Endocrine ResearchPub Date : 2021-08-01Epub Date: 2021-04-17DOI: 10.1080/07435800.2021.1914079
Danial Jahantigh, Fariba Mirani Sargazi, Saman Sargazi, Ramin Saravani, Saeedeh Ghazaey Zidanloo, Milad Heidari Nia, Maryam Piri
{"title":"Relationship between Functional <i>miR-143/145</i> Cluster Variants and Susceptibility to Type 2 Diabetes Mellitus: A Preliminary Case-Control Study and Bioinformatics Analyses.","authors":"Danial Jahantigh, Fariba Mirani Sargazi, Saman Sargazi, Ramin Saravani, Saeedeh Ghazaey Zidanloo, Milad Heidari Nia, Maryam Piri","doi":"10.1080/07435800.2021.1914079","DOIUrl":"https://doi.org/10.1080/07435800.2021.1914079","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate the link between two variants (rs4705342 and rs4705343) in the promoter of the <i>miR-143/145</i> cluster with Type 2 diabetes mellitus (T2DM) risk. <b>Methods:</b>A total of 1200 subjects were genotyped using the ARMS-PCR method. <b>Results:</b> The rs4705342 variant enhanced the risk of T2DM under codominant CC (OR = 3.24; 95% CI: 1.89-5.60), recessive TT+TC (OR = 3.02; 95% CI: 1.77-5.17), and dominant TC+CC (OR = 1.35; 95% CI: 1.08-1.71) genetic models. Individuals carrying the C allele of rs4705342 conferred a 1.43 fold increased risk of T2DM. As regards rs4705343, decreased risk of T2DM was observed under codominant TC (OR = 0.53; 95% CI: 0.42-0.67), over-dominant TT+CC (OR = 0.51; 95% CI: 0.40-0.64), and dominant TC+CC (OR = 0.59; 95% CI: 0.48-0.75) models. Haplotype analysis of the variants showed a 1.941-fold increased risk of T2DM regarding the C T combination. Significant associations were noticed between different haplotypes and lipid indices of T2DM patients. There were no notable changes in <i>p</i>-values after adjustment for BMI. Computational analysis revealed that miR143 and/or miR145 target important genes involved in glucose and lipid metabolism. <b>Conclusions:</b> Functional miR-143/145 variants might influence the risk of T2DM. Hence, clarifying the precise regulatory mechanisms of gene expression in the development of T2DM will significantly guide researchers to find a novel target for therapeutic intervention.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 3","pages":"129-139"},"PeriodicalIF":2.1,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2021.1914079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38887822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2020-10-12DOI: 10.1080/07435800.2020.1827263
Rong Chen, Shuying Liu, Meng Huang, Yangna Ou, Wei Liu, Rongrong Cui, Lingqing Yuan, Zhongjian Xie, Zhifeng Sheng, Hong Liu
{"title":"The Value of Historical Height Loss for Detecting Vertebral Fractures in Postmenopausal Women in China.","authors":"Rong Chen, Shuying Liu, Meng Huang, Yangna Ou, Wei Liu, Rongrong Cui, Lingqing Yuan, Zhongjian Xie, Zhifeng Sheng, Hong Liu","doi":"10.1080/07435800.2020.1827263","DOIUrl":"https://doi.org/10.1080/07435800.2020.1827263","url":null,"abstract":"<p><strong>Objectives: </strong>The diagnosis and management of osteoporosis and osteoporotic fractures are challenging in rural and underdeveloped areas of China because medical resources are inaccessible; thus, a simple and accurate method is essential for the detection of vertebral fractures. We aimed to examine the relationship between historical height loss (HHL) and vertebral fractures in postmenopausal Chinese women.</p><p><strong>Material and methods: </strong>A cross-sectional study of 255 postmenopausal women aged 50 years or older was conducted in September 2017. Demographic data, including self-reported tallest historical height and current height were analyzed. Vertebral fractures were assessed using X-ray radiography and HHL thresholds were examined using specificity and sensitivity testing.</p><p><strong>Results: </strong>The average age of the 255 participants was 66.3 ± 9.0 years and their mean HHL was 3.5 ± 2.8 cm. The 24 women who were found to have vertebral fractures were older, had more years since menopause (YSM), and a larger HHL compared to those without vertebral fractures. Logistic regression analysis showed that age was a better predictor of vertebral fractures than HHL was, and the cutoff age for detecting vertebral fractures was 71 years, with an area under the receiver operating characteristic curve of 0.750.</p><p><strong>Conclusions: </strong>Although the women in this study with vertebral fractures had a greater height loss than those without fractures, it was apparent that age, rather than HHL, is the best way to determine who is most likely to develop vertebral fractures.