Polski Merkuriusz Lekarski最新文献

{"title":"Emotional burnout, anxiety, and depression in patients with chronic pain undergoing rehabilitation during the war in Ukraine: A clinical-psychological study.","authors":"Lidiia V Butska, Hanna B Varina, Natalia M Falko","doi":"10.36740/Merkur202505114","DOIUrl":"https://doi.org/10.36740/Merkur202505114","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate emotional burnout, anxiety, and depression in men with chronic pain undergoing rehabilitation during wartime in Ukraine, with attention to age and pain duration.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study included 35 male military personnel aged 25-60 years, undergoing inpatient rehabilitation at the State Institution «Veteran Mental Health and Rehabilitation Center «Forest Glade» Ministry of Health of Ukraine (Kyiv, Ukraine) (January-May 2025). The mean age was 43±10 years; average pain duration was 23±17 months. Data were collected via structured questionnaires and clinical interviews. Standardized instruments included the Maslach Burnout Inventory (MBI), State-Trait Anxiety Inventory (STAI), and Hospital Anxiety and Depression Scale (HADS).</p><p><strong>Results: </strong>Results: Most participants exhibited moderate-to-high levels of emotional exhaustion (88,6%), depersonalization (80%), and reduced personal accomplishment (85,7%) (by MBI). More than 70% showed moderate-to-high levels of both state and trait anxiety (by STAI). Сlose to half of patients (48,6%) demonstrated borderline or abnormal depression patterns. Participants with pain lasting over 12 months showed significantly higher anxiety score, with 78,9% experiencing clinically relevant anxiety versus 37,5% in the short-term (3-12 months) group (p=0,018). Strong (or close to strong) correlations were identified between burnout, anxiety, and depression subscales (ρ=0,68-0,89; p<0,001 [n=35]).</p><p><strong>Conclusion: </strong>Conclusions: Chronic pain in wartime conditions is linked to severe psychological distress. Extended pain duration increases anxiety. The strong interplay between burnout and affective symptoms underscores the need for integrative, multidisciplinary rehabilitation tailored to psychological needs.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 5","pages":"655-663"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276194","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":"Analysis of the men's sexual dysfunctions impact on different aspects of their quality of life.","authors":"Volodymyr I Trishch, Oryna Z Detsyk, Dmytro B Solomchak, Rostyslav R Antoniv","doi":"10.36740/Merkur202505113","DOIUrl":"https://doi.org/10.36740/Merkur202505113","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To study different aspects of quality of life depending on the type and severity of sexual disorders in men.</p><p><strong>Patients and methods: </strong>Materials and Methods: An observed case-control study was carried out during 2023-2024, at three private-funded out-patient health care facilities of the Ivano-Frankivsk region of Ukraine. A survey of the quality of life of 402 men with sexual dysfunctions and 200 men without ones was carried out. The control group included men who visited the health care facilities for the check-up and were recognized as practically healthy. The study data were analyzed using Microsoft Excel data analysis and the Statistica10.0 software packages. Statistical processing of qualitative data was carried out by calculating their prevalence per 100 respondents, and the reliability of their differences in different observation groups was assessed by calculating the chi-square (χ2) test. The research design and programs were reviewed and approved by the Ethics Commission of the Ivano-Frankivsk National Medical University (protocol No. 133/23 dated March 29, 2023).</p><p><strong>Results: </strong>Results: The quality-of-life integral index in sexual dysfunctions was (64.9±7.14) % of the maximum possible 100% vs (92.4±3.52) % in the control group. The progression of erectile dysfunction was accompanied by a decrease of the quality-of-life integral index from -25.2% in mild to -33.3% in moderate and -41.6% in severe, and the presence of premature ejaculation reduces the quality of life by 38.6%, hypoactive sexual desire disorder by 38.0%, orgasmic dysfunction by 39.8%. The greatest impact on the men`s quality-of-life reduction in sexual dysfunctions was the dissatisfaction with sexual drive, interest and/ or performance (on average 2.1 points on a 5-point scale, compared to 4.9 points in the control group), especially expressed in hypoactive sexual desire disorder (1.6 points, respectively), orgasmic dysfunction (1.7) and severe erectile dysfunction (1.5). Respondents with sexual dysfunctions were the least satisfied with the psychological components of the quality-of-life, in particular in case of severe erectile dysfunction (3.0 points), premature ejaculation (2.9), hypoactive sexual desire disorder (3.0) and orgasmic dysfunction (3.0).</p><p><strong>Conclusion: </strong>Conclusions: Male sexual dysfunctions negatively affect the psychological component of the quality of life without significant impact on the physical and socio-economic. The complex of treatment measures for men`s sexual dysfunctions must necessarily include psychological interventions.