Kamonthip Tanglakmankhong, Benjamin M Hampstead, Robert J Ploutz-Snyder, Kathleen Potempa
{"title":"Cognitive screening assessment in Thai older adults: a prospective study of the reliability and validity of the Abbreviated Mental Test.","authors":"Kamonthip Tanglakmankhong, Benjamin M Hampstead, Robert J Ploutz-Snyder, Kathleen Potempa","doi":"10.1108/jhr-02-2020-0049","DOIUrl":"https://doi.org/10.1108/jhr-02-2020-0049","url":null,"abstract":"<p><strong>Purpose –: </strong>The purpose of this paper is to examine the reliability and validity of the Abbreviated Mental Test (AMT) and the agreement with the Mini-Mental State Examination (MMSE).</p><p><strong>Design/methodology/approach –: </strong>This cross-sectional study included 446 older adults who were recruited by cluster sampling from 200,481 adults aged more than 60 years. For each participant, the AMT was administered by village health volunteers and, on a separate day, by a trained professional who also administered the MMSE. Descriptive statistics, Bland and Altman levels of agreement, and Receiver Operator Curves (ROCs) were used to analyze data.</p><p><strong>Findings –: </strong>Administration of the AMT by village health volunteers during the annual health screening found cognitive impairment in only 1.12% of the sample. When the AMT was given to these same individuals by trained professionals, the rate of cognitive impairment was almost 24 times greater. Two items in the Thai AMT may require modification due to markedly elevated failure rates. At the cut score of 8, the sensitivity and specificity of the AMT relative to the MMSE were moderate (78.83 and 66.67%, respectively). The degree of agreement between AMT and MMSE was 0.49 (<i>p</i> < 0.001) and the correlation between the difference scores and the mean is exceptionally low (0.048).</p><p><strong>Originality/value –: </strong>Reliable and valid cognitive screening assessment requires the administrator to be well trained and the tools to be appropriate for the population. Although AMT is short and easy for a nonprofessional to administer, some items were not suitable due to construct validity and contextual issues.</p>","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40384396","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}
K. Lee, Yaman Walid Kassab, N. A. Taha, Z. A. Zainal
{"title":"A systematic review of the use of simulated client method in examining medicine price","authors":"K. Lee, Yaman Walid Kassab, N. A. Taha, Z. A. Zainal","doi":"10.21203/rs.3.rs-1028178/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1028178/v1","url":null,"abstract":"\u0000 Purpose: This study was aimed to systematically identify and review studies conducted using simulated client/patients that examine medicine selling prices in healthcare settings, including pharmacies, clinics, and hospitals. The quoted drug pricing information, including the dispensing fees and healthcare financing system of the countries involved, were also compared.Design/methodology/approach: We searched Pubmed, OVID, Scopus, Ebsco (Medline) and ProQuest for papers reporting on simulated patient studies in various medical settings, specifying drug or pharmaceutical pricings. Randomized controlled trials, non-randomized controlled trials, longitudinal studies, cohort or case–control studies, and descriptive studies were included. The quality of included studies was checked using a validated tool.Findings: A total of 19 papers from 13 countries from all regions of the world were included in this systematic review. Various ,edical conditions that were presented by the simulated patients, such as cancer, back pain, insomnia and diarrhoea. Information on certain prescription and non-prescription drugs such as buprenorphine, methadone and antibiotics were reported in four studies. Most healthcare facilities adhere to prescribed selling prices, according to the medicine selling price trend examined in this study. Only around half of the research found that medicine prices were higher than the typical selling price. Some countries that practise price control policies were found to have higher drug selling prices than those that do not.Originality/value: This review, for the first time, revealed that simulated patient method is a practical solution to obtain pharmaceutical price information from healthcare provider and most healthcare facilities adhere to the recommended selling prices.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41307664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Noman, Jannatul Efte Ekra, Rima Islam Meem, S. Islam, Fariha Sharzana, S. Islam, Samiron Sana, Niaz Mahmud, M. Kabir, Abdullah Al Mahedi, Taufique Joarder
