Wiadomosci lekarskie最新文献

{"title":"Some characteristics of therapy and rehabilitation students' communicative competence (Bogomolets National Medical University).","authors":"Serhii Omelchuk, Lesya Lymar, Kseniia Yarymbash, Daria Lystopad, Iryna Kylymnyk","doi":"10.36740/WLek/204128","DOIUrl":"https://doi.org/10.36740/WLek/204128","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To determine the main characteristics of the physical therapist's communicative competence and propose teaching methods of improving it.</p><p><strong>Patients and methods: </strong>Materials and Methods: A survey with 193 Bogomolets NMU physical therapy students of study years 2-6 was conducted using the author's questionnaire. This form aimed to define the level of their communicative competence, as well as rank the importance of competence for respondents, self-assessment of the competence level, and the respondents' experience of communicative competence classes. Participation in the survey was voluntary, by the consent of the respondents.</p><p><strong>Results: </strong>Results: The results indicate that the students possess communicative strategies and ethically correct approaches to behavior, high self-esteem, high levels of self-awareness, and self-confidence. Numerous students showed good and excellent characteristics of communication, which indicates their ability to choose best communication strategies. The students' self-assessment of communication skills, mostly positive, indicates a high level of self-awareness and self-confidence in their communication abilities.</p><p><strong>Conclusion: </strong>Conclusions: The physical and occupational therapy students are aware of communicative strategies and ethically correct approaches in behavior, which results from their undergraduate study. However, the communicative competence skills should be emphasized during the undergraduate studies, regarding the interactional character of therapists' job.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1184-1188"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318089","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":"Nurses' attitudes towards mental illness and home health care quality as a means of managing psychiatric patients' relapses and re-admissions: a quasi -experimental study.","authors":"Amal Ibrahim Khalil, Manni Alharbi, Reem Alsulami, Manar Alotaibi","doi":"10.36740/WLek/199813","DOIUrl":"10.36740/WLek/199813","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This study aims to assess the impact of an educational intervention on nurses' knowledge and attitudes regarding home health care, relapse management, and psychiatric hospital admissions.</p><p><strong>Patients and methods: </strong>Materials and Methods: A quasi-experimental study was conducted with 106 nurses at Erada for Mental Health and Addiction. Standardized assessment tools, including a knowledge scale for home health care quality and a mental illness devaluation scale, were used.</p><p><strong>Results: </strong>Results: Most participants were female 78.4% with a bachelor's degree 77%, and the average age was 2.06±.954. The analysis revealed a significant improvement in knowledge levels post-intervention P<0.000, however, there was a slight non-significant increase in devaluation scale scores after the intervention (pre-24.55±2.96, post-25.18±3.45).</p><p><strong>Conclusion: </strong>Conclusions: Targeted interventions to enhance nurses' knowledge of home health care quality and promote positive attitudes toward mental illnesses can lead to improved patient care, potentially reducing relapses and readmissions among psychiatric patients. Future research should explore the long-term impact and sustainability of such interventions in mental health care settings.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"16-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537460","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":"Hormonal influence on osteoporosis.","authors":"Zuzanna Rupeć, Mateusz Trubalski, Zeeshan Zulfiquar, Aleksandra Bełżek, Marta Żerebiec, Natalia Saj, Paweł Kamiński, Mateusz Kaczmarski, Firoz Rizvi, Wojciech Kłapeć","doi":"10.36740/WLek/202332","DOIUrl":"https://doi.org/10.36740/WLek/202332","url":null,"abstract":"<p><p>Osteoporosis is a global health issue that weakens bones and increases the risk of fractures, particularly in postmenopausal women and older adults. This review explores the influence of hormones on osteoporosis, with a focus on estrogen, glucocorticoids, vitamin D, parathyroid hormone, and thyroid hormones. Scientific evidence is analyzed to highlight hormonal mechanisms, therapeutic interventions, and their effects on bone health. The review examines hormonal therapies, including selective estrogen receptor modulators, and discusses the impact of glucocorticoids, essential for managing inflammation but known to significantly increase bone porosity. It underscores the importance of minimizing glucocorticoid use and implementing preventive measures such as calcium and vitamin D supplementation. Additionally, the review addresses the consequences of vitamin D deficiency, which disrupts calcium and phosphate metabolism, contributing to bone fragility. It also explores the regulatory roles of parathyroid and thyroid hormones in bone remodeling and calcium balance, with a Focus on their therapeutic applications in osteoporosis management. This review emphasizes the complex interplay between hormonal, genetic, and environmental factors, advocating for holistic and personalized treatment approaches. Future research should aim to bridge existing knowledge gaps regarding hormone-environment interactions and assess the long-term efficacy of therapies to optimize osteoporosis prevention and treatment strategies.