Clinics in mother and child health最新文献

{"title":"Prevalence of Domestic Violence and Associated Factors among Antenatal Care Attending Women at Robe Hospital, Southeast Ethiopia","authors":"Cheru Tulu, E. Kiflu, Dame Hirkisa, Zebiba Kedir, Lensa Abdurahim, Gemechu Ganfure, J. Muhammed, Kenbon Seyoum, Genet Fikadu, A. Mekonnen","doi":"10.35248/2090-7214.19.16.337","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.337","url":null,"abstract":"Introduction: Globally domestic violence against women is one of the social and public health problem occurring during pregnancy in the form of sexual, physical, or psychological violence imposed by the current or former male intimate partner. Therefore, this survey aims to assess the prevalence of domestic violence and associated factors among antenatal attending women at Robe hospital, southeast Ethiopia, 2019. Method: An institutional based cross-sectional study design was conducted from April 25/2019 to May 20/2019 among 385 antenatal care-attending women at Robe hospital. Data was collected using face-to-face interview. Bivariate analysis was carried out to examine the associations between independent variable and domestic violence during pregnancy. Those variables with p-values of 0.05 or less were entered into multivariable logistic regression to manage confounding variables. Finally, adjusted odds ratio with 95% of confidence interval and significance p value<0.05 was used to examine the association between the independent and dependent variables. Result: Out of 385 study participants involved in the interview 375 completed the interview making the response rate as 97.4%. The overall prevalence of domestic violence in our study area is 24.5%. Partner alcohol intake, having unplanned pregnancy and having unwanted pregnancy are factors significantly associated with domestic violence among antenatal care attendants. Conclusion and recommendation: The prevalence of domestic violence among ANC attending women at Robe hospital is high. Having partner who takes alcohol, having unplanned pregnancy and unwanted pregnancy are the factors significantly associated with domestic violence during pregnancy among antenatal care attending women. In collaboration with stakeholders, the zonal health department has to mitigate domestic violence during pregnancy through educating women how to prevent unplanned and unwanted pregnancy.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965781","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":"Breast Tuberculosis: A Case Report","authors":"Sara Mai, S. Mansouri, N. Michi, Manar Rhemimet, K. Znati, A. Kharbach, K. Senouci, B. Hassam","doi":"10.4172/2090-7214.1000310","DOIUrl":"https://doi.org/10.4172/2090-7214.1000310","url":null,"abstract":"which Abstract Breast tuberculosis (BT) or Tuberculosis mastitis (TM) is a very rare condition that’s not usually obvious to diagnose since it resembles many other conditions especially breast malignant tumor. It usually manifests as an irregular unilateral lump. Radiological findings are nonspecific. Ziehl Neelsen stain, culture and PCR for detection of Mycobacterium tuberculosis are considered as the mainstay for the diagnosis. However, biopsy with epithelioid examination seems to be more sensitive. We report a case of isolated breast localization of tuberculosis in a young female patient.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977428","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":"Prevalence of Depression among Pregnant Women Attending ANC Follow up Mother's at Higher Two Health Center, Jimma Teaching Health Center, Shenen Gibe Hospital and JUSH, Jimma Town, Oromia Regional State, South West Ethiopia","authors":"Abiru Neme Negewo","doi":"10.4172/2090-7214.1000315","DOIUrl":"https://doi.org/10.4172/2090-7214.1000315","url":null,"abstract":"Introduction: Depression is a serious psychiatric problem for women affecting their overall health, it has a negative impact on pregnancy and its outcomes maternal depression also increases risk factor for suicide and infanticide. The aim of this study is to determine the prevalence of depression among pregnant women attending ANC follow up clinic at higher two health center, Jimma teaching health center, Shenen Gibe hospital and JUSH. Methods: A cross-sectional study was conducted among 228 pregnant women having ANC follow up at public health care setting in Jimma town, from May 29 to June 7, 2018, using convenience sampling technique. Data was collected using both interviewer administered and self-administered structured and pretested questionnaire. Collected data was analyzed using the SPSS version 20.0 and descriptive statistics and chi-square test was done to assess association between variables, which declared at p-value less than 0.05. Finally obtained results presented using simple frequency tables and charts. Results: A total of 228 mothers participated in the study, 88 (38.6%) of the respondents were between 25-29 years of age, 104 (45.6%) were Oromo, 100 (43.9%) were Muslim, 90 (39.5%) were illiterate, and 67 (29.4%) of them were house wife. One hundred thirty eight (71.9%) were multi gravid, 136 (59.6%) were second trimester, 48 (21.1%) had history of abortion, 128 (56.1%) and 152 (66.7%) of