Audiology Research最新文献

{"title":"Diode Laser Stapedotomy: Audiological Results and Clinical Safety.","authors":"Daniela Parrino, Guglielmo Romano, Graziano Pavan, Paolo Castelnuovo, Maurizio Bignami","doi":"10.3390/audiolres16010022","DOIUrl":"10.3390/audiolres16010022","url":null,"abstract":"<p><p><i>Background and objectives:</i> Stapedotomy is the surgical treatment for otosclerosis, with excellent results in terms of hearing recovery. Various laser systems have proven to be an interesting alternative to the conventional technique, allowing for a more precise footplate fenestration with apparently less trauma to the inner ear. The diode laser, more recently introduced, seems to offer more controlled tissue interaction, potentially reducing thermal damage to surrounding structures. However, the literature remains limited. The aim of the present study was to evaluate the functional outcomes and clinical safety of diode laser stapedotomy by comparing the observed results with those previously reported. <i>Materials and methods:</i> A retrospective analysis of 105 patients who underwent diode laser stapedotomy was conducted. The audiological data and the complications were analyzed and compared with a cohort of patients who underwent stapedotomy performed using the conventional technique. <i>Results:</i> In patients who underwent diode laser stapedotomy, the postoperative air-bone gap (ABG) improved significantly at all frequencies. Hearing outcomes were excellent (ABG ≤ 10 dB) in 60.9% of cases, good (ABG ≤ 20 dB) in 89.5%, and poor (ABG > 20 dB) in 10.5% of patients. Intraoperative complications occurred in seven patients (6.7%), including two cases (1.9%) of footplate damage. Postoperatively, 13 cases of vertigo (12.4%), three cases of tinnitus (2.8%), and one case of sensorineural hearing loss (0.9%) were reported. <i>Conclusions:</i> Diode laser stapedotomy is an effective and safe procedure, providing excellent audiological outcomes without increasing the risk of surgical complications. The possibility of thermal damage to the inner ear must be considered, and appropriate laser parameters should be used to minimize these risks.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiscale Integration of Acceleration and Jerk Sensing in the Vestibular System.","authors":"Leonardo Manzari","doi":"10.3390/audiolres16010021","DOIUrl":"10.3390/audiolres16010021","url":null,"abstract":"<p><p><b>Background:</b> The vestibular system encodes head motion through specialized Type I and Type II hair cells, which differentially respond to acceleration and its temporal derivative, jerk. Molecular gradients of retinoic acid establish zonal distributions of these hair cells, prefiguring their functional specialization. <b>Objectives & Methods:</b> Here I integrate developmental, synaptic, biomechanical, and neural evidence to propose that Type I hair cells, via multimodal synaptic transmission, are particularly well suited for ultrafast detection of transient inertial deformation (jerk), whereas Type II cells play a greater role in encoding sustained acceleration through viscous-flow mechanisms. Molecular gradients of retinoic acid help establish central-peripheral zonal patterning in the otolith and canal epithelia, which in turn underlies differential mechanical and synaptic specialization rather than a simple redistribution of hair-cell types. Computational and experimental studies reveal that the vestibular organs operate in dual mechanical regimes, enabling the dynamic encoding of motion onset and continuity. In systems terms, these viscous and inertial activation modes correspond to distinct temporal filters, whose different time constants naturally give rise to distinct frequency responses. What has traditionally been described as 'low- vs. high-frequency' tuning therefore emerges as the frequency-domain signature of acceleration- versus jerk-sensitive pathways. <b>Conclusions</b>: This hierarchical organization elucidates the selective activation observed in clinical vestibular tests and informs novel diagnostic and rehabilitative strategies targeting specific receptor pathways. Together, these findings redefine vestibular transduction as a multimodal dynamic sensor, enhancing our understanding of balance and spatial orientation under complex motion conditions.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Adult Cochlear Implant Access and Uptake Across Ten Years of Reported Data.","authors":"Patrick D'Haese, Paul Van de Heyning, Javier Gavilan, Mario Emilio Zernotti, Paula Greenham","doi":"10.3390/audiolres16010019","DOIUrl":"10.3390/audiolres16010019","url":null,"abstract":"<p><strong>Background: </strong>Adults with severe to profound hearing loss have limited access to cochlear implants (CIs). The objective of this study was to assess the evidence to establish whether the uptake rate of CIs has changed over the past decade.</p><p><strong>Methods: </strong>A PubMed search, supplemented with manual searching, identified 15 relevant papers published from 2000 to 4 February 2025 reporting the uptake rate of CIs in adults. In addition, new calculations of uptake rates were made for 2019, based on total numbers of CIs implanted and the prevalence of hearing loss from the 2019 Global Burden of Disease Study.