Seminars in Oncology Nursing最新文献

{"title":"“How Could the Procedure be Done to Care for Them?”: An Interpretive Description Study of Procedural Care in a Pediatric Oncology Setting","authors":"Emma Kerr ,&nbsp;Ruth Tan ,&nbsp;Leisha Parkinson ,&nbsp;Merrill Turpin ,&nbsp;Amanda Carter ,&nbsp;Natalie Bradford ,&nbsp;Megan Simons","doi":"10.1016/j.soncn.2025.152118","DOIUrl":"10.1016/j.soncn.2025.152118","url":null,"abstract":"<div><h3>Objectives</h3><div>This study addressed the research question \"What are the components of Procedural Care in oncology that contribute to the best possible experience of medical procedures?\"</div></div><div><h3>Method</h3><div>Using an interpretative description approach, semi-structured interviews were conducted to explore lived experiences of procedural care within their cancer journey or a supportive role.</div></div><div><h3>Results</h3><div>Seventeen interviews were completed with five health professionals (nursing and allied health), four young persons and eight carers, and transcribed verbatim. Three central organizing concepts were applicable across the three cohorts to describe the best possible \"procedural care\" experience: \"Giving Us Choice,\" \"Teaching Us\" and \"Supporting Us.\" Young people value having autonomy over decisions regarding procedures, with control across a continuum.</div></div><div><h3>Conclusions</h3><div>Young people and their carers felt empowered through supportive \"procedural care\" which was underpinned by principles of person-centred care, including collaboratively creating treatment plans and education on language use that was applicable regardless of the environment (eg, home vs hospital).</div></div><div><h3>Implications for Nursing Practice</h3><div>Nursing confidence in delivering \"procedural care\" may shape a child's lifelong engagement with healthcare and increase nursing workforce wellbeing.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152118"},"PeriodicalIF":2.3,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Adolescent and Young Adult Cancer Care: A Discussion Paper","authors":"Wendy McInally ,&nbsp;Hannah R. Marston","doi":"10.1016/j.soncn.2025.152091","DOIUrl":"10.1016/j.soncn.2025.152091","url":null,"abstract":"<div><h3>Purpose</h3><div>The number of adolescents and young adults (AYAs) with cancer has increased over the past 30 years. Fundamental to this process has been the combined contribution from nursing and other health care professionals.</div></div><div><h3>Methods</h3><div>The authors discuss artificial intelligence (AI) and digital technologies to support the care of AYAs with cancer in the United Kingdom. Two innovative projects are highlighted: (1) the development of a living lab and (2) a virtual clinical placement for undergraduate nursing students, currently being undertaken through higher education institutions and a cancer association in the United Kingdom that will embrace AI and digital technologies for the care delivery for young people with cancer.</div></div><div><h3>Results</h3><div>Evidence suggests AYAs with cancer face specific vulnerability in the social domain; fragile employment, finance, delayed education, and lost personal relationships remain a substantial problem. To combat these social inequalities, case 1 specifically focuses on these social aspects to build a community and combat the challenges and barriers experienced. Case 2 addresses the challenges of ensuring undergraduate nurses have exposure to AYAs with cancer to encourage more qualified nurses to have an interest in this area of care and seek a professional career within this specialty moving forward.</div></div><div><h3>Conclusions</h3><div>The discourse presented here sets the foundations for future (applied) research, ensuring that future practitioners and educators are equipped with the skills and knowledge pertaining to the integration and use of AI and eHealth technologies in the clinical environment.</div><div><em>Implications for Nursing Practice:</em> This discussion paper presents two examples of the use of AI and technologies in AYA cancer care for nurses and other health care professionals. These examples are from work that is currently being developed and rolled out throughout the United Kingdom.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152091"},"PeriodicalIF":2.3,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Service Delivery Models of Respite Care for Adults with Cancer: A Scoping Review","authors":"Nasrin Kheibar ,&nbsp;Azad Rahmani ,&nbsp;Vahid Pakpour ,&nbsp;Maryam Rassouli ,&nbsp;Fatemeh Sadeghi-Ghyassi","doi":"10.1016/j.soncn.2025.152089","DOIUrl":"10.1016/j.soncn.2025.152089","url":null,"abstract":"<div><h3>Objective</h3><div>To identify, describe, and compare existing gray literature and scientific evidence concerning delivery models of respite care for adults with cancer using the Donabedian Structure–Process–Outcome (SPO) framework.