American Journal of Audiology最新文献

{"title":"Effects of Hearing Loss and Hearing Aids on the Perception of Natural Sounds and Soundscapes: A Survey of Hearing Care Professional Opinions.","authors":"Frédéric Apoux, Stéphane Laurent, Stéphane Gallego, Dina Lelic, Brian C J Moore, Christian Lorenzi","doi":"10.1044/2025_AJA-24-00171","DOIUrl":"https://doi.org/10.1044/2025_AJA-24-00171","url":null,"abstract":"<p><strong>Purpose: </strong>The goal was to gain insight into the effects of hearing loss and hearing aids (HAs) on the perception of \"natural sounds\" and their importance in daily life by documenting the opinions of hearing care professionals (HCPs).</p><p><strong>Method: </strong>A questionnaire was designed where HCPs were asked to rate their patients' perception of natural sounds before and after receiving an HA. The online survey was conducted with 301 HCPs in France.</p><p><strong>Results: </strong>According to respondents, the incidence of hearing natural sounds increased substantially at the end of the trial period relative to the start, especially for patients living in remote rural areas. Respondents also indicated an increase in listening accuracy, pleasantness, and importance of natural sounds at the end of the trial period. The majority of respondents indicated (a) that their patients find it important to listen to natural sounds and (b) that they are satisfied with their HAs in that respect.</p><p><strong>Conclusions: </strong>This study demonstrates the importance of natural sounds for most people with hearing loss. It highlights the effects of HA on patients' awareness of natural sounds and suggests that future research should consider the patients' place of residence.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survey of Former Audiologists: Reasons for Leaving the Profession.","authors":"Michaela Machak, Diana C Emanuel, Jeremy J Donai, Rian Q Landers-Ramos","doi":"10.1044/2025_AJA-24-00215","DOIUrl":"https://doi.org/10.1044/2025_AJA-24-00215","url":null,"abstract":"<p><strong>Purpose: </strong>Audiologists play an essential role in hearing health care. It has been predicted that the supply of audiologists may fail to meet future market demand. One way to improve the number of available audiologists is to improve retention. The purpose of this study was an exploration of audiologist attrition as a first step toward creating strategies to improve retention.</p><p><strong>Method: </strong>A survey completed by 47 former audiologists included questions about demographics, why participants entered and exited the audiology profession, and job satisfaction.</p><p><strong>Results: </strong>Participants cited lack of reward as the most common reason for leaving the profession. About a third disliked the for-profit hearing aid dispensing aspect of the profession, and a few would return to the profession for an audiology job that did not involve hearing aid dispensing. About a quarter left audiology to pursue other opportunities (e.g., selling a private practice), and about a quarter reported poor psychosocial work environment.</p><p><strong>Conclusion: </strong>Findings highlight the need for national efforts focused on (a) improving audiology awareness so students have a greater understanding of audiology as they are exploring career choices, (b) advocating for improved compensation overall and compensation models that de-emphasize sales-based financial incentives, and (c) creating strategies to help improve audiologists' work environment and opportunities for leadership roles.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28599341.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Television Streaming on Cochlear Implant User Performance and Satisfaction in Quiet and in Noise.","authors":"Patrick N Plyler, Megan Wade, Alayna Dimlich, Jennifer Hausladen, Elizabeth Humphrey","doi":"10.1044/2024_AJA-24-00204","DOIUrl":"https://doi.org/10.1044/2024_AJA-24-00204","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine the effectiveness of television (TV) streaming on cochlear implant (CI) user performance and satisfaction in quiet and in noise.</p><p><strong>Method: </strong>Sixteen CI users (15 bilateral) were evaluated in quiet and in noise (5 dB SNR) under three CI conditions: CI only, streaming with CI microphones attenuated by 6 dB, and streaming with CI microphones muted. The audiovisual Connected Speech Test served as the signal, and the ipsilateral competing message from the SSI-ICM served as the noise. Measures of speech understanding, satisfaction with sound quality and clarity, and preference were obtained.</p><p><strong>Results: </strong>In quiet, speech understanding and speech clarity ratings were significantly better for the streaming with CI microphones muted condition than the CI only and streaming with CI microphones attenuated conditions; however, sound quality ratings were significantly better for streaming with CI microphones muted than the CI microphones attenuated condition. In noise, speech understanding, speech clarity ratings, and sound quality ratings were significantly different across all conditions with CI only being the poorest, followed by streaming with CI microphones attenuated then by CI microphones muted being the best. In quiet, streaming with CI microphones muted was preferred over CI only. In noise, both streaming options were preferred to CI only. Overall, streaming with CI microphones attenuated was preferred to CI only.