Gijnovefa Kola , Eriko Hamada , Rishi R. Dhingra , Frank J. Jacono , Thomas E. Dick , Denise Dewald , Kingman P. Strohl , Thomaz Fleury-Curado , Mathias Dutschmann
{"title":"Persistent glossopharyngeal nerve respiratory discharge patterns after ponto-medullary transection","authors":"Gijnovefa Kola , Eriko Hamada , Rishi R. Dhingra , Frank J. Jacono , Thomas E. Dick , Denise Dewald , Kingman P. Strohl , Thomaz Fleury-Curado , Mathias Dutschmann","doi":"10.1016/j.resp.2024.104281","DOIUrl":"10.1016/j.resp.2024.104281","url":null,"abstract":"<div><p>Shape and size of the nasopharyngeal airway is controlled by muscles innervated facial, glossopharyngeal, vagal, and hypoglossal cranial nerves. Contrary to brainstem networks that drive facial, vagal and hypoglossal nerve activities (FNA, VNA, HNA) the discharge patterns and origins of glossopharyngeal nerve activity (GPNA) remain poorly investigated. Here, an <em>in situ</em> perfused brainstem preparation (n=19) was used for recordings of GPNA in relation to phrenic (PNA), FNA, VNA and HNA. Brainstem transections were performed (n=10/19) to explore the role of pontomedullary synaptic interactions in generating GPNA. GPNA generally mirrors FNA and HNA discharge patterns and displays pre-inspiratory activity relative to the PNA, followed by robust inspiratory discharge in coincidence with PNA. Postinspiratory (early expiratory) discharge was, contrary to VNA, generally absent in FNA, GPNA or HNA. As described previously FNA and HNA discharge was virtually eliminated after pontomedullary transection while an apneustic inspiratory motor discharge was maintained in PNA, VNA and GPNA. After brainstem transection GPNA displayed an increased tonic activity starting during mid-expiration and thus developed prolonged pre-inspiratory activity compared to control. In conclusion respiratory GPNA reflects FNA and HNA which implies similar function in controlling upper airway patency during breathing. That GPNA preserved its pre-inspiratory/inspiratory discharge pattern in relation PNA after pontomedullary transection suggest that GPNA premotor circuits may have a different anatomical distribution compared HNA and FNA and thus may therefore hold a unique role in preserving airway patency.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"327 ","pages":"Article 104281"},"PeriodicalIF":1.9,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140961633","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}
James Manifield, Charikleia Alexiou, Dimitrios Megaritis, Katherine Baker, Nicola Adams, Gill Barry, Ioannis Vogiatzis
{"title":"Effects of inspiratory muscle training on thoracoabdominal volume regulation in older adults: A randomised controlled trial","authors":"James Manifield, Charikleia Alexiou, Dimitrios Megaritis, Katherine Baker, Nicola Adams, Gill Barry, Ioannis Vogiatzis","doi":"10.1016/j.resp.2024.104278","DOIUrl":"10.1016/j.resp.2024.104278","url":null,"abstract":"<div><h3>Objectives</h3><p>We investigated the effect of inspiratory muscle training (IMT) on inspiratory muscle strength, functional capacity and respiratory muscle kinematics during exercise in healthy older adults.</p></div><div><h3>Methods</h3><p>24 adults were randomised into an IMT or SHAM-IMT group. Both groups performed 30 breaths, twice daily, for 8 weeks, at intensities of ∼50 % maximal inspiratory pressure (PImax; IMT) or <15 % PImax (SHAM-IMT). Measurements of PImax, breathing discomfort during a bout of IMT, six-minute walk distance, physical activity levels, and balance were assessed pre- and post-intervention. Respiratory muscle kinematics were assessed via optoelectronic plethysmography (OEP) during constant work rate cycling.</p></div><div><h3>Results</h3><p>PImax was significantly improved (by 20.0±11.9 cmH<sub>2</sub>O; p=0.001) in the IMT group only. Breathing discomfort ratings during IMT significantly decreased (from 3.5±0.9–1.7±0.8). Daily sedentary time was decreased (by 28.0±39.8 min; p=0.042), and reactive balance significantly improved (by 1.2±0.8; p<0.001) in the IMT group only. OEP measures showed a significantly greater contribution of the pulmonary and abdominal rib cage compartments to total tidal volume expansion post-IMT.</p></div><div><h3>Conclusions</h3><p>IMT significantly improves inspiratory muscle strength and breathing discomfort in this population. IMT induces greater rib cage expansion and diaphragm descent during exercise, thereby suggesting a less restrictive effect on thoracic expansion and increased diaphragmatic power generation.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"326 ","pages":"Article 104278"},"PeriodicalIF":2.