Katie L Hoddinott, Meagan A Walker, Adam T Ogilvie
{"title":"Response to LTE VSU-25-133.","authors":"Katie L Hoddinott, Meagan A Walker, Adam T Ogilvie","doi":"10.1111/vsu.14317","DOIUrl":"https://doi.org/10.1111/vsu.14317","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":"54 7","pages":"1285"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intervertebral fusion for the repair of articular cervical fractures in three horses.","authors":"Ariane Campos Schweitzer, Anouk Vercherin, Fabrice Rossignol","doi":"10.1111/vsu.70000","DOIUrl":"10.1111/vsu.70000","url":null,"abstract":"<p><strong>Objective: </strong>To report successful stabilization of three cervical fracture types with articular involvement using different ventral cervical intervertebral fusion constructs.</p><p><strong>Animals: </strong>A 9-year-old French sport pony gelding, a 5-year-old Anglo-Arabian gelding and a 2-year-old French Warmblood mare.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Ventral cervical intervertebral fusion was performed in three cervical fracture cases: A vertebral body, a vertebral arch and a unilateral facet joint fracture. Selected implants for this purpose were an 11-hole 4.5/5.0 LCP, a three-dimensional (3D)-printed titanium cervical interbody spacer and plate, and a 3D-printed titanium interbody spacer combined with a 5-hole 4.5/5.0 locking compression plate, respectively. These implants were applied with locking and/or cancellous screws.</p><p><strong>Results: </strong>Postoperative radiographs showed fracture healing associated with a reduction in size of the immobilized facet joints. When present preoperatively, ataxia resolved following surgery. Fracture healing was associated with an excellent postoperative functional outcome in all three reported cases.</p><p><strong>Conclusion: </strong>Surgeons should consider ventral cervical intervertebral fusion techniques to manage cervical fractures with articular involvement.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1477-1484"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Veterinary SurgeryPub Date : 2025-10-01Epub Date: 2025-10-02DOI: 10.1111/vsu.70016
Daniel Low, Scott Rutherford
{"title":"Machine learning and quantitative computed tomography radiomics prediction of postoperative functional recovery in paraplegic dogs.","authors":"Daniel Low, Scott Rutherford","doi":"10.1111/vsu.70016","DOIUrl":"10.1111/vsu.70016","url":null,"abstract":"<p><strong>Objective: </strong>To develop a computed tomography (CT)-radiomics-based machine-learning algorithm for prediction of functional recovery in paraplegic dogs with acute intervertebral disc extrusion (IVDE).</p><p><strong>Study design: </strong>Multivariable prediction model development.</p><p><strong>Sample population: </strong>Paraplegic dogs with acute IVDE: 128 deep-pain positive and 86 deep-pain negative (DPN).</p><p><strong>Methods: </strong>Radiomics features from noncontrast CT were combined with deep-pain perception in an extreme gradient algorithm using an 80:20 train-test split. Model performance was assessed on the independent test set (Test<sub>full</sub>) and on the test set of DPN dogs (Test<sub>DPN</sub>). Deep-pain perception alone served as the control.</p><p><strong>Results: </strong>Recovery of ambulation was recorded in 165/214 dogs (77.1%) after decompressive surgery. The model had an area under the receiver operating characteristic curve (AUC) of .9118 (95% CI: .8366-.9872), accuracy of 86.1% (95% CI: 74.4%-95.4%), sensitivity of 82.4% (95% CI: 68.6%-93.9%), and specificity of 100.0% (95% CI: 100.0%-100.0%) on Test<sub>full</sub>, and an AUC of .7692 (95% CI: .6250-.9000), accuracy of 72.7% (95% CI: 50.0%-90.9%), sensitivity of 53.8% (95% CI: 25.0%-80.0%), and specificity of 100.0% (95% CI: 100.0%-100.0%) on Test<sub>DPN</sub>. Deep-pain perception had an AUC of .8088 (95% CI: .7273-.8871), accuracy of 69.8% (95% CI: 55.8%-83.7%), sensitivity of 61.8% (95% CI: 45.5%-77.4%), and specificity of 100.0% (95% CI: 100.0%-100.0%), which was different from that of the model (p = .02).</p><p><strong>Conclusion: </strong>Noncontrast CT-based radiomics provided prognostic information in dogs with severe spinal cord injury secondary to acute intervertebral disc extrusion. The model outperformed deep-pain perception alone in identifying dogs that recovered ambulation following decompressive surgery.</p><p><strong>Clinical significance: </strong>Radiomics features from noncontrast CT, when integrated into a multimodal machine-learning algorithm, may be useful as an assistive tool for surgical decision making.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1305-1315"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Veronica L Edwards, Rachel Reed, Michael Perlini, Valerie J Moorman
