Indian Journal of Palliative Care最新文献

{"title":"Harmonising Hope: Impact of Music Therapy on Cancer Pain and Palliative Care.","authors":"Disha Dinkar Jethva, Bhavna Chirag Patel, Sumathy Sundar, Jayendrakumar Baldevbhai Patel, Hemangini Hasat Vora, Priti Rashmin Sanghavi","doi":"10.25259/IJPC_235_2024","DOIUrl":"https://doi.org/10.25259/IJPC_235_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Music therapy can be a harmonising hope for cancer patients under palliative care to overcome fear, anxiety, anger, depression, pain and the range of emotional responses. Music therapists contribute to a comprehensive approach to providing holistic, patient-centred care to mainstream medical treatment. Hence, the study aims to understand the clinical impact of music therapy in cancer pain and palliative care.</p><p><strong>Materials and methods: </strong>After approval from the Institutional Review Committee and getting informed consent, a total of 102 individual music therapy sessions were conducted for 43 patients with cancer hospitalised under palliative care. Each patient received an average of 2-4 music therapy sessions by a certified music therapist. Music therapy sessions were based on clinician referrals, hospitalisation status and musicality profile. Pain scores, anxiety scores, mood scores and intrinsic and extrinsic motivation levels were evaluated using a visual analogue scale before and immediately after the sessions. Data were statistically analysed using the Statistical Package for the Social Sciences version 26.</p><p><strong>Results: </strong>The study indicates that cancer patients undergoing pain and palliative care experienced notable outcomes from music therapy sessions, including a significant decrease in anxiety and pain perception, along with enhancements in mood and motivation (<i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>To sum up, the ongoing study and understanding of the impact of music therapy underscore its meaningful and promising role in improving the overall quality of life for cancer patients within a holistic care approach.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"21-26"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Death Preparation and Quality of Life amongst Family Caregivers of Terminal Cancer Patients: A Multicentre Cross-sectional Study.","authors":"Yun-A Kim, JaeHyuck Lee, Yoo Jeong Lee, Chung Woo Lee, Sun Wook Hwang, Min Seok Seo, Sun Hyun Kim, Hong Yup Ahn, In Cheol Hwang","doi":"10.25259/IJPC_213_2024","DOIUrl":"https://doi.org/10.25259/IJPC_213_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Caring for ill cancer patients imposes a considerable burden on families, significantly reducing quality of life (QoL). This study examined the association between death preparation and QoL amongst family caregivers (FCs) of terminally ill patients with cancer in South Korea.</p><p><strong>Materials and methods: </strong>A multicentre cross-sectional survey using questionnaires was conducted in nine inpatient palliative care units in South Korea. Data from 170 FCs who answered questions about preparedness for death were analysed. A stepwise multivariate logistic model was used to identify the factors associated with FCs' QoL. The estimated QoL scores were also compared between the groups according to preparedness level.</p><p><strong>Results: </strong>Factors associated with high QoL included old age, fewer daily caregiving hours, fewer caregiving durations and practical preparedness for death. The well-prepared group had significantly higher QoL scores in the burdensome domain. This significant association remained robust in FCs with low educational or social support levels, poor resilience and dysfunctional families.</p><p><strong>Conclusion: </strong>Practically, well-prepared FCs experienced a high QoL in hospice care settings. FCs are likely to benefit from assessment and encouragement of their preparedness for death.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"8-14"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Lived Experience of Elderly Transgender People: Qualitative Phenomenological Study.","authors":"Anu Savio Thelly, Shivasakthy Manivasakan, A Angeline Kripa, K Sheethal","doi":"10.25259/IJPC_130_2024","DOIUrl":"https://doi.org/10.25259/IJPC_130_2024","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores the lived experiences of elderly transgender individuals residing in trans communities in Pondicherry, with a focus on their challenges in accessing end-of-life care and the broader societal, economic, and intergenerational issues affecting their well-being.