Annals of African Medical Research最新文献

{"title":"Body mass index, blood pressure, and cognitive impairment among type 2 diabetic patients in a primary care setting, North-Central Nigeria","authors":"Ramat Yusuf Adebayo, L. O. Odeigha, A. Alabi, Abdulkadir Mohammed, I. Obalowu, C. Ademola","doi":"10.4081/aamr.2022.158","DOIUrl":"https://doi.org/10.4081/aamr.2022.158","url":null,"abstract":"The long-term effects of certain clinical factors on cognition cannot be overemphasized. The morbidity of Cognitive Impairment (CI) in patients with type 2 diabetes has been found to increase when associated with some clinical factors. The main objective of this study was to determine the relationship between CI and Body Mass Index (BMI) as well as CI and Blood Pressure (BP), among type 2 diabetic patients attending the primary care unit of a tertiary hospital. It was a descriptive hospital-based crosssectional study. Ethical approval was obtained from the Ethical Review Committee of the University of Ilorin Teaching Hospital (UITH) before the commencement of the study. Data was collected from 274 adult type 2 diabetic patients attending the Family Medicine clinics of the hospital, from March through May 2017. Interviewer-administered structured and semi-structured questionnaires were used to obtain information from the respondents. The Mini-Mental State Examination (MMSE) was used to assess CI among respondents. The BMI and BP of participants were obtained following standard procedure. Data was collated and analyzed using the Statistical Package for Social Sciences version 21 (SPSS- 21). The elderly constituted a higher proportion of participants 55.4%. Respondents were mainly females (70.8%), married (78.8%), and educated (78.1%). The clinical factor that had a statistically significant association with CI was the BMI of participants with a chi-square value (χ2) of 11.139 and a p-value of 0.048. Blood pressure had no statistically significant association with CI (χ2 of 5.181 and p-value of 0.159). CI is common in our clinics with a prevalence of 27% seen in this study. BMI had a statistically significant association with CI while BP was not. Hence, maintaining a normal weight may help in controlling CI. Physicians in primary care should routinely screen type 2 diabetic patients for CI as well as control risk factors for it.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133695152","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":"Determinants of reversible contraceptive method discontinuation among women of reproductive age in Kano metropolis, Nigeria","authors":"M. Gadanya, F. E. Aliyu","doi":"10.4081/aamr.2021.147","DOIUrl":"https://doi.org/10.4081/aamr.2021.147","url":null,"abstract":"Contraceptive discontinuation contributes substantially to the total fertility rate, unwanted pregnancies and induced abortions thereby increasing the already high maternal morbidity and mortality. This study aimed to access contraceptive discontinuation among women of reproductive age in Kano metropolis. Using a cross-sectional study design with concurrent mixed method of data collection, 350 women were studied. Data was collected using a structured interviewer administered questionnaire, focus group discussion and key informant interview guides. Of the 350 participants, 168 of them had discontinued a method of contraception giving a total discontinuation rate was 48%, with method specific discontinuation rate of 35.1% for implants, 33.9% for injectables, 21.4% for pills, and IUD having the lowest rate (15.5%). The study also found side effects to be the most common reason why women discontinued contraception (67.1%), intention to get pregnant (59.5%), method failure (16.7%), method switch (12.0%), and husband’s disapproval (9.5%). Factors significantly associated with discontinuation at bivariate level were ethnicity, influence on method choice, type of facility where method was obtained, and the type of contraceptive method. These factors were found not to be significant at multivariate level. Contraceptive discontinuation is prevalent in Kano metropolis, meaning that women are at high risk of unintended, mistimed pregnancies, and unsafe abortions, increasing maternal morbidity and mortality. Efforts should be made to tackle the problem of discontinuation through effective educational strategies and counselling techniques.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116708967","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":"Prevalence and patterns of adverse events following immunisation among children less than 24 months attending immunisation clinics in Kano, Nigeria","authors":"Hajara I. Maizare, F. Tsiga-Ahmed, A. Jibo, A. Adamu, R. Jalo, A. Magaji, U. Ibrahim, A. Gajida","doi":"10.4081/aamr.2021.149","DOIUrl":"https://doi.org/10.4081/aamr.2021.149","url":null,"abstract":"Adverse Events Following Immunisation (AEFI) contribute to child morbidity and mortality as they often lead to low uptake of vaccines with consequent persistence of vaccine-preventable diseases. It is essential to assess the prevalence of AEFIs in northern Nigeria, where misconceptions about immunisation exist. This study assessed the prevalence and pattern of AEFI among children less than 24 months after attending immunisation clinics in Kano, Nigeria. Using a mixed-methods design, adapted intervieweradministered questionnaires were assigned to a