Journal of the American Podiatric Medical Association最新文献

{"title":"The Effect of Foot Anthropometric Measurements on Pain and Functional Disability of Pregnant and Non-Pregnant Women.","authors":"Rabia Koca, Müşerref Ebru Şen, Mehmet Yılmazer","doi":"10.7547/22-202","DOIUrl":"https://doi.org/10.7547/22-202","url":null,"abstract":"<p><strong>Background: </strong>Weight gain during pregnancy, loosening of the foot ligaments with the release of relaxin hormone, anthropometric and biomechanical changes can be seen in the foot with the growing fetus. It was aimed to determine whether these changes that occur during pregnancy cause painful musculoskeletal problems by altering the proximal structures of the lower extremities and the structure of the spine.</p><p><strong>Methods: </strong>Within the scope of this study, 210 women, half of whom are 3rd trimester of pregnancy (in the 28-40 weeks), aged between 18 and 40, with similar demographic characteristics are evaluated through measuring their navicular drops, hallux valgus angles, foot widths, foot lengths and tibial-calcaneal angles of both feet. Foot Function Index for foot-ankle, Kujala Patellofemoral Score for knee, Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for hip, Oswestry Disability Index for waist and Modified Neck Disability Index for neck were used to determine pain and functional limitation.</p><p><strong>Results: </strong>In this study, pain and functional disability in the waist, hip, knee, foot-ankle joints, navicular drops, hallux valgus angles and tibial-calcaneal angles were found to be significantly higher in pregnant women compared to the control group (P=0.00). It was observed that pain and dysfunction in all joints increased as navicular drop increased in both pregnant and nonpregnant women. In addition, it was determined that the increase in other anthropometric measurements in both groups caused pain and functional disability in most of the women, especially in the foot and ankle joints. However, the cause of joint pain and functional deficiencies was not related to pregnancy.</p><p><strong>Conclusions: </strong>It was observed that foot deformities and proximal region complaints were significantly higher in pregnant women, and foot deformities caused more foot-ankle pain and disability in both the study and control groups. No difference was observed in pregnant women with the control group.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-26"},"PeriodicalIF":0.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073648","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":"Feasibility for Utilization of Assessment for Lack of Protective Sensation as Part of a Foot Screening for Persons with Intellectual Disabilities.","authors":"Montana Von Musser, Hannah McCulley, David Jenkins","doi":"10.7547/24-112","DOIUrl":"https://doi.org/10.7547/24-112","url":null,"abstract":"<p><strong>Background: </strong>Persons with intellectual disability have a significantly higher prevalence of diabetes than the general population. Special Olympics Fit Feet, a major screening process for evaluating foot health in persons with intellectual disability, has not included an assessment for the risk of diabetic foot ulcers thus far. A probable reason for this may be that clinicians in the past have felt that persons with intellectual disability were not capable of understanding how to complete the Semmes-Weinstein test for lack of protective sensation. A study was designed to assess whether the Special Olympics athletes could complete the Semmes-Weinstein test for lack of protective sensation.</p><p><strong>Methods: </strong>31 Special Olympics athletes with intellectual disability participating in a Fit Feet foot screening underwent a Semmes-Weinstein test for lack of protective sensation (LOPS). An assessment was completed using predetermined criteria to establish whether the subject understood what was required and could satisfactorily complete the test. Likewise, it was also determined if the Special Olympics athletes believed they understood the test.</p><p><strong>Results: </strong>Study findings determined that approximately 67% of the athletes in the study were able to successfully complete the test and 90% of the Special Olympics athletes reported they completely understood the test. These results do not apply to the intellectual disability population at large.</p><p><strong>Conclusion: </strong>A significant percentage of the test population appeared able to successfully undergo the Semmes-Weinstein test for lack of protective sensation (LOPS). Therefore, it is recommended that any foot screening process for Special Olympics athletes should include an assessment for loss of protective sensation including use of monofilament testing.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-23"},"PeriodicalIF":0.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075022","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":"Intra-Foot Coordination and Its Variability During Walking in Males With and Without Chronic Ankle Instability.","authors":"Takahiro Watanabe, Tomoya Takabayashi, Takanori Kikumoto, Yudai Kikuchi, Masayoshi Kubo","doi":"10.7547/23-203","DOIUrl":"https://doi.org/10.7547/23-203","url":null,"abstract":"<p><strong>Background: </strong>Investigating the kinematics of copers, who are individuals with no recurrent ankle sprains, is necessary to prevent the development of chronic ankle instability (CAI). Since the \"giving way\" of the ankle joint (episodes of excessive inversion of the rearfoot, which do not result in an acute lateral ankle sprain) usually occurs during walking, investigating the intra-foot coordination during walking is necessary. This study aims to identify intra-foot coordination and its variability in copers while walking.