Journal of Pediatric Ophthalmology & Strabismus最新文献

{"title":"Combining Corneal Neurotization With Limbal Dermoid Excision: Case Report and Literature Review.","authors":"Pareena Sharma, Khoa Tran, Charline S Boente, Gregory H Borschel","doi":"10.3928/01913913-20260601-02","DOIUrl":"https://doi.org/10.3928/01913913-20260601-02","url":null,"abstract":"<p><p>The authors describe a 4-year-old boy with VACTERL (vertebrae, anus, heart, trachea, esophagus, kidney, and limbs)-associated bilateral neurotrophic keratopathy and a left limbal dermoid. Bilateral corneal neurotization was performed with simultaneous dermoid excision. Corneal sensation improved from 0 to 40 mm at 16 months, with stable ocular surfaces and no complications. The case is the first to illustrate that corneal neurotization may be combined with dermoid excision.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"63 4","pages":"e32-e35"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551017","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":"Pediatric Uveal Melanoma Masquerading as Vitreous Hemorrhage: A Case Report.","authors":"Cameron Pedersen, Mary Lou Schmidt, Luis Acaba-Berrocal, Carol L Shields, R V Paul Chan, Michael J Shapiro, Marcelo Ventura Filho","doi":"10.3928/01913913-20260520-01","DOIUrl":"https://doi.org/10.3928/01913913-20260520-01","url":null,"abstract":"<p><p>This case is among the first reported instances of pediatric uveal melanoma masquerading as vitreous hemorrhage on ophthalmologic examination as well as on computed tomography and magnetic resonance imaging, illustrating how reliance on imaging alone can delay diagnosis when fundus visualization is obscured. A 10-year-old girl presented with unilateral vision loss; initial imaging suggested serous retinal detachment with vitreous hemorrhage, but persistent clinical suspicion for melanoma versus retinoblastoma prompted referral to a tertiary ocular oncology service, where magnetic resonance imaging revealed a gadolinium-enhancing intraocular mass. Enucleation was performed, and pathology confirmed spindle cell uveal melanoma (pT4aNxM0). Genetic and molecular testing showed low baseline metastatic risk despite large tumor size. The key takeaway is that persistent clinical suspicion, even when contradicted by initial radiologic interpretation, is essential in atypical pediatric presentations of intraocular hemorrhage, and multidisciplinary reevaluation can be diagnostic.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"63 4","pages":"e22-e25"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551100","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":"The Prevalence of Refractive Errors Among Children With Cured Retinoblastoma.","authors":"Hani A Anwar, Momen M Hamdi, Sameh H Abdel Rahman, Nada A Abd El Aziz, Noha S Mohamed","doi":"10.3928/01913913-20251007-01","DOIUrl":"10.3928/01913913-20251007-01","url":null,"abstract":"<p><strong>Purpose: </strong>To study the prevalence of refractive errors among children with cured retinoblastoma in the context of clinical variables.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the Ophthalmology Department at Ain Shams University Hospital from September 2023 to April 2024. Cycloplegic refraction and fundus photography were performed for children with cured retinoblastoma coming to the ocular oncology clinic for follow-up.</p><p><strong>Results: </strong>Refractive errors were studied in 49 children with cured retinoblastoma, aged 3.8 to 18 years. Refractive astigmatism was the most common error affecting 44.1% of retinoblastoma eyes (95% CI: 27% to 62%) followed by hypermetropia in 26.4%, (95% CI: 11% to 42%). Anisometropia of 1.00 diopter or greater existed in 53.8% of children with retinoblastoma (95% CI: 26% to 91%). Amblyopia due to uncorrected refractive errors existed in 28.6% of children (95% CI: 15% to 42%). A significant positive association existed between the amount of refractive astigmatism and the number of tumors per eye (<i>r</i> = 0.583; <i>P</i> < .001), the number of quadrants affected by the disease (<i>r</i> = 0.472; <i>P</i> = .005), the number of systemic chemotherapy sessions (<i>r</i> = 0.401; <i>P</i> = .028), the number of laser sessions (<i>r</i> = 0.489, <i>P</i> = .004), and the number of globe salvage modalities (<i>r</i> = 0.46 and <i>P</i> = .006). A significant negative association existed between the amount of refractive astigmatism and the posterior tumor margin to disc distance (<i>r</i> = -0.412; <i>P</i> = .015).</p><p><strong>Conclusions: </strong>Refractive errors are common among children with retinoblastoma, with astigmatism being the most common. Uncorrected refractive errors constitute a risk factor for amblyopia in children with cured retinoblastoma. Diffuse multifocal disease, tumors nearer to the disc, longer chemotherapy duration, and more intensified local treatment are associated with higher refractive astigmatism.