Journal of the Turkish German Gynecological Association最新文献

{"title":"Tips and tricks for adnexal lifting and mobilisation during laparoscopic cystectomy","authors":"Christos Iavazzo, Ioannis D Gkegkes","doi":"10.4274/jtgga.galenos.2022.2022.8-8","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022.8-8","url":null,"abstract":"","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135598824","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 impact of developmental genes in non-syndromic cleft lip and/or palate","authors":"Nihal Şahin Uysal,&nbsp;Feride İffet Şahin,&nbsp;Yunus Kasım Terzi","doi":"10.4274/jtgga.galenos.2022.2021-10-7","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2021-10-7","url":null,"abstract":"<p><p>Non-syndromic cleft lip and/or palate (NSCL/P) is a congenital malformation with a prevalence of 1:700 births. It has a multifactorial etiology. Human craniofacial development takes place during the first 10 weeks of pregnancy. Normal craniofacial development arises from the convergence and fusion of the facial and palatal processes and involves interactions between genes that regulate cell growth, proliferation, differentiation, epithelial-to-mesenchymal transition, and apoptosis. Whole genome/exome analysis, and also genome-wide association studies give us to chance to identify the genetic factors which contribute to the development of NSCL/P. After detecting a cleft lip and/or palate on ultrasonography without associated anomalies, the patient should be evaluated in collaboration with a clinical geneticist, taking into account the many genes and environmental factors involved in NSCL/P etiopathogenesis, and a roadmap for possible genetic diagnosis should be drawn.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/9e/JTGGA-24-57.PMC10019015.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9187572","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}

{"title":"What is your diagnosis?","authors":"Latika Chawla,&nbsp;Ankita Yadav,&nbsp;Mamta Sah,&nbsp;Shilpa Panta,&nbsp;Nevetha Ravichandran,&nbsp;Ria M,&nbsp;Shalini Rajaram","doi":"10.4274/jtgga.galenos.2022.2022-6-13","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022-6-13","url":null,"abstract":"A 38-year-old lady presented with a painful swelling in the umbilicus, together with a history of increased pain and bleeding from the swelling at the time of menstruation for the last seven months. Her menstrual cycles were regular, with average flow and no dysmenorrhea. She had two living children, both were delivered vaginally. There was no history of pelvic pain, infertility, treatment for infertility, pelvic/abdominal surgery, or caesarean section. Examination revealed a 1.0x0.5 cm firm, tender, reddish-blue colored nodular swelling in the abdominal wall, located just inferior to the umbilical ring with well-defined margins and a regular surface (Figure 1). Pelvic examination was essentially normal with a multiparous-sized uterus that was anteverted, mobile, and non-tender. Both fornices were free and non-tender. The rectovaginal septum was free and there were no nodules in the pouch of Douglas. Ultrasound revealed a well-defined, hetero-echoic lesion with a peripheral rim of colour lying infra-umbilically, superficial to the rectus sheath. The same lesion appeared hyperintense on T1/T2 magnetic resonance imaging (MRI) with post-contrast enhancement. The abdomen and pelvis were found to be normal on MRI. The patient was taken up for surgical excision of the nodule. Radical omphalectomy was performed. A peri-umbilical incision was made. Umbilicus, underlying nodule, and the surrounding area of fibrosis were dissected with a 5 mm clear margin using diathermy (Figure 2). The patient is on follow-up and is free of the disease at 18 months after surgery.","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/51/JTGGA-24-74.PMC10019007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9187574","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}

{"title":"Pediatric and adolescent gynecology- a current overview","authors":"Veronika Günther,&nbsp;Maret Bauer,&nbsp;Karin Maass-Poppenhusen,&nbsp;Nicolai Maass,&nbsp;Ibrahim Alkatout","doi":"10.4274/jtgga.galenos.2022.2022-5-4","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022-5-4","url":null,"abstract":"<p><p>In pediatric and adolescent gynecology we encounter a number of diseases that occur solely during a specific phase of physical development. The diseases need some experience in the field, as well as an accurate diagnosis and are therefore often diagnosed somewhat late. The separation and traction technique is a painless method of inspecting the child’s genitals. It is also effective and easy to perform. In contrast to a routine investigation in adults, very specific diagnostic questions require the insertion of a speculum, vaginoscopy, taking swabs for analysis, ultrasound investigations, or blood sampling in children. A number of diseases that occur frequently in prepubertal girls will be discussed. The etiology, clinical characteristics, treatment and prognosis of the following diseases will be addressed in detail: vulvovaginitis, lichen sclerosus, labial adhesions, ovarian torsion, abnormal uterine bleeding, uterine fibroids, and hypertensive disorders of pregnancy.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/19/JTGGA-24-65.PMC10019018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9482592","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}

