Special Care in Dentistry最新文献

{"title":"Involving Independent Mental Capacity Advocates (IMCAs) in Dental Care Decision-Making: A Qualitative Exploration of Dentists' Experiences in England and Wales.","authors":"Naomi Murray, Jeena Patel, Lucy Taylor, Jordan A Parsons, Andrew Geddis-Regan","doi":"10.1111/scd.70276","DOIUrl":"https://doi.org/10.1111/scd.70276","url":null,"abstract":"<p><strong>Introduction: </strong>Delivering dental care to individuals who lack decision-making capacity involves complex ethical, legal, and clinical considerations. In England and Wales, Independent Mental Capacity Advocates (IMCAs) are required to support decisions about 'serious medical treatment', a concept given only broad definition in law. While Special Care Dentistry frequently involves patients with cognitive impairments, little is known about how dentists engage with advocates in treatment decision-making.</p><p><strong>Objective: </strong>To explore dentists' experiences of appointing and working with advocates in dental care decision-making and to understand the reasons for advocacy involvement and its perceived value.</p><p><strong>Methods: </strong>Semi-structured one-to-one online interviews were conducted with nine dentists. Data were generated and analyzed concurrently using a maximum variation sampling approach and Reflexive Thematic Analysis. Interviews were audio-recorded, transcribed verbatim, and initially coded independently by four researchers. Through iterative discussion, codes were refined and organized into themes.</p><p><strong>Results: </strong>Five themes were generated. Dentists demonstrated a strong commitment to optimizing patient capacity and delivering person-centered care. However, there was substantial variation regarding the interpretation of 'serious medical treatment' in the dental context. Decisions to involve IMCAs were often based on treatment modality rather than individual patient impact. Dentists reported that advocates' involvement rarely altered proposed treatment plans and felt this was frequently associated with delays, which were perceived as counterproductive to patient care.</p><p><strong>Discussion: </strong>Uncertainty surrounding the definition of 'serious medical treatment' contributes to inconsistent advocate involvement and may limit the effectiveness of advocacy. A broader, individualized understanding of seriousness, incorporating clinical, functional, and personal consequences, is needed.</p><p><strong>Conclusion: </strong>Clearer guidance and earlier, more meaningful advocate involvement are needed to support consistent, timely, and genuinely person-centered dental decision-making for patients without friends or family to support them.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13688707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246912","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":"\"Overburdened…Can't Meet Demand\"-Experiences of Oral Health Professionals Providing Dental Care to Children With Special Healthcare Needs in South Africa.","authors":"Nancy Njoroge, Ansuyah Magan, Mpho M Molete, Phumzile Hlongwa","doi":"10.1111/scd.70227","DOIUrl":"10.1111/scd.70227","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70227"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13537025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876361","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":"A Multifactorial Evaluation of Parental Oral Health Literacy, Attitudinal Construct, and Clinical Oral Disease Burden in Children and Youth With Special Health Care Need (CYSHCN) in India.","authors":"Ritu Phogat, Bhavana Sabbarwal, Alona Joppan, Chandrika Mutyala, Bhoomi Shah, Namrata Trikala","doi":"10.1111/scd.70251","DOIUrl":"10.1111/scd.70251","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate the association between parental oral health literacy, attitudinal constructs, and the clinical oral disease burden in children and youth with special health care needs (CYSHCN), in comparison with age-matched healthy paediatric controls.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A quantitative, cross-sectional comparative study included 116 children and youth with Special health care need (CYSHCN) (age 10-20 years) and 336 age-matched healthy controls drawn from five special schools. Parental oral health knowledge and attitudes were assessed using a rigorously developed, validated, and pilot-tested questionnaire, translated and culturally adapted to Hindi. Clinical oral health examinations employed World Health Organization (WHO) 2013 standardized criteria for dental caries, periodontal status, dental fluorosis, erosion, and trauma conducted on-site by a calibrated examiner under natural daylight conditions. Data were analyzed via descriptive, bivariate, and multivariate statistics including Chi-square tests and logistic regression, with significance set at p ≤ 0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study included 116 children with intellectual disabilities (mean age 14.11 ± 3.55 years; 75.9% male). Parental sociodemographic data showed a majority of fathers engaged in unskilled labor (33.6%) and mothers predominantly unemployed (84.5%), with limited education (one-third completed middle school). Parental oral health literacy revealed strengths, as 94% correctly identified sugary foods as cariogenic, but only 51.7% acknowledged the risks of chronic liquid medication. Child oral hygiene was often inadequate; less than half (46.6%) brushed independently, and 58.6% consumed sugary foods unrestrictedly. Dental caries prevalence was strikingly high in CYSHCN (70.7%) compared to healthy controls (35.3%), with a significantly elevated mean DMFT (2.59 ± 2.84 vs. 0.82 ± 1.47; p &lt; 0.001). Periodontal disease was prevalent but not significantly different (p = 0.239). Logistic regression demonstrated that children of parents with moderate oral literacy had higher caries odds (OR = 2.24; p = 0.056) and those with low literacy had a fourfold increased risk (OR = 4.07; p = 0.008). Structural equation modeling revealed that socioeconomic status positively influenced parental literacy (β = 0.21; p = 0.007), which in turn positively impacted oral health behaviors (β = 0.39; p = 0.006) and protected against oral disease burden (β = -0.33; p = 0.008). Caregiver attitudes also improved behaviors (β = 0.27; p = 0.03) and correlated with literacy (r = 0.29; p = 0.006) but showed no direct effect on disease. These findings underscore the critical role of caregiver literacy and behavior, shaped by socioeconomic factors, in mitigating oral health disparities among CYSHCN.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Oral health disparities in children with special care needs are multifactorial, rooted in parental knowledge gaps, attitudinal barr","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70251"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971718","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":"Unilateral Hearing Loss and Dental Care: A Questionnaire Survey of Patient Challenges and Provider Responses.","authors":"Jumpei Murakami, Yumi Okano, Yuki Oda","doi":"10.1111/scd.70264","DOIUrl":"10.1111/scd.70264","url":null,"abstract":"<p><strong>Aim: </strong>Unilateral hearing loss (UHL) refers to significant hearing impairment in one ear, with normal or near-normal hearing in the other. Individuals with UHL often have difficulty hearing in noisy environments, such as dental offices. This study was undertaken to examine the specific needs of individuals with UHL related to the dental care delivery process, such as speaking from the hearing side and reducing background noise.</p><p><strong>Methods: </strong>A web-based survey was conducted through the official website of Kikoiro, a Japanese community organization focused on individuals with UHL. Participants were individuals with UHL, defined as normal hearing in one ear and hearing loss of 25 dB HL to complete deafness in the other ear. Those with bilateral hearing loss and family members or proxies were excluded. The purpose, target population, and important information regarding the survey were clearly stated on the website. A link to the survey form, created using the SurveyMonkey application, was posted, with responses collected in a voluntary manner.</p><p><strong>Results: </strong>A total of 378 individuals with UHL participated in the survey. Many reported difficulties communicating in a noisy dental environment. Necessary adaptations noted included clear and slow speech, reduced background noise, visual cues, and communication from the hearing side, while visual aids and written explanations before and after treatment were also considered helpful. The results indicate the importance of specific communication and environmental adjustments when providing dental care for this population.</p><p><strong>Conclusions: </strong>In dental clinic settings, consideration of patient hearing ability is essential, especially for those with UHL. Improving the communication environment benefits not only affected patients but also contributes to more inclusive dental care.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70264"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018245","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":"Association Between Family Caregiver Oral Care Practices and Oral Health Status in Rehabilitation Ward Patients With Dysphagia.","authors":"Youmi Kim, Sojung Mun","doi":"10.1111/scd.70260","DOIUrl":"10.1111/scd.70260","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the relationship between family caregiver oral care practices and oral health status among inpatients with dysphagia who require assistance with daily oral hygiene in a rehabilitation ward.</p><p><strong>Methods: </strong>Twenty-five patient-family caregiver pairs at a South Korean rehabilitation hospital were studied. Patient oral health was assessed via a modified Multi-dimensional Behavioral Oral Evaluation (M-BOE) tool. Family caregivers completed structured interviews on oral care frequency, duration, techniques, and product use. Data were analyzed using descriptive statistics, Spearman's correlation, Kruskal-Wallis, and Mann-Whitney U tests; nonparametric regression (LOWESS) explored potential nonlinear associations.