Perspectivas em medicina legal e pericias medicas最新文献

{"title":"EVALUATION OF TECHNICAL NOTES ON THE SUPPLY OF MIGLUSTATE FOR TREATMENT OF NIEMANN PICK TYPE C DISEASE","authors":"Ricardo dos Santos Zuza, Carmen Silvia Molleis Galego Miziara, Ivan Dieb Miziara","doi":"10.47005/221220","DOIUrl":"https://doi.org/10.47005/221220","url":null,"abstract":"Introduction: This article aims to survey the Technical Notes on the obligation to supply the drug Miglustat for Niemann Pick type C disease. The authors evaluate the bibliography and whether there is mention of the document issued by CONITEC (National Comission on the Incorporation of Technology to Brazil’s Unified Health System), the issuing body, and whether the urgency of the request was considered justifiable. Method: Search at Natjus websites of the term ‘’Miglustat’’. Duplicate notes or notes that addressed other diseases were excluded. Results: 23 Notes were found, 14 of which were favorable and 9 were not favorable. As for urgency, 9 notes considered that there was urgency and 9 concluded there was none, while 4 did not approach urgency. In 18 notes the CONITEC document was mentioned, while it was not mentioned in 5. We found 2 articles with a high degree of evidence, published after 2019, on the topic. Discussion: It was to be expected that the technical notes favorable to the release would present studies not evaluated by CONITEC, with new information. When reading the bibliography, only note 01/2021 cites these articles. None of the other 20 notes, favorable or not to the release, cite the articles, while 2 notes do not present a bibliography. Conclusion: This survey indicates a lack of standardization in the preparation of technical notes, with notes on the same subject altered according to the issuing entity. The bibliographic survey of the notes appears to be flawed by not discussing works with a high level of evidence regarding survival and therapeutic gains. Further work on technical notes is needed.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128012111","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":"VISUAL LAW APPLIED TO MEDICAL EXPERTISE DOCUMENTS","authors":"Fernanda Layse da Silva Nascimento","doi":"10.47005/221224","DOIUrl":"https://doi.org/10.47005/221224","url":null,"abstract":"The formality in the field of Legal Sciences has always accompanied the operators of Law; With the advent of the last pandemic, the informational load to which society was subjected has increased, demanding that more data be understood in decision-making. Visual law resources emerge in this context as potential facilitators of communication and, within the procedural course, as auxiliary mechanisms for a fair and correct decision. Recognizing this potential, the objective is to investigate the possibility of its application to documents of a medical-expert nature, considered essential for the adequate resolution of judicial disputes. For this, the research, which qualifies as theoretical, starts from studies on the application of the visual law in legal documents and, based on the deductive method, investigates the possibility of its use in expert medical documents. It is recognized that expert evidence is essential to resolve a conflict, but the magistrate’s knowledge is not always sufficient to adequately understand the specifics of a dispute. As a result, the report drawn up by an expert is expected to contain clear statements about the object, in simple and coherent language. To help achieve this end, design strategies, admittedly adaptable to various areas, have the potential to make expert conclusions more accessible. It is concluded that the application of visual law resources, by seeking to transform more complex concepts, data and information into simpler ideas, can act as a truly useful tool for the preparation of clearer and more objective expert reports.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131867095","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":"STRUCTURAL AND BIOCHEMICAL CHANGES IN CHILDREN VICTIMS OF CHILD ABUSE: A NARRATIVE REVIEW","authors":"Antonio Frabetti Neto, Carmen Silvia Molleis Galego Miziara, Giuliana Soares Patricio, Victor Covolo Garcia Sanches, Gabriel Medeiros Correia da Silva, Eduardo Felipe Rodrigues Koniz","doi":"10.47005/221222","DOIUrl":"https://doi.org/10.47005/221222","url":null,"abstract":"Introduction: Humans are defenseless in the first years of life due to the long period necessary for the complete development of the brain, which is shaped by the environment through the neuroplasticity process, and may undergo negative changes according to disastrous experiences. Abuse/violence and child neglect are acts or omissions of care, respectively, potentially capable of causing physical and/or mental harm, actual or potential, against minors under the age of 18. As Brazil reaches alarming levels of violence and child abuse, according to international data linked to the World Health Organization and nationals originating from the Notifiable Diseases Information System (SINAN), the identification of these victims and the adoption of preventive and therapeutic measures make the role of the doctor in society even more fundamental. Children who are subjected to maltreatment have potential risks of attending with structural and biochemical brain alterations which will have a negative impact, and may even be permanent, distinct intensity and vary according to the patient’s age