Transplantation proceedings最新文献

{"title":"Efficacy of the Organ and Tissue Donation Process in the State of São Paulo: A Cross-Sectional Study","authors":"Beatriz Souza Fortunato da Silva ,&nbsp;Nathalia Malaman Galhadi ,&nbsp;Mariana Dolce Marques ,&nbsp;Klenio de Oliveira Bonfim ,&nbsp;Maria Valeria de Omena Athayde ,&nbsp;Rafaela Batista dos Santos Pedrosa","doi":"10.1016/j.transproceed.2025.08.003","DOIUrl":"10.1016/j.transproceed.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>Organ and tissue transplantation is an effective therapeutic option for several life-threatening diseases, in addition to improving the quality of life, it allows patients to resume daily activities. On the other hand, organ supply is scarce and, consequently, the waiting list progressively increases. The aim of this study was to assess the efficacy of the organ and tissue donation process in the state of São Paulo, Brazil.</div></div><div><h3>Methods</h3><div>This retrospective, cross-sectional, and exploratory study was conducted in the state of São Paulo. All reports of potential donors received by the Centers for Notification, Retrieval, and Distribution of Organs (CNCDO) in the state of São Paulo from 2010 to 2020 were included. Collected data were inserted into a spreadsheet (Excel Software) and transferred to the Statistical Package for Social Science (SPSS) program, version 20.0, for descriptive analysis with the preparation of tables and graphs of absolute frequency.</div></div><div><h3>Results</h3><div>The results show that the state of São Paulo had 29,719 potential donors, of which 19,270 families were interviewed for organ donation and only 9347 whose organs were transplanted. The main reason for not performing organ donation was family refusal 37.35% followed by cardiorespiratory arrest for 22.88%.</div></div><div><h3>Conclusions</h3><div>Although the state showed a significant growth in the number of notifications and eligible donors, family refusal remains the main cause of non-effectiveness and the estimated demand has not been reached in any year in the last decade, except for corneal transplant.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1265-1270"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984816","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":"Successful Pregnancy Following Heterologous in Vitro Fertilization in a Kidney Transplant Recipient With Autosomal Dominant Polycystic Kidney Disease: A Case Report","authors":"Luca Apicella ,&nbsp;Sarah Hamzeh ,&nbsp;Renata Angela Di Pietro ,&nbsp;Chiara Crescenzo ,&nbsp;Nicoletta Vecchione ,&nbsp;Dora Russo ,&nbsp;Carmine Secondulfo ,&nbsp;Antonio Pisani ,&nbsp;Rosa Carrano ,&nbsp;Candida Iacuzzo ,&nbsp;Giancarlo Bilancio","doi":"10.1016/j.transproceed.2025.06.013","DOIUrl":"10.1016/j.transproceed.2025.06.013","url":null,"abstract":"<div><h3>Background</h3><div>Chronic kidney disease (CKD) is often associated with infertility and adverse pregnancy outcomes. Kidney transplantation improves fertility and maternal-fetal health, while assisted reproductive technologies, including in vitro fertilization (IVF), offer additional opportunities. However, there are no documented cases of heterologous IVF in kidney transplant recipients in the literature.</div></div><div><h3>Case Presentation</h3><div>We report the case of a 47-year-old female with autosomal dominant polycystic kidney disease (ADPKD) who underwent a kidney transplant in 2018. In 2022, she underwent heterologous IVF to prevent the transmission of ADPKD. Pregnancy was achieved after the third embryo transfer, with stable graft function and no major complications. A cesarean section at 37 weeks resulted in the birth of a healthy female newborn. One year postpartum, renal function remained stable.</div></div><div><h3>Discussion and Conclusion</h3><div>Pregnancy in kidney transplant recipients is high-risk, requiring careful immunosuppressive management and multidisciplinary monitoring. This case highlights the feasibility of heterologous IVF in transplant recipients, expanding reproductive options for patients with hereditary kidney diseases.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1242-1245"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621603","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":"17th Portuguese Transplantation Society Congress and the 22nd Luso-Brazilian CongressPorto, Portugal December 5-7, 2024Guest Editor: Jorge Daniel Co-Guest Editors: Cristina Jorge and Lidia Santos","authors":"","doi":"10.1016/S0041-1345(25)00396-3","DOIUrl":"10.1016/S0041-1345(25)00396-3","url":null,"abstract":"","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Page 1250"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997685","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":"Knowledge and Attitudes Toward Organ Donation Among Senior Medical and Nursing Students: Preliminary Findings of a Single-Center Study in Northern Italy","authors":"Alessandra Agnese Grossi ,&nbsp;Alberto Passi ,&nbsp;Sergio Vesconi ,&nbsp;Marina