{"title":"Tinnitus prevalence and associations with leisure noise exposure among Canadians, aged 6 to 79 years.","authors":"Katya Feder, Leonora Marro","doi":"10.1080/14992027.2024.2442744","DOIUrl":"https://doi.org/10.1080/14992027.2024.2442744","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between individual, cumulative leisure noise exposure (CLNE), acceptable yearly exposure (AYE) and tinnitus among a nationally representative sample of Canadians.</p><p><strong>Design: </strong>In-person household questionnaires were used to evaluate leisure noise exposure across age, sex, household income and tinnitus: ever experienced, previous year, frequent, bothersome. High (≥85 dBA, LEX), low (<85 dBA, LEX) CLNE and AYEs were defined according to occupational limits.</p><p><strong>Study sample: </strong>A randomised sample of 10,460 respondents, aged 6-79, completed questionnaires between 2012 and 2015. <i>Results:</i> Tinnitus prevalence was highest among young adults and teenagers (50% for both). Frequent and bothersome tinnitus afflicted one-third and 18.1% of Canadians, respectively. Men had higher tinnitus prevalence while women had increased bothersome tinnitus. For most ages, elevated tinnitus odds ratios (ORs) were associated with: (1) high, low CLNE and AYEs ≥1 and, (2) high exposure from individual sources: loud home/car stereo listening, power tools, gasoline engines, highway motorcycle/snowmobile driving. Loud personal listening device usage was associated with tinnitus ORs doubling (ages 6-11) and ≥5 or <math><mrow><mo><</mo></mrow></math>5 years of loud usage, with increased tinnitus ORs (ages 12-19).</p><p><strong>Conclusion: </strong>Community and/or school-based educational outreach would be beneficial to increase awareness of loud leisure noise exposure and tinnitus.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph Kei, Ming Wai Jasmine Lee, Joshua Myers, Sreedevi Aithal, Venkatesh Aithal, Carlie Driscoll, Asaduzzaman Khan
{"title":"Associated factors for parent-reported otitis media in 12-month-old infants.","authors":"Joseph Kei, Ming Wai Jasmine Lee, Joshua Myers, Sreedevi Aithal, Venkatesh Aithal, Carlie Driscoll, Asaduzzaman Khan","doi":"10.1080/14992027.2024.2438713","DOIUrl":"https://doi.org/10.1080/14992027.2024.2438713","url":null,"abstract":"<p><strong>Objective: </strong>To report host-related and environmental factors associated with otitis media (OM), and compare the prevalence of OM in 12-month-old infants reported by parents with that predicted from audiological assessment results.</p><p><strong>Design: </strong>A non-randomised, cross-sectional design was used. Data were collected via a parental questionnaire during children's audiology appointment at 12 months of age. Audiological assessments were performed on all participants.</p><p><strong>Study sample: </strong>Participants were 237 infants whose parents had completed a questionnaire at the audiology appointment.</p><p><strong>Results: </strong>The results of the logistic regressions with univariate model showed that attendance at day-care centres, upper respiratory tract infections (URTI) and siblings' history of OM were statistically significant variables with an odds ratio of 1.91, 2.87 and 3.56, respectively. The results of the multivariate logistic regression highlighted siblings' history of OM as the significant associated factor. The prevalence of parent-reported OM was 22.3% whereas the prevalence predicted from audiological findings was at least 39.7%.</p><p><strong>Conclusions: </strong>The present study identified three associated factors for OM: day-care attendance, frequent URTI and siblings' history of OM in infants. The prevalence of OM predicted from audiologic measures was about twice of that reported by parents. Preventive measures to mitigate the effects of OM have been suggested.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of subjective self-reported hearing and objective speech-in-noise perception as predictors of social isolation and loneliness in adults 60 years and older.","authors":"Rayna Adachi, Brandon T Paul","doi":"10.1080/14992027.2024.2442735","DOIUrl":"https://doi.org/10.1080/14992027.2024.2442735","url":null,"abstract":"<p><strong>Objective: </strong>Hearing decline in ageing increases the risk of loneliness and social isolation. This correlation is most often observed when hearing is measured by subjective self-report, and less often for objectively measured speech listening ability, raising questions about differences between self-assessments and behavioural performance. This study compared self-reported hearing ability and objective speech-in-noise performance as predictors of loneliness and social isolation in adults older than 60.</p><p><strong>Design: </strong>This was an observational, cross-sectional online study. Participants were instructed to complete a speech-in-noise task to measure objective listening ability, as well as four questionnaires that measured subjective self-rated hearing, feelings of loneliness, perceived social support, and depression and anxiety.