Veterinary Surgery最新文献

{"title":"Traumatic elbow luxation in cats: A cadaveric study on the role of collateral and olecranon ligaments in joint stability.","authors":"Martin Hamon, Pradeep R Malreddy, Andrew K Curtis, Pierre P Picavet","doi":"10.1111/vsu.14314","DOIUrl":"https://doi.org/10.1111/vsu.14314","url":null,"abstract":"<p><strong>Objective: </strong>To determine the role of each part of the collateral ligaments and the olecranon ligament in traumatic elbow luxation pathophysiology in cats.</p><p><strong>Study design: </strong>Feline cadaveric study.</p><p><strong>Sample population: </strong>A total of 15 cats and 30 thoracic limbs tested.</p><p><strong>Methods: </strong>Attempts were made to manually luxate (laterally, medially, and caudally) each elbow after sequential section of each part of the medial collateral ligament, the lateral collateral ligament, and the olecranon ligament by direct and indirect forces applied to the antebrachium.</p><p><strong>Results: </strong>No elbow luxation occurred with indirectly applied rotational forces. Luxation was only possible with direct forces applied to the antebrachium (axial compression and varus/valgus/caudal forces). Lateral elbow luxation was possible after transection of medial and lateral collateral ligaments or after transection of olecranon and medial collateral ligaments. Medial luxation was possible after transection of olecranon and lateral collateral ligaments. Caudal luxation was possible with transection of olecranon and lateral collateral ligaments.</p><p><strong>Conclusion: </strong>Various combinations of ruptured ligaments can account for lateral, medial, and caudal luxations of the elbow. The olecranon ligament plays a major role in elbow stability.</p><p><strong>Clinical significance: </strong>Traumatic elbow luxation in cats can happen with only one collateral ligament rupture, if the olecranon is concurrently severed. The integrity of each ligament should be assessed before any repair.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy-A randomized controlled trial.","authors":"Regiane F Ferreira, José A Damasceno-Ferreira, Paulo C A R da Silva, Edmundo J Abílio, Diogo Benchimol de Souza","doi":"10.1111/vsu.14230","DOIUrl":"10.1111/vsu.14230","url":null,"abstract":"<p><strong>Objective: </strong>To compare the temperatures of dogs undergoing laparoscopic ovariectomy with insufflation using heated or nonheated CO₂.</p><p><strong>Study design: </strong>Randomized controlled trial.</p><p><strong>Animals: </strong>Fifteen female dogs undergoing laparoscopic ovariectomy.</p><p><strong>Methods: </strong>The animals were randomly distributed into groups: NH-insufflated with nonheated CO₂ (n = 8), or H-insufflated with 36.5°C heated CO₂ (n = 7). Body weight, anesthetic time, surgical time, insufflation time, initial esophageal temperature, and final temperature were compared.</p><p><strong>Results: </strong>All animals completed the study and recovered well from the surgery. The groups had similar values for body weight, age, initial temperature, and anesthetic, surgical, and insufflation times. The final temperature of the H group was 1.1°C higher than the NH group (p = .0026). In the NH group, correlations between final temperature and anesthetic time (p = .016), surgical time (p = .011), and insufflation time (p = .033) were observed. For the H group, no correlations among these parameters were identified.</p><p><strong>Conclusion: </strong>Carbon dioxide insufflation ameriorated the temperature reduction during laparoscopic ovariectomy in dogs.</p><p><strong>Clinical significance: </strong>The results can be applied directly to prevent hypothermia during laparoscopic procedures in dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"945-951"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender disparity in the impact of COVID-19 on childcare responsibilities and professional standing among specialty small animal surgeons.","authors":"Nicole J Buote, Marije Risselada, Michelle A Steffey, Valery Scharf, Alexandra Winter, Helia Zamprogno, Dominique Griffon","doi":"10.1111/vsu.14254","DOIUrl":"10.1111/vsu.14254","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to report the effects of the COVID-19 pandemic on childcare responsibilities, mental health, and professional relationships of small animal surgeons.</p><p><strong>Study design: </strong>Voluntary, non-incentivized, anonymized 40-question internet survey deployed November 2021-February 2022.</p><p><strong>Sample population: </strong>A total of 333 completed surveys from veterinary surgeons and residents in the USA.</p><p><strong>Methods: </strong>Respondents provided information regarding demographics, family composition, effects of the COVID-19 pandemic on childcare, impact of work-life balance changes on mental health, and interpersonal work relationships. The influence of variables such as age and gender on these data was analyzed. Associations between demographics and responses were analyzed (p < .05).