</p><p><strong>Materials and methods: </strong>A phenomenological approach with descriptive analysis was employed over eight months. Six transgender individuals aged 50 and above were selected through purposive sampling. Baseline data were collected using a structured questionnaire, followed by in-depth, semi-structured interviews conducted via Zoom. Each interview, lasting approximately one hour, was recorded, transcribed verbatim, and analysed using Hermeneutic Phenomenology to identify key themes.</p><p><strong>Results: </strong>Eight constitutive themes emerged from the analysis: Challenges in Self-expression, reflecting struggles in living authentically; Dependency, indicating reliance on others for support; Generation Gap with Community Members, revealing disparities in values and perspectives; Handling Daily Struggles, highlighting daily adversities; Unheard Complaints, emphasizing societal neglect; Feeling Useless and a Burden, indicating diminished self-worth; Shrinking to Self, showing social withdrawal; and Segregation or Solitary Living, illustrating experiences of exclusion and isolation. These themes are encapsulated in the overarching theme, \"Navigating Isolation and Dependency in the Lived Experience of Elderly Transgender Individuals.\"</p><p><strong>Conclusion: </strong>The study reveals the profound impact of societal discrimination, economic hardship, and intergenerational gaps on elderly transgender individuals. It underscores the urgent need for advocacy, inclusive policies, and community-based support systems to address their unique challenges and enhance their quality of life, particularly in end-of-life care contexts.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"27-31"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RE: Debunking Palliative Care Myths: Assessing the Performance of Artificial Intelligence Chatbots (ChatGPT vs. Google Gemini).","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.25259/IJPC_286_2024","DOIUrl":"https://doi.org/10.25259/IJPC_286_2024","url":null,"abstract":"","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"86-87"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Cultural Adaptation and Validation of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health 15 into Hindi Version for Cancer Patients.","authors":"Neha Agrawal, Narinder Dev Gupta, Shahid Ali Siddiqui","doi":"10.25259/IJPC_242_2024","DOIUrl":"https://doi.org/10.25259/IJPC_242_2024","url":null,"abstract":"<p><strong>Objectives: </strong>The multidimensional concept of quality of life (QoL) has become vital in cancer care, and research and is crucial for epidemiological investigations. The primary objective of the research was to translate and culturally adapt the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health15 (EORTC QLQ OH15) questionnaire into Hindi, assessing its reliability and validity for implementation among cancer patients of Aligarh.</p><p><strong>Materials and methods: </strong>This study was carried out from June 2019 to May 2021. Permissions were obtained from the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) group for cross-cultural adaptation and translation of the Quality of Life Questionnaire-Oral Health15 (QLQ-OH15) and ethical clearance was secured from the Institutional Ethical Review Board at Aligarh Muslim University. Informed consent was provided by participating patients. The translation and cultural adaptation of the QLQ-OH15 followed an eight-phase procedure in compliance with the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire translation manual, ensuring consistency. Psychometric properties were evaluated using the Statistical Program for the Social Sciences 20, assessing content validity, convergent and discriminant validity, criterion validity, construct validity, reliability and test-retest reproducibility.</p><p><strong>Results: </strong>The content validity ratio exceeded 0.75, with Cronbach's alpha values above 0.70 for each scale, confirming reliability. Factor analysis identified five factors: 'Pain and discomfort,' 'Information,' 'Soreness,' 'Denture' and 'Xerostomia.' Every item in every scale had its item convergent validity validated; all values were over 0.4 and there were no scaling mistakes observed. All of the items' correlation coefficients for the other scales were lower than their scales, indicating discriminant validity. There were statistically significant associations between Hindi EORTC QLQ-OH15 scores and three proxy measures: Perceived oral health (<i>P</i> = 0.000), perceived satisfaction with the mouth (<i>P</i> = 0.000) and perceived dental treatment need (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>The Hindi version of the QLQ-OH15 is a valid and reliable tool for assessing oral health-related quality of life in Indian cancer patients. This adaptation facilitates better symptom management and improved QoL in this population, emphasising the importance of oral health in comprehensive cancer care.