{"title":"Use of Lifestyle Modifications for Management of a Patient with Severely High Total Cholesterol (> 14 mmol/L) and Triglycerides (> 40 mmol/L).","authors":"Janhavi Patel, Tanmya Sharma, Connor Allan, Gregory Curnew","doi":"10.15280/jlm.2021.11.1.43","DOIUrl":"https://doi.org/10.15280/jlm.2021.11.1.43","url":null,"abstract":"<p><p>In this report, we describe a case of a 37-year old man who presented with a history of total cholesterol > 14 mmol/L and triglyceride levels > 40 mmol/L. The patient was initially thought to have familial hypercholesterolemia due to his elevated total cholesterol, by his family physician. He was prescribed evolucumab, a proprotein convertase subtilisin/ kexin type 9 inhibitor drug which has shown efficacy for lowering low-density lipoprotein-cholesterol levels, to reduce his high total cholesterol. However, in this patient, the elevated total cholesterol was likely due to hypertriglyceridemia, rather than increased low-density lipoprotein-cholesterol levels. Through this case we provide an approach for the clinical management of patients with elevated total cholesterol with underlying triglycerides ≥ 10 mmol/L. The primary intervention for management of triglycerides ≥ 10 mmol/L involves lifestyle modifications including, changes in diet, exercise, reduction in body mass index, and abstinence from alcohol consumption. Secondary intervention involves management through pharmacotherapy with fibrates and statins. Creating a plan of action with the patient, incorporating lifestyle modifications alone, the patient was able to reduce the triglycerides from an average of 44.94 mmol/L to 3.28 mmol/L.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"11 1","pages":"43-46"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/d7/jlm-11-1-43.PMC7957042.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25514356","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":"Objective and Subjective Investigation of Physical Activity Levels and Its Relation with Socio-Demographic Characteristics among Medical Students.","authors":"Azizeh Farshbaf-Khalili, Alireza Monshikarimi, Seyed Kazem Shakouri, Nayyer Jafarilar-Aghdam, Nafiseh Ghassab-Abdollahi","doi":"10.15280/jlm.2021.11.1.23","DOIUrl":"https://doi.org/10.15280/jlm.2021.11.1.23","url":null,"abstract":"<p><strong>Background: </strong>Combining the results of objective and subjective assessments of physical activity (PA) can provide a more complete assessment of PA patterns in medical students. This study aimed to determine the relationships between objective and subjective measured PA and its relation with socio-demographic characteristics among different stages of medical training.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 186 students of four stages of medical training. The International Physical Activity Questionnaire Short-Form (IPAQ-SF) and pedometer were used.</p><p><strong>Results: </strong>There were significant differences in total PA in terms of gender, weight, and serious illness. Differences between four stages of medical training in total (p = 0.002), vigorous (p < 0.001), and moderate PA (0.026) based on IPAQ-SF as well as pedometer-counted steps in Tuesday (p = 0.002) and Wednesday (p = 0.006) were significant. The results demonstrated a positive significant relationship between total PA based on IPAQ-SF and pedometer-determined steps in four days of the week.</p><p><strong>Conclusion: </strong>There were positive low correlations between PA based on IPAQ-SF and pedometer among medical students. The PA of medical students at different years of medical training was different based on both IPAQ-SF and pedometer, which shows the need to pay attention to the special needs of students in terms of PA at each stage.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"11 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/cf/jlm-11-1-23.PMC7957045.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25515908","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":"Evaluating the Influence of the Complete Health Improvement Program (CHIP) on Blood Glucose, Blood Pressure, and Weight.","authors":"Jennifer Leigh Davis","doi":"10.15280/jlm.2021.11.1.33","DOIUrl":"https://doi.org/10.15280/jlm.2021.11.1.33","url":null,"abstract":"<p><strong>Background: </strong>Diabetes, hypertension, and obesity are vastly prevalent in the United States. Lifestyle modification programs can aid in controlling chronic disease. The aim of the study was to evaluate the health outcomes of the Complete Health Improvement Program (CHIP) concerning blood glucose, blood pressure, and weight. CHIP is a lifestyle medicine education program involving diet modification and increased physical activity.</p><p><strong>Methods: </strong>A quantitative, summative program evaluation was performed to measure the outcomes of CHIP. Pre and post data sets were collected on 73 individuals who completed the 12-week CHIP program. Pre and post program blood glucose levels, blood pressure readings, and weight measurements were analyzed using a paired t-test with a 95% confidence level. Analysis determined influence of the intervention on the biomarkers.