</p><p><strong>Conclusions: </strong>CI users benefited from TV streaming in both quiet and in noise. CI users should be counseled on the benefits of adjusting CI microphone settings when using a TV streamer.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening of Fall Risk in Older Adults With Hearing Loss Living in the Singapore Community.","authors":"Tan Charmaine, Angeline Teo Yi Ling, Kek Tze Ling","doi":"10.1044/2024_AJA-23-00123","DOIUrl":"https://doi.org/10.1044/2024_AJA-23-00123","url":null,"abstract":"<p><strong>Purpose: </strong>Hearing loss is an independent risk factor for falls. Research has demonstrated the importance of a combination of self-report and performance-based tools in predicting falls. Using this approach, the purpose of this study was to examine the association between the degree of hearing loss and fall risk.</p><p><strong>Method: </strong>Community-dwelling older adults with hearing loss, aged 60 years and above, completed a history form, the Activities-Specific Balance Confidence Scale and the modified Clinical Test of Sensory Interaction in Balance. Average pure-tone audiometry of the better hearing ear was calculated. Fall risk was determined for each participant. Binomial logistic regression and Cohen's kappa were performed.</p><p><strong>Results: </strong>Fifty-eight participants, with mild (<i>n</i> = 12), moderate (<i>n</i> = 27), moderately severe (<i>n</i> = 14), and severe (<i>n</i> = 5) hearing losses were included in the analysis. Overall fall risk incidence was 46.6%. No significant association was found between the degree of hearing loss and fall risk, while age, gender, and diabetes were revealed to be significant fall risk factors. A key finding was the tendency to overestimate balance confidence using self-report measures.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study in Asia employing self-report and performance-based measures to examine hearing loss and fall risk. Our findings provide insight into region-specific factor(s) affecting fall risk and serves to pave the way for future fall risk research. Future studies should include a combination of self-report and performance-based measures, as well as account for protective fall risk factors.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rationale and Development of a Remote Counseling Program for Hyperacusis.","authors":"Ann Perreau, J Austin Williamson, Richard S Tyler","doi":"10.1044/2025_AJA-24-00229","DOIUrl":"https://doi.org/10.1044/2025_AJA-24-00229","url":null,"abstract":"<p><strong>Purpose: </strong>This clinical focus article describes the development of a novel, remotely delivered counseling program for patients with hyperacusis. For many patients, seeking management of hyperacusis is limited by accessibility and affordability issues of care. By reducing these barriers, remote counseling has the potential to advance hyperacusis care and improve outcomes for many people suffering from hyperacusis.</p><p><strong>Method: </strong>We created a 4-week remote counseling program that included asynchronous videos, hands-on activities and quizzes, handouts and resources for teaching coping skills and keeping patients engaged, and synchronous discussions for coaching. Weekly content was derived from in-person therapy using hyperacusis activities treatment (HAT) and focused on five relevant topics that included (a) an overview of hyperacusis, tinnitus, hearing, and hearing loss; (b) reactions to hyperacusis and strategies to reduce negative reactions to sounds; (c) thought analysis and restructuring; (d) relaxation techniques and mindfulness; and (e) gradual sound exposure and proper use of hearing protection.</p><p><strong>Results: </strong>Our remote counseling program, HAT-Online, provides holistic education about hyperacusis, coping strategies to lessen reactions to everyday sounds and challenge thoughts and fears, and management options including customized sound therapy and relaxation exercises.</p><p><strong>Conclusion: </strong>With implementation of this remote counseling program, our team anticipates gathering early clinical evidence needed to support larger, multisite, future randomized clinical trials that will be designed to more fully evaluate the effectiveness of the remote delivery of HAT's counseling and customized sound therapy components to reduce reactions to hyperacusis.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Auditory Skill Outcomes After Pediatric Cochlear Implantation Using Preoperative Brain Imaging.","authors":"Di Yuan, Wai Tsz Chang, Iris H-Y Ng, Michael C F Tong, Winnie C W Chu, Nancy M Young, Patrick C M Wong","doi":"10.1044/2024_AJA-24-00139","DOIUrl":"10.1044/2024_AJA-24-00139","url":null,"abstract":"<p><strong>Purpose: </strong>Our study used preoperative neuroanatomical features to predict auditory development in Chinese-learning children with cochlear implants (CIs).