Journal of student-run clinics最新文献

{"title":"Impact on Medical Students Participating in Forensic Examinations of Asylum Seekers: A Pilot Study","authors":"K. Blanton, Hannah Smati, S. Ashrafzadeh, Dominic Schnabel, Sandy Samuel, Sana Batool, Alison Mosier-Mills, Emily Witt, Caroline C. Lee, J. Boyd, Katherine R. Peeler","doi":"10.59586/jsrc.v9i1.351","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.351","url":null,"abstract":"Background: Student-run asylum clinics handle an increasing proportion of forensic medical evaluation requests for asylum cases across the country, but the impact on medical students participating in these evaluations remains poorly understood. This study investigates the self-reported backgrounds, roles, and experiences of medical students who directly participated in forensic evaluations of asylum-seekers at a student-run forensic asylum clinic between 2017 and 2021.Methods: Electronic surveys were sent to 40 medical students who had completed at least one asylum evaluation through the student clinic. Survey questions asked about student background, motivations, volunteer roles, and learning experiences during the evaluation process. Frequencies were calculated for multiple choice and 10-point Likert scale responses. Reviewers independently identified themes in free-response answers. Responses were subsequently coded using a consensus theme bank.Results: Eighteen of 40 (45%) students emailed completed the survey. Seventy-eight percent of respondents reported a personal or familial history of immigration. Almost all wrote the first draft of the medical affidavit. All respondents to the question reported improvement in their confidence working with patients who had experienced physical or psychological trauma as a result of persecution or feared persecution, because of their participation in an asylum evaluation. Conclusions: Students frequently were motivated to participate in forensic examinations of asylum-seekers for personal reasons related to their immigrant backgrounds. Our findings suggest that asylum evaluations promote professional development and skills working with survivors of trauma, though there remain technical and emotional challenges that mandate adequate training and support for student volunteers.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42288716","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":"Medical Student-Run Free Orthopaedic Clinic: Impact of Coordinator Role on Specialty Selection","authors":"Paige Koetter, Rachel K. Thomas, Roberta Gallo","doi":"10.59586/jsrc.v9i1.321","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.321","url":null,"abstract":"Background: Medical student-run free clinics provide opportunities for future physicians to accrue practical experience early in their medical education. Subspecialty clinics including orthopaedics provide a unique opportunity to gain exposure to musculoskeletal anatomy and pathology. These clinics are organized and managed by a student clinic coordinator. In this study, we seek to understand the impact that being the clinic coordinator of the musculoskeletal clinic plays in specialty selection.  \u0000Methods: A descriptive study was conducted by gathering electronic survey responses from former student clinic coordinators at the Penn State College of Medicine student-run musculoskeletal clinic from years, 2009 to 2017. The respondents described the influence of the coordinator role on residency selection. Additionally, the survey consisted of a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) regarding the student’s motivation for participating in the clinic as a coordinator. \u0000Results: From 2009 to 2017, there were 18 LionCare Orthopaedic Surgery Clinic Coordinators with a male-to-female ratio was 1.25:1. Residency specialty selection was Orthopaedic Surgery (n=8, 44.4%), Physical Medicine & Rehabilitation (4, 22.2%), Family Medicine (2, 11.1%), Cardiothoracic Surgery (1, 5.6%), General Surgery (1, 5.6%), Obstetrics & Gynecology (1, 5.6%), and Emergency Medicine (1, 5.6%). The most commonly cited reason for participation as clinic coordinator was “interest in helping an underserved population.”  \u0000Conclusions: The study illustrates an association between the role of orthopaedic clinic coordinator and entering a specialty focused on musculoskeletal care. More than half of the students who participated as a clinic coordinator pursued specialties involving musculoskeletal care (Orthopaedics and Physical Medicine & Rehabilitation). Student-run medical clinics present an opportunity to provide early exposure to musculoskeletal medicine and potential avenue for orthopaedic education and mentorship.