cross-section of 384 mother-baby pairs who presented to the immunisation clinics of selected primary healthcare centres (PHCs) within metropolitan Kano. This was followed by six sessions of focus group discussion with a sub-sample of the mothers. Logistic regression and the framework approach were used to analyse the data. The prevalence of AEFI was (43.5%, n=164), and most cases (72.4%, n=273) were mild. Fever was the most common type of AEFI reported (66.5%, n=109) and was higher among infants less than three months (44.5%, n=73). Age of the index child was the only significant predictor of AEFI (OR:0.18, 95% CI: 0.10-0.35). Our study shows that AEFI was common among children less than 24 months old in Kano. We recommend sensitisation and health education of caregivers using valuable communication strategies and sufficient training of immunisation service providers on professional ways to deliver these vaccines safely.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116347070","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":"Influence of BMI on foot posture alignment in resting gait of secondary school children in Lagos metropolis aged 10 to 18 years","authors":"G. Mbaka, M. Adelaja","doi":"10.4081/aamr.2021.144","DOIUrl":"https://doi.org/10.4081/aamr.2021.144","url":null,"abstract":"The study was to determine the influence of BMI on foot posture alignment in the resting gait of secondary school children. A localized, two-stage, stratified, cross-sectional, and descriptive survey was carried out in 10 secondary schools involving a sample secondary student population of 518 students, 235 males, and 283 females. The result shows that there was a statistically significant association (X2=32.4345, p=0.000) between the BMI of student’s cohort and their age. There was also a statistically significant association between different age groups and gender at p<0.046. Using the statistics of Pearson chi-square analysis, age-dependent variability of BMI (X2=32.4345, p=0.000) was established amongst the study population. The BMI of students for the varying foot alignment was not normally distributed, instead, it was skewed to the right. According to the Kruskal-Wallis H test, there was no statistically significant difference in BMI between the three age cohorts of student’s foot alignment in resting gait; Pearson chisquare, X2 (2) = 4.575, p=0.1015. The distribution of the left foot posture alignment according to the FPI scale indicates that overall, 82.13% of males and 84.40% of females showed normal foot alignment whereas 10.64% and 9.22% of male and female students respectively confirmed slight foot pronation while 7.23% of male students and 6.38% of female students showed slightly supinated feet. This study shows that BMI has no influence on FPI in resting gait. The high incidence of underweight amongst the students’ population could be a reflection of the low socioeconomic status of many families.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128254072","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":"Knowledge, attitude and willingness to accept the RTS,S malaria vaccine among mothers in Abuja, Nigeria","authors":"T. Musa-Booth, B. Enobun, A. Agbomola, C. Shiff","doi":"10.4081/aamr.2021.128","DOIUrl":"https://doi.org/10.4081/aamr.2021.128","url":null,"abstract":"Malaria constitutes a major public health challenge and Nigeria contributes hugely to the global burden. In recent times, there has been a massive scale up of all interventions for evident impact. One of the novel preventive measures being considered is the RTS,S malaria vaccine. The objective of this study was to assess mothers’ knowledge, attitude, and practices to malaria and its prevention as well as mothers’ willingness to accept the RTS,S/AS01 malaria vaccine. A cross-sectional study design was used to administer questionnaires to 180 mothers within six public secondary health facilities in Abuja, Nigeria. About 30% (36/180) of respondents were aware of malaria vaccines but only four percent (7/180) had heard of RTS,S. Young maternal age (OR, 2.4; 95% CI, 1.09-5.28; P = 0.03), self-employment (OR, 2.55; 95% CI, 1.04-6.28; P = 0.04) and formal employment (OR, 3.74; 95% CI, 1.17-11.99; P = 0.03) were associated with no prior knowledge of malaria vaccine. Ninety-one percent (163/180) had a positive attitude to malaria vaccine and 98% (176/180) were willing to allow their child(ren) to be immunized with RTS,S despite the efficacy of the vaccine, route of administration and number of doses. We concluded that knowledge of malaria preventive measures does not correlate with knowledge of RTS,S. Although willingness to accept RTS,S is high, consistent targeted messaging on RTS,S would be required to improve community knowledge and attitude prior to implementation to ensure maximum uptake.