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1569904824000715/pdfft?md5=e1bf624e7ec93f6c825ab636f60e72a4&pid=1-s2.0-S1569904824000715-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In silico investigation of inhalation condition impacts on hygroscopic growth and deposition of salbutamol sulphate in human airways","authors":"Sajad Eshaghi, Hassan Khaleghi, Reza Maddahian","doi":"10.1016/j.resp.2024.104271","DOIUrl":"10.1016/j.resp.2024.104271","url":null,"abstract":"<div><p>The objective of this study is to explore the transport, size growth, and deposition of Salbutamol Sulphate (SS) using Computational Fluid Dynamics (CFD). A CT-based realistic model of human airways from the oral cavity to the 5th generation of the lung was utilized as the computational domain. Four Test Cases (TC) with varying temperature and relative humidity (RH) under two inspiratory waveforms were considered to completely evaluate the impact of inhalation conditions on particle growth. Salbutamol Sulphate (SS) is a β2-adrenergic agonist and has been extensively used for asthma treatment. A monodispersed distribution of SS particles with an initial diameter of 167 nm was considered at the mouth inlet based on pharmaceutical data. Results indicated that inhalation of saturated/supersaturated air (RH>100%) leads to significant hygroscopic growth of SS particles with a factor of 10. In addition, the deposition efficiency of SS particles under the Quick and Deep (QD) inhalation profile was enhanced as the flow temperature and humidity increased. However, the implementation of Slow and Deep (SD) inspiratory waveform revealed that the same particle size growth is achieved in the respiratory system with lower deposition efficiency in the mouth-throat (less than 3%) and tracheobronchial airway (less than 2.18%). For the escaped particles form the right lung, in the SD waveform under TC 3, the maximum particle size distribution was for 600 nm particles with 25% probability. In the left lung, 30% of the particles were increased up to 950 nm in size. For the QD waveform in TC 3 and TC4, the most frequent particles were 800 nm with 36% probability. This holds practical significance in the context of deep lung delivery for asthmatic patients with enhanced deposition efficiency and large particle size. The findings of the present study can contribute to the development of targeted drug delivery strategies for the treatment of pulmonary diseases using hygroscopic dry powder formulations.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"326 ","pages":"Article 104271"},"PeriodicalIF":2.3,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850304","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}
Renato Filogonio , Luciane H. Gargaglioni , Joseph Santin
{"title":"Evaluation of sex-based differences in central control of breathing in American bullfrogs","authors":"Renato Filogonio , Luciane H. Gargaglioni , Joseph Santin","doi":"10.1016/j.resp.2024.104269","DOIUrl":"10.1016/j.resp.2024.104269","url":null,"abstract":"<div><p>The neural control of breathing exhibits sex differences. There is now a large effort to account for biological sex in mammalian research, but the degree to which ectothermic vertebrates exhibit sex differences in the central control of breathing is not well-established. Therefore, we compared respiratory-related neural activity in brainstem-spinal cord preparations from female and male bullfrogs to determine if important aspects of the central control of breathing vary with sex. We found that the breathing pattern was similar across males and females, but baseline frequency of the respiratory network was faster in females. The magnitude of the central response to hypercapnia was similar across sexes, but the time to reach maximum burst rate occurred more slowly in females. These results suggest that sex differences may account for variation in traits associated with the control of breathing and that future work should carefully account for sex of the animal in analysis.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"326 ","pages":"Article 104269"},"PeriodicalIF":2.3,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863516","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}
Carlos Eduardo Santos , Luis Felipe da Fonseca Reis , Sidney Fernandes da Silva , Iasmim Maria Pereira Pinto Fonseca , Wellington de Oliveira Pereira , Laura Franco Pessoa , Paolo Blanco Villela , Agnaldo José Lopes
{"title":"Dynamic hyperinflation on exercise and its relationship with lung mechanics at rest in adults with central obesity","authors":"Carlos Eduardo Santos , Luis Felipe da Fonseca Reis , Sidney Fernandes da Silva , Iasmim Maria Pereira Pinto Fonseca , Wellington de Oliveira Pereira , Laura Franco Pessoa , Paolo Blanco Villela , Agnaldo José Lopes","doi":"10.1016/j.resp.2024.104270","DOIUrl":"https://doi.org/10.1016/j.resp.2024.104270","url":null,"abstract":"<div><p>This study aimed to evaluate the presence of dynamic hyperinflation (DH) during the Glittre-ADL test (TGlittre) coupled to the dynamic ventilation measurements in people with central obesity (pwCO) and to correlate it with lung mechanics at rest. Sixty-four pwCO underwent TGlittre and the following resting lung function tests: spirometry and impulse oscillometry system (IOS). On TGlittre, 22 participants presented DH at the end of the test (DH group), while 42 did not present DH (NDH group). Body mass index (BMI), waist circumference (WC), and hip circumference (HC) were higher in the DH group than in the NDH group. IOS abnormalities were more common in the DH group compared to the NDH group. TGlittre time significantly correlated with BMI, WC, waist-to-hip ratio (WHR), and neck circumference (NC). Delta inspiratory capacity correlated significantly with WC, HC, NC, and resonance frequency measured by IOS. Thus, pwCO perform worse on TGlittre, and DH is frequent in those with higher anthropometric indices and worse lung mechanics.