</p><p><strong>Results: </strong>There was a lack of published data on the uptake rates for cochlear implants, with very little consensus in the methods used across studies. The overall uptake rates for adults and children combined, calculated for 2019 using the Lancet Global Burden of Disease Study, showed that uptake is still ≤20% for those with profound to complete hearing loss in most high-income countries. When the global population is considered (including high- to low-income countries), it is merely 2.5%.</p><p><strong>Conclusions: </strong>Despite the cochlear implant awareness activities of recent years, the percentage of profoundly deaf individuals with cochlear implants, even in high-income countries, remains low. Uptake rates are much worse than those for hearing aid use for severe to profound deafness. Better and more accurate data must be gathered on the number of CI recipients to meet the reporting requirements of the World Health Organisation's report on hearing.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the Coexistence of Captions and Sign Language as Accessibility Solutions in Educational Settings.","authors":"Francesco Pavani, Valerio Leonetti","doi":"10.3390/audiolres16010020","DOIUrl":"10.3390/audiolres16010020","url":null,"abstract":"<p><p><b>Background/Objectives:</b> In mainstream educational settings, deaf and hard-of-hearing (DHH) students may have limited or no access to the spoken lectures and discussions that are central to the hearing majority classroom. Yet, engagement in these educational and social exchanges is fundamental to their learning and inclusion. Two primary visual accessibility solutions can support this need: real-time speech-to-text transcriptions (i.e., captioning) and high-quality sign language interpreting. Their combined use (or coexistence), however, raises concerns of competition between concurrent streams of visual information. This article examines the empirical evidence concerning the effectiveness of using both captioning and sign language simultaneously in educational settings. Specifically, it investigates whether this combined approach leads to better or worse content learning for DHH students, when compared to using either visual accessibility solution in isolation. <b>Methods:</b> A review of all English language studies in peer-reviewed journals until August 2025 was performed. Eligible studies used an experimental design to compare content learning when using sign language and captions together, versus using sign language or captions on their own. <b>Databases Reviewed:</b> EMBASE, PubMed/MEDLINE, and PsycInfo. <b>Results:</b> A total of four studies met the criteria for inclusion. This limited evidence is insufficient to decide on the coexistence of captioning and sign language. Yet, it underscores the potential of captions for content access in education for DHH, even when sign language is available. <b>Conclusions:</b> The present article reveals the lack of evidence in favor or against its coexistence with sign language. With the aim to be constructive for future research, the discussion offers considerations on the attentional demands of simultaneous visual accessibility resources, the diversity of DHH learners, and the impact of current and forthcoming technological advancements.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home Language Activities and Language Ability Between Chinese Preschool Children with Cochlear Implants and Children with Normal Hearing.","authors":"Meilin He, Inho Chung","doi":"10.3390/audiolres16010018","DOIUrl":"10.3390/audiolres16010018","url":null,"abstract":"<p><p>This study explored the relationship between different home language activities and language ability in Chinese preschoolers with cochlear implants (CIs) (mean age = 4.50, range = 3-5), comparing them with normally hearing (NH) peers (mean age = 4.66, range = 3-5). Correlation and regression analyses revealed distinct predictive patterns between the two groups. In the CI group, although family literacy activities such as shared reading were associated with language skills, daily communication activities (e.g., conversational interactions) had a more significant predictive effect on language outcomes, even after controlling for key demographic variables. Conversely, for NH preschool children, family literacy activities showed a clearer independent association with language development. This study offers clearer insights for home-based rehabilitation practices among CI preschool children, suggesting that interventions should prioritize high-quality daily communication (e.g., open-ended questioning, extended dialog, contextualized interactions) rather than over-reliance on structured literacy activities. It also indicates that intervention models designed for NH preschool children cannot be simply applied.