Pub Date : 2025-01-01DOI: 10.1016/j.eucr.2024.102914
Joko Pitoyo , Albert Ciam
Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and several techniques have been proposed to address this issue. We present the case of a 10-year-old boy who experienced complete glans amputation 14 hours after circumcision. The initial remaining penile length was measured at 2 cm. We performed stump repair and planned for staged surgery. Buccal mucosal grafting for neo-glans reconstruction, combined with testosterone pre-hormonal therapy, proved to be a simple procedure with satisfactory results. This case provides valuable insights into the management of similar cases in the future.
{"title":"Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature","authors":"Joko Pitoyo , Albert Ciam","doi":"10.1016/j.eucr.2024.102914","DOIUrl":"10.1016/j.eucr.2024.102914","url":null,"abstract":"<div><div>Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and <u>several</u> techniques have been <u>proposed</u> to address this issue. <u>We present the case of</u> a 10-year-old boy <u>who experienced</u> complete glans amputation 14 hours after circumcision. The initial remaining penile length was measured at 2 cm. We <u>performed</u> stump repair and <u>planned for</u> staged surgery. Buccal mucosal <u>grafting</u> for neo-glans reconstruction, <u>combined with</u> testosterone pre-hormonal therapy, <u>proved to be</u> a simple procedure <u>with satisfactory results</u>. This case provides valuable insights <u>into</u> the management of similar cases in the future.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102914"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984747","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}
Pub Date : 2025-01-01DOI: 10.1016/j.eucr.2024.102919
Majd Oweidat , Islam H. Karajeh , Widad Abu Mayyala , Mohammed Alra'e , Ammar Y. Hmidat
Henoch-Schönlein Purpura (HSP), or IgA vasculitis, is a systemic inflammatory disorder primarily affecting children. While common symptoms include purpura, abdominal pain, and arthritis, testicular involvement is rare. We report a case of a young boy presenting with severe scrotal pain and swelling, later identified as epididymo-orchitis secondary to HSP. Diagnosis was confirmed via Doppler ultrasound, and treatment with corticosteroids and antibiotics resulted in rapid symptom resolution. This case highlights the importance of recognizing rare extra-cutaneous manifestations of HSP and underscores the need for prompt diagnosis and tailored management to achieve favorable outcomes.
{"title":"Henoch-Schönlein purpura with epididymo-orchitis: A rare extra-cutaneous manifestation","authors":"Majd Oweidat , Islam H. Karajeh , Widad Abu Mayyala , Mohammed Alra'e , Ammar Y. Hmidat","doi":"10.1016/j.eucr.2024.102919","DOIUrl":"10.1016/j.eucr.2024.102919","url":null,"abstract":"<div><div>Henoch-Schönlein Purpura (HSP), or IgA vasculitis, is a systemic inflammatory disorder primarily affecting children. While common symptoms include purpura, abdominal pain, and arthritis, testicular involvement is rare. We report a case of a young boy presenting with severe scrotal pain and swelling, later identified as epididymo-orchitis secondary to HSP. Diagnosis was confirmed via Doppler ultrasound, and treatment with corticosteroids and antibiotics resulted in rapid symptom resolution. This case highlights the importance of recognizing rare extra-cutaneous manifestations of HSP and underscores the need for prompt diagnosis and tailored management to achieve favorable outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102919"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013495","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}
Zinner syndrome is a congenital anomaly characterized by seminal vesicle cysts, ipsilateral renal agenesis, and ejaculatory duct obstruction possibly associated with infertility. Only 200 cases of Zinner syndrome have been reported since its discovery in 1914. We present the case of a 63-year-old man seeking treatment for a ureteropelvic junction stone causing severe hydronephrosis. After the patient's history and the computed tomography findings were reviewed, the diagnosis of Zinner syndrome was confirmed. The patient has been nearly asymptomatic and has had three children during his lifetime. Our case could serve as a reference for future diagnoses of this rare anomaly.