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"531-538"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039102","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 science of posture: how the spine shapes health and mobility.","authors":"Wojciech Kłapeć, Adrian Możdżeń, Julia Jaśkowska, Paweł Szymonek","doi":"10.36740/WLek/202582","DOIUrl":"https://doi.org/10.36740/WLek/202582","url":null,"abstract":"<p><p>The spine is a key component of the skeletal system, with a complex anatomical structure that varies along its length. Its specific structure allows it to fulfill multiple functions, including maintaining proper upright posture. Human posture reflects the coordinated interaction between the kinesthetic sense, muscular system, and nervous system. Various factors influence posture formation, including environmental conditions, lifestyle, physical activity, nutrition, and genetics. Data from Poland indicate that postural defects affect 30% to 60% of children and adolescents, with variations due to assessment methods. According to the Center for Health Information Systems, incorrect posture was diagnosed in 17.14% of children and adolescents aged 0-18 years, with 9.7% of spinal deformities identified in children aged 2-9 years. This study explores the etiological factors of spinal deformities, particularly scoliosis, including genetic predisposition, environmental influences, and hormonal factors such as vitamin D. This study is based on a literature review and analysis of research on postural defects, particularly scoliosis, focusing on prevalence, etiology, and risk factors. The methodology involves a systematic search of peer-reviewed articles, clinical studies, and epidemiological reports from databases such as PubMed, Google Scholar, Scopus, and Web of Science. Research suggests a possible correlation between scoliosis severity and vitamin D levels. Vitamin D is essential for bone mineralization and neuromuscular function, and deficiencies may contribute to reduced postural stability and increased spinal curvature. Some studies indicate a negative correlation between vitamin D levels and Cobb angle severity, though further research is needed.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"609-614"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035448","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":"Surgical prevention of venous thromboembolic complications of thrombosis in the basin of the small saphenous vein.","authors":"Yaroslav M Popovych, Volodymyr S Kostiunin, Yaroslav Ya Popovych","doi":"10.36740/WLek/203891","DOIUrl":"https://doi.org/10.36740/WLek/203891","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate the results of surgical prophylaxis of venous thromboembolic complications in superficial vein thrombosis in the basin of the small saphenous vein.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study evaluated the results of treatment of 134 patients with superficial vein thrombosis in the basin of the small saphenous vein, who were divided into two groups: Group I - 86 (64.2%) patients who were operated on for thrombosis in the basin of the small saphenous vein and Group II - 48 (35.8%) patients who received only conservative treatment.</p><p><strong>Results: </strong>Results: In the postoperative period, no recurrence of superficial or deep vein thrombosis and pulmonary embolism was detected in patients of group I within 12 months. The regression of symptoms of chronic venous insufficiency was noted in 66.7% of patients, and no patient was diagnosed with a decompensated form of chronic venous insufficiency. Over the course of the year, 12.2% of patients in group II showed an increase in the manifestations of chronic venous insufficiency. Recurrence of superficial or deep vein thrombosis in group II was detected in 14.6% and 4.9% of patients, respectively.</p><p><strong>Conclusion: </strong>Conclusions: Surgical treatment of superficial vein thrombosis in the basin of the small saphenous vein prevented pulmonary embolism and recurrence of venous thrombosis in all patients, and in 66.7% of patients contributed to the regression of decompensated forms of chronic venous insufficiency. Recurrence of superficial and deep vein thrombosis during conservative treatment was observed in 14.6% and 4.9% of cases, respectively, which led to pulmonary embolism in 4.9% of patients.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"813-820"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080506","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 significant impact of T-cell immunoglobulin and mucin domain 3(Tim-3) gene polymorphism on HCV infection and viral load.","authors":"Hiba Hadi Rashid, Raghad Emad Salman, Alyaa Younis Ali, Maysaa Ali Abdul Khaleq","doi":"10.36740/WLek/202971","DOIUrl":"https://doi.org/10.36740/WLek/202971","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate the role of -574 locus gene polymorphism in promotor region of TIM-3 gene in HCV infection and viral load.