[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"hand\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:hand":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,7,0,[8,49,82,103,139,183,208],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":20,"enrollmentInfo":21,"targetDuration":4,"studyType":24,"phases":25,"briefSummary":27,"conditions":28,"keywords":31,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100641173","effectiveness-of-vr-on-the-sustainability-of-hand-hygiene-compliance-school-based-rct-with-10-month-follow-up-100641173",false,"NCT07659340","Effectiveness of VR on the Sustainability of Hand Hygiene Compliance: School-based RCT With 10-month Follow-up","Effectiveness of Immersive and Embodied Enhancement Via \"Virtual Reality\" on the Sustainability of Hand Hygiene Compliance: School-based RCT With 10-month Follow-up","HKU-VR-2026","Inclusion Criteria:\n\n* Hong Kong secondary school students studying junior forms\n\nExclusion Criteria:\n\n\\-",true,"ALL","12 Years","15 Years",{"count":22,"type":23},500,"ESTIMATED","INTERVENTIONAL",[26],"NA","This study aims to evaluate the effectiveness of a VR intervention on teaching handwashing skills which are promoted by the Centre for Health Protection, Department of Health, HKSAR. A 7-step handwashing approach will be taught through a customized VR game in secondary schools in Hong Kong. Participant's handwashing skills and prolonged effects on handwashing habits and hygiene level will be assessed.\n\nThe main questions it aims to answer are:\n\n* Does an intervention of our VR handwashing game enhance handwashing skills amongst junior secondary students?\n* What are the factors hinder or enhance students' learning of handwashing skills in the intervention?\n\nParticipating students will be assigned into 3 groups. Each group will receive two sessions of educational training with different kinds of intervention throughout one school year (9 months). The first intervention group will participate in two VR-game sessions on handwashing skill; the second intervention group will participate in one VR-game session and one video session about handwashing; the baseline group will participate in two sessions of other VR activities unrelated to hand hygiene and view a handwashing skill poster. The research will compare the handwashing performance between the three groups.\n\nParticipants will:\n\n* participate into a VR handwashing game intervention, or a video-based intervention, or placebo VR activities as stated hereinafter;\n* perform handwashing in the VR game, and their hand-motion data will be captured;\n* participate a UV lighting test after handwashing away fluorescent lotion; and,\n* fill up questionnaires",[29,30],"Hand","Hygiene Practices and Knowledge",[32,33,34,35],"Hand Hygiene","Virtual Reality","Hand Disinfection","Educational","RECRUITING","2026-06-19",{"date":39,"type":40},"2026-06-24","ACTUAL",{"date":42,"type":40},"2026-03-01",{"date":44,"type":23},"2027-08-30",{"name":46,"class":47},"The University of Hong Kong","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":4,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":18,"minAge":56,"maxAge":4,"enrollmentInfo":57,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":60,"conditions":61,"keywords":66,"overallStatus":72,"whyStopped":4,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":74,"startDateStruct":76,"completionDateStruct":78,"leadSponsor":80,"locationsCount":48},"100640382","medical-team-perspectives-on-hand-and-wrist-injuries-in-elite-male-and-female-ice-hockey-players-100640382","NCT07586085","Medical Team Perspectives on Hand and Wrist Injuries in Elite Male and Female Ice Hockey Players","Medical Team Perspectives on Hand and Wrist Injuries in Elite Ice Hockey: A Cross-Sectional Survey Study in Male and Female Players","Inclusion Criteria:\n\n* Physiotherapists working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL)\n* Team physicians working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL)\n* Massage therapists and sports massage practitioners working with elite ice hockey teams in Sweden\n* Athletic trainers and performance staff involved in player health and injury management in elite ice hockey teams in Sweden\n* Currently active in a medical or performance support role within a participating elite ice hockey team during the study period\n* Able to understand and complete the questionnaire in Swedish or English Provides informed consent\n\nExclusion Criteria:\n\n* Refusal to participate\n* Not currently active in a medical, therapeutic, or performance support role within elite ice hockey during the study period","18 Years",{"count":58,"type":23},50,"OBSERVATIONAL","This is a cross-sectional survey study investigating how medical team staff in elite Swedish ice hockey perceive hand and wrist injuries in male and female players.