Revista Internacional de Acupuntura最新文献

{"title":"Diagnosis and evaluation of patients treated with acupuncture in the public service","authors":"Maristela Corrêa de Lima ,&nbsp;Vera Lucia Rasera Zotelli ,&nbsp;Maria Lúcia Bressiani Gil ,&nbsp;Cassia Grillo ,&nbsp;Francisco Carlos Groppo ,&nbsp;Maria da Luz Rosário de Sousa","doi":"10.1016/j.acu.2021.100178","DOIUrl":"10.1016/j.acu.2021.100178","url":null,"abstract":"<div><h3>Objective</h3><p><span>To verify the effectiveness of acupuncture<span> using Traditional Chinese Medicine tools (pulse and tongue), for several clinical conditions, in the </span></span>public health<span> service. This is a retrospective clinical study running in a single healthcare referral center in Brazil. Seventy-two patients participated (retrospective review of medical records). Acupuncture treatment was provided at the referral center.</span></p></div><div><h3>Material and methods</h3><p><span>The main outcome measures included the patients' main complaints, sex, pain classification using the verbal rating scale (VRS), observation of the tongue<span> (color change and presence of coating), and pulse palpation, which were used to assess the most affected San Jiao (SJ). The patients' energy status was classified by the acupuncturist as deficient or excessive in the first and last treatment sessions. Chi-squared test, </span></span>Fisher's exact test, and binomial proportion test were used for comparisons of data.</p></div><div><h3>Results</h3><p>Patients experienced significant analgesia at the end of treatment than that before treatment (p &lt; 0.01). At the end of treatment, the tongue showed a greater amount of coating in patients with a deficient energy state (p = 0.02) than in those with excess energy (p = 0.70); however, there was no difference in the tongue color (p &gt; 0.05) between both patient groups. Pulse analysis showed an initial difference according to energy status, with reduced pulse in a deficiency state (p &lt; 0.05), and balanced pulse at the end of the treatment (p = 0.48).</p></div><div><h3>Conclusions</h3><p>Acupuncture is a therapeutic option for pain control and improved energy balance.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 2","pages":"Article 100178"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42918000","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":"Electroacupuntura frente al entrenamiento muscular del suelo pélvico para la incontinencia urinaria en mujeres. Un análisis retrospectivo","authors":"Silvia Moga-Lozano ,&nbsp;José Antonio Lomeña-Villalobos ,&nbsp;José Antonio Pérez-Lorente ,&nbsp;Yolanda Sánchez-Acha ,&nbsp;Javier Gasset-Giraldez ,&nbsp;Noelia Jiménez-Muñoz ,&nbsp;Myriam Sellamito-Morales ,&nbsp;Carlos Avellaneda-Molina ,&nbsp;Rosa Moreno-Quirós ,&nbsp;Carlos Aldeanueva-Fernández ,&nbsp;Jorge Alberto García-Rubio ,&nbsp;Juan Manuel Ruano-García ,&nbsp;Salvador Trujillo-García ,&nbsp;Marina Moga-Lozano","doi":"10.1016/j.acu.2022.100188","DOIUrl":"https://doi.org/10.1016/j.acu.2022.100188","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Urinary incontinence is highly prevalent. The problem is not always solved with medication and/or surgery and they are not without side effects, which has led to the use of acupuncture for the condition. We compare electroacupuncture with pelvic floor muscle training in women with urinary incontinence.</p></div><div><h3>Methods</h3><p>This is a retrospective, randomised study of 71 women with urinary incontinence and 2 groups: 37 women received electroacupuncture at R 7 points plus pelvic floor muscle training, and another group of 34 women received only pelvic floor muscle training. Electroacupuncture was performed in one session per week for 12 weeks. All participants performed the exercises at home after prior training. Follow-up was conducted over 1 year. Efficacy was assessed using the Spanish versions of the International Consultation on Incontinence Questionnaire-Short Form and the Bladder Control Self-Assessment Questionnaire. The questionnaires were conducted at baseline and at 3, 6, and 12 months. The safety of electroacupuncture was also assessed.</p></div><div><h3>Results</h3><p>The reduced score in both questionnaires was clinically and statistically more significant in the electroacupuncture group.</p></div><div><h3>Discussion</h3><p>Electroacupuncture at the R 7 point was identified as more effective than pelvic floor muscle training in women with urinary incontinence, and with very few side effects.