Sonam Spalgais, Parul Mrigpuri, N Ravishankar, Raj Kumar
{"title":"RE: Comment on: Pulmonary Function and Diffusing Capacity of Carbon Monoxide in Hypersensitivity Pneumonitis: An Observational Study of 152 Patients.","authors":"Sonam Spalgais, Parul Mrigpuri, N Ravishankar, Raj Kumar","doi":"10.5152/ThoracResPract.2024.240362","DOIUrl":"https://doi.org/10.5152/ThoracResPract.2024.240362","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 5","pages":"195-196"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514396","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":"Normative Values and Calculation Formulas of Respiratory Muscle Strength of Adults in Turkish Society: A Population-based Study.","authors":"Esra Pehlivan, Halit Çınarka, Kürşad Nuri Baydili, Mehmet Burak Uyaroğlu, Pınar Baştürk, Amine Ataç","doi":"10.5152/ThoracResPract.2024.23101","DOIUrl":"https://doi.org/10.5152/ThoracResPract.2024.23101","url":null,"abstract":"<p><p>This study aimed to establish normative values for maximum inspiratory pressure and maximal expiratory pressure in the Turkish population while creating specific equations to calculate these values. The study involved 219 healthy adults, with a minimum of 50 individuals in specific age ranges: 20-29, 30-39, 40-49, and 50-60 years. Each age group comprised at least 25 males and 25 females. Participants were required to be free from health conditions influencing respiratory muscle strength and non-smokers. Measurements of maximum inspiratory pressure and maximal expiratory pressure were recorded for all participants. As a result of the regression analysis performed for the maximum inspiratory pressure values, the model P value was < .001, and the R2 value was found to be 0.261. The equation obtained as a result of the model was: 82.583 - 3.218 × gender - 0.093 × age+9.534 × height+0.343 × weight. As a result of the regression analysis performed for maximal expiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.285. The equation obtained as a result of the model was: 157.165 - 35.522 × gender - 0.271 × age-42.036 × height+0.787 × weight. The newly developed equations offer valuable tools for evaluating respiratory muscle strength in the Turkish population. These results confirm the importance of using maximum inspiratory pressure and maximal expiratory pressure to monitor changes in each patient, while also emphasizing the necessity of reliable reference equations.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 5","pages":"178-183"},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482716","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":"Türkiye's 3-Year Coronavirus Disease 2019 Publication Performance in the Shadow of the Pandemic: A Bibliometric Analysis.","authors":"Yağmur Ekenoğlu Merdan, Okan Aydoğan","doi":"10.5152/ThoracResPract.2024.24020","DOIUrl":"https://doi.org/10.5152/ThoracResPract.2024.24020","url":null,"abstract":"<p><p>The pandemic created by coronavirus disease 2019 (COVID-19) has led researchers to study to deal with this infection. The number of studies about it being performed and published is increasing over time. Due to the dramatic growth of COVID-19 scientific publications, we conducted a bibliometric and visualized study to better understand the progress, collaborations, and trend topics of COVID-19 publications in Türkiye. Material and Methods: The scientific literature on COVID-19 research in Türkiye from 2020 to 2022 was extracted from the Scopus database and analyzed using bibliometric and scientometric techniques. A total of 426.662 COVID-19-related publications were published worldwide in the 3-year period and Türkiye ranked 12th according to both publication (8.394) and case numbers (17.004.677). The most cooperations of Türkiye were with the USA, the UK, and Italy. The 5 most used keywords were determined as \"COVID-19,\" \"SARS-CoV-2,\" \"Pandemics,\" \"Coronavirus,\" and \"Anxiety\" respectively. It was determined by the keyword analysis that the most focused topics were related to the \"COVID-19 clinic.\" Türkiye did not lag behind in the number of studies on her geography, and it was seen to be in the leading position compared to the Middle East countries. It is important to periodically evaluate such a large number of research articles from a broad perspective for planning and direction of future studies.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 5","pages":"171-177"},"PeriodicalIF":0.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486231","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":"Comparison of 2005 and 2021 American Thoracic Society/ European Respiratory Society Criteria for Bronchodilator Response.","authors":"Kohei Okawa, Toshihiro Shirai, Taisuke Akamatsu, Keita Hirai","doi":"10.5152/ThoracResPract.2024.23130.","DOIUrl":"10.5152/ThoracResPract.2024.23130.","url":null,"abstract":"<p><p>Cite this article as: Okawa K, Shirai T, Akamatsu T, Hirai K. Comparison of 2005 and 2021 American Thoracic Society/European Respiratory Society criteria for bronchodilator response. Thorac Res Pract. 2024;25(4):168-170.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 4","pages":"168-170"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918292","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}
