Medeniyet medical journal最新文献

{"title":"Characteristics of Posterior Ethmoidal Artery and Its Relationship with Anterior Ethmoidal Artery and Skull Base on CT Scan.","authors":"Thuy Chung Tran Phan, Kiet Vuong Dang","doi":"10.4274/MMJ.galenos.2024.45578","DOIUrl":"10.4274/MMJ.galenos.2024.45578","url":null,"abstract":"<p><strong>Objective: </strong>Investigation of the anterior and posterior ethmoidal arteries on computed tomography (CT) scans of the sinuses before and during surgery is important, especially for inexperienced surgeons. The aim of this study was to examine the anatomical characteristics of the posterior ethmoid artery in Vietnamese and the distance from the posterior ethmoid artery to the anterior ethmoid artery and the skull base on CT scan.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving patients aged ≥18 years who underwent CT scan imaging at the Ear, Nose and Throat Hospital of Ho Chi Minh City from February 2023 to July 2023.</p><p><strong>Results: </strong>There were 100 patients in this study, of whom 51% (51/100) were female and 49% (49/100) were male. Patient ages ranged from 20 to 84 years. Their average age was 40.92±14.65 years. The distance on CT scan between the posterior and anterior ethmoidal arteries was 13.98±1.95 mm (9.3 to 18.6 mm). This distance in males was significantly higher than female (p=0.001). However, there is no difference in this distance between the left and right side (p=0.67). The distance between the posterior ethmoid artery and skull base ranged from 0 to 5.4 mm. The average distance between the posterior ethmoidal artery and skull base on CT scan was 0.95±0.94 mm. The diameter of the posterior ethmoid artery was 0.57-0.91 mm. The average diameter of the posterior ethmoidal artery on CT scan was 0.76±0.09 mm.</p><p><strong>Conclusion: </strong>The characteristics of the posterior ethmoid artery should be considered when examining the CT scan. Distance from the posterior ethmoid This study provides useful information on the characteristics of the posterior ethmoid artery on CT scans, which can be applied in endoscopic sinus surgery and skull base surgery.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 2","pages":"85-90"},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Sonographic Evaluation of the Effectiveness of Extracorporeal Shock Wave Therapy in Patients with Lateral Epicondylitis.","authors":"Sadiye Murat, Bilinc Dogruoz Karatekin, Melisa Zengin","doi":"10.4274/MMJ.galenos.2024.60308","DOIUrl":"10.4274/MMJ.galenos.2024.60308","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed and compare the clinical and sonographic outcomes of extracorporeal shock wave therapy (ESWT) in patients with lateral epicondylitis (LE).</p><p><strong>Methods: </strong>Forty-two LE patients were randomly divided into two groups: the ESWT group (n=21) and the sham-ESWT control group (n=21). Both groups underwent wrist resting splinting, stretching, strengthening exercises for wrist extensors, and ice application. Grip strength, pain, and functionality were assessed by various tests, and common extensor tendon (CET) thickness was measured sonographically before, after, and 1 month after treatment by a blind examiner.</p><p><strong>Results: </strong>At baseline, there was no significant difference between the groups. Significant differences were observed in pain pressure threshold, grip strength, visual analog scale, and Patient-Rated Tennis Elbow Evaluation (PRTEE) scores between baseline, post-treatment, and 1 month after treatment in both groups (p<0.05). However, the Short Form- 12 (SF-12) physical scores showed a significant difference only 1 month after treatment (p<0.01). In the SF-12 mental score tests, no significant difference was found. CET thickness in the ESWT group significantly decreased after treatment and 1 month after treatment (p<0.05), whereas no significant difference was observed in the control group.</p><p><strong>Conclusions: </strong>Both the ESWT and control groups showed a reduction in pain and improvement in function. However, the ESWT group showed statistically superior results in terms of pain reduction and functional improvement compared with the control group. In addition, sonographic evaluation revealed a significant reduction in CET thickness in the ESWT group, whereas no significant change was noted in the control group.