</p><p><strong>Methods: </strong>The study included 12 copers, 13 CAIs, and 10 controls. The participants were required to walk on a treadmill at a fixed speed of 1.3 m/s. Using the modified vector coding technique, the coupling angle between the intra-foot joints, representing inter-joint coordination, was calculated and categorized into four coordination patterns. The coupling angle standard deviation represented the coordination variability during the stance phase.</p><p><strong>Results: </strong>The coordination between the rearfoot and midfoot in the frontal plane showed a significantly lower proportion of anti-phase with proximal dominance in the coper group than in the CAI and control groups during mid-stance (p < .05). Regarding coordination between the midfoot and forefoot in the sagittal plane, the coper group also showed a significantly lower proportion of in-phase coordination with distal dominancy than the CAI group during mid-stance (p < .05). For coordination between the midfoot and forefoot in the frontal plane, the coper group also showed a significantly lower proportion of anti-phase with distal dominance than the CAI group during the late stance (p < .05).The coordination variability between the sagittal midfoot and forefoot in the coper group was significantly lower than that in the CAI group and similar to that in the control group during mid-stance (p < .050).</p><p><strong>Conclusions: </strong>These differences may explain why copers do not experience ankle sprain recurrence.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-31"},"PeriodicalIF":0.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074950","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":"Comparing Self-Perceived Awareness to Actual Awareness of the Podiatric Profession Among High School and College Students.","authors":"Ashlee Starr, Tiffany Duong, David W Jenkins, Charlotte Bolch, Jeffrey L Jensen","doi":"10.7547/23-172","DOIUrl":"https://doi.org/10.7547/23-172","url":null,"abstract":"<p><strong>Background: </strong>Over the past few years there has been a decrease in the number of applicants applying to podiatric medical school. It has been suggested that this may be due to unfamiliarity with the profession of podiatric medicine. The goal of this study is to shed light on the misconceptions and lack of awareness of podiatric medicine so that the profession can better bridge the gap in knowledge with a resultant strategy to better increase recruiting efforts. It is hypothesized that high school and college students will overestimate their awareness of podiatry and that a significant percentage of students will have a low actual awareness of the profession. It is presumed that this shortfall will be greater in high school students.</p><p><strong>Methods: </strong>An eight question self-completion survey was created using RedCap that analyzed self-perceived and actual awareness of the podiatric profession. 318 students, 171 high school and 147 college, attending school within the state of Arizona completed the survey to test their actual and perceived knowledge of podiatry.</p><p><strong>Results: </strong>A total of 294 survey responses met the inclusion criteria and were used in the final evaluation of data. 57.1% of high school students and 47.9% of college students described their knowledge of podiatry as \"poor\". Each of the five true/false questions were answered incorrectly over 50% of the time. Overall, there was a statistically significant association between student's perceived knowledge of podiatry (good and higher, fair or poor) compared to their actual knowledge of podiatry.</p><p><strong>Conclusion: </strong>Evidence supports that many high school and undergraduate students are unaware of the podiatric profession. Furthermore, there are many misconceptions that are believed about the profession that could be causing a decline in applicants over the last few years.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-20"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023944","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":"Results of Bioabsorbable Screws for the Fixation of Chevron Osteotomy in the Treatment of Hallux Valgus Deformities.","authors":"Hanyang Zhang, Zhaoyan Li, Zhuan Zhong, Bingzhe Huang, Zhende Jiang, Fei Chang","doi":"10.7547/24-043","DOIUrl":"https://doi.org/10.7547/24-043","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the safety and reliability of using bioabsorbable screws for the fixation of chevron osteotomy in the treatment of hallux valgus (HV) deformity.</p><p><strong>Methods: </strong>Clinical cases of chevron osteotomy in the treatment of HV deformities in our hospital between December 2018 and August 2022 were retrospectively summarised to compare preoperative imaging indices with those at the final follow-up session, including the hallux valgus angle (HVA), intermetatarsal angle (IMA) and tibial sesamoid position (TSP). The American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale, short-form health survey questionnaire (SF-36) and European Foot and Ankle Society (EFAS) scale were used to assess therapeutic efficacy. The visual analogue scale (VAS) was used to assess pain relief. Moreover, complications were recorded.