Turkish Journal of Surgery最新文献

{"title":"The colorectal cancer screening gap in Türkiye: A tripartite survey of barriers among patients and surgeons.","authors":"Mustafa Oruç, Melih Bayazıtlı, İbrahim Kılınç, Erdinç Çetinkaya","doi":"10.47717/turkjsurg.2026.2025-11-39","DOIUrl":"https://doi.org/10.47717/turkjsurg.2026.2025-11-39","url":null,"abstract":"<p><strong>Objective: </strong>Colorectal cancer (CRC) screening uptake in Türkiye remains suboptimal, despite the presence of a national screening program. Understanding whether barriers arise primarily from patient-related factors or system-level constraints is essential for effective policy planning. This study aimed to evaluate barriers to CRC screening across the screening pathway using patient, procedural, and provider perspectives.</p><p><strong>Material and methods: </strong>A descriptive cross-sectional study was conducted between January and June 2025 at a tertiary training and research hospital. Three distinct groups were surveyed: 100 screening-naïve outpatients aged 50-70 years, 100 patients undergoing diagnostic or screening colonoscopy, and 50 general surgeons performing or referring for colonoscopy. Study-specific questionnaires, pilot-tested for clarity but not formally validated, were used to assess screening awareness, attitudes, perceived barriers, and strategies for improvement. The data were analyzed descriptively.</p><p><strong>Results: </strong>Among screening-naïve outpatients, 54% had no prior awareness of CRC screening, and only 28% had received a physician recommendation for screening. Fear of a serious diagnosis (45%) and pain or discomfort (40%) were commonly reported concerns; however, most respondents indicated that these would not deter screening. Among patients undergoing colonoscopy, 77% underwent the procedure for symptoms rather than preventive screening, while post-procedure satisfaction was high. Surgeons predominantly identified system-level barriers, particularly long waiting times (90%) and an insufficient number of trained endoscopists (92%), as major limitations in effective screening delivery.</p><p><strong>Conclusion: </strong>The primary perceived barrier to CRC screening in Türkiye appears to be limited system capacity rather than patient reluctance. Improving screening uptake will likely require coordinated public awareness efforts, structured national reminder systems, and expansion of the number of adequately trained endoscopists, alongside endoscopy infrastructure.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514899","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":"How is GIST to be pronounced? Like a ginger.","authors":"Masayuki Urabe","doi":"10.47717/turkjsurg.2025.2025-5-17","DOIUrl":"https://doi.org/10.47717/turkjsurg.2025.2025-5-17","url":null,"abstract":"","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463817","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":"Preliminary single-operator experience with ultrasound-guided liver core needle biopsy performed by a supervised general surgery resident.","authors":"Wojciech Ciesielski, Konrad Kosztowny, Tomasz Klimczak, Anna Sawina, Paulina Lange, Antoni Knera, Adam Placek, Karol Sadowski, Adam Durczyński, Janusz Strzelczyk, Piotr Hogendorf","doi":"10.47717/turkjsurg.2026.2025-9-15","DOIUrl":"10.47717/turkjsurg.2026.2025-9-15","url":null,"abstract":"<p><strong>Objective: </strong>Ultrasound-guided core needle biopsy (CNB) is essential for diagnosing liver tumors not amenable to resection, but the outcomes of resident-performed CNB are poorly defined. We evaluated the diagnostic performance and safety of liver CNB performed by a single ultrasound-certified general surgery resident under specialist supervision.</p><p><strong>Material and methods: </strong>In this retrospective single-center case series, 65 consecutive patients underwent ultrasound-guided liver CNB between July 2022 and January 2025. All procedures constituted the resident's entire initial experience with liver CNB. Diagnostic success was defined as obtaining sufficient tissue for definitive histopathological diagnosis. Predictors of diagnostic success were assessed using univariate analyses and logistic regression. Learning-curve effects were evaluated by comparing early and late tertiles of chronologically ordered cases and by modelling case number as a continuous predictor. The impact of lesion size was examined by subgroup analysis comparing <4 cm and ≥4 cm lesions and by treating the maximal lesion diameter as a continuous variable.</p><p><strong>Results: </strong>Adequate tissue was obtained in 58/65 biopsies (89.2%), with malignancy confirmed in 49 patients (75.4%) and benign lesions in 9 patients (13.8%). Diagnostic success was 85.7% in the early tertile and 95.5% in the late tertile (p=0.345). Logistic regression showed a non-significant trend toward a higher diagnostic yield over time. Neither lesion size (categorized as <4 cm versus ≥4 cm) nor maximal diameter (analyzed as a continuous variable) was significantly associated with diagnostic success. No immediate or clinically overt delayed complications were observed during 24 hours of in-hospital monitoring.