Journal of endourology最新文献

{"title":"<i>Letter:</i> The Impact of the 2023 Stone-Free Mandate on Urologists' Use of Computed Tomography Imaging in Evaluating Stone-Free Rates.","authors":"Eve Frangopoulos, Ziv Savin, Mantu Gupta","doi":"10.1089/end.2025.0356","DOIUrl":"https://doi.org/10.1089/end.2025.0356","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Comment on \"Medium-Term Outcomes after Primary Whole-Gland High-Intensity Focused Ultrasound Ablation for the Treatment of Prostate Cancer: A Single-Center Experience\".","authors":"Angelo Cormio, Daniele Castellani","doi":"10.1089/end.2025.0425","DOIUrl":"https://doi.org/10.1089/end.2025.0425","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ureteral Stricture Occurrence after Transmural Ureteroscopic Ureteral Injury: A Previously Undocumented Concern.","authors":"Andrei D Cumpanas, Seyed Amiryaghoub M Lavasani, Jaime Altamirano-Villarroel, Seyedamirvala Saadat, Jacob C Tsai, Brandon Camp, Jaylen M Lee, Marissa Ericson, Bruce M Gao, Zachary E Tano, Pengbo Jiang, Roshan M Patel, Jaime Landman, Ralph V Clayman","doi":"10.1089/end.2024.0702","DOIUrl":"10.1089/end.2024.0702","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Although the reported incidence of ureteral strictures following ureteroscopy (URS) is low (0.3%-3%), we hypothesize the risk may rise as the depth of ureteral injury increases. <b><i>Materials and Methods:</i></b> Between 2018 and 2022, 550 patients underwent URS for upper tract calculi; each of these patients had a postureteroscopic lesion scale (PULS) grading and follow-up imaging 3-6 months after a surgical procedure. Patients with preexisting strictures, or strictures formed at the site of an impacted stone, were excluded. <b><i>Results:</i></b> With a median follow-up of 23 months, <i>de novo</i> stricture rates for the 550 patients were 0.73% (4/550). More specifically, while strictures among patients with PULS 0 and 1 were minimal, 0% (0/235) and 0.48% (1/208), respectively. However, the stricture rate increased to 1.1% (1/92) for PULS 2 and jumped to 13.3% (2/15) among those patients with PULS 3 injuries. On a Firth penalized logistic regression analysis, we found that when urothelial splitting (i.e., PULS 2 or higher) or periureteral fat (i.e., a PULS 3 transmural injury) was visualized, the odds of developing a stricture were 13 and 40 times higher, respectively. Based on these findings, we sought to simplify the existing ureteral injury grades and improve ureteral stricture prognostication by creating a novel dichotomous injury scale. <b><i>Conclusions:</i></b> Iatrogenic ureteral stricture rates rose sharply when ureteral wall integrity was disrupted. This was most notable for a transmural injury, which resulted in a stricture rate of 13.3% (2/15 patients). Using a simplified two-stage scoring system (University of California, Irvine [UCI] 0, 1, or 2), clinicians may be better able to identify patients (i.e., UCI 2) at high risk for post-URS stricture formation.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"679-685"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of Flexible Navigable Vacuum-Assisted Ureteral Access Sheath and Traditional Ureteral Access Sheath in Retrograde Intrarenal Surgery: Evaluating the Impact of Hydronephrosis on Stone-Free Rate and Complications.","authors":"Ozgur Arikan, Erhan Erdogan, Mehmet Erhan Aydin, Ferhat Yakup Suceken, Mehmet Uslu, Ayberk Iplikci, Emre Burak Sahinler, Cahit Sahin, Asif Yildirim, Kemal Sarica","doi":"10.1089/end.2024.0921","DOIUrl":"10.1089/end.2024.0921","url":null,"abstract":"<p><p><b><i>Background:</i></b> Retrograde intrarenal surgery (RIRS) is a widely used minimally invasive technique for renal stone management. Recently, flexible navigable vacuum-assisted ureteral access sheaths (FV-UASs) have been introduced to enhance RIRS outcomes. This study aimed to evaluate the efficacy of FV-UAS compared with traditional UAS (T-UAS) in RIRS, with a specific focus on the impact of hydronephrosis. <b><i>Methods:</i></b> A retrospective multicenter study was conducted involving 207 patients undergoing RIRS for renal stones. Patients were divided into two groups based on the type of UAS used: FV-UAS (<i>n</i> = 105) or T-UAS (<i>n</i> = 102). Demographic data, stone characteristics, operative time, complications, and stone-free rates (SFRs) were analyzed. The degree of hydronephrosis was assessed using the Society of Fetal Urology grading system. <b><i>Results:</i></b> The FV-UAS group demonstrated significantly shorter operative times (median: 50 minutes <i>vs</i> 57.5 minutes, <i>p</i> = 0.039) and a