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute methodology, we systematically searched MEDLINE, PubMed, EMBASE, CINAHL, Cochrane Library, Scopus, Web of Science, Google Scholar, and gray literature. The search cutoff date was February 2025. Rayyan facilitated efficient screening. Data were coded and organized by SPO components.</div></div><div><h3>Results</h3><div>Sixty-one studies met inclusion criteria. Respite care in cancer and palliative contexts emerged as a primary concept with four subcategories: delivery models, definitions, needs, and goals. Delivery models identified included in-home, day-care, inpatient, informal, family-centered, bereavement, virtual reality–based, and caregiver café models. Using the SPO framework, model elements were organized into three categories. Structure encompassed financing, human resources, service scheduling, barriers, and facilitators. Process covered admission criteria, admission procedures, and services provided. Outcome comprised experiences and related consequences. Despite diversity among models, common features appeared frequently. Innovative models emphasize psychosocial needs alongside common general and specialized services for patients and caregivers. However, evidence on their effectiveness and comparative outcomes remains limited, with most studies conducted in high-income countries.</div></div><div><h3>Conclusion</h3><div>Despite variations, the similarities among delivery models suggest potential for general development. Given the predominance of studies from developed contexts, further research is necessary to evaluate the effectiveness and generalizability across cultures and to expand the measurement of clinical, organizational, and economic outcomes.</div></div><div><h3>Implications for Nursing Practice</h3><div>These outcomes can inform development and standardization of respite care protocols within the SPO framework. Nurses can establish guidelines and clinical pathways across care settings, such as in-home, day-care, inpatient, bereavement, and virtual models. Addressing barriers and facilitators will improve accessibility and use by patients and caregivers. Preparing nurses for diverse respite care roles may enhance caregiver trust and engagement.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152089"},"PeriodicalIF":2.3,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Cancer Care","authors":"Andreas Charalambous ,&nbsp;Nikolina Dodlek","doi":"10.1016/j.soncn.2025.152094","DOIUrl":"10.1016/j.soncn.2025.152094","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152094"},"PeriodicalIF":2.3,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Theoretical Perspectives on Patient and Caregiver Experiences After CAR T-Cell Therapy","authors":"Iman Nurjaman,&nbsp;Blacius Dedi,&nbsp;Depi Rismayanti,&nbsp;Ade Fitriani,&nbsp;Rany Yulianie","doi":"10.1016/j.soncn.2025.152095","DOIUrl":"10.1016/j.soncn.2025.152095","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152095"},"PeriodicalIF":2.3,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Colorectal Cancer Supportive Care: A Scoping Review","authors":"Yupawadee Kantabanlang ,&nbsp;Misun Hwang ,&nbsp;John C. Krauss ,&nbsp;Yun Jiang","doi":"10.1016/j.soncn.2025.152079","DOIUrl":"10.1016/j.soncn.2025.152079","url":null,"abstract":"<div><h3>Purpose</h3><div>Artificial Intelligence (AI) has the potential to enhance supportive care for cancer survivors from diagnosis through treatment and into survivorship. This study aimed to provide an overview of available evidence on AI applications in supportive care for individuals with colorectal cancer (CRC).</div></div><div><h3>Methods</h3><div>This scoping review was conducted following the Joanna Briggs Institute guidelines. Studies published between 2014 and 2025 were retrieved from six databases: PubMed, Embase, CINAHL, Scopus, Web of Science, and PsycINFO, using a combination of search terms relevant to “colorectal cancer,” “artificial intelligence,” and “supportive care.” Data on study characteristics, participants, settings, types of AI technologies, and supportive care dimensions were extracted for analysis.</div></div><div><h3>Results</h3><div>Out of 1,792 articles, 40 were identified as eligible for inclusion in this scoping review. AI applications for CRC supportive care are primarily in early development, focusing on machine learning-based prediction models that provide informational support for post-surgical side effects. The use of AI for physical support in symptom management and emotional support during cancer treatment and beyond was limited.</div></div><div><h3>Conclusion</h3><div>Implementing AI technology offers an opportunity to enhance supportive care for patients with CRC. This study suggests that current AI applications for CRC supportive care primarily focus on informational support, underscoring the need for further development of AI to provide comprehensive support, including psychological, social, spiritual, and practical aspects.</div></div><div><h3>Implications for Nursing Practice</h3><div>Further research is needed to develop AI-driven tools that comprehensively address the supportive care needs of cancer patients and enhance their outcomes.