Revista medica de Chile最新文献

{"title":"[Influence of Remote Work Imposed by COVID-19 Lockdowns on Weight Gain in Adults Across 21 Ibero-American Countries].","authors":"Ingrid Schifferli, Juan José Orellana, Lilia Pedraza","doi":"10.4067/s0034-98872025000100001","DOIUrl":"https://doi.org/10.4067/s0034-98872025000100001","url":null,"abstract":"<p><strong>Aim: </strong>To determine the association between weight gain (WG) and teleworking in 21 Ibero-American countries and to examine the effect WG on sex, age, physical activity (PA), ways of working (WW), mood (M), and eating habits.</p><p><strong>Methods: </strong>Cross-sectional study, non-probability sampling in 21 Ibero-American countries. A biodemographic, eating, PA, M, and WW were obtained. The association between WG and the explanatory variables was studied by bivariate and multivariate analysis.</p><p><strong>Results: </strong>9,698 volunteers, 65.2% women, 34.2% with age from 25 to 34, BMI mean(sd) 26.0 (5.1) kg/m2, WG prevalence: 28.3%, greater prevalence of WG in: women (28.9%); reduced PA (42.6%); lack of positive mood (33.2%); increased the number of meals (54.0%); increased the number of meals and the amount of food (63.7%); increase in consumption of processed and ultra-processed foods (UP), and reduction in non-processed, foods (75.1%). There was no significant link between WG and WW.</p><p><strong>Conclusion: </strong>WG was greater in women. Positive association between WG and reduction in PA, increase in number of meals, amount of food, processed and UP foods, and lack of positive moods.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"153 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056558","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}

{"title":"[Self-efficacy in Advanced Cardiovascular Life Support among Professionals. Are we overestimating our skills? A multicenter study].","authors":"Sebastián Turner-Pantoja, Nancy Bastías-Vega, Marjorie Baquedano-Rodríguez","doi":"10.4067/s0034-98872025000100053","DOIUrl":"https://doi.org/10.4067/s0034-98872025000100053","url":null,"abstract":"<p><p>Self-efficacy, understood as confidence in one's ability to execute specific tasks successfully, is a key factor in the performance of healthcare professionals in emergency situations. In the context of Advanced Cardiovascular Life Support (ACLS), which requires quick decision-making and the precise execution of technical skills, self-assessment of one's abilities is essential to ensure quality care and patient safety. However, the question arises: could overconfidence compromise actual performance in critical settings?</p><p><strong>Aim: </strong>To evaluate ACLS self-efficacy among healthcare professionals in public hospitals and compare it with their actual performance.</p><p><strong>Methods: </strong>90 healthcare professionals from five public hospitals in a central region of Chile were included. ACLS self-efficacy was measured using an instrument specifically designed for emergency care, while practical ACLS skills were evaluated based on the American Heart Association® guidelines. Additionally, cognitive skills were assessed using a tool developed for this study. Self-efficacy was then compared to actual performance in both practical and cognitive skills.</p><p><strong>Results: </strong>This study identified a significant discrepancy between self-reported confidence and actual ACLS skills. Although many professionals reported high confidence levels in their abilities, their practical and cognitive performance was considerably lower than expected.</p><p><strong>Conclusions: </strong>This study reveals a significant gap between self-efficacy and actual performance in ACLS, suggesting that professionals with lower skill proficiency overestimate their abilities due to metacognitive biases, aligning with the Dunning-Kruger effect - potentially impacting the quality of patient care. Addressing this discrepancy through targeted education and practical simulations is crucial to improving emergency outcomes and patient safety.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"153 1","pages":"53-62"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036816","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}

