Journal of pediatric and adolescent gynecology最新文献

{"title":"Vulvar Developmental Stages During Puberty: A Systematic Review.","authors":"Francesca Casalino, Dehlia Moussaoui, Céline Brockmann, Victoria Crofts, Jasmine Abdulcadir, Michal Yaron","doi":"10.1016/j.jpag.2025.01.002","DOIUrl":"10.1016/j.jpag.2025.01.002","url":null,"abstract":"<p><strong>Study objective: </strong>Puberty is associated with important changes in secondary sexual characteristics, but the changes occurring in female external genitalia are not thoroughly described. The aim of this systematic review is to summarize and assess the current scientific knowledge regarding vulvar changes and development during puberty.</p><p><strong>Methods: </strong>PubMed, Embase, Web of Science, and Cochrane were searched using keywords related to \"puberty,\" \"vulva,\" and \"morphology.\" The inclusion criteria were observational studies describing vulvar development in individuals between the ages of 8 and 16 years. The outcomes of interest were quantitative and/or qualitative descriptions of the vulva, including anatomic, physiological, and histological changes.</p><p><strong>Results: </strong>Of the 1658 articles screened, 10 were included. The mean clitoral glans diameter increases during puberty, as does the length of the clitoral hood. The clitoral hood changes to become more retractile and rugose. The inner labia width and length increase throughout puberty, and the development of the inner labia varies between individuals, with labial asymmetry being a common characteristic. The most frequent hymenal configuration found during puberty is the crescentic form, and features such as hymenal mounds, longitudinal intravaginal ridges, and most notches are physiological.</p><p><strong>Conclusion: </strong>Reliable data on pubertal development of the external female genital organs are scarce. Future research is needed to provide more precise data to help categorize vulvar development into stages. A detailed description of vulvar maturation into sequential stages throughout puberty (as done by the Tanner scale for the male homologous structures) can increase knowledge of its morphologic diversity and help reach clinical consensus on the nature of pathologic variants. In addition, better knowledge of vulvar diversity is important to both health care professionals and individuals and may empower and promote self-esteem.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971375","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":"Three symptomatic cases of myoma uteri in adolescence, one of which is STUMP tumor.","authors":"Nurşen Kurtoğlu, Hakan Güraslan, Gül Gizem Pamuk, Ceren Canbey, Özlem Karabay Akgül","doi":"10.1016/j.jpag.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.01.007","url":null,"abstract":"<p><strong>Background: </strong>Uterine leiomyomas are rare in the adolescent age group, with smooth muscle tumors of unknown malignant potential (STUMP) tumors being even exceedingly rarer in young patients.</p><p><strong>Case: </strong>Three cases aged 19 years, two with abnormal uterine bleeding and one with pelvic pain, were admitted to the hospital. Uterine myomas measuring 5, 7 and 12 centimeters were detected in the patients. Myomectomy was performed in patients with complaints resistant to medical treatment. Pathologic examinations revealed that one of the complaints was a STUMP tumor, which is very rare in the adolescent and young age group. The other two examinations revealed benign uterine fibroids.</p><p><strong>Summary and conclusion: </strong>Although uterine myomas are quite rare in the adolescent age group, they should be considered in patients with pelvic pain, pelvic mass, and abnormal uterine bleeding. In this age group, uterine myomas and even STUMP tumors should be included in the differential diagnosis.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971374","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":"EFFECTS OF THERAPEUTIC TAPING ON CLINICAL SYMPTOMS OF STUDENTS WITH PRIMARY DYSMENORRHEA.","authors":"Sidra Malik, Huma Riaz, Ayesha Afridi, Suman Sheraz, Sarah Ehsan","doi":"10.1016/j.jpag.2025.01.005","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.01.005","url":null,"abstract":"<p><strong>Study objectives: </strong>Primary Dysmenorrhea (PD) is a prevalent gynaecological condition affecting young females, characterized by cyclic, cramping pelvic pain with no organic pathology. It can significantly impact their Quality of life (QOL) and academic performance. The study aimed to determine the effect of therapeutic taping on clinical symptoms, QOL and academic performance of students with PD.</p><p><strong>Design: </strong>It was a single-blind, parallel design, Randomized controlled trial SETTING: Study conducted from May to September 2023 in Girls Hostel, Islamabad, Pakistan.</p><p><strong>Participants: </strong>Women aged 18-25 years with PD and pain severity of VAS ≥4 were recruited. Those with other health conditions and having an allergy to Kinesio taping (KT) were excluded from the study.