Ömür Güngör, Nazan Akel, Ceyda Şahan, Ahmet Uğur Demir, Ali Fuat Kalyoncu
{"title":"Work-Related Symptoms of Spice Shop Workers and the Effect of Common Aeroallergen Sensitivity on Work-Related Symptoms.","authors":"Ömür Güngör, Nazan Akel, Ceyda Şahan, Ahmet Uğur Demir, Ali Fuat Kalyoncu","doi":"10.5152/ThoracResPract.2024.23128.","DOIUrl":"10.5152/ThoracResPract.2024.23128.","url":null,"abstract":"<p><strong>Objective: </strong> Spices, because of their bioactive content, can cause irritation and allergic symptoms in the respiratory system and skin. Spice shop workers are constantly exposed to spices and dried herbs as part of their jobs. This study aimed to investigate the work-related symptoms of spice shop workers. Another aim was to assess the risk status of having an atopic nature for work-related symptoms.</p><p><strong>Material and methods: </strong> This was a cross-sectional study. Our research team visited the spice shops and a questionnaire was administered to 112 workers to assess work-related symptoms. In order to determine atopy, 79 of them had skin prick tests with common aeroallergens.</p><p><strong>Results: </strong> Workers had eye complaints (19.6%), runny noses (22.3%), skin symptoms (9.8%), shortness of breath (9.8%), and coughs (19.6%) at work. The prevalence of atopy was 18%. Atopy was associated with work-related eye complaints (odds ratio (OR): 4.12, 95% CI: 1.17-14.46), work-related runny nose, and work-related cough (OR: 4.85, 95% CI: 1.44-16.32, and OR: 4.41, 95% CI: 1.30-14.97).</p><p><strong>Conclusions: </strong> The workers in spice shops are adversely affected by spices and dried herbs in their working environment. Being sensitive to common aeroallergens poses a risk for occupational symptoms.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 4","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918294","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":"Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study.","authors":"Eylem Tunçay, Özlem Moçin, Özlem Ediboğdu, Nalan Adıgüzel, Sinem Güngör, İnşa İşcanlı, Berrin Er, Nilgin Alptekinoğlu Mendil, Adnan Usalan, Didem Yılmaz, Hülya Keskin, Gül Erdal Dönmez, Barış Yılmaz, Feyza Kargın, Kemal Tolga Saraçoğlu, Şahin Temel, Hayriye Cankar Dal, Sema Turan, Leyla Talan, Derya Hoşgün, Semih Aydemir, Hülya Sungurtekin","doi":"10.5152/ThoracResPract.2024.23117.","DOIUrl":"10.5152/ThoracResPract.2024.23117.","url":null,"abstract":"<p><strong>Objective: </strong> Coronavirus disease 2019 (COVID-19) caused morbidity and mortality worldwide. Besides the acute effects, subacute and long-term effects are defined as long-COVID causing morbidity. The intensive care unit (ICU) data of long-COVID-19 cases were evaluated with the participation of 11 centers.</p><p><strong>Material and methods: </strong> Study was designed by Turkish Thoracic Society Respiratory Failure and Intensive Care Working Group to evaluate long COVID-19 patients. All patients followed up in the ICU with long-COVID diagnosis were included in point prevelance study.</p><p><strong>Results: </strong> A total of 41 long COVID-19 patients from 11 centers were included in the study. Half of the patients were male, mean age was 66 ± 14, body mass index was 27 ± 5. Hypertension, diabetes mellitus, lung cancer, malignancy, and heart failure rates were 27%, 51%, 34%, 34%, and 27%, respectively. Eighty percent had received COVID vaccine. Patients had moderate hypoxemic respiratory failure. APACHE II, SOFA score was 18 (14-26), 6 (3-8), respectively. Forty-six percent received invasive mechanical ventilator support, 42% were sepsis, 17% were septic shock. Bilateral (67%), interstitial involvement (37%) were most common in chest x-ray. Fibrosis (27%) was detected in thorax tomography. Seventy-one percent of patients received antibiotherapy (42% carbapenem, 22% linezolid). Sixty-one percent of the patients received corticosteroid treatment.</p><p><strong>Conclusion: </strong> More than half of the patients had pneumonia and the majority of them used broad-spectrum antibiotics. Presence of comorbidities and malignancies, intensive care severity scores, intubation, and sepsis rates were high. Receiving corticosteroid treatment and extensive bilateral radiologic involvement due to COVID-19 might be the reasons for the high re-admission rate for the ICUs.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 4","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918293","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}
