International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Evaluation of reduced (‘Lite’) compression versus brief bandaging to manage post-operative pain after total knee arthroplasty surgery; a single-centre randomised controlled trial","authors":"Matt Dawson ,&nbsp;William Hage ,&nbsp;Cristian Nita ,&nbsp;Lucy Bell ,&nbsp;Janice Gorman ,&nbsp;Leon Jonker","doi":"10.1016/j.ijotn.2024.101100","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101100","url":null,"abstract":"<div><h3>Purpose</h3><p>Investigate efficacy of reduced compression bandage for the control of pain after total knee arthroplasty.</p></div><div><h3>Patients &amp; methods</h3><p>Prospective, single-centre, randomised controlled trial involving data for 56 out of 94 consented patients; 29 standard care versus 27 Andoflex TLC Calamine Lite. Comparison of standard care (non-compression bandage applied for up to one day) versus Andoflex TLC Calamine Lite (25–30 mmHg) two-layer compression bandage worn for five days. Outcomes measured with validated pain (McGill, 10-cm visual scale) and functionality (KOOS) tools.</p></div><div><h3>Results</h3><p>At day 5 post-surgery, the median pain level was 3.0 cm vs 4.0 cm (p-value 0.47, Mann-Whitney <em>U</em> test) respectively. Generic pain levels, pain types, and knee functionality did not differ between the interventions at days 3/5/12 and week 6 post-surgery. An exception was the degree of ‘tender’ pain at day 12, which was significantly lower in the Andoflex TLC Calamine Lite arm (p-value 0.041, Mann-Whitney <em>U</em> test). Binary logistic regression analysis showed that application of Andoflex TLC Calamine Lite, administration of oxycodone, and male sex were all significantly associated with less ‘tender’ pain.</p></div><div><h3>Conclusion</h3><p>Reduced compression bandaging does not affect overall pain levels post knee arthroplasty surgery, but may alleviate pain experienced as ‘tender’, highlighting the different types of pain that may be experienced. Patients' need for, and the use of, opioid medication (oxycodone) is a significant confounding variable when assessing adjuvant therapy to control pain. The applicability of reduced compression bandaging may therefore be limited and is less efficient than medical pain control.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101100"},"PeriodicalIF":1.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000200/pdfft?md5=164c65c72f05a14819f5dd2a5f890c16&pid=1-s2.0-S1878124124000200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140554799","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":"Literature reviews","authors":"Mary Drozd,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2024.101097","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101097","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101097"},"PeriodicalIF":1.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350724","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":"Sense of coherence as a predictor for patients’ quality of recovery after total hip or knee arthroplasty - A descriptive cohort study","authors":"Dorthe Hasfeldt ,&nbsp;Jimmy Højberg Holm ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Søren Overgaard","doi":"10.1016/j.ijotn.2024.101099","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101099","url":null,"abstract":"<div><h3>Background</h3><p>Patients' postoperative quality of recovery (QOR) is an important outcome measurement and predicting and preventing impaired quality of recovery is essential. In this study, we aimed to investigate if patients Sense of Coherence (SOC) could be a potential predictor and screening instrument for impaired quality of recovery. We hypothesized that patients’ SOC is positively related to their QOR.</p></div><div><h3>Material and methods</h3><p>The study was performed as a descriptive single-center prospective cohort study. Data was collected using digital questionnaires. Patients undergoing total hip (THA) or knee arthroplasty (TKA) received the SOC13 questionnaire prior to their surgery to establish their SOC and a questionnaire on postoperative day 2 and 7, respectively, establishing their QOR. Multiple linear regression was used to fit a model for the QOR score using SOC, age, sex, and type of surgery as potential explanatory variables.</p></div><div><h3>Results</h3><p>206 patients were included in the study analysis. The results showed a highly significant positive correlation between patients’ SOC and their postoperative QOR on both postoperative day 2 and 7 (p &lt; 0.01). Patients with a lower SOC score also presented a significantly lower QOR score, meaning they experienced impaired QOR compared to patients with a higher SOC score.</p></div><div><h3>Conclusions</h3><p>The results indicate that a weak SOC (low SOC score) can be considered a clinically important indicator for risk of impaired QOR (low QOR score) after THA and TKA. The SOC13 questionnaire may be a potential screening instrument identifying patients in risk of impaired postoperative QOR based on a low SOC score.