Foot最新文献

{"title":"A prospective study on the role of foot evertor muscle activity in recurrence of clubfoot","authors":"Rama Priya Yasam ,&nbsp;Vivek Singh ,&nbsp;Naga Srikanth Darla ,&nbsp;Jayanti Pant ,&nbsp;Poonam Sherwani ,&nbsp;Varun Garg","doi":"10.1016/j.foot.2023.102025","DOIUrl":"10.1016/j.foot.2023.102025","url":null,"abstract":"<div><h3>Background</h3><p>Even after corrective casting and bracing, clubfoot recurrence is challenging throughout childhood, with around 14–40 % recurrence rates. Most of the literature on recurrence was attributed to various factors, and minimal research was conducted to know the role of foot evertor muscle activity and its stimulation benefits. This study aimed to assess the role of foot evertor muscle activity in idiopathic congenital clubfoot recurrence by using clinical, sonographic, and electromyographic parameters.</p></div><div><h3>Methods</h3><p><span>A prospective cohort study<span> was conducted at our tertiary care hospital from 2020 to 2022. The patient’s demographic data, Pirani, Dimeglio, Clinical Evertor Muscle Activity scores, sonographic cross-sectional areas of leg muscle, and evertor motor activity using </span></span>surface electromyography were recorded in adherence to the pre-defined intervals.</p></div><div><h3>Results</h3><p>In total, 51 patients (51 feet) were included in the study, and the overall recurrence rate was 27.5 % (14/51). In this study, around 47 % (24/51) of children had mild or poor clinical evertor activity; among them, 58 % (14/24) children had a recurrence, and the insufficient clinical evertor activity and recurrence were strongly correlated (p = 0.01). Evertor muscle cross-sectional area ratio, motor unit potentials, and recruitment were comparatively less in the recurred group; however, only the cross-sectional area ratio was statistically significant (p = 0.02).</p></div><div><h3>Conclusion</h3><p><span>Early detection of evertor muscle weakness can help to individualize the treatment plans by predicting recurrence. Therefore, it should be included in routine </span>clinical evaluations. Further research is required to determine the advantages of evertor muscle-strengthening activities in preventing idiopathic clubfoot deformity.</p></div><div><h3>Level of Clinical Evidence</h3><p>A prospective cohort study, Level of evidence-II</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102025"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9602807","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":"Commercially available pressure sensors for sport and health applications: A comparative review","authors":"Louise Burnie ,&nbsp;Nachiappan Chockalingam ,&nbsp;Alex Holder ,&nbsp;Tim Claypole ,&nbsp;Liam Kilduff ,&nbsp;Neil Bezodis","doi":"10.1016/j.foot.2023.102046","DOIUrl":"10.1016/j.foot.2023.102046","url":null,"abstract":"<div><p>Pressure measurement systems have numerous applications in healthcare and sport. The purpose of this review is to: (a) describe the brief history of the development of pressure sensors for clinical and sport applications, (b) discuss the design requirements for pressure measurement systems for different applications, (c) critique the suitability, reliability, and validity of commercial pressure measurement systems, and (d) suggest future directions for the development of pressure measurements systems in this area. Commercial pressure measurement systems generally use capacitive or resistive sensors, and typically capacitive sensors have been reported to be more valid and reliable than resistive sensors for prolonged use. It is important to acknowledge, however, that the selection of sensors is contingent upon the specific application requirements. Recent improvements in sensor and wireless technology and computational power have resulted in systems that have higher sensor density and sampling frequency with improved usability – thinner, lighter platforms, some of which are wireless, and reduced the obtrusiveness of in-shoe systems due to wireless data transmission and smaller data-logger and control units. Future developments of pressure sensors should focus on the design of systems that can measure or accurately predict shear stresses in conjunction with pressure, as it is thought the combination of both contributes to the development of pressure ulcers and diabetic plantar ulcers. The focus for the development of in-shoe pressure measurement systems is to minimise any potential interference to the patient or athlete, and to reduce power consumption of the wireless systems to improve the battery life, so these systems can be used to monitor daily activity. A potential solution to reduce the obtrusiveness of in-shoe systems include thin flexible pressure sensors which can be incorporated into socks. Although some experimental systems are available further work is needed to improve their validity and reliability.