Pan African Medical Journal最新文献

{"title":"Awareness of long-term foot complications in people living with diabetes mellitus in Mauritius: a cross-sectional study.","authors":"Sameenah Khodabux, Indrajit Banerjee","doi":"10.11604/pamj.2025.51.40.47476","DOIUrl":"10.11604/pamj.2025.51.40.47476","url":null,"abstract":"<p><strong>Introduction: </strong>Mauritius has a high disease burden of diabetes mellitus and ranked twelfth globally according to the International Diabetes Federation. According to the non-communicable disease survey 2021, it was found that 19.9 % of the Mauritian population suffers from Type 2 diabetes mellitus. The long-term diabetic foot complications contribute to premature mortality and increased morbidity. Proper knowledge of diabetic foot complications and good foot care practices may help mitigate the long-term burden of diabetic foot complications in Mauritius in particular and Africa in general. The main objective of this study was to evaluate the awareness of long-term diabetic foot complications and practice of proper foot care among people living with DM in Mauritius.</p><p><strong>Methods: </strong>a cross-sectional study was conducted among people living with Diabetes Mellitus (DM) attending Non-Communicable Disease (NCD) clinics at Dr. Abdool Gaffoor Jeetoo Hospital (regional hospital), Mauritius and its nearby primary healthcare centers, which serve a majority of the urban and semi-urban population.</p><p><strong>Results: </strong>the study showed good knowledge about diabetic foot complications and average foot care practicing among the participants. A significant positive correlation between knowledge and practice scores (r = 0.477, p < 0.05) was found, indicating that increased knowledge was associated with better foot care practices. There was a significant negative association between practice score and glycaemic control (r= -0.311 p< 0.001) as well as a negative association between knowledge score and HbA1c. (r=-0.226, p<0.001). It can be deduced that people living with DM with controlled HbA1c had better knowledge about diabetic foot complications and practiced good foot care. The work status of a patient with DM had a significantly better coefficient on knowledge score OR 7.534 [1.392-40.779]. This was found to be statistically significant (p < 0.05). This implies that as the work status of people living with diabetes mellitus improves, the person is 7.534 times more likely to have improved knowledge of diabetic foot complications.</p><p><strong>Conclusion: </strong>despite having good knowledge on long-term diabetic foot complications, the participants did not practice proper foot care, which could be a result of a lack of education on foot care among people living with DM or a lack of motivation from healthcare professionals, relatives and friends.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"40"},"PeriodicalIF":1.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800636","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":"Impact of long COVID-19 on employees of the mining industry in South Africa: a cross-sectional study.","authors":"Henry Fomundam, Hanson Nyambi, Francis Hyera, Nkengafac Villyen Motaze","doi":"10.11604/pamj.2025.51.37.40739","DOIUrl":"10.11604/pamj.2025.51.37.40739","url":null,"abstract":"<p><strong>Introduction: </strong>coronavirus disease 2019 (COVID-19) was declared a pandemic in March 2020, and most patients recover within a few days or weeks. However, some patients suffer from long COVID, which is characterized by prolonged symptoms of varying severity. Given the importance of the mining sector to the South African economy, it is critical to comprehend the impact of long COVID on the mining sector.</p><p><strong>Methods: </strong>we carried out a cross-sectional study that included data extraction from participant medical records and responses to study questionnaires. We used unique identifiers to anonymize participant information and match data from medical records to participant questionnaires.</p><p><strong>Results: </strong>data from 239 medical records and 362 questionnaires were provided by employees from three mines. About 7% of people with COVID-19 were identified as having long COVID. In addition, there was no difference in productivity between people with and without long COVID.</p><p><strong>Conclusion: </strong>our findings are not generalizable to the entire mining sector due to the limited number of participants who provided data. Additional studies that include a larger sample size are required to obtain more robust estimates of the prevalence of long COVID in the mining industry and explore potential effects of various treatment interventions for patients with long COVID.