higher SFR at 1-week postoperatively (47.6% <i>vs</i> 23.5%, <i>p</i> < 0.001) compared with the T-UAS group. However, there was no significant difference in SFR at 1 month (75.2% <i>vs</i> 68.6%, <i>p</i> = 0.290). Postoperative fever was significantly lower in the FV-UAS group (3.8% <i>vs</i> 18.6%, <i>p</i> = 0.001). Importantly, the degree of hydronephrosis did not significantly impact the outcomes that performed RIRS with FV-UAS. <b><i>Conclusion:</i></b> FV-UAS offers potential advantages over T-UAS in RIRS, including shorter operative times, improved early stone-free status, and reduced postoperative complications. Hydronephrosis did not appear to affect the efficacy of FV-UAS. These findings suggest that FV-UAS may be a valuable tool in optimizing RIRS outcomes.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"646-651"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Pulse Modulation on Diode-Pumped Laser Lithotripsy.","authors":"Nitesh Katta, Katherine Sikorski, Joel M H Teichman, Thomas E Milner","doi":"10.1089/end.2024.0733","DOIUrl":"10.1089/end.2024.0733","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> This study addresses pulse modulation for kidney stone lithotripsy using diode-pumped thulium yttrium aluminum garnet (Tm:YAG, λ = 2.02 µm) and thulium fiber lasers (TFLs, λ = 1.94 µm). Three research questions were investigated: (1) What are the effects of varying pulse duration and energy of the first pulse and varying the interpulse delay in a pulse modulation sequence to increase energy transfer across saline to a stone? (2) Does an optimal pulse modulation profile exist in a single-pulse sequence to provide highest percent radiant energy transfer? (3) Does a higher effective energy transfer to the stone using pulse modulation produce greater stone volumetric removal? <b><i>Materials and Methods:</i></b> We measured radiant energy transmission efficiency (RETE) and ablation volumes in phantom and human stones. RETE was utilized to compare the pulse energy transmission through air and saline media. We recorded fast camera traces and vapor bubble collapse pressures. Craters were created at fiber standoff distances (SDs) of 0.0 mm, 0.5 mm, and 1.0 mm, and volumes were measured using optical coherence tomography. <b><i>Results:</i></b> For Tm:YAG laser irradiation, dual-pulse mode significantly increased RETE by as much as 75% at 1 mm SD compared with single-pulse mode. With the Tm:YAG laser, an optimal \"dual-pulse\" modulation resulted in greater volumetric removal compared with a \"single-pulse\" across all stone cohorts (<i>p</i> < 0.05) except for calcium oxalate monohydrate stones (<i>p</i> = 0.38) at a 1 mm SD. TFL yielded similar results, but showed heterogeneity across stone compositions. <b><i>Conclusions:</i></b> Pulse-modulated diode-pumped Tm:YAG and TFL can deliver higher photon count through a saline layer if the first pulse is optimized. An optimal pulse modulation profile where the second pulse is synchronized with the vapor bubble dynamics of the first pulse results in the highest percent RETE and increased stone volumetric removal.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"716-724"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Anatomical Measurements on Preoperative Pelvic Magnetic Resonance Imaging Predict Postoperative Urinary Incontinence after Holmium Laser Enucleation of the Prostate?","authors":"Shayan Smani, Amir I Khan, Ankur U Choksi, Benjamin H Press, Syed N Rahman, Christopher S Hayden, Mursal Gardezi, Michael Jalfon, Jason Lee, Preston C Sprenkle, Daniel S Kellner","doi":"10.1089/end.2025.0006","DOIUrl":"10.1089/end.2025.0006","url":null,"abstract":"<p><p><b><i>Background and Objective:</i></b> Anatomical dimensions of the prostate and membranous urethra are well-established predictors of urinary incontinence following robotic prostatectomy. However, their role in predicting incontinence after holmium laser enucleation of the prostate (HoLEP) remains underexplored. This study aimed to evaluate the predictive value of preoperative anatomical measurements, including membranous urethral length (MUL), membranous urethral angle (MUA), levator ani thickness (LAT), and intravesical prostatic protrusion length (IPPL), in assessing the risk of early postoperative urinary incontinence following HoLEP. <b><i>Methods:</i></b> We retrospectively reviewed 122 patients who underwent HoLEP from April 2019 to June 2022 with preoperative MRI imaging. Anatomical features including coronal and sagittal MUL, MUA, LAT, and IPPL were assessed. Urinary incontinence, defined as the use of ≥1 pad per day, was