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 1","pages":"14-19"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2020.1827263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38579621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MTHFR Polymorphisms in Girls with Anorexia Nervosa: Implications on Body Weight.","authors":"Areti Augoulea, Eleni Armeni, Evangelia Deligeoroglou, Stavroula A Paschou, Georgios Papadimitriou, Evgenia Stergioti, Vassilios Karountzos, Artemis Tsitsika, Konstantinos Panoulis, Emmanuel Economou, Irene Lambrinoudaki","doi":"10.1080/07435800.2021.1879845","DOIUrl":"https://doi.org/10.1080/07435800.2021.1879845","url":null,"abstract":"<p><p>The development of atypical vs typical anorexia nervosa (AN) might be explained by the genetic background. We assessed the link between the subtypes of AN and the genetic polymorphisms of the thrombotic panel and the methyltetrahydrofolate reductase (MTHFR) gene. This cross-sectional pilot study recruited 48 girls with AN and 10 age-matched control girls with normal menstruation. We recorded anthropometric parameters and obtained blood samples for genotyping and hormonal assessment. Classification of AN was performed according to the DSM-V criteria. Girls with AN had 2.66 times higher odds of carrying at least one genetic polymorphism from the MTHFR panel (C677T and A1298C) compared with girls without AN (OR = 2.660, <i>p</i>-value = 0.041; CI 95% 1.057-6.720). The presence of atypical vs typical AN was associated independently with the presence of any of the assessed MTHFR polymorphisms (C677T, OR = 4.929, 95% CI 1.076-22.579, <i>p</i>-value = 0.040; A1298C, OR = 0.097, 95% CI 0.011-0.866, <i>p</i>-value = 0.037) in age and estrogen adjusted models. The atypical presentation of AN is mainly linked with higher prevalence of the MTHFR C677T and lower prevalence of the A1298C polymorphism.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 2","pages":"80-85"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2021.1879845","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38870416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2020-09-02DOI: 10.1080/07435800.2020.1810064
Lauren Buehler, Alireza Movahed, Keren Zhou, M Cecilia Lansang
{"title":"Serum thyroid stimulating hormone level for predicting utility of thyroid uptake and scan.","authors":"Lauren Buehler, Alireza Movahed, Keren Zhou, M Cecilia Lansang","doi":"10.1080/07435800.2020.1810064","DOIUrl":"https://doi.org/10.1080/07435800.2020.1810064","url":null,"abstract":"<p><strong>Background: </strong>Thyroid uptake and scan (TUS) is a clinical tool used for differentiation of thyrotoxicosis etiologies. Although guidelines recommend ordering a TUS for evaluation of low TSH levels, no specific value is defined. This study aimed to determine a TSH cutoff at which TUSs yield a greater likelihood of successful determination of etiology to avoid unnecessary testing.</p><p><strong>Methods: </strong>This was a retrospective study on 137 patients seen by an endocrinologist who underwent TUS for evaluation of low TSH (<0.4 μU/mL). A receiver operating curve analysis was performed to determine the TSH cutoff with maximal sensitivity and specificity for prediction of diagnostic utility.</p><p><strong>Results: </strong>Ninety percent of TUSs (n = 123) led to a diagnosis, while 10% (n = 14) were inconclusive or normal. Diagnoses included Graves' diseases (52%), toxic multinodular goiter (19%), thyroiditis (12%), and solitary toxic adenoma (7%). The median TSH value was 0.008 μU/mL (IQR 0.005, 0.011), and the median free T4 value was 1.7 μU/mL (IQR 1.3, 2.8). The ROC analysis produced an area under the curve of 0.86. The optimal TSH cutoff value was 0.02 μU/mL (sensitivity 80%, specificity 93%) for prediction of diagnostic yield.</p><p><strong>Conclusion: </strong>This study demonstrates that TSH is a useful predictor of the utility of TUS in yielding an etiology of thyrotoxicosis. Our analysis showed that TUS had a greater likelihood of determining an etiology when TSH was ≤0.02 μU/mL. This information can help clinicians avoid unnecessary cost and patient time burden when TUS is unlikely to aid in determining the etiology of thyrotoxicosis.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 1","pages":"10-13"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2020.1810064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38335796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2020-08-13DOI: 10.1080/07435800.2020.1804928
Zhihua Zuo, Ling Liu, Bin Song, Juan Tan, Dafa Ding, Yibing Lu