</p><p><strong>Method: </strong>T1-weighted whole-brain magnetic resonance imaging (MRI) scans were obtained from 17 Chinese-learning pediatric CI candidates (12 females and five males, age at MRI = 23.0 ± 15.0 months). Voxel-based morphometry was applied to examine the children's whole-brain structure. Machine learning was employed using neuroanatomical features to predict children's auditory skills up to 24 months after CI. The whole-brain neural model and auditory/visual cortex neural model were compared with a nonneural model using gender, age at CI activation, and preoperative residual hearing as predictors. Model performance was quantified using the mean square error (<i>MSE</i>) between predicted values and observations.</p><p><strong>Results: </strong>The model with preoperative neuroanatomical features showed a significantly smaller <i>MSE</i> than the nonneural model in predicting auditory skills in children with CIs. Specifically, the auditory-related area played an important role in predicting post-CI outcomes.</p><p><strong>Conclusions: </strong>The preoperative neuroanatomical features outperformed the nonneural features in predicting auditory skills in children with CIs. These results indicate that neural structure holds the potential to serve as an objective and effective feature for predicting post-CI outcomes.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28012046.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"51-59"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recorded Word Recognition Testing Is Worth the Time.","authors":"Allie Austin, Kathryn Ladner, Lisa Lucks Mendel","doi":"10.1044/2024_AJA-24-00080","DOIUrl":"10.1044/2024_AJA-24-00080","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this study was to provide evidence of the inherent variability associated with monitored live voice (MLV) presentation methods and encourage audiologists to more closely follow best practice of using recorded stimuli. To accomplish the goal, administration times for word recognition testing were compared between MLV and MP3 recorded stimuli presented directly from an audiometer (computer assisted, CA). Furthermore, the variability of administration time across testers was evaluated.</p><p><strong>Method: </strong>Fifty-word NU-6 lists were presented via MLV and CA to listeners with typical hearing (TH; defined as a four-frequency [500, 1000, 2000, and 4000 Hz] pure-tone average [PTA] of 20 dB HL or better) and hearing loss (HL; defined as a four-frequency PTA poorer than 20 dB HL). Audiologists and doctor of audiology students administered the word lists. Administration times were compared between the two presentation methods (MLV and CA).</p><p><strong>Results: </strong>MLV administration time was significantly shorter than CA presentation time for both the TH and HL groups. There was also a significant difference in word recognition scores (WRS) between the TH and HL groups only when using the CA method. Most notably, there was significantly more variability in the administration time for MLV presentation across testers compared to the CA method. Data were compared to Mendel and Owen (2011), and MLV administration time was found to be significantly shorter than CA and compact disk (CD) administration time.</p><p><strong>Conclusions: </strong>Despite the shorter average administration time for MLV presentation compared to CA or CD, the significant variability in administration time among individual testers limits the clinical value of the test results. In addition, WRS for those with hearing loss were significantly poorer than those with TH when using CA but not for MLV, indicating that MLV is not sensitive to the presence of sensorineural hearing loss. Thus, using recorded word recognition is strongly recommended.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"179-186"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Characteristics of Developmental Disabilities Among Children Who Receive Hearing Health Care.","authors":"Angela Yarnell Bonino, Sara F Goodwich, Deborah Mood","doi":"10.1044/2024_AJA-24-00118","DOIUrl":"10.1044/2024_AJA-24-00118","url":null,"abstract":"<p><strong>Purpose: </strong>We aim to determine the prevalence and characteristics of developmental disabilities among the clinical population of children who receive hearing health care in the United States.</p><p><strong>Method: </strong>Using electronic health records of 131,709 children (0-18 years), we identified those with a diagnosis of attention deficit/hyperactivity disorder, autism spectrum disorder, vision differences, cerebral palsy, chromosomal abnormalities, delayed milestones, Down syndrome, or intellectual disability. We determined prevalence, age of first audiology encounter, age of diagnosis for the developmental disability, and hearing status based on the specific disability and the number of diagnoses. Binomial and multinomial logistic regressions were performed.