their expenses. The mean scores of the scales were found to be moderate and when the correlation between the scales was examined, a moderate positive correlation was found (<i>p</i> &lt; 0.05). A regression was performed to determine the causal relationship linking self-care scores and ED. The results yielded significant findings (<i>F</i> = 46.854; <i>p</i> &lt; 0.05). The change in the level of ED was found to be explained by self-care at a rate of 43.7% (<i>R</i>² = 0.437). This study showed that ED levels decreased with improving self-care levels in men with coronary heart disease. While counselling these patients, health professionals should aim to increase their self-care competencies related to cardiac rehabilitation and decrease their ED levels by considering the characteristics of the patients.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429223","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":"The relationship between testicular cancer and beliefs about testicular self-examination and health literacy","authors":"Hüseyin Çapuk RD, PhD,&nbsp;Hurşit Fidan RN, MSN,&nbsp;Kübra Akcan RN, MSc","doi":"10.1111/ijun.12419","DOIUrl":"https://doi.org/10.1111/ijun.12419","url":null,"abstract":"<p>Testicular cancer is one of the most common urogenital cancers in men. Early detection of this type of cancer through screening and self-examination increases the chances of survival and reduces healthcare expenses. Nurses, physicians and patients have critical responsibilities in preventing testicular cancer. The results of this research will make a significant contribution to the development of preventive services by determining the health beliefs and general knowledge level of patients about testicular cancer and testicular self-examination (TSE). Therefore, this study was conducted to determine the relationship between health beliefs and health literacy regarding testicular cancer and TSE of men who applied to the urology clinic. This descriptive study was conducted with male patients who applied to the urology outpatient clinic of a public hospital between March and June 2023. 337 volunteers participated in the study. Ethics committee and institutional permissions were obtained before starting the study. Data were collected using the socio-demographic information form, ‘Champion Health Belief Model Scale’ and ‘Health Literacy Scale’ prepared by the researchers. In evaluating the data, frequency, percentage, average, Student's <i>t</i>-test, one-way ANOVA (post hoc Lsd) was used. Significance was evaluated at <i>p</i> &lt; 0.05 level. It was determined that 94.7% of the participants did not know a method to detect testicular cancer by themselves, 84.0% of them had not heard of TSE, and 78% of them did not perform TSE because they did not know TSE. According to the findings of the study, Champion Health Belief Model Scale subscale mean scores were 12.91 ± 4.89 for sensitivity perception, 20.51 ± 6.75 for caring/seriousness perception, 9.20 ± 3.03 for benefit perception, 13.61 ± 4.77 for obstacle perception, and 17.34 ± 5.51 for self-efficacy perception. Health literacy scale sub-dimension mean scores were 17.13 ± 6.00 for access to information, 20.81 ± 7.04 for understanding information, 28.04 ± 8.59 for appraisal/evaluation, 17.55 ± 5.80 for application/usage, and 87.16 ± 26.39 for total mean scores. In the study, it was determined that susceptibility and benefits of TSE perception increased, and barrier perception decreased as health literacy increased. Accordingly, since it is observed that increasing health literacy will increase the frequency of performing TSE, it should be supported by health literacy-enhancing training sessions.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142234001","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":"Pornography consumption and its effect on sexual performance in young men: Urology point of view","authors":"Yorlavi Lucumi TAPH, MD,&nbsp;Daniel Andrés Nieva-Posso BSc, MD,&nbsp;Herney Andrés García-Perdomo MD, MSc, EdD, PhD, FACS","doi":"10.1111/ijun.12420","DOIUrl":"https://doi.org/10.1111/ijun.12420","url":null,"abstract":"<p>Chronic pornography use is a public health problem that has considerable effects on men's health, especially on their sexual performance, having effects that can be encompassed from a biological, social, and psychological approach. Our objective was to conduct a literature review to evaluate the consequences in terms of sexual performance of young men who have chronic consumption of pornography. Chronic pornography consumption was related to erectile dysfunction, premature ejaculation, and alterations in genital anatomy and physiology. Social and psychological effects were also found, such as increased rates of violence towards women, problems with partners, and intimacy. However, benefits of controlled consumption of pornography have also been identified, such as reaffirmation of sexual orientation, stimulation of self-discovery of the body, and improved communication with partners. Chronic consumption of pornography has direct effects on the sexual performance of young people and should be evaluated by a multidisciplinary team that includes physiological, social, and psychological elements. However, its use may be recommended for people with psychological problems, urological problems, and urological cancer.