\n\nHand and wrist injuries are common in ice hockey and can affect both performance and participation. While injury registries describe how often these injuries occur, less is known about how they are managed and prioritised in daily clinical practice, or whether there are differences in perception between medical teams working in male and female elite leagues.\n\nIn this study, physiotherapists and team physicians working in Swedish elite ice hockey (including SHL, HockeyAllsvenskan, and SDHL) will complete a structured questionnaire. The survey examines perceptions of injury frequency, underreporting, functional impact, clinical management strategies, and return-to-play decision-making related to hand and wrist injuries.\n\nThe aim is to better understand how medical teams experience and manage these injuries in real-world elite sport settings, and to identify potential gaps between epidemiological data and clinical practice. The study may help inform future injury prevention strategies, improve clinical decision-making, and support the development of more standardized management approaches in elite ice hockey.\n\nNo interventions or treatments are performed in this study.",[62,29,63,64,65],"Ice Hockey","Wrist","Injuries","Medical Staff Perception",[67,68,69,70,71],"ice hockey","hand","wrist","medical staff perception","cross-sectional survey","NOT_YET_RECRUITING","2026-06-04",{"date":75,"type":40},"2026-06-05",{"date":77,"type":23},"2026-09-01",{"date":79,"type":23},"2026-12-31",{"name":81,"class":47},"Dalarna County Council, Sweden",{"id":83,"slug":84,"hasResults":11,"nctId":85,"briefTitle":86,"officialTitle":87,"acronym":4,"eligibilityCriteria":88,"healthyVolunteers":11,"sex":18,"minAge":20,"maxAge":4,"enrollmentInfo":89,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":91,"conditions":92,"keywords":95,"overallStatus":72,"whyStopped":4,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":100,"completionDateStruct":101,"leadSponsor":102,"locationsCount":4},"100638381","prevalence-and-functional-impact-of-hand-and-wrist-symptoms-in-ice-hockey-players-100638381","NCT07586033","Prevalence and Functional Impact of Hand and Wrist Symptoms in Ice Hockey Players","Prevalence and Functional Impact of Hand and Wrist Symptoms in Ice Hockey Players: A Cross-Sectional Survey Study","Inclusion Criteria:\n\n* Active ice hockey players currently registered on a participating team roster in Sweden.\n* Male or female players competing at elite, junior elite, or amateur level.\n* Participation in one of the included competition levels during the current season.\n* Able to understand and complete the questionnaire.\n* Provides written informed consent.\n\nExclusion Criteria:\n\n* Declines participation.\n* Inability to complete the survey due to language barriers or cognitive limitations.\n* Acute severe upper-limb injury at time of data collection preventing meaningful survey completion, if deemed necessary for context-specific exclusion.",{"count":90,"type":23},800,"Ice hockey places high physical demands on the hands and wrists due to frequent shooting, passing, and physical contact. This study aims to understand how common hand and wrist pain or symptoms are among ice hockey players in Sweden, and how these symptoms affect training, participation, and performance.\n\nPlayers from different competitive levels (elite, junior, and amateur) and both sexes will complete a structured questionnaire based on the validated Oslo Sports Trauma Research Centre (OSTRC) tool, along with questions about pain intensity, symptom characteristics, and functional impact.