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 2","pages":"109-116"},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Dual Innervation of the Gluteus Maximus Associated with Other Anatomical Variations of the Gluteal Region.","authors":"Punnapa Raviteja, Mrudula Chandrupatla, Alka V Bhingardeo, Surraj Susai","doi":"10.4274/MMJ.galenos.2024.83652","DOIUrl":"10.4274/MMJ.galenos.2024.83652","url":null,"abstract":"<p><p>The gluteus maximus (GM) is a big quadrilateral musculature that lines the rear portion of the pelvis. It is innervated by the inferior gluteal nerve. The sciatic nerve, inferior gluteal nerve, and posterior cutaneous nerve of the thigh are branches of the sacral plexus. The superior and inferior gluteal arteries are the chief arterial supply to the gluteal region. In the present case, there was a dual innervation of the GM. The superior gluteal artery and the superior gluteal nerve was piercing the piriformis and the inferior gluteal artery was running between the posterior cutaneous nerve of the thigh and the inferior gluteal nerve. According to our literature review, anatomical studies in which this cadaveric procedure has been performed have not been previously reported. The anatomical variations of the gluteal region are important to surgeons, physicians, anatomists, and nurses.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 2","pages":"136-139"},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.4274/MMJ.galenos.2024.e001","DOIUrl":"10.4274/MMJ.galenos.2024.e001","url":null,"abstract":"","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 2","pages":"148-151"},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective and Safe Treatment of Risky Localized Liver Tumors Using Microwave Ablation in Patients with Comorbid Lung Diseases Unfit for Deep Anesthesia.","authors":"Murat Asik","doi":"10.4274/MMJ.galenos.2024.54358","DOIUrl":"10.4274/MMJ.galenos.2024.54358","url":null,"abstract":"<p><strong>Objective: </strong>To assess the safety and efficacy of percutaneous microwave ablation (MWA) in treating high-risk localized liver tumors in patients unable to undergo deep anesthesia because of comorbid lung diseases.</p><p><strong>Methods: </strong>Between January 2019 and January 2022, percutaneous MWA procedures were performed for 50 liver tumors. These lesions were situated in close proximity to anatomically essential structures, with a maximum distance to surrounding structures being 10 mm. Because of comorbid lung diseases, patients could not undergo deep anesthesia. Regular follow-ups were performed using blood tests and dynamic contrast-enhanced computed tomography or magnetic resonance imaging.</p><p><strong>Results: </strong>The patient cohort consisted of 30 (68%) men and 14 (32%) women, with a mean age of 64.36±11.65 years (range: 40-80 years). The lesions were challenging to access and were located in proximity to critical structures such as the diaphragm (32, 64%), gallbladder (8, 16%), major vessels (5, 10%), and heart (5, 10%). During the follow-up period, 10 patients (23%) had local tumor recurrence and 14 (32%) had new primary foci in a different location and metastasis [liver (10) and non-liver organs (4)]. No major complications developed, and 21 of 44 patients experienced minor complications, which were treated with local medications during follow-up.</p><p><strong>Conclusions: </strong>Percutaneous MWA results in very low mortality and morbidity, coupled with high complete ablation rates for liver cancer. Most liver tumors can be treated safely and effectively with percutaneous MWA, even in cases of high-risk localization, without the need for deep anesthesia.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 1","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Different Doses of Sugammadex on Recovery and Hemodynamic Parameters in Reversing Neuromuscular Blockade in Patients Undergoing Electroconvulsive Therapy.","authors":"Kadir Arslan, Gozde Kucuksarac, Hale Cetin Arslan, Erkan Aydin, Ayca Sultan Sahin","doi":"10.4274/MMJ.galenos.2024.60052","DOIUrl":"10.4274/MMJ.galenos.2024.60052","url":null,"abstract":"<p><strong>Objective: </strong>This retrospective observational study aimed to investigate the effect of different doses of sugammadex used in reversing neuromuscular blockade in electroconvulsive therapy (ECT) procedures on patient recovery and hemodynamic measurements.</p><p><strong>Methods: </strong>Anesthesia induction was performed using propofol (1 mg/kg) and rocuronium (0.4 mg/kg). Patients were classified into group 2 (2 mg/kg) and group 3 (3 mg/kg) according to the dose of sugammadex used to reverse neuromuscular blockade. The patient's spontaneous breathing time, eye-opening time, time to comply with voluntary commands, time to reach Modified Aldrete score (MAS) 9, complications, and hemodynamic data were analyzed.