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142123212","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":"Primary endoscopic drainage of an infected renal cyst via a preexisting duodenal fistula","authors":"Massad Mutaz MD,&nbsp;Dioscoridi Lorenzo MD,&nbsp;Forti Edoardo MD,&nbsp;Pugliese Francesco MD,&nbsp;Cintolo Marcello MD,&nbsp;Bonato Giulia MD,&nbsp;Bravo Marianna MD,&nbsp;Mutignani Massimiliano MD,&nbsp;Hashem Abu Serhan MD","doi":"10.1111/ijun.12417","DOIUrl":"https://doi.org/10.1111/ijun.12417","url":null,"abstract":"<p>Renal cyst – duodenal fistula is not common and we know little about their presentation and management. The present case report describes a unique endoscopic technique to manage an infected renal cyst through a preexisting duodenal fistula. A retrospective evaluation and analysis were performed of a patient with an infected renal cyst-duodenal fistula seen in our unit. Patient symptoms, imaging findings, and details of endoscopic procedures were evaluated. The Need for minimally invasive techniques is increasing nowadays as both diagnostic and therapeutic approaches. One of these modalities is the endoscopic management of gastrointestinal fistulae. Minimally invasive techniques can be used as a bridge to major surgeries in those who are not candidates initially.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100177","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 impact of male urinary incontinence on quality of life and sexual health","authors":"Elif Gezginci RN, PhD,&nbsp;Aysenur Ata RN, MSc,&nbsp;Sonay Goktas RN, PhD","doi":"10.1111/ijun.12418","DOIUrl":"https://doi.org/10.1111/ijun.12418","url":null,"abstract":"<p>Men with urinary incontinence problems may have a fear of urinary incontinence during sexual intercourse, which may negatively affect their sexual lives. This study aimed to determine the effect of urinary incontinence on quality of life and erectile dysfunction in men. A total of 203 men with urinary incontinence who presented to a urology outpatient clinic were assessed using a patient information form, the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF), and the International Index of Erectile Function (IIEF). The mean age was 63.48 ± 8.80 years, the mean ICIQ-SF score was 13.45 ± 3.14 (moderate), and the IIEF erectile dysfunction score was 18.52 ± 6.48 (mild/moderate). Patient age correlated positively with the ICIQ-SF total score (<i>r</i> = 0.309, <i>p</i> &lt; 0.001) and negatively with the IIEF total score (<i>r</i> = −0.452, <i>p</i> &lt; 0.001). The ICIQ-SF score was negatively correlated with erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction scores (<i>p</i> &lt; 0.001, <i>p</i> = 0.015, <i>p</i> = 0.037, <i>p</i> = 0.006 and <i>p</i> = 0.001, respectively). More severe urinary incontinence in men was associated with lower quality of life and greater erectile dysfunction. Further studies are needed to raise men's awareness of urinary incontinence.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041573","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":"Scoping review: Technology-based nursing interventions for urinary incontinence for individuals 65 years and older","authors":"Rico Gröning BSc,&nbsp;Elisabeth Schöttler BSc,&nbsp;Stefan Michalski BA,&nbsp;Stefan Schmidt PhD","doi":"10.1111/ijun.12409","DOIUrl":"https://doi.org/10.1111/ijun.12409","url":null,"abstract":"<p>To review and summarize the available evidence on technology-based nursing interventions for urinary incontinence. Scoping review. A review of english and German research articles published up to April 2024 examining nursing interventions in older people (&gt; = 65 years) was conducted. Studies were retrieved by searching the Medline electronic database via PubMed and CINAHL database. Eight studies met the inclusion criteria. The review followed the updated methodological guidance for the conduct of scoping reviews published in 2020. Eight studies and three different types of interventions based on digital technologies were identified: sensor-based interventions, app-based interventions and computer-based digital expert systems. The interventions showed positive and no effects. The studies showed a high variety in terms of study designs, settings, measurement instruments, measured outcomes and were consequently not comparable. The current research density is too low to recommend interventions. Therefore, more high-quality studies are needed. Studies should be designed to be comparable, if possible. The definition of a core outcome set is therefore indicated. There is a research gap that should be closed by high-quality and comparable studies so that patients can benefit from evidence-based incontinence care in the future. Defining core outcomes can help to better compare future studies. Technology-based interventions should be investigated specifically for older people in the future as, in addition to the potential for improved incontinence care, they also have the potential to reduce the burden on caregivers and conserve staff resources. No patient or public contribution.