respondents reported that pregnancy was planned and supported, 12 (5.3%) had past history of mental illness, 24 (10.5%) reported family history of mental illness, 20 (8.8%) had history of khat chewing and 40 (20.6%) had history of violence in the past one year. Eighty (35.09%) of them were possibly depressed. Age, ethnicity, marital status, educational status, and occupation of the mothers were socio demographic characteristics strongly associated with maternal depression (p=0.000), and vidity, history of life time abortion, unplanned pregnancy, personal past history of mental illness, family history of mental illness and history of partner violence were maternal characteristics strongly associated with maternal depression (p<0.001). Conclusion: Prevalence of depression among respondents was found to be higher. Socio demographic and maternal characteristics were found to be factors strongly associated with maternal depression.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Omega/Heparin Association on the Obstetric Outcome of Pregnant Women with Thrombophilia: A Pilot Study","authors":"Marcelo Lopes de Souza Mendes, L. Amaral, Daniel Henrique de Siqueira Dornelas, Lucas Palhares Baeta Duarte, Giovanna Carvalho Silva, M. Sirimarco, Alex, er Cangussu Silva, Clarissa Rocha Panconi, L. M. Coutinho, P. Lima, Sirleide Corrêa Rangel, Flávia Lima Mir, Maria Luiza Braga Leal, Geovana Tiango Gabriel, G. D. Pannain, M. Bastos, Juliana Barroso Zimmermmann","doi":"10.35248/2090-7214.19.16.332","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.332","url":null,"abstract":"Introduction: It is possible assuming that thrombophilias can change the optimal placental function, as well as lead to infarctions, impaired maternal-fetal exchange mechanisms and even to fetal death. Placental hypoxia determines a vicious cycle comprising oxidative stress, vasoconstriction and impaired fetal oxygenation. Prophylactic heparin use throughout pregnancy has been recommended in some thrombophilia cases because it acts on the coagulation cascade. However, although heparin does not cross the placental barrier and is safe for the fetus, not all patients can use it. Its administration route (parenteral) is not practical and even its prophylactic use is not necessarily harmless, as seen in different thrombocytopenia, gastrointestinal and cerebral bleeding reports. Thus, finding clinical alternatives for these pregnant women would help significantly improving the current medical practice. The use of essential fatty acids (EFAs) is a new perspective that appears to be applicable in daily medical practice, because it facilitates the blood flow and tissue oxygenation, since they reduce vascular resistance and platelet aggregation. Methods: This study is a randomized, controlled, unblind, parallel, three-arm, open-label prevention trial conducted with pregnant women diagnosed with thrombophilia, who were treated in the Obstetrics Services of University Hospitals belonging to UFJF and to Medical School of Barbacena. All the patients were divided in two groups: Group 1=Hereditary thrombophilia patients who used 40 mg of heparin/day (enoxaparin) from the 6th pregnancy week on; Group 2 Patients with acquired or hereditary thrombophilias associated with risk factors for preeclampsia, according to ACOG19 (chronic kidney disease, previous diabetes mellitus, chronic arterial hypertension and collagenoses). Results: The current study assessed 38 pregnant women. Patients’ mean age was 32.9 ± 5.0 years. The pulsatility index in the second gestational trimester (24 to 28 weeks) was compared based on treatments. Patients treated with the H+ASA+omega association recorded the lowest pulsatility index; however, there was not statistically significant difference between groups (p>0.05). Uterine artery resistance index in the second gestational trimester (24 to 28 weeks) was also compared based on treatments. Patients treated with the H+ASA+omega association recorded the best resistance index, however, there was not statistically significant difference between groups (p>0.05). The group treated only with heparin recorded the lowest fetal weight, although there was not statistically significant difference between groups. Conclusion: Our results are preliminary, and a crude evaluation of the data shows a decrease in the pulsatility and resistance indices of the uterine art. With the increase of patients in the analysis, we hope that the statistical results can demonstrate this improvement of placental flow.