International Tinnitus Journal最新文献

{"title":"Investigating the Effects of Vestibular Rehabilitation on Balance Function in Cochlear Implant Recipients.","authors":"Nader Saki,&nbsp;Hassan Abshirini,&nbsp;Saman Karkhaneh,&nbsp;Arash Bayat","doi":"10.5935/0946-5448.20200007","DOIUrl":"https://doi.org/10.5935/0946-5448.20200007","url":null,"abstract":"<p><strong>Background: </strong>Cochlear Implantation (CI) is an effective surgical approach to rehabilitate the severe to profound hearing-impaired patients. However, the insertion of CI electrodes into the cochlea may adversely affect vestibular receptors, resulting in vertigo or dizziness. The present study aimed to investigate the impacts of Vestibular Rehabilitation Therapy (VRT) exercises on dizziness symptoms of patients who underwent CI.</p><p><strong>Methods: </strong>A total of 21 consecutive patients (age range: 28 to 61 years) with profound sensorineural hearing loss undergoing CI operation participated. The VRT therapy plan consisted of a habituation and adaptation exercises in combination with gait and balance exercises. The handicapping influences of dizziness was measured using a Dizziness Handicap Inventory (DHI) scale to measure the level of respondent's performance on physical, emotional, and functional dimensions. Visual Analogue Scale (VAS) was also conducted to assess the severity of dizziness symptoms. The DHI and VAS scales were conducted before VRT and at \"oneweek\", \"two-week\", and \"four-week\" following the last rehabilitation session.</p><p><strong>Results: </strong>A repeated-measure analysis of variance demonstrated a significant decrement and a consequent improvement in DHI scores after vestibular exercises in all emotional, physical and functional domains (p < 0.001). We also found that the influence of implanted ear (p=0.076) and gender (p=0.094) variables on DHI scores were not statistically significant. The mean VAS score was 5.87 ± 2.27 at baseline stage and it reduced significantly during the course of the therapy (second week, 2.02 ±1.75, p < 0.001; and forth week, 1.51 ± 1.29, p < 0.001).</p><p><strong>Conclusion: </strong>The findings of this study showed that vestibular rehabilitation therapy has a positive impact on the symptoms of the patients who underwent CI surgery. These exercises lead to an improvement in balance and postural stability, and a reduction in the self-report measure of handicaps. These findings provide the basis for better pre-operative counseling and postoperative vestibular rehabilitation to CI recipients.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"24 1","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38615960","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":"Psychosocial consequences of the loudness of tinnitus.","authors":"Henk M Koning","doi":"10.5935/0946-5448.20190018","DOIUrl":"https://doi.org/10.5935/0946-5448.20190018","url":null,"abstract":"<p><strong>Introduction: </strong>Tinnitus distress is associated with the perceived loudness of the tinnitus.</p><p><strong>Objectives: </strong>To evaluate the psychosocial problems in tinnitus patients and to explore any relation with the tinnitus loudness.</p><p><strong>Design: </strong>From all patients who were treated in our clinic from January 2017 to September 2019 for their tinnitus, patients chart and a questionnaire with the psychosocial variables were studied retrospectively.</p><p><strong>Results: </strong>Almost half of the tinnitus patients could not withstand their tinnitus and they were faced with disturbed concentration and feeling depressed. Psychosocial problems were related to the maximal loudness of the tinnitus. If the perceived maximal loudness of the tinnitus was above 73 millimetre on the visual analogue scale the prevalence of psychosocial problems raised. If it was above 83 millimetre the majority of these patients had psychosocial problems.</p><p><strong>Conclusion: </strong>Psychosocial problems were related to the maximal loudness of the tinnitus. We recommend patients suffering from severe tinnitus distress that therapy should be aimed at a reduction of the maximal loudness of tinnitus to less than 73 mm on the visual analogue scale.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37601944","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 National Iranian Cochlear Implant Registry (ICIR): cochlear implanted recipient observational study.","authors":"Nader Saki,&nbsp;Arash Bayat,&nbsp;Soheila Nikakhlagh,&nbsp;Majid Karimi,&nbsp;Mohammad Nikafrooz,&nbsp;Ahmad Daneshi,&nbsp;Masoud Motesadi Zarandi,&nbsp;Mohammad Ajalloueyan,&nbsp;Seyed Basir Hashemi,&nbsp;Mohammad Mehdi Ghasemi,&nbsp;Ali Eftekharian,&nbsp;Seyyed Hamidreza Abtahi,&nbsp;Maryam Amizadeh,&nbsp;Farhad Farahani,&nbsp;Masoud Naderpour","doi":"10.5935/0946-5448.20190013","DOIUrl":"https://doi.org/10.5935/0946-5448.20190013","url":null,"abstract":"<p><strong>Background and objective: </strong>Patients who receive cochlear implants (CIs) constitutes a significant population in Iran. This population needs regular monitor on long-term outcomes, educational placement and quality of life. Currently, there is no national or regional registry on the long term outcomes of CI users in Iran. The present study aims to introduce the design and implementation of a national patient-outcomes registry on CI recipients for Iran. This Iranian CI registry (ICIR) provides an integrated framework for data collection and sharing, scientific communication and collaboration inCI research.