Jurnal Sains Kesihatan Malaysia最新文献

{"title":"Healthcare Professionals’ Standard Of Care During COVID-19 Pandemic","authors":"Haniwarda Yaakob, Tengku Noor Azira TENGKU ZAINUDIN, Mohd Zamre Mohd Zahir","doi":"10.17576/jskm-2023-2101-01","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-01","url":null,"abstract":"Since the beginning of the year 2020, Malaysia has been gravely affected by the COVID-19 pandemic where to date over four million of its population have been infected with the virus. At the time of writing this paper, the number of infections is still alarming. This situation undoubtedly places a strain on the healthcare system, particularly on healthcare professionals who have been entrusted to treat COVID-19 patients. Treating a high number of patients in an unprecedented situation may pose a challenge for doctors to fulfil their legal duties that arise from the usual doctor-patient relationship particularly in discharging the established standard of care imposed by the law. This is the main issue that this paper seeks to explore. In addition, this paper also examines doctors’ duty of care towards non-COVID-19 patients amidst limited medical resources and policy consideration that inevitably causes a delay in giving medical treatments and elective surgeries. In answering these questions, the method employed in this paper is qualitative analysis. In conclusion, it is suggested that keeping up to the established standard of care is crucial in maintaining public confidence in the medical profession and also to protect public health and welfare. Keywords: COVID-19 pandemic; Hospital Resources; Medical law; Negligence; Standard of Care.","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43736050","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":"Language Intervention for Late Talkers: The Experiences of Speech-Language Pathologists in Malaysia","authors":"N. H. Tukiran, Nor Azrita Mohamed Zain, Nurlin Ali Hanafiah","doi":"10.17576/jskm-2023-2101-03","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-03","url":null,"abstract":"A few studies have investigated the practise patterns of Malaysian speech-language pathologists (SLPs) when working with children with speech and language problems whose language intervention is necessary. However, these studies did not provide in-depth information about the SLPs' experiences as the studies were conducted quantitatively. Moreover, none of the studies focus on late-talkers (LTs), in which intervention for them can vary along a continuum from a wait/watch-and-see approach to direct intervention. Thus, this study aimed to explore SLPs’ experiences in managing LTs in Malaysia. Twelve SLPs participated in individual, semi-structured phone interviews. They were asked about their experiences in managing LTs. The interviews were recorded, transcribed, and a content analysis was performed. Two themes were identified; a) practises of SLPs and b) challenges faced by SLPs in managing LT cases. The practises of SLPs included conducting assessments, developing intervention plans, providing intervention, sharing information, giving homework, providing support, and managing appointments. The challenges faced were related to parents, other individuals close to LTs, LTs themselves, and resources. Although the SLPs’ practises aligned with the international standard of speech-language pathology service delivery, there is room for improvement, especially in collaborating with parents, as one-to-one direct interventions for LTs might not be suitable due to the challenges related to resources. In addition, a few suggestions related to centred-based care and trusted social media pages can be provided to parents to assist them outside therapy sessions besides initiating the development of awareness programs and information resources for parents and other caregivers. Keywords: Late talkers, language intervention, Malaysian speech-language pathologist, practise, challenges","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43604358","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":"Sex Determination Using Direct Photography Technique: a Mobile-phone Camera: A Digital Approach for Lip Prints Analysis in Malaysian Malay Population (Klang Valley)","authors":"N. Hamzah, Yee Ze Goh, Gina Francesca Gabriel, Khairul Osman, Nurulhikma Md Isa","doi":"10.17576/jskm-2023-2101-10","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-10","url":null,"abstract":"Cheiloscopy may not be as well-known as other techniques of identification, such as fingerprint or DNA analysis, but it has its own impact in the appropriate circumstances. Cheiloscopy has been recognized as an important tool for human identification. A manual approach of studying lip prints was utilised by many researchers (magnifying glasses). Nonetheless, the current study relied solely on a mobile phone camera to visually capture lip prints for sex determination. 