</p><p><strong>Results: </strong>In total, 314 ECT sessions were performed on 46 patients. The average age of the patients was 38.3±12.6 years, and 56.6% (n=26) were male. While the average number of ECTs applied to the patients was 6.8±2.8, the average seizure duration was 28.2±12.7 seconds. The most common diagnosis (32.7%) in patients who underwent ECT was bipolar disorder. The average time to recovery of spontaneous breathing, eyeopening time, time to comply with voluntary commands, and time to reach MAS 9 were found to be significantly lower in group 3 (p<0.001, p<0.001, p<0.001, and p=0.002, respectively). Tooth damage was observed in 0.3% (n=1) and tongue abrasion in 0.6% (n=2) of the cases. Hemodynamic measurements were similar between groups (p>0.05).</p><p><strong>Conclusions: </strong>Sugammadex used at a dose of 3 mg/kg in ECT procedures significantly reduces recovery times compared with 2 mg/kg. However, both doses can be safely and cost-effectively used to reverse the neuromuscular blockade provided by 0.4 mg/kg rocuronium.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study.","authors":"Susetyowati Susetyowati, Fuadiyah Nila Kurniasari, Amalia Sarah Sholikhati, Mardiah Hardianti, Ericko Ekaputra","doi":"10.4274/MMJ.galenos.2024.02448","DOIUrl":"10.4274/MMJ.galenos.2024.02448","url":null,"abstract":"<p><strong>Objective: </strong>It is important to assess nutritional status to determine the presence of malnutrition because poor nutritional status will reduce the efficacy and increase the side effects of radiotherapy. The aim of this research was to assess nutritional status by comparing several parameters, namely anthropometry, biochemistry, physical condition, and inflammatory parameters, with Patient Generated-Subjective Global Assessment (PG-SGA) as the gold standard.</p><p><strong>Methods: </strong>A cross-sectional study with 78 subjects was conducted at the General Hospital Dr. Sardjito Yogyakarta, Indonesia, in 2022. The Malnutrition Screening Tool, Simple Nutrition Screening Tool, PG-SGA, and objective parameter data were used in the nutritional assessment. The objective parameters were determined by analyzing anthropometric data [body weight, mid-upper arm circumference (MUAC), and body fat], biochemical data (albumin and a complete blood profile), physical data (hand grip strength), and food intake data using the 1×24-hour recall method. The data were analyzed using One-Way ANOVA and the Kruskal-Wallis test.</p><p><strong>Results: </strong>Malnutrition was found in 33.3% of pre-radiotherapy head and neck cancer (HNC) patients. Patients with good nutritional status did not experience weight loss, decreased appetite, gastrointestinal symptoms, decreased functional capacity, or fat and/or muscle deficit (p<0.05). The findings showed a significant relationship between PG-SGA and nutritional status based on body weight, weight loss, MUACs, handgrip strength, visceral fat, resting metabolic rate (RMR), and hemoglobin (p<0.05). A better nutritional status was associated with higher parameter values.</p><p><strong>Conclusions: </strong>The method for nutritional status assessment in HNC patients undergoing radiotherapy can be performed by measuring body weight, weight loss, upper arm circumference, visceral fat, hemoglobin, and RMR in addition to PG-SGA as the gold standard.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 1","pages":"24-32"},"PeriodicalIF":1.1,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>In Silico</i> PASS Predictions and Exploration of Antioxidant and Anti-inflammatory Activity of <i>Citrus Karna</i> Raf. Fruit.","authors":"Prasad Jamkhande, Mahavir Ghante, Rajeshwar Kshirsagar","doi":"10.4274/MMJ.galenos.2024.49775","DOIUrl":"10.4274/MMJ.galenos.2024.49775","url":null,"abstract":"<p><strong>Objective: </strong>Inflammation and oxidative stress are major factors in the development of many disorders. Natural antioxidants present in plants can interrupt, decrease, or reduce the oxidation of components sensitive to oxidative processes by scavenging free radicals and lowering oxidative stress. Most anti-inflammatory agents used in the management of inflammatory disorders diminish oxidative damage. The biological potential of <i>Citrus karna</i> Raf. remains undisclosed, despite its richness in several bioactive compounds.