group. Method: A study was carried out at the FMABC University Center through a narrative literature review in the PubMed database, applying the descriptors ”Child Abuse” and ”Brain Development”, with boleano ”and”. The search time was 2016 to 2022. Thirty-five articles were selected based on the reading of the abstracts of each article and listed in order of relevance. RESULTS: Imaging and population studies allowed the relationship of cases of child abuse with structural, volumetric, biochemical and clinical alterations of patients. Thus, although a mandatory causal effect cannot be traced, the relationship between psychopathology and child abuse is well established. In general, the main structural changes seen in victims of child abuse are the reduction of hippocampus, callous body, anterior cingulate cortex, frontal orbit cortex and dorsolateral prefrontal cortex. Furthermore, alterations in the amygdala, cerebellar vermis and hypothalamus-pituitary-adrenal axis give basis to the main clinics of these patients. Another point to consider is the hypothesis that certain polymorphisms can together determine how malleable a person is for both positive and negative experiences (phenotypic plasticity). In genetically susceptible people, epigenetic changes induced by maltreatment that, in turn, alter brain development trajectories can, in many cases, represent the beginning of a crucial chain of events that lead to psychopathology and risk of substance abuse, for example. Therefore, in a country like Brazil where child violence reaches alarming levels, it is mandatory to elucidate the influence of violence imposed on the phases of neurological development (structural and biochemical) on psychopathologies, substance abuse and the perpetuation of violence. This devastating scenario determines that public intervention policies should be widely discussed, developed and implement","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130993702","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":"DILEMMAS FACED BY EXPERT PHYSICIANS IN THE FACE OF PUERPERL PSYCHOSIS RELATED TO INFANICIDE","authors":"Ana Laura de Carvalho Setti, Maria Carolina Sartorio, Matheus Santos Guimarães de Moura, Ivan Dieb Miziara","doi":"10.47005/221221","DOIUrl":"https://doi.org/10.47005/221221","url":null,"abstract":"Introduction: Puerperal psychosis is defined as a type of brief psychotic disorder occurring within three weeks after delivery, but predominantly within the first 48-72 hours, although rare (0.1 to 0.2%), it is a medical emergency and should be be treated as soon as possible. The presence of prodromal symptoms (irritability, sudden change in behavior, among others) that rapidly progress to a psychotic condition (delusions and hallucinations). In this context, infanticide is the apex for forensic interpretation. In 2021, The Lancet publishes an article questioning whether puerperal psychosis is a new disease. Neither the ICD nor the DSM bring this diagnosis as a distinct disease . Objective: To expose the main conflicts faced by medical experts in the face of the alleged crime of infanticide from the perspective of the Penal Code Conceptual framework: Establishing the nexus between puerperal psychosis and infanticide is a very difficult task and often depends on documents from the attending physician. Material and methods: Study carried out at the Department of Legal Medicine, Bioethics, Occupational Medicine and Physical and Rehabilitation Medicine of the Faculty of Medicine of the University of São Paulo. A narrative review of the literature was carried out, focusing on signs and symptoms suggestive or conclusive of puerperal psychosis in the face of the crime of infanticide. Articles in the Lilacs and PubMed databases were accessed, applying the descriptors “psychotic disorder”, “postpartum psychosis”, “expertise”; Textbooks were also included. No time limit was established for the search, but articles obtained in full were included. Results: Article 123 of the Penal Code, from 1940, determines that the crime of infanticide is “killing, under the influence of the puerperal state, one’s own child, during childbirth or shortly after: Penalty – detention, from two to six years. ”, at this point it is visible the difficulty to assertively define what it is right after, as well as to establish the mental criteria that made this crime an action in which the woman was not aware of the fact performed. Science still struggles to establish nosology and the temporal relationship between the onset of mental changes and childbirth and which biological changes are involved, these are the words of one of the greatest researchers on the subject, Patrick McGorry. The search for a genetic relationship between bipolar disorder and puerperal psychosis has been suggested. But, another issue to be discussed, not all puerperal psychoses are linked to infanticide. Another dilemma faced is the lack of habit in applying the terms infanticide and neonaticide with their individual designations. The first would be the death of a child in the first year of life by its mother and the second would be the death within the first 24 hours of life. The central question for the medical expert is to establish whether the neonaticide stems from a social issue in which the child is u","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122037214","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":"FORENSIC GENETICS IN THE RESEARCH