{"title":"The Spectrum of Oral Pathology Specimens: A Histopathologic Analysis of 442 Specimens","authors":"T. Aladily, H. Eid, D. Waia, Farahlina Baba","doi":"10.35516/jmj.v57i1.1098","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1098","url":null,"abstract":"Background Aims: Diseases of the oral cavity are heterogenous regarding their etiology, pathogenesis, histogenesis and clinical outcomes. The aim of this study was to examine the frequency of oral diseases encountered in our experience. \u0000Methods: The archives of pathology at Jordan University Hospital were retrospectively searched for oral cavity specimens from 2013–2020. Fisher’s exact test was performed to examine the statistical difference between the pathologic diagnosis and clinical variables. One-way ANOVA was used to analyze the differences in the mean of age between the different pathologic groups. \u0000Results: A total of four-hundred and forty-two cases were retrieved. There were 232 (52%) females and 210 (48%) males, ranging in age from 3–87 years (mean 43). Inflammatory and reactive diseases were the most common, constituting 147 (33%) of all specimens, followed by 139 (31%) benign neoplasms, 114 (26%) cysts, and 42 (10%) malignant diseases. Lichen planus was the most common inflammatory disease (26/147, 18%) in patients older than 40 (p=0.0039). Keratocysts predominated in children and adolescents more than adults (p=0.0015). Buccal mucosa represented the most frequent site for biopsy (76, 17%), followed by tongue and maxillary bone, respectively at 70 (16%) each. \u0000Conclusion: Inflammatory and benign neoplasms were the most common lesions in oral diseases. Oral malignancy appeared in low to intermediate frequency compared to previous reports. The study provides a general overview of the spectrum of oral pathology specimens and points to some novel epidemiologic findings that suggest further investigation.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42969655","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}
Mays Ziad Almuhaisen, A. Orhan, Ayoub Rm, Alsunna Raad Hassan, Qudah, Faisal, Elmuhtaseb Ms
{"title":"Is There an Increased Risk of Intra-Abdominal Abscesses After Laparoscopic Appendectomy? Laparoscopic Versus Open Appendectomy: A Single-Institution Experience","authors":"Mays Ziad Almuhaisen, A. Orhan, Ayoub Rm, Alsunna Raad Hassan, Qudah, Faisal, Elmuhtaseb Ms","doi":"10.35516/jmj.v57i1.1100","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1100","url":null,"abstract":"Background: Acute appendicitis is the most common cause of acute abdomen. Currently, larger numbers of appendectomies are being performed laparoscopically. The aim of this study was to compare laparoscopic appendectomies to open surgery in terms of intra- and post-operative complications, including the risk of intra-abdominal abscess formation, operative time, time of initiating oral diet, and the length of hospital stay in our institution. \u0000Methods: The study group of 283 patients having undergone appendectomies between January 2013 and Jan 2016 was divided into two subgroups as ‘open’ and ‘laparoscopic’. The data regarding the surgical outcomes of these groups were evaluated retrospectively and statistically analyzed. \u0000Results: In terms of postoperative complications, intra-abdominal abscesses were found to be higher in the laparoscopic group (p=.045). On the other hand, surgical site infection (SSI) rates were found to be higher in the open group (but did not reach statistical significance). Operative time was affected by the surgeon’s expertise and was found to be shorter in the laparoscopic group (p<0.05). The time of initiating oral diet was sooner in the laparoscopic group compared to the open group (p=0.043), and the overall length of hospital stay was shorter in the laparoscopic group (p=0.0001). \u0000Conclusions: Laparoscopic appendectomy is associated with early return to a normal diet, fewer wound complications, and a shorter hospital stay, but also with a slightly higher rate of intra-abdominal abscesses. Notably, it is now the standard method of acute appendicitis management in some centers.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48196408","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}
Amani Nofal, Raghed Abdel Hay Abu Jabeh, Dana Alrafayia, T. Hyasat, Lojayn Suboh, R. Aljabiri, Saif Aldeen Al Ryalat, Hussam H Alhawari, R. Jaber
{"title":"Glycemic Control Improvement amongst Patients with Diabetes Mellitus during a COVID-19 Lockdown in Jordan","authors":"Amani Nofal, Raghed Abdel Hay Abu Jabeh, Dana Alrafayia, T. Hyasat, Lojayn Suboh, R. Aljabiri, Saif Aldeen Al Ryalat, Hussam H Alhawari, R. Jaber","doi":"10.35516/jmj.v57i1.1101","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1101","url":null,"abstract":"Aims: The purpose of this study is to evaluate the effects of lockdown measures by the Jordanian government to contain the spread of the novel corona virus (COVID-19) on glycemic control of patients with diabetes mellitus. \u0000Methods: This cross-sectional study was conducted in Jordan University Hospital. A total of 264 patients with type 2 or type 1 diabetes mellitus were sampled. The authors evaluated the extent of