Morgutti ,&nbsp;Mario Picozzi ,&nbsp;Maria Assunta Donato ,&nbsp;Federica De Min ,&nbsp;Alessandro De Martino ,&nbsp;Elisa Raimondo ,&nbsp;Alessia Bresil ,&nbsp;Martina Baiardo Redaelli ,&nbsp;Luca Cabrini","doi":"10.1016/j.transproceed.2025.03.020","DOIUrl":"10.1016/j.transproceed.2025.03.020","url":null,"abstract":"<div><h3>Introduction</h3><div>University students’ knowledge and attitudes toward organ donation (OD) remain poorly understood. Medical and nursing students, in particular, play a critical role as future healthcare professionals, serving as primary points of contact for citizens and potential donors' families and influencing their decisions. This study aims to identify gaps in their education and information to orient the development of targeted educational programs.</div></div><div><h3>Methods</h3><div>An online anonymous survey was disseminated among final-year Medicine and Nursing students at a university in Northern Italy. The 39-item questionnaire, adapted from previous studies and refined by an expert panel, included questions to assess knowledge, attitudes, and intentions regarding OD. Two open-ended questions collected additional suggestions for targeted public awareness interventions.</div></div><div><h3>Results</h3><div>Preliminary analyses (n = 65) indicate that most students possess basic knowledge of OD, but gaps remain, particularly concerning transplant procedures and the neurological criteria for determination of death. While 95.4% expressed favorable attitudes toward OD and 80% had formally expressed their intent—primarily during ID renewal (75.4%)—students highlighted the need for further education. Preferred methods included seminars (41.5%), integration into standard courses (36.9%), and elective modules (20%). Active student participation in public awareness campaigns was suggested to enhance understanding and engagement.</div></div><div><h3>Conclusions</h3><div>Although students demonstrate a foundational understanding of OD, critical knowledge gaps persist. These findings underscore the need for targeted educational initiatives to better prepare future healthcare professionals. Strengthening their knowledge and skills is key to fostering an informed culture of OD and supporting the families of potential donors.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1210-1213"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048110","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":"Simultaneous Pancreas and Dual Kidney Transplantation from a Standard Criteria Donor: First Report From Korea","authors":"Kwang Ho Yang ,&nbsp;Je Ho Ryu ,&nbsp;Byung Hyun Choi","doi":"10.1016/j.transproceed.2025.07.019","DOIUrl":"10.1016/j.transproceed.2025.07.019","url":null,"abstract":"<div><div>Organ shortage remains a global challenge in transplantation. In Korea, the waiting time for a kidney transplant from a brain-dead donor exceeds 7 years, and simultaneous pancreas-kidney (SPK) transplantation requires even longer. According to standard allocation principles, kidneys from standard criteria donors should be allocated to 2 recipients to maximize graft utilization. However, we encountered a rare case where a simultaneous pancreas and dual kidney transplantation was performed in a single recipient due to recipient unavailability and time constraints. A 46-year-old male with type 1 diabetes and end-stage renal disease received a pancreas and both kidneys from a 44-year-old brain-dead donor who was anti-HBV core antibody positive. During procurement, one kidney recipient tested positive for COVID-19, and no other eligible recipients were available. Hypothermic machine perfusion was not available, limiting preservation time. We proceeded with ipsilateral pancreas and kidney transplantation in the right iliac fossa, and transplanted the second kidney in the left retroperitoneal space through downward traction of the midline peritoneum. Postoperatively, graft function was favorable, although a pancreatic fistula required surgical repair. At 18-month follow-up, all grafts remained functional. The patient developed polycythemia, likely due to increased erythropoietin from 2 functioning kidneys. This case demonstrates the technical feasibility and clinical acceptability of simultaneous pancreas and dual kidney transplantation under exceptional circumstances. The institutional review board waived approval for this case report.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1379-1383"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839583","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":"Rescue of Reperfusion-Related Cardiac Collapse by Balloon Flotation Pacing During Liver Transplantation: A Case Report","authors":"Wen-Bin Teng ,&nbsp;Xu-Jie Ma ,&nbsp;Dian-San Su ,&nbsp;Yong-Xing Yao","doi":"10.1016/j.transproceed.2025.07.021","DOIUrl":"10.1016/j.transproceed.2025.07.021","url":null,"abstract":"<div><div>Reperfusion-related cardiac collapse is a life-threatening, rare event in liver transplantation (LT). Here, we report <em>the</em> successful use of balloon flotation pacing to prevent cardiac collapse in a 66-year-old man who underwent LT for acute-on-chronic liver failure. <em>The patient’s model for end-stage liver disease score was 26.