PAIN, JOINTS, SPINE最新文献

{"title":"Frequency of pulley lesions in patients with frozen shoulder","authors":"S. V. Bohdan, L. Yuriychuk, O. S. Strafun, R. Sergienko, S. Strafun","doi":"10.22141/pjs.13.4.2023.396","DOIUrl":"https://doi.org/10.22141/pjs.13.4.2023.396","url":null,"abstract":"Background. Analyzing the results of studies conduc­ted at various MRI centers in different cities of our country, demonstrates that the diagnosis of pulley lesion was only established in a few of them, while the diagnosis of adhesive capsulitis was established in every third examination. This fact leads to the disregard of the primary cause of the disease, diagnostic errors, and consequently, treatment mistakes. The purpose was to investigate the frequency of different types of pulley lesions involving the ligaments that maintain the integrity of the long head of the biceps (pulley lesion injuries) in patients with adhesive capsulitis of the shoulder joint (frozen shoulder). Materials and methods. We performed 310 ope­rations on patients with adhesive capsulitis of the shoulder. The patients’ ages ranged from 30 to 90 years. The average duration from the onset of the disease to surgical intervention was 189 ± 104 days. All patients were examined clinically and radiologically and all patients underwent MRI study of anatomical structures and shoulder joint arthroscopy. Results. Pulley lesion injuries of the shoulder joint were detected in 84 (27.1 %) of the patients who underwent surgery for a frozen shoulder. This allows us to assert that in this particular patient group, secondary adhesive capsulitis with the development of shoulder joint contracture was predominant. The third (16.5 %) and fourth (12.4 %) types of pulley lesion injuries were the most prevalent. These particular types of pulley lesion injuries exhibit the most contracture-inducing properties, with the third type predominating over the fourth type. А change in the type of pulley lesion damage (an increase in the number of damaged structures of the shoulder), the average indicators of the mobility of the shoulder decreased. Conclusions. In 27.1% of patients who were opera­ted on for idiopathic adhesive capsulitis was detected pulley lesion, which gives us to reconsider treatment approaches and expand the indications for diagnostic and therapeutic shoulder arthroscopy in the earlier stages of the disease.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"131 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140256869","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":"Guidelines for Preventing and Treating of Vitamin D Deficiency: an Ukrainian approach A.D. 2023","authors":"Paweł Płudowski","doi":"10.22141/pjs.13.2.2023.367","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.367","url":null,"abstract":"No abstract","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139358358","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":"Mathematical model of knee joint degenerative dystrophic changes formation in its flexion contracture at late stages of rheumatoid arthritis","authors":"S. Gerasymenko, A. Babko, A. Gerasymenko, D.I. Kachan","doi":"10.22141/pjs.13.2.2023.371","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.371","url":null,"abstract":"Background. Rheumatoid arthritis (RA) is an immunomodulatory, chronic inflammatory disease accompanied by the proliferation and articular cartilage destruction that cause disability. Biomechanical factors in RA can play an important role in the onset and progress of the joint degenerative processes, secondary to the inflammation process. The biomechanical factors in RA can play an essential role in the start and progress of the degenerative processes within the joint that are secondary to the inflammatory process. Materials and methods. A solid simulation 3D-model of the knee joint was created that contained both tibia and fibula, the femur bone, femoral condyle cartilage and tibial plateau cartilage, menisci. It was done for further analytical calculations and finite element modeling calculations. Analytical calculations are based on the data of previous studies of quantitative evaluation of the knee joint contracture (compliance of contracture to the external corrective action) and on calculations data of the joint forces that manifest in ambulation of the patient with RA. Results. The created simulation computer 3D-model of a knee joint with its flexion contracture at late stages of RA shows that the forced passive flexion in the knee joint to 6°, the load on the condyles of the tibial plateau increased by 12.8 %, and as a result of forced passive flexion in the knee joint to 3°, the load on the condyles of the tibial plateau increased by 95.2 %, which is critical and may cause degradation of the bone tissue in the contact area. Conclusions. Increase of load on the lateral areas of the tibial plateau and, correspondingly, the tensions on the contact areas of the femur bone condyles with the tibial plateau, may contribute to the progress of the clinical picture of RA with the increase of arthrofibrosis and osteoarthritis events, particularly in the lateral areas of the knee joint.