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152079"},"PeriodicalIF":2.3,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Interpersonal Psychotherapy on Psychosocial Problems Among Breast Cancer Patients: A Systematic Review.","authors":"Tuğba Şahin Tokatlıoğlu, Fahriye Oflaz","doi":"10.1016/j.soncn.2025.152080","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.152080","url":null,"abstract":"<p><strong>Objective: </strong>Breast cancer, one of the most prevalent cancers among women, not only results in significant physical changes but also causes considerable emotional distress and disruptions in social roles and relationships. While depression is the most commonly observed psychiatric disorder in cancer patients, there is a lack of sufficient research on the effectiveness, potential drug interactions, and side effects of antidepressants in this population. This gap underscores the increasing need for non-pharmacological approaches, such as psychotherapy. Therefore, the aim of this study was to assess the effectiveness of Interpersonal Psychotherapy (IPT) in addressing psychosocial challenges faced by breast cancer patients.</p><p><strong>Methods: </strong>This systematic review was registered in the PROSPERO database (CRD42024576746). A systematic literature search was conducted across five databases: Cochrane Library, PubMed, Web of Science, Scopus, and Ovid MEDLINE. The review was carried out according to PRISMA guidelines. Study selection and data extraction were independently performed by two researchers using the Covidence platform. Disagreements were resolved through discussion to reach consensus.</p><p><strong>Results: </strong>Four studies (two randomized controlled trials [RCTs], two pilots) met inclusion criteria. IPT significantly reduced depression, anxiety, and psychological distress, with some studies also reporting improvements in quality of life. One study showed strong effect sizes (Cohen's d > 1.0) for depression. Telephone-based IPT was feasible and beneficial. Findings support IPT as an effective psychosocial intervention for breast cancer patients.</p><p><strong>Conclusion: </strong>IPT appears to be an effective intervention for reducing anxiety and depression and enhancing quality of life in patients with breast cancer. However, further high-quality, large-scale RCTs are needed to strengthen the evidence base and confirm its clinical utility.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152080"},"PeriodicalIF":2.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise During or After Intravesical Therapy for Bladder Cancer: A Randomized Feasibility Trial","authors":"Fernanda Z. Arthuso ,&nbsp;Adrian S. Fairey ,&nbsp;Normand G. Boulé ,&nbsp;Niels-Erik Jacobsen ,&nbsp;Lucas W. Dean ,&nbsp;Kerry S. Courneya","doi":"10.1016/j.soncn.2025.152090","DOIUrl":"10.1016/j.soncn.2025.152090","url":null,"abstract":"<div><h3>Objectives</h3><div>About 75% of newly diagnosed bladder cancers are non-muscle invasive bladder cancer (NMIBC). NMIBC and its treatments affect patient functioning and quality of life. Exercise is feasible, safe, and beneficial for many cancer patient groups, however, no studies have examined exercise for NMIBC. We aimed to examine the feasibility, safety, and preliminary efficacy of high-intensity interval training (HIIT) for patients with NMIBC during or after intravesical therapy.</div></div><div><h3>Methods</h3><div>The Bladder cancer and exeRcise trAining during or after intraVesical thErapy (BRAVE) trial randomized 25 NMIBC patients scheduled for or on surveillance after intravesical therapy to either usual care (n = 12) or HIIT (n = 13). The HIIT group performed thrice-weekly, supervised HIIT for 12 weeks.</div></div><div><h3>Results</h3><div>In 39 months, 293 patients were screened, 177 (60.4%) were eligible, and 25 (14.1%) were randomized. Median exercise attendance was 100%. From baseline to 12 weeks, VO_2peak increased by 1.2 mL/kg/min in the HIIT group compared to a decrease of 0.7 mL/kg/min in the usual care group (adjusted between-group difference, 2.0 mL/kg/min; 95% CI: −0.4 to 4.4; <em>P</em> = .10; d = 0.37). Compared to the usual care group at 12 weeks, the HIIT group significantly improved 6-minute walk distance (adjusted between-group difference, 41 meters; 95% CI: 6-77; <em>P</em> = .025; d = 0.32) and the timed 8-foot up-and-go (adjusted between-group difference, −1.0 second; 95% CI: −1.9 to −0.2; <em>P</em> = .019; d = −0.44).</div></div><div><h3>Conclusions</h3><div>Despite modest accrual, the BRAVE trial demonstrated that HIIT during or after intravesical therapy was safe and feasible for most NMIBC patients and resulted in meaningful improvements in several indicators of physical functioning.</div></div><div><h3>Implications for Nursing Practice</h3><div>Oncology nurses can inform NMIBC patients that high-intensity interval training may be safe, feasible, and potentially effective in improving physical functioning during or after intravesical therapy.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152090"},"PeriodicalIF":2.