Middle Black Sea Journal of Health Science最新文献

{"title":"Analysis of Cases Referred from A Tertiary University Hospital Emergency Service: The Case of Ordu Province","authors":"Ş. Savrun, A. Savrun","doi":"10.19127/mbsjohs.1188899","DOIUrl":"https://doi.org/10.19127/mbsjohs.1188899","url":null,"abstract":"Objective: University hospitals are health institutions that have sufficient and equipped personnel for diseases that require advanced examination and special treatment, contain high technology and/or have an infrastructure or are expected to provide education-research services. In some cases of medical necessity, patients can be transferred from tertiary hospitals to both the same level and lower level health institutions, and in some cases even to other centers outside the province where the patient is located. In this direction, it was aimed to retrospectively analyze the data of the cases referred to other centers from a tertiary hospital emergency department and to determine the deficiencies. \u0000Methods: \u0000Archive records of 133 cases who were referred to other health centers from Ordu University Medical Faculty Training and Research Hospital's emergency service between 01.06.2022 and 31.08.2022 were examined. \u0000 The demographic characteristics of the cases, referral diagnoses, referral branches, reasons for referral, types of hospitals, the relationship between referral branches and the type of hospital referred were examined as the campuses of referral centers. \u0000Results: \u0000The most common reason for transferring the cases was the lack of an intensive care unit (57.1%), while the second most common reason was the absence of a patient service bed (23.3%). The most frequently referred patients were cardiology patients (20.3%) and the reason was not intensive care unit (88.9%), followed by chest diseases patients (19.5%) and no intensive care unit (61.5%). It was determined that 67% of cardiology patients were referred to a private hospital, 33% to a secondary level hospital, and 11.1% to another province. \u0000Conclusion: \u0000Tertiary hospitals are expected to be more equipped centers than other hospitals in terms of technical, personnel, patient service, intensive care and many other aspects. Only the quality of equipment and personnel is not sufficient in such centers. Patient bed and intensive care unit are very important factors that should not be ignored.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128511033","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":"SEXUAL DYSFUNCTION IN TURKISH WOMEN DURING THE COVID-19 PANDEMIC: ANXIETY AND RELATED FACTORS","authors":"Elif Dağlı, N. Topkara","doi":"10.19127/mbsjohs.1167712","DOIUrl":"https://doi.org/10.19127/mbsjohs.1167712","url":null,"abstract":"Objective: Sexual dysfunction (SDF) is a health problem that is common especially among women and has a negative impact on the lives of individuals/couples in all aspects. During the pandemic process, the sexual domain may have been affected in women due to the change in the routine, the limitation of freedom, and the psychological destructiveness of helplessness. Since it is not known how long the pandemic will last, it is necessary to clarify the consequences of the strict control measures on women's sexual satisfaction and experiences. Therefore, the current study aimed to evaluate the relationships between the prevalence of SDF in women and anxiety and some other factors during the COVID-19 pandemic in Turkey. \u0000Methods: The sample group of this cross-sectional and descriptive study consisted of 520 women. We reached the women included in the study via the online questionnaire link. Women of reproductive age (18-49) who were sexually active, were married, and volunteered to participate in the study were included in the sample. Exclusion criteria were being diagnosed with COVID-19, having a chronic or psychiatric illness, being pregnant or puerperal, breastfeeding, and taking medicine that reduces libido during the previous three months. \u0000Results: The mean age of the women was 35.16 ± 5.53 years, 48.3% of them had equal income and expenses, and 77.3% had economic concerns. It was determined that 60.6% of the women had SDF, 55.4% had high state anxiety, and that 67.5% had high trait anxiety. As the state and trait anxiety scores of women increased, the desire, arousal, lubrication, orgasm, and satisfaction scores of the female sexual function index decreased, while the pain score of the index increased. It was found that the risk for SDF was 4.899 times higher in women who did not have social security, 3.401 times higher in those who were dissatisfied with their marriage, and 2.764 times higher in women with less sexual intercourse due to the pandemic process (OR = 4.899; OR = 3.401; OR = 2.764, respectively). \u0000Conclusions: The results of this study indicated that SDF increased and the frequency of sexual intercourse decreased compared to the pre-pandemic period due to the fear of COVID-19 infection and the high anxiety level brought in by the process. Women who experience the impact of the pandemic more and more every day are especially at risk for poor mental health outcomes.