Skeletal class III malocclusion is a therapeutic challenge in orthodontic practice. Reverse functional appliances such as reverse twin block (RTB) are used to correct class III skeletal and occlusal disharmonies associated with functional anterior shift in growing patients. However, treatment options become limited with increasing age, especially when patients desire nonsurgical and nonextraction camouflage treatment. This report illustrates the successful nonsurgical treatment of class III malocclusion during adolescence and adulthood, exacerbated by a functional anterior shift that resulted in overclosure of the mandible. A modified fixed RTB was utilized to posture the mandible backwards, thereby inducing active clockwise rotation of the mandible. After treatment, patients demonstrated significantly improved maxillomandibular relationships, well-maintained stable occlusion, and facial esthetics. Satisfactory occlusal, esthetic, and functional outcomes achieved in the present cases underline the fact that dentoalveolar changes induced by fixed RTB can be utilized even past a patient's peak pubertal growth period to obtain changes that aid in correcting a class III malocclusion. A synergistic combination of modified fixed RTB therapy accompanied by comprehensive fixed mechanotherapy is a viable treatment alternative for the correction of aptly selected mild to moderate skeletal class III malocclusions associated with functional anterior shift, anterior crossbites, and mandibular overclosure.
骨骼类 III 型错合畸形是正畸实践中的一个治疗难题。反向功能矫治器,如反向双阻抗(RTB),可用于矫正成长期患者与功能性前移相关的 III 类骨骼和咬合不协调。然而,随着年龄的增长,治疗选择变得越来越有限,尤其是当患者希望采用非手术和非拔牙的伪装治疗时。本报告展示了对青春期和成年期因功能性前移导致下颌过度闭合而加重的 III 类错牙合畸形进行非手术治疗的成功案例。采用改良的固定 RTB 将下颌骨向后摆正,从而诱导下颌骨主动顺时针旋转。治疗后,患者的上下颌关系明显改善,咬合保持稳定,面部美观。这些病例在咬合、美观和功能方面都取得了令人满意的效果,这突出说明了一个事实,即固定 RTB 所引起的牙槽骨变化甚至可以在患者青春期发育高峰期过后得到利用,以获得有助于矫正 III 类错牙合畸形的变化。改良固定RTB疗法与综合固定机械疗法的协同组合是一种可行的治疗方法,可用于矫治经适当选择的轻度至中度骨骼III类错颌畸形,这些错颌畸形与功能性前移、前交叉咬合和下颌前突有关。
{"title":"Nonsurgical class III correction in adolescence using modified fixed reverse twin-block therapy and fixed appliances - a case series.","authors":"Harpreet Singh, Pinaki Roy, Raj Kumar Maurya, Poonam Sharma, Pranav Kapoor, Tanmay Mittal","doi":"10.3897/folmed.66.e119060","DOIUrl":"https://doi.org/10.3897/folmed.66.e119060","url":null,"abstract":"<p><p>Skeletal class III malocclusion is a therapeutic challenge in orthodontic practice. Reverse functional appliances such as reverse twin block (RTB) are used to correct class III skeletal and occlusal disharmonies associated with functional anterior shift in growing patients. However, treatment options become limited with increasing age, especially when patients desire nonsurgical and nonextraction camouflage treatment. This report illustrates the successful nonsurgical treatment of class III malocclusion during adolescence and adulthood, exacerbated by a functional anterior shift that resulted in overclosure of the mandible. A modified fixed RTB was utilized to posture the mandible backwards, thereby inducing active clockwise rotation of the mandible. After treatment, patients demonstrated significantly improved maxillomandibular relationships, well-maintained stable occlusion, and facial esthetics. Satisfactory occlusal, esthetic, and functional outcomes achieved in the present cases underline the fact that dentoalveolar changes induced by fixed RTB can be utilized even past a patient's peak pubertal growth period to obtain changes that aid in correcting a class III malocclusion. A synergistic combination of modified fixed RTB therapy accompanied by comprehensive fixed mechanotherapy is a viable treatment alternative for the correction of aptly selected mild to moderate skeletal class III malocclusions associated with functional anterior shift, anterior crossbites, and mandibular overclosure.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283040","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}
Introduction: Mixed dentition analyses are used to determine possible tooth-size and arch-length discrepancies during the transition from primary to permanent dentition. Prediction methods using a probability table or linear regression equation use the sum of the mesiodistal widths of mandibular permanent incisors to predict the mesiodistal width of unerupted permanent teeth. Racial and sexual variations and sexual dimorphism in tooth size have been reported. The objective of this study is to validate Moyer's and Tanaka Johnston's mixed dentition analyses in a contemporary South Indian population.