{"title":"Barriers to the HPV vaccination program in the Eastern Mediterranean region: a narrative review","authors":"Sevil Hakimi,&nbsp;Faris Lami,&nbsp;Leil Allahqoli,&nbsp;Ibrahim Alkatout","doi":"10.4274/jtgga.galenos.2022.2022-6-6","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022-6-6","url":null,"abstract":"<p><strong>Objective: </strong>The human papillomavirus (HPV) vaccine is regarded as one of the most effective ways of preventing cervical cancer. Despite the massive burden of this disease, only two countries in the Eastern Mediterranean Region (EMR) have implemented a national HPV vaccination program. The aim of the present study was to assess the main barriers to the integration of HPV vaccination in the national vaccination programs of EMR countries.</p><p><strong>Material and methods: </strong>We performed a narrative review with no inclusion and exclusion criteria. The electronic databases we searched included Medline, Scopus, Embase, and Web of Science (last update; December 2021). The search was not subject to any limitation in terms of time or method. Studies that dealt with the obstacles or the needs of vaccination programs in EMR countries were included in the investigation.</p><p><strong>Results: </strong>After a full-text screening, the report comprised of 31 studies from 15 EMR countries. All of the studies were descriptive. The most common barriers to HPV vaccination are the following: a) lack of knowledge and awareness, b) economic barriers in terms of the cost-effectiveness of the HPV vaccination program, c) social insecurity in conflict zones, d) cultural norms and religion.</p><p><strong>Conclusion: </strong>EMR countries should focus on modifiable barriers to the vaccination program. Steps to improve HPV vaccination coverage in these countries should include enhancing social awareness and mobilization, ensuring the support of the Global Alliance for Vaccines and Immunization in eligible countries, using national resources in an optimal way, and addressing HPV vaccination in undergraduate medicine and paramedic curriculums.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/09/JTGGA-24-48.PMC10019013.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9123043","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}

{"title":"The course of infection with the Delta variant of COVID-19 in pregnancy: analysis of clinical, laboratory, and neonatal outcomes","authors":"Mehmet Rifat Göklü,&nbsp;Süleyman Cemil Oğlak,&nbsp;Zeynep Gedik Özköse,&nbsp;Şeyhmus Tunç,&nbsp;Gökhan Bolluk","doi":"10.4274/jtgga.galenos.2022.2022-6-8","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022-6-8","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the effects of infection with the Delta variant of coronavirus disease-2019 (COVID-19) on the clinical course, laboratory parameters, and neonatal outcome in pregnant women.</p><p><strong>Material and methods: </strong>A total of 96 pregnant women who tested positive for the Delta variant of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) causing COVID-19 were retrospectively examined. The pregnant women were divided into three groups: Asymptomatic; non-severe; and severe. Age, obstetric history, symptoms and findings, blood tests, medication and vaccination history, clinical course, and perinatal outcome of pregnant women were analyzed.</p><p><strong>Results: </strong>Pregnant women who tested positive for the Delta variant of SARS-CoV-2 had an intensive care unit (ICU) admission rate of 9.4% and a mortality rate of 5.2%. Pregnant women in the severe disease group had significantly higher rates of preterm birth and cesarean section compared with the non-severe and asymptomatic group. Pregnant women in the severe group had high C-reactive protein (CRP) levels at the time of admission. White blood cell count (WBC) and procalcitonin levels were increased in clinical follow-up in women in the severe group.</p><p><strong>Conclusion: </strong>The Delta variant of SARS-CoV-2 was found to increase mortality rates in pregnant women compared to pre-Delta variants of COVID-19. In pregnant women infected with the Delta variant, advanced gestational age at diagnosis, high CRP, WBC, and procalcitonin levels were significantly correlated with poor prognosis. Pregnant women infected with the Delta variant and with severe COVID-19 had an increased risk for preterm delivery and cesarean section. Although newborns of women with severe disease were found to have significantly higher rates of ICU admission, there was no significant difference in neonatal mortality rates. We recommend close monitoring of CRP, WBC, and procalcitonin levels, in addition to symptoms, in pregnant women infected with the Delta variant of SARS-CoV-2 and diagnosed in the third trimester.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/54/JTGGA-24-33.PMC10019012.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9123044","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}