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"269-280"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656129","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":"Ophthalmology Residency Program Characteristics and Timing of Commitment to Pediatric Ophthalmology Fellowship.","authors":"Elizabeth L Turner, Ryan M Sussberg, Leonard B Nelson, Laurel Lam","doi":"10.3928/01913913-20260324-01","DOIUrl":"10.3928/01913913-20260324-01","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize pediatric ophthalmology exposure, surgical experience, and mentorship in U.S. ophthalmology residency programs and to describe the timing of subspecialty commitment among pediatric ophthalmology fellowship alumni.</p><p><strong>Methods: </strong>This was a cross-sectional study of two anonymous surveys (July to October 2025). Survey 1 queried program directors and coordinators from U.S. ophthalmology residency programs regarding curriculum structure, pediatric ophthalmology exposure, and surgical volume, retinopathy of prematurity (ROP) training, and mentorship access. Survey 2 queried pediatric ophthalmology fellowship alumni from Wills Eye Hospital regarding training experiences and timing of subspecialty commitment. Ordinal responses were summarized using medians and interquartile ranges. Categorical ranges were analyzed using midpoint estimation but reported using original response categories. Associations were evaluated using descriptive statistics and nonparametric tests.</p><p><strong>Results: </strong>Survey 1 had a 61.3% response rate (76/124), and Survey 2 had a 72.5% response rate (50/69). Most programs offered dedicated pediatric ophthalmology rotations (93.4%) and formal didactics (97.4%). Median pediatric ophthalmology exposure was 10.5 weeks. Primary surgical volume most commonly ranged from 11 to 20 cases. Programs with ≥3 pediatric ophthalmology faculty members more frequently reported excellent mentorship (84%) than programs with a single faculty member (50%). Availability of ROP training did not differ by geographic setting. Among alumni, 66% reported deciding during residency, including 44% by post-graduate year-2.</p><p><strong>Conclusions: </strong>Programs with ≥3 faculty and 9 to 12 weeks of exposure more often reported strong mentorship. Despite widespread curricular availability, variation in mentorship capacity may contribute to recruitment gaps. Because most fellows decide during residency, structured exposure and longitudinal mentorship are modifiable factors that may support recruitment and workforce sustainability.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"237-242"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718889","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":"Comparative Study of Pediatric Dry Eye in a Tertiary Care Hospital Among Children With and Without Ocular Infection History.","authors":"Astha Mishra, Smita Singh, Nitesh Pradhan","doi":"10.3928/01913913-20251008-03","DOIUrl":"10.3928/01913913-20251008-03","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the prevalence and severity of dry eye disease among children aged 6 to 12 years with and without a history of ocular infections.</p><p><strong>Methods: </strong>Children aged 6 to 12 years who came to the pediatric eye clinic were included. A total of 400 children were screened for dry eye over a 6-month study period. Consecutive sampling was used, meaning all eligible children who attended the Pediatric Ophthalmology outpatient department during this period were included based on inclusion and exclusion criteria by using the the Ocular Surface Disease Index (OSDI) questionnaire, tear film break-up time (TBUT), and the Schirmer I test.</p><p><strong>Results: </strong>Dry eye disease was diagnosed in 37% (n = 148) of the participants overall, and the diagnosed children with dry eye were divided into two groups (history of ocular infection and no history of ocular infection). The history of ocular infection group showed noticeably worse results on two key tests compared to the no history of ocular infection group. Their TBUT was significantly lower at 6.3 seconds (with a margin of ±1.8 seconds), and their Schirmer I test results were also reduced at 9.2 ± 2.4 mm. The no history of ocular infection group had TBUT values of 8.9 ± 2.0 seconds and Schirmer I readings of 13.1 ± 2.7 mm. Both of these differences were statistically significant (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>Dry eye disease seems to be common among school-aged children, especially those who have had eye infections before. On analyzing previous infections, particularly viral and bacterial conjunctivitis, it appears that there are important factors contributing to problems such as unstable tear films and reduced tear production.