World Journal of Pediatric Surgery最新文献

{"title":"Are multidisciplinary consultation meetings for prenatal diagnosis achievable in a low-income country? A descriptive cross-sectional survey in Benin.","authors":"Monsoia Gildas Yassegoungbe,&nbsp;Beaudelaire Romulus Assan,&nbsp;Amoussou Sedjro Clotaire Romeo Houegban,&nbsp;Codjo Serge Metchihoungbe,&nbsp;Jean-Francois Lecompte,&nbsp;Christine Tschabu Aguemon,&nbsp;Sidoine Bitho Gbetey,&nbsp;Jean Breaud,&nbsp;Antoine Seraphin Gbenou","doi":"10.1136/wjps-2023-000576","DOIUrl":"https://doi.org/10.1136/wjps-2023-000576","url":null,"abstract":"<p><strong>Objective: </strong>The multidisciplinary antenatal diagnosis staff bring together practitioners who are involved in the management of the antenatal period at birth. This project was designed following the French experience to institute multidisciplinary consultation meetings for prenatal diagnosis (MCMPD) in Benin.</p><p><strong>Methods: </strong>This is a descriptive cross-sectional study examining the knowledge, attitudes, and practices of Beninese practitioners in the field of MCMPD to develop the pilot phase of the project.</p><p><strong>Results: </strong>We collected 108 participants from different specialties. Pediatricians and pediatric surgeons were in the majority at 23.9% and 16.5%, respectively. Sixty-seven percent of participants were from the public sector (n=75). One practitioner felt that it was not a good idea to implement these meetings. Almost all staff (96.2%) agreed that this meeting would have a positive impact on reducing neonatal mortality. Omphalocele (58.5%), spina bifida aperta (43.6%), and gastroschisis (34%) were the most commonly diagnosed antenatal conditions in Benin. No neonatal pathology required medical termination of the pregnancy according to 35.6% of the participants.</p><p><strong>Conclusions: </strong>The objective of reducing infant mortality due to medical and surgical pathologies is a noble one and deserves to be supported. This innovative project, developed through this study, the first of its kind in the subregion, will contribute inexorably to the achievement of the third Goal Sustainable Development.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000576"},"PeriodicalIF":0.8,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414187","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":"Efficacy of adhesive strapping on umbilical hernia in children: a systematic review and meta-analysis of cohort studies.","authors":"Takuya Sugimoto,&nbsp;Kazunori Tahara,&nbsp;Koshi Uchida,&nbsp;Kazuhiko Yoshimoto","doi":"10.1136/wjps-2023-000633","DOIUrl":"https://doi.org/10.1136/wjps-2023-000633","url":null,"abstract":"<p><strong>Background: </strong>Although adhesive strapping (AS) for pediatric umbilical hernia (UH), which was once obsolete, has been reconsidered as a common practice in Japan, its efficacy is still unclear. This study aimed to evaluate its efficacy by reviewing related articles.</p><p><strong>Methods: </strong>A comprehensive literature search of PubMed, Cochrane, Google Scholar, and Igaku Chuo Zasshi via Ichushi-Web was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Cohort studies reporting on the UH closure rate after AS compared with observation-only management were included.</p><p><strong>Results: </strong>A total of 10 cohort studies were included, and the overall UH closure rate was not statistically significant (p=0.31, risk ratio (RR)=0.76, 95% confidence interval (CI) 0.45 to 1.28). However, there were significant differences in the UH closure rate at the age of 6 months (p<0.01, RR=0.55, 95% CI 0.41 to 0.75) and the efficacy of preventing protruding umbilici with redundant skin (p=0.049, RR=0.16, 95% CI 0.03 to 0.99).</p><p><strong>Conclusions: </strong>Although the efficacy of AS on UH compared with observation-only management did not differ in terms of the UH closure rate, the application of AS may be effective for faster UH closure and the prevention of protruding umbilici. However, due to the high heterogeneity of the study, further large-scale studies, particularly randomized controlled trials, are warranted to reach a conclusion.</p><p><strong>Prospero registration number: </strong>CRD42022314417.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000633"},"PeriodicalIF":0.8,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/84/wjps-2023-000633.PMC10582974.