</p><p><strong>Results: </strong>The post-intervention group means showed decreases in blood glucose, blood pressure, and weight. Statistical analysis revealed significant decreases in blood glucose (p = 0.008) and weight (p = 0.000). Blood pressure readings did not have statistically significant decreases (p = 0.403); however, the pre-intervention blood pressure readings were in the normotensive range.</p><p><strong>Conclusion: </strong>Results indicated that the Complete Health Improvement Program decreased participants' blood glucose levels, blood pressure readings, and weight measurements. Statistically significant decreases in blood glucose and weight suggest enhanced control of diabetes and obesity through utilization of CHIP.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"11 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/1a/jlm-11-1-33.PMC7957043.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25515909","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":"Efficacy of Balloon Blowing Exercise on Peak Expiratory Flow Rate in Young Adult Smokers.","authors":"Vadivelan Kanniappan, Varalakshmi Manivannan","doi":"10.15280/jlm.2020.10.2.116","DOIUrl":"https://doi.org/10.15280/jlm.2020.10.2.116","url":null,"abstract":"<p><strong>Background: </strong>Smoking cigarettes which progressively impairs the lung functions is a leading risk factor for early death and disability worldwide. Alternate use of the tobacco products along with some exercise practicing behaviour help to prevent the impairment of lung function because most smokers fail to cease smoking. The objective of this research was to find out the effectiveness of the balloon blowing exercise among the young adult smokers using the peak expiratory flow meter.</p><p><strong>Methods: </strong>A quasi- experimental study in which 100 male participants were included according to inclusion and exclusion criteria. Pre-test and Post-test was taken using Peak expiratory flow meter, after intervention is provided.</p><p><strong>Results: </strong>The mean appraise of the Group A pre-test was 287.1 and the post-test was 283.2, and the mean appraise of the Group B pre-test was 279.7 and the post-test was 367.2. The significant appraise was .581 for Group A and .000 for the Group B since the p < 0.05. The study shows the significant result as the p appraise is less than 0.05.</p><p><strong>Conclusion: </strong>This study concludes that there was a significant increase in the peak expiratory flow rate in the post test of Group B.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/de/JLM-10-116.PMC7502888.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38536878","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":"Need of the Hour.","authors":"Ravitheja Jampani, Nayanatara Vasireddy","doi":"10.15280/jlm.2020.10.2.74","DOIUrl":"https://doi.org/10.15280/jlm.2020.10.2.74","url":null,"abstract":"<p><p>Belonging to Millennial generation, Generation Z and Generation Alpha we have lot of changes in livelihood and lifestyle. From an orthopaedic surgeons perspective, we notice a change in diseases and disorders specific to this millennial generation. Lot of changes in lifestyle of people in past 20 years have caused newer challenges in the way doctors have been treating their patients. I hereby present a sneak peek into some of the generation specific diseases and disorders due to rampant explosion of technology in past twenty-five years. From usage of mobile phones to computers and the way we commute every day. The way we sit, the way we sleep and the way some of the young generation earns livelihood has many disorders related to posture, stress, overuse and work environment.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"74-76"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/76/JLM-10-074.PMC7502889.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38439823","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}
Aditi Singh, Pallabi Banerjee, Mohammad Anas, Nagendra Singh, Imteyaz Qamar
{"title":"Traditional Nutritional and Health Practices Targeting Lifestyle Behavioral Changes in Humans.","authors":"Aditi Singh, Pallabi Banerjee, Mohammad Anas, Nagendra Singh, Imteyaz Qamar","doi":"10.15280/jlm.2020.10.2.67","DOIUrl":"10.15280/jlm.2020.10.2.67","url":null,"abstract":"<p><p>In this 21st century who isn't enticed by the glamorous and appealing life in the fast lane? We are surrounded by wonders, something we could never have imagined erstwhile. We have everything just a click or a call away. This alluring lifestyle comes with its own perils, the biggest one being concerned with health which is often compromised with check ins and home delivered food but the problem doesn't just lie with the outside food but also with all those chemical enriched engineered expensive food items. The industry often tempers with our food to make it \"More Attractive\" to the consumer. However, in modern era, availability of drugs and fancy powders has led to imbalance of health and nutrition, contrary to the previous era when home gardening was very common and people preferred fresh-foods which didn't contain added chemicals. They even used to treat some of the health problems with the natural ways that we nowadays refer to DIYs (Do-it-yourselves). Since Ayurveda used natural herbs and plant extracts for treatment, the earth was fresher and less-polluted which led to greater life expectancy. The modern era also has its own benefits like excellences in allopathy medicine has brought a cure to many untreatable diseases of the ancient times, and have even eradicated certain diseases like smallpox and polio. To summarize, both the time had their own pros and cons, so it would be better if we take both of their advantages into consideration and work ahead to live a healthy life.