Stomatologiya最新文献

{"title":"[Unsolved dental problems in children with congenital hyperinsulin].","authors":"I Yu Pestryakova, A V Bolmasova, O G Avraamova, A M Khamadeeva","doi":"10.17116/stomat202510406167","DOIUrl":"https://doi.org/10.17116/stomat202510406167","url":null,"abstract":"<p><p>The review of modern literature on congenital hyperinsulinism in children is presented, highlighting the features of the clinical course, nutrition treatment and dynamic monitoring of children. Only a few publications have hypothesized about possible dental problems in children with congenital hyperinsulinism, without specifying and describing them. The risk factors for caries, the specifics of dental care, and ways to improve the quality of life have not been sanctified. The general condition of the child can be so severe that dental problems are not taken into account by specialists of other profiles. The study of risk factors for dental diseases (dental caries, diseases of the oral mucosa, chronic oral sepsis) in children with congenital hyperinsulinism, their prevention, and treatment features is relevant for planning dental support, and it is important to route children in connection with the expected behavioral risk factors for treatment, both underlying and concomitant diseases.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 6","pages":"67-73"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[New approach for cleft palate repair with one hemi-uvula preservation based on anatomical landmarks].","authors":"A L Ivanov, S A Sukacheva","doi":"10.17116/stomat202510406122","DOIUrl":"https://doi.org/10.17116/stomat202510406122","url":null,"abstract":"<p><strong>Objective: </strong>To develop a method for reconstructing the distal soft palate in cleft closure using reproducible anatomical landmarks.</p><p><strong>Material and methods: </strong>A total of 110 patients with congenital cleft lip and/or palate were included in two cohorts (53 and 57 patients). Each cohort was divided into three groups based on the surgical technique: Group 1 - anatomical landmark-based technique; Group 2 - Ivanov-Ageeva technique; Group 3 - traditional methods. Outcomes were assessed using a custom aesthetic scoring scale, parental satisfaction questionnaires, and measurements of operative time and intraoperative blood loss.</p><p><strong>Results: </strong>The landmark-based technique provided the best and most consistent aesthetic results. Surgeon-assigned aesthetic scores were 14/6±0.4 (Group 1), 12.3±0.9 (Group 2), and 8.8±1.2 (Group 3), <i>p</i> < 0.001. Operative time was shorter in Group 1 (155.1±29/4 min) than in Group 2 (197.5±33.8 min), <i>p</i> < 0.001. Parental satisfaction was also highest in Group 1 (4.77±0.44), <i>p</i> < 0.001.</p><p><strong>Conclusion: </strong>Incorporating anatomical landmarks in cleft palate repair standardizes the surgical approach and significantly improves aesthetic and functional outcomes.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 6","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Comprehensive orthodontic-surgical treatment planning for patients with skeletal dentofacial anomalies based on the digital 3D-technologies].","authors":"S V Tekucheva, F F Losev, T D Cholokava, E S Skorobogatko, I A Klipa, I A Karimova","doi":"10.17116/stomat202510406284","DOIUrl":"10.17116/stomat202510406284","url":null,"abstract":"<p><strong>Objective: </strong>To propose and validate a new method of treatment planning for orthodotic-surgical cases based on digital 3D-technologies.</p><p><strong>Materials and methods: </strong>A clinical case is presented demonstrating the planning of comprehensive orthodontic-surgical treatment for a patient with a skeletal form of distal occlusion using the developed method. This method is based on creating a digital simulation model of the dentoalveolar complex by combining medical images of different modalities (CBCT, digital dental arch models) into a single workspace for subsequent virtual surgical and orthodontic treatment simulation as a foundation for later implementation.</p><p><strong>Results: </strong>The method of planning orthodontic-surgical treatment using digital 3D technologies was described and tested on a patient with a skeletal form of distal occlusion. As a result, a sequential simulation of bimaxillary orthognathic surgery and preparatory orthodontic treatment was performed on the digital simulation model of the dentoalveolar complex.</p><p><strong>Conclusion: </strong>The digital simulation model of the dentoalveolar complex serves as a basis for virtual simulation of comprehensive treatment by maxillofacial surgeons, orthodontists, and prosthodontists. This technology allows visualization of the treatment outcome before its initiation and reduces the likelihood of complications during the orthodontic and surgical stages of comprehensive treatment. Integration of a patient's digital data and working with it in specialized computer programs with high accuracy enables determination of the necessary extent and biomechanical nuances of tooth movement, as well as monitoring the dynamics of orthodontic treatment.