\n\nThe goal is to describe the prevalence and severity of hand and wrist symptoms across different groups of players and to identify potential differences between sex, playing level, and position. No treatment or intervention is involved.",[29,63,93,94],"Overuse Injury","Ice Hockey Players",[96],"ice hockey, hand and wrist symptoms, OSTRC questionnaire, sports injuries, cross-sectional survey","2026-05-22",{"date":99,"type":40},"2026-05-27",{"date":77,"type":23},{"date":79,"type":23},{"name":81,"class":47},{"id":104,"slug":105,"hasResults":11,"nctId":106,"briefTitle":107,"officialTitle":108,"acronym":4,"eligibilityCriteria":109,"healthyVolunteers":11,"sex":18,"minAge":56,"maxAge":110,"enrollmentInfo":111,"targetDuration":4,"studyType":24,"phases":113,"briefSummary":114,"conditions":115,"keywords":123,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":129,"lastUpdatePostDateStruct":130,"startDateStruct":132,"completionDateStruct":134,"leadSponsor":136,"locationsCount":138},"100623769","brain-stimulation-combined-with-watching-hand-movements-to-improve-hand-recovery-in-chronic-stroke-100623769","NCT07400939","Brain Stimulation Combined With Watching Hand Movements to Improve Hand Recovery in Chronic Stroke","Investigating The Neurophysiological Mechanisms Of Transcranial Direct Current Stimulation Combined With Action Observation Therapy On Hand Muscle Neuroplasticity in Chronic Stroke","Inclusion Criteria:\n\n* Adults aged 18 to 59 years\n* Single episode of unilateral stroke and weakness in hand muscles 6 to 24 months post-stroke\n* No excessive spasticity of the upper limb, defined as grade two or less on Modified Ashworth Scale\n\nExclusion Criteria:\n\n* Patients diagnosed with posterior circulation infarction\n* Unable to follow commands due to poor cognitive function\n* Unilateral neglect\n* Homonymous hemianopia\n* Other existing neurological disorders that lead to poor hand function\n* Grade four or five hand muscle strength.","59 Years",{"count":112,"type":23},60,[26],"This study investigates the neurophysiological mechanisms underlying the combined use of transcranial direct current stimulation (tDCS) and action observation therapy (AOT) for hand motor recovery in individuals with stroke. Background: While both tDCS and AOT have shown promise individually for stroke rehabilitation, the neural mechanisms of their combined effects remain unclear. Understanding these mechanisms could optimise rehabilitation protocols and improve functional outcomes. Intervention: Participants will receive 10 sessions of anodal tDCS over the ipsilesional motor cortex combined with AOT over two weeks in a clinical setting, followed by 8 weeks of home-based AOT practice. Control groups will receive tDCS alone or AOT alone. Neurophysiological changes will be assessed using motor evoked potentials (MEPs) to evaluate corticospinal excitability. Clinical hand function will be assessed using standardised outcome measures. Measurements: Assessments will be conducted at baseline, during intervention (week 2), and after the home practice phase (week 10) to evaluate neuroplastic changes. Significance: This study will provide mechanistic insights into how neuromodulation and observational learning interact to promote motor recovery, informing evidence-based rehabilitation strategies for stroke survivors in Malaysia and globally. Study Design: Randomised controlled trial with three parallel arms, recruiting 60 participants with chronic stroke from Sabah, Malaysia.",[116,117,118,29,119,120,121,122],"Stroke","tDCS","Action Observation Therapy","Motor Evoked Potential","EMG","Neuroplasticity","Neurophysiological Assessment",[124,125,126,127,128],"stroke rehabilitation","transcranial direct current stimulation","action observation therapy","neuroplasticity","neurophysiological","2026-05-07",{"date":131,"type":40},"2026-05-12",{"date":133,"type":40},"2026-04-01",{"date":135,"type":23},"2028-01-20",{"name":137,"class":47},"Universiti Malaysia Sabah",2,{"id":140,"slug":141,"hasResults":11,"nctId":142,"briefTitle":143,"officialTitle":144,"acronym":145,"eligibilityCriteria":146,"healthyVolunteers":11,"sex":18,"minAge":56,"maxAge":4,"enrollmentInfo":147,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":148,"conditions":149,"keywords":168,"overallStatus":72,"whyStopped":4,"lastUpdateSubmitDate":174,"lastUpdatePostDateStruct":175,"startDateStruct":177,"completionDateStruct":179,"leadSponsor":181,"locationsCount":48},"100633082","early-functional-response-as-a-predictor-of-clinical-outcomes-in-hand-rehabilitation-a-prospective-feasibility-study-using-a-digital-monitoring-system-100633082","NCT07522060","Early