</p><p><strong>Intervention: </strong>A total of 66 women have completed the study. They were randomly assigned to three groups: experimental (KT), sham tape (ST), and control group (CG). KT tape was applied to the suprapubic and sacral regions using the ligament technique in the KT group and without stretch in the ST group. Assessments were taken at baseline, 8th and 12th weeks.</p><p><strong>Main outcome measures: </strong>The study tools were the visual analogue scale (VAS), menstrual symptoms questionnaire (MSQ), Health-related quality of life (SF-36) and Academic Performance Questionnaire (APQ). Data analysis was done using SPSS-25.</p><p><strong>Results: </strong>The participants' mean age (years) was (KT: 22.04±2.13, Sham: 22.35±3.11 and CT: 23±2.52). Between-group analysis shows a statistically significant difference in VAS (p<0.05) and MSQ (p<0.01) after the 12^th week of intervention, whereas the APQ score was statistically significant (p <0.01) on the 8th and 12^th week. Similarly, the SF-36 score was significant for both physical (p<0.001) and mental (p<0.05) component summary between the intervention groups.</p><p><strong>Conclusion: </strong>Kinesio Taping is an effective intervention option for pain reduction, menstrual symptom relief, and improved academic performance for individuals with PD.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971216","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":"Prevalence, Characteristics, and Adverse Birth Outcomes of Teen Births in West Virginia: A Population-Based Study.","authors":"Rylee Childers, Alexandra Richmond, Candice Lefeber, Timothy Lefeber, Collin John, Christa Lilly, Amna Umer","doi":"10.1016/j.jpag.2025.01.006","DOIUrl":"10.1016/j.jpag.2025.01.006","url":null,"abstract":"<p><strong>Study objective: </strong>Despite falling teen birth rates in the United States, there is a disproportionate burden of teen births in rural regions. The study aims to investigate the characteristics of teenage mothers and examine the relationships between teen birth and adverse birth outcomes in the rural Appalachian state of West Virginia (WV).</p><p><strong>Methods: </strong>Data was obtained from a population-based cohort (Project WATCH) of all singleton live births in WV between May 2018 and April 2023. The primary exposure variable was mothers who gave birth when they were less than 20 years old (teenage births v. adult). Primary outcomes included birthweight, gestational age, NICU admission, 5-minute Apgar score, and breastfeeding status.</p><p><strong>Results: </strong>Of 86,447 live births, 5310 (6.15%) were birth to teenage mothers. Maternal characteristics of teenage mothers included minority racial groups, lower education, Medicaid, rural residence, and inadequate prenatal care. Teenage births were associated with lower mean birthweight aMD [b = -49.31 g. (-65.37, -33.24)], low birthweight [< 2500 g. vs ≥ 2500 g., aRR = 1.11 (1.0, 1.24)], and small for gestational age [v. appropriate for gestational age, aRR = 1.21 (1.12, 1.30)]. Teenage mothers were less likely to exclusively breastfeed at discharge [aRR, 1.20 (1.11, 1.28)]. Analyses adjusted for maternal race/ethnicity, education, health insurance, smoking, substance use, prenatal care, diabetes, and residence type.</p><p><strong>Conclusions: </strong>Teenage births are high in WV and are linked to adverse infant outcomes. These findings may help identify at-risk groups for support and provide policymakers with information to design effective interventions to prevent teenage births and its negative outcomes.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971344","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":"Rates of screening for sexually transmitted infections in adolescents with and without disabilities.","authors":"Nili Amir, Kathleen E O'Brien, Susan J Woolford, Cheyney C Dobson, Harlan McCaffery, Niko A Kaciroti, Richard Eikstadt, Monica W Rosen","doi":"10.1016/j.jpag.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.01.001","url":null,"abstract":"<p><strong>Background: </strong>Individuals with disabilities experience a higher prevalence of sexually transmitted infections (STIs) compared to their counterparts without disabilities; however, there is limited data on whether they are screened for STIs at the same rate. The aim of this study was to determine whether adolescents and young adults with disabilities undergo routine screening for STIs at lower rates than individuals without disabilities.</p><p><strong>Methods: </strong>We performed a retrospective cohort study of female patients aged 16-21 years who were seen between July 2021 and August 2023 by pediatrics, internal medicine/pediatrics, or family medicine at a single institution. Disability status was determined via ICD-10 codes. STI testing information was obtained by chart review. Data were analyzed using multiple logistic regression, and adjusted odds ratios were reported for race, ethnicity, age, and disability.