</p><p><strong>Results: </strong>Twenty-six patients (39 feet) were included, and the mean follow-up period was 24.0 months. No infection, delayed healing or non-healing was recorded. The osteotomy ends healed well without non-union or delayed union. Four cases of recurrence (HVA ≥20°), two of numbness in the distal toe, one of necrosis of the first metatarsal head and one of osteoarthritis of the first metatarsophalangeal joint occurred. No patients underwent secondary surgery. The HVA, IMA and TSP significantly reduced at the final follow-up session compared with their preoperative values, and significant improvement was seen in clinical scores.</p><p><strong>Conclusion: </strong>The use of bioabsorbable screws for the fixation of chevron osteotomy is safe and effective in the treatment of HV deformities.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-24"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023946","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":"Correlation Between Plantar Fascia Thickness and Other Variables in Women Diagnosed with Plantar Fasciopathy.","authors":"Ruben Montes-Salas, Ramon Mahillo-Durán, Alvaro Gomez-Carrion, Estela Gomez-Aguilar, Gabriel Camunas-Nieves, Jose Manuel Castillo-Lopez","doi":"10.7547/24-099","DOIUrl":"https://doi.org/10.7547/24-099","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to explore the relationship between plantar fascia (PF) thickness and various factors including pain, function, anthropometric parameters, and other variables in women diagnosed with plantar fasciopathy.</p><p><strong>Methods: </strong>A total of 37 feet from female patients were randomly selected for this investigation. Utilizing ultrasound, the thickness of the PF was meticulously measured. Subsequently, the correlation between PF thickness and several factors such as pain intensity, functional impairment, height, age, weight, biconvexity of the plantar fascia, duration of the disease, recurrence of plantar fasciopathy, and daily activity levels were analyzed.</p><p><strong>Results: </strong>The findings of this study unveiled a significant positive correlation between PF thickness and several parameters. Specifically, there was a notable correlation with pain intensity, where increased thickness corresponded to heightened pain levels. Additionally, PF thickness exhibited positive associations with height, age, and weight, indicating that these anthropometric factors may influence PF thickness. Moreover, the biconvexity of the plantar fascia, disease duration, and recurrence of plantar fasciopathy showed correlations with PF thickness, suggesting potential implications for disease progression and management. Furthermore, the study identified a relationship between PF thickness and daily activity levels, underscoring the impact of physical exertion on PF health. Notably, the presence of hyperemia in the plantar fascia, as determined by power Doppler ultrasound, also showed a correlation with PF thickness, highlighting potential vascular implications in plantar fasciopathy.</p><p><strong>Conclusion: </strong>In conclusion, this study provides valuable insights into the multifaceted relationship between PF thickness and various clinical parameters in women with plantar fasciopathy. Understanding these correlations may aid in the development of more targeted and effective management strategies for this debilitating condition.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-17"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023945","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":"Comparison of Bicortical versus Unicortical Medial Malleolus Fixation.","authors":"Ryan Lerch, Jeffrey Manway, Gele Moloney","doi":"10.7547/22-098","DOIUrl":"https://doi.org/10.7547/22-098","url":null,"abstract":"<p><strong>Background: </strong>Ankle fractures continue to increase in incidence and severity in an older, more challenging geriatric population. Medial malleolus fixation with partially threaded cancellous 4.0-mm screws, a common fixation method, has been shown to fail due to pullout strength. Subsequent cadaveric models have shown increased pullout strength with the use of bicortical screws. The literature has also demonstrated fairly good clinical results with the use of bicortical screw fixation in a general population as well as in a complicated patient cohort.</p><p><strong>Methods: </strong>We sought to compare bicortical fully threaded 3.5-mm screw fixation with unicortical partially threaded 4.0-mm fixation in medial malleolus fractures. The aim was to compare postoperative complications such as screw failure/loosening, nonunion, delayed union, painful hardware, time to union, and time to full weightbearing.</p><p><strong>Results: </strong>Of 292 patients retrospectively reviewed, 126 were included following the inclusion and exclusion criteria. The data included 48 patients in the bicortical group and 78 in the unicortical group, with a mean ± SD combined age of 56.0 ± 18.0 years. Complications occurred in three patients (6%) in the bicortical screw fixation group and in six (8%) in the unicortical group, which did not reach statistical significance.</p><p><strong>Conclusions: </strong>These results show that medial malleolus fixation has an overall low complication rate of 7% total combined, which is comparable with the current literature. We demonstrated no significant differences in complications, weeks to ambulation, or time to union between bicortical and unicortical fixation.