Functional Response as a Predictor of Clinical Outcomes in Hand Rehabilitation: A Prospective Feasibility Study Using a Digital Monitoring System","Early Functional Response as a Predictor of Clinical Outcomes in Hand Rehabilitation: A Prospective Feasibility Study Using a Clinician-Developed Digital Monitoring System","HANDREHPREDICT","Inclusion Criteria:\n\n* Adults aged 18 years or older\n* Hand or upper extremity pathology requiring rehabilitation, including but not limited to: flexor or extensor tendon injuries, peripheral nerve injuries or compression syndromes (including carpal tunnel syndrome, cubital tunnel syndrome), distal radius fractures, metacarpal or phalangeal fractures, joint injuries and instabilities, arthropathy (osteoarthritis, rheumatoid arthritis), trapeziometacarpal osteoarthritis, trigger finger, Dupuytren's disease, DeQuervain tenosynovitis, lateral epicondylitis and post-surgical upper extremity conditions\n* Under clinical responsibility of the principal investigator at the Faculty of Physical Therapy and Rehabilitation, Hacettepe University\n* Expected to attend minimum 8 rehabilitation sessions\n* Able to provide written informed consent\n\nExclusion Criteria:\n\n* • Active psychiatric illness precluding participation or completion of assessment tools\n\n  * Severe cognitive impairment precluding understanding of patient-reported outcome measures\n  * Literacy difficulties preventing self-completion of questionnaires\n  * Concurrent enrollment in another interventional clinical study\n  * Refusal to provide written informed consent",{"count":112,"type":23},"This study investigates whether early changes observed during the first weeks of hand and upper extremity rehabilitation can predict patient outcomes months later. In rehabilitation practice, clinicians make numerous decisions each session regarding exercise type, frequency, duration, and treatment approach. Most of these decisions are currently made without systematic longitudinal data. This study addresses three fundamental questions using data collected during routine clinical care: (1) Can the rate of improvement in the first weeks of treatment predict functional status months later, across both session-based and milestone-based time points? (2) Are there meaningfully different recovery profiles among hand rehabilitation patients? (3) Is there measurable variation in clinical decision-making among patients with similar profiles, and does this variation relate to outcomes? A digital patient monitoring platform developed by the principal investigator, a physiotherapist and academic researcher specializing in hand rehabilitation serves as the data collection infrastructure. The platform records standard clinical assessment measures in a structured format and has been in active clinical use at Hacettepe University prior to this study. For research purposes, the system has been expanded to include structured capture of patient-reported outcomes, patient global impression of change, treatment protocol coding, home exercise adherence, and automated calculation of early response metrics.\n\nThis is a 12-month prospective observational cohort study enrolling a minimum of 60 patients. Data are stored securely on the university's institutional network. Patients are anonymized using identification codes. The study is subject to Hacettepe University Ethics Committee approval and participant informed consent. Findings are expected to generate evidence supporting data-driven clinical decision-making in rehabilitation and to provide a feasibility foundation for a larger multi-center study.",[29,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167],"Hand Therapy","Upper Extremity","Prediction Models","Hand Injuries","Hand Injuries and Disorders","Hand Arthritis","Tendon Injuries","Wrist Fractures","Carpal Tunnel Syndrome (CTS)","Peripheral Nerve Injuries","Upper Extremity Injuries","Wrist Injuries","Finger Injuries","Trigger Finger","Trapeziometacarpal (TMC) Arthrosis","DeQuervain's Tenosynovitis","Cubital Tunnel