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"286-291"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655990","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":"Limbus-Sparing Congenital Central Corneal Dermoid: A Rare Developmental Anomaly.","authors":"Prabhjot Singh, Vijay Kumar Sharma, Manisha Agarwal, Jyothi Nandanan","doi":"10.3928/01913913-20260520-02","DOIUrl":"https://doi.org/10.3928/01913913-20260520-02","url":null,"abstract":"<p><p>The authors report a rare case of a limbus-sparing central corneal dermoid in a 1-year-old boy, contributing to the limited existing literature of only three such documented cases worldwide. This case report describes the clinical presentation, surgical management, and histopathologic characteristics of this unique developmental anomaly. A comprehensive clinical evaluation was conducted, including ophthalmic examination, B-scan ultrasonography, and surgical intervention. The dermoid was excised along with penetrating keratoplasty, with the excised specimen undergoing detailed histopathologic and immunohistochemical analysis. Immunohistochemical markers including smooth muscle actin, CD34, vimentin, and p63 were examined to characterize the tissue composition. The patient presented with a 7.5 × 7.5 mm yellowish-brown hemispherical mass occupying the central cornea while sparing the limbus. Surgical exploration revealed full-thickness corneal involvement with corneoirido-lenticular adhesions. Histopathologic analysis demonstrated stratified squamous epithelium with surface keratinization and fibrocollagenous thickening. Immunohistochemistry revealed unexpected positive staining for both epithelial (p63) and mesenchymal (SMA, CD34, vimentin) stem cell markers, challenging previous understanding of central corneal dermoid cellular origins. This case represents an exceptionally rare presentation of a limbus-sparing central corneal dermoid, highlighting the complex embryological mechanisms underlying such developmental anomalies. Although surgical intervention was performed for cosmetic rehabilitation, the guarded prognosis and potential for complications necessitate careful patient counseling and long-term follow-up.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"63 4","pages":"e26-e31"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551024","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":"At-Home Pupil Dilation During the COVID-19 Pandemic in the Pediatric Population.","authors":"Yoav Glidai, Rina Su, Jake L Diamond, Elmira Baghdasaryan, Sylvia R Kodsi, Hal Schwartzstein, Stacey J Kruger","doi":"10.3928/01913913-20251107-02","DOIUrl":"10.3928/01913913-20251107-02","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate caregivers' perspectives, challenges, and difficulties associated with at-home pupil dilation (AHPD) during the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Methods: </strong>In this retrospective questionnaire study, a pediatric ophthalmologist determined eligibility for AHPD in children younger than 6 years. Cyclopentolate 1% eye drops were prescribed. Age was recorded and divided into three age groups.</p><p><strong>Results: </strong>Of 264 respondents, 73.9% (n = 195) completed AHPD, with half having undergone eye dilation in the past (53.7%, n = 116). The mean task difficulty across all groups was 3.36 ± 1.44 (range: 1 to 5). There were no statistical differences in difficulty between groups. Most caregivers stated that they would consider AHPD in the future (65.8%), and 63% reported that this practice saved time and was worth the cost and difficulty associated with AHPD. For more than 80% of responders, the cost was less than 20 United States Dollars, and 41.8% did not need to pay for their drops. The common reasons for not performing AHPD were difficulty (34.8%, n = 24), cost of the drops (30.4%, n = 21), and unclear instructions (8.7%, n = 6).</p><p><strong>Conclusions: </strong>AHPD can be a useful and cost-effective tool, can offer convenience, and may reduce anxiety in the office. The decision to use this approach should be individualized, considering the child's specific needs, parental comfort and ability, and the nature of the assessed ophthalmologic condition.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"292-297"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167829","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":"First Clinical Data on Primary Implantation of a Dedicated Pediatric Modular Intraocular Lens in Infants.","authors":"Yevgeniy N Batkov, Maxim V Sinitsyn, Nadezhda A Pozdeyeva","doi":"10.3928/01913913-20250929-02","DOIUrl":"10.3928/01913913-20250929-02","url":null,"abstract":"<p><strong>Purpose: </strong>To report early implantation results of a pediatric modular intraocular lens (IOL).</p><p><strong>Methods: </strong>This prospective cohort study included 14 consecutive eyes of 11 patients (4 boys, 7 girls) with visually significant congenital cataract who had surgery in the first year of life at a single clinical site. Intervention involved lens aspiration, IOL placement, primary pars plana posterior capsulectomy and anterior vitrectomy. A two-piece hydrophobic acrylic device composed of an 11-mm haptic and a 5.5-mm exchangeable optic disc was injected into the bag in one piece after prior ex vivo assembly.