Journal of tissue viability最新文献

{"title":"ADVERTISEMENT - JTV - CONFERENCE 2026 210X280MM ABSTRACTS","authors":"","doi":"10.1016/S0965-206X(25)00119-6","DOIUrl":"10.1016/S0965-206X(25)00119-6","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100971"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145568494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of surgery-related pressure injury with infrared thermal camera in the postoperative intensive care unit","authors":"Onur Çor ,&nbsp;Arzu Özcan İlçe ,&nbsp;Yavuz Demiraran","doi":"10.1016/j.jtv.2025.100944","DOIUrl":"10.1016/j.jtv.2025.100944","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to monitor skin temperature in pressure-prone areas of post-surgical patients in the intensive care unit using an infrared thermal camera and to examine the factors influencing the development of pressure injuries.</div></div><div><h3>Methods</h3><div>This prospective descriptive study was conducted on patients admitted to the intensive care unit following surgery lasting more than two hours. Skin temperature differences between the sacrum, right and left gluteal regions, and right and left heels, compared to reference regions, were measured using an infrared thermal camera. Measurements were taken immediately upon admission to the intensive care unit. The correlation between patients' clinical conditions and observed temperature differences was analyzed.</div></div><div><h3>Results</h3><div>The study included 59 patients and involved 590 thermographic evaluations. Temperature differences were identified between the reference areas and the right heel (−3.61 °C), left heel (−3.34 °C), left gluteal region (−2.9 °C), right gluteal region (−2.89 °C), and sacrum (−2.47 °C). A statistically significant correlation (p &lt; 0.05) was found between patient age, albumin and hemoglobin levels, and temperature differences.</div></div><div><h3>Conclusions</h3><div>Temperature differences between the high-risk body parts of patients at risk of pressure injury after long-term surgery were measured using an infrared thermal camera. It is observed that, hypoalbuminemia, and low hemoglobin levels affect the temperature difference in the sacrum, gluteal region, and heels in a statistically significant way especially in advanced age. The infrared thermal camera proved to be more effective than the Braden Risk Assessment Scale in assessing skin for pressure injury risk. Further studies with larger sample sizes are recommended to confirm these findings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100944"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incidence, prevalence, and risk factors of medical device-related pressure injuries in paediatric inpatients: A systematic review and meta-analysis","authors":"Yuan Li ,&nbsp;Hanmei Peng ,&nbsp;Xia Li ,&nbsp;Ying-Xin Li ,&nbsp;Xi Huang ,&nbsp;Xuemei Guo ,&nbsp;Ru Yang ,&nbsp;Zeyao Shi ,&nbsp;Biru Luo ,&nbsp;Yan-Ling Hu ,&nbsp;Yan Huang","doi":"10.1016/j.jtv.2025.100966","DOIUrl":"10.1016/j.jtv.2025.100966","url":null,"abstract":"<div><h3>Background</h3><div>Medical device-related pressure injuries (MDRPIs) represent an increasing safety concern for paediatric inpatients, yet evidence regarding their epidemiology remains inconsistent. This study aimed to systematically review and meta-analyse the incidence, prevalence, and risk factors for MDRPIs in hospitalised children, and to identify the most common medical devices implicated.</div></div><div><h3>Methods</h3><div>Databases including PubMed, Medline, Embase, Web of Science, Scopus, and CINAHL were searched from inception to December 18, 2024, with an update on April 1, 2025. Two reviewers independently screened studies, extracted data, and assessed bias using Joanna Briggs Institute (JBI) tools. Pooled incidence and prevalence were estimated using random-effects meta-analysis. Heterogeneity was assessed; and for outcomes with ≥10 studies, subgroup, publication bias, and sensitivity analyses (including Bayesian meta-analysis) were performed. Commonly implicated medical devices were categorized and their reporting frequencies summarized.</div></div><div><h3>Results</h3><div>Eighteen studies, involving 15,991 paediatric patients across nine countries, were included. The pooled MDRPI incidence was 11.0 % (95 % CI: 5.2 %–22.0 %), and prevalence was 12.6 % (95 % CI: 1.1 %–65.8 %), both with substantial heterogeneity. Neonatal and Paediatric Intensive Care Units (NICUs/PICUs) exhibited the highest incidence (15.3 %/12.9 %). Key risk factors included younger age, low birth weight, immobility, multiple devices, and prolonged hospitalization. Respiratory support devices, monitoring equipment, and vascular access lines were frequently implicated.</div></div><div><h3>Conclusions</h3><div>MDRPIs pose a considerable burden on paediatric inpatients, especially in intensive care. This review provides updated epidemiological estimates, delineates key risk factors, and identifies common causative devices, highlighting the need for targeted preventive nursing strategies to improve patient safety.