</p><p><strong>Results: </strong>Among 6906 eligible patients, 90 (1.3%) had a disability. Individuals with disabilities underwent STI screening at lower rates (60% vs 77.2%, p<.001). There were lower odds of STI screening for individuals with any disability (aOR 0.38, 95% CI 0.24-0.61, p<.001), a physical disability (aOR 0.26, 95% CI 0.09-0.72, p=.008), or an intellectual disability (aOR 0.37, 95% CI 0.21-0.64, p<.001) when adjusting for race, ethnicity, and age.</p><p><strong>Conclusions: </strong>The rate of STI screening among adolescents and young adults with disabilities was lower compared to those without disabilities. Universal testing may help normalize STI screening so that individuals with a higher risk of STIs are not missed. Further research is indicated to identify and mitigate factors that lead to lower rates of screening.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950413","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":"Repair of Microperforate Hymen.","authors":"Lauren Roth, Anne K Smith, Elisabeth Stark, Alla Vash-Margita","doi":"10.1016/j.jpag.2024.12.016","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.12.016","url":null,"abstract":"<p><strong>Objective: </strong>Subocclusive variants of the hymen are a group of hymenal anomalies that result due to a failure of canalization of the urogenital sinus. One of these variations is the microperforate hymen, for which accurate incidence is unknown. Microperforate hymen is a non-obstructing variation that allows for menstrual egress, and often, patients present due to inability to use a tampon. The recommended intervention for this congenital variant is surgical correction. The purpose of this case report is to provide a video demonstration of a surgical technique for correction of hymenal anatomy.</p><p><strong>Case report: </strong>We present the case of an 18-year-old female-identifying nulligravid who presented with inability to use a tampon secondary to a microperforate hymen.</p><p><strong>Results: </strong>This case reviews the diagnostic workup and a video demonstration of the surgical technique for hymenal correction.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365197","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":"A Survey on Awareness Regarding Pediatric and Adolescent Gynecology (PAG) Services in Malaysia-Are We Lacking?","authors":"Leek Mei Lim, Audrey Shuk Lan Chong, Ana Vetriana Abd Wahab","doi":"10.1016/j.jpag.2024.12.020","DOIUrl":"10.1016/j.jpag.2024.12.020","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to assess the level of awareness among Malaysian health care providers (HPs) regarding pediatric and adolescent gynecology (PAG) services. Additionally, the study evaluated HPs' knowledge of the HEADSS¹ questionnaire (Home environment, Education and employment, Activities, Drugs, Sexuality, Suicide and depression) and their understanding of acute abdominal pain in female adolescents.</p><p><strong>Methods: </strong>A simple, 5-question online survey was conducted nationwide among registered Malaysian HPs, including doctors, nurses, assistant medical officers, and medical attendants.</p><p><strong>Results: </strong>A total of 529 HPs participated in the survey, with a median age of 35 years. Most had more than 5 years of working experience (74.7%) and worked in specialist hospitals (66.7%). Only 56.3% of HPs had heard of PAG services, and 43.7% were familiar with the HEADSS tool, with 60.2% using it in practice. Awareness was higher among doctors (61.4%), senior HPs (59.2%), and those in specialist hospitals (69.7%). Among doctors, both experience and workplace significantly impacted their awareness. Notably, 2% of doctors were unsure about which specialty was appropriate for referrals when managing acute abdomen in adolescents.</p><p><strong>Conclusion: </strong>Overall, awareness of PAG services is low, with only 56.3% of HPs and 61.4% of doctors being familiar with the specialty. Management practices vary and lack standardization. We recommend implementing standardized training programs to improve the awareness and care for adolescent patients.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921620","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":"Assessing Obstetrics and Gynecology (OBGYN) Clinicians' Knowledge, Practice, and Attitudes toward Anorexia Nervosa, Atypical Anorexia Nervosa, and Amenorrhea.","authors":"Katherine E Spanos, Tonya S Wright, Christina DeAngelis, Jamal H Essayli","doi":"10.1016/j.jpag.2024.12.017","DOIUrl":"10.1016/j.jpag.2024.12.017","url":null,"abstract":"<p><strong>Study objective: </strong>Anorexia nervosa (AN) and atypical anorexia nervosa (AAN) are eating disorders (EDs) characterized by extreme restriction of energy intake. However, in contrast to individuals with AN, those with AAN are not underweight. Although individuals with either AN or AAN can experience associated functional hypothalamic amenorrhea (FHA) that may prompt them to seek gynecologic care, little is known about obstetricians' and gynecologists' (OBGYNs') knowledge and approach to these patients; this study sought to fill this gap.