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45148155","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":"Association Between Social Support and PHQ-4 Scores at a Student-Run Free Clinic","authors":"Avaneesh Kunta, SriVarsha Katoju, Leah T. Barnes, Oliver T. Nguyen, Anshul Daga, Gabriel Cartagena, K. Motwani, D. Feller","doi":"10.59586/jsrc.v9i1.345","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.345","url":null,"abstract":"Background: Student-run free clinics (SRFCs) can provide quality mental health care to low-income and uninsured populations who are at a greater risk of depression. Evidence demonstrates the association between social support and severity of depression, but this relationship has not been analyzed in an SRFC. Thus, we assessed the association between social support and depressive symptoms.Methods: We used electronic health records data for patients from 2013-2020 (n=2,501 patients). The dependent variable was severity of depression symptoms as determined by scores on the patient health questionnaire-4 (PHQ-4). Higher PHQ-4 scores correspond to increased severity of depression. The main predictor was the patient's social support, which was defined by their employment status, marital status, and the number of individuals in their household. We conducted a multinomial regression model to control for other patient-level factors (i.e. race, sex, and age).Results: When controlling for other factors, patients with higher social support scores had lower odds of scoring a 4 on the PHQ-4 (Odds ratio [OR]=0.838, 95% Confidence interval (CI)=0.770-0.912). When examining specific social support sources, when compared to patients who reported being not-married, those who were married had lower odds of scoring a 4 on the PHQ-4 (OR=0.578, 95% CI=0.401-0.833). Compared to patients who reported being employed, those who were unemployed had greater odds of scoring a 4 on the PHQ-4 (OR=2.323, 95% CI=1.766-3.055). We observed no significant differences in PHQ-4 by the number of people in the household.Conclusion: Patients with greater social support were associated with fewer depressive symptoms. Specifically, employment status and marital status may be larger contributors to a patient’s social support. Our results allow SRFCs to offer interventions such as investing in social work programs and community partnerships that offer professional development and employment opportunities to patients.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48837011","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":"Motivators for Volunteerism in Doctor of Physical Therapy Students During the COVID-19 Pandemic","authors":"H. Karczewski, A. Yorke","doi":"10.59586/jsrc.v9i1.341","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.341","url":null,"abstract":"Introduction: Physical therapy programs are increasingly utilizing pro bono clinics as an element of education. Obtaining an understanding of what motivates students of physical therapy (SPT) to volunteer is important as pro bono clinics serve the under-insured in the community. The Volunteer Functions Inventory (VFI) explores the motives behind volunteerism and has not yet been used to analyze the SPT population. The primary purpose of this study is to investigate motivational factors involved in SPT participation in their pro-bono clinics. \u0000Methods: All 261 accredited physical therapy programs in the United States were contacted and asked to distribute the survey to their students.  Upon agreement, the anonymous survey link was sent to the representative to be dispersed to the students via email. Qualtrics Survey Software® was used to collect the data. Descriptive statistics, independent t-test, and logistic regression were used to analyze the data. SPSS v26 was used. The alpha level was set to p <0.05. \u0000Results: The survey had 274 SPT participants in this study. The participants were split into participation (n=189) and non- participation (n=85) groups. Pro bono clinics made changes in response to the coronavirus-disease-19 (COVID-19) pandemic by temporarily pausing treatment (56.2%), changing from in person to telehealth on a video platform (44.9%) or telehealth on a phone call (9.5%). \u0000Conclusions: Similar to previous studies on volunteer motivators in medical students, those who volunteered were significantly more motivated by their values including altruistic and humanitarian concerns compared to those who did not volunteer (p<0.05). This small cross-sectional study found that SPT were more motivated to volunteer based on their altruistic concern. Over half of the SPT respondents reported changing pro bono services or pausing services due to the COVID-19 pandemic.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45613373","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":"Rapid Implementation of a Hybrid Telehealth Modality During the COVID-19 Pandemic and its Impact on Electronic Record Entry","authors":"Angie El-said, Gustavo Marino, Rasika Patil, Brianna Leone, Matt P Abrams, Brandon Tapasak, A. Momin, J. Simms-Cendán","doi":"10.59586/jsrc.v9i1.302","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.302","url":null,"abstract":"This report describes the adoption of a hybrid telehealth modality implemented in a student-run free clinic after the onset of the Coronavirus disease 2019 (COVID-19) pandemic in March 2020, with particular emphasis on the impact it may have on electronic health record entry. Our hybrid telehealth modality flow board summarizes how patients received care from volunteers in person and remotely. Successes of the modality included collecting medical records before the visit, creating more defined roles, and implementing e-prescriptions. Challenges faced included recording vital signs and communicating between volunteers on-site and remotely. We present our lessons learned and future plans for other free clinics to optimize their telehealth modalities.