{"title":"The COVID-19 Pandemic in South Asia: A Comprehensive Review of the Genomic Variations, Epidemiological Features, Diagnosis, Treatment and Preventive Schemes","authors":"A. Noman, Jannatul Efte Ekra, Rima Islam Meem, S. Islam, Fariha Sharzana, S. Islam, Samiron Sana, Niaz Mahmud, M. Kabir, Abdullah Al Mahedi, Taufique Joarder","doi":"10.31219/osf.io/q4ezg","DOIUrl":"https://doi.org/10.31219/osf.io/q4ezg","url":null,"abstract":"Purpose: The purpose of the study was to outline the genomic and epidemiological characteristics of COVID-19 in South Asian countries as well as the diagnosis, treatments, and prevention approaches undertaken by these countries to tackle the COVID-19 pandemic.Design/Methodology/Approach: We searched electronic databases such as Google Scholar, PubMed, and Scopus as well as various national and international COVID-19 websites, WHO databases, and electronic media. Total 63 articles were selected from databases and 34 articles from various other sources.Findings: Scientists observed genomic variations including common mutations in ORF1ab, ORF1a, ORF3a, and S genes, while several unique mutations exist in most isolates from these countries. Demographic analysis showed that the majority of the infected individuals were male and younger adults (20 to 40 years). India had both the highest number of deaths and incidents while Afghanistan had the highest fatality rate (4.37%). Various molecular assay (rRT-PCR), antigen, and antibody-based assays have been developed to facilitate early screening due to the unavailability of any effective treatments. Although every country tried to undertake imperative preventive measures along with vaccination drives, many of them still face grave repercussions due to scarcity of health facilities, under-developed infrastructures, and improvident government policies. Originality/value: To our knowledge, this is the first review appraising various features of the virus and the disease that persists in South Asia, and actions undertaken by authorities of the countries. This review will facilitate timely interventions for future novel outbreaks in the region.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47075211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Supalak Phonphithak, N. Hiransuthikul, P. Sherer, Sasithorn Bureechai
{"title":"A qualitative study of the stigmatization and coping mechanisms among pregnant teenagers living with HIV in Thailand","authors":"Supalak Phonphithak, N. Hiransuthikul, P. Sherer, Sasithorn Bureechai","doi":"10.1108/jhr-02-2021-0121","DOIUrl":"https://doi.org/10.1108/jhr-02-2021-0121","url":null,"abstract":"PurposeThis aim of this study was to explore the experiences of stigmatization and coping mechanisms during pregnancy among pregnant women who are living with HIV in Thailand. The secondary objective was to determine factors contributing to stigma during motherhood among HIV-infected women as well as explore how they cope with the discrimination from society.Design/methodology/approachQualitative data were collected using in-depth interviews to obtain different versions of stigmatized experience from 16 pregnant women living with HIV on stigmatization and coping mechanisms. There were 5 pregnant adolescents living with HIV and 11 adult pregnant women living with HIV. The content analysis was used to examine patterns of stigmatizations and attributed factors.FindingsPersonal stigma was found among pregnant women living with HIV regardless of age. HIV status disclosure was the crucial barrier of accessing to care for people experiencing stigmatizations. Personal stigma associated with higher HIV status was not disclosed. Interestingly, all teenage mothers who participated in this study disclosed their HIV-status to their family. People who have social support especially from family and significant others are found to be able to cope and get through the difficulties better than those who lack those social support.Originality/valueThis study yields outcomes similar to several other studies that have been conducted either in Thailand or other countries. This study found that family support was crucial in reducing HIV stigma. Furthermore, HIV-infected pregnant female adults were more afraid to disclose their HIV status to their husbands, other family members and their work colleagues.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48223351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jintana Sarayuthpitak, Sarinya Rodpipat, S. Ekgasit, Dean M. Ravizza
{"title":"Effectiveness of an oral hygiene promoting program for elementary school students using a smartphone endomicroscope in Thailand","authors":"Jintana Sarayuthpitak, Sarinya Rodpipat, S. Ekgasit, Dean M. Ravizza","doi":"10.1108/jhr-12-2020-0657","DOIUrl":"https://doi.org/10.1108/jhr-12-2020-0657","url":null,"abstract":"PurposeThe purpose of this paper is to examine the effectiveness of oral hygiene promoting program (OHPP) using a smartphone endomicroscope among students in elementary schools in Bangkok, Thailand, to enable their oral hygiene maintenance and to compare oral health outcomes in the intervention program between the experimental and control groups.Design/methodology/approachThis is a quasi-experimental research study consisting of two groups, a pretest, a posttest and a follow-up design. The student sample consisted of 59 fifth graders who matched the study criteria on medium and low levels of teeth brushing skills. There were 29 experimental group participants who completed the six-week OHPP using a smartphone endomicroscope. Another 30 participants formed the control group involved in the ordinary oral health education program. The comparison data for oral health behaviors (knowledge, attitude and practice (KAP)) and oral hygiene were statistically analyzed by using multivariate analysis of variance (MANOVA).FindingsResults indicated that the experimental group exhibited higher oral health behaviors regarding KAPs and oral hygiene related to teeth cleanliness and gum health than the control group in the postexperimental and follow-up phases. However, there were no statistically significant differences between the two groups with regard to tongue cleanliness.Originality/valueThe students maintain their own oral hygiene due to a provision of activities related to KAP concerns. The instrument helped the students to find tooth decay and dental plaque associated with teeth cleanliness after brushing their teeth.