Current Womens Health Reviews最新文献

{"title":"Correlation between Intrapartum Cardiotocogram findings and cord blood pH in term and preterm labors","authors":"Shubha Rao, Himanshi Jain, Anjali Suneel, Roopa Padavagodu Shivananda, A. Vasudeva","doi":"10.2174/1573404817666210811124304","DOIUrl":"https://doi.org/10.2174/1573404817666210811124304","url":null,"abstract":"\u0000\u0000The purpose of intrapartum fetal monitoring by cardiotocograph (CTG) is to identify early signs of developing hypoxia so that appropriate action can be taken to improve the perinatal outcome. Although CTG findings are well known to monitor the progress of the labor due to the paucity of recommendations, there has always been a clinical dilemma as the term fetuses respond differently than a preterm fetus. However, umbilical cord blood pH can distinguish the infant at high risk for asphyxia and related sequel. Therefore, because of differences in fetal physiology in term and preterm fetuses, CTG findings vary, and hence the validity of CTG to determine fetal acidosis should be different. \u0000\u0000\u0000\u0000\u0000This study aimed to correlate abnormal intrapartum CTG findings with umbilical cord blood pH in term and preterm labor and thus evaluate the success of CTG in predicting fetal acidosis during labor. \u0000\u0000\u0000\u0000\u0000 The present study included 210 women in labor (70 preterm and 140 term) with abnormal intrapartum CTG that was classified as per 2015 revised International Federation of Gynecologists and Obstetrician (FIGO) guidelines. Immediately after delivery 2 ml Umbilical artery cord blood sample was taken in a pre-heparinized syringe for analysis, pH <=7.2 was taken as acidosis and pH >7.2 was taken as normal. The measured data were maternal general characteristics which included gravida status, associated comorbidities, method of induction and character of liquor, the intrapartum CTG tracings recorded the cord arterial blood pH and the neonatal characteristics such as APGAR score and neonatal outcome. \u0000\u0000\u0000\u0000\u0000Data from 70 preterm labor was compared with 140 term labor. In this study, 20.9 % of the babies had acidosis. Suspicious CTG due to decreased variability were more common in the preterm group than in the term group (21.4% vs. 8.6% p<0.05). Positive predictive value (PPV) of abnormal CTG for fetal acidosis in the preterm group was found to be higher than that in term group, PPV of pathological CTG being even higher than suspicious CTG. Women with suspicious CTG had 82 % less risk of fetal acidosis as compared to pathological CTG. Women with Bradycardia had 5.9 times the risk of fetal acidosis as compared with normal and tachycardia. \u0000\u0000\u0000\u0000\u0000Abnormal CTG should be managed appropriately without any delay to prevent acidosis and cord blood pH should be done in all labors with abnormal CTG. However, our findings of a higher incidence of lower cord blood pH and suspicious CTG due to decreased variability alone, highlight the limitation of criteria currently used for interpretation of CTG in preterm labors.\u0000\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115718326","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":"A Relook into Visceral Slide Test as a Preoperative Screening Modality to Detect Abdominal Wall Adhesions- A Prospective Observational Cohort Study","authors":"Himanshi Jain, Roopa Padavagodu Shivananda, Shubha Rao, N. Hegde, Sangamithra Paladugu, A. Vasudeva","doi":"10.2174/1573404817666210805155219","DOIUrl":"https://doi.org/10.2174/1573404817666210805155219","url":null,"abstract":"\u0000\u0000Background: Ultrasound has become an invaluable tool in our daily practice. Its role in screening for adhesions has been tested since the 1990s. \u0000\u0000\u0000\u0000\u0000This study aims to determine the role of the visceral slide test as a screening method to predict abdominal wall adhesions in women undergoing gynecological surgery.\u0000\u0000\u0000\u0000\u0000We conducted a prospective observational cohort study from August 2017 to July 2019 in women undergoing elective abdominopelvic surgery for a gynecological indication. Preoperatively, a visceral slide test was performed in 5 specified zones on the abdomen and the test results were clinically correlated with the presence, severity, and extent of adhesions intra-operatively. \u0000\u0000\u0000\u0000\u0000Results were reported as mean, standard deviation, range of values or number and percentage. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy (including 95% confidence interval for all) of visceral slide test were calculated to determine intra-abdominal adhesions . We also found a correlation between the number of negative slide tests and PAI scores using Spearman’s correlation test. Of the 339 women who completed the study, 41.2% had a previous history of abdominopelvic surgery. In this study, the visceral slide test was found to have a sensitivity of 70.87% ( 95%CI 62.15-78.59), specificity of 86.32% (95% CI 80.95-90.64), positive predictive value (PPV) of 75.63% ( 95% CI 68.49-81.59), negative predictive value (NPV) of 83.18%( 95% CI 78.95-86.70) and diagnostic accuracy of 80.53%( 95% CI 75.91-84.61)with p-value less than 0.001. The number of negative slide tests positively correlated with the Peritoneal Adhesion Index score (r = 0.662, p < 0.001) and also with increasing operative time and intraoperative blood loss. Accuracy and positive predictive value of the test were significantly higher in patients with a history of abdominal surgeries, endometriosis and PID. \u0000\u0000\u0000\u0000\u0000Visceral slide test is an easy, rapid, non-invasive and reliable screening test to predict abdominal adhesions in women undergoing gynecological surgery. The presence of risk factors for adhesions increases the accuracy of the test. \u0000\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128841726","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":"Diagnostic And Therapeutic Management Of Ectopic Pregnancies","authors":"F. A. Hamad, Nadia Lamiri, Wajih Abidi, Dekhra Trabelsi, R. B. Hmid, R. Achour","doi":"10.2174/1573404817666210803164110","DOIUrl":"https://doi.org/10.2174/1573404817666210803164110","url":null,"abstract":"\u0000\u0000Ectopic pregnancy is the most common cause of death among women during the first trimester of pregnancy despite the progress made with early diagnonsis. It occurs at a rate of 1 to 2 % that of live births. In Mauritania, EP is a public health issue mostly effecting young women. \u0000\u0000\u0000\u0000to evaluate the diagnosic abilities and the management of EP. \u0000\u0000\u0000\u0000This study is transverse descriptive and was carried out in the maternity of Nouakchott’s teaching hospital. The aim of this study was to provide data on the epidemiological profile, dignosis, management and prognosis of ectopic pregnancy. During the period from May 2013 to April 2014, 44 cases of ectopic pregnancies were collected. The collected data was analysed by means of SPSS version 20, Microsoft Excel 2007. \u0000\u0000\u0000\u0000The incidence of EP was 0.99% coefficient to 1 EP per 100 live births. EP management represented 7.3% emergency surgery. The average patient age was 29.84 ± 5.988 years. The most affected age group was the 25-34 year olds (61.4%). Multigravida were more affected with a rate of 80%. Patients with an EP commonly presented with pelvic pain (91% of our patients), late in menstruation (86.3%) and vaginal bleeding (61.3%). Pelvic ultrasound was performed in 41 patient coefficient to 93%. The treatment was surgical by laparotomy in all of the cases. The surgical treatment was radical in 93.2% : Salpingectomy was performed in 86.4% of the cases, adnexectomy was performed in 6.8% of the cases.Conservative treatment was performed in 3 patients : 2 cases of salpingotomy and 1 case of tubal expression. In most cases, the postoperative evolution was simple. \u0000\u0000\u0000\u0000Until this day, ectopic pregnancy is a severe disease. despite the progress made with early diagnonsis in many cases the treatment is surgical with all its consequences and especially in the developing countries including mauritania. Improving the therapeutic management is above all improving the diagnostic procedure in a very early period. And for decades we keep saying that ectopic pregnancy: thinking about it often is not thinking enough.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121937605","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":"A Case Of Giant Cervical Polyp","authors":"D. Mutreja, Shraddha Shetty","doi":"10.2174/1573404817666210802115544","DOIUrl":"https://doi.org/10.2174/1573404817666210802115544","url":null,"abstract":"\u0000\u0000Cervical polyps are small pedunculate, often sessile neoplasm of the cervix. It is not known whether this is due to chronic inflammation, or abnormal local responsiveness to hormonal stimulation, or localized vascular congestion of cervical blood vessels. They occur most frequently in multiparous women in the fifth decade of life. \u0000\u0000\u0000\u0000Here, we are reporting a case of a giant cervical polyp in a 38-year-old nulliparous lady who reported heavy menstrual bleeding and mass per vagina. \u0000\u0000\u0000\u0000Giant cervical polyp can mimic chronic inversion of the uterus, cervical fibroid, endometrial polyp, and cervical malignancy.