Fujita Medical Journal最新文献

{"title":"Assessment of blood fluidity and the development of the microchannel method for preventive medicine and disease activity evaluation.","authors":"Tatsushi Kimura","doi":"10.20407/fmj.2025-048","DOIUrl":"10.20407/fmj.2025-048","url":null,"abstract":"<p><p>Hemorheology deals with the flow properties of blood. Research has primarily focused on analyzing the state of blood flow and the characteristics of blood in the microcirculation, such as in capillaries. In studies on blood fluidity, the ektacytometry method, which uses a laser-assisted optical rotational cell analyzer, has been the mainstream approach. In contrast, the microchannel method, which uses a microchannel array flow analyzer, was developed in Japan, and is characterized by the ability to analyze samples without any pretreatment and visualize the flow of blood under conditions that closely approximate physiological reality. This review focuses on the microchannel method and provides an overview of blood fluidity, covering the fundamentals of analytical methods, diurnal variations in blood fluidity, factors that impair blood fluidity, exercise-induced disturbances under high-intensity conditions, and the prevention of exercise-induced impairment of blood fluidity.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 3","pages":"193-202"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of tabletop gaming on patients with mild cognitive impairment and Alzheimer's disease: A feasibility study.","authors":"Masaki Kamiya, Aiko Osawa, Hitoshi Kagaya, Izumi Kondo","doi":"10.20407/fmj.2025-037","DOIUrl":"10.20407/fmj.2025-037","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the feasibility of patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD) performing gaming tasks.</p><p><strong>Methods: </strong>Ten patients with MCI and nine patients with AD participated. Gaming and tabletop tasks were the two types of interventions designed for this study. Following a randomized crossover design, the two interventions were conducted at a rate of 1 hour per week for 4 weeks. The Genki! Ha•tsu•ra•tsu Trepachi-table (TOYOMARU INDUSTRY CO., LTD., Aichi, Japan) device was used for the gaming intervention. Using this table-shaped gaming device with cognitive training components, one to four players can compete in various gaming challenges on a touchscreen mounted on the top of the table. For the tabletop task intervention, patients completed arithmetic and spot-the-difference exercises as cognitive training activities. A visual analog scale was used to quantify mood before and after each intervention session, and a reaction scale measuring the \"autonomy\" and \"degree of participation\" of patients was completed after each intervention.</p><p><strong>Results: </strong>The gaming intervention significantly increased the visual analog scale score of the AD group (p=0.031). The MCI group had significantly higher autonomy reaction scale scores during the gaming intervention than the AD group (p=0.007).</p><p><strong>Conclusions: </strong>Activities using gaming technology may enhance the willingness and mood of senior citizens with diminished cognitive capabilities and could potentially support ongoing brain training.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 3","pages":"215-221"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrative analysis of a conceptual diagram depicting the relationship between pediatric ward nurses' anxiety and physicians' expectations when responding to sudden changes in children's condition.","authors":"Masato Sugiura, Masami Ishida, Ayumi Tasaki","doi":"10.20407/fmj.2025-011","DOIUrl":"10.20407/fmj.2025-011","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to elucidate the relationship between pediatric ward nurses' anxiety and physicians' expectations when responding to sudden changes in children's conditions by integrating findings from two previous qualitative studies.</p><p><strong>Methods: </strong>Core and higher-order categories extracted from two studies titled \"Pediatric nurses' anxiety about responding to sudden changes in children's condition\" and \"Pediatricians' expectations of pediatric nurses on sudden changes in children's condition\" were qualitatively synthesized and compared. The relationships among the categories were mapped and interpreted to identify convergences and divergences in emphasis.</p><p><strong>Results: </strong>Nurses' anxiety about practical competence differed in nature from physicians' expectations regarding organizational task execution, suggesting a contrast between nurses' individual/affective concerns and physicians' behavioral expectations. Anxiety related to patient/family engagement and environmental conditions aligned with physicians' expectations, indicating shared priorities across all professions.</p><p><strong>Conclusions: </strong>The identified relationships underscore the importance of family centered care and interprofessional teamwork in pediatric ward settings. Targeted educational programs and organizational support are recommended to address differences in emphasis between nurses and physicians, and strengthened interprofessional understanding and collaboration are necessary to address the environmental conditions. An effective response to sudden changes in pediatric wards requires improving the practical competence of nurses and promoting team-based care grounded in mutual understanding with physicians.