International dental journal最新文献

{"title":"Oral Health and Noncommunicable Diseases (NCDs)","authors":"FDI World Dental Federation","doi":"10.1016/j.identj.2024.12.008","DOIUrl":"10.1016/j.identj.2024.12.008","url":null,"abstract":"","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 11-12"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Association Between Gastroesophageal Reflux and Temporomandibular Joint Disorder in European Populations: A Bidirectional Mendelian Randomization Analysis","authors":"Renjie Gu ,&nbsp;Liangqiong Chen ,&nbsp;Minhui Hua ,&nbsp;Huangtai Miao ,&nbsp;Yongwei Qin","doi":"10.1016/j.identj.2024.07.1210","DOIUrl":"10.1016/j.identj.2024.07.1210","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Gastroesophageal reflux disease (GERD) and temporomandibular joint disorder (TMD) are relatively common conditions with a potential causal relationship. This study aims to investigate the possible causal relationship between GERD and TMD through bidirectional Mendelian randomization analysis.</div></div><div><h3>Methods</h3><div>Using data from large GWAS databases, we conducted bidirectional Mendelian randomization analyses to investigate the potential causal link between GERD and TMD. Instrumental variables were selected from the IEU platform, comprising 129,080 GERD cases and 473,524 controls from the UK Biobank. TMD data from the FinnGen project included 6,314 cases and 222,498 controls.</div></div><div><h3>Results</h3><div>The forward MR analysis suggested that GERD may increase the risk of TMD (OR = 1.47, 95% CI: 1.20-1.81, <em>P</em> = 2e-4). The Weighted Median method also yielded significant results (OR = 1.53, 95% CI: 1.14-2.04, <em>P</em> = 4.1e-3). However, the reverse MR analysis did not reveal a significant association between TMD and GERD (OR = 1.02, 95% CI: 0.98-1.05, <em>P</em> = .33).</div></div><div><h3>Conclusion</h3><div>This study, employing MR analysis, provides initial evidence supporting a potential causal relationship between GERD and TMD. The findings contribute to a better understanding of the relationship between these two conditions and offer insights for future clinical investigations.</div></div><div><h3>Clinical relevance</h3><div>The findings of this study hold potential clinical significance in guiding early management strategies for GERD, reducing the incidence of TMD, and optimizing healthcare resource allocation, thereby improving patient quality of life. Further clinical studies are warranted to validate these findings and explore underlying mechanisms.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 288-294"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensiveness of Large Language Models in Patient Queries on Gingival and Endodontic Health","authors":"Qian Zhang ,&nbsp;Zhengyu Wu ,&nbsp;Jinlin Song ,&nbsp;Shuicai Luo ,&nbsp;Zhaowu Chai","doi":"10.1016/j.identj.2024.06.022","DOIUrl":"10.1016/j.identj.2024.06.022","url":null,"abstract":"<div><h3>Aim</h3><div>Given the increasing interest in using large language models (LLMs) for self-diagnosis, this study aimed to evaluate the comprehensiveness of two prominent LLMs, ChatGPT-3.5 and ChatGPT-4, in addressing common queries related to gingival and endodontic health across different language contexts and query types.</div></div><div><h3>Methods</h3><div>We assembled a set of 33 common real-life questions related to gingival and endodontic healthcare, including 17 common-sense questions and 16 expert questions. Each question was presented to the LLMs in both English and Chinese. Three specialists were invited to evaluate the comprehensiveness of the responses on a five-point Likert scale, where a higher score indicated greater quality responses.</div></div><div><h3>Results</h3><div>LLMs performed significantly better in English, with an average score of 4.53, compared to 3.95 in Chinese (Mann–Whitney <em>U</em> test, <em>P</em> &lt; .05). Responses to common sense questions received higher scores than those to expert questions, with averages of 4.46 and 4.02 (Mann–Whitney <em>U</em> test, <em>P</em> &lt; .05). Among the LLMs, ChatGPT-4 consistently outperformed ChatGPT-3.5, achieving average scores of 4.45 and 4.03 (Mann–Whitney <em>U</em> test, <em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>ChatGPT-4 provides more comprehensive responses than ChatGPT-3.5 for queries related to gingival and endodontic health. Both LLMs perform better in English and on common sense questions. However, the performance discrepancies across different language contexts and the presence of inaccurate responses suggest that further evaluation and understanding of their limitations are crucial to avoid potential misunderstandings.</div></div><div><h3>Clinical Relevance</h3><div>This study revealed the performance differences of ChatGPT-3.5 and ChatGPT-4 in handling gingival and endodontic health issues across different language contexts, providing insights into the comprehensiveness and limitations of LLMs in addressing common oral healthcare queries.