Journal of Cardiothoracic Surgery最新文献

{"title":"Impact of cardiac factors on central airway anatomical parameters in patients undergoing lung mass surgery.","authors":"Yingding Ruan, Hongsheng Xue, Wenjun Cao, Jianwei Han, Aiming Yang, Jincheng Xu, Ting Zhang","doi":"10.1186/s13019-024-03277-7","DOIUrl":"https://doi.org/10.1186/s13019-024-03277-7","url":null,"abstract":"<p><strong>Background: </strong>The correlation between central airway anatomical parameters and demographic factors, such as sex, age, weight, height, body mass index (BMI), and cardiac factors, remains unclear. This study examined the correlation between these factors and central airway anatomical parameters in adult patients.</p><p><strong>Methods: </strong>All consecutive patients who underwent lung mass surgery at our hospital between December 2020 and December 2023 were included in this study. DeepInsight software was used to analyze high-resolution chest computed tomography (HRCT) images and to measure various central airway anatomical parameters, including tracheal diameter (TD), tracheal length (TL), left main bronchus diameter (LBD), left main bronchus length (LBL), right main bronchus diameter (RBD), right main bronchus length (RBL), and subcarinal angle (SCA). A multivariate linear regression analysis was performed to evaluate the independent effects of sex, age, weight, height, BMI, left atrial diameter, and diastolic left ventricular internal diameter (LVIDd) on these anatomical parameters.</p><p><strong>Results: </strong>Among the 391 patients included in this study, all were over 18 years old, with 192 male and 199 female. The multivariate linear regression analysis indicated that in male patients with lung masses, TD exhibited a negative correlation with age (β =  - 0.032, P = 0.015) and a positive correlation with height (β = 0.099, P < 0.001). Furthermore, TL exhibited a positive correlation with height (β = 0.311, P = 0.004). LBL was substantially influenced by age (β =  - 0.098, P = 0.011), height (β = 0.204, P = 0.003), and BMI (β = 0.311, P = 0.026). Conversely, RBD exhibited notable correlations with height (β = 0.062, P = 0.02), BMI (β =  - 0.113, P = 0.039), and left atrial size (β = 0.111, P = 0.007). In female patients, TD and TL exhibited positive correlations with height (β = 0.065, P = 0.01; β = 0.337, P = 0.01, respectively). LBL was significantly correlated only with height (β = 0.171, P = 0.045), whereas LBD exhibited an inverse correlation with age (β =  - 0.024, P = 0.014). In addition, changes in SCA were positively associated with left atrial size (β = 0.65, P = 0.042), indicating a potential anatomical correlation.</p><p><strong>Conclusion: </strong>This study innovatively examined the impact of cardiac factors on central airway anatomical parameters in adult patients with lung masses. Notably, age, as an important factor in airway development, was found to have significant associations with tracheal characteristics along with height in males, while tracheal features exhibited a particularly strong relationship with height in females. Furthermore, the study identified associations between right bronchial diameter (RBD) in males and subcarinal angle (SCA) in females with left atrial size, although these findings require further validation in larger and more diverse populations.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"35"},"PeriodicalIF":1.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of extrapulmonary hamartoma on the visceral pleura treated by uniportal VATS: case report and literature review.","authors":"Shaoqing Huang, Yong Xia, Jie Li","doi":"10.1186/s13019-024-03304-7","DOIUrl":"https://doi.org/10.1186/s13019-024-03304-7","url":null,"abstract":"<p><p>Pulmonary hamartomas are common. However, extrapulmonary hamartomas on the Visceral Pleura are very rare. We treated a patient with a pulmonary nodule at the left lower lobe by uniportal video-assisted thoracoscopic wedge resection, which showed a yellow nodule located on the visceral pleura. Pathology showed that the nodule contained a small amount of cartilage tissue and was diagnosed as hamartoma. Fat-coated extrapulmonary hamartomas located on the visceral pleura have not been previously documented in the literature. This article presents a case of such an extrapulmonary hamartoma.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"33"},"PeriodicalIF":1.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anomalous left pulmonary artery: case reports exploring anatomic variants.","authors":"Yibei Zhu, Olivia McCloskey, Justin A Robinson, Robert D Stewart, Chandrakant R Patel, Kristen Breedlove, Tara Karamlou","doi":"10.1186/s13019-024-03320-7","DOIUrl":"10.1186/s13019-024-03320-7","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary artery sling (PAS) is a rare congenital anomaly where the left pulmonary artery (LPA) branches from the right pulmonary artery, compressing the trachea and esophagus and frequently leading to respiratory distress in infants. Surgical intervention, such as LPA reimplantation or translocation, is crucial to relieve airway compression and restore normal pulmonary function.