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102046"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10027110","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":"The effect of externally applied traditional Chinese medicine in diabetic foot: A systematic review and meta-analysis of 34 RCTs","authors":"Yan-Wu Yang ,&nbsp;Yi-Wu Zhou ,&nbsp;Mei-Ling Ge","doi":"10.1016/j.foot.2023.102045","DOIUrl":"10.1016/j.foot.2023.102045","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to investigate the clinical efficacy of externally applied Traditional Chinese Medicine (TCM) on diabetic foot.</p></div><div><h3>Methods</h3><p>We searched the China Knowledge Network (CNKI), Wanfang Database, PubMed and Web of Science from inception to July 31, 2022, to find all randomized control trials (RCTs) related to externally applied TCMs in diabetic foot treatment. Information about the total effective rate, healing rate, and healing time were extracted. In addition, the relative risk (RR)/odds ratio (OR) or standardized mean difference (SMD) and 95 % confidence interval (CI) were calculated.</p></div><div><h3>Results</h3><p>Finally, a total of 34 RCTs including 3758 patients were included in this meta-analysis. There were 5 articles that reported hydropathic compress with astrogalin, 14 articles that reported MEBO burn cream, 9 articles that reported compound cortex phellodendri liquid and 6 articles that reported Shengji Yuhong ointment. Compared with the basic treatment, the externally applied TCM (astrogalin, MEBO burn cream, compound cortex phellodendri liquid and Shengji Yuhong ointment) combined with basic treatment improved the total effective rate (RR = 1.31 [1.20, 1.42], P &lt; 0.0001) and healing rate (RR = 1.84 [1.56, 2.17], P &lt; 0.0001) and shortened the healing time (SMD = − 2.51 [− 3.39, − 1.63], P &lt; 0.0001).</p></div><div><h3>Conclusion</h3><p>Our systematic review and meta-analysis revealed that common TCM applied externally could significantly improve the clinical efficacy comparing to the basic treatment.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102045"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9873663","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":"An overlooked cause of plantar fasciitis: Myofascial trigger point of the abductor hallucis muscle","authors":"Gamze G. Güleç ,&nbsp;Mustafa T. Yıldızgören ,&nbsp;Fatih Bağcier","doi":"10.1016/j.foot.2023.102022","DOIUrl":"10.1016/j.foot.2023.102022","url":null,"abstract":"<div><p><span>The etiology of plantar heel pain is multifactorial. Myofascial trigger points of abductor hallucis muscle one of the muscles that should be carefully evaluated and treated in patients diagnosed with </span>plantar fasciitis.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102022"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257486","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":"Effect of protruding stickers enhancing plantar sensory feedback on control of the center of force trajectory during gait: A preliminary study","authors":"Daisuke Senzaki ,&nbsp;Kazunori Okamura ,&nbsp;Hirofumi Yoshida ,&nbsp;Masaharu Tagami ,&nbsp;Masaki Hasegawa","doi":"10.1016/j.foot.2023.102023","DOIUrl":"10.1016/j.foot.2023.102023","url":null,"abstract":"<div><h3>Background</h3><p>Abnormal kinematics and kinetics in the lower extremity during gait may be improved by modulating the center of force trajectory of the foot. This study aimed to confirm whether short-interval training using plastic hemispherical protruding stickers (diameter: 5 mm; height: 2 mm) attached to the plantar surface of the foot to enhance plantar sensory feedback can help actively control the center of force trajectory during gait.</p></div><div><h3>Methods</h3><p>Twenty healthy female subjects underwent three-dimensional barefoot gait analysis under control conditions and two post-training conditions. Before the measurements under post-training conditions, the subjects underwent a 5-minute training to control the center of force trajectory with two protruding stickers attached to the plantar surface of the right foot. During training, the subjects were asked to put their weight on the stickers. The attachment positions of the stickers were the heel and either the first or fifth metatarsal head, which was randomly determined although both were tested.</p></div><div><h3>Results</h3><p>The center of pressure trajectory during the right stance phase of the gait shifted in the direction of the protruding stickers attached in the last training, although the stickers had already been removed.</p></div><div><h3>Conclusions</h3><p>The study results confirmed that a 5-minute training with protruding stickers attached to the plantar surface of the foot can help actively control the center of pressure trajectory during gait.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102023"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9171244","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":"Is the duration of diabetic foot ulcers an independent risk factor for developing diabetic foot osteomyelitis?","authors":"Araya Jaroenarpornwatana ,&nbsp;Nantawan Koonalinthip ,&nbsp;Siriporn Chawaltanpipat ,&nbsp;Siriporn Janchai","doi":"10.1016/j.foot.2023.102000","DOIUrl":"10.1016/j.foot.2023.102000","url":null,"abstract":"<div><h3>Objective</h3><p><span>This study aimed to determine whether the prolonged duration of diabetic foot ulcers was associated with an increased incidence of diabetic foot </span>osteomyelitis.