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139357987","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":"Influence of post-amputation pain syndrome on blood circulation in the bone residual limb","authors":"V. Shevchuk, Y. O. Bezsmertnyi, Y. Jiang, H. Bezsmertna, Y.S. Seheda, D.V. Bondarenko","doi":"10.22141/pjs.13.2.2023.370","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.370","url":null,"abstract":"Background. The percentage of unsatisfactory amputation results is still high. The healing of the bone remnant, the main supporting element of the residual limb, is of particular importance. The purpose was to study the effect of post-amputation pain syndrome on the nature of blood circulation in the bone residual limb. ­Materials and methods. Three series of experiments with amputation of the thigh were conducted on 54 rabbits. In the series 1 and 2, a perineural catheter was brought to the stump of the sciatic nerve. In series 1, for 20 days, ­every day for 20 minutes, mechanical irritation of the nerve was done, causing a pain syndrome using the perineural catheter. In series 2, 0.3 ml of 1% lidocaine was injected twice daily for 20 days; series 3 was a control. The follow-up periods were 1, 3, and 6 months. The study method was histological with the infusion of vessels with an ink-gelatin mixture. Results. Animals of the first series developed avascularity of the end of the stump and bone marrow, poor vascularity and absence of cellular composition in the Haversian canals, dystrophic changes in adipose bone marrow, rarefication, spongiosis, resorption, and bone fractures. In series 2, the avascularity passed quickly and by three months, the angioarchitectonics was stabilized. Revascularization of the bone stump occurs due to the preserved sources of blood circulation (intramedullary vascular network, periosteum and surrounding soft tissues) anastomosing vessels and extravascular pathways of microcirculation (increased vascular permeabi­lity, formation of sinusoidal capillaries and tissue cysts). In most observations of series 3, the processes of revascularization were similar to the results of the 1st series. Conclusions. Postamputation pain syndrome causes abrupt macro- and microcirculatory disturbances. Pain syndrome suppression allows to considerably level the arising circulatory disorders in the bone residual limb.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139358152","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":"VYSHKIL — Training of Survival: A New Approach to Train Civilians First Aid Skills","authors":"PhD Ulyana Kuz, V. S. Sulyma, Yu.O. Filiak, L. V. Tverdokhlib, Kh.V. Hafiychuk, V. S. Sarancha","doi":"10.22141/pjs.13.2.2023.369","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.369","url":null,"abstract":"Background. It’s a well-known fact that during wars, the number of civilian deaths surpasses soldier ones. In Ukraine, the first aid training has been based on an outdated education system that does not teach practical skills. The revision of the formal approach to teaching skills is essential. It should be practically oriented with highly qualified instructors in newly created simulation centers. Only repeated training can save humans’ life in an emergency. Materials and methods. VYSHKIL consists of 2 main parts — theoretical and practical. Time: 2 hours. The theoretical part is provided by a military surgeon and contains an animated lecture with clinical cases (30 min), a practical demonstration (allows to see the practical skill and ask the questions (step 1–2)). The practical part is provided by 6 main trainers, who demonstrate all practical skills similarly to the lection material (step 3) and allow students to try on the MARCH algorithm procedures (step 4). Duration: 1.5 h. All civilians should visit every station, therefore there is a limitation of participants — max 60. Results. Sixty-two training sessions were held. Three thousand and seventy-six Ukrainians were trained with this program. 57 % — people without medical education, 26 % — subjects who work in educational institutions, 13 % — military soldiers, and 4 % — surgeons. The average age was 35.3 years old. The feedback form includes points for theoretical and practical parts. People assess the usefulness of the lecture in 9.6 out of 10 points and memorization of practical skills in 9.4 out of 10 points. That means a high level of interpretation of material. Conclusions. A combination of the adapted algorithm with our own education system VYSHKIL based on advanced teaching by Python helps trainees to memorize, train and repeat the practical skills, thus a civilian will be able to use it in an emergency. VYSHKIL helps to remember the mnemonic algorithm (MARCH) in the extreme situation.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"262 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139358364","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":"Handgrip strength, physical activity, and body composition in young adults with juvenile idiopathic arthritis","authors":"M. Kulyk, M. Dzhus","doi":"10.22141/pjs.13.2.2023.372","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.372","url":null,"abstract":"Background. Handgrip strength (HGS) and physical activity (PA) reflect an individual’s overall health and can predict morbidity and mortality. The purpose of the study was to investigate the level of PA and HGS and associated factors in young adults with juvenile idiopathic arthritis (JIA) and determine the connection with body composition parameters. Materials and methods. We conducted a cross-sectional monocentric