</p><p><strong>Methods: </strong>The national ICIR is a prospective patient-outcomes registry for patients who are implanted in one of Iranian centers. The registry is based on an integrated database that utilizes a secure web-based platform to collect response data from clinicians and patient's proxy via electronic case report forms (e-CRFs) at predefined intervals. The CI candidates are evaluated with a set of standardized and non-standardized questionnaires prior to initial device activation(as baseline variables) and at three-monthly interval follow-up intervals up to 24 months and annually thereafter.</p><p><strong>Results: </strong>The software application of the ICIR registry is designed in a user-friendly graphical interface with different entry fields. The collected data are categorized into four subsets including personal information, clinical data, surgery data and commission results. The main parameters include audiometric performance of patient, device use, patient comorbidities, device use, quality of life and health-related utilities, across different types of CI devices from different manufacturers.</p><p><strong>Conclusion: </strong>The ICIR database could be used by the increasingly growing network of CI centers in Iran. Clinicians, academic and industrial researchers as well as healthcare policy makers could use this database to develop more effective CI devices and better management of the recipients as well as to develop national guidelines.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"74-78"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602477","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":"Psychometric Features of Dizziness Handicap Inventory (DHI): Development and Standardization in Gujarati Language.","authors":"Anuj Kumar Neupane,&nbsp;Arva Kapasi,&nbsp;Nikheel Patel","doi":"10.5935/0946-5448.20190015","DOIUrl":"https://doi.org/10.5935/0946-5448.20190015","url":null,"abstract":"<p><strong>Objective: </strong>Dizziness is a sensation of spatial disorientation of rotating or non-rotating in nature, mostly due to Oto-neurological insults. A symptom-specific dizziness handicap inventory may aid in understanding the severity of the condition and its impact on the quality of life. Therefore, the Dizziness Handicap Inventory-English version (DHI-E) was used as the most reliable subjective tool to assess the effect of dizziness in various aspects of life and so was translated into several languages. Hence, the present study aimed at developing and standardizing the self-administering Dizziness Handicap Inventory - Gujarati version (DHI-G).</p><p><strong>Methods: </strong>A cross-sectional survey design was performed. 50 participants, i.e. 18 males and 32 females aged between 15 to 55 years with complaints of vertigo/dizziness were recruited for the study. The questionnaire was re-administered to thirty of the total participants after 10 days of initial administration for examining test-retest reliability.</p><p><strong>Results: </strong>DHI-G achieved an overall alpha score of 0.92 suggesting good internal consistency and the score of 0.84, 0.82 and 0.81 on three subscales i.e. physical, functional and emotional respectively. Intra class correlation (ICC) revealed good test-retest reliability with a score of 0.81.</p><p><strong>Conclusion: </strong>DHI-G can be used as a reliable and valid tool in the clinical and research setting extensively.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602479","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":"Comparison of Vestibular Evoked Myogenic Potential and Dizziness Handicap Inventory in Patient with Peripheral Vestibular Lesions between Pre and Post Vestibular Rehabilitation.","authors":"Greeshma Jomin,&nbsp;Kaushlendra Kumar,&nbsp;Anupriya Ebenezer","doi":"10.5935/0946-5448.20190012","DOIUrl":"https://doi.org/10.5935/0946-5448.20190012","url":null,"abstract":"<p><strong>Aim and objective: </strong>VEMP is brief latency electromyography and is elicited by a high-intensity auditory stimulus. The aim of the current study was to compare VEMP and DHI in patients with peripheral vestibular lesions between pre and post vestibular rehabilitation.</p><p><strong>Method: </strong>A total of 30 participants with peripheral vestibular lesions were considered, among which 15 were given vestibular rehabilitation, and 15 were not given vestibular rehabilitation. The participants were subjected for cVEMP, oVEMP, and DHI testing before and after vestibular rehabilitation.</p><p><strong>Result: </strong>The latency and peak to peak amplitude measures showed no major difference among the training phase and between training and group for both cVEMP and oVEMP responses. However, the DHI scores were found to be significantly improved after vestibular training in the participants with dizzness. The above findings explain that even in the presence of peripheral vestibular lesion, symptomatic relief from vertiginous symptoms is possible.</p><p><strong>Conclusion: </strong>These were inculcated by vestibular rehabilitation prompted vestibular compensation. Vestibular rehabilitation should be practiced among individuals with peripheral vestibular lesions, irrespective of age.