</p><p><strong>Results: </strong>Patients receiving oral care three or more times daily exhibited significantly lower (better) M-BOE scores. Improvements were most pronounced in gingival and buccal mucosal moisture, tongue hygiene, and denture cleanliness. Family caregiver use of oral care products correlated positively with patient swallowing ability and mucosal condition. Interestingly, extending care duration from one to two minutes was paradoxically associated with higher (worse) M-BOE scores, suggesting that technique quality outweighs time spent. No significant relationships were found between oral health and patient cognitive function (MMSE), functional independence (K-MBI), or number of medications.</p><p><strong>Conclusions: </strong>Family caregiver oral care practices substantially influence oral health status among inpatients with dysphagia who are unable to perform oral self-care independently. Educational interventions should prioritize optimal frequency, appropriate product use, and effective technique training. These findings highlight the importance of family caregiver-focused programs to improve oral health outcomes in rehabilitation patients with functional limitations.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70260"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082431","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":"Inconsistencies in the Measurement of Time Since Last Dental Visit in Peruvian Older Adults.","authors":"Akram Hernández-Vásquez, Jamee Guerra Valencia","doi":"10.1111/scd.70249","DOIUrl":"10.1111/scd.70249","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70249"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921383","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":"Oral Health Status And Oral Health Related Quality of Life in Children With Congenital Heart Disease-A Systematic Review And Meta-Analysis.","authors":"Ananya Sharma, Aditya Saxena, Mousumi Goswami, Prachi Singhal, Mriganka Kr Phukan, Sandhya Karak, Yashika Soni","doi":"10.1111/scd.70238","DOIUrl":"10.1111/scd.70238","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this systematic review was to assess oral health status and oral health related quality (OHRQoL) in children with congenital heart disease (CHD), and to compare the outcomes with children with no systemic diseases. The review primarily focuses on the impact of brushing habits and caries experience on Oral Health related quality of life (OHRQoL) in children with CHD.</p><p><strong>Methodology and result: </strong>A comprehensive search of studies published between the timeline of 2004 and 2024 was conducted using PRISMA guidelines. Eleven studies met inclusion criteria for systematic review while ten contributed to the meta-analysis. Data extraction and quality assessment were performed independently by two reviewers using JBI and QATSDD tools.The results showed poor oral health consistently among CHD children, including higher dmft/DMFT scores, compromised oral hygiene, and higher prevalence of enamel defects. The mean difference for caries and oral health indices was 1.52 (dmft/DMFT scores), demonstrating significantly poorer outcomes than systemically healthy counterparts, although neither of these both groups demonstrated optimal oral health status. Behavioural and socioeconomic factors contributed to risk and CHD children showed nearly thrice higher odds of inadequate brushing habits or caries-associated behaviours (OR 3.24, I² = 0%). OHRQoL was negatively affected in most studies in children with CHD.</p><p><strong>Conclusion: </strong>Children with CHD experience significantly higher compromised oral health and OHRQoL compared to systemically healthy peers. These findings highlight the need for integrated dental preventive care and stronger parental education to improve overall wellbeing.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70238"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921409","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":"Management of Refractory Gingival Bleeding During Periodontal Therapy in Vaccine-Associated Immune Thrombocytopenia: A Case Report.","authors":"Hee-Jin Kim, Kyung-San Min","doi":"10.1111/scd.70261","DOIUrl":"10.1111/scd.70261","url":null,"abstract":"<p><strong>Background: </strong>Secondary immune thrombocytopenia (SITP) has been rarely reported following mRNA COVID-19 vaccination. Oral manifestations such as gingival bleeding remain underrecognized in dental practice.</p><p><strong>Case presentation: </strong>A 58-year-old woman developed extensive ecchymoses, blood-tinged sputum, and spontaneous gingival bleeding approximately 2 weeks after receiving the second dose of the mRNA-1273 COVID-19 vaccine. Laboratory testing revealed severe isolated thrombocytopenia, while coagulation parameters, D-dimer, and fibrinogen levels were within normal limits. After exclusion of other identifiable causes, she was diagnosed with suspected SITP temporally associated with COVID-19 vaccination. Initial treatment with dexamethasone resulted in an insufficient platelet response; therefore, intravenous immunoglobulin was administered, leading to platelet recovery. During the subsequent periodontal scaling, however, profuse gingival bleeding occurred despite a platelet count exceeding 50 × 10³/µL. Conventional local hemostatic measures, including pressure application and retraction paste, were unsuccessful. Fibrin glue was then applied, resulting in immediate hemostasis without recurrent bleeding during follow-up.