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123815107","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":"Mathematical modelling of COVID-19 transmission and control strategies in the population of Bauchi State, Nigeria","authors":"Y. A. Misau, N. Nansak, A. Maigoro, S. Malami, D. Mogere, S. Mbaruk, R. Mohammed, S. Lawal, S. Usman","doi":"10.4081/aamr.2020.120","DOIUrl":"https://doi.org/10.4081/aamr.2020.120","url":null,"abstract":"The novel SARS-COV-2 has since been declared a pandemic by the World Health Organization (WHO). The virus has spread from Wuhan city in China in December 2019 to no fewer than 200 countries as at June 2020 and still counting. Nigeria is currently experiencing a rapid spread of the virus amidst weak health system and more than 80% of population leaving on less than 1USD per day. To help understand the behavior of the virus in resource limited settings, we modelled the outbreak of COVID-19 and effects of control strategies in Bauchi state at north-eastern Nigeria. Using the real data of Bauchi state COVID-19 project, this research work extends the epidemic SEIR model by introducing new parameters based on the transmission dynamics of the novel COVID-19 pandemic and preventive measures. The total population of Bauchi State at the time of the study, given by is compartmentalized into five (5) different compartments as follows: Susceptible (S), Exposed (E), Infectious (I), Quarantined (Q) and Recovered (R). The new model is SEIQR. N = S → E → I → Q → R Data was collected by accessing Bauchi state electronic database of COVID-19 project to derive all the model parameters, while analysis and model building was done using Maple software. At the time of this study, it was found that the reproduction number R, for COVID-19 in Bauchi state, is 2.6 × 10-5. The reproduction number R decreased due to the application of control measures. The compartmental SEIRQ model in this study, which is a deterministic system of linear differential equations, has a continuum of disease-free equilibria, which is rigorously shown to be locallyasymptotically stable as the epidemiological threshold, known as the control reproduction number R= 0.0000026 is less than unity. The implication of this study is that the COVID-19 pandemic can be effectively controlled in Bauchi, since is R<1. Contact tracing and isolation must be increased as the models shows, the rise in infected class is a sign of high vulnerability of the population. Unless control measures are stepped up, despite high rate of recovery as shown by this study, infection rate will keep increasing as currently there is a no vaccine for COVID-19.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130743415","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":"Cigarette smoking, alcohol intake and the risk of diabetes mellitus in Gombe State, northeast Nigeria","authors":"Sule J. Bathna, J. Dunga, N. Alkali, J. Musa, Abubakar A. Gombe, Sulaiman Yusuf, Ojobi Joseph, Shamaki R. Baba","doi":"10.4081/aamr.2019.71","DOIUrl":"https://doi.org/10.4081/aamr.2019.71","url":null,"abstract":"Alcohol is consumed in almost all countries worldwide. Heavy drinking can reduce the body’s sensitivity to insulin, which can trigger type 2 diabetes mellitus. Diabetes can complicate chronic pancreatitis, which is overwhelmingly caused by heavy alcohol drinking. Alcohol is also high in calories, with heavy drinkers liable to obesity and a higher risk of type 2 diabetes mellitus. Similarly, cigarette smoking is associated with increased risk of type 2 diabetes mellitus among both middle-aged and elderly men and women. Nigeria is one of the three largest tobacco markets in Africa with a population of almost 13 million smokers. Northeast Nigeria ranks 3rd among the six geopolitical zones, with a smoking rate of 6.1%. In this study, we evaluated the risks of diabetes mellitus associated with alcohol consumption and cigarette smoking in Gombe State, Northeast Nigeria. This cross-sectional survey was conducted in a two-stage cluster sampling scheme based on existing administrative divisions. Study subjects were males and females aged 16 years and older who resided in the Jekadafari Ward of Gombe Metropolis. Subjects were excluded from this study if they were less than 16 years of age, pregnant women or suffered chronic conditions such as chronic kidney disease, chronic liver disease or chronic lung diseases based on clinical history and laboratory results. The calculated sample size was 1600 based on a 3.1% prevalence rate of DM, with a power of 85% and precision of 5%. We obtained complete data on 1302 subjects, of whom 50 (3.8%) had DM. (5.1% in males and 2.86% in females). Alcohol use was prevalent among 365 (28.03%) subjects, and was higher in males (49.4%) compared to females (11.4%). The risk of DM was significantly higher among alcoholusers compared to non-users, with an odds ratio of 4.1 (95%CI: 2.3- 7.3; P=0.0001). Eighty-eight subjects were cigarette smokers, of whom 87 were males and only one was female. We found no significant association between cigarette smoking and DM (OR=0.34, 95%CI 0.05-2.48; P=0.29). The overall prevalence of DM was 3.9%. Alcohol consumption, but not cigarette smoking, was associated with a higher risk of DM in this study.