study of 40 young adults aged 18–30. We collected data on PA and anthropometric and clinical measurements, including disease activity and articular and extra-articular damages. All patients had the following evaluations performed: body composition (dual X-ray absorptiometry), PA level (International Physical Activity Questionnaire), and HGS measurement (using manual hand dynamometer). Results. Sixteen (40 %) patients were considered sedentary, and 32 (80 %) JIA patients had low HGS. The reduced HGS was likely in women, patients with lower body mass index, higher disease activity, and articular damage. In contrast, bone mineral density (BMD) and lean mass were protective factors for reduced HGS (p < 0.05). The level of PA was positively correlated with BMD and lean mass and negatively correlated with fat mass, swollen joint count, and articular damage (p < 0.05). Conclusions. JIA leads to changes in body composition parameters, particularly lean (muscle) mass and muscle strength, and therefore is a risk factor for the development of sarcopenia.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139358347","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":"Clinical significance of adipokine profile (leptin and adiponectin) in patients with gout","authors":"I. Orlova, M. A. Stanislavchuk","doi":"10.22141/pjs.13.2.2023.373","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.373","url":null,"abstract":"Background. Recently, there is a lot of data on the role of leptin and adiponectin in the development and progression of rheumatic diseases. It has been studied that the increase in the le­vel of leptin and adiponectin is associated with hyperuricemia in various pathological conditions. Data on the adipokine profile, leptin and adiponectin levels in patients with gout are limited. The ­purpose was to study the content of leptin and adiponectin in the serum of patients with gout depending on the course of the disease, as well as to evaluate their diagnostic value. Materials and ­methods. We examined 151 patients with gout (100 % men, ave­rage age 52.4 ± 9.2 years). The control group consisted of 31 practically healthy men of the same age. Results. Patients with gout had hi­gher levels of leptin, lower levels of adiponectin and lo­wer ratio adiponectin/leptin (lg A/L) than practically healthy men. Hyperleptinemia (leptin level > 5.91 ng/ml) was found in 49.7 % of subjects, hypoadiponectinemia (adiponectin level < 3.61 μg/ml) — in 66.9 % and dysadipokinemia (lg A/L < 3.2) — in 82.1 %. The frequency of hyperleptinemia, hypoadiponectinemia, and dysadipokinemia was significantly higher in patients with tophi in 3.9; 1.7 and 1.4 times, respectively. The phenomenon of dysadipokinemia associated with an increase in the severity of the disease — a grea­ter number of affected joints, a greater frequency of exacerbations of gouty arthritis during the year, the severity of the pain syndrome according to the VAS, a higher level of uric acid in the blood serum (r = –0.23; r = –0.24; r = –0.35; r = –0.44; p < 0.01 for all indices). Conclusions. Patients with gout have a violation of the adipokine profile: an increase in the level of leptin, a decrease in the level of adiponectin and a decrease in their ratio (lg A/L). An increasing imbalance of adipokines is associated with a more severe course of the disease and can be considered could serve as a prognostic factor.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139358181","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":"Diagnosis, prevention and treatment of vitamin D deficiency in adults: Ukrainian experts consensus statement","authors":"N. Grygorieva, M. Tronko, V. Kovalenko, S.V. Komisarenko, T. Tatarchuk, N. Dedukh, M.M. Veliky, S. Strafun, Y. Komisarenko, A. Kalashnikov, V. Orlenko, V.I. Pankiv, O.V. Shvets, I. Gogunska, S. Regeda","doi":"10.22141/pjs.13.2.2023.368","DOIUrl":"https://doi.org/10.22141/pjs.13.2.2023.368","url":null,"abstract":"Background. Vitamin D deficiency (VDD) is widespread in the world; its proportion varies considerably in different populations and depends on many causes. Up to now, there were no National recommendations for the diagnosis, prevention, and treatment of VDD in adults in Ukraine. Their creation became the purpose of this work. Methodology. Consensus was created using the Delphi method, voting was conducted using the SurveyMonkey® platform. After approval of the composition of the Consensus Group, agreement on the order of formation and structure of the Consensus, creation and correction of the main statements, and two voting rounds, the main Consensus statements were formed and were successfully voted on. The 15 authors of the article are 15 experts who participated in the voting. The final 14 Consensus statements are presented in this article. Each statement is preceded by a justification based on high-quality evidence available in the current literature. Results. Despite the reduction of VDD in the Ukrainian population in recent years, experts have recommen­ded increasing the awareness of the medical community and the Ukrainian population about the problem and ways to overcome it, with a screening of the total serum level of 25-hydroxyvitamin D (25(OH)D) in subjects from the groups of risk to achieve the target concentration of 30–50 ng/ml (75–125 nmol/l). To ensure it, we recommend the individual selection of a prophylactic dose of vitamin D (800–2000 IU/d for young healthy persons and 3000–5000 IU/d for patients with diseases and conditions that affect the metabolism of vitamin D). For the treatment of VDD, we recommend short-term intake of higher doses (4000–10,000 IU/d) of vitamin D with control of the 25(OH)D level after 4–12 weeks of treatment and subsequent use of maintenance doses. Also, we re­commend the determination of serum 25(OH)D level before the initiation of antiosteoporotic therapy in patients with osteoporosis and its complications to prevent its ineffectiveness and increase the safety profile.