{"title":"Zinner syndrome incidentally diagnosed in a man with ureteropelvic junction stone and hydronephrosis: A case report","authors":"Tzu-Yu Chiu , Szu-Ju Chen , Chun-Lin Huang , Chi-Ping Huang , Wen-Chi Chen","doi":"10.1016/j.eucr.2025.102930","DOIUrl":"10.1016/j.eucr.2025.102930","url":null,"abstract":"<div><div>Zinner syndrome is a congenital anomaly characterized by seminal vesicle cysts, ipsilateral renal agenesis, and ejaculatory duct obstruction possibly associated with infertility. Only 200 cases of Zinner syndrome have been reported since its discovery in 1914. We present the case of a 63-year-old man seeking treatment for a ureteropelvic junction stone causing severe hydronephrosis. After the patient's history and the computed tomography findings were reviewed, the diagnosis of Zinner syndrome was confirmed. The patient has been nearly asymptomatic and has had three children during his lifetime. Our case could serve as a reference for future diagnoses of this rare anomaly.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102930"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048145","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}
Pub Date : 2025-01-01DOI: 10.1016/j.eucr.2024.102903
Luke Martin , Dipen Mehta , Bradley Morganstern
This report presents the case of an 8-year-old female with a history of vesicoureteral reflux (VUR) treated with Deflux injections, who developed Ewing sarcoma metastasized to the lungs. Despite the initial resolution of VUR following Deflux procedures, recurrent urinary tract infections prompted further evaluation revealing significant ureteral obstruction. Pre-chemotherapy workup included renal ultrasonography, nuclear medicine renal scan, and cystogram, identifying obstructive uropathy necessitating bilateral ureteral stent placement. This discussion encompasses the challenges of managing VUR, Deflux complications, and the importance of tailored follow-up protocols.
{"title":"Obstruction from Deflux leading to significant kidney function loss and chemotherapeutic challenges in pediatric Ewing sarcoma","authors":"Luke Martin , Dipen Mehta , Bradley Morganstern","doi":"10.1016/j.eucr.2024.102903","DOIUrl":"10.1016/j.eucr.2024.102903","url":null,"abstract":"<div><div>This report presents the case of an 8-year-old female with a history of vesicoureteral reflux (VUR) treated with Deflux injections, who developed Ewing sarcoma metastasized to the lungs. Despite the initial resolution of VUR following Deflux procedures, recurrent urinary tract infections prompted further evaluation revealing significant ureteral obstruction. Pre-chemotherapy workup included renal ultrasonography, nuclear medicine renal scan, and cystogram, identifying obstructive uropathy necessitating bilateral ureteral stent placement. This discussion encompasses the challenges of managing VUR, Deflux complications, and the importance of tailored follow-up protocols.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102903"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932961","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}
Pub Date : 2025-01-01DOI: 10.1016/j.eucr.2024.102927
Hasan Haydar , Ayham Qatza , Saja Karaja , Anagheem Alkhleef , Mohamad Yasin Lutfi , Habib Jarbouh
Leydig cell tumors (LCTs) are rare testicular neoplasms, representing 1–3% of all testicular tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed a 61 × 53 × 35 mm tumor with heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was performed, and immunohistochemistry confirmed LCT with positivity for Inhibin A and calretinin, and negativity for CK, chromogranin, LCA, and low Ki67. Postoperative follow-up at 6 months showed improved condition, no scrotal masses, and normal tumor markers. Finally, LCTs in older males require differential diagnosis; hormonal activity impacts presentation. Conservative management and monitoring are crucial.
{"title":"Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report","authors":"Hasan Haydar , Ayham Qatza , Saja Karaja , Anagheem Alkhleef , Mohamad Yasin Lutfi , Habib Jarbouh","doi":"10.1016/j.eucr.2024.102927","DOIUrl":"10.1016/j.eucr.2024.102927","url":null,"abstract":"<div><div>Leydig cell tumors (LCTs) are rare testicular neoplasms, representing 1–3% of all testicular tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed a 61 × 53 × 35 mm tumor with heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was performed, and immunohistochemistry confirmed LCT with positivity for Inhibin A and calretinin, and negativity for CK, chromogranin, LCA, and low Ki67. Postoperative follow-up at 6 months showed improved condition, no scrotal masses, and normal tumor markers. Finally, LCTs in older males require differential diagnosis; hormonal activity impacts presentation. Conservative management and monitoring are crucial.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102927"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048143","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}
Pub Date : 2025-01-01DOI: 10.1016/j.eucr.2024.102898
El Abidi Hamza, Ibrahimi Ahmed, Lakssir Jihad, Tariqi Reda, Mikou Mohamed Ali, Boualaoui Imad, El Sayegh Hashem, Nouini Yassine
Congenital obstruction of the upper urinary tract is often caused by the pyeloureteral junction syndrome, the lower polar vessel being the most common extrinsic etiology.