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"326 ","pages":"Article 104270"},"PeriodicalIF":2.3,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140816624","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":"Obesity-related reduced spirometry and altered breathing pattern are associated with mechanical disadvantage of the diaphragm","authors":"Leonardo Cesanelli , Federico Cesanelli , Hans Degens , Danguole Satkunskiene","doi":"10.1016/j.resp.2024.104267","DOIUrl":"https://doi.org/10.1016/j.resp.2024.104267","url":null,"abstract":"<div><p>The aim of this study was to characterize the breathing patterns of individuals with obesity during routine activities such as sitting and standing, and to identify potential contributors to alterations in these patterns. Measurements performed in 20 male subjects with obesity (BMI, 31.8±1.5 kg/m<sup>2</sup>) and 20 controls (BMI, 23.5±1.4 kg/m<sup>2</sup>) included anthropometric parameters, breathing-patterns in sitting and standing positions, spirometry, maximal respiratory pressures, and diaphragm B-mode ultrasonography. Individuals with obesity exhibited lower tidal volume and increased respiratory rate to maintain a similar minute-ventilation (p<0.05). Subjects with obesity demonstrated impaired spirometry and respiratory muscle strength, with inspiratory functions being notably compromised (p<0.05). Individuals with obesity had a greater diaphragm thickness at end inspiration but lower thickening-fraction at end quiet and forced breathings and reduced diaphragmatic displacement and excursion during maximal breaths (p<0.05). BMI was negatively associated with all respiratory function markers (p<0.05). Individuals with obesity exhibit a higher respiratory rate but lower tidal volume, likely to accommodate decreased compliance and excess thoracic and abdominal fat, further hindering inspiratory function. Moreover, increased adiposity is associated with a thicker but weaker diaphragm, primarily due to the diaphragm's mechanical disadvantage rather than its intrinsic inability to generate force.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"325 ","pages":"Article 104267"},"PeriodicalIF":2.3,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140816578","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}
Ahmad T. Hamdan , Sarin Rungmanee , Nithita Sattaratpaijit , Nader Shammout , B. Tucker Woodson , Guilherme J.M. Garcia
{"title":"Impact of posture and CPAP on nasal airflow","authors":"Ahmad T. Hamdan , Sarin Rungmanee , Nithita Sattaratpaijit , Nader Shammout , B. Tucker Woodson , Guilherme J.M. Garcia","doi":"10.1016/j.resp.2024.104268","DOIUrl":"https://doi.org/10.1016/j.resp.2024.104268","url":null,"abstract":"<div><p>Obstructive sleep apnea (OSA) patients who use continuous positive airway pressure (CPAP) often complain of nasal dryness and nasal obstruction as side effects of CPAP. The physiological mechanisms by which CPAP may cause nasal dryness and nasal obstruction remain poorly understood. It has been hypothesized that CPAP interferes with the nasal cycle, abolishing the resting phase of the cycle and leading to nasal dryness. We performed rhinomanometry measurements in 31 OSA patients sitting, laid supine, and supine after 10 min of CPAP at 10 cmH<sub>2</sub>O. A posture change from sitting to supine led to more symmetric airflow partitioning between the left and right nostrils in the supine position. CPAP did not have a significant impact on nasal resistance, unilateral airflows, or airflow partitioning. Our results suggest that airflow partitioning becomes more symmetric immediately after changing to a supine position, while CPAP had no effect on nasal airflow, thus preserving the nearly symmetric airflow partitioning achieved after the posture change.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"325 ","pages":"Article 104268"},"PeriodicalIF":2.3,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140816553","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 of cervical-inspiratory-muscle electromyography and oxygen uptake during treadmill walking correlation of cervical-inspiratory-muscle electromyography and oxygen uptake","authors":"Kenta Kawamura , Kazumichi Ae , Rinri Uematsu , Kazuto Yamaguchi , Kazuhide Tomita","doi":"10.1016/j.resp.2024.104266","DOIUrl":"https://doi.org/10.1016/j.resp.2024.104266","url":null,"abstract":"<div><p>For measurements of exercise intensity, an individual's oxygen uptake (V̇O<sub>2</sub>) is measured with an exhaled gas analyzer that involves a mask, but exercise coaching would benefit if an individual's V̇O<sub>2</sub> could be estimated with more easily obtained predictors. We investigated the predictability