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"67-73"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/5b/JLM-10-067.PMC7502895.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38439821","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}
Sang-Wook Shin, Su-Jin Jung, Eun-Soo Jung, Ji-Hyun Hwang, Woo-Rim Kim, Byung-Ok So, Byung-Hyun Park, Seung-Ok Lee, Baik-Hwan Cho, Tae-Sun Park, Young-Gon Kim, Soo-Wan Chae
{"title":"Effects of a Lifestyle-Modification Program on Blood-Glucose Regulation and Health Promotion in Diabetic Patients: A Randomized Controlled Trial.","authors":"Sang-Wook Shin, Su-Jin Jung, Eun-Soo Jung, Ji-Hyun Hwang, Woo-Rim Kim, Byung-Ok So, Byung-Hyun Park, Seung-Ok Lee, Baik-Hwan Cho, Tae-Sun Park, Young-Gon Kim, Soo-Wan Chae","doi":"10.15280/jlm.2020.10.2.77","DOIUrl":"https://doi.org/10.15280/jlm.2020.10.2.77","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the efficacy of the lifestyle intervention (LSI) program in controlling blood glucose regulation and health promotion in type 2 diabetic (T2D) patients.</p><p><strong>Methods: </strong>Thirty adults with a diagnosed with diabetes were randomly assigned to LSI and control groups. The LSI group maintained their daily routines after participating twice in the LSI program, while control group maintained 4 weeks of daily life without participating in an intervention.</p><p><strong>Results: </strong>HbA1c levels in the LSI group decreased significantly after participation (p = 0.025) compared with levels before the study, but there was no significant difference between the groups. The weight and body mass index (BMI) of the LSI group tended to decrease significantly compared with the control group (p = 0.054 and p = 0.055, respectively), and the waist circumference (WC) of the LSI group decreased significantly compared with that of the control group (p = 0.048). In the effects of the LSI program according to the polymorphism of GCKR genes, changes in glycated albumin (GA) (%), HbA1c, WC, BMI, and weight showed a significant decrease in the non-risk (TT genotype) GCKR group compared with the risk group (CC and TC genotype).</p><p><strong>Conclusion: </strong>Application of the four-week LSI program to diabetics revealed positive effects on blood-glucose control and improvement in obesity indicators. In particular, the risk group with variations in the GCKR gene was associated with more genetic effects on indicators such as blood glucose and obesity than was the non-risk group.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"77-91"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/dd/JLM-10-077.PMC7502894.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38439825","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":"Sex Difference in Participation in Muscle-Strengthening Activities.","authors":"James L Nuzzo","doi":"10.15280/jlm.2020.10.2.110","DOIUrl":"https://doi.org/10.15280/jlm.2020.10.2.110","url":null,"abstract":"<p><strong>Background: </strong>Previous data from the United States Centers for Disease Control and Prevention indicate men are more likely than women to participate in muscle-strengthening activities (e.g., resistance training). However, a recent review by Rhodes et al. concluded there is no reliable sex difference in participation. The purpose of the current paper was to review population-level surveys of participation in muscle-strengthening activities to clarify if a sex difference in participation exists.</p><p><strong>Methods: </strong>Keyword searches (e.g., \"resistance training participation\") were performed in PubMed and Google Scholar to identify papers that surveyed a general adult population (N > 1,000) and reported an outcome of the proportion of the population meeting recommendations for \"muscle-strengthening activities\" (i.e., ≥ 2 times/wk) or participating in resistance training.</p><p><strong>Results: </strong>Sixteen studies from 6 countries met the inclusion criteria. Irrespective of the measure of participation, population-levels of participation were typically higher in men than women. More men than women met recommendations for muscle-strengthening activities in England (men 34%; women 24%), Finland (men 18.1%; women 16.4%), Northern Ireland (men 25%; women 14%), Scotland (men 30%; women 25%), and the United States (men 34.8%; women 25.8%). For Australia, some studies showed no sex difference in participation, whereas other studies showed greater participation among men.</p><p><strong>Conclusion: </strong>A sex difference exists in participation in muscle-strengthening activities. Low participation rates in both sexes indicate efforts to encourage participation in men and women are warranted. The results also highlight the need for rigorous definitions of \"participation,\" as the lack of such definitions explains the mixed results reported previously.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"110-115"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/99/JLM-10-110.PMC7502892.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38536877","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}