We report on a case that was successfully treated using the Vascular HITCH, an alternative method with lower morbidity than Anderson and Hynes pyeloplasty considered the gold standard procedure.
Our objective is to outline the aforementioned method and illustrate its ease of use and possible efficacy in carefully chosen adult patients.
A very specific set of patients who meet pre- and post-operative criteria are required for vascular HITCH. The outcomes of this method are encouraging.
{"title":"A successful case of vascular hitch procedure in adulthood: A simpler alternative for the vascular obstruction of the pyelo-ureteral junction","authors":"El Abidi Hamza, Ibrahimi Ahmed, Lakssir Jihad, Tariqi Reda, Mikou Mohamed Ali, Boualaoui Imad, El Sayegh Hashem, Nouini Yassine","doi":"10.1016/j.eucr.2024.102898","DOIUrl":"10.1016/j.eucr.2024.102898","url":null,"abstract":"<div><div>Congenital obstruction of the upper urinary tract is often caused by the pyeloureteral junction syndrome, the lower polar vessel being the most common extrinsic etiology.</div><div>We report on a case that was successfully treated using the Vascular HITCH, an alternative method with lower morbidity than Anderson and Hynes pyeloplasty considered the gold standard procedure.</div><div>Our objective is to outline the aforementioned method and illustrate its ease of use and possible efficacy in carefully chosen adult patients.</div><div>A very specific set of patients who meet pre- and post-operative criteria are required for vascular HITCH. The outcomes of this method are encouraging.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102898"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839934","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}
Pub Date : 2024-12-31DOI: 10.1016/j.eucr.2024.102928
Farhad Ahmadi , Hormoz Karami
Hydatidosis (hydatic cyst) is one of the most important common infectious diseases between humans and animals, which is transmitted through parasite eggs (worms).
A band (of the Echinococcus family) is caused by Echinococcus granulosus larvae, which randomly infects a person with one or more cysts.
Hydatid cyst affects all organs. The most common sites of involvement include the liver, lung, and rarely in the kidney, brain.
It can also cause heart, bone and spleen.
Considering the rarity of hydatid cyst in the kidney, this article introduced a 14-year-old patient with hydatid cyst of the kidney.
{"title":"A case report of renal hydatid cyst","authors":"Farhad Ahmadi , Hormoz Karami","doi":"10.1016/j.eucr.2024.102928","DOIUrl":"10.1016/j.eucr.2024.102928","url":null,"abstract":"<div><div>Hydatidosis (hydatic cyst) is one of the most important common infectious diseases between humans and animals, which is transmitted through parasite eggs (worms).</div><div>A band (of the Echinococcus family) is caused by Echinococcus granulosus larvae, which randomly infects a person with one or more cysts.</div><div>Hydatid cyst affects all organs. The most common sites of involvement include the liver, lung, and rarely in the kidney, brain.</div><div>It can also cause heart, bone and spleen.</div><div>Considering the rarity of hydatid cyst in the kidney, this article introduced a 14-year-old patient with hydatid cyst of the kidney.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102928"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138573","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}
Pub Date : 2024-11-27DOI: 10.1016/j.eucr.2024.102894
Bridget S. Kastelberg , Madeline C. Donnelly , George B. Smallfield III , Stephen P. Sharp , Laura R. Carucci , Adam P. Klausner
We present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation requiring surgical removal of the battery and lead. Post removal, the patient returned to baseline urinary symptoms with the development of de novo fecal incontinence. This is the third reported case of sacral neuromodulation lead migration causing rectal perforation in the literature, and the only case managed with endoscopic closure of the rectal defect.