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"52-59"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Influence of Spiritual Well-being on Caregiver Burden in Head-and-Neck Malignancy: A Cross-sectional Study.","authors":"Rutam Bhalendu Vaishnav, Girish Mishra, Yojana Sharma, Jaishree Deepak Ganjiwale, Dinesh Kumar, Dipali Bhatt","doi":"10.25259/IJPC_271_2024","DOIUrl":"https://doi.org/10.25259/IJPC_271_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Taking care of a patient with head-and-neck malignancy (HNM) entails enormous physical, emotional, cognitive and moral challenges. Caregivers frequently turn to spiritual practices such as prayer, offering and meditation to enhance inner strength and coping ability. Assessment of caregiver burden (CGB) would remain incomplete without considering spiritual well-being (SWB). We set out to assess CGB and SWB in caregivers of patients suffering from HNMs.</p><p><strong>Materials and methods: </strong>This cross-sectional study was carried out in a medical college-associated tertiary care centre after approval from the institutional ethics committee. CGB was determined using a translated version of Zarit Burden interview 22. SWB was determined by the spiritual wellbeing scale (SWBS), which was translated into Gujarati and validated. Relevant demographic data were also collected and analysed.</p><p><strong>Results: </strong>(1) Patient characteristics: (i) Number of participants: 60 (37 males and 23 females). Mean age: 55.56 years, (ii) Mean time since diagnosis: 7.33 months, (iii) Type of malignancy: Buccal mucosae 31, tongue 12, hard palate 7, lip 4, others 6, (iv) Type of family: Nuclear 14, joint 46. Locale: Rural: 36, urban: 24. (2) Caregiver characteristics: (i) Mean age: 44 years, (ii) Educational status: Graduate and above: 19, undergraduate: 22, primary education: 19, (iii) Occupation: Home-makers: 13, skilled: 18, semi-skilled: 18, others: 6. (3) CGB scores: Mean: 35.30 (Standard deviation [SD] = 11.25). Mild, moderate and high burden were reported by 66.7%, 25% and 3.3% caregivers, respectively. 5% of caregivers reported no burden. (4) SWB score: Mean: 81.70 (SD = 14.84). Low, moderate and high SWB scores were observed in 1.7%, 93.3% and 5%, respectively. (5) There was a significant correlation between higher SWB and lower CGB scores at 0.01 level.</p><p><strong>Conclusion: </strong>Moderate/high SWB was observed in 95% of caregivers regardless of their educational, social and family backgrounds. There was a significant correlation between higher SWB and lower CGB scores.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"60-66"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and Linguistic Validation of the Multidimensional Dyspnoea Profile into Telugu in a Palliative Care Setting.","authors":"Lovisa Dufberg, Maria Kökritz, Gayatri Palat, Magnus Ekström, Eva Brun, Mikael Segerlantz","doi":"10.25259/IJPC_244_2024","DOIUrl":"https://doi.org/10.25259/IJPC_244_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Dyspnea, or breathlessness, is a frequent and distressing symptom among patients with heart and lung diseases, particularly in advanced cancer stages, where it affects up to 90% of lung cancer cases. This symptom considerably diminishes quality of life, leading to physical deconditioning, increased levels of anxiety and depression, repeated hospitalizations, and elevated mortality rates. The Multidimensional Dyspnea Profile (MDP), developed in 2011, allows assessment of both the sensory experience and emotional response to dyspnea. While the MDP has been translated into multiple languages, a Telugu version has not been developed, underscoring the need for a validated tool in this under-resourced and primarily illiterate patient population in palliative care. Our aim was to translate and linguistically validate the MDP for use in Telugu-speaking populations in an Indian palliative care setting, where illiteracy rates are high.</p><p><strong>Materials and methods: </strong>The MDP was translated and adapted into Telugu through collaboration with the Mapi Institute, which specializes in culturally relevant translation and validation of patient-reported outcome (PRO) measures. A structured translation process included both forward and backward translations by two certified independent translators. The translated version was refined through feedback from two Indian palliative care physicians and four healthcare workers. In-depth interviews with 24 Telugu-speaking cancer patients were conducted to evaluate the tool's clarity and suitability for this patient population.</p><p><strong>Results: </strong>The Telugu version of the MDP was adapted specifically for palliative care settings that serve socioeconomically disadvantaged populations with high levels of illiteracy. The translation adhered closely to international PRO standards set by the Mapi Institute. The MDP facilitated healthcare providers' understanding of dyspnea's impact on this group of palliative care patients.