Carmela Jeanette Borillo, Jerre Mae Tamanal, Cheong Hoon Kim
{"title":"Determining the Cut Off Score of the Healthy Lifestyle Screening Tool among High School Students.","authors":"Carmela Jeanette Borillo, Jerre Mae Tamanal, Cheong Hoon Kim","doi":"10.15280/jlm.2020.10.2.92","DOIUrl":"https://doi.org/10.15280/jlm.2020.10.2.92","url":null,"abstract":"<p><strong>Background: </strong>Several lifestyle factors such as not smoking, drinking alcohol in moderation, eating healthily, regular exercise, and maintaining a normal weight have been known to play an important role in optimal health. A screening tool that has a standardized score that indicates healthy or risky lifestyle behaviors is needed for health promotion. However, such a tool that focuses on lifestyle behaviors have not incorporated scores to summarize the results. The purpose of this study is to develop the cut-off points of the Healthy Lifestyle Screening tool.</p><p><strong>Methods: </strong>Data collection in this study was done from 198 Filipino high school students utilizing the Healthy Lifestyle Screening Tool.</p><p><strong>Results: </strong>Receiver Operating Curve (ROC) results indicated cut-off score of 98 to separate into low and high score groups. The mean scores for all subcomponents were significantly different in between two groups. The general population fell in the high score category with a mean total score of 105.61 in which 81.31% were categorized in the high score group and 18.61% in the low score group. Subjects in general obtained low mean scores in specific subscale components such as rest (2.46) water (2.66) and exercise (2.78).</p><p><strong>Conclusion: </strong>Increasing the total score by working on low scoring components will be beneficial in achieving a healthy lifestyle. This study reinforced the importance of holistic approach regarding health and well-being among high school students.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"92-101"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/89/JLM-10-092.PMC7502896.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38439826","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":"Moving Out of Shadows: Depression among the Elderly in Dehradun District of Uttarakhand, India.","authors":"Kritika Tiwari, Pradeep Aggarwal, Rakesh Kakkar, Ashitabh Tiwari","doi":"10.15280/jlm.2020.10.2.102","DOIUrl":"https://doi.org/10.15280/jlm.2020.10.2.102","url":null,"abstract":"Background Depression, a stigma swept under the rug, has morphed to be tabbed as the theme of World Health Day 2017 by the World Health Organization (WHO). Depression in old age is stereotypically tethered to the ageing process but it is a medical problem that has been under-researched. This study was conducted to estimate the point prevalence of depression among the elderly in Dehradun district of Uttarakhand and to identify its predictor variables. Methods It was a cross-sectional study conducted in Dehradun district of Uttarakhand (India) among 660 elderlies (≥60 years) from three strata (rural, urban and special groups). The Hindi version of long form of Geriatric Depression Scale (GDS-H) was used to identify mild and severe depression. All statistical analyses were carried out by SPSS software (version 22) at 5% level of significance. Results The arithmetic mean (±SD) of GDS scores was 10.62 (±6.1). 55% elderly were found to be suffering from depression (46.8% mild and 8.2% severe depression). Bivariate analysis showed significant association of depression with increasing age, female gender, place of residence, type of family, living without spouse, financial dependency, involvement in any kind of substance abuse and suffering from some chronic morbidities like osteoarthritis, chronic respiratory illness, skin diseases, visual impairment or hearing impairment. These predictor variables were further subjected to multivariate analysis. Conclusion The high prevalence of depression in old age and its multifactorial association tags it as a public health problem in this age group which should be recognized and managed before it becomes a health menace.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"10 2","pages":"102-109"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/d9/JLM-10-102.PMC7502891.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38536876","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}