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46944962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A mixed-method systematic review of text-based telehealth interventions in eating disorder management","authors":"Xiaoyun Zhou, M. Bambling, S. Edirippulige","doi":"10.1108/jhr-03-2021-0179","DOIUrl":"https://doi.org/10.1108/jhr-03-2021-0179","url":null,"abstract":"PurposeEating disorders (EDs) is a major health condition affecting 9% of the global population and 10% of those with EDs lost their lives as a result. Text-based telehealth interventions (TTIs) seem to provide a low-cost and convenient treatment option; however, the evidence is scarce. This study aimed to synthesize evidence relating to the use of TTIs for the management of EDs.Design/methodology/approachFive databases were searched published between January 2020 and May 2019. The authors used keywords relating to telehealth and EDs. The authors used Joanna Briggs Institute's (JBI's) critical appraisal instrument to assess the methodology quality of included studies.FindingsFifteen studies were included in this mix-method systematic review and assessed for methodology quality. Email, web-based texting, text-messaging and online chat room were used as mode for deliver healthcare for patients with EDs. In the treatment phase, all studies (nine studies; n = 860 participants) showed effectiveness (for RCTs) and usefulness (for non-RCT studies). In the aftercare phase (six studies; n = 364 participants), the results regarding the effectiveness of TTIs were mixed. Two studies showed effectiveness whilst four studies did not find statistically significant change of ED outcomes.Research limitations/implicationsThe qualities of these studies varied; firstly, 66% (n = 10) of the studies were non-randomized studies (e.g. single-arm trial, case report) with small samples. Moreover, one-fourth (n = 4) of the studies did not use validated instruments or indicate the instrument. Also, half (n = 7) of the studies used TTIs as adjunct to face-to-face treatment or bigger online treatment, it is hard to make conclusion that the changes were due to TTIs' effect. In addition, follow-up rate is not satisfactory, thus results should be interpreted cautiously.Practical implicationsTTIs seem to be promising for management of EDs, particularly in the treatment phase. This provides an important treatment option for health practitioners and people with EDs as an alternative or in adjunct with face-to-face services.Originality/valueThis is the first review to synthesis the use of TTIs for ED management.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42643250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of aromatherapy on the pain of arteriovenous fistula puncture in patients on hemodialysis: a systematic review","authors":"Ayşegül Yıldız, S. Şahan","doi":"10.1108/jhr-05-2021-0280","DOIUrl":"https://doi.org/10.1108/jhr-05-2021-0280","url":null,"abstract":"PurposeThis study aims to determine the effect of aromatherapy used in reducing the pain caused by fistula puncture in hemodialysis patients.Design/methodology/approachIn this study, the effect of aromatherapy application on fistula puncture was analyzed and carried out by scanning the relevant literature. The literature review was conducted between August and October 2020. While reviewing the literature, the authors used “aromatherapy,” “pain,” “fistula,” “puncture,” “hemodialysis” keywords and various combinations of these; moreover, Google scientist, Pubmed, Cochrane, ScienceDirect, Web of Science, Medline and Ovid databases and studies, which were conducted in the last 10 years were reviewed. As a result of the literature review, 1183 studies were reached and seven of them were included in the study by taking the inclusion criteria into account.FindingsThe randomized controlled studies are six studies and nonrandomized controlled experimental 1 study were added to the scope of the study and seven studies were included in the sample. In these studies, personal information forms developed by the researchers as data collection tools and the VAS scale, Numerical pain rating, the numeric rating scale were used to evaluate pain.Practical implicationsIt has been determined that aromatherapy application in hemodialysis patients has positive effects on reducing pain due to puncture fistula intervention.Originality/valueThis study provides reduction or elimination of fistula needle insertion pain in hemodialysis patients.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46334570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of statewide stay-at-home orders on COVID-19 cases and deaths in the central USA","authors":"Gary W. Reinbold","doi":"10.1108/JHR-03-2021-0186","DOIUrl":"https://doi.org/10.1108/JHR-03-2021-0186","url":null,"abstract":"PurposeThis study seeks to determine the effects of stay-at-home orders in Spring 2020 on COVID-19 cases and deaths in the Central USA by comparing counties and health service areas that were and that were not subject to statewide orders.Design/methodology/approachThis study estimates the effects of statewide stay-at-home orders on new COVID-19 cases and deaths within 19 central states, of which 14 had stay-at-home orders. It uses synthetic control analysis and nearest neighbor matching to estimate the effects at two geographic levels: counties and