377 samples of lip prints were analysed with Adobe Photoshop software and classified into six different types of lip print patterns, according to Suzuki and Tsuchihashi classifications. Lip prints were divided into six sections including upper left, upper middle, upper right, lower left, lower middle and lower right. Pearson's Chi-square test revealed significant differences between male and female lip prints (p < 0.05) among the Malaysian Malay population of the Klang Valley, with Type V (irregular pattern) lip prints being the most prevalent. In comparison to magnifying glasses, our studies proved the ability to record and examine lip prints utilising a digital approach. Keywords Cheiloscopy, Suzuki and Tsuchihashi classification, sex determination, lip print, direct photograph technique, digital","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42011359","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":"Identifying Opportunities for Peer-Assisted Learning In Speech Language Therapy Clinical Education","authors":"H. Mohd Ibrahim, Nurul Atikah Mohd Shafri, J. Tai","doi":"10.17576/jskm-2023-2101-06","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-06","url":null,"abstract":"Peer-assisted learning (PAL) is a potential approach for clinical education that can reduce the burden of clinical supervision and enhance learning. This study aims to identify opportunities for PAL through investigating how speech language therapy students perceive and already participate in PAL within a range of clinical practicum settings. The Speech Sciences students across all years at one institution were invited to participate in a cross-sectional survey that was adapted and revised from Tai et al. (2014). Speech Sciences students reported they applied PAL as part of their learning strategy in their clinical practicums, but still relied on supervisors as the main source of. PAL occurred more frequently in contexts where students already had some clinical experience and spent substantial amounts of time together. Students agreed that PAL enhanced their learning and emphasized a few advantages of PAL, such as having the opportunity to share their ideas, experiences, and knowledge, and providing a positive learning environment without pressure. Confidence to provide information or feedback to peers was cited as a shortcoming in PAL. PAL is a viable teaching approach that can be used in speech-language therapy clinical education program to reduce the supervisory burden. The findings from our study show that PAL is largely self-initiated among speech-language therapy students. However, PAL must be tailored to suit different clinical education year levels and clinical settings to benefit. Case discussion may be one area where scaffolded PAL activities could represent a feasible first step to increasing PAL. Keywords Peer-assisted learning, speech-language therapy, clinical education, clinical supervision.","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42170287","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":"Perception of Malaysian Dental Practitioner on the provisional COVID-19 Guidelines in the Dental Practice: A Cross-Sectional Study","authors":"Nurul Haini Najwa Mohamd Mahmod, Raja Nur Nabiha Raja Amir Hamzah, Nor Faharina Abdul Hamid, A. Jaafar","doi":"10.17576/jskm-2023-2101-08","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-08","url":null,"abstract":"Following the COVID-19 outbreak, the World Health Organization issued provisional guidelines to address considerations for essential oral health services in the pandemic situation. Compliance with the guidelines is essential to curb the potential spread of infection within a dental practice. This study aimed to assess the perception of Malaysian dental practitioners towards exercising the provisional COVID-19 dental practice guideline during the early phase of the pandemic. A self-administered questionnaire of a structured type consisting of demographic information and dentist perceptions of the provisional guidelines of dental care during the COVID-19 outbreak was distributed online from May 2021 until August 2021 through various social networking platforms among dental practitioners working at different healthcare sectors in all states in Malaysia. A total of 468 dental practitioners responded to this study. More than three-quarters of the respondents were working in public dental care facilities (76.3%, n=357). The majority of respondents adhered to the provisional guidelines issued during the pandemic outbreak and exhibited a change in standard clinical practice (p<0.001). Dental practitioners working in public sectors perceive that swab tests prior to dental appointments should be mandatory, the reopening of dental clinics increases the risk of spread and the provisional guidelines of COVID-19 in dental practice will be changed in the future compared to private dental practitioners (p<0.001). The majority of dental practitioners in Malaysia have complied with the provisional guidelines imposed by the health bodies. As the COVID-19 virus will persist and become endemic in our communities, it is important to balance the safety issue and patient oral health needs. Keywords Attitude; COVID-19 guidelines; Dental practitioner; Malaysia; Perception","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44843033","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":"Assessments of Aphasia: Practices and Challenges faced by Malaysian Speech-Language Therapists","authors":"F. H. Hassan, Pei Whey Heng, Rahayu Mustaffa Kamal, Susheel Joginder Singh","doi":"10.17576/jskm-2023-2101-05","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-05","url":null,"abstract":"Aphasia assessment is crucial in diagnosing aphasia, determining the extent of language impairment, and identifying factors that may support or restrict