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 2","pages":"Article 100188"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92001016","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":"Análisis de los caracteres tradicionales de Shen 神 y teoría de la propiedad intrínseca organizadora","authors":"Salvador Quiroz-González,&nbsp;Emma López Espinosa","doi":"10.1016/j.acu.2022.100190","DOIUrl":"10.1016/j.acu.2022.100190","url":null,"abstract":"<div><p><em>Shen</em> is a polysemous associative compound that is complex to define and difficult to interpret, as its meaning varies according to context. The present research study analyses the traditional characters of <em>Shen</em> and describes their implications in various texts, both traditional medical and philosophical. We propose that <em>Shen</em> constitutes an intrinsic property that extends to diverse levels of complexity (universal <em>Shen</em>, nature <em>Shen</em>, and individual <em>Shen</em>) and, in turn, dictates an order in the structure and function of everything in the universe. In humans, <em>Shen</em> determines the processes from prenatal gestation to the postnatal level, thus guiding the physiological and psychological development of the individual according to the designs of the celestial order. Disengaging from <em>Shen</em> generates disorder, overexploitation, egotism, apathy, violence, disease, and death. Allowing <em>Shen</em> to emerge encourages the spontaneous flow of Qi between the individual and the cosmic order, thus bringing health, harmony, well-being, virtue, and a sense of transcendence to their existence.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 2","pages":"Article 100190"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46979048","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":"Implicaciones clínicas y terapéuticas de la acupuntura en la enfermedad de Parkinson: una revisión exploratoria","authors":"Eduardo Tuta-Quintero,&nbsp;Juan Olivella-Gómez,&nbsp;Laura Hernández-Ibarra,&nbsp;Nohora Angulo-Calderón","doi":"10.1016/j.acu.2022.100191","DOIUrl":"10.1016/j.acu.2022.100191","url":null,"abstract":"<div><h3>Introduction</h3><p>Parkinson's disease is primarily triggered by the selective degeneration of dopaminergic neurons, alpha-synuclein protein clumps; genetic and systemic inflammatory processes are now known to be involved, the clinical manifestations of which include motor and non-motor symptoms. There is currently little information on the clinical impact of acupuncture on Parkinson's disease.</p></div><div><h3>Objective</h3><p>To evaluate the efficacy of acupuncture in the treatment of Parkinson's disease.</p></div><div><h3>Material and methods</h3><p>Exploratory systematic review in PubMed and Scopus, covering publications with observational and interventional data, in English and Spanish, on acupuncture in the treatment of Parkinson's disease. Study records from 18 databases of the World Health Organization's International Clinical Trials Registry Platform were included.</p></div><div><h3>Results</h3><p>A total of 22 articles were included: 10 randomized controlled clinical trials, 5 cohort studies, 3 case–control studies, 3 uncontrolled clinical trials, and 1 case report, with a total study population of 645 patients. In addition, 2 clinical trial registries were included with a future study population of 204 patients. Overall, acupuncture, with and without pharmacological therapy, can control motor symptoms and improve quality of life in patients with Parkinson's disease.</p></div><div><h3>Conclusion</h3><p>Acupuncture may be a useful tool in improving motor symptoms and quality of life in Parkinson's patients. However, studies with a larger sample population, longer follow-up period, and standardized scales to assess the effectiveness of the therapy are needed to further investigate its impact on the disease.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 2","pages":"Article 100191"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48831631","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":"Efecto terapéutico de la acupuntura en el dolor lumbosacro","authors":"Carlos Valarezo-García ,&nbsp;Paul Valarezo Espinosa","doi":"10.1016/j.acu.2022.100189","DOIUrl":"10.1016/j.acu.2022.100189","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the therapeutic effect of acupuncture on lumbosacral pain in outpatients.</p></div><div><h3>Material and methods</h3><p>A retrospective, descriptive study was conducted based on the medical records of patients seen in a private acupuncture clinic. Specific points of traditional Chinese acupuncture and moxibustion were used.</p></div><div><h3>Participants</h3><p>We assessed a total of 74 patients with lumbosacral pain who met the study inclusion criteria, especially that related to pain intensity according to the verbal numerical scale for musculoskeletal pain.</p></div><div><h3>Results</h3><p>At the end of the treatment of 8 acupuncture sessions over 2 weeks, positive results were obtained in the control of pain intensity, in 81.08% of the patients, while 18.92% had no positive results.</p></div><div><h3>Conclusions</h3><p>Classical Chinese acupuncture is an effective therapy in the treatment of lumbosacral pain, regardless of whether it is acute or chronic. However, its effectiveness should be further investigated to unify application criteria.