</p><p><strong>Results: </strong>Mean patient age at the time of surgery was 6.2 ± 3.0 months. On average the patients were followed up for 8.2 ± 7.9 months. Mean targeted initial refraction was 4.11 ± 1.68 diopters. The surgery was uneventful in every case. There were no intraoperative or implant-related postoperative complications. Three eyes (21%) developed retrolenticular visual axis opacification necessitating surgical clearing.</p><p><strong>Conclusions: </strong>The dedicated pediatric modular implant demonstrated acceptable intraoperative and early postoperative safety profile. Given extraocular assembly of the study IOL, its implantation procedure is technically comparable to that of regular non-adjustable IOLs, whereas its modular design allows for future optical modification to address changing refractive status.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"252-258"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446267","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":"Efficacy of Five Types of Myopia Control Glasses Among Indian Children.","authors":"Sneha Batra, Supratik Bandyopadhyay, Swarup K Roy, Shyamal Saha, Aroni Chakraborty, Chandrani Datta, Joyashree Banerjee, Anupam Sanyal","doi":"10.3928/01913913-20250930-01","DOIUrl":"10.3928/01913913-20250930-01","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the efficacy of five types of myopia control glasses (MCG) among Indian children.</p><p><strong>Methods: </strong>A retrospective cohort study with 1-year follow-up was done in 397 eyes of 216 children aged 4 to 17 years, with myopia between -0.75 and -10.00 diopters (D), astigmatism of 4.00 D or less, and baseline progression of 0.50 D or greater. Data from children prescribed type I (defocus incorporated multiple segments), type II (highly aspherical lenslet target), type III (cylindrical annular refractive elements), type IV (peripheral defocus reducing lenses), and type V (pediatric progressive addition lenses) MCG were analyzed. Mean change in spherical equivalence of refractive error (SER) and axial length (AL) and percentage efficacy in reducing SER and AL progression to physiological levels were compared. Subgroup analysis was done by age, gender, and amount of myopia.</p><p><strong>Results: </strong>Mean change in SER and AL at 6 and 12 months with all MCG combined was -0.05 ± 0.23 D, -0.26 ± 0.43 D, 0.07 ± 0.11 mm, and 0.16 ± 0.18 mm, respectively. No statistically significant difference was noted between types I, II, and III. Axial and refractive efficacy at 6 and 12 months of all MCG combined was 42.34%, 43.99%, 90.41%, and 68.91%, respectively. There was no significant difference among boys and girls. The older group showed significantly better axial efficacy (<i>P</i> < .01) at 6 and 12 months. Refractive efficacy was significantly higher at 12 months (<i>P</i> < .01) among children with low myopia.</p><p><strong>Conclusions: </strong>Types I, II, and III MCG are equally efficacious in controlling myopia progression among Indian children, with better results among older children and those with low myopia.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"259-268"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655993","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":"Comparison of ChatGPT-4 and ChatGPT-4 Plus Responses to Retinopathy of Prematurity-Related Questions and Performance Evaluation in Different Languages.","authors":"Fatma Hilal Yılmaz, Melek Büyükeren, Beyza Özcan, Ramazan Keçeci, Muslu Kazım Körez","doi":"10.3928/01913913-20251111-01","DOIUrl":"10.3928/01913913-20251111-01","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the accuracy and performance of the ChatGPT-4 and ChatGPT-4 Plus (OpenAI) models in different languages in terms of questions about retinopathy of prematurity (ROP).</p><p><strong>Methods: </strong>Within the scope of the study, 15 questions about ROP were asked of both models. The questions were asked in Turkish and English, and the answers were evaluated by clinicians at five levels: \"incorrect,\" \"inadequate,\" \"adequate,\" \"correct,\" and \"very correct.\" The reliability of the responses was analyzed using the intraclass correlation coefficient (ICC), and quality scores were compared using the <i>t</i>-test.</p><p><strong>Results: </strong>According to the ICC analysis, the experts scoring the responses showed high agreement (95%). The difference between the response accuracy scores of both models (ChatGPT-4: <i>P</i> = .704 and ChatGPT-4 Plus: <i>P</i> = .999) and languages (ChatGPT-4: <i>P</i> = .704 and Chat-GPT-4 Plus: <i>P</i> = .999) was not statistically significant. The performance of the models in Turkish and English was found to have similar accuracy levels.</p><p><strong>Conclusions: </strong>In this study, ChatGPT-4 and Chat-GPT-4 Plus models accurately responded to ROP-related questions, and language differences did not affect performance. It was concluded that artificial intelligence-based models have the potential to overcome multilingualism and language barriers in health care settings.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"298-303"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167835","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}