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 5","pages":"648-654"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276262","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":"Ultrasound assessment of optic nerve sheath diameter during surgery in the Trendelenburg position.","authors":"Tomasz Skladzien, Emilia Kurdziel, Mikolaj Przydacz, Malgorzata Czogala, Michal Terlecki, Jerzy Wordliczek","doi":"10.36740/Merkur202505120","DOIUrl":"https://doi.org/10.36740/Merkur202505120","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To determine whether the Trendelenburg position during laparoscopic urological surgery changed the ONSD and whether changes correlated with postoperative complications.</p><p><strong>Patients and methods: </strong>Materials and Methods: In this prospective study, we measured ONSD before patients were placed in the Trendelenburg position. Then the Trendelenburg position was established by tilting the operating table to 20-25 degrees. After surgery, the patients were placed in a horizontal position, and the second measurement of ONSD was obtained.</p><p><strong>Results: </strong>Results: The study included 69 patients. The average preoperative ONSD in the right eye was 5.8±0.7 mm and 5.8±0.8 mm in the left eye. The average postoperative ONSD in the right eye was 6.6±0.8 mm and 6.6±0.7 mm in the left eye. The differences between postoperative and preoperative values in the right and left eyes were statistically significant (p<0.000001). ONSD increases above the norm did not correlate with the incidence of postoperative nausea (p=0.94), delirium (p=0.81), or the time to patient awakening (p=0.29).</p><p><strong>Conclusion: </strong>Conclusions: ONSD increased in patients who underwent surgical procedures performed in the Trendelenburg position, but the increase did not correlate with postoperative complications.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 5","pages":"573-579"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276274","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 comprehensive physical and psychological rehabilitation on the emotional state and coping strategies of students in crisis situations.","authors":"Viktoriia I Horoshko, Yevheniia G Khomenko, Andrii I Horoshko","doi":"10.36740/Merkur202502111","DOIUrl":"https://doi.org/10.36740/Merkur202502111","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To examine the impact of a comprehensive physical and psychological rehabilitation program on students' emotional well-being, coping strategies and physical endurance in crisis situations following a full-scale invasion of Ukraine.</p><p><strong>Patients and methods: </strong>Materials and Methods: The standardized psychodiagnostic tests were used in the study. The sample of respondents consisted of 812 students within the age range of 18-22 years old; 46,9 % of respondents (n=381) were males, 53,1 % of respondents (n=431) were females. 226 (27,8 %) students were considered as internally displaced persons (IDPs) because of hostilities. 126 students took part in the full range of physical and psychological rehabilitation activities, aiming at the stress reduction and mood improvement.</p><p><strong>Results: </strong>Results: The study revealed that female students demonstrated higher levels of psychological well-being as compared to male students. In addition, differences were found in the use of coping strategies. Students from the unoccupied territories more often used active problem solving, while seeking social support was more common among IDPs. IDPs also more commonly used emotional regulation and avoidance. The comprehensive rehabilitation program favoured the increase in all aspects of subjective well-being levels, including psychological well-being, physical health and relationships.</p><p><strong>Conclusion: </strong>Conclusions: Significant improvements in the emotional state of the participants were revealed, in particular, a decrease in the level of stress and anxiety, an increase in the use of adaptive coping strategies. The rehabilitation program also showed a positive impact on the physical endurance of students.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"222-228"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019619","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":"Correlation of the anatomical variations of pancreatic blood vessels and occurrence of diseases of pancreas.","authors":"Anastasiya Spaska","doi":"10.36740/Merkur202501114","DOIUrl":"10.36740/Merkur202501114","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The research aims to confirm or reject the hypothesis on the possible relationship between the influence of changes in pancreatic vascular variations on the mechanisms of occurrence of pancreatic diseases based on the collected scientific literature..</p><p><strong>Patients and methods: </strong>Materials and Methods: The bibliosemantic, bibliographic, statistical research methods were used in the research. Scientometric databases Web of Science, Scopus, PubMed, and archives of scientific papers such as Google Scholar and Research Gate for the last 6 years (2018-2023) were used to form a study basis.</p><p><strong>Conclusion: </strong>Conclusions: Based on the analyzed sources, blood supply variants to the pancreas do not influence the development of pathological processes. However, vein and artery features impact treatment choices and surgical outcomes. Main and additional pancreatic ducts, and the common bile duct, may be linked to diseases. Atypical pancreatic artery branching affects surgical tactics and increases bleeding risk.