</p><p><strong>Case presentation: </strong>This report highlights varied LPA anatomies, including a unique case of an anomalous LPA without true sling formation but causing tracheal compression, alongside two typical PAS cases. Respiratory symptoms were successfully mitigated in all three cases without concomitant tracheal reconstruction.</p><p><strong>Conclusions: </strong>This report underscores the necessity of thorough preoperative assessment of airway anatomy and highlight the importance of individualized surgical planning for anomalous LPA.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"19"},"PeriodicalIF":1.5,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of literature of a functional, congenital intrathoracic kidney.","authors":"Sahil Sabharwal, Brandyn Young, Sarat Sabharwal, Kristen Brandon, Sarah Assem","doi":"10.1186/s13019-024-03306-5","DOIUrl":"https://doi.org/10.1186/s13019-024-03306-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;The rarest form of renal ectopia, the thoracic kidney, has been documented in only about 200 cases worldwide. There are four recognized causes of congenital thoracic renal ectopia: renal ectopia with an intact diaphragm, diaphragmatic eventration, diaphragmatic hernia, and traumatic diaphragmatic rupture. This condition often presents as an incidental finding in asymptomatic patients. The following is a report of mediastinal renal ectopia in a 52-year-old male patient.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Case description: &lt;/strong&gt;The patient is a 52-year-old male who presented on admission with gastrointestinal bleeding, reporting melena and fatigue. On admission, laboratory workup revealed a hemoglobin level of 9.2 g/dL (normal: 13.5-17.5 g/dL) and a hematocrit of 28% (normal: 41-50%), indicating mild anemia. A stool guaiac test was positive for occult blood. Initial resuscitation with intravenous fluids stabilized the patient, and he did not require blood transfusion. Upper endoscopy (EGD) and colonoscopy were performed but did not identify a clear source of bleeding. Given the resolution of symptoms and stable laboratory values during hospitalization, the bleeding resolved spontaneously. However, a CT scan of the abdomen and pelvis incidentally showed a 4 × 4 cm soft tissue attenuation in the right paraspinous fat in the lower thoracic spine adjacent to the right hemidiaphragm. A follow-up MRI measured the mass to be 3 cm × 7.5 cm × 7.6 cm and showed the mass to resemble a kidney. The MRI also demonstrated two anatomically normal kidneys, as well. A previous CT angiogram of the chest and lower back 2 years prior showed a similar finding that measured 37 mm × 60 mm × 70 mm and is presumed to be the same mass. According to the radiology report, the findings are consistent with an ectopic thoracic kidney that is unchanged in size. Both Urology and Cardiothoracic Surgery were consulted. Due to the pathology being asymptomatic, both services have agreed to forego biopsy and to monitor the patient in the outpatient setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;A congenital ectopic thoracic kidney is the rarest form of kidney ectopia. IV urography used to be the diagnostic modality of choice; however, it has recently been replaced by less invasive imaging methods, such as ultrasonography or computed tomography. In normal urogenital development, the embryonic folds begin to form the urinary tract and urogenital ridge in week four. The urogenital ridge subsequently divides into the nephrogenic ridge and gonadal cord. The nephrogenic ridge then begins to form three kidneys: pronephros, mesonephros, and metanephros. Out of these three structures, only the metanephros progresses to fully developed human kidneys. The embryologic kidneys originally lie close together in the sacral region. But as the abdomen expands during weeks six through nine, the kidneys ascend and are drawn apart to their final location in the lumbar region. In some cases, th","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"20"},"PeriodicalIF":1.5,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SCTS Annual Meeting 2024: Abstracts.","authors":"","doi":"10.1186/s13019-024-03132-9","DOIUrl":"https://doi.org/10.1186/s13019-024-03132-9","url":null,"abstract":"","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"19 Suppl 2","pages":"702"},"PeriodicalIF":1.5,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification and resolution of drug-related problems in the cardiovascular surgery unit of a tertiary hospital in China: a retrospective study.","authors":"Bo-Xia Li, Si-Ming Guo, Yan-Ping Wang, Ke-Xin Zhong, Yu-Hui Wei","doi":"10.1186/s13019-024-03237-1","DOIUrl":"https://doi.org/10.1186/s13019-024-03237-1","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence and characteristics of drug-related problems (DRPs) in the cardiovascular surgery unit have not been adequately explored, leaving a gap in our understanding of this critical issue. This study aimed to address this gap by determining the prevalence, characteristics of DRPs and identifying factors associated with their occurrence.