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116488334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Counseling on Breastfeeding Self-Efficacy (BSFE) in Women with Gestational Diabetes","authors":"K. Vakilian, Rezvan Poorghasemian, M. Khorsandi","doi":"10.2174/1573404817666210719123113","DOIUrl":"https://doi.org/10.2174/1573404817666210719123113","url":null,"abstract":"\u0000\u0000 Different strategies have been suggested to increase successful breastfeeding, including establishing child-friendly hospitals, prenatal training courses, and various counseling models in breastfeeding self-efficacy enhancement in women with gestational diabetes. \u0000\u0000\u0000\u0000\u0000This study aimed to determine the effect of counseling on breastfeeding self-efficacy in women with gestational diabetes. \u0000\u0000\u0000\u0000\u0000The present study was a quasi-experimental intervention conducted on 100 pregnant women with gestational diabetes after obtaining informed consent. The intervention group received breastfeeding counseling based on the GATHER approach in the third trimester of pregnancy between 32 and 33 weeks and between 35 and 36 weeks of pregnancy, respectively. The follow-up process was performed in 4 sessions after delivery: 14 to 16 days after delivery and 28 to 30 days after delivery for 60 to 90 minutes. The control group, on the other hand, only received routine care. After counseling, self-efficacy was examined at the end of the study and after the third month. The data were analyzed using statistical independent t-tests and chi-square. \u0000\u0000\u0000\u0000\u0000The mean score of self-efficacy of breastfeeding at the end of the study was 55.12 in the experimental group, which was higher than that of the control group (46.16) (P =0.0001). The frequency percentage of exclusive breastfeeding was 58% in the experimental group and 22% in the control group (P =0.0001). \u0000\u0000\u0000\u0000\u0000Considering the effectiveness of breastfeeding counseling on increasing self-efficacy and continuity of breastfeeding in diabetic breastfeeding mothers, it is suggested to use prenatal and continued in postnatal for diabetic mothers. \u0000\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122200132","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":"Knowledge, Attitude, and Behavior in Avoiding Environmental Tobacco Smoke Exposure at Home among Pregnant Women","authors":"Roghieh Bayrami, Samira Ebrahimi, Javad Rasouli, Haydeh Feizipour","doi":"10.2174/1573404817666210719124534","DOIUrl":"https://doi.org/10.2174/1573404817666210719124534","url":null,"abstract":"\u0000\u0000There is a paucity of research on knowledge, attitude, and practice regarding the harms of exposure to Environmental Tobacco Smoke (ETS) among pregnant women. \u0000\u0000\u0000\u0000\u0000This study, therefore, aimed to examine the knowledge, attitude, and avoidance behavior towards ETS exposure at home among Iranian pregnant women. \u0000\u0000\u0000\u0000\u0000This cross-sectional study was conducted in 2019 on 150 non-smoking pregnant women having husbands who smoked in Urmia, Iran. The participants were selected through a multi-stage process. The data were collected using a researcher-made questionnaire that measured demographic data, knowledge, attitude, and behaviors in avoiding ETS. The data were analyzed using Pearson’s correlation coefficient, t-test, and ANOVA by SPSS-16 at a significance level of 0.05. \u0000\u0000\u0000\u0000\u0000The majority of participants (54.7%) had sufficient knowledge about ETS. The women's attitude and efforts to prevent ETS exposure were moderate in 50% and 60% of the cases, respectively. The participants’ knowledge was significantly associated with their level of education, employment status, and family income (P<0.05). Knowledge had a significant and positive relationship with attitude (P=0.001, r=0.280) and efforts to prevent ETS exposure (P<0.001, r=0.403). \u0000\u0000\u0000\u0000\u0000 Knowledge about ETS was significantly correlated with attitude and avoidance behavior of ETS exposure. Therefore, pregnancy care providers should implement interventional programs to improve the attitude and practice of pregnant women. Public health initiatives are also needed to empower women and encourage them to reduce ETS exposure.\u0000\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121623287","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":"Association of Body Mass Index and Dysmenorrhea: A Systematic Review and Meta-Analysis of Observational Studies","authors":"Hamideh Haj Nasiri, Nasim Bahrami, Kelly-Ann Allen, Zainab Alimoradi","doi":"10.2174/1573404817666210714113537","DOIUrl":"https://doi.org/10.2174/1573404817666210714113537","url":null,"abstract":"\u0000\u0000Dysmenorrhea or menstrual pain is a commonly occurring disorder in reproductive age women with different proposed risk factors, including body mass index.\u0000\u0000\u0000\u0000This study aimed to investigate the association between body mass index and dysmenorrhea using a systematic review and meta-analysis approach.\u0000\u0000\u0000\u0000Academic databases Scopus, PubMed CENTRAL, Embase, ProQuest, Science Direct, and ISI Web of Science, and Google Scholar- were searched systematically from inception until the end of February 2020. Original researches published in English with observational designs were included to examine the association of body mass index and dysmenorrhea as the primary outcome. Newcastle Ottawa scale was used to evaluate the methodological quality of the studies. Due to the variation of reported data across studies, all data were converted to Pearson correlation coefficient and corrected by transforming to fisher’s Z score. Then meta-analysis was performed using a random-effects model with Der-Simonian and Laird method.