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Digital Literacy: Application of Artificial Intelligence in Education and Clinical Practice of Oncology Nurses","authors":"Nevena Šimunić ,&nbsp;Nikolina Višnjić Junaković ,&nbsp;Marko Skelin","doi":"10.1016/j.soncn.2025.152062","DOIUrl":"10.1016/j.soncn.2025.152062","url":null,"abstract":"<div><h3>Objectives</h3><div>To synthesize current educational approaches to AI literacy in oncology nursing, identify key competency domains along with barriers and enablers, and offer clinically oriented recommendations for the safe and effective integration of AI into clinical practice.</div></div><div><h3>Methods</h3><div>Structured search of MEDLINE via PubMed (2015-2025) using MeSH and free-text terms, complemented with free sources (Google Scholar, OpenAlex/Lens), handsearching of key journals, and backward/forward citation chasing. Study selection was performed by two independent reviewers, with disagreements resolved by consultation with a third author; the process is summarized in a PRISMA 2020 flow diagram.</div></div><div><h3>Results</h3><div>Findings confirm that digital and AI literacy are fundamental for oncology nurses. Effective use of AI requires a grasp of basic ML principles, data interpretation, and ethics. Educational strategies include integration into formal curricula and innovative formats such as microlearning, simulations, and virtual reality. Key barriers are uneven digital skills, resistance to technology, and lack of structured programs. Successful education is further supported by multidisciplinary collaboration and patient involvement. Evidence suggests that AI enhances clinical decision-making, personalized care, safety, and nurse autonomy.</div></div><div><h3>Conclusions</h3><div>Incorporating AI competencies into nursing education is crucial for improving safety and quality in oncology care. Educational reforms should foster critical thinking, ensure ongoing evaluation, and preserve empathy towards patients. Verified and flexible programs enable sustainable literacy development aligned with technological and ethical standards.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses educated in AI can improve clinical decision-making, reduce errors, and provide empathetic, individualized care. AI should be regarded solely as a tool that supports nurses’ work, not as a replacement. Interdisciplinary and patient-centered approaches support the safe integration of AI into daily oncology nursing practice. This review uniquely focuses on oncology nursing, integrates peer-reviewed and professional/grey sources, and offers practical curriculum and clinical integration recommendations that complement recent reviews.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152062"},"PeriodicalIF":2.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Pediatric Oncology Care: Pediatric Nurses’ Perspectives and Future Implications","authors":"Sevil Çınar Özbay ,&nbsp;Dilek Gelin ,&nbsp;Selma Durmuş Sarıkahya","doi":"10.1016/j.soncn.2025.152082","DOIUrl":"10.1016/j.soncn.2025.152082","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore pediatric oncology nurses’ perspectives on the integration of artificial intelligence (AI) into pediatric oncology care, focusing on its potential advantages, implementation challenges, and ethical considerations.</div></div><div><h3>Methods</h3><div>A hermeneutically informed descriptive phenomenological qualitative design was employed. One-to-one, semistructured interviews were conducted with 18 pediatric oncology nurses between April and June 2025. All interviews were audio-recorded, transcribed verbatim, and analyzed thematically in MAXQDA using Braun and Clarke’s six-phase framework (2006). Reporting followed the COREQ checklist.</div></div><div><h3>Results</h3><div>Participants’ mean age was 36.8 ± 6.9 years, and most had &gt;10 years of professional experience. Thematic analysis identified five main themes with related subthemes: (1) the potential of AI in pediatric oncology care; (2) implementation challenges and concerns; (3) nurse–AI collaboration; (4) ethical considerations; and (5) competence and training needs. Nurses highlighted AI’s potential to accelerate diagnostic/treatment processes, reduce error, and enhance patient safety, while also noting barriers related to infrastructure, ethics, and professional skills.</div></div><div><h3>Conclusions</h3><div>Pediatric oncology nurses perceived AI as a valuable tool to support clinical decision-making, improve patient safety, and increase care efficiency; however, ethical concerns, infrastructural limitations, and insufficient training constrain effective integration.</div></div><div><h3>Implications for Nursing Practice</h3><div>Strengthening technological competencies, ensuring ethical safeguards, and providing continuous training are essential for successful AI integration. Combining clinical expertise with AI competence may promote safer, more effective pediatric oncology care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152082"},"PeriodicalIF":2.3,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}