Pub Date : 2017-01-02DOI: 10.4172/2471-9846.1000149
J. Lindenberg
{"title":"Simulation for Innovation","authors":"J. Lindenberg","doi":"10.4172/2471-9846.1000149","DOIUrl":"https://doi.org/10.4172/2471-9846.1000149","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45225407","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000195
J. M. Pullen, F. Gilje, E. Loftsgaarden, Nathan Stahley
Background: Gatekeeper training remains fundamental to broad suicide prevention strategies. In this descriptive study, Question, Persuade, Refer, an evidence-based suicide prevention gatekeeper training program, was implemented community-wide in a state among the highest for suicide in the United States. Objective: To describe and compare cohort pre-post responses to suicide prevention gatekeeper training. Methods: Quantitative and qualitative data were collected from 2013 to 2016 utilizing pre-post training surveys (n=894). Results: Quantitative results were statistically significant (p<0.0001) with little between-cohort variance. Significant differences in pre-post ratings concerned ‘how to ask about suicide’, ‘how to persuade someone to receive help’ and ‘information about resources’. Post-survey qualitative results revealed a main theme of ‘appreciating learning about suicide prevention’. Conclusion: Findings from the ethnically homogenous sample are consistent with other research outcomes, adding to understandings from the few other published community-wide gatekeeper studies. Of note is that gatekeeper training is feasible, beneficial and cost-effective aligning with international and national initiatives. Future research is needed on the sustainability of gatekeeper training outcomes over time and its’ impact on suicide rates.
{"title":"A Community's Response to Gatekeeper Training","authors":"J. M. Pullen, F. Gilje, E. Loftsgaarden, Nathan Stahley","doi":"10.4172/2471-9846.1000195","DOIUrl":"https://doi.org/10.4172/2471-9846.1000195","url":null,"abstract":"Background: Gatekeeper training remains fundamental to broad suicide prevention strategies. In this descriptive study, Question, Persuade, Refer, an evidence-based suicide prevention gatekeeper training program, was implemented community-wide in a state among the highest for suicide in the United States. Objective: To describe and compare cohort pre-post responses to suicide prevention gatekeeper training. Methods: Quantitative and qualitative data were collected from 2013 to 2016 utilizing pre-post training surveys (n=894). Results: Quantitative results were statistically significant (p<0.0001) with little between-cohort variance. Significant differences in pre-post ratings concerned ‘how to ask about suicide’, ‘how to persuade someone to receive help’ and ‘information about resources’. Post-survey qualitative results revealed a main theme of ‘appreciating learning about suicide prevention’. Conclusion: Findings from the ethnically homogenous sample are consistent with other research outcomes, adding to understandings from the few other published community-wide gatekeeper studies. Of note is that gatekeeper training is feasible, beneficial and cost-effective aligning with international and national initiatives. Future research is needed on the sustainability of gatekeeper training outcomes over time and its’ impact on suicide rates.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315643","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000193
Shirlee Cohen
Executive Functioning (EF) refers to mental processes and skills required to organize the brain to act on information to reach a goal. Stated in another way, EF can be viewed as the managing system of the brain that coordinates all the activities our brainpower must accomplish. EF allows us to retain and work with a lot of information in our mind. It also helps us to filter distractions and switch from one topic or project to another. Specific skills of EF include: working memory, initiating and planning tasks and regulating behavior (impulse control, emotional control). Weak EF can occur in children with developmental disabilities (DD) and those without DD. EF dysfunction is viewed on a spectrum. Some children may have mild deficits; others may have more severe issues. Children may also have weakness in some skills and be proficient in others. EF dysfunction is not a diagnosis. It will, however, increase the difficulties of managing day-to-day activities and educational success for children/adolescents with this disorder. There is a dearth of literature on the incidence and prevalence of EF dysfunction. Even without specific statistics, special education and mental health experts are beginning to recognize the negative effect that weak EF has on a person’s academic and social abilities. Communities must become educated with issues associated with weak EF, in order to advocate for students’ needs. Learning strategies to improve students’ EF will enable children/adolescents/ students to reach their full potential as adults. This article will provide educational information and practical approaches for educators and healthcare professionals to assist families in managing EF in their children. Many of the strategies can be used in the schools and in the home to augment EF support. Adults needing EF enhancement may also find these same methods helpful.