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682944","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":"Predictors of surgical complications in boys with hypospadias: data from an internationa registry.","authors":"Kathryn Scougall,&nbsp;Jillian Bryce,&nbsp;Federico Baronio,&nbsp;Rachel L Boal,&nbsp;Jose Roberto Castera,&nbsp;Sebastián Castro,&nbsp;Tim Cheetham,&nbsp;Eduardo Corrêa Costa,&nbsp;Feyza Darendeliler,&nbsp;Justin H Davies,&nbsp;Mirjam Dirlewanger,&nbsp;Gabriella Gazdagh,&nbsp;Evgenia Globa,&nbsp;Gil Guerra-Junior,&nbsp;Tulay Guran,&nbsp;Gloria Herrmann,&nbsp;Paul-Martin Holterhus,&nbsp;Ahsen Karagözlü Akgül,&nbsp;Renata Markosyan,&nbsp;Kenneth McElreavey,&nbsp;Marcio Lopes Miranda,&nbsp;Anna Nordenstrom,&nbsp;Stuart O'Toole,&nbsp;Sukran Poyrazoglu,&nbsp;Gianni Russo,&nbsp;Valerie Schwitzgebel,&nbsp;Marianna Stancampiano,&nbsp;Michael Steigert,&nbsp;S Faisal Ahmed,&nbsp;Angela K Lucas-Herald","doi":"10.1136/wjps-2023-000599","DOIUrl":"https://doi.org/10.1136/wjps-2023-000599","url":null,"abstract":"<p><strong>Background: </strong>Complications are frequently reported after hypospadias repair and there is a need to understand the factors that influence their occurrence.</p><p><strong>Methods: </strong>Data from boys with hypospadias born between 2000 and 2020 were obtained from the International Disorders of Sex Development (I-DSD) Registry. Logistic regressions, fisher's exact tests and spearman's correlation tests were performed on the data to assess associations between clinical factors and complication rates.</p><p><strong>Results: </strong>Of the 551 eligible boys, data were available on 160 (29%). Within the cohort, the median (range) External Masculinization Score (EMS) was 6 (2, 9). All presented with one or more additional genital malformation and 61 (38%) presented with additional extragenital malformations. Disorders of androgen action, androgen synthesis and gonadal development were diagnosed in 28 (18%), 22 (14%) and 9 (6%) boys, respectively. The remaining 101 (62%) patients were diagnosed as having non-specific 46,XY Disorders of Sex Development. Eighty (50%) boys had evidence of abnormal biochemistry, and gene variants were identified in 42 (26%). Median age at first hypospadias surgery was 2 years (0, 9), and median length of follow-up was 5 years (0, 17). Postsurgical complications were noted in 102 (64%) boys. There were no significant associations with postsurgical complications.</p><p><strong>Conclusions: </strong>Boys with proximal hypospadias in the I-DSD Registry have high rates of additional comorbidities and a high risk of postoperative complications. No clinical factors were significantly associated with complication rates. High complication rates with no observable cause suggest the involvement of other factors which need investigation.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000599"},"PeriodicalIF":0.8,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/90/wjps-2023-000599.PMC10582860.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682945","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":"Continuous non-invasive hemoglobin monitoring in pediatric trauma setting.","authors":"Antonio Romanelli,&nbsp;Rosanna Carmela De Rosa","doi":"10.1136/wjps-2023-000614","DOIUrl":"10.1136/wjps-2023-000614","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000614"},"PeriodicalIF":0.8,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/2a/wjps-2023-000614.PMC10476105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225332","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":"Effectiveness of psychosocial interventions for pediatric patients with scoliosis: a systematic review.","authors":"Maike van Niekerk,&nbsp;Ann Richey,&nbsp;John Vorhies,&nbsp;Connie Wong,&nbsp;Kali Tileston","doi":"10.1136/wjps-2022-000513","DOIUrl":"10.1136/wjps-2022-000513","url":null,"abstract":"<p><strong>Background: </strong>Pediatric patients affected by scoliosis have complex psychological and social care needs, and may benefit from psychosocial interventions. We therefore aimed to summarize evidence of the efficacy of psychosocial interventions for this patient population.</p><p><strong>Methods: </strong>Literature was identified by searching Medline, PsycINFO, Embase, EBSCO Cumulated Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Central Register of Controlled Trials (CENTRAL) from database inception to 20 March 2022. Articles that evaluated the effectiveness of psychosocial interventions for pediatric patients diagnosed with scoliosis and reported at least one quantitative outcome were included. Article eligibility, data extraction, and quality assessment (using the Cochrane Collaboration's Risk of Bias Tool and Methodological Index for Non-Randomized Studies) were performed by two independent researchers. Findings are presented using narrative synthesis.