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"100-107"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597102","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":"Current priorities in research on metabolic-associated fatty liver disease based on the results of EASL - 2024.","authors":"Leonid L Pinsky, Mykola V Khaitovych, Olga A Golubovska, Irina P Ryzhova","doi":"10.36740/Merkur202501117","DOIUrl":"10.36740/Merkur202501117","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To systematize and comprehensively analyze scientific sources and studies on metabolic-associated steatotic liver disease (MASLD) based on materials from the European Congress of the European Association for the Study of the Liver (EASL - 2024)..</p><p><strong>Patients and methods: </strong>Materials and Methods: This paper analyzes the current scientific research on the prevalence, pathogenesis, diagnostic methods, prognosis, and pharmacotherapy of MASLD presented at the EASL 2024 Congress. The following methods were used in the preparation of the work: a systematic approach and bibliosemantic analysis.</p><p><strong>Conclusion: </strong>Conclusions: Studies on the pathogenesis of MASLD progression confirm the significant role of insulin resistance and hyperinsulinemia in increasing hepatocyte cytolysis activity, raising the concentration of cytokeratin CK-18, HbA1c, low-density lipoproteins, triglycerides, and the severity of fibrosis (FIB-4). EASL 2024 studies evaluated the diagnostic efficiency of non-invasive methods for assessing steatosis and liver fibrosis severity in MASLD (FIB-4, FibroScan®, Enhanced Liver Fibrosis (ELF), Vibration Controlled Transient Elastography (VCTE), LiverPRO, etc.). Due to the high prevalence of steatotic liver disease, comorbidities such as chronic viral hepatitis C, autoimmune hepatitis, and alcoholic liver disease - contributing to liver fibrosis progression and hepatocellular carcinoma - are significant. Promising drugs for MASLD treatment include resmethyrom, fibroblast growth factor 21 analogs (including pegosafermin), and pemvidutide, a long-acting, balanced GLP-1/glucagon dual receptor agonist.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"120-125"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597258","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":"Assessment of parathyroid hormone, vitamin D3, calcium, phosphate, and RFT in patients with chronic renal failure: A three-year follow-up study.","authors":"Hamid K Al-Tameemi, Noor Ibrahim, Dina A A Abdullah, Noor Nayyef Oddah","doi":"10.36740/Merkur202501106","DOIUrl":"10.36740/Merkur202501106","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This study aimed to evaluate the serum levels of key biomarkers, including parathyroid hormone (PTH), vitamin D3, calcium, phosphate, and renal function tests (RFTS), in patients with chronic renal failure over three years..</p><p><strong>Patients and methods: </strong>Materials and Methods: A cohort of 83 patients with chronic renal failure and 70 healthy controls were followed, with data collected at one, two, and three years.</p><p><strong>Results: </strong>Results: Significant differences were observed in the levels of creatinine, urea, phosphate, calcium, vitamin D, and parathyroid hormone between patients and controls. the study found a progressive increase in phosphate and parathyroid hormone levels, alongside a decrease in calcium and vitamin D levels in patients over time. strong correlations were observed between these biomarkers, highlighting the complex interplay between mineral metabolism and renal function in chronic renal failure.</p><p><strong>Conclusion: </strong>Conclusions: These findings confirm the need for integrated management strategies to address these biochemical disturbances and improve the life quality of patients with chronic renal failure.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598073","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 national health service of Ukraine as a purchaser of medical services and medicines under the medical guarantees programme during martial law.","authors":"Anatoly M Strelchenko, Yuriy M Siryi, Liudmyla O Mostepaniuk, Oksana Yu Khablo, Anatolii G Krut","doi":"10.36740/Merkur202504115","DOIUrl":"https://doi.org/10.36740/Merkur202504115","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyse the effectiveness of the National Health Service of Ukraine, which performs the functions of a purchaser of medical services and medicines under the Medical Guarantees Programme during wartime, as well as to identify and characterise the key challenges it faces and to propose effective solutions based on statistical data and comparative analysis concerning the provision of high-quality and effective medical care to the population, along with suggesting the development of promising directions for improving the performance of the National Health Service..</p><p><strong>Patients and methods: </strong>Materials and Methods: Retrospective, analytical, and modelling methods were used to assess the main processes related to the activities of the National Health Service of Ukraine as a key actor in the financing of medical services within the healthcare system under martial law conditions in Ukraine. Through the use of synthesis and modelling methods, recommendations for the further reform of the National Health Service were developed, along with proposals for the development of promising directions to enhance the effectiveness of its activities.