Cureus最新文献

{"title":"Actinomycosis in a Gallbladder Specimen: A Case Report.","authors":"Rahul R Mor, Hiba Shanti","doi":"10.7759/cureus.77050","DOIUrl":"https://doi.org/10.7759/cureus.77050","url":null,"abstract":"<p><p>Actinomycosis is a chronic, granulomatous infection caused by <i>Actinomyces</i> species, a group of anaerobic, gram-positive bacteria commonly found in the human oral cavity, gastrointestinal, and female genital tracts. Although it predominantly affects the cervicofacial region, rare manifestations such as gallbladder actinomycosis can occur. This report presents a case of gallbladder actinomycosis in a 61-year-old man who presented with a two-week history of right upper quadrant pain, jaundice, nausea, and vomiting. Imaging revealed biliary obstruction with common bile duct stones, leading to endoscopic retrograde cholangiopancreatography and subsequent laparoscopic cholecystectomy. Histopathological examination identified <i>Actinomyces</i> species, confirmed by Gram, PAS, and Grocott staining. While prolonged antibiotic therapy is the cornerstone of treatment, localized infections with complete surgical excision may not necessitate extended antibiotic use, as highlighted in this case.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e77050"},"PeriodicalIF":1.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960539","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":"Small Bowel Obstruction Secondary to Partial Malrotation of the Gut: A Case Report.","authors":"Alec K Donohue, Ilya V Latyshenko, Lawrence F Sugden, Ryan M Kozloski, Jason C McCartt","doi":"10.7759/cureus.77031","DOIUrl":"https://doi.org/10.7759/cureus.77031","url":null,"abstract":"<p><p>This case report presents a unique clinical presentation of small bowel obstruction secondary to congenital partial malrotation of the gut in adults. Partial malrotation may have variable clinical presentations and this case highlights a constellation of patient history, radiographic signs, and operative findings leading to appropriate diagnosis and successful surgical management. A 56-year-old female patient presented with severe abdominal pain, nausea, and anorexia. She reported acute on chronic vague, intermittent cramping abdominal pain for approximately five months. Prior evaluations of her gastrointestinal symptoms did not reveal a clear etiology. On examination, the patient's vital signs were within normal limits and the abdominal exam was benign. Computed tomography (CT) of the abdomen and pelvis with IV contrast, obtained in the emergency department, was concerning for paraduodenal hernia but was also notable for the lack of a duodenal sweep. With the severity of abdominal pain being out of proportion to the physical exam and the aforementioned radiographic findings, we decided to proceed with diagnostic laparoscopy. Intraoperative findings included a Ladd band forming a potential space for the incarceration of the bowel, internal herniation of the partially reducible small bowel, and a narrow mesenteric base. A laparoscopic Ladd procedure was performed and the patient recovered without complications. Her chronic gastrointestinal complaints have abated since the operative intervention. This case underscores the importance of considering a rare diagnosis such as partial malrotation of the gut in adults presenting with acute on chronic abdominal pain, the key clinical features associated with this pathology, and its successful operative management. Furthermore, this case highlights the importance of early recognition and management to minimize the morbidity and mortality of devastating sequelae such as midgut volvulus and closed-loop obstruction.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e77031"},"PeriodicalIF":1.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960684","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":"Severe Reversible Heart Failure Enhanced by Sorafenib Treatment for Hepatocellular Carcinoma.","authors":"Luís Guilherme Santos, Ricardo Roque, Rita Antunes Santos, Catarina Neves, Nuno Bonito","doi":"10.7759/cureus.76993","DOIUrl":"https://doi.org/10.7759/cureus.76993","url":null,"abstract":"<p><p>The multitarget oral tyrosine kinase inhibitor sorafenib is an effective first-line treatment option in unresectable hepatocellular carcinoma. Through its mechanism of action, it has been associated with cardiotoxicity, mainly hypertension, which is usually low-grade and well-managed with behavioral changes and antihypertensor treatment adjustment, if needed. Acute, symptomatic heart failure is rarely described. We present the case of a patient with priors of arterial hypertension, dyslipidemia, type 2 diabetes mellitus, and non-alcoholic steatohepatitis-related cirrhosis of the liver, with the diagnosis of hepatocellular carcinoma treated with sorafenib, with previous excellent tolerability and stable disease. Dyspnea and detection of atrial fibrillation with severe reduction of left ventricular ejection fraction (26%), three years after the beginning of treatment, led to the diagnosis of acute heart failure with reduced ejection fraction and class IV New York Heart Association symptoms, confirmed to be enhanced by sorafenib, and partially reversible after its suspension and optimization of cardiological treatment. A multidisciplinary approach, prompt recognition, and aggressive treatment of this rare and severe toxicity are essential in determining a favorable outcome.