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 6. Vyp. 2","pages":"84-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Efficiency of permanent teeth filling in children with molar-incisor hypomineralization].","authors":"P S Timoshenko, M V Korolenkova","doi":"10.17116/stomat202510405179","DOIUrl":"10.17116/stomat202510405179","url":null,"abstract":"<p><strong>Objective: </strong>: to determine by the analysis of literature data whether molar-incisor hypomineralization (MIH) affects the efficiency of dental filling.</p><p><strong>Materials and methods: </strong>The analysis was conducted based on articles found on the PubMed and E-library portals using the keywords: \"molar-incisor hypomineralization\", \"MIH\", \"rehabilitation in MIH\", \"enamel pretreatment in MIH\", \"enamel adhesion in MIH\", \"treatment of molar-incisor hypomineralization\".</p><p><strong>Results: </strong>Enamel of teeth with MIH differs from healthy enamel: the content of organic matter, including proteins and lipids in hypomineralized enamel is eight times higher than in normal enamel. Increased content of organic matter and phosphorus suggests that the enamel does not reach the maturation stage, and its structure becomes more porous. Many authors indicate a decrease in the adhesion force to demineralized enamel in MIH. To improve it several strategies are used: complete removal of visible demineralized enamel, remineralizing therapy, deproteinization, chemical or mechanical microabrasion of enamel before filling.</p><p><strong>Conclusion: </strong>The effect of these strategies is inconclusive; in the long term, direct restorations are often complicated by marginal leakage and caries, which in turn leads to the loss of a large amount of hard tissues. Alongside with complete removal of demineralized enamel recommended by some authors this results in an increase of the defect area often corresponding to the indication for tooth restoration by indirect restoration.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 5","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Electromyographic evaluation of the dynamic electroneurostimulation effectiveness in skeletal class III patient rehabilitation after orthognathic surgery].","authors":"A S Migachev, A I Shaikhaliev, A M Isagadzhiev, I O Bagin, M M Abakarov","doi":"10.17116/stomat202510406143","DOIUrl":"https://doi.org/10.17116/stomat202510406143","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of the dynamic electroneurostimulation method in the rehabilitation of patients with skeletal mesial occlusion after orthognathic surgery using surface electromyography.</p><p><strong>Material and methods: </strong>The study included 32 patients with skeletal class III, who were divided into two equal groups: A (study) - patients underwent dynamic electrical neurostimulation (DENS) in the postoperative period, B (control) - standard postoperative care. Group C was also used for comparison - 30 student volunteers without bite pathology. For an objective assessment of the effectiveness of DENS, surface electromyography was used, the values were determined during relaxation and maximum voluntary contraction at the following times: before surgery, 3 months, 6 months after surgery.</p><p><strong>Results: </strong>After the orthognathic surgery, the electromyographic activity of the masticatory muscles during maximum contraction decreased, showing incomplete recovery by the 6th month after surgery in the control group B (501±56 μV and 583±50 μV) and higher values in the study group A than before surgery (624±72 μV and 576±52 μV). In the postoperative period, an increase in the bioelectrical activity of the temporal muscles during maximum voluntary contraction was observed, while 3 months after surgery (T1), the indicators in the study group (879±95 μV) exceeded the values of the control group (847±92 μV). Resting temporal muscle activity levels after 6 months were comparable to those in healthy volunteers (group A: 35±4.7 μV, group B: 36±5.9 μV, group C: 36±8.9 μV, <i>p</i>>0.05).</p><p><strong>Conclusions: </strong>DANCE can be effectively used in the rehabilitation of patients after orthognathic surgery.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 6","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Application of BMP-2 for bone regeneration in osteoporosis].","authors":"V S Kuznetsova, V A Sinelnikova, A V Vasilyev","doi":"10.17116/stomat2025104031101","DOIUrl":"10.17116/stomat2025104031101","url":null,"abstract":"<p><p>This review considers the potential use of bone morphogenetic protein-2 (BMP-2) for bone regeneration in osteoporosis. Studies on the effect of BMP-2 on bone regeneration in vitro and in vivo are analysed. The results of clinical application of osteoinducers and possible complications are described.