Ageing International最新文献

{"title":"Association of Nutrition Services and Length of Stay/Life Expectancy in Long-term Care Facilities: A Systematic Review Protocol","authors":"Idrissa Beogo,&nbsp;Schwab Mulopo Bakombo,&nbsp;Mireille Amelie Norris,&nbsp;Marie-Pierre Gagnon,&nbsp;Isabelle Giroux,&nbsp;Patrick R. Labelle,&nbsp;Jude Mary Cénat","doi":"10.1007/s12126-026-09682-8","DOIUrl":"10.1007/s12126-026-09682-8","url":null,"abstract":"<div><p>According to Statistics Canada, by 2050 nearly one in four Canadians (24.9%) will be aged 65 years or older. This demographic shift presents major public health challenges, including ensuring adequate nutrition to support healthy aging and prevent nutrition-related adverse health outcomes among older adults. This is particularly true for those residing in a long-term care facility (LTCF) where 6.8% of Canadians reside. Despite the importance of nutrition at old age, the current literature puts emphasis on managerial aspects of eating and drinking. This systematic review seeks to synthesize the evidence on the association between malnutrition and i) the occurrence of morbid events (e.g., new pathology, pathological imbalance, hospitalization) and ii) the length of stay —until death— of older people in LTCF, taking into account the type of facility, ownership and participant characteristics. This review will include quantitative studies comparing Canada with Organization for Economic Co-operation and Development (OECD) member countries. Participants will include older people residing in any type of LTCF. Searches will be done in the following databases: Academic Search Complete, AgeLine, CINAHL, Cochrane CENTRAL, Embase, Food Science and Technology Abstracts, MEDLINE, Web of Science. This review has the merit of presenting the state of the nutrition and life expectancy nexus in Canadian LTCFs where underfunding is apparent. The results will inform the development of best practices and the formulation of nutrition policies.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149189770","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":"Contested Connections: Intergenerational Solidarity and Ageing Stereotypes Among University Students in Southwest Nigeria","authors":"Catherine Okeh,&nbsp;Temitayo Oluwakemi Akinpelu,&nbsp;Olusola Esther Adewole,&nbsp;Ojo Melvin Agunbiade","doi":"10.1007/s12126-026-09683-7","DOIUrl":"10.1007/s12126-026-09683-7","url":null,"abstract":"<div><p>Intergenerational solidarity remains central to the exchange of emotional, practical and normative support across generations, particularly in settings where formal systems of long-term care and social protection are limited. Yet solidarity is not an automatic consequence of kinship; it is negotiated within changing family, cultural and socioeconomic conditions. This study examined how university students in southwest Nigeria interpreted relationships with their grandparents, the ageing stereotypes through which older people were understood, and the relational and structural conditions that strengthened or strained intergenerational solidarity. Eight gender-segregated focus group discussions involving 72 undergraduates aged 18–25 years were analysed using theoretically sensitised reflexive thematic analysis. Intergenerational solidarity provided the principal relational framework, while intergenerational ambivalence informed interpretation of coexisting affection, obligation, resistance and autonomy. Five themes were developed: cultural images of ageing as wisdom, dependence and frailty; solidarity as a negotiated and potentially repairable relationship; gendered spiritual suspicion directed particularly towards materially vulnerable older women;contested relational jurisdiction around intimacy, appearance, religion and sociability; and the relational infrastructure of solidarity involving migration, parental mediation, language and family conflict. The findings show that participants did not simply reject grandparental authority. Rather, they negotiated where, when and how that authority was considered legitimate. Intergenerational solidarity in this university setting was therefore relationally negotiated and structurally conditioned, with important implications for ageism, family communication and intergenerational practice in comparable Nigerian settings.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149189354","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":"Transitioning to Care: Core Components and Outcomes of Transitional Care Programs for Older Adults","authors":"Shramana Ray Panda,&nbsp;Asha P Shetty,&nbsp;Bhagirathi Dwibedi","doi":"10.1007/s12126-026-09679-3","DOIUrl":"10.1007/s12126-026-09679-3","url":null,"abstract":"<div><p>Transitions from hospital to home can be challenging for older adults with complex health needs and multiple chronic conditions. Transitional Care Programs (TCPs) aim to improve continuity of care, support recovery, and reduce adverse outcomes. This review examined the core components, outcomes, and factors influencing the effectiveness of TCPs for older adults. A systematic literature review was conducted using PubMed, CINAHL, Cochrane Library, and Scopus. Studies published in English from 2010 onward involving adults aged ≥ 65 years and evaluating hospital-to-home TCPs were included. Randomized controlled trials, cohort studies, and qualitative studies were considered. Two independent reviewers extracted study characteristics, intervention components, outcomes, and implementation factors. Of 42 records identified, 12 duplicates were removed, 22 full-text articles were assessed, and 15 studies were