{"title":"Reliability of Moyer's and Tanaka Johnston's prediction methods in a non-Caucasian heterogeneous population - a cross-sectional study.","authors":"Panchatcharam Barkavi, Mohamed Iqbal, Priyanka Gandhi, Harishma Sivakumar, Kavitha Mathivanan, Kothandaraman Thirivikhraman","doi":"10.3897/folmed.66.e126997","DOIUrl":"https://doi.org/10.3897/folmed.66.e126997","url":null,"abstract":"<p><strong>Introduction: </strong>Mixed dentition analyses are used to determine possible tooth-size and arch-length discrepancies during the transition from primary to permanent dentition. Prediction methods using a probability table or linear regression equation use the sum of the mesiodistal widths of mandibular permanent incisors to predict the mesiodistal width of unerupted permanent teeth. Racial and sexual variations and sexual dimorphism in tooth size have been reported. The objective of this study is to validate Moyer's and Tanaka Johnston's mixed dentition analyses in a contemporary South Indian population.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283043","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}
Post-acute COVID syndrome (PACS), or long COVID, is a newly defined condition emerging as a widespread post-pandemic diagnosis with prevalent neuro-psychiatric symptoms and possible neuroinflammation-associated pathogenetic mechanisms.
{"title":"Cognitive functions in a 29-year-old male with post-COVID syndrome and long-term psoriasis - a case study.","authors":"Miroslava Hristova, Radka Massaldjieva, Lyubomir Chervenkov, Penka Atanassova","doi":"10.3897/folmed.66.e124311","DOIUrl":"https://doi.org/10.3897/folmed.66.e124311","url":null,"abstract":"<p><p>Post-acute COVID syndrome (PACS), or long COVID, is a newly defined condition emerging as a widespread post-pandemic diagnosis with prevalent neuro-psychiatric symptoms and possible neuroinflammation-associated pathogenetic mechanisms.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283032","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}
Pub Date : 2024-08-31DOI: 10.3897/folmed.66.e120391
Daniel Markov, Petar Uchikov, Pavel Timonov, Galabin Markov, Elena Poryazova
Primary mammary sarcomas are very rare, histologically heterogeneous non-epithelial malignant neoplasms. Primary undifferentiated pleomorphic sarcoma is a rare malignant mesenchymal tumor in the breast. It is characterized by marked cellular atypism and pleomorphism. Isolated cases with an aggressive course and poor prognosis have been commonly described in the literature. We present a rare case of a 62-year-old woman with an 18-cm solid tumor of the left breast, 6 months old, which grew rapidly during the last month. Physical examination and mammography revealed no enlarged lymph nodes in the left axilla. A total mastectomy was performed. The diagnosis of undifferentiated pleomorphic sarcoma is challenging due to the lack of specific immunohistochemical markers. It can only be made after excluding other types of soft tissue sarcomas. This report discusses the histopathological and immunohistochemical studies that were conducted. Our case is distinguished from others with the same diagnosis by the atypical clinical presentation, which is painless, and the spontaneous bleeding, as well as the large size of the tumor.
原发性乳腺肉瘤是非常罕见的组织学异质性非上皮性恶性肿瘤。原发性未分化多形性肉瘤是一种罕见的乳腺恶性间质肿瘤。其特点是细胞明显不典型和多形性。文献中常描述一些病程凶险、预后不良的孤立病例。我们报告了一例罕见病例,患者是一名 62 岁女性,左侧乳房长有一个 18 厘米的实体瘤,发病已有 6 个月,最近一个月肿瘤生长迅速。体格检查和乳房 X 光检查显示左侧腋窝无肿大淋巴结。患者接受了全乳房切除术。由于缺乏特异性免疫组化标记,未分化多形性肉瘤的诊断具有挑战性。只有在排除其他类型的软组织肉瘤后才能做出诊断。本报告讨论了所进行的组织病理学和免疫组化研究。我们的病例由于临床表现不典型(无痛、自发性出血)和肿瘤体积较大而与其他诊断相同的病例有所区别。
{"title":"Primary pleomorphic breast sarcoma - a case report.","authors":"Daniel Markov, Petar Uchikov, Pavel Timonov, Galabin Markov, Elena Poryazova","doi":"10.3897/folmed.66.e120391","DOIUrl":"https://doi.org/10.3897/folmed.66.e120391","url":null,"abstract":"<p><p>Primary mammary sarcomas are very rare, histologically heterogeneous non-epithelial malignant neoplasms. Primary undifferentiated pleomorphic sarcoma is a rare malignant mesenchymal tumor in the breast. It is characterized by marked cellular atypism and pleomorphism. Isolated cases with an aggressive course and poor prognosis have been commonly described in the literature. We present a rare case of a 62-year-old woman with an 18-cm solid tumor of the left breast, 6 months old, which grew rapidly during the last month. Physical examination and mammography revealed no enlarged lymph nodes in the left axilla. A total mastectomy was performed. The diagnosis of undifferentiated pleomorphic sarcoma is challenging due to the lack of specific immunohistochemical markers. It can only be made after excluding other types of soft tissue sarcomas. This report discusses the histopathological and immunohistochemical studies that were conducted. Our case is distinguished from others with the same diagnosis by the atypical clinical presentation, which is painless, and the spontaneous bleeding, as well as the large size of the tumor.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283042","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}
Pub Date : 2024-08-31DOI: 10.3897/folmed.66.e127319
Krasimir Kraev, Petar Uchikov, Bozhidar Hristov, Maria Kraeva, Yordanka Basheva-Kraeva, Mladen Doykov, Stanislava Popova-Belova, Mariela Geneva-Popova
Introduction: Osteoarthritis is a prevalent degenerative joint disorder associated with pain and functional impairment. Curcumin, a natural anti-inflammatory compound, has garnered attention for its potential therapeutic benefits in osteoarthritis management.