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42478720","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":"Filling a Gap in Healthcare for the Transgender Community in the Central Savannah River Area","authors":"Tracy Casanova, Jiby Yohannan, Elizabeth Wood, James Griffin, Catherine Wallace, S. Brands, Amanda A. Draheim, Lara M. Stepleman","doi":"10.59586/jsrc.v9i1.353","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.353","url":null,"abstract":"Background: Lack of insurance coverage and provider training are significant barriers that contribute to health disparities among members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Locality can exacerbate health disparities due to lack of competent providers and higher levels of community stigma. The Equality Clinic in Augusta, GA, was created by medical students at the Medical College of Georgia to provide care to uninsured or underinsured members of the LGBTQ community in the Central Savannah River Area. The purpose of the following report is to examine demographic characteristics and presenting concerns of patients served by the Equality Clinic during its first two years of existence. \u0000Methods: The current report utilized retrospective medical record review from the first two years of operation to identify trends in patient demographics, presenting concerns, and service utilization. \u0000Results: Although the Equality Clinic was created to provide multiple facets of healthcare to the broader LGBTQ community, the services that were utilized in the first two years were strongly composed of gender affirmative care for those who identified as transgender. Overall, the patients served at the Equality Clinic were healthy with few chronic health conditions reported, however, a high rate of substance use was endorsed. \u0000Conclusions: This study may point to unique needs of transgender patients and highlights the lack of access to gender-related care in the rural southeast United States.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42211735","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":"Implementation of a Preventative Health Series at a Student-Run Free Clinic","authors":"Shelly Sharma, Wali Kamran, Mark Conforti, Patrick J. Tempera, Alessia Cooney, Rebecca Fliorent, Sweta Mukhopadhyay, Nils V Brolis","doi":"10.59586/jsrc.v9i1.349","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.349","url":null,"abstract":"The Rowan Community Health Clinic (RCHC), located in a small community in southern New Jersey, strives to promote positive healthcare experiences as part of its service in a largely underserved area. A significant number of RCHC’s patients are immigrants, lack primary care physicians, or have difficulty communicating with doctors. Many of them demonstrate limited health literacy, which has been associated with mismanagement of health conditions, increased costs, and distrust of physicians. Lack of opportunities for health education may contribute to decreased health literacy. \u0000To address this concern affecting its patient population, the RCHC implemented a monthly Preventative Health Series (PHS) with the goal of engaging the community in order to improve health literacy. A specific health topic was emphasized each month, such as Diabetes Awareness in November and Mental Health Awareness in December. Infographics providing information about the selected topic were shared throughout the month via social media. Furthermore, during the third week of the month, a doctor or medical student gave an interactive presentation intended to facilitate discussion about the topic among healthcare workers and community members. Due to the coronavirus disease of 2019 (COVID-19) pandemic, these discussions had to be conducted online. However, using an online platform also allowed us to reach a wider audience.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503483","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":"Improving Equitable Access to Imaging: Developing an On-Site Ultrasound Service at a Student-Run Free Clinic","authors":"Nicholas Neel, Aislinn K. McMillan, L. Hsieh, Jimmy Bazzy, A. Tadros, Dorathy Tamayo-Murillo","doi":"10.59586/jsrc.v8i1.327","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.327","url":null,"abstract":"Background: Student-run free clinics (SRFC) provide comprehensive primary care for uninsured populations throughout the country. However, imaging remains a barrier to care for underserved communities that experience inequitable access to healthcare. In this study, we describe the establishment of a radiology specialty clinic (RSC) that served as an in-house ultrasound imaging service at our institution's SRFC. \u0000Methods: Between September 2019 and March 2020, patients were scheduled for imaging at the free clinic site, and studies were performed and read by institutional radiologists. Patient data were reviewed to assess patient demographics, study indication, ultrasound type, and time between referral and appointment. Lastly, imaging utilization was examined seven months prior to and seven months after implementing the free ultrasound clinic to assess any changes in usage, wait time, or referral patterns using Fischer’s exact test and unpaired student t-tests. \u0000Results: A total of 10 patients were seen during the clinic’s operation, with 11 studies being performed.  