aphasia recovery to design an appropriate plan of care for people with aphasia. Speech-language therapists (SLTs) play a major role in conducting aphasia assessments. Little is known about the practices of SLTs in assessing aphasia in low-resource regions. The present study aims to identify aphasia assessment practices among Malaysian SLTs and related challenges, as well as strategies for improving aphasia assessments from SLTs’ perspectives. A total of 32 SLT participants who have been practicing in Malaysia completed an online survey to gather their background information, data pertaining to practices and challenges in conducting aphasia assessments, and suggestions for improving aphasia assessments. Descriptive analyses were conducted for all numerical data. Suggestions for improving aphasia assessment practices were analysed qualitatively using the thematic content analysis approach. SLT practices in aphasia assessment were found to be consistent in certain aspects, but not all. Two major challenges were identified: (a) linguistic barriers between clinicians and clients/caregivers, and (b) a lack of standardized assessment tools for aphasia evaluations. Participants suggested “Internal Strategies” and “External Strategies” for improving aphasia assessment practices. Keywords:aphasia; clinical practices; Malaysia; speech-language therapists","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48225820","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":"Periodontitis Patients’ Oral Health Experience and Quality of Life during the Malaysian Movement Control Order-2020","authors":"Nur Adila Mohd Norwir, Ke Xin Seah, Rhea Meisha Lee, Tuti Ningseh Mohd Dom, Shahida Mohd Said","doi":"10.17576/jskm-2023-2101-07","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-07","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) has sparked concerns among dental patients due to its high infectivity. The implementation of the Movement Control Order in 2020 by the Malaysian government (MMCO-2020) has added constraints to access to dental clinics and may affect the patients’ status of oral disease. This study aims to investigate the impact of MMCO-2020 on the periodontal health and oral health-related quality of life (OHRQoL) of periodontitis patients with/out non-communicable diseases (NCDs). A cross-sectional study involving 139 patients with periodontitis was conducted to assess patients’ OHRQoL, oral health problems, and their perceived barriers to access dental treatment during MMCO-2020 using the Oral Health Impact Profile (OHIP-14) and questionnaire on oral health-related problems. The overall mean OHIP-14 score was relatively low (10.08 ± 8.861), suggesting that the OHRQoL is generally good during MMCO-2020. However, 44 (31.7%) periodontitis patients score ADD =14, indicating poorer oral health status and greater dental treatment needed. There was statistically significant association between periodontitis patients with comorbidities (i.e., presence of NCDs) with poorer OHIP-14 scores and mean plaque score changes at pre- and post-MMCO, suggesting that special care is required by this group, even during the national lockdown. Of the 45 (32.4%) patients who reported having problems, most (30, 36.1%) decided to “visit the dentist for treatment’. Meanwhile, the most frequent barriers were “could not get an appointment” (14, 34%), “problem is not serious” (13, 39.4%) and “fear of COVID” (9, 27.3%). The MMCO-2020 restrictions on the population had a minimal negative impact on the OHRQoL of patients with periodontal disease, but provisions can be arranged to address the basic and urgent needs of selected periodontitis patients, especially those presented with medical comorbidities. Keywords: COVID-19, Dental Health Services, pandemic, Oral Health, barriers","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42947465","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 6-week Circuit Training on Anaerobic Performance and Simple Reaction Time in Individuals with Intellectual Disability (ID) in Kelantan State","authors":"Nurul Azuar Hamzah, N. S. Ahmad, Farah Izzazaya Mohd Fariq, Nur Shamimi Izzaty Ariffin","doi":"10.17576/jskm-2023-2101-09","DOIUrl":"https://doi.org/10.17576/jskm-2023-2101-09","url":null,"abstract":"Participation in exercise benefits health and fitness among Intellectual Disability (ID) individuals. Circuit training is one of the exercise programme that can be tailored by manipulating the intensity, time and types of exercise. The purpose of the present study is to examine the effects of six weeks of circuit training on anaerobic fitness and simple reaction time in ID individuals. Thirty participants with mild to moderate ID were selected from individuals who are registered with the Pusat Pemulihan dalam Komuniti (PDK) and Yayasan Orang Kurang Upaya (YOKUK) in the Kelantan state. Participants were randomly divided into Circuit Training and Control groups. Participants in Circuit Training group followed a circuit training exercise programme, two times per week for six weeks, whereas participants in Control group were not involved in circuit training and carried out their regular activities. The anaerobic peak power was significantly decreased (. < 0.001) in Control group after six weeks. The anaerobic power of post-test was significantly improved (p = 0.042) from the pre-test in Circuit Training group