{"title":"Exploring the impact of curcumin on osteoarthritis symptomatology: correlations and insights from a Bulgarian cohort.","authors":"Krasimir Kraev, Petar Uchikov, Bozhidar Hristov, Maria Kraeva, Yordanka Basheva-Kraeva, Mladen Doykov, Stanislava Popova-Belova, Mariela Geneva-Popova","doi":"10.3897/folmed.66.e127319","DOIUrl":"https://doi.org/10.3897/folmed.66.e127319","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis is a prevalent degenerative joint disorder associated with pain and functional impairment. Curcumin, a natural anti-inflammatory compound, has garnered attention for its potential therapeutic benefits in osteoarthritis management.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283036","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}
Introduction: Mandibular prognathism (MP) patients present with aesthetic concerns and functional issues, including difficulties in mastication and pronunciation. Studies revealed that mandibular prognathism had definitive Mendelian inheritance patterns. This study aimed to ascertain distinct genetic markers associated with mandibular prognathism in individuals of Indian descent, focusing on exploring the prevalent genetic variations associated with certain genes. This study sought to identify the association of the following gene markers with mandibular prognathism: 1) Matrilin-1 (MATN1) (rs1065755), 2) Bone morphogenic protein 3 (BMP-3) (Tyr67Asn), 3) Homeobox protein hox-A2 (HOXA2) (Val327Ile), 4) Rho-GTPase activating protein (ARHGAP 21) (Gly1121Ser), 5) Myosin 1H (MYO1H) (rs10850110).
导言:下颌前突(MP)患者会出现美观问题和功能问题,包括咀嚼和发音困难。研究表明,下颌前突具有明确的孟德尔遗传模式。本研究旨在确定与印度后裔下颌前突相关的独特遗传标记,重点探索与某些基因相关的普遍遗传变异。本研究试图确定以下基因标记与下颌前突的关联:1) Matrilin-1 (MATN1) (rs1065755), 2) Bone morphogenic protein 3 (BMP-3) (Tyr67Asn), 3) Homeobox protein hox-A2 (HOXA2) (Val327Ile), 4) Rho-GTPase activating protein (ARHGAP 21) (Gly1121Ser), 5) Myosin 1H (MYO1H) (rs10850110).
{"title":"Association between mandibular prognathism and Matrilin-1, bone morphogenic protein, Tyr67Asn, homeobox protein hox-A2, Rho-GTPase activating protein, and <i>Myosin 1H</i> genes in the Indian population.","authors":"Anish Doke, Anand Sabane, Amol Patil, Jayesh Rahalkar, Tulsi Subramaniam, Monali Nikalje","doi":"10.3897/folmed.66.e129047","DOIUrl":"https://doi.org/10.3897/folmed.66.e129047","url":null,"abstract":"<p><strong>Introduction: </strong>Mandibular prognathism (MP) patients present with aesthetic concerns and functional issues, including difficulties in mastication and pronunciation. Studies revealed that mandibular prognathism had definitive Mendelian inheritance patterns. This study aimed to ascertain distinct genetic markers associated with mandibular prognathism in individuals of Indian descent, focusing on exploring the prevalent genetic variations associated with certain genes. This study sought to identify the association of the following gene markers with mandibular prognathism: 1) Matrilin-1 (MATN1) (rs1065755), 2) Bone morphogenic protein 3 (BMP-3) (Tyr67Asn), 3) Homeobox protein hox-A2 (HOXA2) (Val327Ile), 4) Rho-GTPase activating protein (ARHGAP 21) (Gly1121Ser), 5) Myosin 1H (MYO1H) (rs10850110).</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283030","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}
Multiple symmetric lipomatosis (MLS), also known as Launois-Bensaude syndrome or Madelung disease, is a rare metabolic condition characterized by generally symmetrical, non-encapsulated fat accumulations in the patient's body.