{"title":"[Intercultural Sensitivity in Health Science Head of Faculty to incorporate Intercultural Competence in the Curriculum].","authors":"Debbie Álvarez-Cruces, Alejandra Nocetti-de-la-Barra, Juan Mansilla-Sepúlveda","doi":"10.4067/s0034-98872025000100022","DOIUrl":"https://doi.org/10.4067/s0034-98872025000100022","url":null,"abstract":"<p><p>In Chile, the growth of the migrant population since 1990 has been significant; however, the International Migrant Health Policy was only established in 2017. This policy stresses incorporating interculturality, migration, and health into health science curricula. Heads of Faculty manage the curriculum to address contextual needs. The Intercultural Sensitivity Model outlines the stages for developing empathy essential to meet the cultural needs of others.</p><p><strong>Aim: </strong>To explore the Intercultural Sensitivity of Health Science Heads of Faculty in integrating Intercultural Competence for migrant patients into the curriculum.</p><p><strong>Method: </strong>A qualitative study with an interpretative approach was performed. Key informants, consisting of Heads of Faculty from various health disciplines, were interviewed via Zoom after receiving informed consent via email. Data analysis utilized deductive categories aligned with the stages of Intercultural Sensitivity and inductive subcategories, backed by the ATLAS.ti 24 software.</p><p><strong>Results: </strong>Fifteen Heads of Faculty from three universities participated. The identified categories included: a) Denial, characterized by subcategories of academic isolation and lack of awareness of the International Migrant Health Policy; b) Defense, marked by a lack of trained faculty, rigid curricula, and delegation of practical training; c) Minimization, associated with implicit training and downplaying formative efforts; and d) Acceptance, involving strategies for content inclusion. The code/document analysis revealed that the most frequent stage was Minimization, followed by Defense. The highest stage achieved was Acceptance, though it featured unsystematic educational strategies. The stages of Adaptation and Integration were not reached.</p><p><strong>Conclusion: </strong>The Intercultural Sensitivity of Heads of Faculty in integrating Intercultural Competence for migrant patients into the curriculum is predominantly at the stages of Minimization and Defense, which overlook cultural aspects. This approach impacts and perpetuates universalistic and ethnocentric healthcare practices.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"153 1","pages":"22-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001622","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}

{"title":"[Attitudes Toward Motherhood and Fertility Preservation Among University Women: A Cross-Sectional StudyTítulo abreviado: Actitud sobre maternidad en universitarias].","authors":"Heidy Kaune G, Martina Yopo D, Fanny Petermann-Rocha, Florencia Herrera O, Fernando Zegers-Hochschild","doi":"10.4067/s0034-98872025000100011","DOIUrl":"https://doi.org/10.4067/s0034-98872025000100011","url":null,"abstract":"<p><p>In Chile, the total fertility rate (TFR) has dramatically decreased from 5,4 children per woman in 1962 to 1,17 in 2021. This decline is associated with delayed childbearing and the decision of many women not to have children. The factors driving this social and demographic transformation remain poorly understood.</p><p><strong>Aim: </strong>To investigate how university women perceive their reproductive future, their intentions to have children, and their willingness to consider oocyte cryopreservation as a means of preserving fertility.</p><p><strong>Methods: </strong>A semi-structured, self-administered survey was conducted among 1.020 female students at Universidad Diego Portales in Santiago, Chile. The survey addressed sociodemographic background, childbearing intentions, fertility knowledge, and attitudes towards oocyte cryopreservation. Data were analyzed using Stata MPV18 software.</p><p><strong>Results: </strong>The average age of participants was 21 years. While most expressed concerns about their future, they also felt empowered to address these challenges. Altogether, 52% of women did not wish to have children, though 37,9% indicated they might reconsider this decision in the future. The key conditions for motherhood included having completed education (84,9%), job stability (91%), and economic autonomy (91,4%). Interestingly, only 30,4% of participants considered having a partner as essential to stablish motherhood and only 10,5% considers matrimony as a condition. Additionally, 47,3% expressed interest in oocyte cryopreservation to safeguard their fertility.</p><p><strong>Conclusion: </strong>Motherhood is not a priority for most university women in Chile today. Most women plan to delay childbearing after age 30, once they have achieved financial and job stability. Fertility preservation is viewed as a valuable option for delaying motherhood. These findings highlight significant changes in young women's priorities and expectations regarding motherhood and reproductive autonomy.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"153 1","pages":"11-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061445","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}

{"title":"Effectiveness and Toxicity of High-Dose Colistin Treatment in Patients with Multidrug-Resistant Gram-Negative Bacterial Infections.","authors":"Daniela Carrasco, Daniel Muñoz-Pichuante, Felipe Olivares, Alberto Fica, Lorenzo Villa, Gonzalo Carrasco","doi":"10.4067/s0034-98872025000100035","DOIUrl":"https://doi.org/10.4067/s0034-98872025000100035","url":null,"abstract":"<p><p>Hospital-acquired infections by multidrug-resistant Gram-negative bacteria (MDRGN) have become a global public health problem. Colistin is considered one of the last therapeutic options due to its limited clinical effectiveness and high rate of adverse effects. Unfortunately, its use has increase in recent years given the increase of MDRGN-associated infections and narrow therapeutic alternatives. With the aim of improving effectiveness using pharmacokinetic/pharmacodynamic knowledge, higher doses of colistin have been used in recent years but with few reported outcomes.</p><p><strong>Methods: </strong>A retrospective cohort analysis was performed in patients with MDRGN infections treated with high-dose colistin with the aim of evaluating clinical improvement as primary outcome and the incidence of acute kidney injury (AKI) and other adverse events as secondary outcomes.</p><p><strong>Results: </strong>Fifty-five courses of colistin treatment were identified in 50 patients, with 45% applied on intensive care unit. Clinical improvement was achieved in 35 (63.6%) treatments, while extrapulmonary infections were significantly associated with a higher clinical failure rate (OR 10; 95%CI: 1.18-84.5). By multivariate analysis, only the failure to control the infection source influenced significantly for mortality of patients (aOR= 19.6; IC95 3.0-126, p= 0.002). AKI was observed in 30 treatments (54.5%) and was only significantly associated with the use of a loading doses (OR= 6.0, 95%CI: 1.61-22.3). Eosinophilia was frequent (35.7%) and, besides, two respiratory depression events were observed.</p><p><strong>Conclusion: </strong>High doses of colistin could be associated with a favorable clinical improvement in patients with MDRGN infections but has a limited effectiveness in extra-pulmonary infections, especially when a source-control procedure is not performed. AKI is frequently observed and limits its use, while eosinophilia and respiratory depression should be considered also as part of safety monitoring. Prescription of this drug should be judiciously analyzed weighing benefits-to-risk ratio.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"153 1","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001639","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}

