Veterinary SurgeryPub Date : 2025-01-01Epub Date: 2024-12-09DOI: 10.1111/vsu.14193
Jacob R Levine, Valery F Scharf
{"title":"Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection.","authors":"Jacob R Levine, Valery F Scharf","doi":"10.1111/vsu.14193","DOIUrl":"10.1111/vsu.14193","url":null,"abstract":"<p><strong>Objective: </strong>To describe the feasibility, efficiency, and extent of thoracoscopic pericardiectomy (TP) on a ventilated dog with an intercostal approach in lateral recumbency (ILR), in comparison with the traditional transdiaphragmatic paraxiphoid approach in dorsal recumbency (PDR).</p><p><strong>Study design: </strong>Randomized experimental study.</p><p><strong>Animals: </strong>Twenty canine cadavers (n = 10 per group).</p><p><strong>Methods: </strong>Thoracoscopic pericardiectomy was performed on mechanically ventilated cadavers to remove the largest pericardial fragment possible using either the ILR or PDR technique. Approach and procedure time were recorded, and surgical extent (cardiac exposure/exteriorization, pericardial fragment area) was assessed. Procedural difficulty and intraoperative visibility were also assessed to evaluate feasibility.</p><p><strong>Results: </strong>Total surgical time (sum of approach and pericardiectomy time) did not differ between groups, although PDR pericardiectomy took longer (p = .045) by an average of 5.2 min. Exteriorization of the heart from the pericardial sac was achieved for all trials. Pericardial fragments from PDR trials were larger than those of ILR (p = .004), with a mean difference of 23.21 cm<sup>2</sup>. Cardiac exposure and operative visibility scores were greater for PDR procedures.</p><p><strong>Conclusion: </strong>The ILR approach with bilateral ventilation was a feasible alternative for performing partial pericardiectomies, which did not require more total surgical time when compared with the PDR approach.</p><p><strong>Clinical significance: </strong>The ILR approach for TP warrants further evaluation in live dogs as it may hold promise for treating causes of pericardial effusion that do not require subtotal pericardiectomy and improving efficiency when paired with other ILR procedures such as thoracic duct ligation.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"68-76"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802391","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}
Veterinary SurgeryPub Date : 2025-01-01Epub Date: 2024-07-15DOI: 10.1111/vsu.14139
Alexis Bilmont, Jonathan Pink, Stephen Clarke, Michael P Kowaleski
{"title":"Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view.","authors":"Alexis Bilmont, Jonathan Pink, Stephen Clarke, Michael P Kowaleski","doi":"10.1111/vsu.14139","DOIUrl":"10.1111/vsu.14139","url":null,"abstract":"<p><strong>Objective: </strong>To measure truncated face and open face versions of the biological fixation (BFX) cup in a three-dimensional (3D) model simulating the ventrodorsal radiographic projection with different cup and pelvis positions.</p><p><strong>Study design: </strong>Computer simulation.</p><p><strong>Methods: </strong>Simulated ventrodorsal views were generated in silico using 3D models of a BFX cup and a medium-sized canine pelvis. Truncated face and open face versions of the BFX cup were defined and measured with various angles of cup version, cup inclination, and pelvic extension.</p><p><strong>Results: </strong>Truncated face version was different from and underestimated open face version by 12° to 22° (p < .001). Open face version varied with inclination while truncated face version was unaffected by inclination. Open face version was dependent on the degree of pelvic extension while truncated face version was unaffected.</p><p><strong>Conclusion: </strong>Open face version differed from truncated face version. Changes in open face version were not consistently matched by a change in truncated face version.</p><p><strong>Clinical significance: </strong>The open face of the cup may be excessively retroverted without this being reflected by truncated face retroversion as seen on a ventrodorsal radiographic view. However, in this study, BFX cups placed with truncated face version and inclination in the normal range and an ALO of 45° yielded predictable open face version.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"219-227"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617211","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 : 2025-01-01Epub Date: 2024-03-08DOI: 10.1111/vsu.14081
Yuya Saitoh, Andrew J Worth, Hugh Hasselman, Sacha Devereux