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role Played by Salicylic Acid and Omega 3 in the Placental Vascular Resistance Mechanism: A Pilot Study","authors":"A. Batista, Barbara Caetano Ribeiro, B. Paiva, Laís Mapa de Brito Fern, es, Luiza Cotta Xavier, Maria Paula Ferreira Arcuri, Clarissa Rocha Panconi, Alex, er Cangussu Silva, M. Sirimarco, L. M. Coutinho, P. Lima, Gabriel DuquePannain, Iasmin Dantas Sakr Khouri, Paula Silveira Mendes, Miralva Aurora Galvão Carvalho, Paulo Henrique Barros Valente, M. Bastos, Juliana Barroso Zimmermmann","doi":"10.35248/2090-7214.19.16.333","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.333","url":null,"abstract":"Introduction: Doppler flowmetry of uterine arteries allows identifying women at risk of developing preeclampsia (PE), mainly early preeclampsia; it also facilitates the timely use of prophylaxis. Minidose Acetylsalicylic Acid (ASA) can help preventing/delaying preeclampsia development, as well as reducing its severity and the risk of complications. However, not all patients can use this medication; therefore, it is necessary finding clinical alternatives for pregnant women who do not tolerate ASA, as well as evaluating the possibility of increasing this prophylaxis with new drugsthe use of omega 3 is one of these alternatives. Thus, it is possible assuming that omega use by pregnant women could reduce the vascular resistance of uterine arteries and facilitate placentation. The aim of the current study is to evaluate uterine artery resistance and pulsatility indices, as well as bilateral notch in pregnant women presenting identifiable risk factor for PE development, who use omega 3 in association, or not, with ASA. Methodology: The current research is a randomized-controlled, non-blind, parallel, two-arm, open-label preventive clinical trial. Patients were divided into two groups: group 1–use of ASA; and group 2-use of ASA+omega 3. Omegabased supplementations comprised doses of 400 mg/day in gelatin capsules, at DHA: EPA ratios 2.5:1 and 5.0:1. Results: Patients’ mean age was 33.48+4.68 years. Mean pregnancies and childbirths were 1.93+1.30 and 0.59 ± 0.37, respectively. Results of uterine artery Doppler flowmetry were associated with omega and/or ASA use; patients who used ASA in association with omega (ASA+omega) recorded the highest uterine artery resistance and pulsatility indices – results were statistically significant. The comparison between ASA use in association, or not, with omega did not show difference in PE, prematurity, oligohydramnios, IUGR or hospitalization in neonatal ICU frequency. There were no cases of fetal death or Hellp Syndrome in either groups. Conclusion: The omega 3 use in association with ASA has increased the uterine artery resistance and pulsatility indices of the investigated patients; however, it did not make any difference in primary and secondary outcomes.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965342","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":"Care of the Stillborn Body from the Perspective of Parents","authors":"Jui-Chiung Sun","doi":"10.4172/2090-7214.1000311","DOIUrl":"https://doi.org/10.4172/2090-7214.1000311","url":null,"abstract":"The parents no touching the body of the dead baby within the 8 hours in our study. According to Buddhist doctrine, a dead person should be kept from being moved or touched within the 8 hours following their death; otherwise, they would feel pain and fall into the abyss of evil; meanwhile, the living share Buddhist classics with the dead person so that their soul and spirit are led home. If their body were touched, their spirit would get lost and fail to return home.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977081","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":"Client Satisfaction with Family Planning Services and Associated Factors in the Rural Public Health Centers of Kucha District, Southern Ethiopia","authors":"A. Dulla, Mekdes Kondale, G. Kejela","doi":"10.4172/2090-7214.1000312","DOIUrl":"https://doi.org/10.4172/2090-7214.1000312","url":null,"abstract":"Background: Client satisfaction is considered as one of the factors that influence the use of family planning and other reproductive health services. It is very important to improve utilization of the service. Despite this importance, satisfaction still has been ignored by health care managers. Objective: The main aim of this study was to assess the level of client satisfaction with family planning service in public health centers and identify factors associated with client satisfaction in Kucha district, Gamo Gofa Zone, South Ethiopia. Methods: Facility based cross -sectional study was conducted from July 1-21, 2017 with 538 family planning service users. Respondents were selected by using systematic random sampling from four randomly selected rural health centers in the district. Data was collected by using pre-tested structured questionnaire and analyzed by SPSS version 20.0. Four diploma nurses collected the data and two B.Sc nurses supervised the data collection process. Logistic regression analyses were conducted and statistically significant association was declared at P value <0.05. Result: About 68.4% of the clients were satisfied with the service they received. Multivariable logistic regression analysis indicated that respondents with age 35 and above years [AOR (95% CI)=3.006 (1.308,6.911)], respondents who attended secondary cycle (5-8) [AOR (95% CI)=2.716 (1.377,7.817)], those for whom privacy was ensured [AOR (95% CI)=1.771 (0.738, 4.252 )], clients who received respect and friendly approach from other clinic staffs [AOR (95% CI)=6.871 (3.344,14.116)], those who reported convenient clinic opening hour [AOR (95% CI)=6.288 (2.865,13.801)] and those who got adequate information [AOR (95% CI)=5.043 (2.362,10.767)] shows significant association with the outcome variable. Conclusions and recommendations: In this study, client satisfaction is slightly high. Predictors of clients’ satisfaction with family planning service in this study were age, educational level, adequacy of information to clients, convenience of clinic opening hours, respect and friendly approaches from other clinical staffs and maintenance of privacy. Appropriate Information, education and communication is needed to solve the problem.