</p><p><strong>Results: </strong>Families were most commonly categorized as \"children and a partner\" (139/312, 44.6%), followed by \"partner and no children\" (100/312, 32%). A total of 46.5% (67/145) of respondents reported disruptions in school schedules affected their work schedule. Female respondents were most likely affected (OR = 2.2, p = .047). Respondents experiencing stress due to disruptions in work-life balance reported three or more feelings of mental distress and were more likely to be female (p < .001). Female gender was associated with a delay in promotion, adverse effects on relationships with colleagues, and negative effects on relationships with administration (p = .016, p < .001, p = .01).</p><p><strong>Conclusion: </strong>The COVID-19 pandemic affected childcare responsibilities, professional standing, and the mental health of veterinary surgeons. Female gender was the most common variable associated with dysregulation of work-life balance.</p><p><strong>Clinical impact: </strong>Identifying variables assists in creating strategies that improve job satisfaction and serve as a foundation for enhancing the profession's preparedness for future disruptions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"879-889"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of computer-assisted drilling of equine cervical vertebral bodies using a purpose-built cervical frame-An experimental cadaveric study.","authors":"Thimo Maurer, Mathieu de Preux, Christina Precht, Beatriz Vidondo, Christoph Koch","doi":"10.1111/vsu.14271","DOIUrl":"10.1111/vsu.14271","url":null,"abstract":"<p><strong>Objective: </strong>To assess the accuracy of computer-assisted surgery (CAS) of equine cervical vertebrae using a purpose-built cervical frame (CF) for neck stabilization.</p><p><strong>Study design: </strong>Experimental cadaveric study.</p><p><strong>Sample population: </strong>Six whole fresh equine cadavers.</p><p><strong>Methods: </strong>Cadavers were positioned in dorsal recumbency with the neck extended within the CF. A cone-beam computed tomography (CBCT)-based surgical navigation system with optical tracking was used. A ventral approach exposed cervical vertebrae C3-C5. In each cadaver, 12 drill corridors were prepared with the patient tracker on the CF (position CF), followed by 12 corridors with the patient tracker on C3 (position C3). Surgical accuracy aberration (SAA) was assessed by measuring Euclidean distances between planned and executed entry and target points on merged pre- and postoperative datasets. Descriptive statistics and repeated-measures analyses of variance (rep.-meas. ANOVA) compared SAA measurements between groups.</p><p><strong>Results: </strong>The mean ± SD SAA (Euclidean distance) was 2.00 ± 0.98 mm in patient tracker position CF, and 2.41 ± 1.31 mm in position C3 (rep.-meas. ANOVA p = .215). At the most dorsal point of the drill corridor, dorsoventral deviations >2 mm occurred in 5/72 measurements in patient tracker position CF, and in 12/72 measurements in position C3.</p><p><strong>Conclusion: </strong>The CF allowed for unrestricted pre- and intraoperative CBCT imaging and computer-assisted drilling with a SAA in the close range of 2 mm. Positioning the patient tracker on the CF, outside the surgical field, did not compromise surgical accuracy.</p><p><strong>Clinical significance: </strong>A CF can facilitate CAS for surgeries with a ventral approach to the equine cervical vertebral column.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"898-908"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of a dorsolateral approach and a dorsomedial approach to access the medial malleolus of the distal tibia in horses.","authors":"Margherita Guerra, Lauren V Schnabel, Carrie C Jacobs","doi":"10.1111/vsu.14241","DOIUrl":"10.1111/vsu.14241","url":null,"abstract":"<p><strong>Objective: </strong>To determine the utility of a dorsolateral arthroscopic approach to the tarsocrural joint (TCJ) to examine and surgically access the medial malleolus (MM) and compare this to the standard dorsomedial approach to the MM.</p><p><strong>Study design: </strong>Experimental cadaver study.</p><p><strong>Animals: </strong>Six pelvic limbs from four adult horses.</p><p><strong>Methods: </strong>Arthroscopic examination of the dorsal aspect of the TCJ was performed followed by the dorsomedial and dorsolateral surgical approaches to the MM, in randomized order on cadaver limbs (n = 6). The dorsomedial approach involved placing the arthroscope and instrument in the dorsomedial pouch. The dorsolateral approach involved placing the arthroscope dorsolaterally and the instrument dorsomedially. Identification and surgical access grades for the MM were assessed and recorded.