{"title":"Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs.","authors":"Yuya Saitoh, Andrew J Worth, Hugh Hasselman, Sacha Devereux","doi":"10.1111/vsu.14081","DOIUrl":"10.1111/vsu.14081","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the use of a temporary calcaneotibial screw (CTS) to immobilize medial or lateral tarsocrural joint instability (TCI) in dogs.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Twelve dogs (including five active working farm dogs) with TCI.</p><p><strong>Methods: </strong>Medical records (January 2015-June 2023) were retrospectively reviewed for cases of TCI managed surgically including temporary joint immobilization using a CTS and external coaptation. Clinical data consisted of medical records and an online survey completed by the owner.</p><p><strong>Results: </strong>Surgical techniques to address TCI included primary ligamentous repair, synthetic ligament reconstruction, or malleolar fracture repair. Immobilization with a CTS was employed for 6-8 weeks postoperatively. The online survey was completed for 10 dogs. All dogs exhibited good-to-excellent functional outcomes at the follow-up (median, 31 months; range, 4-66). All working farm dogs (5) were able to return to normal or substantial levels of their work. Four distinct complications were reported in three dogs including one CTS breakage and three bandage-related soft-tissue injuries.</p><p><strong>Conclusion: </strong>This retrospective study represents the first report of employing a temporary CTS for TCI in dogs.</p><p><strong>Clinical significance: </strong>A temporary CTS was effective in immobilizing the tarsocrural joint for dogs with TCI and the postoperative complication rate in this study was relatively low. A CTS screw and external coaptation is a viable alternative to previously reported methods of tarsocrural joint stabilization.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"155-163"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140065936","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}
{"title":"Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs.","authors":"Ida Forzisi, Aldo Vezzoni, Luca Vezzoni, Dario Drudi, Alexandros Bourbos, Denis J Marcellin-Little","doi":"10.1111/vsu.14180","DOIUrl":"10.1111/vsu.14180","url":null,"abstract":"<p><strong>Objective: </strong>To describe percentage length changes in the femur after total hip replacement (THR) performed before skeletal maturity.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Twenty-four dogs younger than 8.5 months which underwent unilateral THR and had radiographic follow up.</p><p><strong>Methods: </strong>Preoperative and follow-up radiographs were reviewed. Radiographic measurements included the length of the greater trochanter, femoral diaphysis and distal epiphysis, width of the femur 10 mm distal to the distal aspect of the greater trochanter, width of the femur at 50%, and femoral condylar offset. Percentage changes in length over time were compared among operated and contralateral femurs used as controls. Measurements were collected in triplicate in 10 dogs to evaluate consistency.</p><p><strong>Results: </strong>All repeated measurements had excellent consistency. The percentage increase in length of the greater trochanter was smaller in operated femurs than controls (mean difference: -11.5%, p = .017), but no differences were observed for the femoral diaphysis and distal epiphysis (-1.0%, p = .595), or the femur overall (-2.3%, p = .232). The percentage increase in femoral cortical width was greater in operated femurs than controls, both 10 mm distal to the greater trochanter (4.6% difference, p = .037) and at 50% length (8.5% difference, p = .030).</p><p><strong>Conclusion: </strong>In growing dogs, cementless THR decreased trochanteric growth by approximately 10% but did not change diaphyseal growth and femoral growth.</p><p><strong>Clinical significance: </strong>Cementless THR performed in skeletally immature dogs with severe hip problems did not impact femoral length in a clinically relevant fashion.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"199-207"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509130","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}
{"title":"Effects of short-course virtual reality or video-box training on basic laparoscopic skills and simulated surgical performance in veterinary students.","authors":"Natasha M Hottmann, Boel A Fransson","doi":"10.1111/vsu.14201","DOIUrl":"https://doi.org/10.1111/vsu.14201","url":null,"abstract":"<p><strong>Objective: </strong>To compare novices' performance on simulated laparoscopic tasks with a box trainer and virtual reality (VR) trainer before and after training on one system, and to compare performance between groups following training.</p><p><strong>Study design: </strong>Randomized, prospective study.</p><p><strong>Sample population: </strong>Twelve veterinary students without prior hands-on laparoscopic experience were randomly assigned to the box or VR training group.</p><p><strong>Methods: </strong>Performance of basic laparoscopic tasks on box and VR trainers and simulated surgical task were scored before and after completion of a designated training program. Scores for each task were compared within and between groups.