glycemic control reached by patients with type 2 or type 1 diabetes mellitus by measuring change in glycosylated hemoglobin (A1C) values, in addition to the number of hypoglycemic episodes experienced by patients during lockdown. The authors conducted a questionnaire via telephone interviews to record information about drug adherence and availability, diet, physical activity, and telephone consultations. A paired sample t-test was used to compare values before and after lockdown. \u0000Results: A significant reduction in HbA1C values was found during lockdown (p=0.038), with only 33.6% of patients experiencing one or more hypoglycemic episodes; both factors suggest controlled blood glucose levels. Medication adherence was found to be the main reason for improvement, with 74.8% of our population being strongly adherent to their medications. \u0000Conclusions: In Jordanian patients with diabetes mellitus, glycemic control was significantly improved during COVID-19 lockdown and this was found to be associated with strong medication adherence.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48613219","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}
Y. Shafagoj, Tamara Al-Qudah, M. Al-Essa, E. Mustafa, Suzan Albdour, M. Alkhateeb, Naif Karadsheh, Faisal A. Khatib, Mamoun Ahram, F. Mohammed
{"title":"Levels of selective oxidative stress markers and antioxidant enzymes in blood of Hubble-Bubble smokers","authors":"Y. Shafagoj, Tamara Al-Qudah, M. Al-Essa, E. Mustafa, Suzan Albdour, M. Alkhateeb, Naif Karadsheh, Faisal A. Khatib, Mamoun Ahram, F. Mohammed","doi":"10.35516/jmj.v57i1.437","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.437","url":null,"abstract":"Background: Hubble-Bubble smoking is a common smoking practice and spreading fast among young adults even in western countries. People think it is less toxic than cigarette smoking. \u0000Aim: The aim of this study was to investigate the levels of oxidative stress markers and antioxidants in the blood of Hubble-Bubble (smokers compared to controls as a sign of toxicity, since disease process is caused by abnormal antioxidant capacity. \u0000Methods: Blood samples were collected by authorized personnel from recruited healthy volunteers (28 habitual Hubble-Bubble smokers and 18 nonsmokers). The levels of oxidative stress markers (Malondialdehyde (MDA), and protein carbonyl) and antioxidants superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx)) and lipids were measured. \u0000Results: Protein carbonyl level in HB smokers’ group (2.58 mmol/gm of protein) was significantly higher than in control group (2.58 ±0.8 vs. 2.04 ±0.8 mmol/gm of protein). While CAT level in HB smokers’ group was significantly lower than the control group (22545.4±504 vs 24772.0±344.6 mU/ml). Also, a clear difference for GPx level was found between study groups (1091.6±122 vs. 3144.9± 409mU/ml). However, no significant differences were observed between the two groups regarding the SOD and MDA levels as well as the lipids concentration. \u0000Conclusions: HB smoking is associated with increased levels of carbonyl proteins and decreased levels of catalase, and glutathione peroxidase in the plasma, which might contribute to the several adverse health effects associated with HB smoking.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43033610","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}
Ghazi Al Edwan, M. Abufaraj, Mohammad Al-Omari, Tariq Alemraryat, Hasan Alnawaeseh, Faris Khamaiseh, I. Abuelbeh, Jamel Sahouri, Omar Hamdan
{"title":"The Association of Male Pattern Baldness in Men with Benign Prostatic Hyperplasia","authors":"Ghazi Al Edwan, M. Abufaraj, Mohammad Al-Omari, Tariq Alemraryat, Hasan Alnawaeseh, Faris Khamaiseh, I. Abuelbeh, Jamel Sahouri, Omar Hamdan","doi":"10.35516/jmj.v57i1.1104","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1104","url":null,"abstract":"Aim: To evaluate the association between male pattern baldness (MPB) and benign prostatic hyperplasia (BPH). \u0000Methodology: Cohort study, data collected by co-authors. All extracted data were input to Excel sheets and further imported into STATA version 14. The study’s results were reported in the form of descriptive statistics. \u0000Results: This study found no significant associations between MPB and BPH. Nonetheless, the study demonstrated that patients with increased baldness severity have higher rates of diabetes mellitus (DM) and obesity. \u0000Conclusion: There is no association between MPB and BPH.