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133200572","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":"Adaptation of Birth Satisfaction Scale-Revised to Turkish Society","authors":"Öznur ÖZDEMİR GÖKMEN, N. Erbil, B. Demirbag","doi":"10.19127/mbsjohs.1080337","DOIUrl":"https://doi.org/10.19127/mbsjohs.1080337","url":null,"abstract":"Objective: The aim of this study was to adapt the Birth Satisfaction Scale-Revised (BSS-R) to Turkish and test its reliability and validity. \u0000Methods: The methodological study was conducted in the maternity ward of Iğdır State Hospital between the dates of 15.06.2016-15.09.2016. All of the women in the maternity ward that had given birth formed the population of the study. The study was completed by interviewing 219 volunteer women that are suitable for the criteria before making a sampling choice. Validity and reliability analysis, language and content validity, and explanatory and confirmatory factor analysis were tested by using Cronbach’s alpha coefficient. \u0000Results: The language validity of the BSS-R was provided by the translation-retranslation method, later its content validity was provided by making necessary changes in the direction of opinions of specialists. The scale in its final form was applied to women in the sample group after making pre-application. The factor analysis of scale was evaluated by explanatory and confirmatory factor analysis. It was obtained that factor load distribution of scale changes between 0.593-0.899 and keeps the three-dimensional structure its in original form. Factor load distribution of BSS-R of scale changes between 0.593-0.899 and keeps three sub dimensional structures as its original form. Fit index values were found as x2/SD value 2.06, RMSEA 0.070, CFI 0.95, SRMR 0.078, GFI 0.93, AGFI 0.89 and NFI 0.92. The Cronbach's alpha coefficient of the 10-item BSS-R was 0.72, and the Cronbach's alpha coefficients of its sub-dimensions were between 0.70 and 0.78. \u0000Conclusion: It was obtained that BSS-R which was adapted to Turkish is a reliable, valid and suitable measurement instrument means for Turkish culture.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129758142","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":"Evaluation of radiological and functional results of long bone diaphyseal fractures in children aged 5-15 years who underwent titanium elastic nail","authors":"Ümit Aygün, Murat Bölükbaşı","doi":"10.19127/mbsjohs.1148801","DOIUrl":"https://doi.org/10.19127/mbsjohs.1148801","url":null,"abstract":"Objective: In this study, we aimed to evaluate the radiological and functional results of titanium elastic nail (TEN), which was used as a surgical method in pediatric long bone diaphyseal fractures between 5-15 years of age, by comparing it with the clinical features of the patient and the fracture. \u0000Methods: A total of 44 patients (11 girls, 33 boys) aged 5-15 years (mean 9.86 ±2.84) were included in the study. The clinical features of the patient, family satisfaction, evaluation of the fracture according to Flynn Criteria, time to bone union, stay hospital, and school absence were examined. \u0000Results: TEN was applied mostly to the femur (n;18), tibia (n;14), and forearm (n;12) diaphysis fractures, respectively. Most of the fractures were seen as a result of high energy and closed, middle diaphysis, and transverse fracture pattern was the most. Most of the fracture surgeries were performed with the closed method. The family satisfaction of the patients was at a high level. In the evaluation of fractures according to Flynn Criteria, most of the results were excellent, no poor results were observed. Bone union time was higher in patients aged ten years and older and undergoing open surgery, and less in transverse fracture shape (p","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123901746","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":"Estimation of Risk Factors Related to Heart Attack With Xgboost That Machine Learning Model","authors":"Onural Özhan, Zeynep Küçükakçali","doi":"10.19127/mbsjohs.1142542","DOIUrl":"https://doi.org/10.19127/mbsjohs.1142542","url":null,"abstract":"Abstract : The objective of this work is to classify heart attack cases using the open-access heart attack dataset and one of the machine learning techniques called XGBoost. Another aim is to reveal the risk factors associated with having a heart attack as a result of the modeling and to associate these factors with heart attack. \u0000Materials and Methods: In the study, modeling was done with the XGBoost method using an open access data set including the factors associated with heart attack. Model results were evaluated with accuracy, balanced accuracy, specificity, positive predictive value, negative predictive value, and F1-score performance metrics. In addition, 10-fold cross-validation method was used in the modeling phase. Finally, variable importance values were obtained by modeling. \u0000Results: Accuracy, sensitivity, balanced accuracy, specificity, positive predictive value, negative predictive value, and F1 score from by XGBoost modeling were 89.4%, 89.4%, 88.4%, 90.3%, 88.4%, 90.3%, and 88.4%, respectively. According to the variable importance values obtained for the input variables in the data set examined in this study, thal2, oldpeak, thal3, ca1, and exang1 were obtained as the most important variables associated with heart attack. \u0000Conclusion: With the machine learning model used, the heart attack dataset was classified quite successfully and the associated risk factors were revealed. Machine learning models can be used as clinical decision support systems for early diagnosis and treatment.