{"title":"Could Madelung disease be a cause of stroke? A rare case report.","authors":"Bünyamin Tosunoğlu, Melih Altıkardeş, Elif Pınar Arık, Nilay Kaya, Levent Ertuğrul İnan","doi":"10.3897/folmed.66.e116329","DOIUrl":"https://doi.org/10.3897/folmed.66.e116329","url":null,"abstract":"<p><p>Multiple symmetric lipomatosis (MLS), also known as Launois-Bensaude syndrome or Madelung disease, is a rare metabolic condition characterized by generally symmetrical, non-encapsulated fat accumulations in the patient's body.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283033","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}
Pub Date : 2024-08-31DOI: 10.3897/folmed.66.e129251
Rositsa Dimova, Ralitsa Raycheva, Pavlina Pavlova
Aim: This study aimed to assess the risk management of drug safety in an operating theater setting within a hospital-based treatment facility.
目的:本研究旨在评估医院治疗机构手术室环境中的药物安全风险管理。
{"title":"Application of the bow-tie analysis to improve patient safety - a lesson learned from clinical practice.","authors":"Rositsa Dimova, Ralitsa Raycheva, Pavlina Pavlova","doi":"10.3897/folmed.66.e129251","DOIUrl":"https://doi.org/10.3897/folmed.66.e129251","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to assess the risk management of drug safety in an operating theater setting within a hospital-based treatment facility.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283029","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}
Pub Date : 2024-08-31DOI: 10.3897/folmed.66.e123766
Krikor Giragosyan, Ivan Chenchev, Vasilena Ivanova
Aim: The aim of this randomized clinical trial was to compare the qualitative (linear alveolar ridge changes) and quantitative (healing complications) outcomes after guided bone regeneration (GBR) using a custom-made 3D printed titanium mesh versus titanium reinforced dense PTFE membrane for vertical and horizontal augmentation of deficient alveolar ridges.
目的:本随机临床试验旨在比较使用定制的 3D 打印钛网与钛增强致密聚四氟乙烯膜进行牙槽嵴缺损垂直和水平增量治疗后,引导骨再生(GBR)的定性(牙槽嵴线性变化)和定量(愈合并发症)结果。
{"title":"Linear bone gain and healing complication rate comparative outcomes following ridge augmentation with custom 3D printed titanium mesh vs Ti-reinforced dPTFE. A randomized clinical trial.","authors":"Krikor Giragosyan, Ivan Chenchev, Vasilena Ivanova","doi":"10.3897/folmed.66.e123766","DOIUrl":"https://doi.org/10.3897/folmed.66.e123766","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this randomized clinical trial was to compare the qualitative (linear alveolar ridge changes) and quantitative (healing complications) outcomes after guided bone regeneration (GBR) using a custom-made 3D printed titanium mesh versus titanium reinforced dense PTFE membrane for vertical and horizontal augmentation of deficient alveolar ridges.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283039","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}
Pub Date : 2024-08-31DOI: 10.3897/folmed.66.e127273
Mariya Ivanova, Anna Todorova, Daniela Grekova-Kafalova
Introduction: The disorder known as burnout develops as a reaction to the damaging impacts of workplace stress. When occupational stress is poorly managed, it can result in burnout, which has a detrimental impact on workers' performance and emotional and physical well-being. Those who work in the helping profession are the most vulnerable. Pharmacy practitioners are among the most vulnerable groups in the healthcare industry.
{"title":"Impact of working environment on the level of occupational burnout among community pharmacists - a pilot study.","authors":"Mariya Ivanova, Anna Todorova, Daniela Grekova-Kafalova","doi":"10.3897/folmed.66.e127273","DOIUrl":"https://doi.org/10.3897/folmed.66.e127273","url":null,"abstract":"<p><strong>Introduction: </strong>The disorder known as burnout develops as a reaction to the damaging impacts of workplace stress. When occupational stress is poorly managed, it can result in burnout, which has a detrimental impact on workers' performance and emotional and physical well-being. Those who work in the helping profession are the most vulnerable. Pharmacy practitioners are among the most vulnerable groups in the healthcare industry.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283038","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}