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Experience of a Mother in the Situation of a Preterm Birth","authors":"Francesca Rosati, Enrico Gasparrini, M. T. Gaetti","doi":"10.24105/2090-7214.16.322","DOIUrl":"https://doi.org/10.24105/2090-7214.16.322","url":null,"abstract":"It is a work that explores the world that is created in a family, for the mother in particular, when, instead of the expected natural childbirth, the preterm birth of a child takes place. An event that is often experienced as disappointing and dramatic. This maternal experience, in most cases, is configured as a period of crisis, limited in time, characterized by a certain mental and behavioral imbalance. Faced with a birth of a premature child, the woman mostly becomes a fragile mother, disoriented and particularly vulnerable, dominated by anxiety of death and feelings of guilt. A great contribution to the overcoming of this agonizing and painful experience of the woman, who gives birth to a child before the end of the gestational age, is given by the humanization processes that are applied in the Neonatology and Neonatal Intensive Care Units, which, beyond the stabilization of vital functions, certainly of priority importance, take into account the relational needs of the newborn and of his parents and favor their psycoemotional bond, appropriately utilizing the resources of the technology and reducing as much as possible the inconveniences and disadvantages associated with the hospitalization.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69013497","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":"Management of the Morbidly Adherent Placenta","authors":"Daniel Chan, Alex, er B Olawaiye","doi":"10.24105/2090-7214.16.323","DOIUrl":"https://doi.org/10.24105/2090-7214.16.323","url":null,"abstract":"Morbidly adherent placenta, and the spectrum of placenta accreta, increta, percreta, are becoming more commonly encountered with higher cesarean section rates. These cases are complicated by high maternal morbidity with high rates of maternal hemorrhage. This literature review discusses management of morbidly adherent placenta, from preoperative considerations and planning, to timing of delivery, and operative considerations. Care of the patient with abnormal placentation now commonly involves a multi-disciplinary team approach. Creation of care teams dedicated to the management of morbidly adherent placenta may optimize patient care and ultimately reduce morbidity.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69013583","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":"Prevalence of Community Acquired Pneumonia among Children 2 to 59 Months Old and its Associated Factors in Munesa District, Arsi Zone, Oromia Region, Ethiopia","authors":"Batu Lema, Kenbon Seyoum, D. Atlaw","doi":"10.35248/2090-7214.19.16.334","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.334","url":null,"abstract":"Background: Pneumonia is one of leading cause of death among under five children in the world. Half of death from pneumonia occurs in sub-Saharan Africa. According to estimate of WHO in 2016 pneumonia accounts for 16.4% of under-five mortality in Ethiopia. Objective: To assess prevalence of community acquired pneumonia in children 2 to 59 months old and its associated factors in Munesa district, Arsi zone, Oromia Region, Ethiopia. Methods: Community based cross sectional study was conducted in Munesa district from July 16 to October 30, 2018. A total of 344 households with under-five children were selected by multistage sampling technique. Data were collected and entered in to Epi data version 3.1, then exported to SPSS version 21 for analysis. Binary logistic regression analysis was used to test associations between the predictor factors and the dependent variable. Variables with p-value<0.25 during bivariate analysis were included to multivariate logistic regression model to control confounder. Finally, variables with p-value<0.05 were expressed as potential determinants of community acquired pneumonia. Results: This study revealed that prevalence of community acquired pneumonia to be 17.7%. The potential factors identified in this study were being male AOR=2.777, 95%CI: (1.262, 6.109), caring of child on mothers back during food cooking AOR=11.758, 95% CI: (4.596, 30.081), history of acute respiratory tract infection AOR=4.256, 95% CI: (1.562, 11.593) and children who were living in the house that have three or more window AOR=0.044; 95% CI: (0.003, 0.625). Conclusion: It is identified prevalence of community acquired pneumonia and the potential factors were being male, caring of child on mothers back during food cooking, history of acute respiratory tract infection and children who were living in the house that have three or more window.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965487","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}