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 151-157"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region","authors":"Saba Ghafoor ,&nbsp;Gabriela Salvadori ,&nbsp;Shiho Kino ,&nbsp;Vy Thi Nhat Nguyen ,&nbsp;Tam Thi-Thanh Nguyen ,&nbsp;Miho Ishimaru ,&nbsp;Antônio Pedro Ricomini-Filho ,&nbsp;Cassiano Kuchenbecker Rösing ,&nbsp;Dileep De Silva ,&nbsp;Jun Aida ,&nbsp;Belinda Farias Nicolau ,&nbsp;Ratilal Lalloo ,&nbsp;Roger Junges","doi":"10.1016/j.identj.2024.09.016","DOIUrl":"10.1016/j.identj.2024.09.016","url":null,"abstract":"<div><h3>Background</h3><div>Dentists, as prominent prescribers, are key stakeholders in addressing the antimicrobial resistance (AMR) crisis. Dental students’ perceptions about the topic have been underexplored in the Asia–Pacific region, a key location for the development and spread of AMR. Thus, the aim of this study was to evaluate the awareness and confidence to prescribe antimicrobials amongst dental students studying in the region.</div></div><div><h3>Methods</h3><div>Students from 15 dental schools in 4 countries were invited to participate in a cross-sectional online survey during 2022–2023. A previously validated and standardised 14-item instrument was utilised.</div></div><div><h3>Results</h3><div>In all, 1413 responses were collected from Australia (n = 165), Sri Lanka (n = 112), Japan (n = 173), and Vietnam (n = 963). Of those, 201 were from final-year students (14.2%). On a scale from 1 to 10, awareness on AMR was placed at a mean (SEM) priority of 8.09 (0.05). With regards to target areas to address for mitigation of the AMR crisis, participants placed general public awareness at the top (mean [SEM] 8.53 [0.05]). Final-year students presented a mean (SEM) level of confidence to prescribe antibiotics of 6.01 (0.14) on a scale from 1 to 10, whilst 59.7% and 56.8% indicated feeling pressured to prescribe by patients or when lacking time, respectively. Final-year students participating in research activities assigned a higher priority to AMR compared to their peers not involved in research (mean [SEM] 8.6 [0.19] vs 7.81 [0.16]; <em>P</em> = .01).</div></div><div><h3>Conclusions</h3><div>This study highlights a need for increased awareness and confidence to prescribe amongst dental students in the Asia–Pacific region, an understudied population thus far. To mitigate this issue, the implementation (followed by assessment) of local educational and antibiotic stewardship initiatives is warranted.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 263-272"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Future of Oral Oncology: How Artificial Intelligence is Redefining Surgical Procedures and Patient Management","authors":"Marwan Al-Raeei","doi":"10.1016/j.identj.2024.09.032","DOIUrl":"10.1016/j.identj.2024.09.032","url":null,"abstract":"<div><h3>Introduction and Aims</h3><div>The future of oral oncology is significantly influenced by the incorporation of artificial intelligence (AI) technologies, such as surgical robotics and early histopathological diagnosis and detection of diseases. This article aims to explore the transformative effects of AI on the identification and diagnosis of oral cancer, emphasising the potential improvements in patient outcomes and the effectiveness of treatment options.</div></div><div><h3>Methods</h3><div>An overview of the integration of AI technologies in surgical robotics and remote monitoring systems was conducted. This included an examination of AI algorithms used in surgical procedures for oral cancer, as well as the functionalities of AI-powered remote monitoring tools in disease management and patient care.</div></div><div><h3>Results</h3><div>The application of AI in surgical robotics has led to increased precision and accuracy in oral cancer procedures, resulting in significantly improved patient outcomes with fewer complications. Furthermore, AI-driven remote monitoring systems facilitated personalised care and timely medical interventions, which contributed to better disease management. Notable positive results observed include decreased procedure durations, reduced complications, and accelerated recovery times for patients.</div></div><div><h3>Conclusion</h3><div>The integration of AI technologies in oral oncology care has demonstrated significant potential for enhancing the quality of care, improving treatment outcomes, and streamlining clinical workflows. By leveraging AI, healthcare professionals can offer tailored treatment plans and improve long-term disease management for patients with oral cancer.</div></div><div><h3>Clinical Relevance</h3><div>The implementation of AI in oral oncology represents an innovative approach to early detection and efficient management of oral cancer, ultimately enhancing the quality of life of the affected individuals. The findings underscore the importance of continuing to explore and adopt AI technologies to further advance healthcare delivery in oncology.