</p><p><strong>Study sample: </strong>One-hundred fifteen individuals aged above 60 with no treated hearing loss.</p><p><strong>Results: </strong>No correlation was found between loneliness scores and subjective self-rated hearing or objective speech-in-noise perception after adjusting demographic variables and overall psychological distress (anxiety and depression). However, self-rated hearing was positively correlated with social support when anxiety/depression scores were low. When anxiety/depression scores were high, this relationship was attenuated. Objective speech-in-noise perception did not correlate with perceived social support.</p><p><strong>Conclusions: </strong>Self-rated hearing ability positively predicts ratings of social support in older adults with low levels of psychological distress.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Jacxsens, Emilie Cardon, Hanne Blancke, Annick Gilles, Griet Mertens, Anouk Hofkens-Van den Brandt, Vincent Van Rompaey, Marc J W Lammers
{"title":"Auditory brainstem response thresholds and functional hearing: implications for cochlear implant candidacy.","authors":"Laura Jacxsens, Emilie Cardon, Hanne Blancke, Annick Gilles, Griet Mertens, Anouk Hofkens-Van den Brandt, Vincent Van Rompaey, Marc J W Lammers","doi":"10.1080/14992027.2024.2445076","DOIUrl":"https://doi.org/10.1080/14992027.2024.2445076","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed the relevance of auditory brainstem response (ABR) thresholds in evaluating cochlear implantation (CI) candidacy by studying their correlation with functional hearing in patients with sensorineural hearing loss (SNHL).</p><p><strong>Design and study sample: </strong>In this retrospective study, we examined correlations between ABR thresholds, speech perception scores in quiet and pure-tone audiometry in 191 adults. We compared these correlations between individuals with different degrees of SNHL to discern differences in potential CI candidates and individual with less severe SNHL.</p><p><strong>Results: </strong>A significant negative correlation was found between ABR thresholds and unaided speech perception scores at 70 dB SPL (<i>R</i> = -0.397, <i>P<sub>c</sub></i><sub>orr</sub><0.0001). For patients scoring 50% or higher on speech audiometry, a significant correlation was observed (<i>R</i> = -0.604, <i>P</i><sub>corr</sub><0.004), but not for those scoring less than 50% (<i>R</i> = -0.168, <i>P</i><sub>corr</sub>=0.084). In the subgroup with ABR thresholds better than 60 dB nHL, a moderate correlation was observed (<i>R</i> = -0.575, <i>P</i><sub>corr</sub> = 0.032), which was not significant in patients with ABR thresholds of 60 dB nHL or worse (<i>R</i> = -0.175, <i>P</i><sub>corr</sub> = 0.084).</p><p><strong>Conclusions: </strong>In patients with severe hearing loss (speech perception <50% or ABR thresholds ≥60 dB nHL), the ABR threshold does not correlate with speech perception, limiting its clinical validity for functional auditory performance or CI candidacy evaluation.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erin M Picou, Rebecca Wiacek, Todd A Ricketts, Richard A Roberts
{"title":"Hearing aid adoption rates among adults without hearing aid experience in an audiology clinic before and after price unbundling.","authors":"Erin M Picou, Rebecca Wiacek, Todd A Ricketts, Richard A Roberts","doi":"10.1080/14992027.2024.2443532","DOIUrl":"https://doi.org/10.1080/14992027.2024.2443532","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to investigate a policy-related factor and patient-related factors that might affect hearing aid adoption for adults, specifically price unbundling, and demographic and audiologic factors, respectively.</p><p><strong>Design: </strong>Retrospective data from hearing aid consultation appointments in an audiology clinic in a medical centre were examined. Appointments were conducted between 2019 and 2023, capturing visits when services and devices were charged using a model that was bundled (2019-2022) and unbundled (2023). In the unbundled model, a separate fee was charged for the consultation appointment.</p><p><strong>Study sample: </strong>Adults (<i>n</i> = 5186) without hearing aid experience who completed a hearing aid consultation appointment.</p><p><strong>Results: </strong>After unbundling, a higher percentage of consultation appointments resulted in hearing aid adoptions (increased from 53% to 65%), despite a decline in the number of hearing aid consultation appointments. The absolute number of hearing aid adoptions per provider did not change over time. Also stable were reasons for hearing aid non-adoption; they were primarily related to lack of perceived hearing difficulty.</p><p><strong>Conclusions: </strong>By unbundling and charging specifically for hearing aid consultation appointments, hearing aid consultations can be made more efficient, decreasing time spent with patients who do not need consultation services without negatively impacting revenue.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra L Velandia, Sandra M Prentiss, Diane M Martinez, Chrisanda M Sanchez, Denise Laffitte-Lopez, Hillary A Snapp