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"37"},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800640","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":"Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.","authors":"Antony Kimata Mukui, John Paul Oyore, Mary Muiruri Gitahi","doi":"10.11604/pamj.2025.51.34.47071","DOIUrl":"10.11604/pamj.2025.51.34.47071","url":null,"abstract":"<p><strong>Introduction: </strong>alcohol is the most widely consumed substance globally, contributing to 2.6 million deaths annually, including 320,000 involving youths. In Africa, alcohol is linked to high mortality rates and increased Disability-adjusted Life Years. In Kiambu, Kenya, youth alcohol consumption stands at 28.9%, surpassing the national average of 11.2%. This study explores the impact of community-led, enhanced, structured health education on youths' awareness of alcohol's effects.</p><p><strong>Methods: </strong>a quasi-experimental study was conducted in Gatundu South (intervention) and Kabete (control) sub-counties in Kiambu from May 2022 to May 2023. Fourteen Community Health Promoters delivered monthly one-hour sessions in Gatundu South, totaling 12 sessions, covering 12 topics. Quantitative datasets were collected using the WHO's Alcohol AUDIT and questionnaire, while qualitative datasets were gathered through focus group discussions (FGDs) and key informant interviews (KIIs) and analyzed thematically. Kenyatta University's ethics committee granted study approval. R software supported data analysis, including mean knowledge scores, Chi-Square, ordinal logistic regression, Difference-in-Difference analysis, and Cohen's d.</p><p><strong>Results: </strong>youth in the intervention group experienced a significant increase in \"very high knowledge\" from 57% to 92.6%, compared to a smaller rise in the control group from 26.1% to 39.5%. Post-study, Kabete had 2.6% of participants in the very low knowledge category, versus 0% in Gatundu. The intervention showed a significant impact (DiD: 1.8, Cohen's d: 1.161). FGDs and KIIs indicated limited awareness and access to screening services.</p><p><strong>Conclusion: </strong>the intervention improved knowledge of alcohol-related harm, encouraged healthier behaviors, and reduced adverse effects.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"34"},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800639","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":"Hydrocele of the canal of Nuck mimicking an inguinal hernia in a 34-year-old pregnant woman: a case report.","authors":"Celsus Ukelina Undie, Kenechi Stanislaus Nedosa, Uchechukwu George Ogbu, Precious Odunayo Adeyemi, Adeyemi Odunayo Precious","doi":"10.11604/pamj.2025.51.36.47817","DOIUrl":"10.11604/pamj.2025.51.36.47817","url":null,"abstract":"<p><p>Hydrocele of the canal of Nuck (HCN) is a rare condition in females that commonly presents in infancy and early childhood. It occurs when fluid accumulates within a patent part of the processus vaginalis causing a swelling in the groin. Clinicians would typically not consider it while evaluating inguinal swellings in adult females. Consequently, patients are likely to remain undiagnosed until complications set in. Herein, we present a clinically rare case of HCN in a pregnant adult female. We also aim to report how easily the diagnosis was missed, and to remind the medical community of other likely causes of inguinal swelling that could mimic an inguinal hernia. We managed a gravid 34-year-old university graduate with a spontaneous swelling on the left inguinal region. The swelling was a painless, firm, irreducible mass of 3 months' duration. She was gravida 1, para 0, in her first trimester. There was no associated symptom. Abdominal ultrasound scan found a well-defined mass of size 2.30 x 3.88cm around the left Hesselbach's triangle containing homogenous fluid, with minimal vascularity on colour Doppler interrogation. The working diagnosis was irreducible left inguinal hernia in a pregnant woman. This was later discovered to be a misdiagnosis. She was booked for inguinal herniorrhaphy, but HCN was found intraoperatively. Diagnosis of HCN is a challenge as it is seldom made on the basis of clinical findings alone. A high index of suspicion should be entertained by clinicians for early diagnosis and appropriate management.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"36"},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800638","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":"Risk factors for hypertension in patients with type 2 diabetes mellitus in the Casablanca-Settat region, Morocco: a cross-sectional study.","authors":"Houda El Alami, Meryem Bouqdayr, Khaoula Errafii, Mustapha Lkhider, Najib Al Idrissi, Hassan Ghazal, Lahcen Wakrim, Omar Abidi, Naima Khlil, Abderrahim Naamane, Abderrahmane Maaroufi, Salsabil Hamdi","doi":"10.11604/pamj.2025.51.38.46334","DOIUrl":"10.11604/pamj.2025.51.38.46334","url":null,"abstract":"<p><strong>Introduction: </strong>hypertension in patients with type 2 diabetes mellitus (T2DM) is a major problem that increases the risk of morbidity and mortality. Although the prevalence of this disease is high in the T2DM population, the risk factors for it remain understudied. The objective of this study is to identify the risk factors combined with hypertension in Moroccan patients with T2DM.