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 109-116"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mycobiology of Dental Unit Water: A Systematic Scoping Review","authors":"Norbert Soboń ,&nbsp;Kausar Sadia Fakhruddin ,&nbsp;Lakshman Samaranayake ,&nbsp;Nabiha Belkacem Remmani ,&nbsp;Marwan Mansoor Mohammed ,&nbsp;Thantrira Porntaveetus","doi":"10.1016/j.identj.2024.10.020","DOIUrl":"10.1016/j.identj.2024.10.020","url":null,"abstract":"<div><div>Fungi present in Dental Unit Water (DUW) can pose a health hazard to patients and dental personnel. Yet, the issue of fungal contamination of DUW and their conduits, DUW Lines (DUWLs) has been poorly addressed despite a growing body of data on the subject. In this comprehensive review, we aim to address this gap by examining the diverse fungal contaminants found in DUW, the challenges associated with controlling their growth within waterline biofilms, and the various measures employed for fungal decontamination. The review underscores the intricate fungal ecosystems that exist within DUWLs and emphasizes the importance of implementing targeted antimicrobial strategies to uphold waterline hygiene. However, it is important to note that complete eradication of fungi in DUWLs has proven elusive, even with the application of disinfectants at varying concentrations, types, and frequencies. This highlights the pressing need for continued research efforts to develop new and optimized treatment protocols that are specifically tailored to eradicate fungi from DUWLs. Finally, it was notable that there are currently no specific regulations by any dental authority on permissible levels of fungi, as opposed to bacteria, in DUWLs. Legislation developed based on our findings can contribute to the standardization of practices and the formulation of effective control strategies for fungal contamination in DUWLs. It can also guide dental professionals in implementing regular monitoring, proper maintenance, and targeted disinfection protocols to minimize fungal contamination and ensure optimal water quality for patient safety.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 86-99"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Accuracy of Cameriere, Modified Cameriere and Willems and Blenkin-Evans Methods for Turkish Children","authors":"Tuğçe Nur Şahin ,&nbsp;Melike Güleç","doi":"10.1016/j.identj.2024.11.015","DOIUrl":"10.1016/j.identj.2024.11.015","url":null,"abstract":"<div><h3>Objective</h3><div>Age determination aims to determine an individual's physiological age without information about the individual's chronological age (CA) or in forensic situations in a way that does not cause loss of legal rights. The study aimed to evaluate the suitability of Cameriere (CM), Modified Cameriere (MCM) for Turkish children, Willems (WM), and Blenkin-Evans methods (BEM) for Turkish children.</div></div><div><h3>Design</h3><div>A total of 616 Panoramic images of 321 female and 295 male healthy children from the Central Anatolia region aged between 6 and 14.99 years were used for the study. Individuals were grouped according to their age and gender (18 groups). Kruskal-Wallis test was used to evaluate the appropriateness of the methods, and intra- and interobserver agreement was statistically evaluated using the Intra-Interclass Correlation Coefficient (ICC) (<em>p</em> &lt; .05).</div></div><div><h3>Results</h3><div>The CA- estimated age (EA) difference was underestimated by 0.49, 0.45, and 0.20 years with MCM, WM, and BEM, respectively, and overestimated by 0.22 years with CM for girls; underestimated by 0.52, 0.43, and 0.12 years with MCM, WM, and BEM, respectively, and overestimated by 0.17 years with CM for boys (<em>p</em> &lt; .005).</div></div><div><h3>Conclusion</h3><div>If groups are evaluated separately, the closest results to CA for both sexes were obtained with CM. However, when the mean age difference for all age groups is evaluated by gender, the closest results to all individuals' CA were obtained using the BEM. Accordingly, if it is desired to modify a valid age determination method for a population, children from different provinces should be included in the sample group, especially in countries like Turkiye, where many different ethnic origins live together.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 295-304"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Childhood Caries","authors":"FDI World Dental Federation","doi":"10.1016/j.identj.2024.12.005","DOIUrl":"10.1016/j.identj.2024.12.005","url":null,"abstract":"","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 5-6"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lebanese Dentists’ Preparedness to Deal With Medical Emergencies in Their Clinics: A National Survey","authors":"Antoine Choufani ,&nbsp;Marianne Moussallem ,&nbsp;Julia Bou Dib ,&nbsp;Michèle Kosremelli Asmar ,&nbsp;Joumana Stephan Yeretzian","doi":"10.1016/j.identj.2024.06.010","DOIUrl":"10.1016/j.identj.2024.06.010","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Health-related emergencies, from minor incidents to life-threatening situations, can occur unexpectedly in dental clinics. Ensuring that dentists and their teams are well-prepared with adequate training and essential equipment is crucial. Proper preparedness can lead to effective management of emergencies and reduce potential complications. This cross-sectional national study aimed at assessing the preparedness of Lebanese dentists in managing medical emergencies.