Deven C Patel, Hao He, Douglas Z Liou, Pau J Speicher, Mark F Berry
{"title":"Population-Based Analysis of Local Therapies for Large (>7 cm) Non-Small Cell Lung Cancer Tumors.","authors":"Deven C Patel, Hao He, Douglas Z Liou, Pau J Speicher, Mark F Berry","doi":"10.5152/ThoracResPract.2024.23120","DOIUrl":"10.5152/ThoracResPract.2024.23120","url":null,"abstract":"<p><p>This study evaluated the impact of local treatment modalities in the management of large non-small cell lung cancer (NSCLC) tumors using a nationwide population-based dataset. Patients with NSCLC tumors >7 cm that were cN0-1M0 in the Surveillance, Epidemiology, and End Results (SEER) registry from 2010 to 2015 were stratified by local management strategy (surgery, radiation therapy, no local treatment) and evaluated using Kaplan-Meier survival analyses, Cox proportional-hazard methods, and propensity-matched analysis. A total of 3156 patients were identified, of which 1580 (50.1%) underwent surgical resection, 920 (29.2%) received radiation only, 655 (20.7%) received no local treatment. Overall, the 5-year survival of patients undergoing surgical resection was 40.7%, compared to 14.7% and 5.3% for the radiation only and no local treatment groups, respectively (P < .001). Surgery with or without radiation continued to have an independent association with improved survival in multivariable analysis (HR 0.23, P < .0001). Other factors associated with improved survival included younger age, negative nodal disease, and chemotherapy use. In propensity-matched sub-analyses, 5-year survival remained significantly better after surgery alone compared to radiation alone (38.5% vs. 13.6%, P < .001), while survival after radiation alone was better than no local treatment, though both were largely poor (12.4% vs. 7.5%, P < .001). Survival of patients with large NSCLC managed non-surgically is very poor. Despite the significant long-term survival benefit with surgical intervention, nearly half of the study cohort did not undergo surgery. Patients and clinicians can use these results to estimate specific potential benefits when considering possible treatment strategies for large NSCLC tumors.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 4","pages":"141-148"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903866","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}
Musi Ravindra Mohan, Kothur Narayana-Reddy Sukumar, Anjaneya Amith
{"title":"Relative Value of Immunohistochemistry in Detection of Mycobacterial Antigen in Suspected Cases of Tuberculosis in Tissue Section.","authors":"Musi Ravindra Mohan, Kothur Narayana-Reddy Sukumar, Anjaneya Amith","doi":"10.5152/ThoracResPract.2024.23087","DOIUrl":"10.5152/ThoracResPract.2024.23087","url":null,"abstract":"<p><strong>Objective: </strong>Due to its infectious nature, complex immunological response, chronic progression, and the necessity for long-term treatment, tuberculosis has always been a major health burden. Immunohistochemistry (IHC) has the capacity to highlight the occurrence of mycobacterial antigens for tissue diagnosis. This study was conducted to understand the advantage of immunostaining over culture of Mycobacterium tuberculosis.</p><p><strong>Material and methods: </strong>A cross-sectional study was conducted on 30 samples of suspected cases of tuberculosis. Specimens received were fixed in 10% formalin and processed; 3-5 µm thick sections were made from paraffin block, stained with hematoxylin and eosin, Ziehl–Neelsen stain, and immunohistochemistry. Culture was done using Lowenstein–Jensen medium. Immunohistochemistry was interpreted as fine granular brownish cytoplasmic, coarse granular brownish cytoplasmic, and bacillus staining.</p><p><strong>Results: </strong>Out of the 30 samples studied, 12 (40.0%) were culture positive while 20 (66.7%) of them were IHC positive. Immunohistochemistry showed 17 granulomatous lesions of which 11 (55.0%) were well-formed granulomas. The sensitivity and negative predictive value were found to be high with immunohistochemistry, while specificity and positive predictive value were found to be on the lower side. Among the 20 positive IHC cases, the degree of staining was fine granular cytoplasmic staining in 13 cases (65.0%) and coarse granular staining in 7 cases (35.0%).</p><p><strong>Conclusion: </strong>Immunohistochemistry is a reliable test with high sensitivity as well as high negative predictive value which can be done rapidly for establishing an etiological diagnosis of tuberculosis in histologic specimens.