</p><p><strong>Results: </strong>The box group's post-training scores were higher than pretraining scores for all box tasks. The VR group's post-training scores were higher than pretraining scores for most VR tasks. Median post-training scores were higher in the box group than the VR group for all box tasks. Median post-training scores were higher for the VR group than the box group only for VR intracorporeal suturing. Neither program led to a substantial improvement in simulated surgical task performance.</p><p><strong>Conclusion: </strong>In this study the box trainer seemed more effective than the VR trainer for training novices to perform most basic tasks. The lack of substantial improvement of simulated surgical task performance is likely related to study limitations including small sample size and short training timeline.</p><p><strong>Impact: </strong>Both training systems increased basic laparoscopic skills in novices. Laparoscopic simulation training may be applicable within veterinary school curricula. Additional studies are warranted to assess these systems with different tasks and trainee experience.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872855","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}
James W Gant, Josh E Collins, Zachary A Miller, Richard L Einsporn
{"title":"Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes.","authors":"James W Gant, Josh E Collins, Zachary A Miller, Richard L Einsporn","doi":"10.1111/vsu.14198","DOIUrl":"https://doi.org/10.1111/vsu.14198","url":null,"abstract":"<p><strong>Objective: </strong>To determine the influence on surgical site infection (SSI) rates when using 0.7% iodophor and 74% isopropyl alcohol versus 2% chlorhexidine and 70% isopropyl alcohol. To evaluate the adherence of an iodophor-impregnated surgical incise drape when used in conjunction with 0.7% iodophor and 74% isopropyl alcohol.</p><p><strong>Study design: </strong>Combines retrospective control and prospective data.</p><p><strong>Sample population: </strong>This study included dogs and cats, 653 retrospective cases and 435 prospective cases, with 447 incisions.</p><p><strong>Methods: </strong>The SSI rate of a 2% chlorhexidine and 70% isopropyl alcohol preparation was retrospectively reviewed. The prospective population received 0.7% iodophor and 74% isopropyl alcohol; risk factors for SSI were evaluated and incise drape lift was documented.</p><p><strong>Results: </strong>A 1.8% difference in SSI between the chlorhexidine group and 0.7% iodophor and 74% isopropyl alcohol group was found (p = .25). The drape lift was 13.2%. Drape lift (p = .026), increased body weight (p = .008), and the use of glutaraldehyde for instrument sterilization (p = .055) were associated with an increased risk of SSI development.</p><p><strong>Conclusion: </strong>The 0.7% iodophor and 74% isopropyl alcohol treatments demonstrated similar effectiveness to 2% chlorhexidine and 70% isopropyl alcohol in skin preparation. Using an iodophor-impregnated drape with 0.7% iodophor and 74% isopropyl alcohol reduced both drape lift and the risk of SSI.</p><p><strong>Clinical significance: </strong>These findings support the combined use of an incise drape with 0.7% iodophor and 74% isopropyl alcohol preparation, provide evidence against the use of glutaraldehyde, and indicate that heavier patients have an increased risk of SSI.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872880","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}
Zong H Peng, Vanna M Dickerson, Virginia R Fajt, Emily N Gould, Madeline Droog, Kelley M Thieman Mankin
{"title":"Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel.","authors":"Zong H Peng, Vanna M Dickerson, Virginia R Fajt, Emily N Gould, Madeline Droog, Kelley M Thieman Mankin","doi":"10.1111/vsu.14195","DOIUrl":"https://doi.org/10.1111/vsu.14195","url":null,"abstract":"<p><strong>Objective: </strong>To quantify serum amikacin concentrations in dogs undergoing wound management with topical amikacin (45 mg/mL) 3% carboxymethylcellulose hydrogel.</p><p><strong>Study design: </strong>Prospective clinical study.</p><p><strong>Sample population: </strong>Eleven client-owned dogs.</p><p><strong>Methods: </strong>Dogs with naturally occurring wounds, undergoing treatment with topical amikacin gel, were enrolled. A whole blood sample was collected prior to initial application of the gel. Up to a maximum dose of 30 mg/kg of gel, was applied directly on the wound and the wound was bandaged. Serial blood sampling was performed at approximately 2, 4, 8, 12, 18, 24, 32, 40, 48, 56, 64, and 72 h after application of amikacin gel. The sampling schedule was reset following each bandage change and new application of the gel. Up to 20 samples per dog were collected. The Siemens Syva EMIT Amikacin Assay was used to quantify the concentration of amikacin in each blood serum sample. The lower limit of quantification (LLOQ) of the test was 2.5 μg/mL.</p><p><strong>Results: </strong>Amikacin gel was applied a total of 31 times (dose range, 0.1-24.9 mg/kg). A total of 153 samples were analyzed. Five samples in three different dogs were above the LLOQ at approximately 2 h after gel application (range 2.75-3.82 μg/mL). All other samples were below the LLOQ.</p><p><strong>Conclusion: </strong>Routine use of amikacin gel for open wound management did not result in serum amikacin levels above 5 μg/mL.</p><p><strong>Clinical significance: </strong>Topical amikacin gel may be a safe treatment option for wounds in dogs with resistant infections or biofilms.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802392","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 : 2024-11-01Epub Date: 2024-05-06DOI: 10.1111/vsu.14099