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100966"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors of dependence-related skin lesions in neonatal units: A multicentre study across Spanish hospitals","authors":"Evelin Balaguer López ,&nbsp;Isabel María Mora Morillo ,&nbsp;Pablo Buck Sainz-Rozas ,&nbsp;María Carmen Rodríguez Dolz ,&nbsp;Laura Plá Marzo ,&nbsp;Pablo Garcia Molina","doi":"10.1016/j.jtv.2025.100945","DOIUrl":"10.1016/j.jtv.2025.100945","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to obtain updated epidemiological indicators of dependence-related skin lesions (DRSLs) in neonatal units of Spanish hospitals and to analyze preventive interventions and risk factors associated with DRSL development.</div></div><div><h3>Materials and methods</h3><div>A multicentre, observational, cross-sectional prevalence study was conducted across three data collection phases in 12 Spanish hospitals with neonatal units, and included 398 hospitalised neonates. Data collection was based on direct observation, clinical record review, and caregiver interviews. The Neonatal Skin Risk Assessment Scale (e-NSRAS) was used to assess DRSL risk. Demographic variables, risk factors, and preventive measures were also analyzed.</div></div><div><h3>Results</h3><div>DRSL prevalence was 29.4 %. Moisture-related lesions (18.6 %) were the most common, especially in intermediate care, followed by pressure injuries (13.07 %), more prevalent in intensive care, and friction-related lesions (3.02 %). Non-invasive mechanical ventilation and urinary catheterisation were significantly associated with DRSL occurrence. Additionally, 34 % of neonates were classified as at risk of pressure injuries.</div></div><div><h3>Discussion</h3><div>A high DRSL prevalence was observed among hospitalised neonates, exceeding rates reported in other national and international studies. The e-NSRAS appears unsuitable for assessing all DRSL types. The use of multiple medical devices was associated with higher DRSL rates, and preventive measures were often applied late or inadequately. Study limitations include those typical of cross-sectional studies, such as representativeness, confounding factors, and sample size.</div></div><div><h3>Conclusion</h3><div>DRSLs are a prevalent issue in Spanish neonatal units. The development and implementation of targeted preventive measures, along with the adaptation of assessment tools, are critical for enhancing the quality of neonatal care.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100945"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role understanding of the interprofessional team in promoting movement for pressure ulcer prevention: An ethnographic study","authors":"Johanna Dreier ,&nbsp;Sandra Staudacher-Preite ,&nbsp;Hannah Bosshart ,&nbsp;Sabine Hübsch ,&nbsp;Peter Suter ,&nbsp;Eva-Maria Panfil","doi":"10.1016/j.jtv.2025.100936","DOIUrl":"10.1016/j.jtv.2025.100936","url":null,"abstract":"<div><h3>Background</h3><div>Interprofessional movement promotion is a key measure for preventing pressure ulcers. Although international guidelines emphasize the importance of interprofessional collaboration, it remains unclear what specific roles different professional groups assume in movement promotion and how they collaborate in clinical practice. Therefore, this study aimed to investigate the implementation of interprofessional movement promotion as well as the understanding, roles, and expectations of the involved healthcare professionals.</div></div><div><h3>Methods</h3><div>As part of qualitative rapid ethnography, we observed the clinical practice of pressure ulcer prevention in an acute care hospital by using an observation guide, informal interviews, field notes, and memos. Using purposive sampling, we included patients at risk of pressure ulcers and the health professionals caring for them, including nurses, physiotherapists, and physicians. The data analysis was based on interpretive description.</div></div><div><h3>Results</h3><div>We observed 8 patients at risk of decubitus ulcers with relatives and 52 professionals from nursing, physiotherapy, and the medical profession during 30 observation sequences and a total of 80 h. We found uncertainties in the understanding of roles, responsibility for managing and controlling the process of movement promotion, and the involvement of patients and relatives. The involved professionals are convinced of the importance of interprofessional collaboration, but we did not observe corresponding implementation in practice.</div></div><div><h3>Conclusion</h3><div>The implementation of interprofessional movement promotion for pressure ulcer prevention in acute-care hospitals requires a binding, cross-hospital concept that defines the team composition, roles, and suitable communication channels to promote exchange.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100936"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing wound complication risk in maxillofacial injury patients: Insights from a cross-sectional debridement and suturing study","authors":"Yongle Shi ,&nbsp;Chenxin Huang ,&nbsp;Yanjun Diao ,&nbsp;Hanghang Liu ,&nbsp;Xiaohui Zhang ,&nbsp;Xian Liu","doi":"10.1016/j.jtv.2025.100951","DOIUrl":"10.1016/j.jtv.2025.100951","url":null,"abstract":"<div><h3>Aim</h3><div>This study focuses on wound complications after debridement and suture of maxillofacial injuries, aiming to accurately identify the risk factors and construct an effective prediction model.