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"121-128"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with nursing educators' instructional difficulties in teaching infusion-management skills and students' infusion-management implementation ability.","authors":"Chikako Oda, Sayuri Nakamura, Yumiko Miyoshi, Keiko Onogi","doi":"10.20407/fmj.2025-018","DOIUrl":"10.20407/fmj.2025-018","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationship between the difficulty of teaching infusion-management techniques during skills training and clinical practicum phases, the factors influencing this relationship, and the status of students' ability to implement infusion-management skills (implementation ability), as perceived by educators.</p><p><strong>Methods: </strong>Educators at three-year basic nursing education institutions nationwide were surveyed and their multiple-choice and open-ended responses to a web survey, which ran from May to September 2023, were analyzed quantitatively and qualitatively.</p><p><strong>Results: </strong>During the skills training phase, the difficulty of replicating infusion insertion was associated with the difficulty of teaching infusion-management skills acquisition, and the higher the instructional difficulty, the lower the students' implementation ability. In the clinical practicum stage, the lack of opportunities to practice infusion management, students' lack of knowledge of it and its necessity were associated with difficulties in teaching infusion management implementation. Additionally, the higher the difficulty of teaching, the lower the student's implementation ability (under supervision). Moreover, the difficulty of teaching during the skills training phase was also associated with the clinical practicum phase. These instructional difficulties were driven by the lack of reality of educational materials, restrictions on safety and ethical considerations, lack of human resources, and difficulty in coordinating with training facilities.</p><p><strong>Conclusion: </strong>Difficulties in reproducing educational materials, limited opportunities to implement infusion management, and students' lack of infusion-management knowledge and skills influenced the difficulty of teaching infusion-management techniques. From an educational perspective, developing educational materials with increased visibility and coordinating with training facilities could help mitigate these challenges.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"159-171"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra- and inter-day effects of novel robot-assisted hand movement training in individuals with post-stroke hemiparesis: a single-arm pilot study.","authors":"Kazuki Ushizawa, Shintaro Uehara, Akiko Yuasa, Taiki Yoshida, Kyoichi Tomita, Takayuki Ohtomo, Shigeo Tanabe, Yohei Otaka","doi":"10.20407/fmj.2025-025","DOIUrl":"10.20407/fmj.2025-025","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the feasibility of robot-assisted hand movement training using a novel end-effector robot in individuals after stroke.</p><p><strong>Methods: </strong>Eleven individuals with subacute stroke with hand motor impairment underwent robot-assisted repetitive finger flexion/extension for 20 min daily and repeated this training on 7 non-consecutive days. The robot was designed to allow the flexion and extension of the metacarpophalangeal and proximal interphalangeal joints of the index to the little fingers, and to provide assistive torque if the movement did not reach the target angle within a limited time. We assessed the co-contraction index (CCI) of the flexor digitorum superficialis and extensor digitorum muscles and assessed the active range of motion (AROM) of the index finger before and after training each day (intra-day effect). We performed clinical assessments of motor function and spasticity and evaluated the CCI and AROM before and immediately after the 7-day training (inter-day effect).</p><p><strong>Results: </strong>Ten participants completed the 7-day training. For the intra-day effect, the CCI was significantly decreased immediately after training, particularly during active finger flexion, and the AROM tended to improve from the middle of the training days. For the inter-day effect, there were no significant changes in the Stroke Impairment Assessment Set for Finger Function, modified Ashworth scale, CCI, or AROM after the 7-day training.</p><p><strong>Conclusions: </strong>Repetitive finger movement training with the assistance of the novel robot improves muscle activation patterns, reducing co-activation between the agonist and antagonist muscles immediately after training.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"114-120"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and risk factors for peripheral intravenous catheter failure in Japanese neonatal intensive care units and growing care units: a multicenter observational study.","authors":"Shun Yamamoto, Ryoko Murayama","doi":"10.20407/fmj.2025-027","DOIUrl":"10.20407/fmj.2025-027","url":null,"abstract":"<p><strong>Objectives: </strong>Peripheral intravenous catheters (PIVCs) are used in neonatal intensive care units (NICUs) and growing care units (GCUs). However, neonates/infants in these units frequently experience catheter failure (CF) because of complications, such as extravasation and phlebitis. Nonetheless, data on PIVCs from Japan remain limited. Therefore, this study aimed to investigate the use of infusion catheters and the incidence, characteristics, and risk factors of PIVC-related catheter failure in Japanese NICUs and GCUs.