</p><p><strong>Methods: </strong>this cross-sectional study was conducted between January 2017 and July 2018 in primary healthcare centers. A total of 503 T2DM patients were included. Inclusion criteria: adults (≥18 years) with T2DM for ≥1 year. Exclusion criteria: type 1 diabetes, gestational diabetes, cognitive impairment, or missing data. Data on demographics, clinical history, and biochemical markers were analyzed using SPSS. Logistic regression identified independent risk factors, reported as adjusted OR with 95% CI. A p-value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>a total of 503 patients with T2DM were included (71% female, 29% male), with a mean age of 58.4 ± 10.2 years. The prevalence of hypertension was 70.2%. Patients with hypertension were significantly older (mean age: 61.2 ± 9.8 years vs. 52.6 ± 10.5 years, p ≤ 0.001). The most common cardiovascular risk factors were dyslipidemia (54.1%), obesity (mean BMI: 30.8 ± 5.6 kg/m²), and a sedentary lifestyle (50.6%). Multivariable logistic regression identified older age (OR: 4.74, 95% CI: 2.47-9.10; p ≤ 0.001), longer diabetes duration (OR: 2.28, 95% CI: 1.14-4.53; p = 0.018), BMI levels (OR: 1.05, 95% CI: 1.00-1.10; p = 0.019), dyslipidemia (OR: 2.07, 95% CI: 1.28-3.33; p = 0.003), and therapeutic modifications (OR: 1.98, 95% CI: 1.11-3.53; p = 0.020) as significant risk factors.</p><p><strong>Conclusion: </strong>in this study, we found that hypertension is highly prevalent among patients with T2DM. Our findings indicate that older age, longer diabetes duration, therapeutic modifications, dyslipidemia, and higher BMI levels are significant risk factors for diabetes.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"38"},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800642","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":"Long live the kidney despite every threats: a case report.","authors":"Kubra Kaynar, Buse Misir, Huri Cihan Ataberk, Sevdegül Mungan, Ümit Çobanoğlu","doi":"10.11604/pamj.2025.51.35.47605","DOIUrl":"10.11604/pamj.2025.51.35.47605","url":null,"abstract":"<p><p>Kidneys are functionally affected by the diseases of other organs. Here, we present an elderly predialysis patient with a functioning kidney for 10 years of nephrological follow-up despite many comorbidities. A 75-year-old male patient with a medical history of hypertension for 15 years and 60 pack years of cigarette smoking, was diagnosed as muscle invasive bladder cancer (MIBC) and synchronous centrally located clear cell renal cell carcinoma (ccRCC) in the left kidney. At admission, the patient had an Estimated Glomerular Filtration Rate (eGFR) (CKD-EPI-cre) of 54mL/min/1.73m², after left nephrectomy eGFR of the patient decreased to 35 mL/min/1.73m². After ten years of follow-up, the patient's right kidney had been functional with a eGFR of 24 mL/min/1.73m² despite radical cystectomy with urinary diversion, radical nephrectomy, heavy smoking, [cardiorenal syndrome, chronic obstructive pulmonary disease, and hypertension. It is well known that comorbidities such as hypertension, smoking, cancers, infections, pulmonary and heart diseases contribute to irreversible kidney damage and are additive to decreasing kidney function. Appropriate and early diagnosis and treatment of these comorbidities permit healthy aging of the kidneys without the need for dialysis.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"35"},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800641","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":"The well-being of mothers caregiving for children with cerebral palsy: a Tunisian cross-sectional study.","authors":"Ikram Haddada, Soumaya El Arem, Aymen Hadj Salah, Manel Ben Fredj, Aymen Fekih, Tammem Sayhi, Mouhamed Hedi Zaafrane, Mouna Sghir, Wassia Kessomtini","doi":"10.11604/pamj.2025.51.33.45979","DOIUrl":"10.11604/pamj.2025.51.33.45979","url":null,"abstract":"<p><strong>Introduction: </strong>cerebral palsy (CP) is the most common physical disability in childhood. Caring for a child with functional limitations and long-term dependence poses significant challenges for many families. Despite this, the experiences and needs of mothers of children with CP remain understudied. This study aims to assess fatigue, caregiving burden, psychological distress, and sleep disorders (SDs) among a group of Tunisian mothers of children with CP.</p><p><strong>Methods: </strong>this cross-sectional study explored the well-being of Tunisian mothers caring for children with CP. Participants were evaluated using the Checklist Individual Strength (CIS), Zarit Caregiver Burden Scale (ZCBS), Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index (PSQI).