{"title":"Cervical epidural catheter for administration of detomidine and morphine in a model of carpal synovitis in the horse.","authors":"Veronica L Edwards, Rachel Reed, Michael Perlini, Valerie J Moorman","doi":"10.1111/vsu.70031","DOIUrl":"https://doi.org/10.1111/vsu.70031","url":null,"abstract":"<p><strong>Objective: </strong>To determine the analgesic effects of detomidine and morphine administered by cervical epidural catheter (CEC) on a model of thoracic limb pain.</p><p><strong>Study design: </strong>Prospective, randomized, blinded crossover study.</p><p><strong>Animals: </strong>Five adult horses.</p><p><strong>Methods: </strong>Cervical epidural catheters were placed under ultrasound guidance, followed by induction of lipopolysaccharide (LPS)-mediated carpal synovitis. Horses received either saline or detomidine/morphine (DM; 10 μg/kg, 0.1 mg/kg, respectively) via CEC 4 h after synovitis. After a 7 day washout, synovitis was induced in the contralateral carpus, and the alternate treatment was administered. Evaluations occurred prior to and at 4, 6, 8, 12, 24, 36, and 48 h after synovitis, including physical, lameness, and neurologic exams, pain scoring, mechanical threshold testing, and joint circumference measurement. Mixed-model linear regression was used to assess the effects of time, treatment, and their interaction, with horse as a random effect.</p><p><strong>Results: </strong>All DM-treated horses became sedate, and four of five developed hypermetria and ataxia. Four of five DM-treated horses also showed at least a 50% decrease in lameness by 2 h after treatment. Rectal temperature, heart rate, and respiratory rate were elevated in the DM group in comparison with the saline group (p < .027). No differences were observed in mechanical nociceptive thresholds or pain scores between groups.</p><p><strong>Conclusion: </strong>These results support further exploration of cervical epidural treatment with DM for thoracic limb analgesia.</p><p><strong>Clinical significance: </strong>Further studies are warranted to optimize dosing and assess neurologic side effects of this drug combination.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte K Barton, Joseph W Lozier, Paul T Merkatoris, Brianna Jordan, John Ortega McCormack, Grace Vanhoy, Brayden Look, Bridget Nottle
{"title":"Incidence and risk factors of surgical site infection in ruminant species following internal fixation for orthopedic injury: 81 cases (2010-2023).","authors":"Charlotte K Barton, Joseph W Lozier, Paul T Merkatoris, Brianna Jordan, John Ortega McCormack, Grace Vanhoy, Brayden Look, Bridget Nottle","doi":"10.1111/vsu.70029","DOIUrl":"https://doi.org/10.1111/vsu.70029","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence and risk factors of surgical site infection (SSI) following internal fixation in ruminants.</p><p><strong>Study design: </strong>Retrospective multicenter study across five veterinary teaching hospitals.</p><p><strong>Animals: </strong>A total of 81 ruminants undergoing internal fixation for orthopedic disease.</p><p><strong>Methods: </strong>Medical records over a 13-year period were analyzed for ruminants presenting with orthopedic disease that was surgically managed with internal fixation. Patient signalment, limb affected and type of injury, surgical method, orthopedic implants used, total anesthetic duration, antimicrobial use, development of SSI as well as short- and long-term survival were reported.</p><p><strong>Results: </strong>The incidence of SSI was 17.3% (14/81). Overall, 92.6% (75/81) of cases survived to discharge; 85.7% (12/14) of cases with SSI and 94% (63/67) of cases that did not develop SSI. Increased duration of antimicrobial use (p = .004) and fractures distal to the tarsus/carpus (p = .04) were associated with an increased risk of SSI but had no effect on overall survival. The use of intramedullary pins for surgical repair was associated with a reduced likelihood of survival to discharge (p = .008).</p><p><strong>Conclusion: </strong>In conclusion, the SSI incidence in ruminants following internal fixation was comparable to the infection risk in horses and camelids. SSI had a higher incidence in fractures distal to the tarsus/carpus and in animals that were administered antibiotics for a prolonged period.</p><p><strong>Clinical significance: </strong>The use of orthopedic implants in ruminants is associated with a good outcome with 92.6% of cases surviving to discharge and a comparable incidence of surgical site infection as other large animal species.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing short term complications following surgical tibial fracture repair.","authors":"Faolain Barrett, Derek Fox","doi":"10.1111/vsu.70012","DOIUrl":"https://doi.org/10.1111/vsu.70012","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erica R Rehnblom, Sean M Murphy, W Wade Won, Jonathan T Suber, Joshua J Arnold