</p><p><strong>Patients and methods: </strong>Materials and Methods: The current study executed on 100 subjects (50 patients with HCV and 50 obviously healthy objects as control). Blood sample compiled from all participants. All samples underwent to diagnosis for HCV confirm by viral load measurement by real time-polymerase chain reaction (RTPCR). Extraction the Genomic DNA performed from blood. The gene fragment corresponding the-574 locus (rs10515746) in TIM-3 gene was amplified and genotyping by allele specific - polymerase chain reaction (AS-PCR).</p><p><strong>Results: </strong>Results: In recessive model, in patients the frequency of GT-TT genotype was significantly higher than controls (86% vs. 62%) with a highly important variation (OR=3.76, 95% CI=1.41-10.05, p=0.008 at allelic level, T allele was more continual in patients than controls (60% contra 42%) with a considerable variation (OR=2.07, 95%CI=1.18-3.64, p= 0.015). About 42% of patients carrying TT genotype had viral load ≥200000 IU/ml compared with 15.38% GT carriers and 0% GG carries with such a viral load with a significant difference. At allelic level, T allele was more continual in patients than controls (60% contra 42%) with a significant variation (OR=2.07, 95%CI=1.18-3.64, p= 0.015.</p><p><strong>Conclusion: </strong>Conclusions: T allele of rs10515746 considered a risk factor for HCV infection as well as for higher hepatitis C viral load in those patients, and it could predict treatment failure. However, with more aggressive antiviral therapies, viral cure could be achieved.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"845-852"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080688","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":"Assessment of olfactory and gustatory dysfunction in post-COVID dentists by a modified CCCRC.","authors":"Ferial Mahmood Abdulrida, Ameena Ryhan Diajil, Taghreed Fahdil Zaidan","doi":"10.36740/WLek/202969","DOIUrl":"https://doi.org/10.36740/WLek/202969","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This study aimed to evaluate the prevalence of sense loss and their deterioration within and post infection with COVID-19.</p><p><strong>Patients and methods: </strong>Materials and Methods: A systematic informative questionnaire was filled out for each participant. Chemosensitive symptoms were recorded by using n-butyl alcohol and environmentally realistic odorants and calculated in a modified way for the detection of olfactory function. The gustatory test scoring was done using the four standard primary tastes.</p><p><strong>Results: </strong>Results: Out of 133 participants, dentists were more commonly females (81, 61%) with the majority below 35 years of age (97, 72%). Half of the participants experienced smell and/or taste loss during the COVID-19 pandemic; whereas almost all reported having had olfactory dysfunction (132, 99.2%) and (105, 78.2%) gustatory dysfunction. Males reported a higher significant rate of taste loss (P=0.009) and females showed a higher recovery rate within the first two weeks after the onset than males. The Pfizer vaccine showed a significantly more frequent smell loss than other vaccinations (P=0.038).</p><p><strong>Conclusion: </strong>Conclusions: Gender variation was noticed with taste and smell loss. Females recovered faster from dysfunction. Pfizer fully vaccinated participants were more prone to lose smell compared to others.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"768-776"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080912","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":"Beyond traditional lipid markers: why lipoprotein(a) screening matters.","authors":"Vitalina V Ivachevska, Daria A Korchagina, Olesya A Kozel, Liliia V Tsyhanyk, Mykhaylo M Hechko, Mykhailo M Ivachevskyi","doi":"10.36740/WLek/203847","DOIUrl":"https://doi.org/10.36740/WLek/203847","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the correlation between lipoprotein(a) levels and traditional lipid profile markers in statin-naive men and women without established atherosclerotic cardiovascular disease.</p><p><strong>Patients and methods: </strong>Materials and Methods: Sixty-seven statin-naive adult patients without a prior history of established atherosclerotic cardiovascular disease were included in the study. Lipoprotein(a) levels were determined using nephelometry in all patients.</p><p><strong>Results: </strong>Results: According to the results of the correlation analysis, it was found that there is no statistically significant correlation between lipoprotein(a) level and traditional parametres of lipid profile in both groups (p>0.05). Reliable direct correlation of moderate strength was observed between lipoprotein(a) and age in the group A (R=0.46, p=0.04).</p><p><strong>Conclusion: </strong>Conclusions: Elevated lipoprotein(a) levels, independent of other lipid profile parameters, can significantly contribute to cardiovascular risk, emphasizing the importance of routine lipoprotein(a) screening in clinical practice. It is particularly noteworthy that lipoprotein(a) concentrations tend to increase after menopause, potentially placing postmenopausal women at an elevated risk for cardiovascular events. Consequently, it is imperative to monitor lipoprotein(a) levels in females, especially during the peri-menopausal and postmenopausal stages, to more accurately assess and manage cardiovascular risk in this population.