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46667996","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":"Stair climbing: A time efficient and cost effective exercise protocol for fitness in young healthy females","authors":"J. Foster","doi":"10.35516/jmj.v56i4.464","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.464","url":null,"abstract":"Background: \u0000Physical therapy intervention is a substantial regime in prevention and management of postpartum complications including both systemic and psychological illnesses. \u0000Purpose: \u0000It is to determine the frequency of physical therapy referrals during postpartum period in Pakistan in addition to frequency of mothers attending physical therapy sessions as well as the most commonly reported complains after delivery. \u0000Method: \u0000It was a cross sectional study conducted in twin cities of Pakistan. Data was collected from 384 mothers in their postpartum period through a self-structured questionnaire after taking verbal and written consent. It inquired whether the subject was aware of physical therapy, referred for physical therapy, and attended physical therapy sessions in addition to the most commonly reported complain amongst mothers in the postpartum period. Data collected was kept confidential. \u0000Results: \u0000The mean age of participants was 25.76±4.09. Out of 384 women, only 138(35.9%) reported to have awareness regarding physical therapy and merely 89(23.2%) were actually referred for physical therapy in postpartum period and attended the sessions. Back pain and urinary incontinence were amongst the most commonly reported complains in postpartum period. \u0000Conclusion: \u0000It is concluded that the rate of referral to physical therapy is very low in a developing country like Pakistan irrespective of any complications faced by mothers in postpartum period. Furthermore, females who did consult a physical therapist after referral got lost to follow-ups.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48207705","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":"Prevalence of Temporomandibular Disorder in Undergraduate Dental Students: A Questionnaire Based Study","authors":"Muhanad L. Alshami, H. Abdulbaqi, Amir A. Majeed","doi":"10.35516/jmj.v56i4.466","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.466","url":null,"abstract":"Background: Temporomandibular disorder (TMD) is a group of abnormalities in the temporomandibular joint area. Temporomandibular disorder is a multifactorial condition since multiple physiological and pathological conditions are cited as etiological factors. The clinical features include pain, clicking, deviation, limitation in joint movement, and may be associated with headache, neck ache, and disturbance in quality of life. The type of treatment depends on the cause and the severity of each case. Epidemiological studies and screening of the prevalence and clinical manifestations of temporomandibular disorder in the community could improve the preventive measures and the outcomes of treatment. \u0000Aim: To evaluate the distribution of Temporomandibular disorder among undergraduate dental students. \u0000Method: This study was a cross sectional study conducted from March until June 2020. Questionnaires were sent to undergraduate students via email. The responses to questions were given numerical values to estimate the severity of Temporomandibular disorder. The presence and severity of TMD was determined based on self-reported responses. \u0000Results: Two-thirds of respondents showed Temporomandibular disorder with different severities. The Temporomandibular disorder severity among respondents was as following: (28.2% no Temporomandibular disorder, 41.6% mild Temporomandibular disorder, 24.1% moderate Temporomandibular disorder, 6.2% sever Temporomandibular disorder). Age and the study grade were significantly associated with TMD severity. \u0000Conclusion: Despite the limitation of this study, a considerable number of students expressed signs and symptoms of Temporomandibular disorder although they are unaware of this condition.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47405553","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":"Interceptive and orthodontic treatment provided by pediatric dentists in Jordan","authors":"L. Rajab, Enas Murad, Suha Abu-Ghazaleh","doi":"10.35516/jmj.v56i4.463","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.463","url":null,"abstract":"Objectives: The purposes of this study were to document the interceptive and orthodontic treatment currently provided by pediatric dentists in Jordan, to determine the type(s) of treatment and appliances provided, and to ascertain variables that would influence practitioners’ treatment patterns. \u0000Methods: A cross-sectional survey carried out among pediatric dentists. A structured questionnaire was used, distributed directly by hand to individual pediatric dentist at place of practice, and collected after one week. Descriptive analysis and Chi-square test were used. The level of significance was set as 0.05. \u0000Results: The majority of pediatric dentists (89%) provided orthodontic treatment. Pediatric dentists have unlikely expectations concerning the benefits of orthodontic treatment. The most frequently provided treatments were for space maintenance (99%), and oral habits conditions (94%). The most utilized appliances were space maintaining appliances (99%), habit breaker appliances (83%), upper removable orthodontic appliances (with finger or Z spring and anterior expansion screw) (66%), and palatal expansion appliances (53%). Variables that would significantly affect the type of treatment and appliances used were place of practice, annual hours spent in continuing education in orthodontics, confidence level in providing treatment, and nearest orthodontist’s location. \u0000Conclusions: Most of the pediatric dentists provide orthodontic treatment with high expectations concerning the benefits of providing it. This study documents the interceptive and orthodontic treatment currently provided by pediatric dentists in Jordan. It summarizes treatment and appliances provided, and variables that would influence practitioners’ treatment patterns.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49129858","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}