</p><p><strong>Results: </strong>We identified ten studies, all of which focused on adolescent idiopathic scoliosis. Studies included a total of 1007 participants, most of whom were female. Three studies focused on patients undergoing bracing, six on patients undergoing spinal surgery, and one on patients broadly. Brace compliance monitoring and counseling were found to significantly improve brace compliance quality and quantity. Proactive mental healthcare delivery by nurses after spinal surgery was similarly found to improve outcomes. Several studies examined the efficacy of brief educational interventions; most did not report clear evidence of their efficacy. The methodological quality of studies was often unclear due to limitations in articles' reporting quality.</p><p><strong>Conclusions: </strong>Research on the efficacy of psychosocial interventions for pediatric patients with scoliosis is limited, with interventions involving frequent patient-provider interactions showing the most promise. Future clinical and research efforts should focus on developing and testing psychosocial interventions for this patient population, with emphasis on multidisciplinary teams delivering holistic care.</p><p><strong>Trial registration number: </strong>PROSPERO number CRD42022326957.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 2","pages":"e000513"},"PeriodicalIF":0.8,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/c0/wjps-2022-000513.PMC10008171.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9490949","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":"Tribute to reviewers (January 1, 2022 to December 31, 2022)","authors":"","doi":"10.1136/wjps-2023-reviewers","DOIUrl":"https://doi.org/10.1136/wjps-2023-reviewers","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135074647","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":"Outcomes of two-stage double-level rotational osteotomy in treating patients with congenital proximal radioulnar synostosis.","authors":"Hu Bo,&nbsp;Jingfang Xu,&nbsp;Jianlan Lin,&nbsp;Weiwei Zhu,&nbsp;Zhefeng Zhen,&nbsp;Wensong Ye,&nbsp;Wenhao Chen","doi":"10.1136/wjps-2023-000578","DOIUrl":"https://doi.org/10.1136/wjps-2023-000578","url":null,"abstract":"Department of Orthopedics, Sir Run Run Hospital Nanjing Medical University, Nanjing, Jiangsu, China Department of Orthopedics, Children's Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China Department of Orthopedics, Fujian Children’s Hospital, Fuzhou, Fujian Province, China Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 2","pages":"e000578"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/fd/wjps-2023-000578.PMC10040036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257844","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":"Radiomic-based machine learning model for predicting the surgical risk in children with abdominal neuroblastoma.","authors":"Xuan Jia,&nbsp;Jiawei Liang,&nbsp;Xiaohui Ma,&nbsp;Wenqi Wang,&nbsp;Can Lai","doi":"10.1136/wjps-2022-000531","DOIUrl":"https://doi.org/10.1136/wjps-2022-000531","url":null,"abstract":"<p><strong>Background: </strong>Preoperative imaging assessment of surgical risk is very important for the prognosis of these children. To develop and validate a radiomics-based machine learning model based on the analysis of radiomics features to predict surgical risk in children with abdominal neuroblastoma (NB).</p><p><strong>Methods: </strong>A retrospective study was conducted from April 2019 to March 2021 among 74 children with abdominal NB. A total of 1874 radiomic features in MR images were extracted from each patient. Support vector machines (SVMs) were used to establish the model. Eighty percent of the data were used as the training set to optimize the model, and 20% of the data were used to validate its accuracy, sensitivity, specificity and area under the curve (AUC) to verify its effectiveness.</p><p><strong>Results: </strong>Among the 74 children with abdominal NB, 55 (65%) had surgical risk and 19 (35%) had no surgical risk. A t test and Lasso identified that 28 radiomic features were associated with surgical risk. After developing an SVM-based model using these features, predictions were made about whether children with abdominal NB had surgical risk. The model achieved an AUC of 0.94 (a sensitivity of 0.83 and a specificity of 0.80) with 0.890 accuracy in the training set and an AUC of 0.81 (a sensitivity of 0.73 and a specificity of 0.82) with 0.838 accuracy in the test set.</p><p><strong>Conclusions: </strong>Radiomics and machine learning can be used to predict the surgical risk in children with abdominal NB. The model based on 28 radiomic features established by SVM showed good diagnostic efficiency.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 3","pages":"e000531"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/3f/wjps-2022-000531.PMC10201264.