Cancer Nursing最新文献

{"title":"\"The Cancer Is Back\": Reflecting on Recurrence, Relapse, and Remission in Adolescent Cancer Research.","authors":"Daniela Bonfietti Rodrigues, Fernanda Machado Silva-Rodrigues","doi":"10.1097/NCC.0000000000001483","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001483","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Role of Social Determinants of Health on Adherence to Pap Screening Guidelines for US Women Aged 21 to 64 Years: Evidence From the 2022 Health Information National Trends Survey.","authors":"Adaeze C Aroh, Ifeanyi Madujibeya, Henry Asante Antwi, Ugonwa Aroh, Megan Pine, Adebola Adegboyega","doi":"10.1097/NCC.0000000000001481","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001481","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health (SDOH) domains outlined by the American Cancer Society may provide a comprehensive understanding of the factors that influence adherence to cervical cancer screening recommendations. However, the relationship between the domains and screening adherence has not been previously examined.</p><p><strong>Objective: </strong>This study aims to explore the relationship between SDOH domains and adherence to cervical cancer screening guidelines among US women aged 21 to 64 years, using data from the Health Information National Trends Survey cycle 6 (n = 6252).</p><p><strong>Methods: </strong>Weighted multivariate logistic regressions, incorporating jackknife replicate weights, were conducted using all the domains of SDOH.</p><p><strong>Results: </strong>The sample includes 2037 respondents. An estimated 74.3% (61 318 532/82 499 191; 95% confidence interval [CI], 70.9%-78.0%) of the weighted adult population of women aged 21 to 64 years in the United States were adherent with the US Preventive Task Force screening recommendations. The mean age of the adherent and nonadherent populations was 43.6 years (95% CI, 42.9-44.34 years) and 42.5 years (95% CI, 40.5-44.5 years), respectively. Adherence to cervical cancer screening guidelines was significantly associated with decreasing social isolation independent of ethnicity, body mass index, knowledge of cervical cancer, marital status, and urban-rural designation (odds ratio, 0.98; P = .009).</p><p><strong>Conclusions: </strong>The screening rate is below the Healthy People 2030 target (79.2%). These findings underscore the importance of comprehensive approaches to address social isolation and its influence on screening behaviors.</p><p><strong>Implications for practice: </strong>Researchers and health practitioners should increase attention to and embrace the 6 foundational pillars of the Surgeon General's advisory framework to advance social connection in the United States.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life and Cancer-Related Experiences of Late-Stage and Metastatic Colorectal Cancer Survivors: A Mixed-Methods Study.","authors":"Krista A Brown, Katrina M Poppert Corts, Sharon Medcalf, Melissa Acquazzino, Robin M Lally","doi":"10.1097/NCC.0000000000001480","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001480","url":null,"abstract":"<p><strong>Background: </strong>People with late-stage and metastatic colorectal cancer (CRC) are living longer, with rates increasing over time, necessitating a greater understanding of their survivorship experiences.</p><p><strong>Objective: </strong>The purpose of this study was to explore the quality of life (QoL) and cancer-related experiences of stages III and IV CRC survivors and to inform oncology nursing practice and survivorship care.</p><p><strong>Interventions/methods: </strong>This sequential, explanatory mixed-method study used a cross-sectional Functional Assessment of Cancer Therapy-Colorectal survey and semistructured interviews to explore QoL and cancer-related experiences of stages III and IV CRC survivors. The study was guided by the Ferrell QoL model. Descriptive statistics and directed and summative content analysis were utilized, followed by integration using joint displays.</p><p><strong>Results: </strong>Thirty-one CRC survivors participated in the study; 24 completed the Functional Assessment of Cancer Therapy-Colorectal, and 12 participated in the semistructured interviews. Results identified 8 QoL themes: control, acceptance, normalcy, resilience, trust, isolation, and anger/frustration with support needs, including ostomy appliance management and shared experiences from other CRC survivors.</p><p><strong>Conclusions: </strong>Stage III/IV CRC survivors experience substantial physical, psychological, social, and spiritual cancer-related challenges. Integration of quantitative and qualitative data in this study highlighted QoL domains for future clinical intervention.</p><p><strong>Implications for practice: </strong>These data inform oncology nurses and other healthcare providers regarding QoL domains that may warrant greater assessment among late-stage and metastatic CRC survivors experiencing low, moderate, or high QoL. Interventions to facilitate social and community support for late-stage and metastatic CRC survivors through support groups, one-on-one interactions, or virtual online platforms are warranted.