OF COLLECTIVE RAPE: CONCEPTUALIZATION AND CASE REPORT","authors":"Thais Helena Holanda Viana, D. Arnaud, Fernanda Freire Collyer Correia, Vitoria Bezerra de Alencar, Velko Veras Pereira de Matos Filho, Vivian Romero Santiago, Samyra Maria Vieira Brasil da Rocha","doi":"10.47005/221225","DOIUrl":"https://doi.org/10.47005/221225","url":null,"abstract":"Introduction: Sexual violence, within the scope of Legal Medicine, is exemplified by rape, mainly, whose epidemiology is devastating for female and black victims. The punishment of this crime is usually based on the analysis of materials containing DNA, found in forensic examinations. The aim of this study is to report a case of gang rape, explaining the importance and complexity of genetic profiling tests. Material and method: The present study is part of the case report modality, arising from a demand to clarify the nature of the suspects of a crime of gang rape. A narrative review of the literature on gang rape was also carried out in three open access databases. Results: GSL, a woman, a possible victim of gang rape, which occurred in the interior of Ceará, was submitted to an expert examination, in which samples of biological material were obtained, from her and from CAA, the main suspect, which were later analyzed by the Forensic Expert of the State of Ceara. Discussion: In the process of analyzing the samples, other cell types may be present, in addition to spermatozoa, such as epithelial cells. From such samples, DNA from non-sperm cells can be extracted. This strategy offers a great contribution in situations where a small amount of male material is found together with the victim’s cellular material. Conclusion: The possibility of CAA being the main suspect was compatible, but not the only one. Thus, the final result corroborated the main hypothesis of gang rape. Keywords: rape, genetic profiling, forensic genetics.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125770171","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 ROLE OF FORENSIC MEDICINE IN SURGICAL COMPLICATIONS: CASE REPORTS OF FAT EMBOLIA AND LIPOABDOMINOPLASTY","authors":"Horacio Mario Fittipaldi Jr, Livia Ribeiro Gondim, Leticia Nunes Rocha","doi":"10.47005/221120","DOIUrl":"https://doi.org/10.47005/221120","url":null,"abstract":"In these days, lipoabdominoplasty is an increasingly common surgery, but it is not free from complications, some of them serious which can lead to deaths with unclear causes. In the case of a fatal outcome, the practice of necropsy is used to elucidate cases of deaths of undefined causes. Fat embolism secondary to intraoperative surgical procedures is found to be the main reason for some of these deaths, such as those described in this report. Forensic expertise is an essential investigative step in understanding the causality of possible malpractice of some surgeons in aesthetic procedures and the outcome of undetermined causes of death.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115470289","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":"CAUSAL LINK IN THE ASSESSMENT OF PERSONAL INJURY","authors":"Rosa Amelia Andrade Dantas, Duarte Nuno Vieira, Jose Jozefran Berto Freire, Eduardo Dantas","doi":"10.47005/221119","DOIUrl":"https://doi.org/10.47005/221119","url":null,"abstract":"INTRODUCTION: The discussion between the knowledge of medicine and law is increasingly relevant, especially with the growing demand for medical expertise in society. The objective of this work is to address the causal link in legal medicine and medical expertise. METHODOLOGY: Critical and anlytical reflection of the bibliography with proposals that innovate thinking on the subject. Research was carried out in the Medline, Virtual Health Library, Periodicals Capes and Scielo Brasil databases, with the aim of substantiating the relevance of the topic for expert action. RESULTS/DISCUSSION: We discuss the concept of cause and its historical basis, causality and imputation. Causal link in medicine and legal medicine and medical expertise/legal medicine/forensic sciences. CONCLUSION: Causal link in legal medicine and medical expertise assesses the relationship between alleged cause and existing damage (disease, disorder or injury, with injury to the person). In cases of trauma it is based on Hregardinill’s criteria. However, in cases of diseases and disorders, the definition of the initial moment of the disease or the disorder is compromised, requiring new methods and techniques to withstand such complexity, regarding this relationship. We ask: How to enrich scientific theory and methodology beyond hypothesis testing? How to use explanatory concepts and models, capable of addressing complex issues? How to take health beyond mere risk configuration? How to be transdisciplinary, where interdisciplinary work is not yet a reality? The answers to these questions depend on the future and evolution of science that involves the establishment of link in the evaluation of personal injury.