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"101-108"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Method for determining the activity of a galvanic cell in galvanic syndrome and diseases of the oral mucosa].","authors":"A G Volkov, N Zh Dikopova, V M Grinin, S N Razumova, N A Volkov, G E Amanatidi","doi":"10.17116/stomat202510403121","DOIUrl":"10.17116/stomat202510403121","url":null,"abstract":"<p><strong>The objective: </strong>Of this work is to study the effectiveness of a method for determining the activity of a galvanic cell in the absence and presence of galvanic syndrome and diseases of the oral mucosa, the development of which may be associated with the irritating effect of direct electric current.</p><p><strong>Material and methods: </strong>Three groups of 50 patients were examined. All patients had at least 2 metal structures in the oral cavity. The first group consisted of patients without diseases of the oral mucosa and the absence of complaints specific to galvanic syndrome. The second group included patients without signs of pathological changes in the oral mucosa but with complaints are specific to galvanic syndrome. The third group consisted of patients with diseases of oral mucosa, the development of which could be due to the irritating effect of direct electric current. The electrochemical potential of each metal structure was determined and the difference between the potential obtained was calculated to detect metal structures that could form a galvanic pair. To determine the activity of a galvanic cell formed by galvanic vapors, the hydrogen index of the gingival fluid in the area of these structures was determined.</p><p><strong>The results of the study: </strong>The difference in the electrochemical potentials of metal structures in the studied groups had no statistically significant differences (<i>p</i>>0.05) and amounted to: 129±24.7 mV in the first group, 138±35.3 mV in the second, 135±19.8 mV in the third. In the first group, 92% of patients had no significant difference in the hydrogen parameters of gingival fluid near pairs of metal structures (<i>p</i>>0.05). The hydrogen values were 6.6±0.26 at the cathode and 6.9±0.35 at the anode. In the second group, 88% of patients showed significant credible differences (<i>p</i><0.05) in the hydrogen parameters of the gingival fluid near metal structures, at the cathode - 7.9±0.42, and at the anode - 6.3±0.31. In the third group, 86% of patients also showed a high difference in the hydrogen parameters of the gingival fluid near metal structures, at the cathode - 7.8±0.29, at the anode - 6.3±0.22 (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>A method for detecting the activity of a galvanic element in the oral cavity, which consists in measuring the hydrogen parameters of the gingival fluid near metal structures forming a galvanic pair, allows you to objectively assess whether the galvanic element is in a passive or active state. In the absence of galvanic syndrome and diseases of the oral mucosa, the detection rate of active galvanic cells was only 8%, wwhile in the presence of galvanic syndrome it was 88%, and in diseases of the oral mucosa it was 86%.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Dynamics of PCR diagnostic indicators after photodynamic treatment].","authors":"F F Losev, E K Krechina, E N Nikolaeva, A V Myagkova","doi":"10.17116/stomat202510404122","DOIUrl":"10.17116/stomat202510404122","url":null,"abstract":"<p><strong>Objective: </strong>Evaluation of the effectiveness of treatment of chronic generalized periodontitis by PDT method based on PCR diagnostic data.</p><p><strong>Material and methods: </strong>A clinical and laboratory study and treatment of chronic generalized periodontitis of moderate severity was conducted in 30 people (16 men and 14 women) aged 35 to 55 years without somatic pathology with orthognathic bite diagnosed according to ICD-10 K05.3. Complex treatment consisted of oral sanitation, removal of dental plaque and curettage of periodontal pockets followed by photodynamic therapy (4 sessions of 10 minutes each). Bacteriological examination was performed before and after PDT. The test material was collected from inflammation sites in the gingival sulcus area and from periodontal pocket areas. DNA determination of <i>Prevotella intermedia</i>, <i>Tannerella forsythia</i> (<i>Bacteroides forsythus</i>), <i>Treponema denticola</i>, <i>Aggregatibacter actinomycetemcomitans</i> (<i>Actinobacillus actinomycetemcomitans</i>) and <i>Porphyromonas gingivalis</i> was performed using the reagent kit Multident-5 by the method of accelerated sample preparation using reagents manufactured by Genlab LLC in accordance with the manufacturer's instructions. The results were assessed by a semi-quantitative method (in points from 0 to 4).