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76993"},"PeriodicalIF":1.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960683","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":"Pediatric Case of Facial Nerve Palsy as a Complication of Acute Otitis Media Caused by Non-typeable Haemophilus Influenza.","authors":"Milena Mitkova, Julide Kasaboglu, Silvia Valcheva, Raina Gergova, Diana Popova, Alexandra Alexandrova","doi":"10.7759/cureus.76953","DOIUrl":"https://doi.org/10.7759/cureus.76953","url":null,"abstract":"<p><p>Facial paralysis is an infrequent and serious potential complication of acute otitis media (AOM). We describe a pediatric case of rapidly progressive facial paralysis as a secondary complication alongside AOM, caused by the non-typeable <i>Haemophilus influenzae</i> (NTHi) strain, which was managed with facial nerve decompression, glucocorticoid medication, and antimicrobial chemotherapy. The reasons why NTHi becomes pathogenic in certain patients are not yet fully understood, and the specific interactions and adaptations that lead to complications must be further investigated, as they result in more complex treatment approaches.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76953"},"PeriodicalIF":1.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934260","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":"Temporomandibular Joint Disorders in Elderly Patients.","authors":"El Mehdi Jouhadi, Sara Rhattas, Ichraq Benazouz, Khalid Elboussiri","doi":"10.7759/cureus.76958","DOIUrl":"https://doi.org/10.7759/cureus.76958","url":null,"abstract":"<p><p>The management of temporomandibular disorders (TMDs) in elderly patients can present a significant challenge for dentists due to its multifactorial etiology, aging-related changes that contribute to TMD, and the fragile psychological state of these patients. Despite the growing prevalence of TMD in the elderly population, the scientific literature provides limited information about effective management strategies for this group. Therefore, it is crucial for researchers and clinicians to focus on improving our understanding of TMD in the elderly population and to develop more effective treatment approaches. This article provides an overview of the prevalence, etiology, pathophysiology, and management of TMD in elderly patients, with a particular emphasis on the challenges associated with this population. By increasing our knowledge of TMD in the elderly, we can improve the quality of care provided to this vulnerable patient group.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76958"},"PeriodicalIF":1.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934289","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 Appropriate Use and Care of Peripheral Intravenous Cannulas: A Quality Improvement Project.","authors":"Shoon Lae Aung, Aditya Sengupta, Nwe Ni Win, Jeyanthy Rajkanna, Samson O Oyibo","doi":"10.7759/cureus.76954","DOIUrl":"https://doi.org/10.7759/cureus.76954","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Background Peripheral intravenous cannula (PIVC) insertion is a universal intervention for hospital inpatients. Previous studies have demonstrated that more than a third of inserted PIVCs remain unused in the emergency department and that there is inadequate documentation regarding the insertion and use of PIVCs. Additionally, the use of PIVC is associated with cannula-related complications. Using the PIVC care bundle attached to the guideline should help prevent cannula-related complications. As part of a quality improvement project, we aimed to perform an initial audit (1&lt;sup&gt;st&lt;/sup&gt; cycle), implement interventions for improvements, and then perform a re-audit (2&lt;sup&gt;nd&lt;/sup&gt; cycle) of our adherence with the use and completion of the care bundle for PIVC. Methodology An initial audit (1&lt;sup&gt;st&lt;/sup&gt; cycle), followed by implementation of interventions, and then a re-audit (2&lt;sup&gt;nd&lt;/sup&gt; cycle) of our adherence with the use and completion of the PIVC care bundle was performed. The standards/criteria used for both the 1&lt;sup&gt;st&lt;/sup&gt; cycle and 2&lt;sup&gt;nd&lt;/sup&gt; cycle of the project were obtained from our PIVC care bundle and comprised of documented evidence of the date of cannula insertion, site of cannula insertion, indication for cannula insertion, whether the cannula was inserted in a non-common site (e.g., lower limbs), cannula assessment at least every 24 hours, cannula-related complications, and whether the cannula care bundle was completed for the patient. A score of less than 75% was considered not adherent, 75-90% was partially adherent, 90-100% was adherent, and a score of 100% was considered fully adherent. The target adherence score for each standard/criterion was set a priori to 90-100%, and the results were compared between both cycles. An increase