Logan M Scheuermann, Stanley E Kim
{"title":"Three-dimensionally printed osteotomy and reaming guides for correction of a multiplanar femoral deformity stabilized with an interlocking nail in a dog.","authors":"Logan M Scheuermann, Stanley E Kim","doi":"10.1111/vsu.14099","DOIUrl":"10.1111/vsu.14099","url":null,"abstract":"<p><strong>Objective: </strong>To describe the use of virtual surgical planning (VSP) and three-dimensionally (3D) printed surgical guides for corrective osteotomies stabilized with an interlocking nail in a dog with a multiplanar femoral deformity.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animals: </strong>An 8-year-old male neutered mixed breed dog weighing 44 kg.</p><p><strong>Methods: </strong>A dog was presented for a right grade 3 lateral patellar luxation secondary to a multiplanar femoral deformity due to a suspected femoral malunion. A computed tomography (CT) scan was obtained to create virtual femoral models. Corrective osteotomies were simulated with VSP. Custom osteotomy guides and reaming guides were designed to facilitate the correction and the placement of an interlocking nail. The preoperative femoral model, virtually aligned femoral model, custom osteotomy guides, and reaming guides were 3D printed, sterilized, and utilized intraoperatively. A CT scan was performed postoperatively to assess femoral length and alignment.</p><p><strong>Results: </strong>Custom osteotomy and reaming guides were used as intended by the VSP. Postoperative femoral length as well as frontal, sagittal, and axial plane alignment were within 0.7 mm, 2.2°, 0.5°, and 1.6°, respectively, of the virtually planned femoral model. Two months postoperatively, the dog was sound on visual gait examination, and the patella tracked in the trochlear groove throughout stifle range of motion and was unable to be manually luxated. Radiographs obtained 2 months postoperatively revealed static femoral alignment and implants. Both osteotomies were discernable with callus bridging.</p><p><strong>Conclusion: </strong>Virtual surgical planning and custom osteotomy and reaming guides facilitated complex femoral corrective osteotomies and interlocking nail placement.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1438-1447"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854161","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 : 2024-11-01Epub Date: 2024-09-24DOI: 10.1111/vsu.14166
Maria Potamopoulou, Audrey Petite, Laurent Findji
{"title":"Combined forequarter amputation and hemilaminectomy for treatment of canine peripheral nerve sheath tumors of the brachial plexus invading the spinal canal: Surgical technique and outcome in nine dogs.","authors":"Maria Potamopoulou, Audrey Petite, Laurent Findji","doi":"10.1111/vsu.14166","DOIUrl":"10.1111/vsu.14166","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to describe the surgical technique and outcome of a combined forequarter amputation and hemilaminectomy (FAHL) for excision of canine peripheral nerve sheath tumors (PNSTs) of the brachial plexus extending into the vertebral canal.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Nine client-owned dogs.</p><p><strong>Methods: </strong>Dogs which underwent FAHL for resection of a brachial plexus PNST extending into the vertebral canal were included. Data from medical records including signalment, clinical findings, MRI data, histopathology reports, interval between appearance of the clinical signs and surgical intervention, affected spinal nerves and nerve roots, time to ambulate postoperatively, survival time, tumor grade and completeness of surgical margins were collected.</p><p><strong>Results: </strong>In seven of nine cases the PNST affected the eighth cervical nerve root. Five of the nine cases were ambulatory within the first 3 days postoperatively and in one case unassisted ambulation was delayed and achieved 28 days postoperatively. The median survival time was calculated to be 317 days and the mean 522 days (range 120-1620 days). Four of nine dogs were euthanized 120, 270, 306 and 317 days postoperatively, because of suspected tumor recurrence. In one of those four cases the histological margins were reported as complete.</p><p><strong>Conclusion: </strong>FAHL appeared to be a reliable technique for excision of PNSTs of the brachial plexus invading the spinal canal, with similar outcomes to previously reported for PNSTs not extending into the vertebral canal.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1477-1484"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308637","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}