included. Common TCP components included patient-centred assessment, comprehensive discharge planning, care coordination, patient and family education, medication management, follow-up monitoring, home-care services, and multidisciplinary team involvement. Reported benefits included improved functional status, quality of life, patient satisfaction, and medication management, with reductions in hospital readmissions, emergency department use, and length of stay. Important gaps included limited reporting of intervention fidelity and dose, variation in intervention intensity and implementation across settings, insufficient integration of family caregivers into discharge planning and follow-up, and inconsistent outcome measurement. TCPs can facilitate safer and more effective transitions for older adults. Future models should strengthen family engagement, standardize intervention delivery and outcome measurement, and ensure continued post-discharge follow-up.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149132416","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":"Promoting Resilience and Coping Among Older Adults Living in Nursing Homes in Karachi, Pakistan","authors":"Shireen Bhamani,&nbsp;Mehwish Dawood,&nbsp;Prisca Olabisi Adejumo","doi":"10.1007/s12126-026-09680-w","DOIUrl":"10.1007/s12126-026-09680-w","url":null,"abstract":"<div><p>Geriatric mental health is a significant public health concern due to the high prevalence and impact of mental illness among older adults. These issues are more prevalent among elders in nursing homes. Resilience-building interventions have been shown to improve mental well-being in older individuals, but they have been less studied in nursing homes in Lower- and Middle-Income Countries (LMICs). This study aims to examine the effect of the resilience-building intervention on enhancing resilience, constructive coping, and reducing depression among older people living in nursing homes in Karachi. Using a quasi-experimental design, 37 participants from a single nursing home were enrolled in the study. The group-based resilience-building “GRACE: Geriatric Resilience, Adaptive Coping, and Emotional well-being” intervention was delivered separately for males and females. Outcomes were assessed through validated instruments (Geriatric Depression Scale, Brief Coping Scale, and Resilience Scale) at baseline and post-intervention. A paired t-test was performed to compare differences in scores from pre- to post-intervention. The median age for females was 65, and for males, it was 67. The results of the paired t-test showed a significant increase in average resilience and coping scores, indicating that the intervention was effective in a positive way. Additionally, there was no significant difference in the outcomes between males and females. The resilience-building intervention can enhance the resilience and coping skills of older adults living in nursing homes. The study has significant implications for nursing homes and healthcare providers working with the geriatric population. Such interventions can easily be integrated into the standard care practices of nursing homes.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133244","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":"Practices and Challenges of Smart Care Services for Older Adults in Chongqing: A Phenomenological Study of Home-dwelling Older Adults’ Experiences","authors":"Fei Li,&nbsp;Jixiang Peng","doi":"10.1007/s12126-026-09681-9","DOIUrl":"10.1007/s12126-026-09681-9","url":null,"abstract":"<div><p>This study explores the lived experiences of home-dwelling older adults in Chongqing, China, regarding their use of smart services for older adults. Guided by an interpretative phenomenological analysis, in-depth interviews were conducted with eight participants aged 65 and above who had experience with at least one type of smart care for older adults. The analysis identified four overarching themes: positive empowerment, negative barriers, adaptation challenges, and cultural and social support dynamics. While participants valued the convenience of remote consultations, smart household devices, and health monitoring systems, they also encountered significant obstacles, including the complexity of technology, privacy and security concerns, insufficient emotional responsiveness, limited adaptability, and high financial costs. Furthermore, traditional cultural views and inadequate family support were found to shape acceptance and hinder sustained use. These findings highlight the dual role of smart care for older adults in enhancing quality of life while simultaneously creating new forms of exclusion and stress. The study underscores the importance of developing age-friendly technologies, strengthening community and family support networks, and implementing robust data protection measures. By aligning service design with the practical and emotional needs of older adults, policymakers and practitioners can enhance inclusiveness, reduce inequalities, and promote sustainable smart care system for older adults. This research contributes empirical evidence to bridge the gap between national policy aspirations and the lived realities of older adults in urban China.