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 2","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41528817","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":"Introduction of Zhang Zhong Jing's six-stages pattern of cryopathology","authors":"Saroj Kumar Pradhan","doi":"10.1016/j.acu.2021.100163","DOIUrl":"10.1016/j.acu.2021.100163","url":null,"abstract":"<div><p><span>Traditional Chinese Medicine (TCM) is unique in the </span>medical science<span> world and an indispensable, reliable, and important part of Chinese culture and its civilization. It not only makes an indelible contribution to the prosperity of the Chinese nation but also has its rigorous scientific methods in medicine like Western medicine, such as theoretical and holistic treatment systems.</span></p><p>There have been many top, influential TCM physicians over the past thousand years. This overview introduces Zhang Zhong Jing's unique clinical diagnostic pattern, the so-called six-stages pattern of cryopathology.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 1","pages":"Article 100163"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47811354","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":"Análisis integrativo de la función shu xie del hígado","authors":"Roberto González González,&nbsp;Amalia Davila Hernadez,&nbsp;Jorge Arturo Santana Portillo","doi":"10.1016/j.acu.2021.100169","DOIUrl":"10.1016/j.acu.2021.100169","url":null,"abstract":"<div><p>De acuerdo con la Medicina Tradicional China, una de las funciones más importantes del hígado es la función 疏泄 <em>shu xie</em> depurativa. Este concepto se remonta hasta el <em>Neijing</em> y comprende dos grandes funciones: la <em>shu</em> y la <em>xie,</em> una <em>yang</em> y otra <em>yin.</em> Esta función permite que todas la funciones del cuerpo se expresen en tiempo y forma; por ejemplo, la función digestiva, la cardíaca, la serie de neurotransmisores que se relacionan con la regulación del estado de ánimo, los procesos cognitivos, etc., los mecanismos que participan en la regulación de la glucosa y la insulina, así como de la actividad hormonal, las cascadas del complemento y de la coagulación, la respuesta inmune, la entrada y salida del aire en los pulmones, el ciclo menstrual, solo por mencionar algunas. Una característica importante que comparten estos procesos es que todos dependen fisiológicamente del tiempo y la forma. Puntos como <em>Neiguan</em> y las fórmulas hechas a base de Bupleurum ayudan a mantener la función <em>shu xie</em> y regulan todas esas actividades. Debemos comprender el valor de esta función, pues cobra especial relevancia en el origen de muchos de los procesos fisiopatológicos relacionados con el estrés que se inician y se mantienen con estancamiento de energía. La mejor manera de afrontar el estrés y mantener fisiológicamente el tiempo y la forma depende de la potencia de la energía del hígado.</p></div><div><p>According to Traditional Chinese Medicine, one of the most important functions of the liver is the depurative 疏泄 <em>shu xie</em> function. This concept dates to the <em>Neijing</em> and comprises two major functions: the <em>shu</em> and the <em>xie,</em> one <em>yang</em> and the other <em>yin.</em> This function allows all the functions of the body to be expressed in time and form; for example, digestive and cardiac function, the series of neurotransmitters that are related to the regulation of mood, cognitive processes, etc., the mechanisms that participate in the regulation of glucose and insulin, as well as the hormonal activity, the complement and coagulation cascades, the immune response, the entry and exit of air into the lungs, the menstrual cycle, just to name a few. An important characteristic shared by these processes is that they are all physiologically dependent on time and form. Points like <em>Neiguan,</em> and the Bupleurum-based formulas help to maintain <em>shu xie</em> function and regulate all these activities. We must understand the value of this function as it takes on a special relevance in the origin of many of the pathophysiological processes related to stress that initiate and are maintained with stagnation of energy. The best way to cope with stress and maintain physiological time and shape depends on the power of the liver's energy.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 1","pages":"Article 100169"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44359864","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":"Estudio microbiológico y metalográfico de agujas de acupuntura","authors":"Miguel Ángel Saravia-Rojas ,&nbsp;Rocio Geng-Vivanco ,&nbsp;Lílian Cristiane Brunini Posseti Pulter","doi":"10.1016/j.acu.2021.100179","DOIUrl":"10.1016/j.acu.2021.100179","url":null,"abstract":"<div><h3>Objective</h3><p>To biologically and morphologically characterize acupuncture needles.</p></div><div><h3>Methods</h3><p>To determine the presence of bacteria and fungi, a sterility test was performed. 10 needles of each commercial brand were evaluated (Dong Bang, South Korea; Cloud &amp; Dragon, China; Dong Bang DBC 108, South Korea), randomly collected under aseptic conditions. Growth medias (fluid thioglycollate medium [THIO] and trypticase-soy medium [TSB]) were prepared and positive (10 μl of <em>Clostridium sporogenes</em> ATCC 1137 strain in THIO and 10 μl of <em>Candida albicans</em> ATCC1023 strain in TSB) and negative controls (without inoculum) were obtained. The packages were disinfected with 70% alcohol. Each needle was removed from its package and transferred into the growth mediums, until 10 inoculated samples for each commercial brand were obtained (n = 5). Inoculated samples in TSB were incubated at 25 °C and those in THIO at 37 °C; for 14 days with controls. For metallographic analysis, 30 needles from each brand were randomly selected, prepared and standardized to be observed under stereoscopic microscope (40<!