</p><p><strong>Results: </strong>According to PCR diagnostics, a positive trend was observed in patients after PDT treatment. The decrease in the frequency of <i>A. actinomycetemcomitans</i> DNA detection after treatment was not statistically significant. At the same time, <i>A. actinomycetemcomitans</i> was identified in 17 (85%), after therapy in 15 (80%) indivisuals. The frequency of <i>P. intermedia</i> detection after therapy decreased from 15 (40%) to 0 (0%) cases. The frequency of <i>P. gingivalis</i> DNA detection decreased by 1.4 times: from 18 (90%) cases before treatment to 13 (65%) after treatment. One month after PDT, the frequency of <i>P. gingivalis</i> DNA detection decreased by 2 times, and after 3 months by 1.4 times. <i>T. forsythia</i> was detected before treatment in all patients, after treatment in 18 cases (90%). One month after PDT, it decreased significantly and was completely eliminated, which remained the case after 3 months. <i>T. denticola</i> was detected in 16 (80%) patients before treatment and in 14 (70%) people after treatment.</p><p><strong>Conclusions: </strong>PDT resulted in a significant reduction in the bacterial load in patients with moderate chronic generalized periodontitis.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"22-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Features of clinical manifestations of salivary gland pathology in patients after radioiodine therapy].","authors":"A Ya Razumova, A I Yaremenko, S I Kutukova, E V Borodavina, N L Petrov, S A Yaremenko","doi":"10.17116/stomat202510404112","DOIUrl":"10.17116/stomat202510404112","url":null,"abstract":"<p><strong>Objective: </strong>The aim the study is determination of the features of the manifestations of sialadenitis that developed during or after radioiodine therapy.</p><p><strong>Material and methods: </strong>We analyzed the data of 61 patients who received at least one session of radioiodine therapy. The patients were divided into two groups: with and without salivary gland pathology. Patients in the control group underwent scintigraphy and ultrasound examination of the soft tissues of the maxillofacial region and neck, as well as salivary gland structures, once every 3 months (in remission - once a year). When obstruction of the ductal system of the salivary glands was detected, patients underwent diagnostic sialoscopy.</p><p><strong>Results: </strong>A bilateral lesion of the parotid salivary gland was found in 10 (36%) patients. Damage to the salivary glands developed after receiving at least one dose of radioiodine therapy (2.56 Gbq). The main complaint was an enlargement of the salivary gland. The first symptoms of the disease appeared at initial doses of radionuclide therapy not exceeding 6.77 Gbq(at the minimum dose 2.56 Gbq): the median time for the first symptoms of salivary gland disease was 14.5 (95% CI 11.0-113.0) months (<i>p</i><0.0001).</p><p><strong>Conclusion: </strong>The main clinical signs of sialadenitis, which broke down against the background of radioiodine therapy, are impaired saliva outflow, as well as xerostomia. Therefore, the treatment of this pathology should be aimed at restoring the patency of the ductal system and stimulating saliva production.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The integral analysis of children's dental health by the factor of the living functional area (on the example of the Kursk Region)].","authors":"D S Tishkov, V Yu Denisova, V V Denisova, V A Zhurbenko, A E Karlash","doi":"10.17116/stomat202510404188","DOIUrl":"10.17116/stomat202510404188","url":null,"abstract":"<p><strong>Objective: </strong>To assess the dental status of pediatric population in Kursk and Zheleznogorsk district and correlation with the functional area of residence.</p><p><strong>Material and methods: </strong>The study involved 425 patients from 6 to 15 years old, living in regions of different radius from the Mikhailovsky Mining and Processing Plant: proximity of residence 10-30 km (<i>n</i>₁ - group 1); 31-50 km (<i>n</i>₂ - group 2); more than 50 km - comparison group (<i>n</i>₃). Age subgroups were identified within the groups: children with early mixed bite aged 6-8 years (<i>n</i>₁=45, <i>n</i>₂=41, <i>n</i>₃=46), children with late mixed bite aged 9-12 years (<i>n</i>₁=48, <i>n</i>₂=46, <i>n</i>³=50), children with permanent bite aged 13-15 years (<i>n</i>₁=50, <i>n</i>₂=48, <i>n</i>₃=51).</p><p><strong>Results: </strong>The prevalence of caries among children is high (n₂ - 89.73%; <i>n</i>₃ - 89.12%). In the industrial risk zone, this indicator reaches 90.24%. For children of 6-8 years, there was a significant increase in the intensity of the carious process within the designated living areas: DMFT+df <i>n</i>₁=5.6 [5.4-5.8] (<i>p</i><0.001) and <i>n</i>₂=5.4 [5.0-5.6] (<i>p</i>=0.0016) exceeds the median value of the comparison group 5.0 [4.7-5.1]. The level of caries resistance was also reduced with 95% probability for patients of Zheleznogorsk district: <i>n</i>₁ - 6.1 [5.8; 6.3] (<i>p</i>=0.0014) and <i>n</i>₂ - 5.9 [5.4;6.1] (<i>p</i><0.001).There were no statistically significant differences in children of secondary school age and adolescence with the control group, but a negative trend was identified.</p><p><strong>Conclusion: </strong>The results obtained demonstrate changes in the dental status of children living near an industrially active area, which is a prerequisite for careful monitoring of their health status.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"88-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}