and it was also significantly higher (p = 0.001) than Control group. There were no significant differences for the anaerobic capacity and simple reaction time between and within groups. Circuit training can be conducted to enhance anaerobic power in ID individuals, however longer participation may be needed to improve anaerobic capacity and simple reaction time. Keywords: Anaerobic performance; Circuit training; Reaction time","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48918107","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":"Gender-Specific Age-Related Changes in Physical Performance, Physical Activity And Anthropometry Status Among Community-Dwelling Older Persons With And Without Mild Cognitive Impairment: A Prospective Study","authors":"Rajwinder Kaur HARDEV SINGH, Devinder Kaur Ajit Singh, S. Shahar","doi":"10.17576/jskm-2022-2002-11","DOIUrl":"https://doi.org/10.17576/jskm-2022-2002-11","url":null,"abstract":"In this study, we aimed to determine gender specific age-related decline in anthropometry status, physical performance (PP) and physical activity (PA) in older persons with and without mild cognitive impairment (MCI) prospectively over 3 years. Within-group changes across three time points (baseline-Wave 1, 18 months-Wave 2, 36 months-Wave 3) based on gender and cognitive status were determined. Data was collected at Wave 3 of a longitudinal study: “Neuroprotective Model for Health Longevity among Elderly”. Secondary data from Wave 1 and 2 was obtained for analysis. Older persons with MCI were categorised to have subjective memory problems (answered ‘yes’ on item 10 of Geriatric Depression Scale), scored at least 1.5 SD below mean average on Rey Auditory Verbal Learning Test and Digit Span, no dementia, no problems with activities in daily living, intact global cognition (>19/30: Mini Mental State Examination) and without depression (Geriatric Depression Scale 15-items,≤4). Anthropometry measurements and a battery of PP tests were performed. PA was measured using Physical Activity Scale for the Elderly questionnaire. Data from 779 older persons (67.7 ± 5.3 years) consisting of 372 men (68.0 ± 5.2 years) and 407 women (67.4 ± 5.4) who completed all tests from Wave 1 to Wave 3 were analysed. There was a decline in PP (-0.7% to -14.1% per year), PA levels (-0.7% to -14.1% per year) and anthropometry status (-0.1% to -6.3% per year), except for percentage body fat (+9.9% per year) with advancing age. Within-group changes over the three years showed significant differences (p<0.05) in height and PA in non-MCI and MCI men and lower body flexibility in non-MCI and MCI women. Specifically, tailored physical and nutritional health prevention and promotion strategies for older persons based on gender and cognitive status may be beneficial to support person-centered care. Keywords: aged, ageing, cognition, cognitive dysfunction, physical performance impairment","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45209084","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":"Food Intake in Relation to Obesity and Subjective Cognitive Complaints: A Crosssectional Study from Nigeria","authors":"Olusegun EMMANUEL OGUNDELE, Adeyemi ABAYOMI AWOFALA, Adebola DANIEL AWOFODU, Folasade TINUADE OJO","doi":"10.17576/jskm-2022-2002-08","DOIUrl":"https://doi.org/10.17576/jskm-2022-2002-08","url":null,"abstract":"There is evidence from research that dietary lifestyle influences health and mental well-being but there is limited understanding of the mechanism in Nigerian adult population. This study evaluated association of food intake with obesity and subjective cognitive complaints (SCCs) in Nigerian adults. We carried out a cross-sectional study of 1338 random samples aged 18-87 years who were visiting six different public hospitals in the southwest Nigeria between March 2016 and April 2016. Standard food frequency questionnaire (FFQ) and SCC questionnaire were used while anthropometric data were measured using standard clinical procedures. Associations were determined by linear and unconditional logistic regressions, after adjustment for age, ethnicity, education, gender, marital status, family type, alcohol and smoking status. Consumption of four different foods was significantly associated with SCC while one food intake was significantly associated with obesity measure (i.e., body mass index): meat product (Adjusted Odds Ratio (AOR), 1.002; 95% Confidence Interval (CI), 1.001-1.004; P <.0001), and sugary snacks (AOR, 1.007; 95% CI, 1.002-1.011; P <.01) were associated with increased SCCs whereas consumption of cereal products (AOR, 0.999; 95% CI, 0.998-1.000; P <.01) and potatoes (AOR, 0.998; 95% CI, 0.996-1.000; P <.05) were associated with decreased levels of SCCs. Consumption of non-alcoholic beverages was associated with decreased BMI levels (AOR, 0.998; 95%CI, 0.997-1.00; P <.05). Linear regression analyses on these data largely recapitulated the results. In conclusion, consumption of cereals, potatoes and non-alcoholic beverages appear beneficial to health and the findings could serve as an intervention strategy for tackling SCCs and obesity. Keywords: Food intake; subjective cognitive complaints; BMI, obesity; Nigeria","PeriodicalId":17686,"journal":{"name":"Jurnal Sains Kesihatan Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67641027","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}