{"title":"Phase IIa randomized placebocontrolled clinical trial to evaluate the efficacy of bromhexine in combination with standard therapy in the early treatment of COVID-19 in primary care patients.","authors":"David Ramírez, Romina Rojas, Humberto Fierro, Daniela Alejandra Nova, Georgina M Renard, Estibaliz Ampuero, Jorge Fuentealba, Ana Martínez, Carmen Gil, Miguel Reyes-Parada","doi":"10.4067/s0034-98872024001201198","DOIUrl":"10.4067/s0034-98872024001201198","url":null,"abstract":"<p><p>The continuous appearance of SARS-CoV-2 variants with both increased transmission and immune evading potential, in addition to the reluctance of some populations to be vaccinated, supports the search for alternative treatments to protect against the viral infection consequences. Bromhexine is a well-known, over-the counter, expectorant which have garnered interest for the potential prevention and treatment of COVID-19.</p><p><strong>Aim: </strong>To evaluate the efficacy of oral bromhexine in patients with mild to moderate symptomatic active SARS-CoV-2 infection.</p><p><strong>Methods: </strong>A randomized, placebo-controlled clinical trial assessing the effectiveness of oral bromhexine in outpatients with active SARS-CoV-2 infection. Adult patients diagnosed with active SARS-CoV-2 infection (n= 36) were randomly assigned (1:1) to receive bromhexine or placebo, with both groups also receiving standard care. The primary efficacy endpoint was viral load reduction (day 4 vs. baseline), while reductions of a series of COVID-19 clinical symptoms were considered as secondary endpoints.</p><p><strong>Results: </strong>No differences in the viral load at different times after the initiation of treatment were observed. In addition, no differences between groups were detected in most of the clinical symptoms evaluated. Remarkably, a significant decrease in the percentage of patients with cough was observed at days 5-7 in the bromhexine group, an effect that was not apparent in the group receiving a placebo.</p><p><strong>Conclusions: </strong>Since coughing is one of the primary forms of transmission for SARS-CoV-2, the observed reduction of coughing might be highly beneficial, particularly for patients living in crowded, poorly ventilated, or confined environments.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"152 12","pages":"1198-1208"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775253","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}

{"title":"[Transition of Adolescents with Chronic Kidney Disease: A Critical Challenge in Continuity of Care].","authors":"Hans Müller-Ortiz, Cecilia de La Maza Cariola, Yela Zambrano Coronel, Jaime Muñoz Pérez, Patricia Sánchez Krause","doi":"10.4067/s0034-98872024001201265","DOIUrl":"https://doi.org/10.4067/s0034-98872024001201265","url":null,"abstract":"","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"152 12","pages":"1265-1266"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775252","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}

{"title":"[Development of a Curriculum Innovation Model Competency based for Medical Specialties: Experience of the Radiology Program of a Chilean University].","authors":"Sandra Araya L, Jorge Díaz J, Mónica Espinoza B, Ana María Rojas-Serey","doi":"10.4067/s0034-98872024001201209","DOIUrl":"10.4067/s0034-98872024001201209","url":null,"abstract":"<p><p>The Educational Project (PE) of the University of Chile is framed within a competency-based curriculum (CBC) approach. In 2017, the Radiology Program of the Faculty of Medicine began its transition to this model, in which graduates must demonstrate their competencies in all essential aspects of performance defined for their professional profile.</p><p><strong>Aim: </strong>To describe the experience in the development of the curriculum innovation plan for the specialty program in radiology at the University of Chile.</p><p><strong>Methods: </strong>The work was organized into stages, including identifying educational demands, defining performance areas, drafting competencies, and synthesizing the graduate profile, followed by internal and external validation, dissemination, and creation of course/rotation programs. The guiding principles considered in the process were: advisory and support provided by medical education specialists, transparency, participation, and curricular validity, all developed collaboratively with the academic staff and under the leadership of the program authorities.</p><p><strong>Results: </strong>Key factors for the success of the work included institutional support and backing from program authorities, ongoing advisory, the use of a Gantt chart for guidance, and active participation from faculty members. Weaknesses included the difficulty in engaging the entire academic staff and the limited time of participants. Both issues were addressed through the flexible participation of representatives from each area, support from curriculum advisors, and the use of mass communication systems.</p><p><strong>Conclusions: </strong>In summary, an updated, relevant, and coherent program was successfully developed, aligned with the expected profile and the healthcare needs of our country, and one that can be monitored and adjusted over time.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"152 12","pages":"1209-1218"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775231","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}

