Journal of Medicine, Surgery, and Public Health最新文献

{"title":"Persistent blepharospasm and bradyphrenia following Artery of Percheron infarction","authors":"Hazim Muhammad Yousuf Brohi,&nbsp;Muhammad Luqman,&nbsp;Syeda Zainab Fatima Rizvi ,&nbsp;Syed Muhammad Sinaan Ali ,&nbsp;Mohammad Bilal Abbasi","doi":"10.1016/j.glmedi.2024.100160","DOIUrl":"10.1016/j.glmedi.2024.100160","url":null,"abstract":"<div><div>Infarctions of the artery of Percheron are a rare clinical event, primarily presenting as bilateral thalamic infarcts with varying manifestations. We report an unusual case of a 50-year-old male who presented with sudden loss of consciousness, afebrile hypertension, and a Glasgow Coma Scale (GCS) score of 7/15. Initial laboratory findings were unremarkable, but further investigations revealed bilateral thalamic infarcts on MRI. The patient was managed for stroke with antiplatelet therapy and supportive treatment. He was discharged after improvement in his clinical status; however, he continued to experience persistent bradyphrenia and blepharospasm. During a follow-up visit, the patient was administered a Botox injection, which improved the blepharospasm, emphasizing on the importance of palliative care in addressing long-term sequelae of stroke. This patient exhibited the rare combination of bradyphrenia and blepharospasm. MRI is the investigation of choice in diagnosing AOP infarcts, but timely clinical evaluation is essential to minimize the risk of persistent long-term symptoms. This case of an atypical presentation of blepharospasm and bradyphrenia associated with an AOP infarct highlights the need for further research into the diverse clinical manifestations and underlying mechanisms of these infarctions.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100160"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748077","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":"Ethical Challenges in the Integration of Artificial Intelligence in Palliative Care","authors":"Abiodun Adegbesan ,&nbsp;Adewunmi Akingbola ,&nbsp;Olajide Ojo ,&nbsp;Otumara Urowoli Jessica ,&nbsp;Uthman Hassan Alao ,&nbsp;Uchechukwu Shagaya ,&nbsp;Olajumoke Adewole ,&nbsp;Owolabi Abdullahi","doi":"10.1016/j.glmedi.2024.100158","DOIUrl":"10.1016/j.glmedi.2024.100158","url":null,"abstract":"<div><div>The integration of artificial intelligence (AI) into palliative care offers the possibility of improved patient outcomes through enhanced decision-making, personalized care, and reduced healthcare provider burden. However, the use of AI in this sensitive area presents significant ethical challenges which require serious consideration to ensure that technology serves the best interests of patients without compromising their rights or well-being. This narrative review explores the key ethical issues associated with AI in palliative care, with a focus on low-resource settings where these challenges are often intensified. The review examines essential ethical principles such as autonomy, beneficence, non-maleficence, and justice, and identifies critical concerns including data privacy, informed consent, algorithmic bias, and the risk of depersonalizing care. It also highlights the unique difficulties faced in low-resource environments, where the lack of infrastructure and regulatory frameworks can exacerbate these ethical risks. To address these challenges, the review offers actionable recommendations, such as developing context-specific guidelines, promoting transparency and accountability through explainable AI (XAI), and conducting regular ethical audits. Interdisciplinary collaboration is emphasized to ensure that AI systems are ethically designed and implemented, respecting cultural contexts and upholding patient dignity. This study contributes to the ongoing discourse on ethical AI integration in healthcare, indicating the need for careful consideration of ethical principles to ensure that AI enhances rather than undermines the compassionate care at the heart of palliative care. These findings serve as a foundation for future research and policy development in this emerging field.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100158"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748079","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":"Cancer screening among sexual minority groups in the United States","authors":"Samuel Tundealao ,&nbsp;Anusha Sajja ,&nbsp;Tolulope Titiloye ,&nbsp;Praise Okunlola ,&nbsp;Adedayo Ogunware ,&nbsp;Olajumoke Olarewaju","doi":"10.1016/j.glmedi.2024.100159","DOIUrl":"10.1016/j.glmedi.2024.100159","url":null,"abstract":"<div><div>This study assessed the prevalence and likelihood of being up-to-date with cancer screening tests based on sexual orientation among United States (US) adults. It is a secondary analysis of the Health Information National Trends Survey 6, a nationally representative survey of civilian, non-institutionalized adults aged 18 or older living in the United States. A descriptive analysis of the sociodemographic characteristics based on cancer