</p><p><strong>Conclusion: </strong>Applying the MDP in a palliative care context improved clinicians' insights into factors that contribute to dyspnea. However, given the instrument's length, selective use of its sections may be more practical in time-constrained settings.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"48-51"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the Role of Pain Catastrophising as a Predictor of Fear of Personal Death amongst Brain Tumour Patients.","authors":"Diksha Mathreja, Arefa Mansuri","doi":"10.25259/IJPC_182_2024","DOIUrl":"https://doi.org/10.25259/IJPC_182_2024","url":null,"abstract":"<p><strong>Objectives: </strong>According to the National Health Portal, brain cancer is witnessing an upward curve in India. The reports by medical professionals suggest that brain tumours will become the second most common cancer by 2030. Any life-threatening illness not only impacts the physical well-being of the patient but also affects the mental well-being of the patient. As an interdisciplinary field, psychology aims to understand the psychosocial components of an illness that goes beyond the realm of medical treatments. Hence, the present study focused on two psychological constructs, namely Pain Catastrophising and Fear of Personal Death. The present research aims to evaluate the relationship between Pain Catastrophising and Fear of Personal Death as well as assess the predictive role of Pain Catastrophising for Fear of Personal Death.</p><p><strong>Materials and methods: </strong>A correlational design was adopted for the present study. The sample consisted of 180 patients who were diagnosed with a brain tumour and were scheduled for surgery for the removal of the tumour. A purposive sampling technique was used for the selection of the sample. Data were collected on two psychological measures, namely the Pain Catastrophising Scale and the Fear of Personal Death Scale. Pearson's product-moment method and regression analysis were employed for statistical analysis.</p><p><strong>Results: </strong>The findings highlight that there exists a positive association between the two components of Pain Catastrophising, namely Magnification (r = 0.644, <i>P</i> < 0.01) and Helplessness (r = 0.456, <i>P</i> < 0.01) with the Fear of Personal death. Rumination (0.026, <i>P</i> > 0.05) component exhibited no association with Fear of Personal Death. Linear regression analysis reveals that magnification (R = 0.644, R2 = 0.414, F = 125.861, <i>P</i> < 0.01) and helplessness (R = 0.456, R2 = 0.208, F = 46.857, <i>P</i> < 0.01) are significant predictors of Fear of Personal Death for the selected sample.</p><p><strong>Conclusion: </strong>Pain Catastrophising tendencies and feelings of Fear of Personal Death are prevalent amongst the selected cohort. Pain-catastrophising components are significantly associated with fear of personal death (FPD) and are also significant predictors of FPD amongst brain tumour patients.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"32-38"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trocar Catheter: A New Alternative for Point of Care for Management of Pleural Effusion by Palliative Care Physicians.","authors":"Himanshu Varshney, Prateek Maurya, Sachidanand Jee Bharati, Nishkarsh Gupta","doi":"10.25259/IJPC_303_2024","DOIUrl":"https://doi.org/10.25259/IJPC_303_2024","url":null,"abstract":"","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"88-89"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative Care Services in Bhutan: Current Progress and Future Needs.","authors":"Namkha Dorji, Yangden Yangden, Kinley Bhuti, Yeshey Dorjey, Sangay Tshering, Cheong Leong Giam, Tara Devi Laabar","doi":"10.25259/IJPC_206_2024","DOIUrl":"https://doi.org/10.25259/IJPC_206_2024","url":null,"abstract":"<p><p>Palliative care (PC) is a young concept in Bhutan. Since the establishment of home-based PC services at the national referral hospital of Bhutan for the residents of Thimphu City in 2018, many patients have benefitted. The need for PC in Bhutan is huge and urgent. The provision of quality PC is important to improve the quality of life of people facing life-limiting illnesses and end-of-life care, irrespective of their diagnosis. At present, efforts are being made to expand the services to the rest of the country by developing human resources. The plan is to train the existing manpower with the help of regional and international experts so that the PC services in Bhutan are sustainable.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"79-85"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}