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"735-739"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080913","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":"Correlation between MRNA IL1Β and type, duration of infertility in women with endometriosis on the stage preparing to assisted reproductive technologies using probiotics.","authors":"Oksana V Bakun, Kristina V Dyak, Oksana V Kolesnik, Tetiana Protsak, Yevheniia A Dudka","doi":"10.36740/WLek/203893","DOIUrl":"https://doi.org/10.36740/WLek/203893","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the correlations between the level of IL1β mRNA gene expression and the type and duration of infertility and to study the levels of IL1β mRNA gene expression in women with endometriosis associated with infertility.</p><p><strong>Patients and methods: </strong>Materials and Methods: For mRNA gene expression analysis IL1β and determination of relative normalized mRNA expression IL1β used the real-time reverse transcription polymerase chain reaction method (RT-PCR).. Examined group consists of 30 infertile women undergoing assisted reproductive technologies. The main group consisted of 20 women diagnosed with endometriosis undergoing assisted reproductive technologies. The control group consisted of 10 healthy women.</p><p><strong>Results: </strong>Results: In the main group, the level of IL1β mRNA gene expression before preparing was 26.7877±0.01, which was significantly higher than the level after preparing (0.1610±0.01* ). Analized results, it's found out that Mean level of mRNA IL1β in women with endometriosis associated infertility 1-st degree is 8.53 c.u., at the same time Mean level of mRNA IL1β in women with endometriosis associated infertility 2-nd degree is 1.0 c.u.</p><p><strong>Conclusion: </strong>Conclusions: The inclusion of probiotics in a comprehensive regimen of preparation for assisted reproductive technologies leads to a noticeable improvement in the patient's well-being.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"828-837"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080920","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":"Histological manifestations in the structures of the anterior abdominal wall after implantation of the acellular dermal matrix using the sublay method.","authors":"Andriy V Makhnitskyy, Igor M Deykalo, Larysa Ya Fedoniuk, Tamara V Datsko, Nadiia I Grynkiv, Nazar M Ostrovskyy","doi":"10.36740/WLek/203892","DOIUrl":"https://doi.org/10.36740/WLek/203892","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The objective of this study was to assess the level of vascularization, integration of the acellular dermal matrix, as well as the development of granulation tissue and collagen fibers following implantation on the anterior abdominal wall (\"sub lay\") in pigs over the course of 7, 14, and 21 days.</p><p><strong>Patients and methods: </strong>Materials and Methods: The experiment was conducted on six pigs of the Ukrainian White steppe. Under general anesthesia, an acellular perforated dermal matrix from pigs, produced by the ≪Institute of Biomedical Technologies≫, was implanted into the anterior abdominal wall, between the aponeurosis and muscles. The quality of engraftment, degree of angiogenesis, condition of granulation tissue, and graft structure were assessed. The postoperative period was uncomplicated, with each pig receiving one intramuscular dose of ceftriaxone (1.0). Material was collected from two pigs on the 7th day, two more on the 14th day, and the final two on the 21st day after implantation. Pathomorphological analysis was carried out in the laboratory of I. Horbachevsky Ternopil National Medical University. Sections of the implanted material, stained with hematoxylin-eosin, were evaluated for local inflammation reactivity, vascularization levels, and granulation tissue replacement.</p><p><strong>Results: </strong>Results: The research findings revealed that, after 7 days of implantation, the acellular skin matrix \"sub lay\" led to infiltration caused by acute inflammation, accompanied by the formation of granulation tissue, numerous microcirculatory vessels, and collagen fibers. By day 14, the signs of inflammation had reduced, and there was an increase in fibroblasts and blood vessels. On day 21, the implantation process intensified, marked by a rise in collagen fibers and vascularization, along with a decrease in macrophages and lymphocytes. No signs of infection were observed.</p><p><strong>Conclusion: </strong>Conclusions: Acellular dermal matrix after ≪sub lay≫ implantation causes acute inflammation with slow vascularization in the early period with a moderate increase up to 14 and 21 days. The implant acts as a base to support the migration of natural cells and subsequent replacement by granulation tissue, as a result of strengthening this area. No signs of infection were detected, which gives hope for the use of implants in previously infected environments after complications due to the implantation of meshes made of artificial materials before.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"821-827"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081017","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}