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemispheric Asymmetry in Cortical Auditory Processing: The Interactive Effects of Attention and Background Noise.","authors":"Anoop Basavanahalli Jagadeesh, Ajith Kumar Uppunda","doi":"10.3390/audiolres16010017","DOIUrl":"10.3390/audiolres16010017","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Speech processing engages both hemispheres of the brain but exhibits a degree of hemispheric asymmetry. This asymmetry, however, is not fixed and can be shaped by stimulus-related and listener-related factors. The present study examined how background noise and attention influence hemispheric differences in speech processing using high-density cortical auditory evoked potentials (CAEPs). <b>Methods</b>: Twenty-five young adults with clinically normal hearing listened to meaningful bisyllabic Kannada words under two background conditions (quiet, speech-shaped noise) and two attentional conditions (active, passive). N1 peak amplitudes were compared between the left and right hemispheres across conditions using linear mixed-effects modeling. <b>Results</b>: Results revealed significantly larger N1 amplitudes in the left hemisphere and during active compared to passive listening, confirming left-hemisphere dominance for speech processing and robust attentional modulation. In contrast, background noise did not significantly modulate N1 amplitude or hemispheric asymmetry. Importantly, a significant Hemisphere × Attention interaction indicated that hemispheric asymmetry depended on attentional state, with clear left-hemisphere dominance being observed during active listening in both quiet and noise conditions, whereas hemispheric differences were reduced or absent during passive listening, irrespective of background. <b>Conclusions</b>: Together, these findings demonstrate that attentional engagement, rather than background noise, plays a critical role in modulating hemispheric specialization during early cortical speech processing, highlighting the adaptive nature of auditory cortical mechanisms in challenging listening environments.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Speech Intelligibility Test for Children in Swiss German Dialects.","authors":"Christoph Schmid, Stefanie Blatter, Eberhard Seifert, Philipp Aebischer, Martin Kompis","doi":"10.3390/audiolres16010016","DOIUrl":"10.3390/audiolres16010016","url":null,"abstract":"<p><strong>Objective: </strong>This paper describes the development of a speech intelligibility test in Swiss German dialects, designed for children aged four to nine who are not yet familiar with standard German.</p><p><strong>Method: </strong>Suitable monosyllabic words and trochees in different Swiss German dialects were compiled, illustrated, and evaluated. Picture-pointing test procedures appropriate for children were developed. The selected test words and the pictures representing them were evaluated in a preliminary trial with forty-six normal-hearing children between two and nine years of age.</p><p><strong>Results: </strong>A set of 60 monosyllabic words and 40 trochees was recorded in four different Swiss German dialects as well as in standard German, resulting in a total of 500 recordings. Drawings were created to illustrate each word and found to be appropriate for children aged four years old or older. A non-adaptive and an adaptive test procedure using a weighted up-down method to measure speech reception thresholds in quiet and in noise were developed.</p><p><strong>Conclusions: </strong>A novel test to determine speech intelligibility in children in four different Swiss dialects was developed and evaluated in a pilot study. A validation study with more participants was designed to evaluate the test material and procedures.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endolymphatic Sac Surgery in Refractory Ménière's Disease: Exploratory Associations and Postoperative Clinical Outcomes in a Bicentric Cohort.","authors":"Eleonore Lebelle, Maria-Pia Tuset, Ralph Haddad, Dario Ebode, Daniel Levy, Laetitia Ros, Quentin Mat, Mary Daval, Justin Michel, Laure De Charnace, Stéphane Gargula","doi":"10.3390/audiolres16010015","DOIUrl":"10.3390/audiolres16010015","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Endolymphatic sac surgery (ELSS) is a non-destructive surgical option for medically refractory Ménière's disease (MD), yet factors influencing surgical outcomes remain poorly understood. This exploratory study aimed to describe clinical outcomes following ELSS and identify potential associations between preoperative characteristics and surgical success. <b>Methods</b>: This retrospective, bicentric cohort study included 45 patients with definite MD who underwent ELSS (predominantly endolymphatic duct blockage) between 2019 and 2024. Vertigo control was assessed using AAO-HNS criteria. Hearing outcomes were evaluated through pure-tone and speech audiometry. Univariate analyses explored associations between demographic, clinical, imaging, and surgical variables and treatment outcomes. <b>Results</b>: Surgical success (Class A/B vertigo control) was achieved in 66.7% of patients (95% CI: 51.0-80.0%). In a post hoc exploratory analysis, longer disease duration (>5 years) showed an association with better outcomes (87.5% vs. 55.2%, <i>p</i> = 0.029), though this threshold was not prespecified and