</p><p><strong>Conclusion: </strong>This preliminary single-operator experience suggests that, under close supervision, an appropriately trained general surgery resident can perform ultrasound-guided liver CNB with a high diagnostic yield and a low observed complication rate. These hypothesis-generating findings support further multi-operator and comparative studies of resident-performed liver CNB.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"93-99"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107382","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":"Beyond mammography: Superior performance of ultrasound in early-onset breast cancer implications for age-specific, density-tailored screening.","authors":"Salman Saad Bin Shaber, Fahad Mohammed Alsahli, Maher Mohammed Alotaibi, Yasser Ahmad Alahmad, Bandar Mohammad Alajmy, Saud Fohaid Alqahtani, Nourah Bader Hadhoud, Khaled Mohammed A Al Moadi, Mousa Essa Dahhas","doi":"10.47717/turkjsurg.2025.2025-7-34","DOIUrl":"10.47717/turkjsurg.2025.2025-7-34","url":null,"abstract":"<p><strong>Objective: </strong>Breast cancer accounts for 31.8% of female cancers in Saudi Arabia, with 56% of cases diagnosed before age 50, 14 years younger than in Western countries. Aggressive subtypes (TNBC: 18-24%; HER2+: 25-28%) are common, and dense breast tissue reduces the effectiveness of mammography. Currently, no age-specific screening protocols exist for this unique epidemiological profile. This study aimed to assess the age-specific diagnostic accuracy of mammography, ultrasound, and magnetic resonance imaging (MRI), and to characterize molecular subtype distribution in Saudi breast cancer patients to guide personalized screening guidelines.</p><p><strong>Material and methods: </strong>A retrospective cohort study was conducted at a tertiary care center in Riyadh, Saudi Arabia (January 2021-December 2023). Medical records of 148 women aged 30-70 with histopathologically confirmed breast cancer (BI-RADS 4/5) were analyzed. The sensitivity and specificity of imaging modalities were assessed across age groups (30-39, 40-49, 50-59, ≥60 years). Subtype distribution and breast density (BI-RADS A-D) were correlated with imaging performance using chi-square tests and logistic regression (SPSS v28, STARD 2015 guidelines).</p><p><strong>Results: </strong>The mean age was 48 years, with 56.4% of cases occurring in women under 50 (peak incidence: 40-49 years, 34.1%). Ultrasound sensitivity exceeded mammography in women under 50 (85.3% vs. 74.5%, p<0.01), while MRI demonstrated the highest overall accuracy (91.7%, 95% confidence interval 89.2-93.5). TNBC prevalence decreased with age (24.7% in 30-39 years to 12.0% in ≥60 years, p<0.01), while invasive lobular carcinoma incidence doubled (8.2% to 18.0%, p<0.001). Delayed diagnosis (>60 days) lowered 2-year survival by 21% (p=0.003).</p><p><strong>Conclusion: </strong>Ultrasound is more effective than mammography for early detection in Saudi women under 50 years old, while MRI remains highly accurate across all age groups. National screening guidelines should adopt biennial ultrasound-first screening starting at age 40, with MRI reserved for high-risk cases and BI-RADS 3-4 lesions.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"57-66"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012323","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":"Blood product transfusion in major burned pediatric patients: A case-control study.","authors":"Ayten Saraçoğlu, Ezgi Hatip Ünlü, Sezer Yakupoğlu, Fathima R Mahmood, Tahsin Şimşek, Amna Zar, Gaye Filinte, Murat Dereli, Kemal Tolga Saraçoğlu","doi":"10.47717/turkjsurg.2025.2025-8-38","DOIUrl":"10.47717/turkjsurg.2025.2025-8-38","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of blood product transfusions on clinical outcomes, including mortality, dialysis requirement, and infection, in pediatric patients with extensive burns.</p><p><strong>Material and methods: </strong>This case-control study included pediatric patients with ≥20% total body surface area burns who were treated at a university hospital burn center between 2012 and 2022. Deceased patients were classified as cases, and discharged patients as controls. The primary outcome was mortality, and the secondary outcomes were dialysis. Multivariable logistic regression was used to assess associations between blood product usage and clinical outcomes, adjusting for burn severity, surgical duration, and infection.</p><p><strong>Results: </strong>One hundred-thirteen patients were analyzed, with 93 discharged and 20 deceased. Platelet transfusion in the intensive care unit (ICU) was associated with lower mortality (odds ratio: 0.663, 95% confidence interval: 0.484-0.909, p=0.011) but with increased dialysis requirements. Moreover, albumin, red blood cell, and fresh frozen plasma transfusions in the ICU were correlated with an increased risk of infection. Albumin administration in the ICU was associated with decreased mortality (hazard ratio =0.848, 95% confidence interval: 0.735-0.977, p=0.023).