Revista Colombiana de Psiquiatria最新文献

{"title":"Testimonios de padres con hijos diagnosticados con trastorno por déficit de atención e hiperactividad, el reto de re-significar vivencias","authors":"Carolina Gómez-López ,&nbsp;Lina María Osorio-Cock ,&nbsp;Carlos Enrique Yepes-Delgado ,&nbsp;Juan David Palacio-Ortiz","doi":"10.1016/j.rcp.2022.09.006","DOIUrl":"10.1016/j.rcp.2022.09.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with attention deficit hyperactivity disorder (ADHD) face multiple barriers to reach an adequate diagnosis and treatment, including the stigma they must defy. This situation generates a high emotional burden on the patient and his family. Parents with children diagnosed with ADHD play a fundamental role in the mental health care process.</div></div><div><h3>Objectives</h3><div>To explore the meanings that arise in the parents of a child diagnosed with ADHD and, to identify barriers and facilitators during the diagnosis and treatment process.</div></div><div><h3>Methods</h3><div>This is a qualitative study developed using grounded theory techniques. Semi-structured interviews were conducted to 20 parents of children diagnosed with ADHD, which were analyzed through open coding, and later analyzed with axial and selective coding. A constant comparison of the information was carried out using a reflexive posture. These methods allowed the emergence of the theory.</div></div><div><h3>Results</h3><div>Misconceptions about ADHD hinder parents’ acceptance of this diagnosis. It was found that compared to fathers, mothers tend to carry more responsibilities in accompanying their children. Mothers face a difficult-to-navigate health system and unfulfilled drug delivery. In the educational system there is misinformation in schools, and parents often feel misunderstood by educators.</div></div><div><h3>Conclusions</h3><div>The parents included in this study had to face challenges in the health, educational and family systems. Situations that prompted them to resignify their experiences around one of their children diagnosed with ADHD.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 546-554"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48724894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación de intervenciones sobre imagen corporal positiva en niños y adolescentes: revisión sistemática","authors":"Araceli Hernández-Cruz,&nbsp;Brenda Sarahi Cervantes-Luna,&nbsp;María del Consuelo Escoto Ponce de León,&nbsp;Gabriela Rodríguez-Hernández,&nbsp;Virginia Flores-Perez","doi":"10.1016/j.rcp.2022.07.004","DOIUrl":"10.1016/j.rcp.2022.07.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Positive body image is a multifaceted, holistic, and stable, although modifiable, construct that reflects a generalized love and respect for one's own body, which allows one to appreciate, accept and admire the unique beauty and functions of the body, even if it does not match idealized images. It is important to promote a positive body image from an early age.</div></div><div><h3>Methods</h3><div>This review aimed to synthesize the available evidence on the effectiveness of interventions to improve positive body image in children and adolescents. The search for information was conducted in PubMed, Web of Science, MEDLINE-ProQuest, and Google Scholar. The guidelines of the PRISMA statement were followed and the methodological quality of the studies was evaluated.</div></div><div><h3>Results</h3><div>The review included 10 studies, one of which was in Latin America. Different instruments have been used to evaluate the effectiveness of the interventions. Although in some investigations an improvement in the variables of interest was reported, the results do not persist over time. In the follow-up measures, no changes were found in satisfaction with appearance, quality of life and self-esteem.</div></div><div><h3>Conclusion</h3><div>Given the methodological heterogeneity of the studies and the cultural diversity of the participants, the picture regarding the effectiveness of the interventions is limited. Studies that contribute to the understanding and promotion of positive body image are needed.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 562-570"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49152615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Beliefs About the Etiology of Schizophrenia and Expressed Emotion in Mexican Families","authors":"Ricardo Ignacio Audiffred-Jaramillo ,&nbsp;Javier Eduardo García De Alba-García","doi":"10.1016/j.rcp.2022.07.003","DOIUrl":"10.1016/j.rcp.2022.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Schizophrenia is a severe and persistent mental disorder that affects around 21 million people worldwide. The etiology of schizophrenia is currently understood as heterogeneous and multifactorial. Genetic and environmental factors are the most common explanations for the onset of schizophrenia, but along with these, hybridized cultural ideas coexist between medical, superstitious, and religious paradigms. The objective was to identify the relationship between cultural beliefs about schizophrenia, etiology and expressed emotion.</div></div><div><h3>Methods</h3><div>The present study used a mixed-method design, with an analytical approach for ethnographic research. The sample consisted of 40 people, relatives of patients diagnosed with schizophrenia, selected using simple random probabilistic sampling.