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133250","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":"Ageing and Long-Term Care in the Middle East: Towards Inclusive Development Strategies","authors":"Shereen Hussein,&nbsp;Mohamed Ismail,&nbsp;Montserrat Pallares-Miralles","doi":"10.1007/s12126-026-09678-4","DOIUrl":"10.1007/s12126-026-09678-4","url":null,"abstract":"<div><p>The Middle East and North Africa (MENA) region is undergoing a rapid demographic transition, characterised by declining fertility rates, increasing life expectancy, and a growing proportion of older adults. These shifts pose significant socio-economic and human development challenges, particularly regarding informal caregiving, gender inequality, and fiscal sustainability. Yet, they also present a strategic opportunity to develop long-term care (LTC) systems as inclusive drivers of economic growth. This study examines how integrating (LTC) into national development frameworks can address demographic pressures while promoting gender equity and economic inclusion. It asks: What are the economic implications of ageing in MENA? How can formal LTC systems mitigate these pressures and support inclusive development? We employ a cross-country comparative analysis using demographic, economic, and labour indicators from global and regional datasets (e.g., UNDESA, World Bank). We synthesise literature on global LTC models and regional care dynamics, considering the heterogeneity across MENA sub-regions, including the Gulf Cooperation Council states, middle-income countries, and fragile or conflict-affected states. Population ageing is outpacing the development of formal LTC systems in MENA, with women disproportionately burdened by informal care and experiencing more years in ill-health during old age. The lack of structured care services adversely impacts the quality of life at old age, limits female labour force participation and imposes hidden economic costs. Investing in regulated, inclusive LTC infrastructure, through workforce development, insurance models, and public-private partnerships, can stimulate job creation, particularly for women, while enhancing social protection, productivity, and fiscal stability. To harness the demographic transition and existing population dividends, MENA governments should integrate LTC into economic planning. Priorities include expanding coverage through incremental financing mechanisms, formalising caregiving roles, and aligning LTC investment with Sustainable Development Goals (SDGs). Treating LTC as economic infrastructure can transform ageing from a looming crisis into a lever for equitable, sustainable development.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149035084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older Adults’ Perceived Barriers to Non-Joining Community-Based Cognitive Stimulation Programs: A Qualitative Study","authors":"Agnieszka Konieczna,&nbsp;Monika Żak","doi":"10.1007/s12126-026-09670-y","DOIUrl":"10.1007/s12126-026-09670-y","url":null,"abstract":"<div><p>Despite the growing availability of community-based cognitive interventions, relatively few older adults participate in such programs, and reasons for non-participation remain insufficiently understood. This qualitative study explored older adults’ perceived barriers to joining structured community-based cognitive stimulation programs. Semi-structured interviews were conducted with 17 community-dwelling older adults representing three participation profiles. Data were analyzed inductively using thematic analysis guided by Braun and Clarke’s six-phase framework. Five themes were identified: (a) perceptions of cognitive decline and the need for intervention, (b) awareness and perceived effectiveness of cognitive interventions, (c) perceptions of program design and participation challenges, (d) social concerns, and (e) resistance to change and new challenges. The findings suggest that participation may be supported by clear information about program content and potential benefits, less school-like and evaluative formats, greater flexibility and accessibility, and attention to social comfort. Because the participant group was small, predominantly female, and locally recruited, the findings should be interpreted as context-specific. They may inform the design and communication of community-based cognitive stimulation programs.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s12126-026-09670-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148986695","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":"Successful Aging in Singapore: An Exploration of Perspectives Among the Future Older Adults","authors":"Peck Tiang Joanna Yeo,&nbsp;Rayner Kay Jin Tan,&nbsp;Miho Asano","doi":"10.1007/s12126-026-09674-8","DOIUrl":"10.1007/s12126-026-09674-8","url":null,"abstract":"<div><p>Understanding future older adults’ perspectives of successful aging is crucial for tailoring support to meet their evolving needs, which may differ from previous generations. The existing literature on successful aging predominantly focuses on current older adults, with limited evidence about the perspectives and needs of future older adults. In our study, we explored the perspectives of and needs for successful aging among future older adults, defined as middle-aged adults between 30 and 59 years of age. We also evaluated whether the initiatives in the Singapore 2023 Action Plan for Successful Aging matched their needs. We conducted semi-structured qualitative interviews with 30 middle-aged adults in Singapore and identified four main themes - physical, financial, social, and psychological health – each encompassing several subthemes. Our key study findings suggest that future older adults need to perceive having age-related diseases and functional disabilities as part of successful aging, and make early financial preparation. The comparison of the Action Plan initiatives with our study subthemes revealed temporal and contextual mismatches. Temporal mismatch does not require tailoring of the Action Plan initiatives, but contextual mismatch would need to be addressed with the provision of support for future older adults. Our study findings filled the literature gap about future older adults’ perspectives of and needs for successful aging, and provided evidence-based recommendations to service providers about the support that future older adults require to age successfully.