</em> He had left coronary artery stent placement a year ago. <em>After</em> general anesthesia, a balloon flotation pacing catheter was positioned. Orthotopic piggyback style LT was performed using <em>total</em> inferior vena cava clamping. Before <em>reperfusion</em>, the pacemaker was turned on in VVI mode. Twenty seconds after <em>unclamping, the heart rate slowed down abruptly, and</em> the blood pressure fell to 38/30 mmHg from 123/75 mmHg. <em>The pacemaker triggered,</em> maintaining a heartbeat of 83 per minute. Repeated bolus of epinephrine (700 μg total) and calcium gluconate (3 g total) were administered. The situation lasted for 6 minutes. The supraventricular rhythm resumed, and the patient stabilized hemodynamically. He was extubated after 28 hours and discharged home after a 22-day hospital stay. This case <em>confirms</em> that balloon flotation pacing is a feasible method for preventing reperfusion-related cardiac collapse during LT.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1369-1372"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850248","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":"Successful Living Donor Liver Transplantation from a Donor With Low von Willebrand Factor Activity: A Case Report","authors":"Takahiko Omameuda,&nbsp;Taiichi Wakiya,&nbsp;Yasunaru Sakuma,&nbsp;Yasuharu Onishi,&nbsp;Yukihiro Sanada,&nbsp;Noriki Okada,&nbsp;Yuta Hirata,&nbsp;Toshio Horiuchi,&nbsp;Kiichiro Takadera,&nbsp;Ryosuke Akimoto,&nbsp;Hironori Yamaguchi","doi":"10.1016/j.transproceed.2025.07.022","DOIUrl":"10.1016/j.transproceed.2025.07.022","url":null,"abstract":"<div><div>Liver transplantation (LT) from donors with von Willebrand factor (VWF) abnormalities is rarely reported, largely due to concerns over donor safety and potential hemostatic complications in the recipient. Low VWF activity is more prevalent than von Willebrand disease and may present without bleeding symptoms, yet its implications in the context of living donor LT (LDLT) remain poorly characterized. We report a case of successful LDLT from a donor with borderline low VWF activity, highlighting detailed perioperative and long-term coagulation profiles in both donor and recipient. The donor, a healthy young woman with no personal or family history of bleeding, was found to have mildly decreased ristocetin cofactor activity. A test infusion of VWF/FVIII concentrate elicited a favorable biological response. Based on these findings and in accordance with clinical guidelines, open right hepatectomy was performed under perioperative VWF replacement. The donor experienced no bleeding or thrombotic complications and remained clinically stable during 18 months of follow-up. VWF-related parameters remained elevated postoperatively and ultimately returned to baseline or higher, indicating preserved long-term hemostasis. The recipient, who received the graft from the low-VWF donor, showed stable VWF-related coagulation parameters post-transplantation. Despite a transient decline following reperfusion, levels normalized within the expected timeframe and remained within normal range throughout follow-up. This case supports the safety of LDLT from donors with low VWF levels when appropriate perioperative management is applied. It also highlights that low donor VWF activity may not compromise recipient hemostasis, offering important implications for donor eligibility assessment in clinical practice.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1356-1360"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850250","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":"Strictures and Stones: Ex Vivo Ureteroscopy to Salvage Donor Kidney with Extensive Stone Burden: A Case Report","authors":"SriGita Krishna Madiraju ,&nbsp;Kunal Yadav ,&nbsp;Natalie Mainland ,&nbsp;Advait Deshmukh ,&nbsp;Snehi Shah ,&nbsp;Stephen Hong ,&nbsp;Puneet Sindhwani","doi":"10.1016/j.transproceed.2025.06.018","DOIUrl":"10.1016/j.transproceed.2025.06.018","url":null,"abstract":"<div><h3>Background</h3><div>The waiting list for kidney transplants far exceeds the pool of available donors. A significant population in the United States is living with end-stage renal disease (ESRD) yet many procured donor kidneys are not utilized. Significant renal stone disease has often been a relative contraindication to transplantation and a reason to discard these “high-risk” kidneys due to the possibility of post-transplant complications and suboptimal graft function. Salvaging these kidneys presents a chance to increase the availability of transplantable kidneys and assist with the critical shortage of organs.</div></div><div><h3>Methods</h3><div>We present a case of successful transplantation of a donor kidney with substantial stone burden that underwent ex vivo ureteroscopy with stone extraction and treatment of a ureteral stricture during pre-transplant preparation. Utilizing standard ureteroscopy instruments, we successfully cleared the donor kidney of its renal stone burden.