</div></div><div><h3>Results</h3><div>A valid cultural consensus was found with statistical significance (p≤.05). Emotional trauma in childhood was identified as the leading cause of schizophrenia, followed by hereditary factors, emotional problems, head trauma, mistreatment, and divine will. The better-informed relatives expressed less emotion than those with less cultural competence (Mann-Whitney's U<!--> <!-->=<!--> <!-->1.000; p<!--> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>Mexican families in this study had a high degree of scientific knowledge about the etiology of schizophrenia, but religious ideas and compassionate explanations were part of this hybridized model.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 435-442"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49348371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aportación de los estudios de la personalidad en la definición de subtipos de anorexia nervosa y bulimia nervosa","authors":"Sandra Hernández-Muñoz,&nbsp;Beatriz Camarena","doi":"10.1016/j.rcp.2022.10.008","DOIUrl":"10.1016/j.rcp.2022.10.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Personality traits have been associated with the expression, symptoms and maintenance of eating disorders. Several studies have described differences in the personality traits in patients with eating disorders. The aim of the study was to explore the reports in the literature analyzing the personality traits in the eating disorders.</div></div><div><h3>Material and methods</h3><div>An exploratory search was carried out, using public databases. We included studies analyzing the association between personality and eating disorders and studies that performed cluster analysis of personality traits.</div></div><div><h3>Results</h3><div>Fifteen studies were identified that explored the dimensions of personality traits in eating disorders, of which three subtypes were identified: over-regulated, under-regulated, and low psychopathology. The over-regulated was characterized by high compulsivity, harm avoidance, and emotional inhibition. The under-regulated showed a high impulsivity, novelty seeking and oppositionality. Finally, low psychopathology subtype was characterized for a greater ability to adapt to the changes in the social environment.</div></div><div><h3>Conclusions</h3><div>The presence of personality traits in eating disorder patients are risk factors that influence in the vulnerability and maintenance of these disorders.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 571-579"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43520886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relaciones Fisiopatológicas Entre el Déficit Cognitivo en el Trastorno Afectivo Bipolar y el Síndrome Metabólico","authors":"","doi":"10.1016/j.rcp.2022.07.009","DOIUrl":"10.1016/j.rcp.2022.07.009","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Bipolar disorder (BD) has been related to various cognitive dysfunctions as well as to a high prevalence of metabolic syndrome (MS), which seems to influence the cognitive performance of patients with BD. Therefore, different hypotheses have been generated to try to explain the pathophysiological relationship between cognitive deficit in BD and MS. The objective was to review the current literature regarding the possible pathophysiological explanation of the relationship between BD and MS and its effect on cognitive performance of patients with BD.</div></div><div><h3>Methods</h3><div>A bibliographic search was carried out using MEDLINE, ClinicalKey, EMBASE, Literatura Latino-Americana y del Caribe en Ciencias de la Salud [Latin American and Caribbean Literature in Health Sciences] (LILACS), APA PsycNet, Scopus and Scielo databases, and the Pan-American Medical Electronic Library; using the following search terms: “bipolar disorder”[MeSH Terms] OR “bipolar disorder”[All Fields] OR “mood disorders”[All Fields] AND “cognitive deficit”[MeSH Terms] OR “cognitive deficit”[All Fields] OR “cognitive dysfunction”[All Fields] OR “cognitive impairment”[All Fields] OR “cognitive decline”[All Fields] AND “metabolic syndrome” [MeSH Terms] OR “metabolic abnormalities”[All Fields] OR “metabolic effects”[All Fields] OR “obesity” [All Fields] OR “abdominal obesity” [All Fields] OR “overweight” [All Fields] OR “diabetes” [All Fields] OR “hypertension” [All Fields] AND “antipsychotics” [MeSH Terms] OR “antipsychotics”[All Fields] AND “antidepressants” [MeSH Terms] OR “antidepressants”[All Fields] AND “mood stabilizers” [MeSH Terms] OR “mood stabilizers”[All Fields]. Filters: Free full text, Full text, from 2001-2022. A total of 80 articles in Spanish and English, of any type of design, were selected. Selection and reading were carried out by all the authors.</div></div><div><h3>Results and conclusions</h3><div>The various pathophysiological hypotheses proposed, inflammatory, endocrine, drug, environmental and social, suggest that a series of changes at the macro and microcellular level are correlated in patients with BD and MS with a negative effect on cognition of patients both globally and in specific domains, mainly executive function, memory, attention, and perceptual motor skills. Research processes should be continued to explore the various hypotheses that support the relationship between BD, MS and cognition.