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148986363","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":"Resilience in the Face of Risk: How Older Adults Coped with COVID-19 pandemic","authors":"Hossein Matlabi,&nbsp;Faranak Abdoli,&nbsp;Sonya Ahmadi,&nbsp;Sina Valiee,&nbsp;Amir Ahmadi","doi":"10.1007/s12126-026-09677-5","DOIUrl":"10.1007/s12126-026-09677-5","url":null,"abstract":"<div><p>Older adults, as a vulnerable group, experienced varying levels of stress during the COVID-19 pandemic and used different coping strategies to manage pandemic-related stress. This study aimed to examine coping strategies and associated factors among Iranian older adults during the COVID-19 pandemic. This cross-sectional study included 412 community-dwelling older adults from western Iran. Data were collected using the Coping Strategies Questionnaire (CSQ) and a socio-economic and health information questionnaire. About half of the participants (50.5%) reported frequently experiencing COVID-19-related stress, while 42% sometimes felt anxious about contracting the disease. Older adults used emotion-focused coping strategies (25.88 ± 9.23) more frequently than problem-focused strategies (24.63 ± 10.18). Escape-avoidance was the most commonly used emotion-focused strategy (8.38 ± 2.91), whereas positive reappraisal was the most frequent problem-focused strategy (7.65 ± 3.42). Women reported significantly greater use of problem-focused coping strategies than men (<i>p</i> &lt; 0.05). Older adults without a spouse and those living alone reported significantly greater use of escape-avoidance coping (<i>p</i> ≤ 0.001). In contrast, participants with a spouse reported greater use of problem-focused coping, social support seeking, and planned problem-solving strategies (<i>p</i> &lt; 0.05). Most participants adhered to preventive behaviors, including mask use (87.1%) and vaccination (84.7%). Social and living conditions appeared to shape coping patterns among older adults. Strengthening problem-focused coping strategies may help improve psychological well-being during future public health crises.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148927725","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":"Identification of Candidate Biomarkers and Signaling Pathways Associated with Alzheimer’s Disease Using Bioinformatics Analysis of Next Generation Sequencing Data and Molecular Docking Studies","authors":"Basavaraj Vastrad,&nbsp;Shivaling Pattanashetti,&nbsp;Chanabasayya Vastrad","doi":"10.1007/s12126-026-09665-9","DOIUrl":"10.1007/s12126-026-09665-9","url":null,"abstract":"<div><p>Alzheimer’s disease (AD) is the most common cause of dementia, and one of the most common health problems all over the world. However, the molecular mechanisms of AD remain incompletely understood. The current investigation aimed to elucidate potential key candidate genes and signaling pathways in AD. Next generation sequencing (NGS) dataset GSE203206 was downloaded from the Gene Expression Omnibus (GEO) database, which included data from 39 <span>AD</span> samples and 8 normal control samples. Differentially expressed genes (DEGs) were identified using t-tests in the limma R bioconductor package. DEGs were subsequently investigated by Gene ontology (GO) and pathway enrichment analysis, and a protein–protein interaction (PPI) network and modules were constructed and analyzed. The miRNA-hub gene regulatory network, TF-hub gene regulatory network and drug-hub gene interaction network construction analysis were performed to predict key microRNAs (miRNAs), transcription factors (TFs) and small drug molecules. The receiver operating characteristic (ROC) curve analysis was performed to estimate the clinical diagnostic value of the hub genes. Conduct molecular docking with hub genes and corresponding active molecules. A total of 958 DEGs, including 479 up regulated genes and 479 down regulated genes were screened between AD and normal control samples. GO and pathway enrichment analysis results revealed that the up regulated genes were mainly enriched in response to stimulus, cytoplasm, small molecule binding and signal transduction, whereas down regulated genes were mainly enriched in multicellular organism development, cell junction, ion binding and cardiac conduction. The PPI network contained 4886 nodes and 10,342 edges. HSP90AA1, FN1, KIT, YAP1, LSM2, SKP1, EIF5A2, TAF9, DDX39B and CDK7 were identified as the top hub genes. The regulatory network analysis revealed that miRNAs include hsa-mir-545-3p and hsa-miR-548f-5p, and TFs include PLAG1 and MEF2A might be involved in the development of AD. Drug molecules were predicted including Sulindac, Infliximab, Norfloxacin and Gemcitabine for treatment of AD. Molecular docking analysis revealed that Isocryptomerin and Macrophylloside D were the main active compounds with good binding activities to the HSP90AA1 and FN1. These findings provide new insights into the pathogenesis of AD. The hub genes, miRNAs and TFs have the potential to be used as diagnostic and therapeutic markers.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"51 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148926678","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}