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101099"},"PeriodicalIF":1.4,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000194/pdfft?md5=f8f0864d5f42b1e65e6e32eb50e21c2c&pid=1-s2.0-S1878124124000194-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140536910","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":"Non-linear relationship between preoperative albumin-globulin ratio and postoperative pneumonia in patients with hip fracture","authors":"Daxue Zhang ,&nbsp;Yu Zhang ,&nbsp;Shiwei Yang","doi":"10.1016/j.ijotn.2024.101098","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101098","url":null,"abstract":"<div><h3>Background and objective</h3><p>Postoperative pneumonia (POP) is the leading cause of death among patients with hip fractures. Simple and cost-effective markers can be used to assess the risk of these patients. This study aims to investigate the association between POP and preoperative albumin-globulin ratio (AGR) in patients with hip fractures.</p></div><div><h3>Methods</h3><p>A retrospective analysis was conducted on data from 1417 hip fracture patients admitted to the Department of Orthopaedics at the hospital. Generalized additive and logistic regression models were used to determine both linear and non-linear associations between preoperative AGR and POP. A two-piece regression model was employed to determine the threshold effect.</p></div><div><h3>Results</h3><p>The study included 1417 participants, with a mean age of 77.57 (8.53) years and 26.96% (382/1417) male patients. The prevalence of POP was 6.21%. Following full covariate adjustment, each unit increase in AGR was associated with a 79% reduction in the incidence of POP (OR, 0.23; 95% CI: 0.08–0.63; P = 0.0046). The inflection point was found to be 1.33 using a two-piecewise regression model. For each unit increase in AGR on the left side of the inflection point, the incidence of POP decreased by 93% (OR, 0.07; 95%CI: 0.02–0.34; P = 0.0010). However, there was no statistically significant correlation on the right side of the inflection point (OR, 0.84; 95% CI: 0.17–4.10; P = 0.8287).</p></div><div><h3>Conclusion</h3><p>There exists a non-linear association between preoperative AGR and the incidence of POP in elderly hip fracture patients. When AGR is less than 1.33, the incidence of POP is negatively correlated with AGR. However, there is no correlation when AGR is greater than 1.33.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101098"},"PeriodicalIF":1.4,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140545967","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":"Older people's experiences of hospitalization for surgical intervention for hip fracture: A systematic review","authors":"Zexuan Liu ,&nbsp;Zhenlan Xia ,&nbsp;Yuanfang Kuang ,&nbsp;Beibei Liu","doi":"10.1016/j.ijotn.2024.101096","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101096","url":null,"abstract":"<div><h3>Background</h3><p>Hip fracture always requires hospitalization with high cost, which cause the complicated experiences and feelings.</p></div><div><h3>Objective</h3><p>To inform pre- and in-hospital communication practices between healthcare professionals and patients through a systematic review and qualitative research that synthesizes the experiences and feelings of older patients with hip fracture during the perioperative period.</p></div><div><h3>Methods</h3><p>We searched the Cochrane Library, PubMed, Web of Science, CINAHL, and three Chinese databases for relevant studies. Qualitative studies were included if they were related to the experiences and needs of hospitalization of older patients with hip fracture. Study quality was evaluated using the 2016 Joanna Briggs Institute quality evaluation criteria for qualitative research, and the results were consolidated using an thematic synthesis approach.</p></div><div><h3>Results</h3><p>Sixteen studies were included in our meta-synthesis. We extracted 58 clear research topics. Eight new categories were formed after induction and integration, which were finally merged into three integrated results. Integration result 1: Patients suffered a large amount of physical and psychological trauma. Integration result 2: A balance of proper protection and independence for patients is required. Integration result 3: Adequate pre-discharge preparation is required.</p></div><div><h3>Conclusions</h3><p>Our review suggests that healthcare professionals should reduce pain catastrophizing and the fear of falling after surgery among older people with hip fracture. Furthermore, adequate pre-discharge preparation should be made jointly with patients. Meeting patients’ diverse needs by various methods will promote active and healthy aging.