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Clusters and Social Support in Patients With Lung Cancer Undergoing Anti-Programmed Death 1/Programmed Death Ligand 1 Immunotherapy: A Cross-sectional Analysis.","authors":"Jinling Guo, Yanzhu Qin, Caixia Li, Juhua He, Lijun Zeng, Jing Peng","doi":"10.1097/NCC.0000000000001482","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001482","url":null,"abstract":"<p><strong>Background: </strong>Anti-programmed death 1/programmed death ligand 1 immunotherapy has greatly advanced lung cancer treatment; however, the symptom clusters experienced by patients during immunotherapy, their influencing factors, and the correlation with social support warrant further attention.</p><p><strong>Objectives: </strong>The aims of this study were to explore symptom clusters in patients with lung cancer undergoing anti-programmed death 1/programmed death ligand 1 immunotherapy and investigate their relationship with social support.</p><p><strong>Methods: </strong>We studied 133 patients with lung cancer admitted to a Chinese oncology unit. A cross-sectional survey assessed symptoms using the MD Anderson Symptom Inventory and social support using the Social Support Rating Scale. Sociodemographic and disease data were also collected. Exploratory factor analysis was used to identify symptom clusters, and binary logistic regression analysis was used to analyze the influencing factors.</p><p><strong>Results: </strong>Patients experienced various symptoms, with fatigue and cough being the most common and severe. Exploratory factor analysis revealed 3 clusters: general, lung cancer-specific, and gastrointestinal symptoms. Logistic regression showed that male sex was associated with general and lung cancer-specific symptom clusters. In contrast, previous radiotherapy was associated with the gastrointestinal cluster (P < .05). Social support was negatively correlated with the severity of some symptom clusters.</p><p><strong>Conclusion: </strong>The 3 symptom clusters adversely affected patients undergoing immunotherapy. Low social support exacerbated symptom severity.</p><p><strong>Implications for practice: </strong>Male patients should be monitored for general and lung cancer-specific symptoms, and those with a history of radiotherapy should be monitored for gastrointestinal symptoms. We recommend enhancing social support to alleviate symptom severity and tailoring symptom management strategies for individualized patient care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Effectiveness of Psychosocial Interventions on Family Function and Resilience for Cancer Caregivers: A Systematic Review With Pairwise and Network Meta-analysis.","authors":"Jiang-Yan Song, Min Liu, Miao Zhang, Zaharah Sulaiman, Tengku Alina Tengku Ismail, Shu-Mei Li, Ye Yun","doi":"10.1097/NCC.0000000000001476","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001476","url":null,"abstract":"<p><strong>Background: </strong>Improving family function and resilience among cancer caregivers is a vital clinical concern requiring thorough research. Psychosocial interventions are expected to enhance family function and strengthen resilience; however, the outcomes can differ significantly, highlighting the necessity for further investigation.</p><p><strong>Objectives: </strong>This study aimed to evaluate the comparative effectiveness of psychosocial interventions in enhancing family function and resilience among caregivers of cancer patients based on data derived from randomized controlled trials.</p><p><strong>Methods: </strong>A systematic review was performed by searching 6 electronic databases and clinical trial registries until July 12, 2024. Pairwise and network meta-analyses (NMA) were performed using the network package in STATA 16.</p><p><strong>Results: </strong>This review identified 12 studies with a total of 1162 participants. The pairwise meta-analysis revealed a significant positive impact of psychosocial interventions on family function: standardized mean difference (SMD), 1.34; 95% confidence interval [CI], 0.16-2.52. NMA showed family interaction approaches (SMD, 0.69; 95% CI, 0.22-1.15) and psychoeducation interventions (SMD, 0.66; 95% CI, 0.24-1.08) both led to improvements in family function. However, neither the pairwise meta-analysis nor the NMA revealed the positive effects of psychosocial interventions on resilience.</p><p><strong>Conclusion: </strong>Evidence suggests that psychosocial interventions can moderately improve family function. Among the various interventions explored, the family interactions demonstrated the most significant potential for effectiveness. However, resilience meta-analyses have not supported our psychosocial intervention recommendations.