--> <!-->×, Zeiss Stemi, Oberkochen, Germany), obtaining photos of the cross-sectional area of the needles.</p></div><div><h3>Results</h3><p>No microorganisms were found in the sterility test. The metallographic test showed that the needles were made from a martensitic stainless-steel alloy, without irregularities or coatings.</p></div><div><h3>Conclusions</h3><p>The needles have adequate sterility and morphology for their use.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 1","pages":"Article 100179"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46966269","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":"Has acupuncture benefit in the management of migraine? A scoping review","authors":"Juan Felipe Coronado ,&nbsp;Laura Juliana Castillo Merchán ,&nbsp;José Ignacio Palencia Palencia","doi":"10.1016/j.acu.2021.100167","DOIUrl":"10.1016/j.acu.2021.100167","url":null,"abstract":"<div><h3>Introduction</h3><p>Migraine is the most common cause of primary headache, affecting over 1 billion people worldwide, but the high burden of this pathology along with the lack of effective therapies have allowed the implementation of alternative therapies like acupuncture for managing this condition.</p></div><div><h3>Objective</h3><p>To evaluate the impact and effectiveness of acupuncture in the management of migraine with or without aura based on scientific literature available until May 27, 2021.</p></div><div><h3>Materials and methods</h3><p>Scoping review that include Pubmed, SCOPUS and 18 databases of the World Health Organization International Registry of Clinical Trials Platforms. Theoretical publications and clinical trials in English, Spanish and French were included.</p></div><div><h3>Results</h3><p>84 documents and 62 clinical trials were included, where they evaluate acupuncture in settings of acute migraine attacks, as chronic prophylaxis in migraine and compared with drugs available for prophylaxis.</p></div><div><h3>Conclusion</h3><p>Acupuncture is a safe, effective and cost-effective therapy in the management of acute migraine attacks and as prophylaxis for chronic migraine.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"16 1","pages":"Article 100167"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48773068","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":"Search for the clinical effectiveness of Korean Tae-Geuk acupuncture therapy in chronic tension-type headache","authors":"Serhat Koran ,&nbsp;Jeon Eun Sang ,&nbsp;Polat Burcu ,&nbsp;Özge Arıcı Duz ,&nbsp;Aydın Sarıhan","doi":"10.1016/j.acu.2021.100166","DOIUrl":"10.1016/j.acu.2021.100166","url":null,"abstract":"<div><h3>Background</h3><p>Korean acupuncture<span> comes from the far-eastern tradition and has unique approaches to acupuncture point selection.</span></p></div><div><h3>Objectives</h3><p>There are several types of acupuncture methods. Among these, Tae-Geuk acupuncture and Saam acupuncture adopt five phase characteristics, using five vital points. Cho-sun acupuncture regulates Qi using acupunctures and meridians according to the flow of Qi. In this project, the effects of Korean Tae-Geuk acupuncture on chronic tension-type headache (TTH) were examined.</p></div><div><h3>Methods</h3><p><span>This study is a randomized controlled study involving sham acupuncture (placebo acupuncture), and everything is clear except for the data processing phase. The purpose of the study; was to measure the safety and efficacy of Korean Tae-Geuk acupuncture in patients<span> with chronic TTH. Groups used; acupunture + traditional pharmacological therapy, traditional pharmacological therapy only and placebo korean acupuncture + traditional pharmacological therapy groups. Seven treatment sessions were applied over a four-week period. Changes in pain and </span></span>quality of life<span> and side effects were examined during treatment and within 3 months after the completion of treatment. Results were evaluated by using the visual analog scale for pain and pain log records.</span></p></div><div><h3>Results</h3><p>Korean Tae-Geuk acupuncture is a more effective treatment than placebo and traditional pharmacological treatment in chronic TTH. Korea Tae-Geuk acupuncture showed significant improvement in clinically chronic TTH during treatment and in 3 months follow-up after treatment.</p></div><div><h3>Conclusion</h3><p>Tae-Geuk acupuncture is a treatment branch of Sasang Constitution Medicine. Acupuncture points do not change according to acupuncture practitioner or disease.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"15 4","pages":"Article 100166"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45171572","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}