</div></div><div><h3>Methods</h3><div>Data was collected between August and October 2024 using an online questionnaire which was distributed to all registered Lebanese dentists through the Lebanese Dental Associations located in Beirut and Tripoli.</div></div><div><h3>Results</h3><div>The study found that 38.2% of dentists had an emergency kit in their clinics, and 88.0% had some emergency equipment; yet only 5.9% had a defibrillator. While 71.3% had emergency training in university, 28.5% never received it. Only 18.8% reported staff training in medical emergencies. Most dentists (74.2%) encountered minor medical issues, and 22.4% faced major emergencies, with only 1.8% reporting cardiac arrest cases. Vasovagal reactions, hypoglycemia, and orthostatic hypotension were common emergencies. While 69.0% felt capable of managing minor issues, confidence dropped for major emergencies and specific procedures. An overwhelming 87.8% expressed a need for more emergency training. Post-graduation training, prior defibrillator use, and having an emergency kit were linked to better emergency management capabilities in the logistic regressions.</div></div><div><h3>Conclusion</h3><div>The findings of this study indicate significant gaps in emergency preparedness among Lebanese dentists. Many lack adequate training and resources, highlighting the urgent need for further training and better-equipped clinics. Strengthening policy frameworks and resource allocation is crucial.</div></div><div><h3>Clinical relevance</h3><div>Stakeholders should prioritize implementing mandatory training programs and developing clear guidelines to ensure that dental clinics in Lebanon are adequately prepared to manage health-related emergencies effectively.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 324-332"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence–Related Dental Research: Bibliometric and Altmetric Analysis","authors":"Wei Lu ,&nbsp;Xueqian Yu ,&nbsp;Yueyang Li ,&nbsp;Yi Cao ,&nbsp;Yanning Chen ,&nbsp;Fang Hua","doi":"10.1016/j.identj.2024.08.004","DOIUrl":"10.1016/j.identj.2024.08.004","url":null,"abstract":"<div><h3>Background</h3><div>Recent years have witnessed an explosive surge in dental research related to artificial intelligence (AI). These applications have optimised dental workflows, demonstrating significant clinical importance. Understanding the current landscape and trends of this topic is crucial for both clinicians and researchers to utilise and advance this technology. However, a comprehensive scientometric study regarding this field had yet to be performed.</div></div><div><h3>Methods</h3><div>A literature search was conducted in the Web of Science Core Collection database to identify eligible “research articles” and “reviews.” Literature screening and exclusion were performed by 2 investigators. Thereafter, VOSviewer was utilised in co-occurrence analysis and CiteSpace in co-citation analysis. R package Bibliometrix was employed to automatically calculate scientific impacts, determining the core authors and journals. Altmetric data were described narratively and supplemented with Spearman correlation analysis.</div></div><div><h3>Results</h3><div>A total of 1558 research publications were included. During the past 5 years, AI-related dental publications drastically increased in number, from 36 to 581. <em>Diagnostics</em> and <em>Scientific Reports</em> published the most articles, whereas <em>Journal of Dental Research</em> received the highest number of citations per article. China, the US, and South Korea emerged as the most prolific countries, whilst Germany received the highest number of citations per article (23.29). Charité Universitätsmedizin Berlin was the institution with the highest number of publications and citations per article (29.16). Altmetric Attention Score was correlated with News Mentions (<em>P</em> &lt; .001), and significant associations were observed amongst Dimension Citations, Mendeley Readers, and Web of Science Citations (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>The publication numbers regarding AI-related dental research have been rising rapidly and may continue their upwards trend. China, the US, South Korea, and Germany had promoted the progress of AI-related dental research. Disease diagnosis, orthodontic applications, and morphology segmentation were current hotspots. Attention mechanism, explainable AI, multimodal data fusion, and AI-generated text assistants necessitate future research and exploration.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"75 1","pages":"Pages 166-175"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}