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101096"},"PeriodicalIF":1.4,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540789","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":"Application of a Diabetic Foot Smart APP in the measurement of diabetic foot ulcers","authors":"Nan Zhao ,&nbsp;Ling Yu ,&nbsp;Xiaoai Fu ,&nbsp;Weiwei Dai ,&nbsp;Huiwu Han ,&nbsp;Jiaojiao Bai ,&nbsp;Jingcan Xu ,&nbsp;Jianzhong Hu ,&nbsp;Qiuhong Zhou","doi":"10.1016/j.ijotn.2024.101095","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101095","url":null,"abstract":"<div><h3>Aims</h3><p>In the early stage, we developed an intelligent measurement APP for diabetic foot ulcers, named Diabetic Foot Smart APP. This study aimed to validate the APP in the measurement of ulcer area for diabetic foot ulcer (DFU).</p></div><div><h3>Methods</h3><p>We selected 150 DFU images to measure the ulcer areas using three assessment tools: the Smart APP software package, the ruler method, and the gold standard Image J software, and compared the measurement results and measurement time of the three tools. The intra-rater and inter-rater reliability were described by Pearson correlation coefficient, intra-group correlation coefficient, and coefficient of variation.</p></div><div><h3>Results</h3><p>The Image J software showed a median ulcer area of 4.02 cm², with a mean measurement time of 66.37 ± 7.95 s. The ruler method showed a median ulcer area of 5.14 cm², with a mean measurement time of 171.47 ± 46.43 s. The APP software showed a median ulcer area of 3.70 cm², with a mean measurement time of 38.25 ± 6.81 s. There were significant differences between the ruler method and the golden standard Image J software (Z = −4.123, p &lt; 0.05), but no significant difference between the APP software and the Image J software (Z = 1.103, p &gt; 0.05). The APP software also showed good inter-rater reliability and intra-rater reliability, with both reaching 0.99.</p></div><div><h3>Conclusion</h3><p>The Diabetic Foot Smart APP is a fast and reliable measurement tool with high measurement accuracy that can be easily used in clinical practice for the measurement of ulcer areas of DFU.</p></div><div><h3>Trial registration</h3><p>Chinese clinical trial registration number: ChiCTR2100047210.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101095"},"PeriodicalIF":1.4,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540790","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":"Biopsychosocial complexity in patients scheduled for elective TKA surgery: A feasibility pilot study with the INTERMED self-assessment questionnaire","authors":"M.L. van der Linde ,&nbsp;D.C. Baas ,&nbsp;T.H. van der Goot ,&nbsp;A.M.J.S. Vervest ,&nbsp;C. Latour","doi":"10.1016/j.ijotn.2024.101094","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101094","url":null,"abstract":"<div><h3>Objective</h3><p>Primary aim; to determine the feasibility of implementation of the INTERMED Self-Assessment (IM-SA) in adult patients scheduled for total knee arthroplasty (TKA). Secondary aim; to measure biopsychosocial complexity, referral to psychiatry or psychology in cases of complexity and to gain insight into the relation between biopsychosocial complexity and length of stay (LOS), method of discharge (MOD) and polypharmacy.</p></div><div><h3>Methods</h3><p>A feasibility study was conducted with 76 participants in a general hospital in the Netherlands. Feasibility was determined by the number of completed questionnaires, time spent completing the questionnaire and the attitude of staff and patients towards the IM-SA.</p><p>A cut off point <strong>≥</strong>19 on the IM-SA was used to determine the prevalence of biopsychosocial complexity. A case file study was performed to check if referral to psychiatry or psychology had taken place.</p><p>The Spearman's Rank Correlation Coefficient or Phi was used to determine if there was a relation between biopsychosocial complexity and LOS, MOD and polypharmacy.</p></div><div><h3>Results</h3><p>All participants completed the IM-SA. The average time spent completing the questionnaire was 11.46 min (SD 5.74). The attitude towards the IM-SA was positive.</p><p>The prevalence of biopsychosocial complexity was 11.84%. Referral to psychiatry or psychology did not take place.</p><p>There was no relation between complexity and LOS (Spearman's rho (r) = 0.079, p = 0.499, MOD (Phi = 0.169, p = 0.173) and polypharmacy (Phi = 0.007, p = 0.953).</p></div><div><h3>Conclusion</h3><p>Biopsychosocial complexity can be identified in TKA patients during the pre-operative phase by using the IM-SA. Implementation of the IM-SA in a Dutch general hospital is feasible.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101094"},"PeriodicalIF":1.4,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140161001","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":"Low back pain knowledge and associated disability among nursing staff in Oman","authors":"Azza Ali Alabdali,&nbsp;Huda Al-Noumani,&nbsp;Tasnim Khalifa Al Harrasi,&nbsp;Alzahraa Ali Al Daghaishi,&nbsp;Maryam Ali Al Rasbi,&nbsp;Huda khalaf Alaamri,&nbsp;Yusra Nasser Al Abdali,&nbsp;Zeinab AlAzri","doi":"10.1016/j.ijotn.2024.101085","DOIUrl":"10.1016/j.ijotn.2024.101085","url":null,"abstract":"<div><h3>Background</h3><p>Low back pain is a prevalent issue worldwide, impacting all healthcare professionals, in particular nurses, and leading to disability.