{"title":"Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine<sup>TM</sup> fracture system.","authors":"Erica R Rehnblom, Sean M Murphy, W Wade Won, Jonathan T Suber, Joshua J Arnold","doi":"10.1111/vsu.70028","DOIUrl":"https://doi.org/10.1111/vsu.70028","url":null,"abstract":"<p><strong>Objective: </strong>To describe specific methods of plate application and to report outcomes for patients treated with the OrthoLine<sup>TM</sup> system.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>A total of 65 dogs, and six cats.</p><p><strong>Methods: </strong>Medical records of dogs and cats treated with the OrthoLine<sup>TM</sup> system were reviewed. Cases with <12 weeks follow-up, significant comorbidities, a revision procedure, or those receiving the study implant in combination with another system were excluded. Construct application characteristics (plate span [%], plate span ratio, screw hole density, and plate working length [cm]) were calculated and compared between fracture locations. Patient outcomes included fracture healing, owner assessed outcome (telephone interview) and reported complications from owner interviews and medical records.</p><p><strong>Results: </strong>A total of 75 fractures in 71 cases were treated with 77 plates. Clinical union was noted in 57/61 fractures (93.4%) at a range of 1.7-19.7 weeks. Owner assessed outcome (n = 51) was graded as full or acceptable for all cases. Major complications included implant failure (n = 1), implant infection (n = 2), and intraoperative malreduction with revision (n = 1). Plate span of radial (46.6%) and ulnar (33.0%) constructs were both lower compared to femoral (73.3%) (p < .001) constructs, and ulnar constructs were also lower compared to tibial (61.7%) constructs (p = .004).</p><p><strong>Conclusion: </strong>The OrthoLine<sup>TM</sup> system produced acceptable radiographic healing, complication rates, and owner assessed outcomes. Shorter plate spans in the radius and ulna were well tolerated.</p><p><strong>Clinical significance: </strong>The OrthoLine<sup>TM</sup> system is a promising alternative for fracture repair in dogs and cats.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefania Renier, Federico Massari, Manuel Jimenez Pelaez, Angelo Tapia-Araya, Vincenzo Montinaro, Felipe J Lillo-Araya, Roberto Properzi, Filippo Cinti
{"title":"Thoracoscopic resection of cranial mediastinal masses: Retrospective study in 17 cats.","authors":"Stefania Renier, Federico Massari, Manuel Jimenez Pelaez, Angelo Tapia-Araya, Vincenzo Montinaro, Felipe J Lillo-Araya, Roberto Properzi, Filippo Cinti","doi":"10.1111/vsu.70027","DOIUrl":"https://doi.org/10.1111/vsu.70027","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility, complications and outcomes of thoracoscopic resection of cranial mediastinal masses in cats.</p><p><strong>Study design: </strong>Multi-institutional retrospective study.</p><p><strong>Animals: </strong>A total of 17 client-owned cats.</p><p><strong>Methods: </strong>Data collected from medical records of cats that underwent thoracoscopic surgery for cranial mediastinal masses between January 2019 and December 2024 included signalment, history, clinicopathologic features, preoperative diagnostic imaging and tumor measurement, anesthesiologic and surgical procedures, complications, and short- or long-term follow-ups.</p><p><strong>Results: </strong>The most common clinical sign was dyspnea. All cats started with thoracoscopic surgical exploration. Non-emergent conversion to an open procedure (sternotomy or video-assisted procedures [VATS]) was necessary in six of 17 (35.29%) cats, with conversions primarily occurring in cases with masses larger than 5 cm. The median maximal tumor diameter was 6 cm (range: 2.2-8.1 cm). The most common tumor type was thymoma, identified in 12 of 17 (70.59%) cats. All cats survived the perioperative period and were alive at the short-term follow-up. Mean survival time was 390.62 days.</p><p><strong>Conclusion: </strong>The presence of larger tumor sizes and adhesions were associated with higher conversion rates to open or VATS procedures, underscoring the importance of tumor dimensions in surgical planning.</p><p><strong>Clinical significance: </strong>Thoracoscopic surgery for cranial mediastinal masses in cats is technically feasible, with favorable short-24 and long-term outcomes. Conversion rates were lower in cats with smaller masses without adhesions in this study.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah L Austin, Alec Truswell, Kadie O'Byrne, Fiona J Coghill