in the adherence score in the 2&lt;sup&gt;nd&lt;/sup&gt; cycle over the 1&lt;sup&gt;st&lt;/sup&gt; cycle was taken to indicate improvement, while a negative difference indicated challenges. Results There were 28 patients in the 1&lt;sup&gt;st&lt;/sup&gt; cycle and 40 patients in the 2&lt;sup&gt;nd&lt;/sup&gt; cycle of this project. The commonest initial indications for PIVC insertion were intravenous fluids and intravenous antibiotic administration. The hand and forearm were the commonly used sites of insertion, and none of the patients had a cannula-related complication. Compared to the 1&lt;sup&gt;st&lt;/sup&gt; cycle, the results of the 2&lt;sup&gt;nd&lt;/sup&gt; cycle demonstrated improvements in the adherence scores for all the standards/criteria, with the scores for documenting the site of insertion and using a commonly used/acceptable site indicating full adherence (100%). The score for documenting the indication for insertion indicated adherence (90-100%). The score for ensuring that the cannula was being assessed at least every 24 hours and the score for completing the care bundle both indicated partial adherence (75-90%). The score for documenting the date of cannula insertion indicated non-adherence (&lt;75%). Conclusions This project has demonstra","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76954"},"PeriodicalIF":1.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934295","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":"An Audit Cycle of Gynecological History Documentation in Emergency Surgical Admissions of Female Patients of Childbearing Age Presenting with Acute Abdominal Pain at a District General Hospital.","authors":"Asher Siddiqui, Zohaib Jamal, Nowera Zafar, Muhammad Ijlal Haider, Naqqash Adnan, Zeeshan Khawaja, Imran Alam","doi":"10.7759/cureus.76945","DOIUrl":"https://doi.org/10.7759/cureus.76945","url":null,"abstract":"<p><p>Background Ectopic pregnancy (EP) is a significant cause of maternal morbidity and mortality. Accurate and timely diagnosis is crucial, particularly in women of reproductive age presenting with acute abdominal pain. This audit aimed to assess the completeness and accuracy of gynecological history documentation, including pregnancy status, in female patients admitted for emergency surgery due to abdominal pain. Methods A retrospective audit was conducted within a single NHS Trust, analyzing the surgical assessment documents of 50 female patients aged 12-50 years admitted for emergency surgery. Data collected included documentation of pregnancy status, gynecological history, last menstrual period, sexual activity, and contraceptive use. A subsequent audit cycle assessed the impact of an educational intervention on documentation practices. Results Initial findings revealed significant deficiencies in the documentation of key gynecological parameters. Pregnancy status was documented in only 14% of cases, and contraceptive use in 20%. A substantial proportion of cases lacked documentation of gynecological history 50% and sexual history 56%. An educational intervention resulted in a significant improvement in the documentation of sexual history, contraceptive use, and pregnancy status. Conclusion This audit revealed significant deficiencies in the initial gynecological assessment of female patients with acute abdominal pain, particularly regarding the documentation of pregnancy status, menstrual history, and contraceptive use. The study highlights the need for improved clinical practices, including enhanced medical education, standardized assessment protocols, and electronic documentation of pregnancy status. Continued research is crucial to address these deficiencies and optimize patient care within the NHS.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76945"},"PeriodicalIF":1.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934185","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":"Advancements in Minimally Invasive Techniques in Pediatric Dentistry: A Review.","authors":"Abdulrahman M Alqahtani, Yazed D Alshihri, Abdulaziz E Alhumaid, Mohammed M Al Nafaie, Abdullatif A Alnaim","doi":"10.7759/cureus.76929","DOIUrl":"https://doi.org/10.7759/cureus.76929","url":null,"abstract":"<p><p>Minimally invasive dentistry (MID) has revolutionized pediatric dental care by emphasizing the preservation of healthy tooth structures, reducing treatment-related trauma, and improving patient compliance. This narrative review explores advancements in MID techniques, including silver diamine fluoride (SDF), resin infiltration, atraumatic restorative treatment (ART), bioactive materials, laser-assisted therapies, and three-dimensional (3D) printing technologies. These approaches prioritize early diagnosis, prevention, and conservative management, aligning with patient-centered and sustainable practices. SDF demonstrates high efficacy in arresting caries progression but presents esthetic challenges due to discoloration. Resin infiltration provides esthetic and noninvasive treatment for white spot lesions, while ART offers cost-effective and child-friendly caries management in resource-limited settings. Bioactive materials support tissue regeneration, and laser technologies enable precise and painless procedures, although their adoption is limited by high costs and training requirements. Emerging tools, such as artificial intelligence and 3D printing, enhance diagnostic accuracy and treatment precision. Despite challenges related to cost, operator training, and infrastructure, MID techniques continue to evolve, offering promising solutions for pediatric dental care. Future research should focus on optimizing materials, improving accessibility, and integrating digital technologies to broaden the impact of minimally invasive approaches. This review highlights MID's transformative role in improving oral health outcomes and ensuring sustainable, patient-focused care for children.