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":"158 - 161"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862929","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":"Impact of Anxiety, Depression, and Coping Strategies on Health-Related Quality of Life in Patients with Cystic Fibrosis.","authors":"Berrin Ceyhan, Zeynep Uslu Suner, Derya Kocakaya, Şehnaz Olgun Yıldızeli, Emel Eryüksel","doi":"10.5152/ThoracResPract.2024.23112","DOIUrl":"10.5152/ThoracResPract.2024.23112","url":null,"abstract":"<p><strong>Objective: </strong>With the significant increase in the life expectancy of cystic fibrosis (CF) patients, many individuals now reach adulthood and develop specific coping strategies to maintain their physical and mental well-being. This study aims to evaluate coping styles and their relationship with mental health and Health-Related Quality of Life (H-RQoL) in adult CF patients.</p><p><strong>Materials and methods: </strong>Thirty adult CF patients completed the Hospital Anxiety and Depression Scale to assess anxiety and depression, the Cystic Fibrosis Questionnaire—Revised to evaluate quality of life, and the Brief Coping Orientation to Problems Experienced questionnaire to assess coping strategies.</p><p><strong>Results: </strong>Twelve individuals (40%) met the diagnostic criteria for being at risk of experiencing anxiety and/or depression. Anxiety risk group exhibited lower life quality scores in the domains of vitality, emotional functioning, and role limitations (P = .027, P = .001, and P = .001, respectively). Patients reporting depressive symptoms had lower scores in emotional functioning and role limitations domains of quality of life (P = .005 and P = .018, respectively). Multivariate analysis indicated that depression and anxiety scores were significant predictors of emotional quality of life. In terms of coping strategies, “acceptance” was the most commonly preferred, while “substance use” was the least preferred strategy among all participants. Patients at risk of anxiety and/or depression often chose “avoidance” as their coping strategy.</p><p><strong>Conclusion: </strong>Anxiety and depressive symptoms are prevalent and associated with poorer H-RQoL in adult CF patients. These patients preferred to employ giving up strategy when dealing with the disease. Therefore, it is essential to screen adult CF patients for mental health risks and to work on improving their coping strategies.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":"149 - 157"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869195","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":"Smoking Cessation Support via Video Counseling (e-Cessation): A Promising Field for Telemedicine Implementation.","authors":"Melis Metin, Şerife Kaya, Kaan Sözmen, Göksel Altınışık","doi":"10.5152/ThoracResPract.2024.23056.","DOIUrl":"10.5152/ThoracResPract.2024.23056.","url":null,"abstract":"<p><strong>Objective: </strong> The study aimed to investigate the utility of telemedicine conducted via video counseling in comparison to the previous structured approach and to compare prepandemic smoking cessation success rates with traditional counseling.</p><p><strong>Material and methods: </strong> The applicants of the outpatient clinic for smoking cessation support pre- and post-pandemic periods were included in the study. The time intervals were retrospectively between 1 March and 30 August 2021 and the last 3 months of the year 2019. The data were revealed retrospectively. Age, sex, occupation, smoking history as package year, and the score of the Fagerström test for nicotine dependence, accompanying chronic diseases, treatment method, and quitting status between 6 and 9 months of follow-up.</p><p><strong>Results: </strong> The number of applicants was 200 (87% male) and 89 (95% male) in groups 1 and 2, respectively. The age difference was not significant. The difference was statistically significant according to having at least 1 accompanying chronic disease, specifically a lung disease. None of the parameters have affected the success of quitting smoking. The smoking cessation rate was 3.9 fold higher in the telemedicine group than in the traditional group.</p><p><strong>Conclusion: </strong> The main principle appears to be allocating enough time, as required on an individual basis, to clearly assess the situation, including identifying barriers and options. Since immediate systematic physical examination and laboratory testing may not be mandatory for individuals seeking smoking cessation support, telemedicine emerges as a reasonable option and a promising field for comprehensive video counseling.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"25 3","pages":"121-129"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918297","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}