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122193694","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":"THREE CASE REPORTS: SUSPICION OF SEXUAL ABUSE AND URETHRAL PROLAPSE","authors":"Gabriela Ferreira Freiria, Leonardo Isolani e Andrade, Letícia Conceição de Sousa Ferreira, Andressa Vinha Zanuncio, Alexandre Afonso Macedo Diniz, João Paulo Fonseca Nunes","doi":"10.47005/221118","DOIUrl":"https://doi.org/10.47005/221118","url":null,"abstract":"INTRODUCTION: Urethral prolapse can be characterized by a circular protrusion of the urethra distally to the external urethral meatus, and its diagnosis is entirely clinical. The etiology is still not completely defined, but there are some hypotheses of clinical causes. Urethral prolapse is also one of the findings in child sexual abuse, however, as a rare condition, health professionals have little experience in diagnosing and distinguish it from other events that occur in childhood. OBJECTIVE: To demonstrate the importance of the differential diagnosis of clinical conditions that can also characterize suspected child sexual abuse. MATERIALS AND METHODS: This is a descriptive study, which presents the report of three cases of urethral prolapse, in which suspicions of sexual abuse were raised in a medium-sized city in Minas Gerais. DISCUSSION: Urethral prolapse is an uncommon condition, but it should be considered in the differential diagnosis in cases of urogenital hemorrhage in prepubertal children. CONCLUSION: It is essential to correctly characterize the urethral prolapse, its probable etiology and, in the case of suspected sexual abuse, to be investigated by the expert medical authority.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130103626","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":"DOCTRINAL EXPERT MEDICINE IN A BIOPSYCHOSOCIAL EPISTEMOLOGICAL STUDY OF THE CONCEPTS OF EPIGENESIS AND EPIGENETICS","authors":"Jose Jozefran Berto Freire","doi":"10.47005/220610","DOIUrl":"https://doi.org/10.47005/220610","url":null,"abstract":"Introduction: This article aims to address the topic of doctrinal expert medicine in a biopsychosocial epistemological study of the concepts of epigenesis and epigenetics from a perspective that contemplates the biological, psychic and social approaches, both from the aspects of physiological normality and from the perspective of psychic and physical pathology. Method: Historical conceptual research of a qualitative, critical and prospective nature of the terms “epigenesis” and “epigenetics”. This study raised historical and current texts that deal with these concepts and proposed a philosophical and biopsychosocial approach to their meaning, presenting an original doctrine for applying them to expert and forensic medicine. Discussion: It is known that the term epigenesis was coined by Aristotle to explain the evolution of living beings after their basic training, for example syngamy. The term epigenetics was created by Waddington to explain the causal study of development, that is, to identify and understand what causes the development of living beings. The terms epigenesis and epigenetics evolved in conceptual terms. The meaning of the word epigenesis was given greater scope, applied to different scenarios. The different meanings of the term epigenetics evolved to the point where it defines an area of biology that uses its best-known methods: DNA methylation, histone modification and the expression of non-coding RNA, that is to say the entire process of heritable changes and reversible gene alterations that do not impact DNA. Conclusion: The study carried out and included in this article showed that both concepts are contextualized in a broad environment based on the biopsychosocial aspects of scientific knowledge.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127956340","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":"PROFILE OF THE AUTHORS OF JUDICIAL PROCEEDINGS IN CASES OF BLOOD TRANSFUSION IN JEHOVAH’S WITNESSES","authors":"Ricardo Santos, I. Miziara, Emilio Ferro","doi":"10.47005/220303","DOIUrl":"https://doi.org/10.47005/220303","url":null,"abstract":"Introduction: Descriptive study of judicial sentences in cases of blood transfusion in Jehovah’s Witness patients in the state of São Paulo with the aim of collecting data on the processes and improving the medico-legal understanding on the subject. Method: research was carried out on the website of the São Paulo State Court of Justice (TJSP), in the free search box typed “transfusion” AND “Jehovah’s Witness”, with a limited date until Aug. 15th 2020, which was the end date of data collection, with no initial date limit. All sentences were read. Inclusion criteria were the identification of sentences in which the initial conflict was blood transfusion in Jehovah’s Witness patients and exclusion of sentences where blood transfusion was included as a way to increase the damage claim and not as the initial conflict. Objective: To analyze claimants and defendants in cases where there was a legal conflict regarding the possibility or performance of blood transfusion in a Jehovah’s Witness patient. Result: The legal actions were brought by the patients themselves in 63.63% of the sentences. Most prevalent defendants were hospitals and health insurance providers, each of them sued in 31.81% of the cases. Conclusion: 63.63% of the lawsuits were filed by the patients themselves, with 85.71% of these sentences being dismissed. The institutions most prosecuted for conflicts related to blood transfusion were hospitals and health insurance providers (31.81% each). In the case of lawsuits against hospitals, 85.71% were dismissed, and against health insurance providers, 71.42% were dismissed.","PeriodicalId":366101,"journal":{"name":"Perspectivas em medicina legal e pericias medicas","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128343766","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}