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 376-384"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48636485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El Cuidado de Pacientes con Síntomas Psiquiátricos en Unidades de Hospitalización General: un Estudio Fenomenológico","authors":"","doi":"10.1016/j.rcp.2022.04.007","DOIUrl":"10.1016/j.rcp.2022.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The objective of this study was to explore the approach to patients with psychiatric symptoms by nursing professionals in general hospitalisation units in the city of Medellín, Colombia.</div></div><div><h3>Methods</h3><div>A qualitative study with the method of interpretive phenomenology. 11 nursing professionals from general hospitalisation units in the city of Medellín, Colombia participated. The information analysis was processed according to the Phenomenological Interpretive Analysis method and with the support of the NVIVO Plus 12 software.</div></div><div><h3>Results</h3><div>The nurses’ experience is described through three themes: representations of the patient with psychiatric symptoms, the patient as aggressive, violent and unpredictable; feeling fearful while providing care, caring for others in the midst of prevention, fear and stress, and being in a chaotic situation, a circumstance that gets out of control and alters the dynamics of the hospitalisation unit.</div></div><div><h3>Conclusions</h3><div>Caring for patients with psychiatric symptoms is stressful, especially when nursing professionals perceive a lack of support from other colleagues and from the hospital administration. The above favours the development of alterations in the professional's physical and mental health.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 318-326"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45871806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Factors Influencing Depressive Mood: A Focus on Medical Students in Targeted Employment","authors":"","doi":"10.1016/j.rcp.2022.05.005","DOIUrl":"10.1016/j.rcp.2022.05.005","url":null,"abstract":"<div><h3>Objective</h3><div>To study depression and its influencing factors in medical students with directed employment in medical schools.</div></div><div><h3>Methods</h3><div>In this study, 586 students enrolled in Wenzhou Medical University were studied, and the Patient Health Questionnaire Depression Scale (PHQ-9) was used to distinguish depressed mood from depressive symptoms and to establish a multivariate logistic regression model.</div></div><div><h3>Results</h3><div>Up to 60.9% of the survey respondents experienced depressive mood within two weeks, and 21.6% experienced mild or higher depressive symptoms. The majority of the students showed only depressive mood (64.5%), and depressive symptoms accounted for a small percentage (35.5%). The detection rate of depressive mood within 2 weeks was higher in female students (70.4%) than in male students. Medical specialty, whether or not students were directed medical students, whether or not students performed directed employment, being an only child, monthly living expenses, financial status, health status, personality, and self-perceived academic stress were significant factors (<em>P</em>&lt;<!--> <!-->0.05) associated with depressed mood among university students. In this study, non-medical students were more likely to experience depression (<em>P</em>&lt;<!--> <!-->0.001). Depression was higher among non-directed medical students (<em>P</em>&lt;<!--> <!-->0.001). Among medical students with directed employment, those with non-compliance intention had a greater risk of depression (<em>P</em>&lt;<!--> <!-->0.01). Medical students with depressed mood tended to self-regulate (82.1%) and had a less significant tendency to choose medication (25.3%).</div></div><div><h3>Conclusions</h3><div>With a high detection rate of depressive mood and symptoms and most students presenting only with depressive mood, early detection and interventions for depressive mood are essential to prevent deterioration of the target students’ condition.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 253-261"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46901332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salud psicosocial de la población de gais, bisexuales y otros hombres que tienen sexo con hombres (HSH) en Colombia","authors":"Jair Eduardo Restrepo Pineda","doi":"10.1016/j.rcp.2022.04.010","DOIUrl":"10.1016/j.rcp.2022.04.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychosocial health is fundamental to the well-being of the human being. In the case of the gay, bisexual and other men who have sex with men (MSM) population, it is affected by discrimination, homophobia, marginalisation and social exclusion.</div></div><div><h3>Methods</h3><div>A quantitative investigation was designed, which used a virtual survey. Kruskal Wallis tests were performed for the difference in medians between the internalised Index of Homphobia (IH) and various variables; this same test was used for the comorbidity between anxiety and depression.