</div></div><div><h3>Results</h3><div>At the 2- and 12-month marks, the recipient had no radiographic signs of ureteral obstruction or stone recurrence with excellent graft function.</div></div><div><h3>Conclusions</h3><div>Salvage of a donor kidney with concomitant heavy stone burden and ureteral stricture has not been reported before in the literature. This case report demonstrates that pre-transplant stone extraction with ex vivo ureteroscopy is an effective strategy for salvaging a kidney that would otherwise be discarded.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1334-1337"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984541","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":"Pediatric Renal Transplantation: A 10-Year Single-Center Experience","authors":"Martinha Magalhães ,&nbsp;Beatriz Oliveira ,&nbsp;Guilherme Gonçalves ,&nbsp;Helena Sousa ,&nbsp;Nuno Vinagre ,&nbsp;André Marques Pinto ,&nbsp;Diogo Nunes-Carneiro ,&nbsp;Miguel Silva Ramos ,&nbsp;Avelino Fraga","doi":"10.1016/j.transproceed.2025.07.014","DOIUrl":"10.1016/j.transproceed.2025.07.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric renal transplantation is a life-saving procedure for children with end-stage renal disease (ESRD), offering superior long-term outcomes compared to dialysis, including improved quality of life and survival.</div></div><div><h3>Objective</h3><div>The aim of this study is to present a tertiary center experience, over a 10-year period as a specialized center for kidney transplants in children.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed data from 35 pediatric kidney transplant recipients between 2015 and 2024 from a single Portuguese center.</div></div><div><h3>Results</h3><div>The median age at transplantation was 12 years (range 3-18). The most common underlying condition was congenital anomalies of the kidney and urinary tract (CAKUT) (43.5%), followed by glomerular diseases, Alport syndrome, prematurity-related nephropathy, and idiopathic chronic kidney disease. Dialysis was performed in 25 patients (71.4%) before transplantation: 12 underwent peritoneal dialysis, 10 hemodialysis, and 4 both modalities, with a mean duration of 14.3 months. Most grafts (88.6%) were from deceased donors, with the right kidney used in 60% of cases. The median cold ischemia time was 9 and a half hours. Immediate graft function was achieved in 77.1% of cases; graft failure occurred in 14.3%. Hypertension and diabetes were the most common early complications, while late complications included infections and recurrence of the primary disease.</div></div><div><h3>Conclusion</h3><div>Pediatric kidney transplantation remains a complex yet effective treatment option, offering satisfactory long-term graft function and manageable complications in a specialized center.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1277-1280"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984598","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":"Cerebral Nocardia Infections Following Lung Abscesses in a Kidney Transplant Recipient: A Case Report and Literature Review","authors":"Guzailinuer Sailaiajimu,&nbsp;Chen Lu","doi":"10.1016/j.transproceed.2025.07.020","DOIUrl":"10.1016/j.transproceed.2025.07.020","url":null,"abstract":"<div><h3>Background</h3><div>Bacterial, viral, and fungal infections are common following human kidney transplantation due to non-specific immunosuppressive therapy. Nocardiosis, though not common, is an important cause of morbidity and mortality among renal transplant recipients.</div></div><div><h3>Case Report</h3><div>We present a typical case from our region of multiple brain abscesses caused by Nocardia farcinica, along with a discussion of its diagnosis and treatment. A brain MRI of a 60-year-old Uyghur man, who had been on long-term immunosuppressive therapy, confirmed multiple brain abscesses. He was diagnosed with cerebral nocardiosis, which was considered to have originated from lung abscesses. Neurosurgery was performed to remove the abscesses. A 2-stage antibiotic regimen was implemented: intensive therapy with TMP-SMX and meropenem for the first 8 weeks, followed by consolidation therapy with TMP-SMX alone for the next 4 months.</div></div><div><h3>Results</h3><div>After a series of surgical and medical treatments, the patient achieved disease control and remained symptom-free during follow-up.</div></div><div><h3>Conclusions</h3><div>This case contributes to the understanding of multiple nocardia infections in immunosuppressed patients. It highlights the importance of appropriate diagnosis, timely surgical intervention, and effective antibiotic treatment in managing disseminated nocardiosis.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1338-1343"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984734","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}