Suhair Qudsieh, Ismaiel Abu Mahfouz, Gharam Abu Assaf
{"title":"Clinical features and outcome of Corona Virus Disease – 19 infection among pregnant Jordanian women","authors":"Suhair Qudsieh, Ismaiel Abu Mahfouz, Gharam Abu Assaf","doi":"10.35516/jmj.v56i4.470","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.470","url":null,"abstract":"Background: \u0000Studies among pregnant women who had COVID-19 are limited. Earlier reports had shown that COVID-19 during pregnancy is associated with increased risks of spontaneous miscarriage, intrauterine growth restriction and preterm delivery. More evidence is needed as most published studies involved small numbers. This study aimed to review the clinical features and outcomes of COVID-19 positive pregnant women in Jordan. \u0000Methods: \u0000A retrospective review of medical records of 112 COVID-19 positive pregnant women in Jordan during the period of March to October 2020. The data collected included maternal age, comorbidities, gestational age, presenting symptoms, laboratory results, maternal and neonatal outcomes. \u0000Results: \u0000The mean (±SD) for age and gestational age were 30 (±5.4) years and 32(±8.9) weeks, respectively. Additionally, 88 women (79%)were in the third trimester, and 79 women (70.5%) were multiparous. \u0000Data analysis showed that 62 women (55.4%) were symptomatic, and the most common symptoms were cough and dyspnea in 66% and 47%, respectively. The most common obstetric complications were preterm delivery (19%) and anemia (18%). 68% were delivered by cesarean section and 4.5% died. \u0000Conclusion: \u0000Most pregnant women in this study were symptomatic with cough being the most common symptom, and the majority were diagnosed in the third trimester, this suggests that advanced gestational age may be a risk factor for catching the infection and being symptomatic. Therefore, pregnant women and healthcare practitioners should consider the impact of gestational age on the disease behavior, and the rate of preterm labor and maternal death.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69858701","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}
B. Jarrar, Mohammed Abu-Shqueir, Y. Jarrar, Q. Jarrar
{"title":"Knowledge and Awareness toward Viral Diseases among University Students in Jordan: Spring 2020","authors":"B. Jarrar, Mohammed Abu-Shqueir, Y. Jarrar, Q. Jarrar","doi":"10.35516/jmj.v56i4.469","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.469","url":null,"abstract":"Background: Little is known about the viral disease knowledge among university students in Jordan. Aims: This study aimed to evaluate the knowledge towards the nature of viruses and viral diseases among university students in Jordan. Methods: A cross-sectional study was conducted in May-September 2020, focused on students attending eleven colleges from three universities in Jordan. Students were asked to answer an online survey comprising 48-closed ended questions measuring the knowledge toward the viruses and viral diseases. Results: One thousand three hundred nine students responded to the questionnaire. Only 36.7% of the respondents informed that they had the chance to study about viruses and viral diseases during university lectures. The finding revealed that 20.63% of the respondents think that the virus is a living organism and 39.9% of the students correctly answered that the viruses cannot reproduce on the nonliving surfaces. On the other hand, more than one third of the participants approved that viruses are not sensitive to antibiotics treatment. Moreover, only 9.7% of the respondents were able to name of the scientist who discovered the virus. Regarding the viral diseases, 36.1% of the participants were aware that human papilloma virus causes cancer, while only 7.7% were aware that any of the viral hepatitis, herpes or human papilloma viruses can develop to cancer. Almost half of the students answered correctly that SARS-cov2 infects both humans and some animal species and HIV virus can be transmitted through intersexual course. Additionally, 54.7% of the students believe that vaccination is the best protection method to human from viral diseases. Lastly, 42.1% of the respondents were aware that viruses can be invested in several scientific fields. Conclusion: It is concluded that the university students in Jordan have a poor knowledge toward viruses and viral diseases with low exposure to virology education. It is urgently suggested to improve the knowledge toward viral diseases at all levels of education through increasing the virology courses and lectures in the educational institutions with more intensifying improvement in the health colleges. ","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48543929","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}