{"title":"Educating Professionals about Executive Functioning: Developing Strategies to Enhance Executive Functioning in our Communities","authors":"Shirlee Cohen","doi":"10.4172/2471-9846.1000193","DOIUrl":"https://doi.org/10.4172/2471-9846.1000193","url":null,"abstract":"Executive Functioning (EF) refers to mental processes and skills required to organize the brain to act on information to reach a goal. Stated in another way, EF can be viewed as the managing system of the brain that coordinates all the activities our brainpower must accomplish. EF allows us to retain and work with a lot of information in our mind. It also helps us to filter distractions and switch from one topic or project to another. Specific skills of EF include: working memory, initiating and planning tasks and regulating behavior (impulse control, emotional control). Weak EF can occur in children with developmental disabilities (DD) and those without DD. EF dysfunction is viewed on a spectrum. Some children may have mild deficits; others may have more severe issues. Children may also have weakness in some skills and be proficient in others. EF dysfunction is not a diagnosis. It will, however, increase the difficulties of managing day-to-day activities and educational success for children/adolescents with this disorder. There is a dearth of literature on the incidence and prevalence of EF dysfunction. Even without specific statistics, special education and mental health experts are beginning to recognize the negative effect that weak EF has on a person’s academic and social abilities. Communities must become educated with issues associated with weak EF, in order to advocate for students’ needs. Learning strategies to improve students’ EF will enable children/adolescents/ students to reach their full potential as adults. This article will provide educational information and practical approaches for educators and healthcare professionals to assist families in managing EF in their children. Many of the strategies can be used in the schools and in the home to augment EF support. Adults needing EF enhancement may also find these same methods helpful.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315581","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000E121
Denise M Pralle
Within the United States, the number of people living in poverty continues to grow [1] and despite improvements in health care access due to the Affordable Care Act, those living in poor households continue to have disparities in access and health outcomes [2]. Although lack of education and insurance benefits may play a small part in these statistics, the working poor report more barriers to accessing preventative care and are less likely to receive care than those living above the poverty line [3,4]. Sadly, Bloch et al. [5] also found that primary care providers “lack...understanding of the lived reality of poverty” and have “prejudicial attitudes” which lead to “a failure to collect adequate data about patients’ social circumstances and to the development of inappropriate plans of care” (p. 1).
{"title":"Using the USA Framework to Meet the Needs of the Poor in our Communities","authors":"Denise M Pralle","doi":"10.4172/2471-9846.1000E121","DOIUrl":"https://doi.org/10.4172/2471-9846.1000E121","url":null,"abstract":"Within the United States, the number of people living in poverty continues to grow [1] and despite improvements in health care access due to the Affordable Care Act, those living in poor households continue to have disparities in access and health outcomes [2]. Although lack of education and insurance benefits may play a small part in these statistics, the working poor report more barriers to accessing preventative care and are less likely to receive care than those living above the poverty line [3,4]. Sadly, Bloch et al. [5] also found that primary care providers “lack...understanding of the lived reality of poverty” and have “prejudicial attitudes” which lead to “a failure to collect adequate data about patients’ social circumstances and to the development of inappropriate plans of care” (p. 1).","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000E121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316991","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000202
Kishan Sheth
Once I revert to my younger self starting dental school, I could probably reel off an answer along the lines of ‘well aligned, white and clean teeth’. However, a definition such as this lacks depth and insight. Now that I have been through four years of clinical training and performed procedures such as composite restorations, denture fabrication and crown/bridge work in the anterior dental aesthetic zone, I have gained an in depth appreciation of how several factors must be considered during appraisal of anterior dental aesthetics.
{"title":"An analysis of the components of a human smile","authors":"Kishan Sheth","doi":"10.4172/2471-9846.1000202","DOIUrl":"https://doi.org/10.4172/2471-9846.1000202","url":null,"abstract":"Once I revert to my younger self starting dental school, I could probably reel off an answer along the lines of ‘well aligned, white and clean teeth’. However, a definition such as this lacks depth and insight. Now that I have been through four years of clinical training and performed procedures such as composite restorations, denture fabrication and crown/bridge work in the anterior dental aesthetic zone, I have gained an in depth appreciation of how several factors must be considered during appraisal of anterior dental aesthetics.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315805","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000197
Sara Kim
A scoping review of published articles that reported causes and consequences of healthcare conflicts was conducted to advance the knowledge base in this domain– a field that remains surprisingly underexplored given the evidence associating conflicts with patient care outcomes [1,2]. The purpose of the review was to identify and synthesize key triggers and impact of healthcare conflicts arise during patient care. A meta-analysis of empirical studies on intra-group conflicts in business organizations guided the conceptual framework of our scoping review, which targeted conflicts along the individual, interpersonal and organizational spectrum [3].