{"title":"Silencing of Long Non-coding RNA ENST00000606790.1 Inhibits the Malignant Behaviors of Papillary Thyroid Carcinoma through the PI3K/AKT Pathway.","authors":"Zhihua Zuo, Ling Liu, Bin Song, Juan Tan, Dafa Ding, Yibing Lu","doi":"10.1080/07435800.2020.1804928","DOIUrl":"https://doi.org/10.1080/07435800.2020.1804928","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the role and mechanism of lncRNA ENST00000606790.1 (ENST) in promoting the progression of papillary thyroid carcinoma (PTC).</p><p><strong>Methods: </strong>The expression of ENST in human PTC and normal para-cancerous thyroid (NPTC) tissues or cell lines was determined by RT-qPCR. Cell growth was determined by CCK8 assay. Cell colony formation was determined by cell colony formation assay. Cell cycle analysis was performed by staining cells with PI (Propidium Iodide). Cell invasion was assessed by transwell assay. Protein expression was examined by western-blot. siRNA was constructed to inhibit the expression of ENST. 740-Y-P was used to activate PI3K. The correlation between ENST expression and clinical outcomes was analyzed.</p><p><strong>Results: </strong>ENST was significantly up-regulated in PTC tissues or PTC cell lines (PTC and IHH4 cell lines), compared to NPTC tissues or normal cell lines, respectively. High expression of ENST was strongly correlated to lymph node metastasis and tumor size at diagnosis. Silencing of ENST significantly inhibited cell growth and colony formation, arrested the cell cycle at G2/M phase, upregulated the expression of CHK1, downregulated the expression of CDC25C, and inhibited cell invasion. Silencing of ENST significantly down-regulated the expression of PI3K, p-PI3K, AKT, and p-AKT in IHH4 cells. Furthermore, treatment with the PI3K activator 740-Y-P partially abolished the effect of silencing of ENST on PTC cells.</p><p><strong>Conclusions: </strong>Overall, our results demonstrated that ENST can promote PTC progression by activating the PI3K/AKT signaling pathway, suggesting that ENST can serve as a potential biomarker and new therapeutic target for patients with PTC.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 1","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2020.1804928","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38259894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2021-03-08DOI: 10.1080/07435800.2021.1894821
Shayan Riahi, Kevin Bryan Lo, Catherine Anastasopoulou, Janani Rangaswami
{"title":"Insulin Use and Poor COVID-19 Outcomes among Diabetes Patients: Association Not Necessarily Causation.","authors":"Shayan Riahi, Kevin Bryan Lo, Catherine Anastasopoulou, Janani Rangaswami","doi":"10.1080/07435800.2021.1894821","DOIUrl":"https://doi.org/10.1080/07435800.2021.1894821","url":null,"abstract":"<p><p>Our study looked at the relationship between insulin use and clinical outcomes in COVID-19. A response to our article, written by Dr. Chia Sing Kow and Dr. Syed Shahzad Hasan raised a few questions. They mentioned our use of hemoglobin A1c may be inaccurate as the patients in our study had high rates of CKD or ESRD which could alter the hemoglobin A1c levels. However due to the limitations of our patient population and perhaps in a lot of other sample populations in the real-world setting, it was the most feasible way to represent glucose control.The writers also suggested that the use of metformin, a potential confounder, was also not adjusted for. This should be considered in future research but addition of too many variables in a regression model may lead to less reliability of results for our study.The letter writers also suggested that the results of our paper may lead to misinterpretation by readers and may influence providers to not use insulin therapy for their patients when necessary due to fear of worse outcomes in the setting of COVID-19. We reiterated that it is very important that the data not be misinterpreted, and that nowhere in our paper did we imply or suggest that patients who need insulin therapy to treat their diabetes should not receive proper therapy due to the association we delineated in our paper. Instead, more careful surveillance of patients with advanced diabetes is needed especially when admitted with COVID-19.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 2","pages":"53-54"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2021.1894821","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25449860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2020-11-04DOI: 10.1080/07435800.2020.1843877
{"title":"Expression of Concern: The effects of vitamin D and evening primrose oil co-supplementation on lipid profiles and biomarkers of oxidative stress in vitamin D-deficient women with polycystic ovary syndrome: A randomized, double-blind, placebo-controlled trial.","authors":"","doi":"10.1080/07435800.2020.1843877","DOIUrl":"https://doi.org/10.1080/07435800.2020.1843877","url":null,"abstract":"","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 1","pages":"44"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2020.1843877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38565421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Acutely Increased Endogenous- and Exogenous Ketone Bodies on FGF21 Levels in Humans.","authors":"Esben Stistrup Lauritzen, Mads Vandsted Svart, Thomas Voss, Niels Møller, Mette Bjerre","doi":"10.1080/07435800.2020.1831015","DOIUrl":"https://doi.org/10.1080/07435800.2020.1831015","url":null,"abstract":"<p><strong>Purpose: </strong>Fibroblast growth factor (FGF) 21 is a circulating hormone with metabolic regulatory importance. In mice, FGF21 increases in response to a ketogenic diet and fasting. In humans, a similar increase is only observed after prolonged starvation. We aim to study the acute effects of ketone bodies on circulating FGF21 levels in humans.