</p><p><strong>Methods: </strong>During a non-consecutive 48-month study period, a retrospective analysis was conducted to investigate DRPs and the interventions carried out by pharmacists for patients undergoing cardiovascular surgery. The study collected data on patient demographics, clinical characteristics, and pharmacist interventions.</p><p><strong>Results: </strong>A comprehensive data analysis revealed 671 DRPs among the 623 hospitalized patients, averaging 1.08 DRPs per patient. The most prevalent type of DRPs observed was \"Unnecessary drug-treatment P3.2\", accounting for 56.18% (377/671). The primary cause of DRPs was drug selection (C1), followed by dose selection (C3). Pharmacists proposed 1,628 interventions, averaging 2.43 interventions per DRP and 2.61 interventions per patient. Most interventions were accepted and fully implemented by physicians or patients, resulting in 537 (80.03%) of the total DRPs resolved. Furthermore, binary logistic regression analysis demonstrated that the frequency of DRPs was correlated with age, the length of hospitalization, diagnosis of valvular disease, presence of infectious desease and the number of different types of drugs used by the patients.</p><p><strong>Conclusions: </strong>DRPs are a prevalent issue within the cardiovascular surgery unit, mainly due to drug selection. Clinical pharmacists' presence has proven effective in mitigating and preventing DRPs, thus optimizing medication therapy.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"8"},"PeriodicalIF":1.5,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study.","authors":"Soner Kına, Güntuğ Batıhan, Ihsan Topaloglu, Huseyin Turkan","doi":"10.1186/s13019-024-03239-z","DOIUrl":"https://doi.org/10.1186/s13019-024-03239-z","url":null,"abstract":"<p><strong>Abstarct: </strong>BACKGROUND: The optimal positioned double-lumen endotracheal tubes (DLT) is crucial in thoracic surgery requiring lung isolation. This study aims to compare the accuracy and complication rates of DLT placement using videolaryngoscopy (VL) versus conventional direct laryngoscopy (DL).</p><p><strong>Methods: </strong>This retrospective single-center study included 89 patients who underwent thoracic surgery with DLT placement between July 2023 and May 2024. Patients were divided into two groups: VL (n = 45) and DL (n = 44). Patient characteristics, intubation times, malposition rates, and complications were recorded. DLT position was confirmed using fiberoptic bronchoscopy.</p><p><strong>Results: </strong>The incidence of DLT malposition was significantly lower in the VL group (13.3%) compared to the DL group (31.8%) (p = 0.037). The overall complication rate was also lower in the VL group (4.4%) compared to the DL group (11.4%) (p = 0.024). The mean time from anesthesia induction to the first incision was shorter in the VL group (25.2 ± 6.1 min) than in the DL group (28.3 ± 6.5 min) (p = 0.02).</p><p><strong>Conclusions: </strong>VL significantly reduces the incidence of DLT malposition and associated complications in thoracic surgery compared to DL. The improved visualization and multiple blade options of the C-MAC videolaryngoscopy set likely contribute to these findings. Further research is warranted to confirm these results in larger, multicenter studies.</p><p><strong>Trial registration: </strong>Institutional Review Board (Registration number: 80576354-050-99/437, 27.06.2024).</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"11"},"PeriodicalIF":1.5,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The first case of esophageal mediastinal fistula after immunotherapy for non-small cell lung cancer: case report and literature review.","authors":"Tianxiao Fu, Jiu Chen, Bing Xiong, Guolin Wu","doi":"10.1186/s13019-024-03207-7","DOIUrl":"https://doi.org/10.1186/s13019-024-03207-7","url":null,"abstract":"<p><strong>Background: </strong>Malignant esophageal mediastinal fistula is a severe complication that occurs in both the advanced stages of esophageal cancer and after radiotherapy for esophageal cancer. Esophageal mediastinal fistula is very susceptible to complications such as mediastinitis and mediastinal abscess, resulting in a significantly elevated mortality rate for patients. We reported a rare case of esophageal mediastinal fistula after immunotherapy for non-small cell lung cancer (NSCLC).</p><p><strong>Case presentation: </strong>A 74-year-old male patient with NSCLC was hospitalized in July 2023. About one week after Tislelizumab immunotherapy, the patient suddenly developed high fever accompanied by coughing and choking on water, chest tightness, shortness of breath, and hemoptysis. Following the completion of bronchial artery computed tomography angiography (CTA), imaging suggested the presence of esophageal mediastinal fistula. We opted for a conservative medical treatment instead of surgery. The patient was discharged without any complications.