screening was done with a survey-weighted Chi-Squared test. Survey-weighted binomial multivariable logistic regression was used to assess the relationship between sexual orientation and being up-to-date with cancer screening tests. In addition, logistic regression using the backward selection method was also used to evaluate factors associated with not being up-to-date with cancer screening among the sexual minority (SM) population alone. There were 5209 heterosexual individuals (non-SM) and 439 SM individuals (58 lesbian women, 93 gay men, 148 bisexual women, 35 bisexual men, and 105 other SM groups). Approximately 17.5 % of non-SM individuals in the US are up-to-date with cancer screening tests, while 10.9 % of SM people are up-to-date with cancer screening. The prevalences of up-to-date cancer screening among the different SM populations include gay men (7.4 %), lesbian women (12.6 %), bisexual men (8.7 %), bisexual women (9.7 %), and other SM groups (15.5 %). SM people are 1.56 times (CI: 1.06 – 2.91, p&lt;0.03) more likely to not be up-to-date with cancer screening tests compared to non-SM individuals after adjusting for other sociodemographic characteristics. SM individuals who are less than 40 years old (aOR = 4.16, CI: 1.54–11.20, p=0.006), not married (aOR = 2.75, CI: 1.05–7.15, p=0.041), and currently smoke (aOR = 5.60, CI: 1.09–28.85, p=0.040) are more likely not to be up-date with cancer screening. This study provided crucial information that further bridged gaps in cancer disparities among the SM population and provided information that could help define SM-specific interventions to increase the rates of cancer screening among this population.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100159"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721742","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":"Social factors related to gun violence in urban United States","authors":"Joseph A. McMillan ,&nbsp;Sri Banerjee ,&nbsp;Rafael Gonzales-Lagos ,&nbsp;Wayne Harris","doi":"10.1016/j.glmedi.2024.100155","DOIUrl":"10.1016/j.glmedi.2024.100155","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Gun violence (GV), acknowledged as a public health crisis, disproportionately affects urban centers in the United States. However, the precise connections between social factors and GV are not fully understood. This study, leveraging the Cardiff Model approach, evaluates whether there is a statistical and geospatial relationship between social vulnerability index (SVI) and GV.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In this cross-sectional study, we combined Gun Violence Archive (GVA), a dataset of firearm violence (2019–2023), with corresponding census tract level SVIs for three selected cities—Atlanta, GA; St. Louis, MO; and Washington, DC. The GVA was created, due to gaps in government-based data, from daily public records and media by an independent data collection group. Also, the SVI, derived from a place-based index from Centers for Disease Control (CDC), was originally used to evaluate the resiliency of communities to recover from socio-environmental stressors. GV data from these three cities, representative of major urban centers in the United States, were used to conduct various analyses. We used Poisson regression to assess whether nine of the sixteen SVI measures were statistically associated with GV incidents. Furthermore, we examined whether spatial relationships between SVI and GV differ by level of concentrated disadvantage in urban neighborhoods.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Out of all GV incidents (10,442), corresponding to 488 census tracts, teenagers ages 12–17 were found to have higher GV rates in St. Louis (12 %) than Atlanta (7.6 %) and Washington DC (10.5 %). Children, ages 0–11, in St. Louis (3.1 %) were involved in more GV incidents than the other two (Washington DC-1.2 % and Atlanta-2.3 %) cities. In the composite model, census tract-level SVIs were statistically significantly associated with GV. Some of the most prominent SVIs, viewed as predictors of GV, included racial-ethnic minority [Incidence Rate Ratio (IRR): 1.02, 95 % CI: 1.01–1.02, p&lt;0.001], 150 % of Federal Poverty Level (FPL) [IRR: 1.00, 95 % CI: 1.00–1.01, p&lt;0.001], and unemployment (IRR: 1.01, p&lt;0.001). Also, many of the SVI variables were found to be significantly associated with GV incidents in each of the three selected cities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;In this original study, we found that there was a strong statistically significant association between SVI-related disadvantaged neighborhoods and increased GV incidents. Additionally, we found that the geospatial distribution of GV incidents were more concentrated in neighborhoods with increased vulnerability throughout the three (Atlanta, GA; St. Louis, MO; and Washington, DC) selected cities than those neighborhoods with decreased vulnerability. Unique approaches such as integration of the SVI with gun control legislation, which informs ownership, use, and access