</p><p><strong>Results: </strong>Using the dorsomedial approach, identification grades were excellent for the MM and surgical access to the MM was excellent or good in all limbs. Using the dorsolateral approach, identification and surgical access grades for the MM were excellent in all limbs. Interference between the arthroscope and instrument only occurred during the dorsomedial approach. The view of the axial aspect of the MM was improved with the dorsolateral approach.</p><p><strong>Conclusion: </strong>The dorsolateral approach allowed identification and surgical access to the MM and provided an improved view of the axial aspect of the MM. No interference between the instrument and arthroscope was encountered.</p><p><strong>Clinical significance: </strong>The dorsolateral arthroscopic approach to the TCJ can be used for debridement of MM OCD lesions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"992-997"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standing repair of short frontal plane fractures involving the dorsoproximal articular surface of the proximal phalanx in six Thoroughbred racehorses.","authors":"Anna Drahonovska, Bruce M Bladon, Henry D O'Neill","doi":"10.1111/vsu.14265","DOIUrl":"10.1111/vsu.14265","url":null,"abstract":"<p><strong>Objective: </strong>To describe a technique and report outcomes for internal fixation of short frontal-plane fractures involving the dorsoproximal articular surface of the proximal phalanx (P1) in standing horses.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Animals: </strong>Six Thoroughbred racehorses with short, frontal plane fractures involving the dorsoproximal P1.</p><p><strong>Methods: </strong>All fractures were located in the hindlimb. Horses presented with moderate lameness and marked effusion of the affected metatarsophalangeal joint. Fractures had a medial bias extending from the central aspect of proximal P1 to involve the dorsomedial prominence. Fractures were repaired under standing sedation, local anesthesia and radiographic guidance using a single 3.5 mm self-tapping cortical screw placed in lag fashion.</p><p><strong>Results: </strong>Surgery was postponed by 24 h for one patient due to excessive movement during surgical preparation. The mean proximo-distal length of the radiographically apparent fracture plane was 23 mm (range: 19-28 mm). Mean time for screw placement was 13 min (range: 9-21 min). In five horses, postoperative radiographs were acquired and indicated resolution of the fracture plane. All horses raced postoperatively. The mean time from surgery to first race was 205 days (range: 144-284 days) and mean number of starts was 21 (range: 9-37). No complications were reported relating to the repair method.</p><p><strong>Conclusion: </strong>Standing internal fixation of short, incomplete frontal plane fractures of the proximal phalanx, using a 3.5 mm self-tapping cortical screw, is a feasible method of repair. The technique should be viewed as an advanced standing fracture repair.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1009-1015"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view\".","authors":"","doi":"10.1111/vsu.14264","DOIUrl":"10.1111/vsu.14264","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"821"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of short-course virtual reality or video-box training on basic laparoscopic skills and simulated surgical performance in veterinary students.","authors":"Natasha M Hottmann, Boel A Fransson","doi":"10.1111/vsu.14201","DOIUrl":"10.1111/vsu.14201","url":null,"abstract":"<p><strong>Objective: </strong>To compare novices' performance on simulated laparoscopic tasks with a box trainer and virtual reality (VR) trainer before and after training on one system, and to compare performance between groups following training.</p><p><strong>Study design: </strong>Randomized, prospective study.</p><p><strong>Sample population: </strong>Twelve veterinary students without prior hands-on laparoscopic experience were randomly assigned to the box or VR training group.</p><p><strong>Methods: </strong>Performance of basic laparoscopic tasks on box and VR trainers and simulated surgical task were scored before and after completion of a designated training program. Scores for each task were compared within and between groups.</p><p><strong>Results: </strong>The box group's post-training scores were higher than pretraining scores for all box tasks. The VR group's post-training scores were higher than pretraining scores for most VR tasks. Median post-training scores were higher in the box group than the VR group for all box tasks. Median post-training scores were higher for the VR group than the box group only for VR intracorporeal suturing. Neither program led to a substantial improvement in simulated surgical task performance.