</p><p><strong>Conclusions: </strong>This is the first case of NSCLC accompanied by an esophageal mediastinal fistula after treatment with tislelizumab. The occurrence of malignant esophageal mediastinal fistula is very uncommon and poses a high level of hazard. In addition, this paper provides a concise overview of cases of lung cancer complicated with esophageal fistula in the past 10 years. It offers valuable insights for diagnosis and treatment, serving as a resource for clinicians.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"9"},"PeriodicalIF":1.5,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coil embolization of anomalous systemic artery to the left lower lobe in an asymptomatic adult: a case report.","authors":"Meng Sun, Le Fang, Fangruyue Wang, Tianwei Wang","doi":"10.1186/s13019-024-03266-w","DOIUrl":"https://doi.org/10.1186/s13019-024-03266-w","url":null,"abstract":"<p><strong>Background: </strong>Anomalous systemic artery to the left lower lobe (ASALLL) is a rare congenital anomaly. The primary symptoms include hemoptysis and lung infection, though some patients may remain asymptomatic. Currently, there is no consensus on the indications for treatment or the optimal choice of therapy for this condition. This case presents a case of an asymptomatic adult who underwent coil embolization.</p><p><strong>Case presentation: </strong>A 48-year-old male was admitted to our hospital due to the discovery of a space-occupying lesion in the left hilum. The contrast-enhanced pulmonary computed tomography scan was used to diagnose the patient with an anomalous systemic artery to the left lower lobe. We performed coil embolization on this patient, who underwent a follow-up computed tomography angiography of the pulmonary and bronchial arteries one year later. Result demonstrated complete embolization of the abnormal systemic arteries and a slight reduction in the volume of the left lower lobe.</p><p><strong>Conclusion: </strong>Coil embolization is a safe and minimally invasive procedure for adult patients who have an anomalous systemic artery to the left lower lobe.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"5"},"PeriodicalIF":1.5,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful thoracoscopic-assisted resection of a functional paraganglioma in the mediastinum with extracorporeal circulation: a case report.","authors":"Zhihui Yang, Xiaojie Huang, Danting Zhou, Tao Tang, Hengxing Liang, Wenliang Liu, Fenglei Yu, Chen Chen","doi":"10.1186/s13019-024-03222-8","DOIUrl":"https://doi.org/10.1186/s13019-024-03222-8","url":null,"abstract":"<p><strong>Background: </strong>Paragangliomas are rare neoplasms arising from extra-adrenal chromaffin cells, with mediastinal paragangliomas representing an exceptionally rare subset. This report details the surgical management of a complex mediastinal paraganglioma case, presenting with refractory hypertension and invasion of critical surrounding structures. A comprehensive review of the current literature is included to underscore existing cases, enhance clinical awareness, and share our insights and experience in the diagnosis and treatment of this challenging condition.</p><p><strong>Case presentation: </strong>A 16-year-old female presented with recurrent headaches and persistent hypertension lasting over one year. Based on clinical findings and imaging studies, she was preliminarily diagnosed with a mediastinal paraganglioma. The patient underwent comprehensive preoperative management, including oral α- and β-adrenergic blockade, preoperative arterial embolization, and intravenous fluid volume expansion, to optimize endocrine control. Thoracoscopic resection of the mediastinal mass was initially attempted; however, the procedure became complex due to the high risk of uncontrolled hemorrhage and invasion of adjacent vital structures. Following the preoperative surgical plan, the incision was converted to a lateral thoracotomy, and cardiopulmonary bypass was initiated. Meticulous dissection enabled the complete removal of the tumor along with the affected posterior wall of the left atrium, followed by reconstruction of the left atrium and the right pulmonary vein. The surgery was successfully completed, and follow-up assessments showed no signs of tumor recurrence or metastasis.</p><p><strong>Conclusions: </strong>Functional mediastinal paraganglioma is a rare neuroendocrine tumor, with complete surgical resection being the gold standard treatment. Stringent perioperative management is crucial to mitigate the risk of cardiovascular complications associated with functional tumors. Lifelong surveillance is recommended to detect potential recurrence or metastasis. Effective collaboration within a multidisciplinary team is essential for ensuring accurate diagnosis and delivering optimal, individualized care.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"10"},"PeriodicalIF":1.5,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}