</p><p><strong>Methods: </strong>This study was conducted between August 2024 and February 2025 using cross-sectional and prospective surveys. Data from 600 hospitalized neonates/infants and 259 PIVC cases were analyzed. CF was defined as unplanned catheter removal before the completion of therapy owing to loss of function or an inability to administer fluids.</p><p><strong>Results: </strong>Overall, 48.0% of neonates/infants had infusion catheters. The incidence proportion of CF was 47.1%, with an incidence density of 173.1/1,000 catheter-days. Extravasation was the most frequently identified cause of CF (95.9%), and swelling and leaking were primary symptoms. Multivariate Cox regression showed that gestational age (hazard ratio=0.96, p=.03) and infusion flow volume at the time of PIVC removal (hazard ratio=1.28/1 mL/h, p<.01) were significant risk factors. Long PIVCs had significantly longer dwell times than PIVCs (log-rank p=.01).</p><p><strong>Conclusions: </strong>CF is highly prevalent in Japanese infants in NICUs/GCUs, with a rate similar to that reported internationally. Long PIVCs may help extend the catheter dwell times. These findings highlight the need for standardized prevention strategies and improved catheter management protocols.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"135-142"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance of midwifery qualification acquisition by gender identity and sexual orientation: a survey of nursing students.","authors":"Keisuke Iwase, Hironori Tsuzuki, Mikiko Shimizu","doi":"10.20407/fmj.2025-024","DOIUrl":"10.20407/fmj.2025-024","url":null,"abstract":"<p><strong>Objective: </strong>Amid growing calls for respect for gender diversity, Japanese law restricts midwifery qualifications to women, excluding individuals assigned male at birth. By contrast, in some countries, all individuals can pursue midwifery qualifications regardless of gender. These differences highlight varying institutional frameworks and levels of social acceptance. To clarify nursing students' acceptance of midwifery qualification acquisition across gender identities and sexual orientations.</p><p><strong>Methods: </strong>An anonymous online survey was conducted from April to May 2024 among 98 undergraduate nursing students (10 men and 88 women) enrolled at a single anonymous health sciences university in Japan. Acceptance of midwifery qualification acquisition was assessed using the proportion of positive evaluations for nine gender identity and sexual orientation categories. Evaluations were measured on a 4-point Likert scale. Data were analyzed using descriptive statistics, cross-tabulation, and χ² tests.</p><p><strong>Results: </strong>Heterosexual women had the highest level of acceptance (96.9% positive evaluations), while heterosexual and bisexual men had the lowest (46.9%). There were substantial gender differences in the level of acceptance for different sexual orientations; however, none were statistically significant.</p><p><strong>Conclusion: </strong>Acceptance of midwifery qualification acquisition varied by gender identity and sexual orientation categories, suggesting that gender roles and cultural perspectives may influence attitudes. The findings indicate that systems should be reviewed to allow anyone, regardless of gender, to qualify and work as a midwife. They also highlight the importance of fostering an understanding of diversity through education.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"188-191"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional education at four joint medical and welfare universities: A comparison of face-to-face and distance learning.","authors":"Sayuri Nakamura, Atsuhiko Ota, Eizou Umezawa, Mihoko Itoh, Miho Miyamoto, Yuki Higashimoto, Fumiaki Horiba, Hiroyuki Kamei, Shigetaka Tomoda, Masatsugu Ohtsuki","doi":"10.20407/fmj.2025-030","DOIUrl":"10.20407/fmj.2025-030","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to compare the effectiveness of face-to-face and distance learning in interprofessional education.</p><p><strong>Methods: </strong>We conducted a survey using the Japanese version of the Readiness for Interprofessional Learning Scale (RIPLS) to compare face-to-face and distance learning among students from four joint medical and welfare universities participating in interprofessional education (IPE). Faculty members who participated in both face-to-face and distance learning were also surveyed for free descriptions of the advantages and disadvantages of face-to-face and distance learning; their responses were then coded and categorized.