</p><p><strong>Conclusion: </strong>In this study the box trainer seemed more effective than the VR trainer for training novices to perform most basic tasks. The lack of substantial improvement of simulated surgical task performance is likely related to study limitations including small sample size and short training timeline.</p><p><strong>Impact: </strong>Both training systems increased basic laparoscopic skills in novices. Laparoscopic simulation training may be applicable within veterinary school curricula. Additional studies are warranted to assess these systems with different tasks and trainee experience.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"860-871"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press.","authors":"Parisa Mazdarani, Michelle B M Nielsen, James E Miles","doi":"10.1111/vsu.14252","DOIUrl":"10.1111/vsu.14252","url":null,"abstract":"<p><strong>Objective: </strong>To quantify how increasing axial loads combined with different femoral fixation methods impact simulated quadriceps and gastrocnemius muscle forces.</p><p><strong>Study design: </strong>Experimental, non-randomized, ex vivo study.</p><p><strong>Methods: </strong>A custom limb press permitting axial loads of 10%-40% bodyweight with three femoral fixation models was tested with 24 limbs from 12 cats (4 per method). Fixation models were: one-complete hip mobility, two-rigid femoral fixation, three-flexion-extension hip mobility. Femoral angulation to horizontal of 60° ±5° and stifle/hock angulations of 120° ±5° were maintained using turnbuckles. Primary outcomes were bodyweight normalized quadriceps and gastrocnemius forces, and their ratio. Secondary outcomes were radiographic limb angulation and relative foot position for models 2 and 3.</p><p><strong>Results: </strong>Normalized quadriceps forces increased more with axial load in models 1 and 3 than model 2 (p = .04), whereas normalized gastrocnemius force increased more with model 2 than models 1 and 3 (p = .009). Force ratios were unaffected by axial load (p = .4), but model 2 ratios were lower than models 1 and 3 (p = .007). Femoral angulation did not differ with load (p = .1) or model (p = .9), but both stifle and hock flexed with increasing load (p < .001) but remained largely within target. Relative foot position was mean 3.9 mm more caudal in model 2 than model 3.</p><p><strong>Conclusion: </strong>Simulated muscle forces were proportionate to axial load, while rigid femoral fixation negatively affected both forces and ratios.</p><p><strong>Clinical significance: </strong>Retaining hip flexion-extension yields normalized quadriceps forces closer to in vivo values and could improve current ex vivo models.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"998-1008"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic-assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study.","authors":"Hiroshi Miyagi, Galina M Hayes","doi":"10.1111/vsu.14280","DOIUrl":"10.1111/vsu.14280","url":null,"abstract":"<p><strong>Objective: </strong>To (1) develop a minimally invasive technique for endoscopic-assisted retrograde catheterization (EARC) of the major duodenal papilla (MDP) in dogs and (2) pilot a safe method of endoscope-guided laser sphincterotomy of the intramural segment of the common bile duct (ICBD).</p><p><strong>Study design: </strong>Descriptive study.</p><p><strong>Animals: </strong>Twenty fresh canine cadavers.</p><p><strong>Methods: </strong>Following mini-midline celiotomy and exteriorization of the distal duodenum, endoscopy of the duodenal lumen was performed under saline irrigation via a 5 mm cuffed endoscopic port using a 2.7 mm 30° rigid cystoscope and HoYag laser fiber. Endoscopic-assisted retrograde catheterization of the MDP and laser sphincterotomy extended to the end of the ICBD was performed. The duodenal segment was dissected under magnification following the endoscopic procedure. The length of the ICBD and the incidence of iatrogenic injury were recorded.</p><p><strong>Results: </strong>The EARC of the MDP and laser sphincterotomy were successful in 18 of 18 attempts. The ICBD segments ranged from 10 to 21 mm long (n = 20) (body weight 6.6-37.0 kg). There was no correlation between body weight and length of the ICBD (Pearson's rho = .06, p = .79). Partial thickness lateral perforations occurred in two specimens. Division of the submucosal layer during ablation heralded the start of the extramural segment and could be identified consistently (16/18; 88%).</p><p><strong>Conclusion: </strong>Endoscopic-assisted retrograde catheterization and extended laser sphincterotomy appeared feasible and safe in canine cadavers. Further evaluation in a live-animal setting is warranted.</p><p><strong>Clinical significance: </strong>Endoscopic-assisted retrograde catheterization may have advantages over current open techniques for accessing the duodenal papilla and endoscopic laser sphincterotomy may assist resolution of ICBD obstructions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"890-897"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}