{"title":"A case of lead migration after sacral neuromodulation with erosion into the rectum","authors":"Bridget S. Kastelberg , Madeline C. Donnelly , George B. Smallfield III , Stephen P. Sharp , Laura R. Carucci , Adam P. Klausner","doi":"10.1016/j.eucr.2024.102894","DOIUrl":"10.1016/j.eucr.2024.102894","url":null,"abstract":"<div><div>We present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation requiring surgical removal of the battery and lead. Post removal, the patient returned to baseline urinary symptoms with the development of de novo fecal incontinence. This is the third reported case of sacral neuromodulation lead migration causing rectal perforation in the literature, and the only case managed with endoscopic closure of the rectal defect.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102894"},"PeriodicalIF":0.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743548","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}
Pub Date : 2024-11-26DOI: 10.1016/j.eucr.2024.102897
Abdulrahman Alharbi, Talha Saleem, Rehan Nasir Khan, Ahmed Farag, Abdullatif Al-Terki
Renal Forniceal rupture is a common urological emergency, most commonly due to an underlying ureteral obstruction. There is no standardized management for forniceal rupture. We report a 70-year-old female who presented with vague abdominal symptoms, and acute on Chronic Kidney Disease. Plain Computed Tomography scan of the abdomen/pelvis revealed grossly disturbed renal anatomy, with a large perinephric collection, and an obstructing pelvic-ureteric junction stone. She was initially managed with intravenous antibiotics, percutaneous drain and percutaneous nephrostomy placement. She subsequently underwent right flexible ureteroscopy and double-J stenting. Prompt, early intervention resulted in return of renal anatomy and facilitated early recovery.
{"title":"Minimally invasive intervention of forniceal rupture in a solitary functioning kidney: A case report","authors":"Abdulrahman Alharbi, Talha Saleem, Rehan Nasir Khan, Ahmed Farag, Abdullatif Al-Terki","doi":"10.1016/j.eucr.2024.102897","DOIUrl":"10.1016/j.eucr.2024.102897","url":null,"abstract":"<div><div>Renal Forniceal rupture is a common urological emergency, most commonly due to an underlying ureteral obstruction. There is no standardized management for forniceal rupture. We report a 70-year-old female who presented with vague abdominal symptoms, and acute on Chronic Kidney Disease. Plain Computed Tomography scan of the abdomen/pelvis revealed grossly disturbed renal anatomy, with a large perinephric collection, and an obstructing pelvic-ureteric junction stone. She was initially managed with intravenous antibiotics, percutaneous drain and percutaneous nephrostomy placement. She subsequently underwent right flexible ureteroscopy and double-J stenting. Prompt, early intervention resulted in return of renal anatomy and facilitated early recovery.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102897"},"PeriodicalIF":0.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743547","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}
Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal neoplasms, commonly found in the uterus and retroperitoneum. Renal PEComas are exceedingly rare, often posing diagnostic challenges due to their resemblance to renal cell carcinoma (RCC) on imaging. We present the case of an 18-year-old male who presented with non-specific symptoms of fever, chills, and shivering. Imaging revealed a renal mass, initially suspected to be RCC. However, following a right radical nephrectomy, histopathological examination confirmed the diagnosis of malignant PEComa. This case highlights the rarity of renal PEComa and underscores the importance of early diagnosis and appropriate surgical management to prevent complications.
{"title":"Renal PEComa in a young male: A case report and insights from the literature","authors":"Rashad Sholan , Rufat Aliyev , Malahat Sultan , Anar Almazkhanli , Savalan Karim , Jalal Gasimov","doi":"10.1016/j.eucr.2024.102890","DOIUrl":"10.1016/j.eucr.2024.102890","url":null,"abstract":"<div><div>Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal neoplasms, commonly found in the uterus and retroperitoneum. Renal PEComas are exceedingly rare, often posing diagnostic challenges due to their resemblance to renal cell carcinoma (RCC) on imaging. We present the case of an 18-year-old male who presented with non-specific symptoms of fever, chills, and shivering. Imaging revealed a renal mass, initially suspected to be RCC. However, following a right radical nephrectomy, histopathological examination confirmed the diagnosis of malignant PEComa. This case highlights the rarity of renal PEComa and underscores the importance of early diagnosis and appropriate surgical management to prevent complications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102890"},"PeriodicalIF":0.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743544","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}