{"title":"Tips and tricks for adnexal lifting and mobilisation during laparoscopic cystectomy","authors":"Christos Iavazzo,&nbsp;Ioannis D. Gkegkes","doi":"10.4274/jtgga.galenos.2022.2022-8-8","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022-8-8","url":null,"abstract":"©Copyright 2023 by the Turkish-German Gynecological Education and Research Foundation Available online at www.jtgga.org Journal of the Turkish-German Gynecological Association published by Galenos Publishing House. DOI: 10.4274/jtgga.galenos.2022.2022-8-8 Address for Correspondence: Ioannis D. Gkegkes e.mail: ioannisgkegkes@gmail.com ORCID: 0000-0001-8637-5679 Received: 31 August, 2022 Accepted: 30 December, 2022 To the Editor, We read the article entitled “Ovarian suspension loop: an assembled device for ovarian lifting and immobilization during laparoscopic cystectomy” by Tahermanesh et al. (1) with a great deal of interest. During laparoscopic cystectomy, lifting and immobilisation of the adnexa is essential. This should be performed in way that minimizes injury to the utero-ovarian and/or infundibulo-pelvic ligament or the ovary and tube themselves. We would like to congratulate the authors for their brilliant idea, as their technique is cheap, easily reproducible and safe. We would also like to highlight similar approaches in order to achieve lifting and immobilization of the adnexa. Recently, Chatzipapas et al. (2) proposed laparoscopic cystectomy in a bag using temporary sutures that pass through the abdominal wall and under the brim of the Endo BagTM. By this means, the cyst-harboring adnexa is stabilized by placing the suture string below it. Moreover, in laparoscopic ovarian cystectomy, suturing the infundibulo-pelvic ligament is a good idea, but by using an Endo BagTM for this purpose the overall cost of the treatment is increased. If the patient is not willing to bear the extra expenses, then the use of umbilical tape can be proposed, which in comparison with an Endo BagTM is much cheaper. Similarly, Thompson et al. (3) used the Carter-Thompson CloseSure System for ovarian suspension. Another option could be the use of T’LIFT adnexa retraction and suspension (4). Interestingly, a recent study reviewed the safety and efficacy of temporary ovarian suspension using absorbable sutures (5). No intraoperative complications, including bleeding, infection, haematoma or bowel herniation, were reported in the study, while fertility and delivery rates were not affected (5). It should also be highlighted that the adnexa can be identified in its anatomical location after the suture’s absorption.","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/03/JTGGA-24-79.PMC10019008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9123041","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}

{"title":"Optic nerve sheath diameter measurements using ultrasonography to diagnose raised intracranial pressure in preeclampsia: an observational study","authors":"Jhuma Biswas,&nbsp;Nasima Khatun,&nbsp;Rakhi Bandyopadhyay,&nbsp;Namrata Bhattacharya,&nbsp;Arghya Maitra,&nbsp;Sayan Mukherjee,&nbsp;Swarnakamal Mondal","doi":"10.4274/jtgga.galenos.2022.2022-3-3","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2022-3-3","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the incidence of raised intracranial pressure (ICP) as evident by enlarged optic nerve sheath diameter (ONSD) by ocular ultrasound among patients with preeclampsia and its relationship to severity of disease.</p><p><strong>Material and methods: </strong>Sixty pregnant mothers with preeclampsia were compared to 30 normotensive, uncomplicated pregnant controls. For ONSD measurement, a 7-MHZ linear probe was used and three values from each optic nerve were taken and the mean of six values of both eyes was recorded. All study subjects were followed until seven days after delivery.</p><p><strong>Results: </strong>Two cut off values (5.8 mm and 4.6 mm) were used to compare ONSD in severe and non-severe preeclampsia with that of healthy pregnant individuals. The incidence of raised ICP among severe preeclampsia above 5.8 mm and 4.6 mm cut-off were 43.3% and 90%, respectively, before delivery. ONSD was significantly elevated among preeclampsia subjects at both cut-off values at pre-delivery (p=0.004 for ONSD >5.8 mm and p<0.001 for ONSD >4.6 mm) compared to controls. There a significant association between presence of neurological manifestations and enlarged ONSD (p<0.001 for ONSD >5.8 mm and p=0.04 for ONSD >4.6 mm) before delivery.</p><p><strong>Conclusion: </strong>Severe preeclampsia with neurological features was associated with increased ONSD, reflecting raised ICP. Further studies are needed to compare ONSD values with invasive ICP monitoring for better understanding of this relationship.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/16/JTGGA-24-5.PMC10019004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9187573","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}