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in the emergency department of a tertiary dental hospital in southwest China from January to May 2024. Clinical data were obtained from patients who underwent debridement and suturing procedures for maxillofacial injuries under local anesthesia. Lasso regression was employed to identify risk factors, and binary logistic regression was utilized to construct the prediction model. The performance of the model was assessed based on accuracy, sensitivity, specificity, the receiver operating characteristic (ROC) curve, and the area under the curve (AUC).</div></div><div><h3>Results</h3><div>The incidence of postoperative wound complications was 25 % (196/783). Following Lasso regression analysis, 14 risk factors were identified. Subsequent binary logistic regression analysis, which included variables selected by the Lasso regression, revealed that wound complications were influenced by interval time between injury and visit (hours), endocrine disorder, accompanying caregiver, penetrating injury, tissue defect, duration of surgery (hours), anesthesia, and intraoperative cooperation of patients (p &lt; 0.05). The calibration curve of the predictive model demonstrated high consistency between predicted and actual probabilities, with an AUC of 0.73.(95 % CI: 0.682–0.763).</div></div><div><h3>Conclusions</h3><div>This study developed a predictive model for postoperative complications in maxillofacial trauma by incorporating key risk factors including injury-to-visit interval, endocrine disorder, penetrating injury status, and tissue defects. The model enables precise perioperative risk stratification and personalized clinical decision-making, providing essential evidence-based guidance for trauma management.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100951"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incidence of depression and its associated risk factors among diabetic foot ulcers patients: A meta-analysis and systematic review","authors":"Yuai Ying,&nbsp;Ying Lv,&nbsp;Hongfang Zhu,&nbsp;Yini Zhang,&nbsp;Xiaowen Fang","doi":"10.1016/j.jtv.2025.100964","DOIUrl":"10.1016/j.jtv.2025.100964","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to investigate the incidence of depression and its associated risk factors among patients with diabetic foot ulcers (DFU), thereby providing an evidence-based foundation to facilitate early clinical intervention strategies.</div></div><div><h3>Method</h3><div>A comprehensive computerized literature search was conducted to identify studies examining the incidence and/or risk factors of depression among patients with DFU. The retrieved literature was selected according to predefined inclusion and exclusion criteria. Meta-analysis was performed using Stata 18.0 software to assess the incidence of depression among DFU patients.</div></div><div><h3>Results</h3><div>A systematic review of the literature identified 19 eligible studies encompassing a total of 1369 patients. The incidence of depression among patients with DFU was 45 %. The subgroup analysis identified that age, the ulcer duration and Wagner ulcer classification were significant risk factors associated with depressive symptoms among DFU patients (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Depression has a high incidence among DFU patients. Clinical healthcare professionals should implement early, targeted interventions addressing relevant risk factors to mitigate its occurrence.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100964"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145409596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wound education opportunities for rural and regional health care sectors of Australia. A scoping review","authors":"Helen Donovan ,&nbsp;Ut T. Bui ,&nbsp;Kim Kaim ,&nbsp;Kathleen Finlayson ,&nbsp;Adelina Martinez ,&nbsp;Austin Dunlop ,&nbsp;Christina N. Parker","doi":"10.1016/j.jtv.2025.100959","DOIUrl":"10.1016/j.jtv.2025.100959","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this review was to examine the existing literature describing wound care education opportunities for healthcare professionals working in rural and regional areas of Australia.</div></div><div><h3>Design</h3><div>A scoping literature review was undertaken in December 2023, aligned with PRISMA-ScR guidelines, and searched academic databases and grey literature with no publication date limitations.</div></div><div><h3>Findings</h3><div>This scoping review identified limited wound care education programs tailored for rural and regional Australia. Most were delivered by nurses online or via video conferencing as an educational program to improve clinicians’ access to evidence-based knowledge. One program offered ongoing mentorship. Consistent positive outcomes included increased confidence among health professionals and improved quality patient care. None of the seven studies reviewed focused specifically on wound care for Indigenous populations.