</p><p><strong>Conclusion: </strong>The findings suggest that burn injury severity, the amount of blood products transfused, and the timing of transfusions are critical factors in determining patient outcomes. Future research should focus on establishing evidence-based transfusion thresholds.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"124-130"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12993029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918508","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":"Rare anatomical localizations of hydatid cysts (2020-2025): Narrative review of presentation, imaging, and management.","authors":"Barış Zülfikaroğlu, Özgür Akgül, Tolga Dinç","doi":"10.47717/turkjsurg.2026.2025-9-22","DOIUrl":"10.47717/turkjsurg.2026.2025-9-22","url":null,"abstract":"<p><p>Hydatid disease, caused by <i>Echinococcus granulosus</i>, typically affects the liver and lungs. However, cyst development in rare anatomical sites presents unique diagnostic and therapeutic challenges. We conducted a narrative review using a structured search of PubMed, Scopus, and Google Scholar (first 200 records), with predefined eligibility criteria and dual-reviewer screening where applicable. Findings were synthesized narratively; numeric summaries reflect reporting frequency among included case-level reports rather than prevalence or comparative effectiveness. Seventeen studies (case reports/small series) were included. Among the included reports, the most commonly reported rare sites were the brain, bone, and heart. Imaging narratives most frequently supported magnetic resonance imaging triage for central nervous system/spine/cardiac disease and computed tomography for osseous/retroperitoneal involvement, while surgery was most often reported as the index treatment with context-dependent use of albendazole. Percentages in this review reflect the share of reports among included studies (i.e., reporting frequency), not population prevalence, incidence, or comparative effectiveness. Rare-site hydatid cysts require a high index of suspicion in endemic areas. Optimal outcomes are achieved through multidisciplinary evaluation, site-specific surgical planning, and tailored pharmacotherapy. Further research into minimally invasive techniques, molecular diagnostics, and vaccine development is warranted to improve diagnosis and long-term disease control.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"13-25"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228738","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":"Integration of medical visual documentation into medical education, benefits for medicine, education and treatment.","authors":"Sertaç Ata Güler, Salih Efe Gül, Zeynep İrem Yarımbaş, Osman Demir","doi":"10.47717/turkjsurg.2025.2025-7-7","DOIUrl":"10.47717/turkjsurg.2025.2025-7-7","url":null,"abstract":"<p><strong>Objective: </strong>Medical visual documentation is an important part of medical education. It provides numerous benefits to both. This article argues for the integration of medical photography into medical education.</p><p><strong>Material and methods: </strong>A medical visualization and documentation elective course was offered to second-year students at the Kocaeli University Faculty of Medicine. At the end of the 14-week program, a questionnaire was administered to students who participated in the course. The survey results were analyzed using data analysis programs.</p><p><strong>Results: </strong>According to the survey results, the students stated that the elective course positively impacted their education and experience as future doctors.</p><p><strong>Discussion: </strong>In many medical schools, both in Turkey and around the world, medical photography training is not integrated into medical education. This presents challenges for medical education and physicians. However, these difficulties can be overcome by providing integrated training and courses for doctors.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"100-107"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918496","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 bariatric surgery completion: A narrative review of preoperative attrition and its determinants.","authors":"Sedanur Caydı, Meltem Anafarta Şendağ","doi":"10.47717/turkjsurg.2026.2025-6-27","DOIUrl":"10.47717/turkjsurg.2026.2025-6-27","url":null,"abstract":"<p><p>Although bariatric surgery is an effective intervention for morbid obesity, a significant proportion of patients referred for surgery fail to proceed to the operation. This narrative review aims to examine the rates, characteristics, and underlying reasons for preoperative attrition among bariatric surgery candidates. The literature demonstrates variability in defining pre-op attrition, with some studies adopting binary classifications and others focusing on attrition at specific stages of the preparation process. Key factors associated with attrition include socio-demographic variables (e.g., gender, age, and income), clinical and logistical issues (e.g., waiting times, insurance barriers), and psychosocial characteristics (e.g., anxiety, substance use, and motivation). Some qualitative