</p></div><div><h3>Study design</h3><p>A retrospective cohort study</p></div><div><h3>Methods</h3><p><span>The medical records<span> of all patients who participated in the diabetic foot clinic between January 2015 and December 2020 were reviewed. Patients with new diabetic foot ulcers were monitored for diabetic foot osteomyelitis. The collected data included the patient’s profile, comorbidities and complications, the </span></span>ulcer profile (area, depth, location, duration, number of ulcers, inflammation, and history of the previous ulcer), and outcome. Univariate and multivariate Poisson regression analyses were used to assess risk variables for diabetic foot osteomyelitis.</p></div><div><h3>Results</h3><p>Eight hundred and fifty-five patients were enrolled; 78 developed diabetic foot ulcers (cumulative incidence 9% over 6 years, average annual incidence 1.5%) and among these diabetic foot ulcers, 24 developed diabetic foot osteomyelitis (cumulative incidence 30% over 6 years, average annual incidence of 5%, incidence rate 0.1/person-year). Statistically significant risk factors for the development of diabetic foot osteomyelitis were ulcers that were deep to the bone (adjusted risk ratio 2.50, <em>p</em> = 0.04) and inflamed wounds (adjusted risk ratio 6.20, <em>p</em> = 0.02). The duration of diabetic foot ulcers was not associated with diabetic foot osteomyelitis (adjusted risk ratio 1.00, <em>p</em> = 0.98).</p></div><div><h3>Conclusion</h3><p>The duration was not an associated risk factor for diabetic foot osteomyelitis, while bone-deep ulcers and inflamed ulcers were found to be significant risk factors for the development of diabetic foot osteomyelitis.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102000"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9089022","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 healing of diabetic foot ulcer comparing two offloading modalities: A randomized prospective study","authors":"Walaa A. Khalifa,&nbsp;Salah A. Argoon,&nbsp;Mohammad HM AbdEllah-Alawi","doi":"10.1016/j.foot.2023.102016","DOIUrl":"10.1016/j.foot.2023.102016","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Healing of Diabetic Foot ulcer<span><span> is crucial to prevent amputation. Offloading is key treatment of diabetic foot ulcers, but choosing which offloading modality is still not clear. Besides, other factors that control </span>ulcer healing, is a question that needs to be determined. </span></span><strong>Objective</strong>: to assess factors that affect ulcer healing, comparing two commonly used offloading devices, removable walker and cast-shoe.</p></div><div><h3>Methods</h3><p><span>This is a Randomized Clinical Trial which recruited 87 patients with active diabetic foot ulcers randomly assigned to either a removable walker (W-arm) or a cast-shoe (C-arm) at 3:2 ratio. Both groups received the routine ulcer care, and were followed-up for 24 weeks. Different possible factors related to healing were assessed, and a regression model was built for the most </span>predictive factors.</p></div><div><h3>Results</h3><p><span>The 24-week healing rate was 81% for the walker group and 62 % for the cast-shoe group. The mean adherence was 55 % ± 26 % and 46 % ± 29 for the walker and cast shoe groups respectively. Ulcer healing was significantly positively associated with: better adherence, device type (walker), less SINBAD score (2 or less), absence of ischemia, absence of infection, smaller ulcer area, superficial ulcer, better 4-week area reduction, and better </span>blood glucose control. The most important predictors were adherence, total SINBAD score and 4-week area reduction.</p></div><div><h3>Conclusion</h3><p>SINBAD score at initial presentation and the degree of adherence to offloading device, are two major determinants of ulcer healing. Ulcer area reduction at 4 weeks represents an important clinical parameter to predict and guide the success of ulcer management.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102016"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306756","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":"Subtalar arthroereisis post-operative management in children: A literature review","authors":"Antonio Mazzotti ,&nbsp;Valentina Viglione ,&nbsp;Simone Gerardi ,&nbsp;Elena Artioli ,&nbsp;Gino Rocca ,&nbsp;Cesare Faldini","doi":"10.1016/j.foot.2023.102037","DOIUrl":"10.1016/j.foot.2023.102037","url":null,"abstract":"<div><h3>Purpose</h3><p><span>Subtalar arthroereisis is a minimally-invasive technique for the treatment of flexible </span>flatfoot. Some issues regarding the procedure are still debated, such as post-operative management. The aim of this study is to offer a review of the pertaining literature to identify current post-operative protocols and describe possible differences among them.</p></div><div><h3>Methods</h3><p>We searched the PubMed database for all papers related to subtalar arthroereisis in children specifying the post-operative protocols. After reviewing all studies according to excluding criteria, 50 articles were selected for analysis.