</div></div><div><h3>Discussion</h3><div>While there are wound care education opportunities, when reviewed against the National Rural and Remote Generalist Framework (2023), the specific needs of health care professionals managing the diversity of presenting wounds in rural and regional health care sectors has not been well described in the literature.</div></div><div><h3>Conclusion</h3><div>Despite a paucity of literature, anecdotally, there is a clear need for healthcare professional wound care education to be tailored to the specific issues in rural/regional areas.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100959"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the association between pressure ulcers and sitting in adults: What does it mean for all of us?","authors":"M. Stephens ,&nbsp;C.A. Bartley ,&nbsp;D.S. Chester Bessell ,&nbsp;C. Greenwood ,&nbsp;A. Marshall ,&nbsp;S. Neill ,&nbsp;S. Rooney ,&nbsp;S. Rose ,&nbsp;S.A. Scattergood ,&nbsp;P.R. Worsley","doi":"10.1016/j.jtv.2025.100937","DOIUrl":"10.1016/j.jtv.2025.100937","url":null,"abstract":"<div><div>This third version of the seating guidelines aims to deliver a practical guide, using the most up to date research and evidence on pressure ulcer prevention and management. This guide can be applied to adults who remain seated for extended periods of time across health and social care settings. In the UK, over 700,000 patients are affected by pressure ulcers each year; 180,000 of those are newly acquired and their treatment is estimated to cost the NHS £3.8 million every day. Therefore, guidelines that have been written for people living or working in health and social care are essential. Within the guidelines the authors explore how and where pressure ulcers develop when seated, the potential risk factors, the best possible seated position, ideal seating assessment, and who might be involved and what interventions can one expect after a seating assessment. The guidelines then go on to examine cushion and static chair selection, cushion covers, wheelchairs, and the use of tilt, recline, and elevating leg rests. Finally there is an examination of self-help strategies to prevent pressure ulcers, the key outcomes for those who remain seated for long periods and standards for procuring and testing cushions and static chairs.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100937"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of missed interventions on tissue injury outcomes identified via sub-epidermal moisture scanning","authors":"Carl Stewart Yuile ,&nbsp;Vicki Patton","doi":"10.1016/j.jtv.2025.100949","DOIUrl":"10.1016/j.jtv.2025.100949","url":null,"abstract":"<div><h3>Aim</h3><div>Sub-epidermal moisture scanning is an emerging tool for the early detection of hospital-acquired pressure injuries. However, the impact of missed interventions following high SEM readings remains underexplored. This study examined the relationship between intervention compliance, missed interventions, and ΔSEM improvement in patients in an intensive care unit and a rehabilitation unit.</div><div>Sub-epidermal moisture (SEM) scanning is a validated tool for the early detection of hospital-acquired pressure injuries (HAPIs). However, the impact of missed interventions following high SEM readings remains underexplored. This study examines the relationship between intervention compliance, missed interventions, and ΔSEM improvement in patients from an intensive care unit (ICU) and a rehabilitation unit.</div></div><div><h3>Methods</h3><div>This prospective observational study was conducted in a metropolitan ICU and a secondary rehabilitation unit in Australia. Daily SEM scanning was conducted alongside standard HAPI prevention measures. A ΔSEM value ≥ 0.6 triggered clinical interventions. Missed interventions were defined as the absence of additional care following a high ΔSEM reading. Descriptive and inferential statistics were used to explore associations between compliance and ΔSEM improvement.</div></div><div><h3>Results</h3><div>Among 229 patients, including 181 in the rehabilitation unit and 48 in the ICU, high ΔSEM values were observed in 75.5 % and 79.2 % of patients, respectively. SEM-guided interventions were associated with a 63 % reduction in HAPI incidence in the rehabilitation unit and improved ΔSEM outcomes in ICU patients. Three missed interventions resulted in persistent high ΔSEM values in ICU and four in the rehabilitation cohort indicating a potential critical window.</div></div><div><h3>Conclusion</h3><div>Timely interventions following high SEM readings are critical for improving tissue health and reducing HAPI risk. Further research should explore critical windows for responsive care in different patient cohorts. Scanning protocols and interventions should be tailored to specific clinical environments.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100949"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}