{"title":"Comparison of steam and hydrogen peroxide gas plasma sterilization of cohesive latex bandage wraps: A pilot study.","authors":"Sarah L Austin, Alec Truswell, Kadie O'Byrne, Fiona J Coghill","doi":"10.1111/vsu.70025","DOIUrl":"https://doi.org/10.1111/vsu.70025","url":null,"abstract":"<p><strong>Objective: </strong>To compare the sterilization of cohesive bandage material with steam or hydrogen peroxide gas plasma (HPGP).</p><p><strong>Study design: </strong>In vitro experimental pilot study.</p><p><strong>Sample population: </strong>Latex cohesive bandages (n = 49).</p><p><strong>Methods: </strong>Rip-Rap cohesive bandages (n = 20) in equal groups; as supplied, rewound with or without the cardboard roll, and as supplied with no cardboard roll. These were inoculated with 0.1 mL Geobacillus stearothermophilus spores. Each was packaged with a chemical and biological indicator before sterilization with HPGP. Wrap.it (n = 10) and Rip-Rap (n = 10) bandages, divided into as-supplied and rewound groups, were inoculated with 0.1 mL G. stearothermophilus spores. Then sterilized in a steam autoclave at 134°C for 5 min. Post sterilization, the inoculated area was resected and placed into broth and incubated at 60°C for 48 h (HPGP) and 24 h (Steam), then plated onto nutrient agar plates and incubated at 60°C for 24 h. A positive result was recorded as any growth and confirmed as a pure G. stearothermophilus population via MALDI-TOF.</p><p><strong>Results: </strong>A total of 16 of the HPGP samples had growth of G. stearothermophilus post sterilization. A total of 12 chemical indicators and four biological indicators passed. None of the steam sterilized samples had positive growth, and all indicators passed.</p><p><strong>Conclusion: </strong>HPGP is not an adequate method of sterilization for latex cohesive bandages. Steam sterilization is effective when the critical parameters for length and temperature are met.</p><p><strong>Clinical significance: </strong>Evidence-based recommendations guide in-house sterilization of latex cohesive bandages for use within the surgical field. This is an important aspect of draping aseptically and, therefore, infection prevention.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Planned en bloc resection using veno-venous bypass for an extensive retroperitoneal sarcoma with a caval thrombus in a dog.","authors":"Tatsuya Heishima, Kumiko Ishigaki, Takeo Ueda, Yumiko Kagawa, Kaito Iida, Ryo Takeuchi, Kazushi Asano","doi":"10.1111/vsu.70026","DOIUrl":"https://doi.org/10.1111/vsu.70026","url":null,"abstract":"<p><strong>Objective: </strong>To report the successful complete resection of an extensive retroperitoneal sarcoma (RPS) with a caval thrombus using veno-venous bypass (VVB) to facilitate temporary caudal vena cava (CVC) occlusion.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animal: </strong>A 12-year-old neutered male Standard Poodle.</p><p><strong>Methods: </strong>Computed tomography (CT) revealed an extensive mass originating from the right adrenal gland region with an associated caval thrombus extending into the thoracic CVC. A preemptively planned en bloc resection, including the right kidney and caval thrombus, was performed. VVB and a Pringle maneuver were used to minimize hemorrhage and maintain hemodynamic stability.</p><p><strong>Results: </strong>Surgery was successfully completed without major complications. The operative time was 161 min, with Pringle maneuver duration of 4 min 8 s and a caval occlusion time of 44 min 43 s. The dog's general condition stabilized the following day with no decline in renal function. The histopathologic examination confirmed the diagnosis of RPS. The dog remained in good health with no recurrence or metastasis at the 1-year follow-up.</p><p><strong>Conclusion: </strong>This is the first report of a clinical application of VVB during temporary caval occlusion to achieve complete en bloc resection of an extensive adrenal RPS with ipsilateral kidney and caval thrombus, followed by repair of a CVC incision. VVB may be a valuable technique for maintaining hemodynamic stability and reducing hemorrhage during complex oncological surgeries requiring temporary caval occlusion.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}