{"title":"A New Focus in Healthcare Conflict Research","authors":"Sara Kim","doi":"10.4172/2471-9846.1000197","DOIUrl":"https://doi.org/10.4172/2471-9846.1000197","url":null,"abstract":"A scoping review of published articles that reported causes and consequences of healthcare conflicts was conducted to advance the knowledge base in this domain– a field that remains surprisingly underexplored given the evidence associating conflicts with patient care outcomes [1,2]. The purpose of the review was to identify and synthesize key triggers and impact of healthcare conflicts arise during patient care. A meta-analysis of empirical studies on intra-group conflicts in business organizations guided the conceptual framework of our scoping review, which targeted conflicts along the individual, interpersonal and organizational spectrum [3].","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315706","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000147
P. Chaya, Rita Noronha
Tanzania is currently experiencing a critical shortage of Human Resources for Health of about 49% [1]. On Average, there are only 14.5 health professionals per 10,000 population, which is far below the agreed WHO standard of 23 per 10,000 population. Of great interest, and out of this, the density of Nurse Midwives (NMs) to population is at 3 per 10,000 population (same to 0.35NM per 1000 population) of which it is far below the WHO recommended standards of 3 Nurse Midwives (NM) per 1000 population. Numerically, the current shortage of Nurse Midwives (NM) stands at least 12,525 [2]. There is equilibrium mismatch between the supply of Nurse Midwives and Demand for in the health facility as well as in the community health systems. Facilities in urban areas are in better chance to receive a good number of NMs compared to those in rural areasfactors like remoteness, poor living environment and working environments, and drop out and retiring exacerbate the shortage.
{"title":"Addressing Two Problems at Par: Human Resources for Health Crisis and Inability to Pay School Fees for Nursing Candidates in Tanzania","authors":"P. Chaya, Rita Noronha","doi":"10.4172/2471-9846.1000147","DOIUrl":"https://doi.org/10.4172/2471-9846.1000147","url":null,"abstract":"Tanzania is currently experiencing a critical shortage of Human Resources for Health of about 49% [1]. On Average, there are only 14.5 health professionals per 10,000 population, which is far below the agreed WHO standard of 23 per 10,000 population. Of great interest, and out of this, the density of Nurse Midwives (NMs) to population is at 3 per 10,000 population (same to 0.35NM per 1000 population) of which it is far below the WHO recommended standards of 3 Nurse Midwives (NM) per 1000 population. Numerically, the current shortage of Nurse Midwives (NM) stands at least 12,525 [2]. There is equilibrium mismatch between the supply of Nurse Midwives and Demand for in the health facility as well as in the community health systems. Facilities in urban areas are in better chance to receive a good number of NMs compared to those in rural areasfactors like remoteness, poor living environment and working environments, and drop out and retiring exacerbate the shortage.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316003","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000198
Naurin Abdul Karim
Pakistan has a high disease burden of gastro-enteric infections and it is a serious disease caused by Rotavirus. Diarrheal infections are considered as a significant cause of infant and childhood morbidity and mortality in both developing as well as developed countries, which increases the death risks among children less than 5 years of age. Globally, it is also reported that the children who are less than 5 years are hospitalized every year due to rotavirus infection. This infection attacks the bowel, which causes fever, vomiting, dehydration and water stool (diarrhea). The infection is treatable and can be cured within a week. The cause of diarrhea is poor environment sanitation, inadequate water supply, poverty and inadequate education. This may be transmitted by fecal, oral route and also spread through contaminated food, drinking water and from a person who is infected as a result of unhygienic practices.