Syndrome","Postoperative Rehabilitation",[169,170,171,172,173],"digital health monitoring","real-world evidence","clinical decision support","upper extremity rehabilitation","early response prediction","2026-04-03",{"date":176,"type":40},"2026-04-13",{"date":178,"type":23},"2026-06-15",{"date":180,"type":23},"2027-06-01",{"name":182,"class":47},"Hacettepe University",{"id":184,"slug":185,"hasResults":11,"nctId":186,"briefTitle":187,"officialTitle":187,"acronym":4,"eligibilityCriteria":188,"healthyVolunteers":17,"sex":18,"minAge":56,"maxAge":189,"enrollmentInfo":190,"targetDuration":4,"studyType":24,"phases":191,"briefSummary":192,"conditions":193,"keywords":194,"overallStatus":72,"whyStopped":4,"lastUpdateSubmitDate":199,"lastUpdatePostDateStruct":200,"startDateStruct":202,"completionDateStruct":204,"leadSponsor":206,"locationsCount":48},"100611043","investigation-of-the-effect-of-combined-motor-imagery-and-activity-observation-therapy-on-strengthening-the-non-dominant-hand-in-healthy-individuals-100611043","NCT07235449","Investigation of the Effect of Combined Motor Imagery and Activity Observation Therapy on Strengthening the Non-Dominant Hand in Healthy Individuals","Inclusion Criteria:\n\n* Age between 18 and 65 years old\n* They agreed to participate\n* Having no pathology in hearing and vision\n* Having no history of upper limb injury or musculoskeletal\n* Having no neurologic disorders\n* All subjects had no prior experience with motor imagery\n* Having a Standardized Mini-Mental State Test (SMMT) score of more than 24 points\n\nExclusion Criteria:\n\n* A score of the Movement Imagery Questionnaire (MIQ-3) was less than ≥5\n* Severe cognitive deficits\n* Neurological problems\n* Left-handedness that was measured using the Edinburgh Handedness Inventory","65 Years",{"count":112,"type":23},[26],"Introduction:\n\nMotor Imagery (MI) and Action Observation (AO) are well-established cognitive training techniques that activate neural networks similar to those involved in actual motor execution. MI involves the mental rehearsal of a movement without physically performing it, while AO relies on observing an action performed by others to stimulate motor-related brain areas. Recent studies suggest that when these methods are combined, they may enhance motor learning, cortical plasticity, and strength gains more effectively than when applied alone. The non-dominant hand, often less trained and weaker in performance compared to the dominant hand, provides an ideal model to examine the effects of these interventions. Strengthening the non-dominant upper limb has implications not only for improving functional balance between the limbs in healthy individuals but also for potential clinical applications in rehabilitation.\n\nAim:\n\nThe primary aim of this randomized controlled study is to investigate the combined effect of MI and AO on muscular strength and functional performance of the non-dominant hand in healthy university students. Specifically, the study seeks to compare the outcomes of three groups: (1) AO combined with MI, (2) MI only, and (3) a control group with no intervention. It is hypothesized that participants in the AO+MI group will demonstrate greater improvements in grip strength and functional outcomes compared to the other groups.\n\nEvaluation:\n\nTo comprehensively measure the effects of the intervention, several standardized assessment tools will be employed. Motor imagery ability will be evaluated using the Motor Imagery Questionnaire-3 (MIQ-3). Hand dominance will be determined by the Edinburgh Handedness Inventory. Grip strength will be objectively measured using a Hand Grip Dynamometer. The Recognise App will be used to assess laterality recognition and sensorimotor integration, while overall upper limb function will be measured through the Short Musculoskeletal Function Assessment (SMMT). These evaluations will be conducted both before and after the 4-week intervention period to track changes.