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602476","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":"Comparison of Neural Response Telemetry (NRT) results of cochlear implanted children in view of pre-operative Auditory Brainstem Response (ABR).","authors":"Selim Unsal,&nbsp;Mehmet Gunduz","doi":"10.5935/0946-5448.20190020","DOIUrl":"https://doi.org/10.5935/0946-5448.20190020","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the Neural Response Telemetry (NRT) results of the cochlear implanted children who showed wave 5 and who could not, in preimplantation ABR.</p><p><strong>Material and method: </strong>24 children (11 boys, 13 girls) with bilateral profound sensorineural hearing loss participated in this study. Age of children ranged between 13 and 60 months (mean 30 months). All participated children were implanted with Cochlear® Nucleus brand devices. In preoperative ABR evaluation with click stimulus in 100 dBnHL intensity level, 9 children showed wave V and 15 children did not. We compared intraoperative NRT results of 1st, 6th, 11th, 16th and 22nd electrodes, those were selected from 22 electrodes, of the two groups.</p><p><strong>Results: </strong>There was no statistically significant difference between the children who showed wave V and who did not in preoperative ABR, when compared the intraoperative NRT results of 1st, 6th, 11th, 16th and 22nd electrodes (p>0,05).</p><p><strong>Conclusion: </strong>intraoperative NRT was obtained in all the implanted children with bilateral profound sensorineural hearing loss, even if they received wave V or not in preoperative ABR. There was no difference between any of the parameters of the test results of the two groups. Normal NRT results can be achievable when there is no wave V in preoperative ABR.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"122-124"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37601947","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":"Workplace noise exposure and audiometric thresholds in dental technicians.","authors":"Angela Musacchio,&nbsp;Carmela Romana Natalina Corrao,&nbsp;Giancarlo Altissimi,&nbsp;Alfonso Scarpa,&nbsp;Stefano Di Girolamo,&nbsp;Arianna Di Stadio,&nbsp;Antonio Greco,&nbsp;Massimo Ralli","doi":"10.5935/0946-5448.20190019","DOIUrl":"https://doi.org/10.5935/0946-5448.20190019","url":null,"abstract":"Noise is a well-known risk factor in occupational medicine. Several studies have been performed in workplaces with noise sources, especially in the industrial field; on the contrary, only a few studies have been carried to evaluate the noise exposure effects in non-industrial workplaces such as small factories, handicraft laboratories, and dental laboratories. The aims of this study were to evaluate workplace noise exposure and hearing thresholds in dental technicians. Four laboratories and 51 dental technicians were included in the study. Noise exposure levels during a nominal eight-hour working day (LEX, 8 h) were assessed in the included laboratories. Audiometric thresholds with pure tone audiometry were performed in 51 dental technicians, and results were compared with those expected in subjects not exposed to noise. The environmental noise measures showed moderate differences of the LEX, 8 h among the four laboratories (range 71.4 to 76.2); average LEX, 8 h was 73.9 ± 2.2 dB(A). The audiometric results showed a progressive increase of hearing threshold values at the frequencies mostly involved in noise-induced hearing loss (3, 4 and 6 kHz) and a correlation with age and working seniority especially in males (p<0.005). Nevertheless, in the 92.1% of subjects the threshold increases were in line with those expected in subjects of the same age and sex not exposed to noise and in the remaining 7.8% were not statistically significant (p>0.05). In 3.9% of the cases the increases were bilateral, typical of noise-induced hearing loss, and only 1.9% showed involvement of several frequencies with worsening of expected thresholds >25 dB. In conclusion, our study showed that exposure to noise in dental laboratories was not sufficient to represent a hazard to hearing, as demonstrated by the LEX, 8 h, which were below 80 dB(A) and therefore below the European exposure limit values and exposure action values for workers.","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"108-115"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37601945","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":"Temporomandibular dysfunction and tinnitus the knowledge of the dental surgeon in primary health care.","authors":"Paulo Francisco Arant Martins,&nbsp;Jose Stechman-Neto,&nbsp;Killian Evandro Cristoff,&nbsp;Gloria Maria Nogueira Cortz Ravazzi,&nbsp;Flavio Magno Goncalves,&nbsp;Rosane Santos Sampaio","doi":"10.5935/0946-5448.20190022","DOIUrl":"https://doi.org/10.5935/0946-5448.20190022","url":null,"abstract":"<p><p>A longitudinal study of quantitative nature applied through a structured and self-administered questionnaire. The purpose of the questionnaire was to verify the knowledge of the Primary Health Care Dentist (PHC) on the interrelationship between temporomandibular dysfunction and tinnitus after continuing education. The collected data (n=37) indicated insufficient knowledge with no significant statistical difference in knowledge or professional conduct. It is important to emphasize the importance of instructing and strengthening the knowledge of the PHC professional on the interrelationship between temporomandibular dysfunction and tinnitus. This may help minimize problems such as the professionals' lack of attention in the routine of care in changes that affect the patients' quality of life. Moreover, there is a need to sensitize managers to institute tools that subsidize the professional in this care with resoluteness.