</p><p><strong>Results: </strong></p><p><strong>Conclusion: </strong>Conclusions: The study confirmed the need to define the directions for enhancing the effectiveness of the National Health Service of Ukraine as a purchaser of medical services and medicines under the Medical Guarantees Programme during martial law. One such direction is the improvement of logistics under wartime conditions and its restoration in the post-war period, which can be outlined as follows: (a) ensuring the active digitalisation of logistics processes; (b) decentralising warehouses; (c) creating mobile medical units; (d) providing personnel training; and (e) preparing appropriate legislative regulation.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 4","pages":"534-539"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034049","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 screening and analysis of the response questionnaire in the care of temporomandibular disorders and psychoemotional state diagnosis in the Polish population.","authors":"Justyna Grochala, Małgorzata Pihut, Jolanta E Loster","doi":"10.36740/Merkur202504107","DOIUrl":"https://doi.org/10.36740/Merkur202504107","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Due to the increasing prevalence of temporomandibular disorders within the population, it is beneficial to implement effective diagnosis at the early stages of the disorder's manifestation. The consequence of the occurrence of temporomandibular disorders may be a dysfunction related to the psychoemotional state. One of the research objectives was to assess the prevalence of temporomandibular disorders in the examined group of patients within the Polish population. We aimed that a relationship between psychoemotional state and the occurrence of temporomandibular disorders can be established, which was also the subject of the research conducted.</p><p><strong>Patients and methods: </strong>Materials and methods: Patients were examined and diagnosed according to the Polish version of the RDC/TMD questionnaire (Axes I and II).</p><p><strong>Results: </strong>Results: In the research, 135 subjects were enrolled, however 91 finished. The patients were aged 18-53. The prevalence of temporomandibular disorders in this research is 37.36% and is more frequent in women.</p><p><strong>Conclusion: </strong>Conclusions: The assessment and treatment of temporomandibular disorders require a multidisciplinary approach that includes consideration of the psychoemotional status.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 4","pages":"478-484"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034085","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":"Detection and prevention of gambling disorder among Ukrainian law enforcement personnel under high operational stress: Institutional experience and comparative analysis.","authors":"Olena A Kozeratska, Mykola A Pogoretskyi, Diana B Serhiieva, Oleksandr S Starenkyi, Grygorii V Denysenko","doi":"10.36740/Merkur202505115","DOIUrl":"https://doi.org/10.36740/Merkur202505115","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To conduct a comparative institutional analysis of existing practices for detecting and preventing gambling disorder among Ukrainian law enforcement personnel under conditions of high operational stress.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study involved 342 employees (average age 34,1±5,2 years; 86,5% males and 13,5% females) from four Ukrainian law enforcement agencies, performing investigative, operational-search, counterintelligence, analytical, and administrative-control functions. The study was conducted during 2023-2025 and employed the Problem Gambling Severity Index (PGSI) and Gambling Disorder Identification Test (GDIT) screening tools, an anonymous survey, structured psychological interviews, behavioural observation, and digital monitoring.</p><p><strong>Results: </strong>Results: According to the PGSI, 7,1% of respondents demonstrated pathological gambling behaviour. The use of the GDIT revealed an elevated score (≥15) in 40 (11,7%) respondents, with 19 of them (5,6%) exhibiting clinically relevant symptoms. Respondents with a GDIT score ≥15 (vs. <15 score group) showed 1,3 times higher anxiety levels (by HADS-A score), 3,4 times greater frequency of disciplinary incidents, and systematic interaction with gambling platforms during off-duty hours. Significant correlations were found between elevated gambling risk levels (by PGSI and GDIT) and symptoms of anxiety (HADS-A), impulsive financial decisions, and increased disciplinary infractions.</p><p><strong>Conclusion: </strong>Conclusions: The implementation of a comprehensive system for the prevention of gambling disorder, integrating psychometric, behavioural, and digital indicators, is advisable to enhance psychological resilience and prevent a decline in operational reliability among Ukrainian law enforcement personnel under high operational stress.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 5","pages":"664-670"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276185","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}