evaluated at 1, 3, and 6 months postoperatively. All logistic regression analyses were adjusted for age, body mass index, postvoid residual, preoperative incontinence, and prostate-specific antigen, and receiver operating characteristic (ROC) curves were constructed to assess the discriminatory utility of MRI anatomical measurements. <b><i>Results:</i></b> Increasing MUL was significantly associated with reduced incontinence risk at 1 month (coronal MUL: odds ratio [OR], 0.85; 95% confidence interval [CI]: 0.75-0.96; <i>p</i> = 0.01; sagittal MUL: OR, 0.89; 95% CI: 0.79-0.99; <i>p</i> = 0.046). No significant associations were found for MUA, LAT, or IPPL. ROC analysis of averaged coronal and sagittal MUL revealed moderate discriminatory power (area under the curve: 0.644), with a threshold of 14 mm identified via the Youden index. Individuals with an MUL <14 mm were at nearly 4-fold increased odds of incontinence at 1 month (OR 3.835, 95% CI: 1.516-9.703, <i>p</i> = 0.005). <b><i>Conclusions:</i></b> Preoperative MUL measurement provides a practical, imaging-based method to predict early postoperative urinary incontinence following HoLEP. Incorporating MUL into preoperative evaluations may improve risk stratification, optimize patient counseling, and guide perioperative management strategies. Further prospective studies are needed to confirm these findings.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"731-737"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Henry Woo, MBBS, DMedSc FRACS(Urol) FUSANZ FACS.","authors":"","doi":"10.1089/end.2025.87771.spot","DOIUrl":"10.1089/end.2025.87771.spot","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"635"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Efficacy of Fluoroscopy-Free Technique During Retrograde Intrarenal Surgery for Renal Stones: A Prospective, Randomized, Controlled, Noninferiority Trial.","authors":"Abul-Fotouh Ahmed, Ahmed ElShazly, Abdullah Daoud, Hassan Abdelazim, Mohammed AlGammal","doi":"10.1089/end.2025.0120","DOIUrl":"10.1089/end.2025.0120","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Fluoroscopy-free (FF) retrograde intrarenal surgery (RIRS) presents a promising alternative to fluoroscopy-guided (FG) RIRS to reduce radiation exposure in endourology. This study aimed to assess the noninferiority of FF-RIRS compared with FG-RIRS regarding safety and efficacy. <b><i>Patients and Methods:</i></b> A prospective, randomized trial was conducted at a tertiary care center from November 2021 to June 2024. Adult patients with renal stones (10-30 mm) eligible for RIRS were randomized to either the FF-RIRS group (direct endoscopic visualization) or the FG-RIRS group. The primary endpoint was the stone-free rate (SFR), with secondary outcomes including stone size reduction, fluoroscopy use in FF-RIRS, operative time, hospital stay, reintervention, and complication rates. <b><i>Results:</i></b> The final analysis included 253 patients in the FF-RIRS group and 249 in the FG-RIRS group. The mean age was 41.3 ± 12.3 years, and the mean stone size was 16.5 ± 3.2 mm. In the FF-RIRS group, 214 procedures (84.6%) were performed without fluoroscopy, whereas 39 (15.4%) required fluoroscopy because of intraoperative challenges. Regression analysis identified multiple stones and congenital renal anomalies as predictors for fluoroscopy use. SFRs were comparable between groups (zero residual fragments [RF]: 54.9% vs. 51.0%, no RF >2 mm: 70.4% vs. 69.1%, no RF >4 mm: 79.4% vs. 82.3%) (<i>p</i> > 0.05). For SFR defined as no RF >4 mm, FF-RIRS demonstrated noninferiority with a -10% margin (p = 0.021). Furthermore, per-protocol analysis confirmed noninferiority (<i>p</i> = 0.002), with nearly equal SFRs (82.7% vs. 82.3%, <i>p</i> = 0.914). Stone size reduction, operative time, hospital stay, reintervention, and complication rates were similar between groups, with no serious adverse events. <b><i>Conclusions:</i></b> FF-RIRS is a safe and effective alternative to FG-RIRS for selected patients. Its safety and efficacy are noninferior to FG-RIRS in direct comparison. However, fluoroscopy should remain available as a backup, especially in complex cases, to ensure optimal outcomes and patient safety.