health service areas.FindingsStatewide stay-at-home orders significantly reduced the number of new COVID-19 cases in the Central USA starting about three weeks after their effective dates; during the fourth week after their effective dates, the orders reduced the number of new cases per capita by 31%–57%. Statewide stay-at-home orders did not reduce the number of new COVID-19 deaths in the Central USA.Social implicationsThe main purpose of stay-at-home orders in Spring 2020 was to “flatten the curve” so that hospitalizations would not exceed capacity. It is likely that stay-at-home orders in the Central USA reduced hospitalizations to some extent, although the effect on hospitalizations was likely smaller than the effect on cases.Originality/valueThis is the first study of stay-at-home orders in the USA to limit the population to a group of interior states. All coastal states had statewide stay-at-home orders and comparing coastal states with orders to interior states without them may be problematic.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41313892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sociodemographic and body image measures associated with overall and domain-specific physical activity among a group of Malaysian university undergraduates","authors":"R. Sutan, Kamilah Muhammad Amir, A. Tamil","doi":"10.1108/JHR-01-2021-0015","DOIUrl":"https://doi.org/10.1108/JHR-01-2021-0015","url":null,"abstract":"PurposeThis study aims to determine the prevalence of overall and work, transport and leisure domain physical activity (PA) and their associated factors among Malaysian university undergraduates.Design/methodology/approachThis is an online cross-sectional study, which gathered data on sociodemographic parameters, PA and body image. Global Physical Activity Questionnaire (GPAQ) was used to collect data on PA while Multidimensional Body-Self Relation Questionnaire-Appearance Scale (MBSRQ-AS) for body image constructs. Three faculties were chosen through stratified random sampling where all its undergraduates were invited. A total of 898 students responded, of which 718 were accepted for analysis.FindingsPrevalence of overall work, transport and leisure domain PA among the students was 82.2%, 47.8%, 36.1% and 51.4% respectively. Overall PA was associated with male students (adjusted odds ratio [AOR]: 1.840, 95% confidence interval [CI]: 1.182–2.865); work PA was associated with the Malay race (AOR: 1.728, 95% CI: 1.240–2.409) and having part-time jobs (AOR: 3.098, 95% CI: 1.680–5.714); transport PA was associated with medical faculty (AOR: 1.677, 95% CI: 1.214–2.317) and leisure PA was associated with male students (AOR: 3.836, 95% CI: 2.746–5.360) and high overweight preoccupation (AOR: 1.486, 95% CI: 1.089–2.028).Research limitations/implicationsSelf-reported variables may be subjected to overestimation and bias.Practical implicationsDistributions of PA and its associated factors may be used as guidance for health promotions catering to university students.Social implicationsFactors affecting PA among the youth are correlated with social life events.Originality/valueFocus on domain-specific PA in association with body image measures may add values to existing PA studies, which is lacking in Malaysia.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43278790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A causal model of functional status among persons with liver cirrhosis from four public hospitals in Thailand","authors":"Surachai Maninet, Y. Aungsuroch, C. Jitpanya","doi":"10.1108/JHR-11-2020-0558","DOIUrl":"https://doi.org/10.1108/JHR-11-2020-0558","url":null,"abstract":"PurposeThe purpose of this study is to develop and test the causal relationships between alcohol consumption, social support, illness perception, fatigue and functional status among persons with liver cirrhosis. The hypothesized model was developed based on the theory of unpleasant symptoms.Design/methodology/approachA cross-sectional study was conducted among 400 persons with liver cirrhosis by stratified random sampling. Data were collected at outpatient departments from four public hospitals across three regions in Thailand. Six self-report questionnaires were utilized to collect data from March to August 2020. The developed model was verified via a structural equation modeling analysis.FindingsThe proposed model fit with the empirical data considering from χ2/df = 2.397 (p = 0.061), root mean square error of approximation (RMSEA) = 0.056, comparative fit index (CFI) = 0.985, Tucker–Lewis index (TLI) = 0.981, and standardized root mean square residual (SRMR) = 0.048. The model explained 71.30% of the total variance in functional status. Social support was the most influential factor affecting functional status both directly and indirectly through illness perception. Illness perception had a negative direct effect on functional status and a positive indirect effect on functional status through fatigue. Fatigue had a negative direct effect on functional status. Alcohol consumption was found as the lowest influential factor affecting functional status.Originality/valueThis is the first study that explores the characteristics of functional status among persons with liver cirrhosis comprehensively. A causal relationship among various variables found in this study would shed light as important fundamental data for developing interventions to enhance functional status among this population.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}