to firearms, provides a better strategy to inform the implementation of an inter","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100155"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705099","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":"Challenges in the cytological diagnosis of nodular fasciitis","authors":"Durre Aden,&nbsp;Nehal Ahmad,&nbsp;Sabina Khan,&nbsp;Rubeena Mohroo","doi":"10.1016/j.glmedi.2024.100153","DOIUrl":"10.1016/j.glmedi.2024.100153","url":null,"abstract":"<div><div>Nodular fasciitis (NF) is a self-limiting neoplasm found in the upper extremities, trunk, head, and neck. NF occurring in the tragus is extremely rare. Its rapid growth and hypercellularity on cytology can mimic malignancy causing diagnostic challenges. Here we present a case of a 39-year-old female presented with a rapidly growing 2×2 cm firm swelling on the right tragus. FNAC showed a cellular lesion with fibroblast-like spindle cells and myofibroblasts in a myxoid background with occasional multinucleated cells, suggesting a benign mesenchymal lesion, likely NF. Surgical excision was performed and histopathology confirmed the diagnosis. The exact aetiology is not known. However, NF is associated with recurrent MYH9:USP6 gene fusions. FNAC smears show hypercellularity with spindle cells, myxoid background, and occasional nuclear overlapping, often leading to confusion with sarcoma.FNAC is a simple, cheaper and minimally invasive diagnostic modality which helps in the diagnosis yet its variable and nonspecific cytomorphologic features at times can lead to misdiagnosis. This case report highlights the diagnostic challenges associated with NF, particularly due to its unusual location in the tragus.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100153"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705100","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":"Incidental diagnosis of Herlyn-Werner-Wunderlich syndrome complicated with pyocolpos","authors":"Osama Dukmak ,&nbsp;Hamza A. Abdul-Hafez ,&nbsp;Hamsa Abed ,&nbsp;Najlaa Abdul-Hafez","doi":"10.1016/j.glmedi.2024.100154","DOIUrl":"10.1016/j.glmedi.2024.100154","url":null,"abstract":"<div><div>Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare congenital anomaly typically presenting after menarche, often with symptoms like abdominal pain, vaginal discharge, infertility, or spontaneous abortion. In some cases, HWWS is discovered incidentally on imaging. Here, we report the case of a 19-year-old female with a known history of a congenital single kidney who presented with delayed fertility and an abnormal ultrasound that showed a bicornuate uterus and fluid collection. Further imaging and surgical assessment revealed uterus didelphys, a right transverse vaginal septum, and pyocolpos, consistent with HWWS. Management involved draining the fluid collection, followed by pregnancy-related care. This case emphasizes the importance of routine evaluations and considering a broad differential diagnosis that includes rare congenital anomalies like HWWS. This condition results from a failure of Müllerian duct fusion and can present with various symptoms, including cyclic pelvic pain and hematocolpos due to an obstructed hemivagina. Although our patient was asymptomatic, her HWWS was identified during fertility evaluation, highlighting the challenges of diagnosing congenital anomalies and the need for surgical expertise in their management. HWWS often presents with fertility challenges and requires radiographic imaging for accurate diagnosis, with surgical intervention as the primary treatment approach.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100154"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705101","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":"Treatment of post COVID-19 pulmonary artery pseudoaneurysm: a report of two cases","authors":"Khurram Khaliq Bhinder,&nbsp;Atif Iqbal Rana,&nbsp;Haider Ali,&nbsp;Zahid Amin Khan,&nbsp;Jamshaid Anwar,&nbsp;Ahmad Ammar Afzal,&nbsp;Maria Rauf","doi":"10.1016/j.glmedi.2024.100152","DOIUrl":"10.1016/j.glmedi.2024.100152","url":null,"abstract":"<div><div>Pulmonary pseudoaneurysms (PAPs) are potentially life-threatening entity. Pulmonary pseudoaneurysm (PAP) post-COVID-19 infection is a rare complication with only a few case reports. Here, we describe two such patients who were successfully treated with embolization using pushable coils. Our first patient was a 72-year-old male who presented with massive hemoptysis two months after COVID-19 pneumonia. CT tomography angiography showed a thick-walled cavitary lesion with a bilobed pseudoaneurysm arising from the posterior segmental branch of the right lower lobe pulmonary artery. In our second case, a 66-year-old female presented with hemoptysis two month after COVID-19 infection. Chest CT showed extensive pulmonary opacities. This patient also had a pseudoaneurysm of the posterior segmental branch of the right lower lobe pulmonary artery. Both patients were treated with embolization using pushable coils to achieve occlusion of the pseudoaneurysm and its feeding artery.