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"114 6","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052875","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 2021 Podiatric Residency Candidate and Program Virtual Interview Experience During COVID-19 with Multispecialty Reflections and Recommendations for a Successful Virtual Match: A 2024 Update.","authors":"Andrew J Meyr, Danae L Lowell, Susan K Claffey, Moraith G North, Charles Lombardi","doi":"10.7547/24-095","DOIUrl":"https://doi.org/10.7547/24-095","url":null,"abstract":"<p><p>This objective of this communication is to provide an update from the Council of Teaching Hospitals (COTH) and the American Association of Colleges of Podiatric Medicine (AACPM) with respect to the profession's residency interview process, otherwise known as the Centralized Residency Interview Process (CRIP). During the 2022-2023 academic year, CRIP returned to an in-person format following a period of virtual interviews during the COVID-19 pandemic. Survey data since this change indicate that a large majority of residency program directors and student applicants prefer an in-person format to the residency interview process. This communication serves as an organizational update with respect to the residency interview process aimed at the profession, residency programs directors, and student applicants.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"114 6","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059522","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":"Supernumerary Muscles in the Leg and Foot: A Review of Their Types, Frequency, and Clinical Implications.","authors":"Anushka S Ramnani, Jessica T Landeros, Mathew Wedel, Rebecca Moellmer, Stephen Wan, David W Shofler","doi":"10.7547/23-042","DOIUrl":"https://doi.org/10.7547/23-042","url":null,"abstract":"<p><p>Variations of the ankle anatomy are infrequent and exist as supernumerary muscles and tendons. Often understudied and overlooked, their presence can cause many complications of the lower extremity. These muscles, although often asymptomatic, can cause great pain and complications such as tenosynovitis, tarsal tunnel syndrome, lateral ankle instability, and ankle pain when they impinge on the normal anatomy of the patient. The goals of this study were to examine the prevalence of common variants such as the peroneus quartus, peroneus digiti quinti, accessory soleus, flexor accessorius digitorum longus, peroneocalcaneus internus, and tibiocalcaneus internus and to understand the morphological and clinical significance of these accessory muscles and their interactions with surrounding muscles. A literature review of anatomically and clinically based articles was conducted to evaluate the supernumerary muscles. Phrases such as accessory muscles were used to refine the search. Supernumerary muscles have an incidence of 3% to 62%, depending on the muscular compartment and the specific muscle. Although conservative treatments such as orthoses and nonsteroidal anti-inflammatory drugs may help alleviate some pain, surgical treatment yields higher success rates. Identification of supernumerary muscles is mainly by magnetic resonance imaging, but they can be detected by other methods, such as ultrasound. Due to the wide implications of these supernumerary muscles, this study attempted to create a reference guide for physicians to use in aiding their diagnoses and therapeutic plans. Although supernumerary muscles are typically asymptomatic, knowledge of these muscles is beneficial for clinicians in aiding their treatment plans.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"114 6","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052891","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":"Electrophysiologic Evidence of Concomitant Focal Nerve Entrapments in Persons With Rheumatoid Arthritis: A Cross-Sectional Study.","authors":"Michael S Nirenberg, Roberto P Segura, Alex M Segura, Lauren L Schnack, Craig W Forsthoefel, Carey Dachman","doi":"10.7547/22-186","DOIUrl":"https://doi.org/10.7547/22-186","url":null,"abstract":"<p><strong>Background: </strong>Although an association between peripheral nerve entrapment issues and rheumatoid arthritis (RA) has been found, research has generally focused solely on nerve entrapment in the upper or lower extremity individually rather than on the consideration of nerve entrapment simultaneously in the upper and lower extremities. In addition, most of these studies have used small sample sizes. The aim of this study was to evaluate the incidence of carpal tunnel syndrome (CTS) and tarsal tunnel syndrome (TTS) concurrently in patients with RA using a relatively large sample size.</p><p><strong>Methods: </strong>A cross-sectional study using a nonprobability sampling method retrospectively surveyed the incidence of CTS and TTS in 338 patients with RA who had clinical signs of nerve entrapment and electrodiagnostic test evidence of CTS or TTS. The study comprised a sample of 269 women and 69 men.</p><p><strong>Results: </strong>Electrodiagnostic testing found CTS in 256 patients (75.7%) and TTS in 82 patients (24.3%); CTS was found in 56 men and 200 women, and TTS was seen in 13 men and 69 women. Concurrent CTS and TTS occurred in 50 patients (14.8%; nine men and 41 women).</p><p><strong>Conclusions: </strong>Peripheral nerve entrapment in the form of CTS and TTS was found to have a high incidence in persons with RA. The incidence of CTS and TTS occurring simultaneously in persons with RA was also found to be significant.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"114 6","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059442","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}