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871959","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":"Cases of pediatric intra-abdominal solid organ injury induced by blunt trauma experienced over a 15-year period at two centers in Japan.","authors":"Mayu Matsui,&nbsp;Koshiro Sugita,&nbsp;Takafumi Kawano,&nbsp;Nanako Nishida,&nbsp;Ayaka Nagano,&nbsp;Masakazu Murakami,&nbsp;Keisuke Yano,&nbsp;Toshio Harumatsu,&nbsp;Shun Onishi,&nbsp;Koji Yamada,&nbsp;Waka Yamada,&nbsp;Mitsuru Muto,&nbsp;Tatsuru Kaji,&nbsp;Satoshi Ieiri","doi":"10.1136/wjps-2023-000560","DOIUrl":"https://doi.org/10.1136/wjps-2023-000560","url":null,"abstract":"<p><strong>Objective: </strong>The present study attempts to clarify the clinical features of pediatric intra-abdominal solid organ injury at two institutions.</p><p><strong>Methods: </strong>The injured organ, patient age, sex, injury grade, imaging findings, intervention, length of hospital stay, and complications were retrospectively reviewed using medical records at two centers from 2007 to 2021.</p><p><strong>Results: </strong>There were 25 cases of liver injury, 9 of splenic injury, 8 of pancreatic injury, and 5 of renal injury. The mean age of all patients was 8.6±3.8 years old, with no difference between organ injury types. Radiological intervention was performed in four cases of liver injury (16.0%) and one case of splenic injury (11.1%), and surgery was performed in two cases of liver injury (8.0%) and three cases of pancreatic injury (37.5%). All other cases were treated conservatively. Complications included adhesive ileus in one case of liver injury (4.0%), splenic atrophy in one case of splenic injury (11.1%), pseudocysts in three cases of pancreatic injury (37.5%), atrophy of the pancreatic parenchyma in one case of pancreatic injury (12.5%), and urinoma in one case of renal injury (20.0%). No mortalities were observed.</p><p><strong>Conclusion: </strong>Pediatric patients with blunt trauma had favorable outcomes at two pediatric trauma centers covering a broad medical area, including remote islands.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 3","pages":"e000560"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/7e/wjps-2023-000560.PMC10277529.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710493","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":"Epigastric hernias in children and the use of ultrasound in its diagnosis.","authors":"Tatjana T König,&nbsp;Laura S Oerters,&nbsp;Ljuba Spiller,&nbsp;Martin Schwind,&nbsp;Mark Born,&nbsp;Christina Oetzmann von Sochaczewski,&nbsp;Andreas C Heydweiller","doi":"10.1136/wjps-2022-000544","DOIUrl":"https://doi.org/10.1136/wjps-2022-000544","url":null,"abstract":"<p><strong>Introduction: </strong>There is a paucity of clinical data on pediatric epigastric hernias despite them accounting for up to 6% of all hernia repairs in children. We aimed to provide additional data to supplement those 117 cases of a recent systematic review and to further clarify the role of ultrasound in diagnosing pediatric epigastric hernia.</p><p><strong>Methods: </strong>We retrospectively included all 60 patients treated for epigastric hernias in children in two tertiary pediatric surgical departments within 12 years. Associations were tested via point-biserial correlation analyses.</p><p><strong>Results: </strong>Epigastric hernias primarily affected preschool children with a median age of 39 months. The vast majority of patients (88%) presented with swelling that was occasionally (30%) accompanied by pain. Fascial defects could be found during clinical examination in 45% of patients with a median size of 5 mm (95% CI 3 to 10). Smaller defects were less likely to be palpable (r=-0.44, 95% CI -0.08 to -0.7, p=0.021). Likewise, ultrasound was used more frequently with smaller fascial defect sizes (r=-0.51, 95% CI -0.16 to -0.74, p=0.007). Laparoscopic repair was used in 11 patients (19%) and more often (4/11) in combination with another simultaneous procedure than open repair (11/48).</p><p><strong>Conclusions: </strong>Epigastric hernias are primarily a condition of the preschool child. Ultrasound can be beneficial if the diagnosis cannot be made clinically; otherwise, it is abdicable if it does not change the management of the patient's epigastric hernia. Laparoscopic repairs might be beneficial for children with multiple defects or simultaneous procedures.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 2","pages":"e000544"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/61/wjps-2022-000544.PMC10083873.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9304961","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}