</p><p><strong>Methods: </strong>A total of 119 OBGYNs read vignettes describing an underweight patient with AN and a normal-weight patient with AAN presenting with FHA. The OBGYNs then responded to items assessing their approaches, knowledge, and attitudes toward patients with amenorrhea and EDs more broadly.</p><p><strong>Results: </strong>The participants ranked FHA as significantly more likely in the underweight vignette than in the normal-weight vignette. The participants reported that they more frequently ask about weight, eating, exercise, and body image in underweight patients with amenorrhea relative to patients who are normal weight or overweight. Overall, the participants demonstrated low knowledge of AN and AAN and reported less familiarity with AAN.</p><p><strong>Conclusion: </strong>OBGYNs may be less likely to identify FHA and assess for an ED in non-underweight patients with secondary amenorrhea. Therefore, patients with AAN having complications of malnutrition may be less likely to be properly evaluated and treated. Future research should investigate educational interventions that aim to improve OBGYN assessment and management of patients of varying weights who have EDs .</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915266","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 Role of Pediatric Subspecialists in Adolescent Contraceptive Care: Knowledge, Attitudes, and Barriers.","authors":"Lauren M Reade, Jeanelle L Sheeder, Molly J Richards","doi":"10.1016/j.jpag.2024.12.018","DOIUrl":"10.1016/j.jpag.2024.12.018","url":null,"abstract":"<p><strong>Study objective: </strong>Adolescents and young adults with chronic medical conditions (CMCs) have similar sexual behaviors to their healthy peers but are less likely to use contraception. Provision of CMC-specific sexual and reproductive health (SRH) care within pediatric subspecialty clinics may improve access for this population, although system- and provider-level barriers exist. The purpose of this cross-sectional study was to assess the attitudes, practices, and knowledge of SRH among providers in a variety of pediatric subspecialities.</p><p><strong>Methods: </strong>Listservs were used to recruit pediatric subspecialists caring for pregnancy-capable adolescents and young adults (12-24 years old) who use teratogenic medications or have CMCs that pose significant pregnancy health risk, as defined by the World Health Organization. Participants completed an online survey about their contraceptive attitudes and practices and rated their knowledge of and comfort with discussing contraception.</p><p><strong>Results: </strong>A total of 510 pediatric subspecialists participated. Although 92% said addressing SRH is important for pediatric subspecialists, most believed their role included SRH discussion (78.1%) and referral (82.2%) rather than provision (12.1%). Only 4.3% felt totally comfortable with contraceptive counseling. Identified facilitators included time (64.2%), referral resources (67.5%), and training in contraceptive options (62.9%). Most participants would recommend long-acting reversible contraception if medically appropriate, but few reported confidence in their knowledge and ability to counsel about them.</p><p><strong>Conclusion: </strong>SRH is an important part of comprehensive care for youth with CMCs. Discomfort and lack of knowledge decrease a provider's ability to confidently provide SRH care in subspecialty clinics. Expanding collaborations between subspecialty and SRH providers may increase access to quality SRH care tailored to these young people's unique medical needs.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903297","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":"FIGIJ and NASPAG Advocacy Statement: Recognize Eating Disorders Early and Intervene!","authors":"Ellen S Rome, Anastasia Vatopoulou, Emily Gelson, Judy Simms-Cendan, Angela Aguilar, Mariela Orti, Clara Di Nunzio, Michalina Drejza, Yasmin Jayasinghe, Daniela Ivanova Panova, Marisa Labovsky","doi":"10.1016/j.jpag.2024.12.013","DOIUrl":"10.1016/j.jpag.2024.12.013","url":null,"abstract":"<p><p>Eating disorders (EDs) are life-threatening biopsychosocial illnesses that impact a growing number of children, adolescents and young adults globally. Clinicians who address the reproductive health of adolescents and young adults are uniquely positioned to recognize EDs, with oligomenorrhea and amenorrhea often heralding the development or progression of disordered eating. Early detection and prompt referral to multidisciplinary care where available can lead to improved outcomes. FIGIJ, NASPAG and ACOG recognize menses as a key vital sign; an additional vital sign can include use of the growth chart to track changes that might indicate disordered eating. When weight or height cross 2 or more major percentiles, further assessment for disordered eating or other etiology is indicated.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903295","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}