\n\nTreatment:\n\nThe intervention will span four weeks, with participants attending 2-3 sessions per week. Training protocols will include both cognitive and physical components. In the MI group, participants will engage in guided motor imagery sessions focused on visualizing non-dominant hand exercises. The AO+MI group will observe video demonstrations of the same hand movements, followed by simultaneous motor imagery practice, thereby combining visual and cognitive engagement. Physical strengthening exercises will include dumbbell wrist flexion and handball squeeze, targeting key muscles of the non-dominant hand and forearm. The control group will not undergo any intervention during this period. By integrating AO and MI with specific strengthening exercises, the study aims to determine whether this combined approach enhances neural activation and muscular strength more effectively than MI alone.",[29],[195,196,197,198],"Motor imagery","Action observation","Non-dominant hand","Strengthening exercises","2025-11-17",{"date":201,"type":40},"2025-11-19",{"date":203,"type":23},"2025-11-20",{"date":205,"type":23},"2026-01-16",{"name":207,"class":47},"Bahçeşehir University",{"id":209,"slug":210,"hasResults":11,"nctId":211,"briefTitle":212,"officialTitle":213,"acronym":4,"eligibilityCriteria":214,"healthyVolunteers":11,"sex":18,"minAge":215,"maxAge":4,"enrollmentInfo":216,"targetDuration":4,"studyType":24,"phases":218,"briefSummary":219,"conditions":220,"keywords":4,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":222,"lastUpdatePostDateStruct":223,"startDateStruct":225,"completionDateStruct":227,"leadSponsor":229,"locationsCount":48},"100351567","improving-stroke-motor-control-with-non-invasive-brain-stimulation-and-functional-electrical-stimulation-100351567","NCT03857529","Improving Stroke Motor Control With Non-invasive Brain Stimulation and Functional Electrical Stimulation","Contralaterally Controlled FES Plus Transcranial Direct Current Stimulation for Hand Motor Control After Stroke: A Pilot Study","Inclusion Criteria:\n\n1. Age ≥ 21\n2. ≥ 6 months since first clinical hemorrhagic or nonhemorrhagic stroke\n3. Able to follow 3-stage commands and remember 2 of 3 items after 30 minutes\n4. Full volitional elbow extension\u002Fflexion and hand opening\u002Fclosing of unaffected limb\n5. Adequate active movement of shoulder and elbow to position the paretic hand in the workspace for table-top task practice\n6. Patient must be able to sit unassisted in an armless straight-back chair for the duration of the screening portion of the eligibility assessment\n7. Medically stable\n8. ≥ 10° finger extension\n9. Unilateral upper limb hemiparesis with finger extensor strength of ≤ grade 4\u002F5 on the manual muscle test AND a score of\n\n   ≥1 and ≤ 11\u002F14 on the hand section of the upper extremity Fugl-Meyer Assessment\n10. Skin intact on hemiparetic arm, hand and scalp\n11. While relaxed, surface neuromuscular electrical stimulation of finger extensors and thumb extensors and\u002For abductors produces a functional degree of hand opening without pain.\n12. No significant visual or hearing impairment\n\nExclusion Criteria:\n\n1. Co-existing neurological condition other than prior stroke involving the hemiparetic upper limb (e.g., peripheral nerve injury, Parkinson's disease, spinal cord injury, traumatic brain injury, multiple sclerosis).\n2. Uncontrolled seizure disorder\n3. Use of seizure lowering threshold medications at the discretion of the study physician (Dr. Rich Wilson)\n4. Cardiac pacemaker or other implanted electronic device and\u002For stent\n5. Pregnant\n6. Intramuscular botox injections in any upper extremity muscle in the last 3 months\n7. Insensate arm, forearm, or hand\n8. Severely impaired cognition and communication\n9. Uncompensated hemi-neglect (extinguishing to double simultaneous stimulation)\n10. Severe shoulder or hand pain (unable to position hand in the workspace without pain)\n11. Metal implant in the head","21 Years",{"count":217,"type":23},15,[26],"This pilot study for stroke patients with chronic upper limb hemiplegia will examine the effects of non-invasive brain stimulation and neuromuscular electrical stimulation on hand motor control and corticospinal excitability. Specifically, this study will investigate the effects of timing and delivery of tDCS in conjunction with contralaterally controlled functional electrical stimulation.",[116,221,29],"Rehabilitation","2025-09-23",{"date":224,"type":40},"2025-09-29",{"date":226,"type":40},"2019-08-01",{"date":228,"type":23},"2028-08-01",{"name":230,"class":47},"MetroHealth Medical Center"]