</p></div><div><h3>Results</h3><p>Based on the literature review, different post-operative protocols emerged in the treatment of patients undergoing subtalar arthroereisis, in particular regarding length of hospital stay, type and duration of immobilization, weight-bearing management, adopted rehabilitation scheme, sport resumption and implant removal.</p></div><div><h3>Conclusions</h3><p>The most important finding was the existence of a wide variety in post-operative management after subtalar arthroereisis in children, thus confirming that no clear consensus still exists in this field.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102037"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9446547","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":"Italian version of the Cumberland Ankle Instability Tool (CAIT-I)","authors":"Angela Contri ,&nbsp;Francesco Ballardin ,&nbsp;Gianluca De Marco ,&nbsp;Matteo Gaucci ,&nbsp;Angela Scariato ,&nbsp;Veronica Zanoni ,&nbsp;Carla Vanti ,&nbsp;Paolo Pillastrini","doi":"10.1016/j.foot.2023.102043","DOIUrl":"10.1016/j.foot.2023.102043","url":null,"abstract":"<div><h3>Study design</h3><p>Evaluation of the psychometric properties of a translated, culturally adapted questionnaire.</p></div><div><h3>Objective</h3><p>Translating, culturally adapting, and validating the Italian version of the Cumberland Ankle Instability Tool (CAIT-I).</p></div><div><h3>Summary of background data</h3><p>Ankle sprains are one of the most common musculoskeletal injuries and can lead to chronic ankle instability (CAI). The International Ankle Consortium recommends the Cumberland Ankle Instability Tool (CAIT) as a valid and reliable self-report questionnaire assessing the presence and severity of CAI. At this moment, there is no validated Italian version of CAIT.</p></div><div><h3>Methods</h3><p>The Italian version of the CAIT (CAIT-I) was developed by an expert committee. Test-retest reliability of the CAIT-I was measured in 286 healthy and injured participants within a 4–9-day period, by using Intraclass Correlation Coefficients (ICC_2,1). Construct validity, exploratory factor analysis, internal consistency and sensitivity were examined in a sample of 548 adults. Instrument responsiveness over 4 time points was determined in a subgroup of 37 participants.</p></div><div><h3>Results</h3><p>The CAIT-I demonstrated excellent test-retest reliability (ICC≥0.92) and good internal consistency (α = .84). Construct validity was confirmed. Identified cut-off for the presence of CAI was 24.75, with sensitivity= 0.77 and specificity= 0.65. There were significant differences across time for CAIT-I scores (P &lt; .001), demonstrating responsiveness to change, but no floor or ceiling effects.</p></div><div><h3>Conclusion</h3><p>The CAIT-I demonstrates acceptable psychometric performance as a screening and outcome measure. The CAIT-I is a useful tool to assess the presence and severity of CAI.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102043"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973781","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":"Quantifying increased lateral column instability in Adult Acquired Flatfoot Deformity (AAFD)","authors":"David Chrastek ,&nbsp;Mahmoud El-Mousili ,&nbsp;Ahmad Al-Sukaini ,&nbsp;Isabel S. Austin ,&nbsp;Trisha Yanduru ,&nbsp;Steve Cutts ,&nbsp;Chandra Pasapula","doi":"10.1016/j.foot.2023.102036","DOIUrl":"10.1016/j.foot.2023.102036","url":null,"abstract":"<div><p><span>AAFD comprises ligamentous failure and tendon overload, mainly focused on the symptomatic </span>posterior tibial tendon<span> and the spring ligament. Increased lateral column (LC) instability arising in AAFD is not defined or quantified. This study aims to quantify the increased LC motion in unilateral symptomatic planus feet, using the contralateral<span> unaffected asymptomatic foot as an internal control. In this case matched analysis, 15 patients with unilateral stage 2 AAFD foot and an unaffected contralateral foot were included. Lateral foot translation was measured as a guide to spring ligament competency. Medial and LC dorsal sagittal instability were assessed by direct measurement of dorsal 1st and 4th/5th metatarsal head motion and further video analysis. The mean increase in dorsal LC sagittal motion (between affected vs unaffected foot) was 5.6 mm (95% CI [4.63–6.55], p &lt; 0.001). The mean increase in the lateral translation score was 42.8 mm (95% CI [37.48–48.03], p &lt; 0.001). The mean increase in medial column dorsal sagittal motion was 6.8 mm (95% CI [5.7–7.8], p &lt; 0.001). Video analysis also showed a statistically significant increase in LC dorsal sagittal motion between affected and unaffected sides (p &lt; 0.001). This is the first study that quantifies a statistically significant increased LC dorsal motion in feet with AAFD. Understanding its pathogenesis and its link to talonavicular/spring ligament laxity improves foot assessment and may allow the development of future preventative treatment strategies.</span></span></p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102036"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9572312","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}