</p><p><strong>Conclusion: </strong>This case highlights the importance of recognizing vaccine-associated SITP in dentistry and demonstrates fibrin glue as an effective adjunctive hemostatic measure when conventional approaches are insufficient.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70261"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013068","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":"Oral Health Knowledge, Attitudes, and Practices among Pregnant Women in Routine Prenatal Care in South China: A Cross-Sectional Survey.","authors":"Xiaojie Lin, Lanlan Jiang, Zhenhua Pang, Sumei Wang, Qixin Zeng, Zuke Ya, Yuanyuan Peng, Yuxiao Huang, Qiaozhi Jiang, Renchuan Tao","doi":"10.1111/scd.70242","DOIUrl":"10.1111/scd.70242","url":null,"abstract":"<p><strong>Background: </strong>Physiological changes during pregnancy can increase the risk of oral diseases in women, which may directly affect the health status of their newborns. This cross-sectional study aims to assess the oral health knowledge, attitudes, and practices of pregnant women in South China, as well as their associated factors.</p><p><strong>Methods: </strong>A cross-sectional survey on oral health was carried out between June 2016 and June 2017. The study involved 517 pregnant women recruited from the First Affiliated Hospital of Guangxi Medical University and Hospital of Stomatology, Guangxi Medical University during their visits for either routine prenatal care or dental services.</p><p><strong>Results: </strong>According to the survey, while over 90% of pregnant women recognized the importance of regular brushing and gargling, only approximately half were aware of the benefits of pit and fissure sealants (50.3%) and fluoride treatments (48.4%). Moreover, merely 9.3% had undergone routine dental check-ups before pregnancy. In terms of daily oral hygiene, 87.2% reported brushing at least twice daily, yet the proportions incorporating flossing (17.8%) and gargling (43.7%) were considerably lower. Multivariate analysis showed that older age, urban residency, nulliparity, higher education and dental insurance were factors potentially associated with better oral health knowledge, attitudes, and practices (all p < 0.05). Of note, education and method of dental payment consistently exhibited positive effects across multiple models.</p><p><strong>Conclusions: </strong>In conclusion, while the majority of pregnant women possessed satisfactory oral health knowledge, their practical implementation of specific oral hygiene measures and routine dental attendance were insufficient. Education and dental payment method may play a pivotal role in shaping oral health knowledge, attitudes and practices.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70242"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850841","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":"Silver Shield: Combined Use of Silver Diamine Fluoride and Stainless Steel Crowns for Managing Molar Incisor Hypomineralization-A Preliminary Case Study.","authors":"Vignesh Ravi, Madhur Sharma","doi":"10.1111/scd.70247","DOIUrl":"10.1111/scd.70247","url":null,"abstract":"<p><strong>Background: </strong>Molar Incisor Hypomineralization (MIH) is a developmental condition affecting permanent first molars and often incisors, presenting with varied clinical severity ranging from mild opacities to severe post-eruption breakdown (PEB) with caries susceptibility.</p><p><strong>Clinical consideration: </strong>This case study describes the management of three pediatric patients (aged 9.5-11 years) diagnosed with MIH, exhibiting diverse clinical presentations including discoloration, PEB, and hypersensitivity. Each subject presented with one or more severely affected molars requiring comprehensive treatment. Silver Diamine Fluoride (SDF), along with Stainless steel (SS) crowns, was selected as the definitive restorative solution due to their durability, full-coverage protection, and cost-effectiveness. All procedures were performed under local anesthesia as required. Follow-up assessments were conducted periodically over 24 months to evaluate crown retention, gingival health, symptom relief, and patient satisfaction.  The findings revealed favorable clinical results, with all SSCs remaining fully functional and intact throughout the observation period. No postoperative complications or recurrence of symptoms were observed, and both patients and caregivers reported high satisfaction.</p><p><strong>Conclusion: </strong>This case study highlights the effectiveness of combined SS crowns with SDF as a pragmatic restorative option for severely affected MIH molars, ensuring long-term functional and symptomatic relief while preserving oral health in pediatric patients.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70247"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978350","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}