studies have reported that patients' thoughts and feelings about the meaning of surgery-particularly their emotional readiness and identity-related concerns-can substantially influence whether they follow through with the procedure. In Türkiye, where no standardized national guidelines are in place and structured interventions are limited, there is a clear need for broader changes in how the pre-op phase is managed. Addressing this issue will likely require support systems that are flexible, multidisciplinary, and responsive to individual circumstances. This review emphasizes that personal experiences and system-level factors jointly influence whether patients complete the surgical process. Recognizing how these layers interact may help create more effective strategies for supporting those at risk of dropping out before surgery.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"26-34"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012235","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":"A case of early-onset ovarian cancer following bariatric surgery: Highlighting the need for caution in genetically predisposed obese patients.","authors":"Kyoyoung Park, Jane Chungyoon Kim, Sa-Hong Kim, Jeesun Kim, Hee Seung Kim, Young Min Cho, Choong Ho Shin, Hyuk-Joon Lee","doi":"10.47717/turkjsurg.2025.2025-7-15","DOIUrl":"10.47717/turkjsurg.2025.2025-7-15","url":null,"abstract":"<p><p>High-grade serous ovarian cancer (HGSOC) is the most lethal gynecologic malignancy, typically affecting postmenopausal women. BRCA1 mutation carriers are at increased risk of developing early-onset disease. While bariatric surgery reduces the incidence of several obesity-related cancers, its potential impact on hormonally driven malignancies in genetically predisposed individuals remains unclear. We report a rare case of early-onset HGSOC in a 21-year-old woman with morbid obesity and type 2 diabetes who underwent Roux-en-Y gastric bypass in 2010. Following significant weight loss, she regained regular menstruation and discontinued insulin therapy. After progressive weight regain, she underwent revisional bariatric surgery in 2020. Three years later, she presented with an ovarian cyst and elevated tumor markers. Imaging suggested malignancy, and biopsy confirmed HGSOC with a BRCA1 mutation. The patient underwent optimal cytoreductive surgery followed by chemotherapy and commenced olaparib maintenance therapy. As of September 2024, she remains disease-free. This case raises the concern that bariatric surgery, by restoring ovulatory function and altering metabolic and hormonal balance, may unmask a latent susceptibility to cancer in genetically predisposed patients. The temporal association between metabolic surgery and early-onset ovarian cancer warrants further investigation into postoperative hormonal shifts and cancer surveillance strategies. Bariatric surgery in women with hereditary cancer syndromes should be approached with caution. Preoperative genetic counseling, multidisciplinary assessment, and long-term oncologic surveillance are essential to ensure patient safety.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"144-150"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913187","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":"How I do it: Nerve-sparing laparoscopic low anterior resection: Step by step nerve identification and preservation.","authors":"Kerim Deniz Batun, Ali Emre Atıcı, Aykhan Valiyev, Şerif Furkan Doğancı, Asım Cingi, Şevket Cumhur Yeğen","doi":"10.47717/turkjsurg.2026.2025-8-33","DOIUrl":"10.47717/turkjsurg.2026.2025-8-33","url":null,"abstract":"<p><p>Advances in surgical techniques, together with the widespread use of neoadjuvant and adjuvant therapies, have markedly improved disease-free and overall survival in patients with rectal cancer. Nevertheless, urogenital dysfunction remains a significant source of postoperative morbidity, primarily due to the anatomical location of the rectum and its close relationship with the autonomic pelvic nerves. Although the incidence of urological complications has declined to below 10%, sexual dysfunction continues to affect approximately one-quarter of patients. Nerve-sparing total mesorectal excision, performed without compromising oncological principles, has therefore become a critical component of contemporary rectal cancer surgery. Minimally invasive video-assisted techniques, offering magnified visualization and enhanced precision during pelvic dissection, facilitate the accurate identification and preservation of autonomic nerve structures. However, current evidence indicates that awareness and consistent application of nerve-sparing principles remain suboptimal, even among experienced colorectal surgeons. This video systematically demonstrates the key anatomical landmarks and stepwise surgical maneuvers required for effective nerve preservation during total mesorectal excision, aiming to reduce urogenital functional morbidity.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"142-143"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214332","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}