\u0000\u0000\u0000\u0000A total of 61 studies with 57,079 participants, of which 25,044 reported having dysmenorrhea, were included. While publication bias was probable, results were corrected using the fill amp; trim method. The updated results based on this method showed that pooled Fisher’s z-score for the association of body mass index and dysmenorrhea was 0.04 (95% CI: -0.009; 0.085). The pooled estimated effect size of correlation showed a trivial to slight correlation between body mass index and dysmenorrhea with corrected fisher’s z score of 0.12 (95% CI: 0.08; 0.17, I2=95%).\u0000\u0000\u0000\u0000No association was found between body mass index and dysmenorrhea. But this finding should be interpreted with caution considering the included studies' limitations.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130338933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Parentage Of Ovarian Transplant Child In Infertile Women: Does It Belong To The Ovarian Recipient Or Ovarian Donor? A Review of Islamic Interpretation","authors":"F. Ghodrati","doi":"10.2174/1573404817666210709155013","DOIUrl":"https://doi.org/10.2174/1573404817666210709155013","url":null,"abstract":"<jats:sec>\u0000<jats:title />\u0000<jats:p />\u0000</jats:sec>","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115102491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Mobile Phones by Women Accessing Health Care Services in Bangladesh: A Cross-Sectional Study","authors":"M. Hossain, Ruhani Mat Min, Madihah Mohd","doi":"10.2174/1573404817666210702163730","DOIUrl":"https://doi.org/10.2174/1573404817666210702163730","url":null,"abstract":"\u0000\u0000Maternal and neonatal mortality rates still pose a global challenge.\u0000\u0000\u0000\u0000The present study aimed to identify the socio-demographic characteristics of mobile users trying to access antenatal care services, transportation to facilities, and postnatal care for mothers and newborns. \u0000\u0000\u0000\u0000This was a cross-sectional study that used data collected from the Bangladesh Demographic and Health Survey (BDHS) 2014. Data were gathered using a questionnaire. Participants comprised 4,494 mothers aged between 14 and 49. Models of logistic regression were used to determine associations. \u0000\u0000\u0000\u0000The overall sample size was 4494, with only 22.23% of women using mobile phones. Among these, 29.9% used their mobile phones to obtain health services or advice and 70.1% did not. Women with mobile phones who had a higher level of education used them to receive more health care (secondary and higher: OR = 1.922, 95%CI = 1.225−3.014; primary: OR = 1.982, 95% CI = 1.738−2.654); they were of higher socio-economic status (rich: OR = 1.228, 95% CI = 1.009&−1.494; middle income: OR = 1.691, 95% CI = 1.256−2.333); they accessed more prenatal care (yes: OR = 1.993, 95% CI = 1.425−1.987) and antenatal care (yes: OR = 1.951, 95% CI = 1.765−1.998); they checked their health status after delivery (yes: OR = 1.966, 95% CI = 1.639−2.357). \u0000\u0000\u0000\u0000\u0000The results of the present study showed that young women who had a higher level of education and income and resided in urban areas were more likely to use a mobile phone to receive health care facilities in Bangladesh. Intervention studies are essential in recognising that mobile phone-based facilities improve maternal health care.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124546600","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":"Bladder Leiomyomatosis: A case Report","authors":"M. Farazestanian, Z. Yousefi, M. Mofrad, L. Seresht, A. Jafarian, Somayeh Moeindarbari","doi":"10.2174/1573404816999200917160353","DOIUrl":"https://doi.org/10.2174/1573404816999200917160353","url":null,"abstract":"\u0000\u0000Bladder leiomyoma which is commonly found in middle aged females is a rare, benign, and mesenchymal tumor of the bladder. Its incidence rate is lower than 0.5% among all types of bladder tumors. There are fewer than 250 reports on bladder leiomyoma. Herein, we report a case of bladder leiomyoma in a 37 years’ female. \u0000\u0000\u0000\u0000A 37-year-old multiparous woman presented with complaints of occasional hematuria and dysuria and irritative symptoms. In the examination and imaging, a mass with size of 8 cm was reported in anterior border of uterus with firm consistency. Surgery was performed and the mass was resected. Postoperative histopathology review confirmed bladder leiomyoma. \u0000\u0000\u0000\u0000Leiomyoma should be kept in mind as a differential diagnosis in women presenting with dysuria, frequency or hematuria and a firm consistency mass even in unusual site as the bladder. Complete resection leads to very good outcome with almost no recurrence. \u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132745473","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}