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"125-132"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37601948","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":"Hearing loss and Alzheimer's disease: A Review.","authors":"Massimo Ralli,&nbsp;Antonio Gilardi,&nbsp;Arianna Di Stadio,&nbsp;Cinzia Severini,&nbsp;Francesco Antonio Salzano,&nbsp;Antonio Greco,&nbsp;Marco de Vincentiis","doi":"10.5935/0946-5448.20190014","DOIUrl":"https://doi.org/10.5935/0946-5448.20190014","url":null,"abstract":"<p><p>Many studies have focused on the relationship between hearing loss and Alzheimer's Disease (AD). The mechanisms and causal relationship of this association are still partially unknown, and several theories have been proposed. The most accredited hypothesis is that peripheral hearing deprivation may lead to social isolation and subsequently to dementia. Another hypothesis supports the role of hearing loss on cortical processing, with an increased assignment of cognitive resources to auditory processing rather than to other cognitive processes; other theories suggest changes in the brain structure following reduced peripheral auditory stimulation, or a common cause to both conditions. These preliminary findings clearly delineate the importance of further research aimed at investigating hearing impairment in AD, to a) allow early detection of people with predisposition to AD, b) improve the quality of life in AD patients with hearing loss and c) possibly prevent the progression of the disease treating the hearing impairment. In this review paper, the authors discuss current evidence on the association between hearing impairment and dementia, the identification of peripheral and central auditory dysfunction in at-risk patients as a potential early indicator of incipient AD, and the clinical aspects and the management of patients with AD and hearing loss.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"79-85"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602478","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":"Satisfaction assessment with Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire on people using hearing aid having Real Ear Measurement (REM) eligibility.","authors":"Selma Turan,&nbsp;Selim Unsal,&nbsp;Hanifi Kurtaran","doi":"10.5935/0946-5448.20190017","DOIUrl":"https://doi.org/10.5935/0946-5448.20190017","url":null,"abstract":"<p><strong>Aim: </strong>Benefit and satisfaction from hearing aids can be measured in different ways. The aim of this study is to evaluate the benefits and satisfaction of the users from the hearing aids whose fitting are done suitably for hearing loss including ear mould.</p><p><strong>Material and method: </strong>In this study Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire which consists of 24 questions was used for hearing aid satisfaction assessment. Total 301 people having different type and degree hearing loss participated in the study. The ages of 141 men and 160 women participants were between 18-65 and the average age was 49.11 ± 13.89 year. 187 of the participants had hearing aid in only one ear and the 114 had in both ears. Degree of unilateral hearing loss was 31 slight, 64 moderate, 49 moderately severe, 35 severe and 8 profound. In the ear in which hearing aid was used, there was 134 sensorineural hearingloss, 53 mixture hearing loss. Degree of hearing loss of the people using hearing aid bilaterally was 24 slight, 79 moderate, 54 moderately severe, 48 severe and 23 profound. In 162 ears of people using hearing aid bilaterally there was sensorineural hearing loss and in 53 ears there was mixture hearing loss.</p><p><strong>Results: </strong>In right ear average score of the maximum satisfaction was between 4.23-5.75 and in left ear it was between 4.20-5.72. While the degree of hearing loss was increasing, the average of satisfaction score was decreasing. In terms of using unilateral and bilateral hearing aid, statistically considerable difference was found. In terms of hearing loss statistically considerable difference couldn't be found.</p><p><strong>Conclusion: </strong>Satisfaction of hearing aid is decreasing inversely proportional with increasing of hearing loss (slight- profound degree) While the furthest satisfaction for right and left ear was slight degree, the least satisfaction was observed for profound hearing loss. Aid using satisfaction changes depend on using the aid in the right ear or in the left ear. Using bilateral hearing aid has increased patient satisfaction much more.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"23 2","pages":"97-102"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602481","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}