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115500169","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":"Evaluation of Chronic Pain Management in the Elderly Living in a Nursing Home","authors":"Dudu Alptekin, Hamide Şişman, Refiye Akpolat, Derya Gezer, Esma Gökçe, Sevban Arslan","doi":"10.19127/mbsjohs.1148946","DOIUrl":"https://doi.org/10.19127/mbsjohs.1148946","url":null,"abstract":"Background: Aging is a process that includes biological, physiological, emotional-psychological, and functional dimensions. Pain in the elderly is defined as an unpleasant sensory and emotional experience that occurs with future tissue damage. The resulting pain can cause depression by affecting the daily living activities of elderly individuals. In the elderly, pain can lead to multiple drug use, cognitive decline, gait abnormalities, and accidents. For all these reasons, pain is one of the factors that should be evaluated in elderly individuals. \u0000Objective: This study was conducted to determine the pain management status of the elderly living in nursing homes. \u0000Method: This descriptive study was conducted in the Nursing Home Elderly Care and Rehabilitation Center Directorate. Elderly Information Form, Mini-Mental Scale, and McGill Pain Scale were used. \u0000Results: 82.9% of the elderly had a chronic disease and were using drugs continuously, and the number of drugs used by 42.9% was between 1-3. According to McGill's Pain severity assessment, 34.3% of them experienced mild pain. Between the gender of the elderly and the McGill Melzeck pain severity averages they experienced, the average pain score of the female gender was found to be significantly higher than the pain average of the male gender (t(68)=-1.99, p=0.05). When the behaviors of the elderly against pain were examined, 62.9% reported that they preferred to talk, 72.9% to rest, 52.9% to plan rest periods, and 55.7% to get support from their religious belief \u0000Conclusions: In this study, the severity of pain and behaviors of the elderly against pain were evaluated.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132367164","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 Sodium Fluorescein Use on Surgical Outcomes and Survival in Cases with High Graded Glial Tumor : A retrospective study","authors":"Tamer Tunçkale, T. Çalişkan","doi":"10.19127/mbsjohs.1143930","DOIUrl":"https://doi.org/10.19127/mbsjohs.1143930","url":null,"abstract":"Abstract \u0000 \u0000Objective: The most effective factor on malignant glioma (MGs) treatment affecting the overall survival is the extent of resection (EOR). The use of sodium fluorescein (FL) staining in order to increase the amount of resection, is applied more effectively and safely at lower doses with the aid of 560nm filtered surgical microscopes. It was planned to investigate the effects of the use of FL in MGs surgery on the gross total resection rate (GTR), duration of surgery, length of hospital stay, and survival time. \u0000Material Method: The follow-up of 17 patients whose histopathological evaluations were reported as MGs and operated under surgical white light, and 23 patients who were operated under FL560 module surgical microscope with low dose of (3mg/kg bodyweight) FL dye were evaluated for three years retrospectively. The blood loss in the course of surgery, GTR, surgical time, hospital stay were compared for both groups with Student-t test or Mann-Whitney U test. Kaplan-Meier method was used for the survival time analysis. \u0000Results: While GTR rates were found out to be %82.3 for patients operated under surgical white light, the percentage for FL utilized patients was %91.3. There was no significant difference in blood loss or hospital stay between the two groups; however the surgical time for FL utilized patients were found out to be significantly low in comparison to the other group. The overall survival time for patients who were operated under surgical white light was found out to be 64 weeks (448 ± 64 days) while it was determined as 84.7 weeks (593±55 days) for patients operated with the use of FL, however the difference between them was not found out to be statistically significant. The use of FL enabled the surgeon to determine the cortical incision area in 13 cases, where the location of the tumor was close to the cortex. \u0000 \u0000Conclusion: \u0000While the use of FL shortens the surgical time in contrast-enhancing MGs, it increases the GTR rate. FL also functions well with the determination of the location of surgical site for tumors close to the cortex.