</div></div><div><h3>Results</h3><div>A sample of 8,208 individuals was obtained, with ages between 18 and 75 years. Between the IH indices and the educational level variable, statistically significant differences are observed in the medians of the different categories. On the other hand, 8.0% of the population presents with moderate levels of comorbidity between anxiety and depression and 4.0%, a severe level.</div></div><div><h3>Discussion</h3><div>IH decreases as the subjects prepare academically, while the severity of anxiety and depression is greater in those who report complicated affective relationships. People with a diagnosis of HIV present with a greater severity of depressive symptoms.</div></div><div><h3>Conclusions</h3><div>IH, depression, and anxiety are linked to intersectional discrimination, leading to greater individual and social vulnerability for people who are gay, people who are bisexual, and other men who have sex with men that directly affects their psychosocial health.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 262-270"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depresión, Ansiedad y Estrés en Estudiantes Universitarios Antes y Durante Los Primeros Tres Meses de Cuarentena por COVID-19","authors":"","doi":"10.1016/j.rcp.2022.04.008","DOIUrl":"10.1016/j.rcp.2022.04.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Different psychological symptoms of distress as well as drinking motives have been associated with alcohol use in college students. The COVID-19 lockdown [aislamiento social, preventivo y obligatorio (ASPO)] reduced movement to a minimum, impacting college students’ mental health and generating changes in several behaviours, including alcohol use.</div></div><div><h3>Objectives</h3><div>To examine the association between symptoms of anxiety, depression and stress, drinking motives and alcohol use in two groups of Argentinian college students, before and during the first three months of lockdown. In addition, it was examined whether drinking motives mediate the relationship between psychological distress and alcohol use.</div></div><div><h3>Methods</h3><div>Two samples of college students, one before the lockdown (n=125; mean age, 23.87 ± 3.27 years; 73.6% women) and another during the lockdown (n=174; 24.32 ± 3.64 years; 78.2% women) completed an online survey.</div></div><div><h3>Results</h3><div>Alcohol use, as well as social and enhancement motives, decreased in college students during lockdown. The associations between psychological distress and drinking motives with alcohol use were more consistent in the group during lockdown compared with the group after lockdown. At a multivariate level, coping motives explained an increased frequency of alcohol consumption in college students during lockdown.</div></div><div><h3>Conclusions</h3><div>It is necessary to pay special attention to the mental health of college students who have experienced changes in their routines as a result of the restrictions implemented during the pandemic.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 284-294"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78293441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Cognitive Performance in Bipolar Disorder Type I Patients and Their Unaffected Offspring","authors":"","doi":"10.1016/j.rcp.2022.05.004","DOIUrl":"10.1016/j.rcp.2022.05.004","url":null,"abstract":"<div><div>Patients with bipolar disorder<span> type I (BP-I) often present with impairments in cognitive function. Offspring unaffected by the disorder can also present with cognitive dysfunction. The objective of this study was to compare the cognitive function of BP-I patients, their unaffected offspring (UO) and healthy control subjects (HC).</span></div></div><div><h3>Methods</h3><div><span>Verbal memory, working memory index, processing speed, attention, verbal and phonological fluency and executive function were evaluated through the application of a neuropsychological battery to three groups made up of BP-I patients that attended the Bipolar Disorder Outpatient Clinic of Clínica San Juan de Dios de Manizales [San Juan de Dios de Manizales Clinic] (n</span> <!-->=<!--> <!-->30), UO (n<!--> <!-->=<!--> <!-->32) and control group (n<!--> <!-->=<!--> <!-->31). The UO group and the control group were matched by gender, age and level of education.</div></div><div><h3>Results</h3><div>Major differences between the three groups were found in the measures of cognitive functions (except in semantic fluency). The HC group showed better cognitive performance in all the functions. Post-hoc analysis showed similar results in the cognitive performance between BP-I and UO except in verbal learning and executive function tasks where the results were better in UO. A better performance in the control group was found, compared to the UO group, in executive function, attention, working memory, and semantic fluency and phonological areas.</div></div><div><h3>Conclusions</h3><div>These results indicate that the offspring of patients with BP-I present with cognitive impairments<span> without suffering from the disorder. This suggests that cognitive dysfunction presents without diagnosis and supports the hypothesis that it can correspond to a BP-I endophenotype.</span></div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 271-277"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42352945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}