</p><p><strong>Methods: </strong>The methanolic extract was evaluated for quantitative phytochemical analysis and antioxidative efficacy using 1,1-diphenyl-2-picrylhydrazyl radical and hydrogen peroxide scavenging activity. A carrageenan-induced paw edema model was employed to evaluate the anti-inflammatory potential as antioxidants exert anti-inflammatory effects. <i>In silico</i> prediction of activity spectra for substance predictions were performed to understand the possible mechanism of action of phytochemicals.</p><p><strong>Results: </strong><i>Citrus karna</i> methanolic extract (CKME) showed dose-dependent radical scavenging effects. The powerful scavenging activity of CKME could be due to the diverse polyphenolic compounds such as ascorbic acid, beta-carotene, and naringin. In addition, the percentage inhibition of paw edema and swelling was observed in CKME-treated rats and mice, which is the same as that of standard drug-treated groups. The Pa value of ascorbic acid, beta-bisabolene, linalool, and naringin is more than 0.7 which shows that these phytoconstituents might contribute to the anti-inflammatory action of extract samples such as CKME.</p><p><strong>Conclusions: </strong>Our findings shows that CKME possess strong antioxidant and anti-inflammatory effects. The richness of plants in polyphenolics such as flavonoids might be a contributing factor for these potential effects.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 1","pages":"49-58"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fallopian Tube Hemangioma Discovered on Follow-up for Uterine Leiomyoma.","authors":"Dmitrii Sumtsov, Georgii Sumtsov, Natalia Hyriavenko, Mykola Lyndin, Kateryna Sikora, Volodymyr Kolyshkin, Yulia Redko, Igor Gladchuk","doi":"10.4274/MMJ.galenos.2024.50687","DOIUrl":"10.4274/MMJ.galenos.2024.50687","url":null,"abstract":"<p><p>Hemangioma in female reproductive organs, particularly in the fallopian tube (FT), is a sporadic disease. In this report, we describe a case of hidden capillary hemangioma in FT in a 39-year-old woman who suffered from uterine leiomyoma. During the preoperative stage, pelvic sonography, computed tomography, and diagnostic laparoscopy revealed a subserous leiomyomatous nodule located along the posterior wall of the uterus. Despite this, intraoperatively, a benign vascular neoplasm was diagnosed. Histologically, it is characterized by multiple thin-walled vascular spaces lined with a single layer of endothelial cells, in which single mitoses were observed. The diagnosis was then confirmed immunohistochemically by CD31 and CD34 expression in the endothelial cells lining the inner surface of the spaces and the low mitotic activity of the tumor cells. It is virtually impossible to diagnose this asymptomatic neoplasm before and during surgery, which can result in an inadequate number of surgeries. Incorrect interpretation of a benign tumor at a young age can lead to unnecessary radical surgery with a resulting loss of fertility, and an unrevealed malignant process can threaten life.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Course of Endoscopic Treatment Success in Biliary Complications After Living Donor Liver Transplantation.","authors":"Engin Ataman, Murat Harputluoglu, Yilmaz Bilgic, Yasir Furkan Cagin, Mehmet Ali Erdogan, Ramazan Kutlu, Koray Kutluturk, Ibrahim Orman, Osman Saglam, Ali Riza Caliskan","doi":"10.4274/MMJ.galenos.2024.89289","DOIUrl":"10.4274/MMJ.galenos.2024.89289","url":null,"abstract":"<p><strong>Objective: </strong>Our aim was to present the results of endoscopic retrograde cholangiopancreatography (ERCP) after living donor liver transplantation (LDLT) between February 2015 and June 2021.</p><p><strong>Methods: </strong>Clinical data included LDLT indications, time to perform ERCP after LDLT, number of ERCP procedures, indications for ERCP, and all treatment outcomes, including ERCP, percutaneous, and surgical interventions. We compared the obtained data with our previous study published by our team in 2018, which included 446 patients who underwent ERCP for biliary complications after LDLT between 2005 and 2015.</p><p><strong>Results: </strong>We performed ERCP in 283 of 1506 patients with LDLT who underwent duct-to-duct anastomosis during transplantation and then developed biliary complications. Our endoscopic success rates were 60.9% and 71.0% in the previous and present studies, respectively.</p><p><strong>Conclusions: </strong>Our findings suggest that the success rate of endoscopic treatment of biliary complications in patients with LDLT increases in correlation with the increasing experience of clinicians treating these patients.</p>","PeriodicalId":37427,"journal":{"name":"Medeniyet medical journal","volume":"39 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}