</p><p><strong>Implications for practice: </strong>This study offers valuable insights for nursing practice, emphasizing the need for nurses to consider the relationships and resources available within the families of cancer patients while providing care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Nonpharmacologic Interventions for Chemotherapy-Induced Peripheral Neuropathy in Patients With Breast Cancer: A Systematic Review and Network Meta-analysis.","authors":"Ruolin Li, Yu Liu, Rui Xue, Ying Wang, Fuyun Zhao, Lu Chen, Jun-E Liu","doi":"10.1097/NCC.0000000000001278","DOIUrl":"10.1097/NCC.0000000000001278","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) is a common adverse effect in patients with breast cancer (BC) during treatment. Patients experiencing CIPN develop neuropathic symptoms, which could lead to the modification or discontinuation of chemotherapy. Nonpharmacological interventions can be simple and safe, but evidence of their effectiveness in patients with BC experiencing CIPN is currently insufficient.</p><p><strong>Objective: </strong>To compare and rank the effectiveness of nonpharmacologic interventions for CIPN in patients with BC.</p><p><strong>Methods: </strong>We conducted a systematic search of randomized controlled trials registered from database inception until October 2022 in 7 databases. We assessed studies that met the inclusion and exclusion criteria and evaluated the risk of bias. Network meta-analysis was conducted using Stata SE 17.0 (StataCorp, College Station, Texas).</p><p><strong>Results: </strong>A total of 13 studies involving 9 nonpharmacologic interventions and comprising 571 participants were included. The results of the network meta-analysis showed that cryotherapy (standard mean difference, -1.22; 95% confidence interval, -2.26 to -0.17) exerted significant effects versus usual care. Cryotherapy (surface under the cumulative ranking area [SUCRA]: 0.74) was associated with the highest likelihood of effectively alleviating CIPN in patients with BC, followed by exercise (SUCRA: 0.62) and self-acupressure (SUCRA: 0.59).</p><p><strong>Conclusions: </strong>Cryotherapy was the most effective nonpharmacologic intervention for alleviating CIPN in patients with BC. Large-scale studies are required to verify the present findings.</p><p><strong>Implications for practice: </strong>This study provides evidence regarding the effectiveness of nonpharmacologic interventions for CIPN. Physicians and nurses could incorporate cryotherapy into clinical practice to alleviate CIPN in patients with BC.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E98-E110"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening Nursing Implications.","authors":"Sarah H Kagan","doi":"10.1097/NCC.0000000000001453","DOIUrl":"10.1097/NCC.0000000000001453","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"154"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Review of the Effectiveness of Complementary and Alternative Medicine on Nausea and Vomiting in Children With Cancer.","authors":"Ka Yan Ho, Katherine Ka Wai Lam, Wei Xia, Qi Liu, Sau Ying Chiu, Godfrey Chi Fung Chan, William Ho Cheung Li","doi":"10.1097/NCC.0000000000001239","DOIUrl":"10.1097/NCC.0000000000001239","url":null,"abstract":"<p><strong>Background: </strong>Nausea and vomiting are distressing symptoms reported by pediatric oncology patients during cancer treatment. More than 40% of them experience these symptoms even after receiving antiemetics.</p><p><strong>Objective: </strong>Given the limitations of pharmacological interventions, this systematic review synthesized the evidence for the effectiveness of complementary and alternative medicine in controlling nausea and vomiting among pediatric oncology patients.</p><p><strong>Methods: </strong>Ten databases were searched to identify relevant randomized controlled trials. The risk of bias of selected studies was graded using the Cochrane risk-of-bias tool for randomized trials. The primary outcomes were nausea and vomiting. The secondary outcomes were intervention adherence and number of adverse events.</p><p><strong>Results: </strong>Nineteen papers met the inclusion criteria and were included in the review. Sixteen studies showed high risk of bias. The tested interventions were acupuncture, acupressure, aromatherapy, hypnosis, massage, active cognitive distraction/relaxation techniques, creative arts therapy, psychoeducation, and combined massage and acupressure. Acupuncture, hypnosis, and massage interventions improved nausea and vomiting. Fifteen trials reported intervention adherence; only 7 monitored adverse events. The most common reason for dropout was refusal from patients and/or their guardians. A total of 34 adverse events were noted.</p><p><strong>Conclusions: </strong>There is insufficient evidence that complementary and alternative medicine is effective, feasible, or safe in controlling nausea and vomiting among pediatric oncology patients due to high risk of bias.</p><p><strong>Implications for practice: </strong>Acupuncture, hypnosis, and massage appear to have therapeutic benefits. However, more robust studies are needed to address the identified methodological issues and determine the real value of these 3 interventions.