{"title":"Classification performance of Spanish and English word recognition testing to identify cochlear implant candidates.","authors":"Sandra L Velandia, Sandra M Prentiss, Diane M Martinez, Chrisanda M Sanchez, Denise Laffitte-Lopez, Hillary A Snapp","doi":"10.1080/14992027.2024.2427854","DOIUrl":"https://doi.org/10.1080/14992027.2024.2427854","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of language on word recognition ability and associated access to cochlear implants in Spanish- and English-speakers with hearing loss.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Study sample: </strong>The study included 1411 English and Spanish-speaking adults with sensorineural hearing loss. Word recognition as a function of pure-tone average was evaluated by test language. Sensitivity and specificity of word recognition testing performed using the NU-6 and Spanish Bisyllables in discriminating between cochlear implant and non-cochlear implant candidates were analysed.</p><p><strong>Results: </strong>Spanish-speakers had significantly poorer thresholds compared to English-speakers, yet significantly better word recognition, t(2763) = 1.86<i>, p</i> < 0.05. The effect of test language on word recognition increased with increasing hearing loss severity, F(3,<i> </i>2762) = 6.03,<i> p</i> < 0.001, partial η<sup>2</sup> = .007. The sensitivity and specificity of word recognition testing were 93% and 74% respectively for Spanish, and 95% and 75%, respectively, for English word recognition tests in meeting referral criteria for cochlear implant evaluation.</p><p><strong>Conclusions: </strong>Based on classification performance analysis, Spanish and English word recognition measures exhibit comparable effectiveness in referring patients for cochlear implant evaluation. While Spanish-language measures yielded better performance, this does not result in a significant difference in referral rates for Spanish versus English speakers for unaided word recognition scores of 60% or less.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reliability of connectivity for the assessment of hearing perception in cochlear implant recipients.","authors":"Davide Brotto, Dolores Catelan, Margherita Pegolo, Gino Marioni, Nicole Galoforo, Flavia Sorrentino, Annibale Biggeri, Elisa Lovato, Cosimo De Filippis, Patrizia Trevisi","doi":"10.1080/14992027.2024.2433076","DOIUrl":"https://doi.org/10.1080/14992027.2024.2433076","url":null,"abstract":"<p><strong>Objective: </strong>The cochlear implant (CI) is the gold standard treatment for profound hearing loss with insufficient hearing aid benefit. Using regular words and sentences as verbal stimuli showed a ceiling effect in patients with optimal perceptual abilities. The objectives of the study were: (1) to evaluate the reliability of auditory perception through connectivity, comparing it to the regular audiometry in soundbooth and (2) to analyse the use of logatomes to better assess the perceptual abilities of high-performing patients.</p><p><strong>Design and study sample: </strong>Cross sectional analytic study.</p><p><strong>Study sample: </strong>A total of 32 CI patients with high auditory performances underwent pure-tone and speech audiometry in two methods: (1) in an audiometric booth and (2) via direct streaming to the processor using a connectivity system. Correlation and concordance analyses were performed.</p><p><strong>Results: </strong>Pure-tone audiometry showed a low correlation between the two methods. Speech audiometry revealed a high correlation at 30 dB HL but a low concordance between the two instruments. The evaluation through connectivity showed better results in pure-tone and speech audiometry than those of regular audiometry in soundbooth. The use of logatomes was useful for discriminating patients with better performances.</p><p><strong>Conclusions: </strong>Connectivity might be considered a useful additional method to assess the performance of CI recipients.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Automated pure-tone audiometry using true wireless stereo earbuds with active noise control.","authors":"Hengzhi Zhou, Huali Zhou, Zhenyu Guo, Qinglin Meng","doi":"10.1080/14992027.2024.2428854","DOIUrl":"https://doi.org/10.1080/14992027.2024.2428854","url":null,"abstract":"<p><strong>Objective: </strong>Automated pure-tone audiometry (PTA) conducted outside a sound booth is heavily affected by environmental noise. This study aims to evaluate the performance of an automated PTA system, employing commercially available true wireless stereo earbuds with active noise cancellation (ANC) in noisy environments.