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132540546","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":"PERCEIVED STRESS AND COPING STRATEGIES OF NURSES WORKING IN THE EMERGENCY SERVICE DURING THE COVID-19 PANDEMIC","authors":"Nurgül Karakurt, Pınar Gül","doi":"10.19127/mbsjohs.1130111","DOIUrl":"https://doi.org/10.19127/mbsjohs.1130111","url":null,"abstract":"Aim: This study aims to investigate the perceived stress and coping styles of the nurses working in the emergency service during the COVID-19 pandemic. \u0000 \u0000Method: The study population consisted of the nurses in the emergency service of the A Hospital, who met the research inclusion criteria between April 15th, 2021, and May 1st, 2021 (N:179). Without any sample selection, 156 nurses who agreed to participate voluntarily in the research were included in the study sample. Research data were collected using the survey program online, taking into account the COVID-19 conditions and the intensity of work in the emergency service. Permissions of the Ministry of Health and approval of the ethics committee (no:B.30.2.ATA.0.01.00/) were obtained before conducting the study. In the study, 'Personal Information Form', 'Perceived Stress Scale', and 'Ways of Coping Questionnaire' were used. The data were analyzed using the SPSS 22 package program. \u0000 \u0000Results: The Perceived Stress Scale scores of the nurses working in the emergency service were found to be above the average (avg. value:26). In addition, of the Ways of Coping Questionnaire sub-scales, the Optimistic Approach, Self-Confident Approach, Seeking Social Support Approach sub-scale scores were found to decrease with the increase in the Perceived Stress Scale scores, whereas the Helpless Approach and Submissive Approach sub-scale scores were found to increase significantly with increasing Perceived Stress Scale scores (p","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132659716","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":"THE EFFECTS OF POLYMERIZATION IN DIFFERENT LIGHT POWER MODES ON THE RADIOPACITY OF COMPOSITE RESINS","authors":"Ç. Güler, Zerrin ÜNAL ERZURUMLU, Didem Odabasi, Ebru Uslu Cender, Kerem Erzurumlu","doi":"10.19127/mbsjohs.1134902","DOIUrl":"https://doi.org/10.19127/mbsjohs.1134902","url":null,"abstract":"Objective: The aim of this study is to evaluate the effect of polymerization in different light power modes on the radiopacity of six different composite resins (Filtek Z250, Xtrafil, Tetric N Ceram, SureFil SDR Flow, Nova Compo HF, Grandio Flow). \u0000Materials and Methods: Plexiglass molds (8 mm diameter, 2 mm thickness) were used for the preparation of the samples. Totally ten samples were formed for each composite resin (standard mode; n=5 and extra power mode; n=5). A 2-mm-thickness bucco-lingual section was obtained from the extracted premolar tooth for enamel and dentin sample. To evaluate the relationship between the density of the samples and tooth structure, an Al stepwedge was used as a reference. The mean gray values of each composite resin, enamel, dentin and Al stepwedge were calculated with an image analysis program. Data were analyzed with independent sample t test, one way ANOVA and Tukey HSD test. \u0000Results: All tested composites met ISO standards. Even if the radiopacity values of tested composites changed according to the light power mode, this change was found to be statistically significant only in SureFil SDR Flow (P=0.037). The difference between the radiopacity values of tested composites in both standard power and extra power mode was statistically significant (P","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126315724","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 air pollution on mortality and morbidity in Samsun, Turkey","authors":"Feyza Nur TOPÇU YENERÇAĞ, A. T. Sünter","doi":"10.19127/mbsjohs.1158787","DOIUrl":"https://doi.org/10.19127/mbsjohs.1158787","url":null,"abstract":"Background: We aimed to evaluate the relationship between hospital admissions and hospitalizations from respiratory system diseases, cardiovascular diseases, neurological and psychiatric diseases with the air pollution in the central districts of Samsun, 2018. The second aim of the study was to calculate the total number of deaths that can be attributed to air pollution with the AIR Q + program. \u0000Material and Methods: The study is an ecological type. Daily PM10 data were collected as the determinant of air pollution. The records of all applications and hospitalizations that received any of the ICD-10 diagnostic codes I00-99,J00-99,F00-99,G00-99 were included in the study. Correlation and regression analyzes were conducted to explain the relationships between hospital admissions, hospitalizations and PM10 and meteorological parameters. \u0000Results: The annual average of PM10 was found to be 50.4±19.3 μg/m3. There were positive and statistically significant correlations between the daily number of admissions of all diseases evaluated with PM10. Positive and statistically significant correlations were found between hospitalizations for only respiratory and cardiovascular system diseases with PM10. Admissions from respiratory system diseases (3%), cardiovascular (2%), neurological (1%) and psychiatric diseases (1%) and hospitalizations from respiratory diseases (%2) increased by for every 10 μg / m3 increase in PM10 level. The annual average of PM2.5 was found to be 31.8 μg/m3 using the AIR Q + program. The number of natural deaths that can be attributed to air pollution in 2018 was 835 (12.3%), and the estimated number of deaths attributable to 100,000 people at risk was 111.8 (RR: 1.14). \u0000Conclusion: Hospital admissions and hospitalizations are increasing due to air pollution. Many deaths and adverse health effects can be prevented by reducing the air pollution that increases especially in the winter period to the determined limit values.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130639892","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}