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"89-98"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9258399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyzing the Symptom Clusters Among Children With Acute Lymphoblastic Leukemia During Chemotherapy Based on Electronic Nursing Records.","authors":"Yuxin Wang, Hongxia Xie, Hao Jiang, Meijia Chen, Liya Ren, Chaoqun Dong","doi":"10.1097/NCC.0000000000001287","DOIUrl":"10.1097/NCC.0000000000001287","url":null,"abstract":"<p><strong>Background: </strong>Children with acute lymphoblastic leukemia often experience various physical and psychological symptoms during chemotherapy. Previous studies have used predetermined symptom inventories to analyze the complex relationships between these symptoms, which has certain limitations.</p><p><strong>Objective: </strong>The aim of this study was to explore the dynamic changes in symptom clusters among children with acute lymphoblastic leukemia during chemotherapy using electronic nursing records.</p><p><strong>Methods: </strong>Electronic nursing records for 2021 (N = 14 490) were obtained from a pediatric hematology department. A natural language processing tool was used to identify the presence of 46 symptoms in 3 chemotherapy phases of induction, consolidation, and maintenance. Incidence of symptom documentation was calculated by notes and patients, and principal component analysis and cluster analysis were performed for symptoms with an incidence above 15%.</p><p><strong>Results: </strong>The most common symptoms included bleeding, cough, and vomiting. The number of symptom clusters in each chemotherapy period was 7, 6, and 4, respectively. There were upper gastrointestinal, respiratory system, lower gastrointestinal, skin-related, psychological, self-image disorder, and other discomfort symptom clusters in the induction period. Notably, the upper gastrointestinal, respiratory system, lower gastrointestinal, and skin-related symptom clusters persisted through the consolidation and maintenance periods. Neurological and other discomfort symptom clusters were observed during the consolidation period.</p><p><strong>Conclusion: </strong>Symptom clusters of children with acute lymphoblastic leukemia at various stages of chemotherapy showed a certain level of stability and dynamics, informing healthcare providers in developing continuous symptom management.</p><p><strong>Implications for practice: </strong>Medical staff should explore targeted intervention programs based on characteristics of symptom clusters at different chemotherapy stages, to improve the efficiency of symptom management and alleviate the symptom burden of children.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"138-146"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher Levels of Multiple Types of Stress Are Associated With Worse State Anxiety and Morning Fatigue Profiles in Patients Receiving Chemotherapy.","authors":"Philip Garcia, Astrid Block, Sueann Mark, Lynda Mackin, Steven M Paul, Bruce A Cooper, Yvette P Conley, Marilyn J Hammer, Jon D Levine, Christine Miaskowski","doi":"10.1097/NCC.0000000000001304","DOIUrl":"10.1097/NCC.0000000000001304","url":null,"abstract":"<p><strong>Background: </strong>Anxiety and fatigue are common problems in patients receiving chemotherapy. Unrelieved stress is a potential cause for the co-occurrence of these symptoms.</p><p><strong>Objectives: </strong>The aims of this study were to identify subgroups of patients with distinct state anxiety and morning fatigue profiles and evaluate for differences among these subgroups in demographic and clinical characteristics, as well as measures of global, cancer-specific, and cumulative life stress and resilience and coping.</p><p><strong>Methods: </strong>Patients (n = 1335) completed measures of state anxiety and morning fatigue 6 times over 2 cycles of chemotherapy. All of the other measures were completed prior to the second or third cycle of chemotherapy. Latent profile analysis was used to identify the state anxiety and morning fatigue profiles.</p><p><strong>Results: </strong>Three distinct joint profiles were identified: Low Anxiety and Low Morning Fatigue (59%), Moderate Anxiety and Moderate Morning Fatigue (33.4%), and High Anxiety and High Morning Fatigue (7.6%). Patients in the 2 highest classes were younger, were less likely to be married/partnered, and had a higher comorbidity burden. All of the stress scores demonstrated a dose-response effect (ie, as anxiety and morning fatigue profiles worsened, stress increased). Patients in the 2 highest classes reported higher rates of emotional abuse, physical neglect, physical abuse, and sexual harassment.</p><p><strong>Conclusions: </strong>More than 40% of these patients experienced moderate to high levels of both anxiety and morning fatigue. Higher levels of all 3 types of stress were associated with the 2 highest profiles.</p><p><strong>Implications for practice: </strong>Clinicians need to perform comprehensive evaluations of patients' levels of stress and recommend referrals to psychosocial services.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E75-E89"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11263502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}