</p></div><div><h3>Objective</h3><p>This study aimed to explore the predictive contribution of demographic factors, the presence of LBP, and knowledge about LBP in forecasting the level of disability among nurses in Oman.</p></div><div><h3>Method</h3><p>A cross-sectional study was conducted using a paper-based questionnaire comprising two valid tools: the Low Back Pain Knowledge Questionnaire and the Oswestry Low Back Disability Questionnaire. A total of 236 nurses working in two tertiary hospitals in Oman participated in the study.</p></div><div><h3>Result</h3><p>The findings indicate that 66.8% of nurses had low back pain. The low back pain knowledge score was 13.81(SD 4.42). The mean disability score was 9.13 (SD 8.56), indicating mild disability. There is a negative significant association between low back pain knowledge (r = -0.24, <em>p</em> &lt; .004) and disability level. The low back pain presence was also significantly associated with disability level (<em>t</em> (233) = 4.606, <em>p</em> &lt; .001). The results of the regression indicated the two predictors (i.e., knowledge level and low back pain) explained 13 % of the variation in nurses’ disability level [F (3,230) = 11.447, p = .01].</p></div><div><h3>Conclusion</h3><p>Low back pain is prevalent among nurses in Oman, and it is associated with disability. Preventive strategies need to be implemented.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101085"},"PeriodicalIF":1.4,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139878078","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":"Impact of obesity on patient-reported physical activity level, knee pain and functional capacity 12 months after unicompartmental or total knee arthroplasty","authors":"Mette Garval ,&nbsp;Thomas Maribo ,&nbsp;Rikke Mikkelsen ,&nbsp;Jacob Beck ,&nbsp;Anne Mette Schmidt","doi":"10.1016/j.ijotn.2024.101084","DOIUrl":"10.1016/j.ijotn.2024.101084","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101084"},"PeriodicalIF":1.4,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747550","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":"Unintended consequences of using collars with occipital extensions in neck support – Snapshot assessment at the largest tertiary spinal referral centre in the UK","authors":"N. Patel ,&nbsp;A. Rajabian ,&nbsp;J. George","doi":"10.1016/j.ijotn.2024.101083","DOIUrl":"10.1016/j.ijotn.2024.101083","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Upper cervical spine fractures<span> are commonplace in the elderly following low energy trauma. These injuries<span> carry high mortality rates, similar to patients sustaining </span></span></span>hip fractures. A key aspect affecting clinical outcome is effective management in the first 12 weeks following injury. This study aims to assess the understanding of healthcare staff that may be required to care for such patients.</p></div><div><h3>Materials and methods</h3><p>A survey was carried out over a single day at the UK's largest Spine Specialist referral centre (Salford Royal Foundation Trust, SRFT) assessing the understanding of healthcare staff of the term, ‘Collar with occipital extension’, by asking staff to identify the safe position of the neck when looking at clinical images of a model in a collar in various different neck positions. The participants demographics were then taken, including profession, grade, spinal/post graduate experience, if English is their first language and their understanding of the term ‘Collar with occipital extension’.</p></div><div><h3>Results</h3><p>102 participants were interviewed and the results showed almost half (45.1%) of participants selecting an incorrect hyperextended neck to be a safe position for conservative treatment and only 37.3% selecting the neutral position as satisfactory. The only positive predictors identified for those selective the neutral safe cervical spine alignment was if participants had &gt;5 years of previous spinal experience (p = 0.0006) or if they understood the term ‘Collar with occipital extension’ to be describing the collar component (p = 0.000013) and not neck position.</p></div><div><h3>Conclusion</h3><p>Management of spinal injuries are classically poorly managed in non-spinal centres, possibly due to the lack of training and understanding within the spinal speciality. This study shows the importance of clearly communicating with referring hospitals exactly how to conservatively manage patients with high cervical injuries to best improve clinical outcome.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101083"},"PeriodicalIF":1.4,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713227","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}