{"title":"Can prenatal renal pelvicalyceal echogenic foci support the diagnosis of cystinuria?","authors":"Erdal Şeker,&nbsp;Hasan Süt,&nbsp;Seçkin Özışık,&nbsp;Acar Koç","doi":"10.4274/jtgga.galenos.2022.2021-11-5","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2022.2021-11-5","url":null,"abstract":"<p><p>Cystinuria is an inherited disease caused by a defect in renal and intestinal tubular transport affecting cystine and dibasic amino acids (lysine, ornithine and arginine). It is transmitted as an autosomal recessive disease. On fetal ultrasound, the colon is usually seen as hypoechoic or isoechoic. Antenatal hyperechoic appearance of the fetal colon was previously considered as a normal variant. However, recent studies have shown that hyperechoic colon is associated with cystinuria. We present a case of cystinuria, who was referred to us due to fetal hyperechogenic colon at 32 weeks of gestation. Additional fetal pericalyceal echogenic focal structures were observed on ultrasonography. The diagnosis of cystinuria was confirmed in the postnatal period.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/d6/JTGGA-23-327.PMC9743348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10403333","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}

{"title":"The efficacy, acceptability and continuation of postpartum, post-abortive progestin-only pill: a pioneering prospective multicentric study from Turkey","authors":"Berna Dilbaz,&nbsp;Mehmet Bülbül,&nbsp;Serdar Dilbaz,&nbsp;Nafiye Yılmaz,&nbsp;Sema Sanisoğlu","doi":"10.4274/jtgga.galenos.2021.2021-0004","DOIUrl":"https://doi.org/10.4274/jtgga.galenos.2021.2021-0004","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the efficacy, side-effects and continuation rate of the desogestrel-progestin-only-pill (POP) in postpartum and post-abortive Turkish women and its relation with breast-feeding.</p><p><strong>Material and methods: </strong>In this prospective multicentric study women who delivered (or had surgical abortion) and wanted to receive POP for contraception were recruited to the study. The follow-up visits were scheduled at the third, sixth and ninth months.</p><p><strong>Results: </strong>Overall A total of 7,468 women (66.5% postpartum, 33.5% post-abortive) participated in the study. The number of women who attended follow-up visits in relation to the previous visit at the third, sixth and ninth months was 944/7,468 (12.6%), 406/944 (43%) and 121/406 (29.8%) respectively. The incidence of breastfeeding at all visits was between 54.8% and 68.4%. Out of the 7,468 women recruited only 6% continued with the method at the end of the ninth month. There was a statistically significant increase in hemoglobin level at the third month compared to initial values. Oligomenorrhea, spotting and headache were the three leading side-effects. There was no pregnancy among the patients who were followed up.</p><p><strong>Conclusion: </strong>This study demonstrated that POP was an effective postpartum and post-abortive contraceptive method that had no negative impact on breast-feeding. A change in bleeding patterns was the most common side-effect. However, the possible causes of low contraceptive maintenance rates need to be investigated.</p>","PeriodicalId":17440,"journal":{"name":"Journal of the Turkish German Gynecological Association","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/f7/JTGGA-23-255.PMC9743347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10449170","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}