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141624566","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 effect of incontinence after radical prostatectomy on quality of life and frailty","authors":"Aysenur Ata RN, MSc,&nbsp;Sonay Goktas RN, PhD","doi":"10.1111/ijun.12416","DOIUrl":"https://doi.org/10.1111/ijun.12416","url":null,"abstract":"<p>This study aimed to determine the effect of incontinence after radical prostatectomy on quality of life and level of frailty. It is a descriptive study conducted with 107 radical prostatectomy patients who were hospitalized in the Urology Clinic of a training and research hospital in Istanbul between March–August 2021, and met the inclusion criteria. Data were collected using the Patient Identification Form, the International Consultation on Incontinence Questionnaire – Male Lower Urinary Tract Symptoms (ICIQ-MLUTS), and the Edmonton Frail Scale (EFS). The mean fragility score of the patients was 7.82 ± 2.63, and 27% of them were ‘Mildly Frail’ and 25.2% were ‘Moderately Frail’. The ICIQ-MLUTS voiding complaints sub-dimension score of the patients was 8.62 ± 3.48, and the voiding complaints bother score was found to be 24.8 ± 9.85. The ICIQ-MLUTS storage complaints sub-dimension score was 12.13 ± 3.05, and the storage complaints bother score was 36.25 ± 9.02. The ICIQ-MLUTS daytime urinary frequency subdimension score was 2.35 ± 0.93, and the daytime urinary frequency bother score was 6.94 ± 2.17. The ICIQ-MLUTS nocturnal urinary frequency sub-dimension score was 2.79 ± 0.88, and the nocturnal urinary frequency discomfort level score was found to be 7.37 ± 2.19. In this study, it was observed that patients' complaints regarding lower urinary tract symptoms and their quality of life were at a moderate level and the frailty levels increased with the increasing severity of incontinence symptoms after radical prostatectomy.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141624546","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":"Investigation of quality of life and anxiety level of patients who have undergone pigtail placement","authors":"Nikos Rikos RN, MPH, PhD,&nbsp;Athena Titomichelaki RN, MSc,&nbsp;Maria Katsalaki RN, MSc,&nbsp;Maria Assargiotaki RN, MSc,&nbsp;Georgia Kourlaba RN, MPH, PhD,&nbsp;Manolis Linardakis PhD, MSc","doi":"10.1111/ijun.12414","DOIUrl":"https://doi.org/10.1111/ijun.12414","url":null,"abstract":"<p>Worldwide, nephrolithiasis is a disease with an increased frequency of presence and symptoms. This study aimed to investigate the quality of life (QoL) and the factors influencing it in patients who have undergone pigtail catheter placement. Α cross-sectional study was implemented in 85 patients from the Urology Clinic/University General Hospital of Crete, Greece, recruited during November 2022 and January 2023. Patients' demographic and medical history profile were recorded and their QoL and state anxiety status assessed using the SF-36 and State–Trait Anxiety Inventory (STAI-S) scales based on multiple logistic regression analysis. The majority of patients were female (55.3%) and the mean age of all was 53.7 years (±11.5). QoL was moderate to high while 30.6% and 35.3% of patients presented high quality of Physical and Mental Components, respectively. For Anxiety, moderate mean scores were found while 62.4% presented high anxiety. Patients with low/moderate State Anxiety compared with their counterparts had better QoL in the SF-36 subscales (<i>p</i> &lt; 0.05). In the Physical Component, higher odds of high QoL appear to be found in females versus males (odds ratio, OR = 8.68, <i>p</i> = 0.008), in higher income categories (OR = 5.74, <i>p</i> &lt; 0.001) and in patients with low/moderate anxiety (OR = 12.87, <i>p</i> &lt; 0.001), while in the Mental Component higher odds were found for higher income categories (OR = 2.19, <i>p</i> = 0.018) and patients with low/moderate anxiety (OR = 7.20, <i>p</i> = 0.001). Better QoL in patients with nephrolithiasis and pigtail is associated with female gender, higher living standards and lower state anxiety, allowing more effective interventions by health professionals to alleviate patients' symptoms and empower them.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608009","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}