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100152"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657055","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 next viral pandemic: A call for global preparedness","authors":"Hassan Karami ,&nbsp;Mina Soleimani,&nbsp;Negar Nayerain Jazi,&nbsp;Kiana Navi,&nbsp;Rojina Sajadi,&nbsp;Mohammad Mehdi Fazeli,&nbsp;Golara Pagheh,&nbsp;Samane Ostadhadi Dehkordi","doi":"10.1016/j.glmedi.2024.100150","DOIUrl":"10.1016/j.glmedi.2024.100150","url":null,"abstract":"<div><div>The global emergence of several major viral disease outbreaks over the last two decades represents how infectious diseases alarmingly threaten human health despite significant progress in medical advances in recent years. Therefore, it is essential to address the threat of the next viral pandemic and draw global attention to invest in research, development, and implementation of risk-reduction interventions to harness the benefits of preparedness plans aimed at minimizing the potential spread of viruses to previously affected and even unaffected regions of the world and reducing the burden of future global outbreaks. Here, we discuss six pillars of preparedness including enhancing monitoring and surveillance capabilities, developing diagnostic tools, building a robust and well-resourced healthcare system, developing effective medical countermeasures (Vaccines and treatments), and improving collaboration and financial support at both local and global levels. This letter calls for global preparedness to ensure an effective, timely, and coordinated response to future viral threats with significant importance to public health.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100150"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142571757","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 impact of melatonin on oral health: Current insights and future research directions","authors":"Tasneem Alomari,&nbsp;Omar Alomari ,&nbsp;Russel J. Reiter","doi":"10.1016/j.glmedi.2024.100151","DOIUrl":"10.1016/j.glmedi.2024.100151","url":null,"abstract":"<div><div>Melatonin, traditionally known for its role in sleep regulation, is emerging as a significant therapeutic agent in dental practice due to its antibacterial, antiviral, anti-inflammatory, and antioxidant properties. Present in saliva and locally secreted in the oral cavity, melatonin can protect gingival and periodontal tissues by reducing inflammation and oxidative damage. Additionally, it influences enamel maturation and has implications for systemic conditions such as diabetes, highlighting its relevance in dentistry. We propose integrating melatonin into oral healthcare practices by assessing patients' melatonin use, particularly those with inflammatory or systemic conditions, and recommending melatonin-based treatments like sublingual tablets or topical gels to enhance periodontal treatment, promote tissue repair, and reduce oral mucosal lesions. Public health initiatives should raise awareness of melatonin's preventive potential for high-risk populations, and policy frameworks should consider these findings in oral health guidelines. Rigorous clinical studies are essential to establish a solid empirical foundation for melatonin's protective effects on oral health outcomes, necessitating standardized clinical research to validate these preliminary findings.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100151"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554958","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":"Atypical presentation of autoimmune encephalitis in a pediatric patient: Diagnostic delays and treatment responses","authors":"Ameer Awashra ,&nbsp;Fathi Milhem ,&nbsp;Amr Khaled ,&nbsp;Roaa Hamshari ,&nbsp;Noor Nabresi ,&nbsp;Ola Ahmad ,&nbsp;Asad Rabee","doi":"10.1016/j.glmedi.2024.100144","DOIUrl":"10.1016/j.glmedi.2024.100144","url":null,"abstract":"<div><div>Autoimmune encephalitis (AE) is a rapidly progressing inflammatory brain disease often characterized by psychiatric symptoms, seizures, and cognitive impairments. This case involves a 13-year-old female who initially presented with a persistent, severe unilateral headache unresponsive to standard treatments. Despite normal imaging and neurological exams, her symptoms escalated to include neuropsychiatric issues, eventually leading to the diagnosis of AE, confirmed through the presence of NMDA receptor antibodies. Treatment with immunomodulatory therapies, including intravenous methylprednisolone and plasmapheresis, resulted in significant clinical improvement over several months. The case highlights the complexities and challenges in diagnosing AE, especially in instances where imaging findings are unremarkable or the presentation is atypical, resulting in multiple misdiagnoses.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"4 ","pages":"Article 100144"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142538680","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}