</p><p><strong>Results: </strong>a total of 71 participants were recruited. Of all participants, 39.4% reported moderate to severe burden, and 53.5% reported severe fatigue. The prevalence of clinically significant depressive or anxious symptoms was found to be 63.4% and 53.5%, respectively. The prevalence of SDs was 74.6%. The most affected components of the PSQI were sleep latency, sleep quality, and sleep dysfunction. Sleep quality was significantly related to epilepsy in children (p=0.012), mothers' age (p=0.027), mothers' depression (p=0.008), or anxiety (p=0.001). No significant association was found between mothers' burden or fatigue and low sleep quality.</p><p><strong>Conclusion: </strong>our findings highlight the prevalence of fatigue, burden, serious psychological distress, and SDs among mothers of children with CP. Consequently, medical personnel and social workers should be more attentive to the needs of these mothers who often silently endure the emotional and physical strains of caregiving.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"33"},"PeriodicalIF":1.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800644","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":"Post-fall sacral swelling.","authors":"Haruka Hikichi","doi":"10.11604/pamj.2025.51.29.48096","DOIUrl":"https://doi.org/10.11604/pamj.2025.51.29.48096","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"29"},"PeriodicalIF":1.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785657","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":"Revision of medicine prices and sales price evolution in Moroccan pharmacies.","authors":"Fatima Zahra Bimegdi, Abdelmajid Belaiche, Samir Ahid","doi":"10.11604/pamj.2025.51.28.45569","DOIUrl":"10.11604/pamj.2025.51.28.45569","url":null,"abstract":"<p><strong>Introduction: </strong>Morocco adopted a new medicines pricing policy in 2013 that introduced price revisions following the implementation of Decree No. 2-13-852. This study aims to describe the evolution in medicine price decreases in Moroccan pharmacies following the price revisions published by the Ministry of Health.</p><p><strong>Methods: </strong>as part of a retrospective descriptive study, all the price revision lists over five years (2014-2019) were crossed with the databases of sales of medicines sold in pharmacies.</p><p><strong>Results: </strong>price decrease affected 1704 medicines, 54% of which were originator drugs. All therapeutic classes were involved, 22.7% were anti-infective, and 18.5% were for the cardiovascular system. Medicines with a public selling price between 5 and 10 US dollars (25.4%) were the most affected by the drop, even if it has concerned all price ranges. 22.8% of medicines decreased by less than or equal to 0.1 US dollar, and 28.7% recorded decreases of less than or equal to 1% of the public selling price. Five medicines (0.3%) have been reduced by over 70%, with 73.2% as a maximum drop percentage.</p><p><strong>Conclusion: </strong>following the implementation of Decree no. 2-13-852, a series of medicine price revisions was adopted. All price ranges and therapeutic classes were affected by the price decrease, with several variations. However, complementary policies are still needed to improve access to medicines.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"28"},"PeriodicalIF":1.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785658","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":"[Giant laterocervical lipoma in a 6-month-old infant: a case report].","authors":"Cheikh Diene Niang, Mame Coumba Sarr, Moussa Ba, Brice Toko, Mouhamed Barry, Faty Fall, Fallou Niang, Ibou Thiam, Mame Sanou Diouf","doi":"10.11604/pamj.2025.51.31.47251","DOIUrl":"10.11604/pamj.2025.51.31.47251","url":null,"abstract":"<p><p>Lipomas are mesenchymal neoplasms that affect the head and neck region in about 13% of cases. However, they are rarely reported in the pediatric population. We here report the case of a 6-month-old infant with no notable medical history, admitted for the management of a large left lateral cervical mass that had been progressing for 4 months. Ear, nose and throat (ENT) examination revealed a large left lateral cervical mass extending to the submental area, approximately 7cm in length, with no signs of compression. Cervical CT scan showed a fat-density mass, consistent with a lipoma. The patient underwent exploratory cervicotomy with excision of the mass. Histological analysis confirmed the diagnosis of lipoma. The clinical outcome was favorable, with no recurrence after 15 months of follow-up. Although rare in the pediatric population, cervical lipomas should be considered in infants with a cervical swelling. Its clinical manifestation is similar to that of a cystic lymphangioma.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"31"},"PeriodicalIF":1.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800635","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}