</p><p><strong>Results: </strong>One in four children had a diagnosed developmental disability. The most common disabilities were delayed milestones (11.3%), vision differences (7.4%), attention-deficit/hyperactivity disorder (6.6%), and autism spectrum disorder (6.2%). Half of the children with developmental disabilities had at least one diagnosis before their first audiology encounter. Children with developmental disabilities were more likely to have a reduced hearing or an unknown hearing status than children without developmental diagnoses. For children with reduced hearing, those with developmental disabilities had higher rates of bilateral configurations and poorer hearing severity levels.</p><p><strong>Conclusions: </strong>Developmental disabilities are common among children who seek hearing health care. Moreover, developmental disabilities often co-occur with reduced hearing. Further research and advocacy efforts are critical for creating clinical practices that are inclusive of, and equitable for, children with complex and diverse developmental profiles.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27857847.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"60-71"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Masseteric Vestibular Evoked Myogenic Potentials: A Comparative Study Between Children and Adults.","authors":"Sejal Somani, Anuj Kumar Neupane","doi":"10.1044/2024_AJA-24-00157","DOIUrl":"10.1044/2024_AJA-24-00157","url":null,"abstract":"<p><strong>Purpose: </strong>The present study examined masseteric vestibular evoked myogenic potential (mVEMP) responses in children and compared these results with those of adults, using both air- and bone-conduction modes of stimulation.</p><p><strong>Method: </strong>Fifteen children and fifteen adults with hearing thresholds below 15 dB HL were considered for the study. Ipsilateral 500-Hz narrow-band chirp (NB CE-chirp) evoked mVEMP responses were elicited via a zygomatic montage through both air- and bone-conduction modes of stimulation. Therefore, the recorded responses were analyzed for various mVEMP parameters, namely, absolute P11 and N21 peak latencies, the peak-to-peak amplitude of the P11-N21 complex, and the interaural asymmetry ratio.</p><p><strong>Results: </strong>NB CE-chirp-evoked mVEMPs were 100% present at 500 Hz using both air- and bone-conduction modes of stimulation. No significant differences were found in mVEMP parameters between ears, genders, or modes of stimulation in both children and adults. However, a significant P11-N21 amplitude difference was observed between the two groups.</p><p><strong>Conclusion: </strong>The findings of the study highlighted the need to incorporate age-appropriate reference values for interpreting mVEMP responses for children and adults across air- and bone-conduction modes.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"106-116"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Loss, Difficulty With Activities of Daily Living, and Experience of Consequences of Related Unmet Needs in Older Adults: A Cross-Sectional Analysis.","authors":"Sarah Bessen, Emmanuel E Garcia Morales, Wuyang Zhang, Pablo Martinez-Amezcua, Mfon Umoh, Thomas K M Cudjoe, Jennifer A Schrack, Nicholas S Reed","doi":"10.1044/2024_AJA-24-00183","DOIUrl":"10.1044/2024_AJA-24-00183","url":null,"abstract":"<p><strong>Purpose: </strong>Experiencing difficulty with activities of daily living (ADLs) and instrumental ADLs (IADLs) and/or the consequences of unmet ADL/IADL-related needs is associated with adverse health-related outcomes. The association of hearing loss (HL) with experiencing the consequences of unmet ADL/IADL-related needs is not well understood. We investigated the associations of HL with experiencing ADL/IADL difficulties and the consequences of unmet ADL/IADL-related needs in older adults.</p><p><strong>Method: </strong>We investigated cross-sectional associations between audiometric HL, the number of ADL and IADL difficulties, and the number of consequences of unmet ADL/IADL-related needs among adults aged 65 years and older in the National Health and Aging Trends Study.</p><p><strong>Results: </strong>In 4,724 older adults, 30.5% (<i>n</i> = 1,736) and 30.9% (<i>n</i> = 1,727) had self-reported difficulty with ADLs and IADLs, respectively. Of the 2,289 participants who reported difficulty with at least one ADL/IADL, 14.0% (<i>n</i> = 741) reported experience of at least one consequence of an unmet ADL/IADL-related need. In multivariable ordinal regression analyses, mild (<i>OR</i> = 1.38, 95% CI [1.1, 1.73]) and moderate or greater (<i>OR</i> = 1.57, 95% CI [1.17, 2.1]) HL were associated with higher odds of difficulties with additional ADLs. Moderate or greater HL was associated with higher odds of reporting difficulties with additional IADLs (<i>OR</i> = 1.59, 95% CI [1.19, 2.12]). There was no significant association between HL and higher odds of having additional consequences of unmet needs.</p><p><strong>Conclusions: </strong>Our results show an association between HL and a higher number of ADL and IADL difficulties. Adults with HL may require increased support to address difficulties with daily activities and prevent experiencing related consequences.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28300049.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"127-138"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}