{"title":"[Sociodemographic and Health Characterization of Transgender Individuals Enrolled in the Gender Identity Support Program at a Public Hospital in Chile from 2013 to 2023].","authors":"Pablo Contreras Gálvez, Jacqueline Del Río Valdebenito, Leonardo Lafuente Astroza","doi":"10.4067/s0034-98872024001201185","DOIUrl":"10.4067/s0034-98872024001201185","url":null,"abstract":"<p><p>There are a few publications that quantify the sociodemographic profiles of the \"trans\" population.</p><p><strong>Aim: </strong>To describe the sociodemographic and health profiles of the \"trans people\" who have entered the Gender Identity Support Program in a Public Hospital in the Province of Osorno, Chile.</p><p><strong>Methods: </strong>A descriptive methodology was used. The population included corresponds to the entire universe of people in the statistical registry of the Gender Identity Support Program of the Base Hospital San José de Osorno between 2013 and the first semester of 2023. A univariate statistical analysis was performed.</p><p><strong>Results: </strong>A wide age dispersion between 17 to 77 years old was observed, with an average of 20.4 and a standard deviation of 30.3. An increasing number of incorporations since 2018 to date. The identification with the male gender stands out at 70.00%, with the female gender at 26,66%, and in the remaining 3,33%, those who identify as non-binary. There is a high employment rate (97,96%), and in 80% of the cases, someone is considered a \"significant person/support\" in his/her transition. In 31,66% of the cases, there is a history of self-inflicted injuries, 51,66% have a mental health history, and 34,14% of them have a history of cardiovascular pathologies. All the people admitted to the program requested accompaniment by the mental health team.</p><p><strong>Conclusions: </strong>A sociodemographic and health profile was identified in the population participating in the Osorno Hospital's gender identity support program. Given that only this population was consulted, studies should be conducted in the general population if the aim is to describe more precisely the profile of trans persons in Chile and determine their real demand.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"152 12","pages":"1185-1197"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775251","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}

{"title":"[Effects of Gender Transition on the Mental Health Perception of Transgender People in Chile].","authors":"Marais Del Río Martín, Sarah Paz Martín, Jaime Barrientos Delgado","doi":"10.4067/s0034-98872024001201219","DOIUrl":"10.4067/s0034-98872024001201219","url":null,"abstract":"<p><p>Gender transition is a significant identity milestone in the lives of trans people and serves as a protective factor for their mental health. However, its impact has been insufficiently explored in research on the mental health of this population. Furthermore, the effects of other factors identified by the Minority Stress Model have been evaluated separately, which hinders a comprehensive understanding of the phenomenon.</p><p><strong>Hypothesis: </strong>Indicators associated with gender transition will have a positive effect on the mental health of trans people. The effect of the duration of the transition on mental health will vary according to the level of internalized transphobia.</p><p><strong>Aim: </strong>To examine the impact of the gender transition process on the perception of mental health among Chilean trans people.</p><p><strong>Methods: </strong>A total of 377 participants were recruited. A self-administered questionnaire was used, including measures related to the transition process, internalized transphobia, experiences of discrimination, connection with the trans community, and perception of mental health. The data were analyzed using multiple linear regression.</p><p><strong>Results: </strong>The indicators examined showed a significant correlation with the perception of mental health. When evaluating their contribution in the presence of other variables, the unique contribution of some variables was not significant. Satisfaction with the transition process was associated with a better perception of mental health. Among participants who scored high in internalized transphobia and had been in the transition process for a short time, the perception of mental health was lower. Experiencing discrimination was associated with a worse perception of mental health. People assigned male at birth had a better perception of mental health than those assigned female.</p><p><strong>Conclusions: </strong>The gender transition process, together with indicators of the Minority Stress Model, uniquely impacts the mental health of trans people in Chile. Uderstanding its unique contribution enables healthcare providers to adopt culturally sensitive care tailored to the specific needs of this population.</p>","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"152 12","pages":"1219-1229"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775235","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}