{"title":"Teaching and Learning Reflection","authors":"Naurin Abdul Karim","doi":"10.4172/2471-9846.1000198","DOIUrl":"https://doi.org/10.4172/2471-9846.1000198","url":null,"abstract":"Pakistan has a high disease burden of gastro-enteric infections and it is a serious disease caused by Rotavirus. Diarrheal infections are considered as a significant cause of infant and childhood morbidity and mortality in both developing as well as developed countries, which increases the death risks among children less than 5 years of age. Globally, it is also reported that the children who are less than 5 years are hospitalized every year due to rotavirus infection. This infection attacks the bowel, which causes fever, vomiting, dehydration and water stool (diarrhea). The infection is treatable and can be cured within a week. The cause of diarrhea is poor environment sanitation, inadequate water supply, poverty and inadequate education. This may be transmitted by fecal, oral route and also spread through contaminated food, drinking water and from a person who is infected as a result of unhygienic practices.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315716","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000203
G. Minde, T. Saeterstrand
Introduction: To find life meaningful for retired persons living with serious illness and loss of partners is still possible though advanced age. Affiliation and complicity, meeting new neighbours because of mowing from home to a new elderly home and being social active is important for their health. Objective: To identify what the participants think is important in their surroundings in order to extend their healthy life period. Study design: A follow up study from the first study held with 19 persons in 2009 and 2010. Sample: Four persons living in their own home were interviewed during 2016. Methods: A qualitative and semi-structured interview-guide with participants. Data is analyzed by qualitative content analysis by Kvale. Result: The persons have the last seven years experienced being more depending to help and support from others because of increased needs. Conclusion: Life goes on in spite of severe illness and loss of one`s partner. It seems to be important to take up old habits and hobbies. To participate in social activities with like-minded peers sharing the same values and the same way of thinking gives life new meaning, health and motivates them to recover.
{"title":"The Meaning of Healthy Life Period for Older People after Serious Illness: A Regional Study of Four Participants in the Age of 70-92 Living in the Arctic Region of Norway","authors":"G. Minde, T. Saeterstrand","doi":"10.4172/2471-9846.1000203","DOIUrl":"https://doi.org/10.4172/2471-9846.1000203","url":null,"abstract":"Introduction: To find life meaningful for retired persons living with serious illness and loss of partners is still possible though advanced age. Affiliation and complicity, meeting new neighbours because of mowing from home to a new elderly home and being social active is important for their health. Objective: To identify what the participants think is important in their surroundings in order to extend their healthy life period. Study design: A follow up study from the first study held with 19 persons in 2009 and 2010. Sample: Four persons living in their own home were interviewed during 2016. Methods: A qualitative and semi-structured interview-guide with participants. Data is analyzed by qualitative content analysis by Kvale. Result: The persons have the last seven years experienced being more depending to help and support from others because of increased needs. Conclusion: Life goes on in spite of severe illness and loss of one`s partner. It seems to be important to take up old habits and hobbies. To participate in social activities with like-minded peers sharing the same values and the same way of thinking gives life new meaning, health and motivates them to recover.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315864","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}
Pub Date : 2017-01-01DOI: 10.4172/2471-9846.1000150
Yvette Rose
Suicide in the United States continues to be a pervasive problem with military veterans. Sadly, effects of previous military service continue to plague many elderly military veterans decades after the war. Many years after the war, some aging elderly veterans, age 65 years of age or older, find themselves fighting a new battle. Suicide is a major cause of mortality worldwide, and research indicates that the rate of suicide is increasing among the military population. Suicidal ideation is more dangerous in war veterans in comparison to the general population because they know how to use firearms and they often own them. Little research has examined the sensitive phenomena of elderly military veterans and the risk of suicide many years after the war. This document serves as a guideline for assessing suicide in elderly military veterans in long-term care, taking in account the available evidence.
{"title":"A Suicide Assessment of Elderly Military Veterans: Best Practice Guidelines in Long-Term Care","authors":"Yvette Rose","doi":"10.4172/2471-9846.1000150","DOIUrl":"https://doi.org/10.4172/2471-9846.1000150","url":null,"abstract":"Suicide in the United States continues to be a pervasive problem with military veterans. Sadly, effects of previous military service continue to plague many elderly military veterans decades after the war. Many years after the war, some aging elderly veterans, age 65 years of age or older, find themselves fighting a new battle. Suicide is a major cause of mortality worldwide, and research indicates that the rate of suicide is increasing among the military population. Suicidal ideation is more dangerous in war veterans in comparison to the general population because they know how to use firearms and they often own them. Little research has examined the sensitive phenomena of elderly military veterans and the risk of suicide many years after the war. This document serves as a guideline for assessing suicide in elderly military veterans in long-term care, taking in account the available evidence.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315540","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}
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