requires validation. Hearing was preserved in 77.5% of patients at 45-day follow-up but declined progressively to 50% at 2 years. Seven patients developed postoperative Tumarkin attacks, with five requiring non-conservative interventions. ELSS demonstrated low morbidity, with one labyrinthitis as the only significant complication. <b>Conclusions</b>: ELSS was associated with vertigo control in two-thirds of patients with refractory MD, with a favorable safety profile. Longer disease duration before surgery may be associated with improved outcomes, though this exploratory finding requires confirmation in prospective studies. The progressive hearing decline may reflect both natural disease progression and potential surgical effects. Further research with larger cohorts is needed to establish robust predictive criteria for patient selection.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and Neonatal Vulnerabilities Associated with Abnormal Outcomes in Newborn Hearing Screening: A Focus on Adolescent Mothers.","authors":"Mirela Mătăsaru, Elena Niculet, Emil Anton, Ancuța Lupu, Oana Ramona Roșca, Doina Carina Voinescu, Mădălina Nicoleta Matei, Alina Pleșea-Condratovici, Camer Salim, Silvia Fotea","doi":"10.3390/audiolres16010014","DOIUrl":"10.3390/audiolres16010014","url":null,"abstract":"<p><p>Universal newborn hearing screening is essential for early identification of sensorineural hearing loss. Infants born to adolescent mothers may be more vulnerable to abnormal screening outcomes due to biological, socio-economic, and obstetrical risk factors frequently associated with adolescent pregnancy. This study evaluates hearing screening outcomes in newborns of adolescent mothers and examines whether maternal and neonatal vulnerabilities contribute to abnormal (REFER) results. A retrospective observational study was conducted over four years (January 2021-January 2025) at the \"Sf. Ap. Andrei\" County Emergency Clinical Hospital, Galați, Romania. The study included 187 newborns of adolescent mothers (≤18 years) and 3203 newborns of mothers aged >19 years. All infants underwent transient evoked otoacoustic emission (TEOAE) testing within 48-72 h after birth, according to institutional protocol. PASS/REFER outcomes were recorded, and retesting was performed when indicated. Although otological conditions such as middle ear dysfunction may influence OAE responses, routine otoscopic examination and clinical assessment were performed prior to testing. Automated auditory brainstem response (AABR) testing was not routinely applied due to equipment availability and local screening practices. The final REFER rate was slightly higher in the adolescent group (5.3%) compared with the adult group (4.8%). Maternal age alone was not directly associated with abnormal outcomes; however, maternal anemia, limited prenatal care, rural residence, prematurity, and low birth weight were more frequently observed among cases with persistent REFER results. Infants born to adolescent mothers show a modestly increased likelihood of abnormal hearing screening outcomes, primarily related to cumulative maternal and neonatal vulnerabilities. Strengthening prenatal care and targeted audiological follow-up may improve early detection of sensorineural hearing loss in this population.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotional and Cognitive Effects of Simulated Temporary Hearing Deficit with Healthy Adults.","authors":"Leora Moss Levy, Kinneret Weisler","doi":"10.3390/audiolres16010013","DOIUrl":"10.3390/audiolres16010013","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Accumulation of cerumen (earwax) in the auditory canal is a common condition, particularly in children and older adults, and often causes temporary hearing loss. While chronic hearing loss is known to affect mood and cognition, little is known about the psychological impact of short-term auditory deprivation. This pilot study aimed to examine the emotional and cognitive effects of simulated temporary hearing loss. <b>Methods</b>: Thirty healthy adults (16 females, aged 18-60) participated. Temporary hearing loss was simulated by placing earplugs in both ears for two hours. Participants completed four tests, assessing anxiety, mood, and attention at three time points: before wearing earplugs, during the blocked condition, and after earplug removal. <b>Results:</b> Participants showed a significant increase in state anxiety and a decrease in mood during the earplug condition. Interestingly, visual attention performance improved while hearing was obstructed and remained elevated even after earplug removal. <b>Conclusions:</b> Short-term simulated hearing loss produces measurable emotional and cognitive changes, including increased anxiety but enhanced visual attention. Clinicians should consider these effects when assessing patients with temporary hearing obstruction, such as those with cerumen impaction. The results carry implications for the broader population wearing earplugs on a temporary basis including musicians, construction employees, and, in general, people working in noisy environments.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}