</p><p><strong>Design: </strong>The electroacoustic characteristics of earbuds are thoroughly evaluated. Hearing thresholds were measured by ANC earbuds and TDH-39 in three noise levels and two types of noise.</p><p><strong>Study sample: </strong>21 normal-hearing participants for calibration and 22 participants below mild hearing loss for evaluation experiments.</p><p><strong>Results: </strong>The average absolute differences between hearing thresholds measured via the standard manual audiometer in quiet and the automated PTA in various noise conditions, across octave frequencies ranging from 125 to 8000 Hz, were as follows: 5.2 (quiet environment without ANC), 5.4 (40 dBA pink noise with ANC), and 9.3 dB (55 dBA pink noise with ANC).</p><p><strong>Conclusion: </strong>ANC can mitigate the impact of low-frequency noise (below 1000 Hz) on the accuracy of hearing level measurements, aligning with trends observed in objective experimental results. However, the influence of ANC on output levels warrants serious consideration in further practices.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adela Serrano-Herrera, Jose Antonio Lopez-Escamez, Alvaro Gallego-Martinez, Patricia Perez-Carpena
{"title":"Trends in the diagnosis of paediatric sensorineural hearing loss: a scoping review of gene panels, exome and genome sequencing.","authors":"Adela Serrano-Herrera, Jose Antonio Lopez-Escamez, Alvaro Gallego-Martinez, Patricia Perez-Carpena","doi":"10.1080/14992027.2024.2435564","DOIUrl":"https://doi.org/10.1080/14992027.2024.2435564","url":null,"abstract":"<p><strong>Objective: </strong>To review recent advances in genetic diagnosis of sensorineural hearing loss (SNHL) using gene panels, exome, and genome sequencing.</p><p><strong>Design: </strong>A scoping review. Articles published from January 2022 to May 2024 on gene panels, exome, or genome sequencing for early SNHL diagnosis were reviewed.</p><p><strong>Study sample: </strong>After removing duplicates and abstract and full-text review, 26 articles met inclusion criteria.</p><p><strong>Results: </strong>Approximately, 60% of SNHL cases are genetic, with over 148 genes linked to non-syndromic forms and 700-800 associated but unconfirmed. Next-generation sequencing (NGS) has transformed etiologic diagnosis, with yields up to 79% depending on test and population. Exome sequencing achieves 40-60% diagnostic accuracy for bilateral SNHL and 1-5% for unilateral, rising to 18.3% with syndromic cases. However, challenges persist in cost, test performance, and variant interpretation, with newborn screening potentially missing 25-30% of SNHL cases.</p><p><strong>Conclusions: </strong>Findings underscore the need for optimised screening, robust variant interpretation frameworks, and personalised counselling. Diagnostic approaches should be tailored, with NGS gene panels or exome sequencing recommended for bilateral cases and unilateral cases after excluding non-genetic causes. Genome sequencing may be pursued if no genetic cause is found, with follow-up. Integrating genetic diagnostics into standard care could improve outcomes and interventions for SNHL patients.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrated speech audiometry: objective and subjective performance of elderly listeners.","authors":"Jerry Punch, Brad Rakerd","doi":"10.1080/14992027.2024.2425998","DOIUrl":"https://doi.org/10.1080/14992027.2024.2425998","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to assess the ecological validity of the speech audiometry protocol recommended by Punch and Rakerd (2019) when implemented in older adults with hearing impairment. That protocol measures a listener's speech recognition threshold (SRT), most comfortable loudness level for speech (MCL), and uncomfortable loudness level for speech (UCL) in an integrated format that utilises single spondaic words as the stimulus set for all tests.</p><p><strong>Design: </strong>Stimulus presentation and response collection were fully automated, test times were tracked electronically, and a short questionnaire was administered to assess subjective reactions to the test procedures.</p><p><strong>Study sample: </strong>The study participants were 12 older adults with bilaterally symmetrical sensorineural hearing loss.</p><p><strong>Results: </strong>SRT measurements for both ears agreed well with the participants' two-frequency pure tone averages, and MCL and UCL measurements agreed well with previously reported values for individuals with similar degrees of sensorineural hearing loss. The average time to complete bilateral speech audiometric testing was 13.1 minutes. Participants' subjective reactions to the integrated protocol were highly positive.</p><p><strong>Conclusions: </strong>This study demonstrates that older listeners with sensorineural hearing loss can produce clinically acceptable speech audiometric results when testing is administered in an automated sequence prescribed by the integrated protocol.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}