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139357921","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":"Results of unicondylar knee arthroplasty","authors":"A. Kalashnikov, Y.M. Litun, Y. Stavinskyi","doi":"10.22141/pjs.13.1.2023.358","DOIUrl":"https://doi.org/10.22141/pjs.13.1.2023.358","url":null,"abstract":"Background. Partial knee replacement (PKR) becomes a more and more frequent method among the other methods of surgical treatment of early stages of medial knee osteoarthritis. The relevance and increasing number of PKR are confirmed by data from various national registers. The purpose of the research was to study the early functional results of PKR and to analyze the complications at various stages of the postoperative period. The assessment of the patient’s functional state according to the KSS and WOMAC was calculated as a percentage of the maximum possible sum of points for each of the scales. Material and methods. The results of 29 PKR during the period from 2016 to 2021 were analyzed. Assessment of knee function and quality of life of patients was performed according to the questionnaires Knee Scoring System (KSS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), which were used preoperatively and then in 3, 6, 9, 12, 18 months after surgery. Results. The most significant improvement in quality of life and values of the functional results were observed in 3 and 18 months after surgery. After replacement it was established the best functional outcome scales of KSS (79.4 %, p = 0.03); WOMAC (27.1 %, p = 0.02) compared with the functional results before surgery (32.3 and 73.6 %, respectively). A nega­tive correlation was revealed between body mass index and functional outcome (R = –0.7, p = 0.02). Conclusions. PKR allowed us to achieve an improvement in the quality of life and functional results already in the early postoperative period (from 3 to 18 months after the operation). The improvement of the operating technique and the analysis of errors will improve the results of PKR and minimize the number of complications.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116827347","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":"Vitamin D deficiency during the COVID-19 pandemic and war in Ukraine","authors":"N. Grygorieva, T. Solonenko, A. Musiienko","doi":"10.22141/pjs.13.1.2023.352","DOIUrl":"https://doi.org/10.22141/pjs.13.1.2023.352","url":null,"abstract":"Background. Data from numerous studies indicate a significant prevalence of vitamin D deficiency in Ukraine and the world. In recent years, the Ukrainian medical community has faced two important challenges — the COVID-19 pandemic and the russian aggression, which significantly affected the organization and availability of medical care. Despite the previous epidemiological studies in Ukraine devoted to the vitamin D status, there are no data during the past 5 years that became the background for this research. The purpose was to analyze the vitamin D status in the adult population of Ukraine during the COVID-19 pandemic and russian aggression. Materials and methods. Data of the serum level of 25-hydroxyvitamin D (25(OH)D) in 5029 adults aged 20–99 years, who for various reasons applied for its measurement, were retrospectively analyzed. The analysis was performed depending on the year and month of observation, the age and gender of the subjects, and the 25(OH)D level. Results. The mean serum level of 25(OH)D in the total group was 33.2 [24.1–43.8] ng/ml. The assessment of the number of 25(OH)D tests for 2018–2022 did not reveal any signi­ficant differences in 2018 and 2019 but established a significant decrease during the russian aggression in Ukraine in 2022 (by 55.7 %) compared to 2018, as well as indices during the COVID-19 pandemic (by 21.6 % compared to 2020, by 23.5 % in 2021). During the observation period, it was established a decrease in the vitamin D deficiency proportion from 20.6 % in 2018 to 9.3 % in 2022, and an increase in the proportion of subjects with suboptimal (from 6.6 to 11.4 %, respectively) and high serum concentrations of 25(OH)D (from 2.2 to 12.7 %). Conclusions. Our results indicate a grown serum 25(OH)D level during 2020–2022 in the adult population of Ukraine compared to the indices of previous years and a decreased share of vitamin D deficiency in the Ukrainian population. In addition, a decrease in the number of 25(OH)D level tests was established, especially during the period of the russian aggression, which should be taken into account during the planning measures to optimize the vitamin D status in the adult population of Ukraine.","PeriodicalId":320219,"journal":{"name":"PAIN, JOINTS, SPINE","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116178109","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}