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"636-645"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiographical Changes after Ureteral Rest for Robotic Ureteral Reconstruction.","authors":"Matthew Lee, Nathan Liss, Kelley Zhao, Omar Agosto, Daniel D Eun","doi":"10.1089/end.2024.0920","DOIUrl":"10.1089/end.2024.0920","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> We evaluate radiographical changes involved with the implementation of ureteral rest before robotic ureteral reconstruction (RUR) for the management of ureteral strictures. <b><i>Materials and Methods:</i></b> We retrospectively reviewed our single-institutional robotic ureteral surgery database to identify all consecutive patients who underwent ureteral rest before RUR for the surgical management of ureteral strictures between 1/2018 and 12/2022. Ureteral rest was defined as having the absence of hardware across a strictured segment before definitive surgical repair. All patients who obtained both pre- and post-ureteral rest retrograde and/or antegrade pyelograms were included for analysis. An experienced genitourinary radiologist reviewed all pre- and post-retrograde and/or antegrade pyelograms to determine stricture quality and length. Primary outcomes included the change in stricture quality and the difference in ureteral stricture length after ureteral rest. <b><i>Results:</i></b> Overall, 50 patients met the inclusion criteria. Preoperative stricture quality was determined to be narrowed in 86.0% and obliterative in 14.0% of patients. The median duration of ureteral rest was 11.1 (interquartile range [IQR] 5.7-22.8) weeks. Of those with narrowed strictures, 12.0% progressed to obliterative strictures after ureteral rest. There were 37 (74.0%) patients who had an increase in stricture length after ureteral rest. The median growth in stricture length after ureteral rest was 0.2 (IQR: -0.2-0.4) centimeters. At a median follow-up of 6.2 (IQR: 2.9-10.0) months, 88.0% of patients were surgically successful. <b><i>Conclusions:</i></b> Ureteral rest can lead to changes in stricture quality, which may be valuable in surgical decision-making.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"686-690"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harnessing Artificial Intelligence to Predict Spontaneous Stone Passage: Development and Testing of a Machine Learning-Based Calculator.","authors":"Kavita Gupta, Anna Ricapito, Dara Lundon, Raymond Khargi, Chris Connors, Alan J Yaghoubian, Blair Gallante, William M Atallah, Mantu Gupta","doi":"10.1089/end.2024.0755","DOIUrl":"10.1089/end.2024.0755","url":null,"abstract":"<p><p><b><i>Objective:</i></b> We sought to use artificial intelligence (AI) to develop and test calculators to predict spontaneous stone passage (SSP) using radiographical and clinical data. <b><i>Methods:</i></b> Consecutive patients with solitary ureteral stones ≤10 mm on CT were prospectively enrolled and managed according to American Urological Association guidelines. The first 70% of patients were placed in the \"training group\" and used to develop the calculators. The latter 30% were enrolled in the \"testing group\" to externally validate the calculators. Exclusion criteria included contraindication to trial of SSP, ureteral stent, and anatomical anomaly. Demographic, clinical, and radiographical data were obtained and fed into machine learning (ML) platforms. SSP was defined as passage of stone without intervention. Calculators were derived from data using multivariate logistic regression. Discrimination, calibration, and clinical utility/net benefit of the developed models were assessed in the validation cohort. Receiver operating characteristic curves were constructed to measure their discriminative ability. <b><i>Results:</i></b> Fifty-one percent of 131 \"training\" patients spontaneously passed their stones. Passed stones were significantly closer to the bladder (8.6 <i>vs</i> 11.8 cm, p = 0.01) and smaller in length, width, and height. Two ML calculators were developed, one supervised machine learning (SML) and the other unsupervised machine learning (USML), and compared to an existing tool Multi-centre Cohort Study Evaluating the role of Inflammatory Markers In Patients Presenting with Acute Ureteric Colic (MIMIC). The SML calculator included maximum stone width (MSW), ureteral diameter above the stone (UDA), and distance from ureterovesical junction to bottom of stone and had an area under the curve (AUC) of 0.737 upon external validation of 58 \"test\" patients. Parameters selected by USML included MSW, UDA, and use of an anticholinergic, and it had an AUC of 0.706. The MIMIC calculator's AUC was 0.588 (0.489-0.686). <b><i>Conclusion:</i></b> We used AI to develop calculators that outperformed an existing tool and can help providers and patients make a better-informed decision for the treatment of ureteral stones.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"738-747"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}