</p><p><strong>Results: </strong>In both face-to-face and distance learning, the RIPLS overall and \"teamwork and collaboration\" scores significantly increased after class compared to before class. There was a significant increase in \"IPE opportunities\" in face-to-face learning. There was little change in \"uniqueness of profession\" before and after class in both face-to-face and distance learning. The difference in the overall scores before and after class was significantly larger in face-to-face learning than in distance learning. The advantages of face-to-face learning included smooth communication and discussions. Distance learning was useful for connecting universities across large distances; however, there were disadvantages, such as less smooth communication and discussions and difficulty maintaining concentration.</p><p><strong>Conclusion: </strong>Face-to-face learning may be more effective than distance learning. Distance learning had issues with \"IPE opportunities,\" while both face-to-face and distance classes had issues with \"uniqueness of profession.\"</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"172-178"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical actions of nurses working at community general support centers in Japan: A qualitative study.","authors":"Miho Miyamoto, Rumi Seko","doi":"10.20407/fmj.2025-012","DOIUrl":"10.20407/fmj.2025-012","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the practical actions that experienced nurses working at community general support centers perform to provide comprehensive community care that supports the lifestyles of residents, including older adults.</p><p><strong>Methods: </strong>The participants were full-time nurses with at least 9 years of experience working at community general support centers in Japan. Semi-structured in-person interviews were conducted between August and December 2023, and the results underwent qualitative descriptive analysis.</p><p><strong>Results: </strong>Ten core categories, twenty-six categories, and eighty-eight subcategories were identified as actions that nurses at community general support centers performed. The 10 core categories were assessment for care prevention, communication that builds trust, networking, promotion of nursing care prevention, coordination of the care team, creation of projects and resources that can be locally implemented, creation of a local care system, teamwork among professions at the community general support center, self-improvement to improve one's expertise, and operational management for implementing effective support.</p><p><strong>Conclusions: </strong>Nurses performed practical actions to both provide individual support and community development. The results suggested that nurses used the networks they had built through performing their daily work duties, including providing support to individuals, to support community resources. They also utilized community resources in local communities to create care systems in the community.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"129-134"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory study of recognition behaviors practiced by mid-level nurse managers and perceived by mid-level staff nurses.","authors":"Yuya Saito, Hiroe Koyanagi, Keiko Mano, Ryoko Murayama","doi":"10.20407/fmj.2025-023","DOIUrl":"10.20407/fmj.2025-023","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored mid-level nurse managers' recognition behaviors and the perception of those behaviors by mid-level staff nurses. This information is needed for nurse manager training, and may improve nurses' work engagement and retention in the workforce.</p><p><strong>Methods: </strong>The exploratory qualitative study gathered data through semi-structured interviews with mid-level nurse managers and nurses selected through purposive sampling at a large acute care hospital in Aichi, Japan. Data were analyzed using Bryman's content analysis, and categories were generated both deductively and inductively. The <i>Recognition Behavior Scale of Nurse Managers</i> was used for deductive analysis. Inductive analysis enabled emergence of new themes.</p><p><strong>Results: </strong>Five recognition behavior frameworks were identified from 91 (nurse managers) and 50 (staff nurses) codes: <i>Close Communication</i>, <i>Supportive Consultation/Advice</i>, <i>Comfortable Attention</i>, <i>Positive Performance Evaluation</i>, and a newly identified framework, <i>Recognition Environment Fostering</i>. Mid-level nurse managers practiced behaviors such as ensuring recognition from appropriate individuals and considering nurses' family situations. Staff nurses emphasized the importance of involvement in ward operations, receiving recognition from managers, and being entrusted with mentoring roles. Certain recognition behaviors were common across both groups. However, some managers expressed uncertainty regarding the effectiveness of their recognition practices.</p><p><strong>Conclusion: </strong>This study identified key recognition behaviors commonly understood by mid-level nurse managers and staff nurses. These shared behaviors could serve as foundational elements for developing educational programs that support mid-level nurse managers in practicing recognition behaviors more consciously and effectively. Such programs may contribute to fostering work engagement and improving retention of mid-level staff nurses.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"12 2","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}