of V̇O<sub>2</sub> by electromyography (EMG) of the neck inspiratory muscles. We analyzed the EMG results of the sternocleidomastoid (EMGst) and scalene (EMGsc) muscles of 14 healthy adults who performed a treadmill exercise load test. Their V̇O<sub>2</sub>, inspiratory flow rate, and heart rate were simultaneously recorded during the exercise. The exercise load test was performed twice at a ≥2-day interval. The first visit was an incremental exercise test, and the second was a repeated two-load exercise test at levels below and above the participant's ventilatory threshold (VT) as determined in the first test. We observed that the integrated EMG values for each exercise load showed partially significant positive correlations with the EMGst and EMGsc. However, the cervical inspiratory muscle EMGs did not show as high a correlation as the minute ventilation. These results indicate that (<em>i</em>) EMG of the cervical inspiratory muscles could be used to estimate V̇O<sub>2</sub>, but (<em>ii</em>) these EMG parameters alone should be considered insufficient for estimating V̇O<sub>2</sub>.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"325 ","pages":"Article 104266"},"PeriodicalIF":2.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140649271","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}
Suvash C. Saha , Xinlei Huang , Isabella Francis, Goutam Saha
{"title":"Airway stability in sleep apnea: Assessing continuous positive airway pressure efficiency","authors":"Suvash C. Saha , Xinlei Huang , Isabella Francis, Goutam Saha","doi":"10.1016/j.resp.2024.104265","DOIUrl":"https://doi.org/10.1016/j.resp.2024.104265","url":null,"abstract":"<div><p>Obstructive Sleep Apnea Syndrome (OSAS) disrupts millions of lives with its burden of airway obstruction during sleep. Continuous Positive Airway Pressure (CPAP) therapy has been scrutinized for its biomechanical impact on the respiratory tract. This study leverages computational fluid dynamics to investigate CPAP's effects at 9 cm H<sub>2</sub>O (882.6 Pa) on the computed-tomography-based nasal-to-14-generation full respiratory tract model compared to ambient conditions, focusing on static pressure, airflow velocity, and shear stress. Our findings reveal that CPAP significantly increases static pressure, enhancing airway patency without adverse changes in airflow velocity or harmful shear stress on lung tissue, challenging prior concerns about its safety. Notably, the larynx experiences the highest shear stress due to its narrow anatomy, yet CPAP therapy overall supports airway walls against collapse. This investigation highlights CPAP's critical role in OSAS treatment, offering reassurance about its safety and efficacy. By clarifying CPAP therapy's physiological impacts, our study contributes vital insights for optimizing OSAS management strategies, affirming CPAP's benefit in maintaining open airways with minimal tissue strain.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"325 ","pages":"Article 104265"},"PeriodicalIF":2.3,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1569904824000582/pdfft?md5=5cb9530c49f163cd56c74a778b8abb38&pid=1-s2.0-S1569904824000582-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140647019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louis Gélinas, Andrés Rojas-Ruiz, Magali Boucher, Cyndi Henry, Ynuk Bossé
{"title":"Sensitivity of the airway smooth muscle in terms of force, shortening and stiffness","authors":"Louis Gélinas, Andrés Rojas-Ruiz, Magali Boucher, Cyndi Henry, Ynuk Bossé","doi":"10.1016/j.resp.2024.104264","DOIUrl":"https://doi.org/10.1016/j.resp.2024.104264","url":null,"abstract":"<div><p>Eight pig tracheal strips were stimulated to contract with log increments of methacholine from 10<sup>-8</sup> to 10<sup>-5</sup> M. For each strip, the concentration-response was repeated four times in a randomized order to measure isometric force, isotonic shortening against a load corresponding to either 5 or 10 % of a reference force, and average force, stiffness, elastance and resistance over one cycle while the strip length was oscillating sinusoidally by 5 % at 0.2 Hz. For each readout, the logEC50 was calculated and compared. Isotonic shortening with a 5 % load had the lowest logEC50 (-7.13), yielding a greater sensitivity than any other contractile readout (p<0.05). It was followed by isotonic shortening with a 10 % load (-6.66), elastance (-6.46), stiffness (-6.46), resistance (-6.38), isometric force (-6.32), and average force (-6.30). Some of these differences were significant. For example, the EC50 with the average force was 44 % greater than with the elastance (p=0.001). The methacholine sensitivity is thus affected by the contractile readout being measured.</p></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"325 ","pages":"Article 104264"},"PeriodicalIF":2.3,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1569904824000570/pdfft?md5=939eb67d802b05d3a7abebe3d7950765&pid=1-s2.0-S1569904824000570-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140546255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}