Overall, usage patterns stayed consistent pre and post-implementation. There was no significant difference in wait times between referral and appointment (pre-RSC 15 days vs. post-RSC 18.5 days, p=0.91) and the RSC demonstrated a total cost savings of $770 to the clinic. \u0000Conclusions: We describe the implementation of an in-house ultrasound imaging service at our SRFC. The RSC provided increased access to imaging, demonstrated cost-savings to the SRFC, and had no negative effects on ultrasound usage or wait times between referrals and appointments.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46116750","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":"Impact of COVID-19 on the Delivery of Eye Care to Uninsured Diabetic Patients at a Student-Run Free Clinic: A Comprehensive Evaluation of Eye Clinic Performance.","authors":"Benton G Chuter,&nbsp;Alexander Lieu,&nbsp;John Kevin O Dayao,&nbsp;Jennifer J Bu,&nbsp;Kevin Chen,&nbsp;Taiki Nishihara,&nbsp;Sally L Baxter","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Diabetic retinopathy is the leading cause of blindness among working-age adults in the United States and requires timely screening and management. This study evaluates the impact of the coronavirus disease 2019 (COVID-19) pandemic on diabetic retinopathy screening (DRS) for uninsured, predominantly Latino patients at the University of California San Diego Student-Run Free Clinic Project (SRFCP).</p><p><strong>Methods: </strong>A retrospective chart review was conducted of all living diabetic patients at SRFCP who were seen in 2019 (n=196), 2020 (n=183), and 2021 (n=178). Ophthalmology clinic referrals, scheduled patient visits, and visit outcomes were analyzed longitudinally to determine the impact of the pandemic on screening patterns.</p><p><strong>Results: </strong>The study population was 92.1% Latino, 69.5% female, with a mean age of 58.7 years. The distribution of patients seen (p<0.001), referred (p=0.012), and scheduled (p<0.001) in 2020 and 2021 significantly differed from 2019. In 2019, 50.5% of 196 patients eligible for DRS were referred, 49.5% were scheduled, and 45.4% were seen. In 2020, 41.5% of 183 eligible patients were referred, but only 20.2% were scheduled and 11.4% were seen. In 2021, there was a rebound: 63.5% of 178 patients were referred, 56.2% scheduled and 46.1% seen. No shows and cancellations represented 12.4% and 6.2% of the 97 encounters scheduled in 2019, but were markedly higher (10.8% and 40.5% respectively) for the 37 encounters scheduled in 2020.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic significantly impacted the delivery of eye care at SRFCP. The need for annual DRS exceeded the capacity of the ophthalmology clinic in all years studied, but the difference was especially pronounced with more stringent COVID-19 restrictions in 2020. SRFCP patients could benefit from telemedicine DRS programs to improve screening capacity.</p>","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991481/pdf/nihms-1875792.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9096916","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":"Exploring the Influence of an Interprofessional Student-Run Clinic on Matriculation to Health Professional School: A Retrospective Cross-Sectional Study","authors":"Erik Vanstrum, Sukriti Mohan, Janis W Yue, D. Veloria, Justin Quon, R. Lee, Kevin P. Knox, C. Fung","doi":"10.59586/jsrc.v8i1.307","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.307","url":null,"abstract":"Background: Projected demographic trends in the United States suggest increasing racial and ethnic diversity. It is important that the healthcare workforce reflects these trends to reduce healthcare disparities among underserved populations. For example, concordant backgrounds between patients and providers improve communication and increase probability that patients seek and receive healthcare among marginalized populations. Building in curricular opportunities to connect with the underserved community is one way to recruit students from diverse backgrounds into this pipeline that will lead to a diverse workforce in healthcare. The objective of this study was to assess the influence of an interdisciplinary student-run clinic (SRC), which focuses on caring for underserved and vulnerable populations, on students’ decisions to matriculate in four health professional programs (medical, occupational therapy, pharmacy, and physician assistant) at a single institution. \u0000Methods: In this retrospective cross-sectional survey study, we examined factors influencing first-year students’ decisions to attend a private university in a large metropolitan area. The primary outcome was students’ self-reported ratings of the university’s SRC as a factor in their matriculation decisions.  Two-tailed Mann-Whitney-U tests was applied to compare the relative importance of SRC on matriculation. Free response data were evaluated by a qualitative content approach. \u0000Results: A total of 419 students completed the survey (73% completion rate) across the 4 programs. We found that underrepresented minorities in medicine (URM) (p < 0.05) and first-generation (p < 0.01) students rated the importance of an SRC on their matriculation decision significantly higher than non-URM and non-first-generation students. \u0000Conclusions: Our findings suggest that the presence of an SRC may positively impact matriculation decisions and diversification of the student body across certain health professional disciplines.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48411560","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}