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76929"},"PeriodicalIF":1.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960545","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":"Prevalence of Ear, Nose, and Throat Problems in Saudi Arabia: A Cross-Sectional Study.","authors":"Mujtaba A Ali, Wafaa S Taishan, Abdulrahman A Almaymoni, Ibrahim N Al Sulaiman, Turki S Althunayyan, Ziad A Abdullah, Manar Alharbi, Hassan H Alalwani, Thamer M Alzahrani, Gaida Felemban","doi":"10.7759/cureus.76927","DOIUrl":"https://doi.org/10.7759/cureus.76927","url":null,"abstract":"<p><p>Background Ear, nose, and throat (ENT) disorders are common and significantly impact the quality of life. This study aimed to assess the prevalence of ENT problems among the Saudi population and to explore its association with sociodemographic factors, knowledge, and healthcare utilization. Methodology A cross-sectional study was conducted among 405 participants aged 18-80 years across Saudi Arabia. Data were collected using a self-administered, anonymous electronic questionnaire distributed through social platforms. Data was cleaned on Excel (Microsoft® Corp., Redmond, WA, USA) and analyzed using IBM SPSS Statistics for Windows, Version 27 (Released 2020; IBM Corp., Armonk, NY, USA). Results The study revealed that 38.5% of participants were diagnosed with a chronic ENT condition, with sinusitis being the most common (n = 90, or 22.2%). Chronic nasal congestion (n = 187, or 46.2%), tinnitus (n = 182, or 44.9%), and hoarseness (n = 176, or 43.5%) were the most frequently reported symptoms. Significant differences in total ENT problem scores were observed based on gender, with females having higher median scores than males (p = 0.038). Knowledge of ENT problems was rated as average by 213 (52.6%) participants, with 376 (92.8%) supporting the need for public awareness campaigns. Healthcare utilization showed that 164 (40.5%) sought medical care over the past year, while 178 (44.0%) visited an otolaryngologist for ENT symptoms. Conclusion The study highlights a high prevalence of ENT problems in Saudi Arabia, particularly among the female population. There is a need for targeted public health interventions and educational campaigns to improve the awareness of the population, and to reduce the burden of ENT disorders. Future research should focus on longitudinal studies to explore causal relationships between risk factors and ENT conditions.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76927"},"PeriodicalIF":1.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960613","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":"Isolated Foot Drop Due to a Cerebral Infarction Mimicking Lumbar Radiculopathy: A Case Report and Literature Review.","authors":"Abdulkarim A Almutairi, Mishari S Alqahtani, Mohammed A Alsayari, Aser F Alamri","doi":"10.7759/cureus.76894","DOIUrl":"https://doi.org/10.7759/cureus.76894","url":null,"abstract":"<p><p>Isolated foot drop is a neurological sign frequently linked to lower motor neuron (LMN) lesions, including peroneal nerve damage or L4-L5 radiculopathy. Nonetheless, upper motor neuron (UMN) lesions, such as strokes or tumors located in the parasagittal motor cortex, may sometimes manifest as isolated foot drops. The main causes of isolated foot drop secondary to central etiologies are uncommon, with few instances documented in the literature. An 83-year-old male presented with a four-day history of left isolated foot drop that started in the big toe and then spread to involve the whole foot. Clinical examination was negative for any other neurological deficit. Magnetic resonance imaging (MRI) of the cervical, thoracic, and lumbar spine showed only mild lumbar spinal stenosis at the L4/L5 level. Brain MRI revealed acute infarction foci in the right superior frontal gyrus. While uncommon, central causes of isolated foot drop should be taken into account when peripheral examinations yield inconclusive results. This case highlights the significance of a thorough diagnostic method, encompassing brain imaging, to detect lesions in the central nervous system. Timely identification and management of these cases are essential for enhancing patient outcomes and avoiding misdiagnosis.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 1","pages":"e76894"},"PeriodicalIF":1.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934254","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}