</p><p><strong>Methods: </strong>Participants from three randomized, placebo-controlled crossover studies, with increased endogenous or exogenous ketone bodies, were included. Study 1: patients with type 1 diabetes (T1D) (n = 9) were investigated after a) insulin deprivation and lipopolysaccharide (LPS) injection and b) insulin-controlled euglycemia. Study 2: patients with T1D (n = 9) were investigated after a) total insulin deprivation for 9 hours and b) insulin-controlled euglycemia. Study 3: Healthy adults (n = 9) were examined during a) 3-hydroxybutyrate (OHB) infusion and b) saline infusion. Plasma FGF21 was measured with immunoassay in serial samples.</p><p><strong>Results: </strong>Circulating OHB levels were significantly increased to 1.3, 1.5, and 5.5 mmol/l in the three studies, but no correlations with FGF21 levels were found. Also, no correlations between FGF21, insulin, or glucagon were found. Insulin deprivation and LPS injection resulted in increased plasma FGF21 levels at t = 120 min (<i>p</i> = .005) which normalized at t = 240 min.</p><p><strong>Conclusion: </strong>We found no correlation between circulating FGF21 levels and levels of ketone bodies. This suggests that it is not ketosis <i>per se</i> which controls FGF21 production, but instead a rather more complex regulatory mechanism.</p><p><strong>Trial registration: </strong>clinicaltrials.gov ID number: Study 1: NCT02157155 (5/6-2014), study 2: NCT02077348 (4/3-2014), and study 3: NCT02357550 (6/2-2015).</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 1","pages":"20-27"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2020.1831015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38504691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2021-02-26DOI: 10.1080/07435800.2021.1892748
Chia Siang Kow, Syed Shahzad Hasan
{"title":"Insulin Treatment May Not Be Associated with Increased Mortality in Patients with COVID-19 and Concurrent Diabetes.","authors":"Chia Siang Kow, Syed Shahzad Hasan","doi":"10.1080/07435800.2021.1892748","DOIUrl":"https://doi.org/10.1080/07435800.2021.1892748","url":null,"abstract":"<p><p>Previous study reported that preadmission insulin treatment in patients with coronavirus disease 2019 (COVID-19) and concurrent diabetes was associated with a significantly increased odds of mortality. However, such association may be modified by possible baseline differences in glycemic control between insulin users and non-insulin users. Misinterpretation of the association between insulin treatment and mortality could lead to confusion in clinical practice and hospitalized patients with COVID-19 for whom insulin treatment is appropriately indicated may be omitted from such treatment. However, requirement for insulin during hospitalization for COVID-19 may be a marker of poor prognosis and as such could be used to identify patient population who require more aggressive treatments to prevent mortality.</p>","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 2","pages":"51-52"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2021.1892748","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25408650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endocrine ResearchPub Date : 2021-02-01Epub Date: 2021-03-17DOI: 10.1080/07435800.2021.1894820
Arthur Chernoff
{"title":"Editor's Comment. Caution: The Intersection of Diabetes and COVID-19.","authors":"Arthur Chernoff","doi":"10.1080/07435800.2021.1894820","DOIUrl":"https://doi.org/10.1080/07435800.2021.1894820","url":null,"abstract":"Even from the earliest days of the COVID-19 pandemic there was little doubt that diabetes was playing a significant role in the clinical course of these cases. Riahi et al. in their paper “Insulin use, diabetes control, and outcomes in patients with COVID-19” (1) add important insight into the evolving understanding of the interaction between diabetes and COVID-19 infection. This is a single-center retrospective observational study conducted in adults. It examines the impact of glycemic control and insulin requirements on the outcomes of patients with preexisting diabetes admitted with confirmed COVID-19 infection. This study population is of particular interest because it is a predominantly African American and Hispanic population with a significant incidence of comorbidities. The principal findings of this study were:","PeriodicalId":11601,"journal":{"name":"Endocrine Research","volume":"46 2","pages":"55-56"},"PeriodicalIF":2.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07435800.2021.1894820","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25487601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}