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134542164","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":"Adherence to drug treatment among schizophrenic patients in Jigawa State, Nigeria","authors":"A. Shehu, S. Garba, E. Anyebe, M. Tukur, H. Gomma","doi":"10.4081/aamr.2019.77","DOIUrl":"https://doi.org/10.4081/aamr.2019.77","url":null,"abstract":"Schizophrenia is among the most common psychiatric disorders, affecting approximately 1% of the world’s population and is among the leading cause of disability. Adherence to drug therapy is associated with favourable clinical outcomes and good quality of life among schizophrenic patients undergoing treatment. This study assessed the prevalence and factors responsible for adherence/ non-adherence to drug treatment among schizophrenic patients in Jigawa State. We used a descriptive hospital-based cross-sectional study design and recruited three hundred and ninety- nine patients using multi-stage sampling technique. The mean and standard deviation of age of the respondents was 42.3±11.2. The level of drug adherence was 47.1%. On bivariate analysis, cost of treatment, types of treatment, side effects, and effects of treatment on the performance were found to be associated with low adherence of drugs treatment (P<0.05). On adjusting for confounding effect using logistic regression analysis, the cost of treatment of more than one thousand naira per day (AOR=3.00, 95%CI=2.75-8.83) and presence of side effects (AOR=4.01, 95%CI=1.45-16.09) were found to be predictors of non-adherence to drug treatments. Supervised community treatment, behavioural change communications along with community mental health care financing were recommended in order to increase access and decrease non-adherence to drugs.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124194642","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":"Postnatal care uptake and associated factors among nursing mothers in Benin City, Edo State, Nigeria","authors":"A. Obi, O. Obarisiagbon","doi":"10.4081/aamr.2019.82","DOIUrl":"https://doi.org/10.4081/aamr.2019.82","url":null,"abstract":"Globally, postnatal care is a strategic public health intervention to aid significant reduction in maternal and neonatal morbidity and mortality especially in developing countries. This study aimed to assess the level of postnatal care (PNC) uptake and associated factors among nursing mothers for improved maternal and newborn outcomes in Benin City, Edo State. Two hundred and twenty (220) nursing mothers attending immunization clinics in University of Benin Teaching hospital, Benin City were studied using a descriptive cross-sectional study design. Data analysis was carried out using IBM SPSS version 21.0 statistical software after sorting and collating researcher administered questionnaire. Results were represented as prose, frequency tables and figures, univariate and bivariate analysis to assess postnatal care uptake and associated factors was carried out with level of significance set at P<0.050. Two hundred and five (93.2%) of the respondents studied registered and attended antenatal care (ANC) during pregnancy. One hundred and twenty-one (55.5%) of respondents studied had good knowledge of PNC, 190 (86.4%) had a positive attitude towards PNC, while 159 (72.3%) attended PNC. ANC registration (P<0.001), knowledge of PNC (P=0.002) and attitude towards PNC (P=0.013) were identified as significant factors influencing PNC among nursing mothers. Postnatal care uptake was high among study participants. ANC registration was a major determinant of postnatal care uptake in the study area, in addition to also significantly influencing knowledge of PNC and attitude towards PNC among nursing mothers studied. There is need to sustain and improve on the gains of postnatal care (PNC) uptake among nursing mothers in Benin City, by promoting sensitizations campaigns to promote ANC registration and attendance among pregnant women.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115213361","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":"Transabdominal Doppler ultrasound evaluation of blood flow patterns of the uterine arteries in cervical cancer patients in Zaria, North-Western Nigeria","authors":"I. Garba, M. Ibrahim, S. Lawal, N. Chom, P. Ibinaiye","doi":"10.4081/AAMR.2019.76","DOIUrl":"https://doi.org/10.4081/AAMR.2019.76","url":null,"abstract":"Cervical cancer remains an important health issue especially in the developing countries that account for about 85% of the world burden of cervical cancer. Finding a role for Doppler ultrasound in the evaluation of these patients, may reduce the cost and improve access to management. This study was aimed at evaluating the Doppler flow parameters in patients with cervical cancer when compared to normal subjects. This was a prospective case control, descriptive and observational study conducted in radiology department, ABU Teaching Hospital, Zaria, Nigeria. Eighty-one patients with cervical cancer and 81 age-matched controls had transabdominal Doppler ultrasound examination of the main uterine arteries. The data was analyzed using SPSS version 20.0 Chicago Illinois USA. Difference between two groups was tested using student ttest and P<0.05 considered as statistically significant. The mean Resistivity Index (RI) and Pulsatility Index (PI) were significantly lower in patients with cervical cancer than the control (P<0.0001). The mean end diastolic velocity was significantly higher in patients than the control (P<0.0001). There was however no significant difference in the mean peak systolic velocity in patients and control (P=0.97). The findings have demonstrated that significant differences exist in the uterine artery Doppler flow parameters in patients with cervical cancer compared to the healthy controls. This emphasizes the role of Doppler scan in the evaluation and management of patients with cervical cancer.","PeriodicalId":123248,"journal":{"name":"Annals of African Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133931159","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}