Revista Colombiana de Psiquiatria最新文献

{"title":"Creation and Validation of an Educational Booklet on Autism Spectrum Disorder","authors":"Marciana Fernandes Moll ,&nbsp;Carla Aparecida Arena Ventura ,&nbsp;Aldo Matos ,&nbsp;Ana Beatriz Rizzo Zanardo ,&nbsp;Mary Carla Velasco Melo ,&nbsp;Ronadia dos Santos Silva","doi":"10.1016/j.rcp.2022.09.004","DOIUrl":"10.1016/j.rcp.2022.09.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop and validate an educational booklet that contributes to alleviating the difficulties experienced by family members of children diagnosed as being on the Autism Spectrum.</div></div><div><h3>Methods</h3><div>A descriptive exploratory study with a quali-quantitative approach. Ten families of children on the autism spectrum and twelve judges participated in the validation. Data collection took place through open interviews and data was analysed according to the procedures recommended by Bardin.</div></div><div><h3>Results</h3><div>Difficulties identified included problems in children's verbal and non-verbal communication, daily care, school inclusion, late diagnosis due to the lack of specialists, and lack of psychological support for the family and for handling the child during an episode of crisis. Informational needs included early diagnosis, evolution and management of crises, children's ability to learn daily life activities, and information about their right to inclusion in formal education. Based on these difficulties and needs, the booklet was created and validated by eight experts and four family members. Comparing the average of positive reviews in each section, which were obtained in the first and second evaluations, there was a general improvement in the quality of the booklet.</div></div><div><h3>Conclusions</h3><div>The validation of educational materials on this topic can be essential to improve the quality of life of children, families, and educators.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 496-504"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102145","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":"COVID-19 y telepsiquiatría: un reto para el tratamiento de la salud mental","authors":"Damaris Urquizo Romo","doi":"10.1016/j.rcp.2022.08.005","DOIUrl":"10.1016/j.rcp.2022.08.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Due to the COVID-19 pandemic, in-person psychiatric care decreased, but mental disorders, such as post-traumatic stress disorder, anxiety, depression, obsessive compulsive symptoms and insomnia increased. Our objective was to describe the usefulness, advantages, disadvantages and limitations of telemedicine used in psychiatric patients’ clinical care before and during the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>A critical search was carried out on platforms such as PubMed, Cochrane, Lilacs and academic Google, in addition to an in-depth assessment of all the primary studies that answer our questions.</div></div><div><h3>Results</h3><div>Telepsychiatry is a tool that can help resolve the need for psychiatric care in a more comprehensive way. Advantages include cost reduction, enabling care provision to rural areas, the fact that its effectiveness is comparable to in-person care and its use is suitable in a variety of scenarios, and also that it helps reduce stigma and enables continuous training processes among medical staff. In the context of the current pandemic, it reduces the risk of transmission by maintaining biosecurity measures. However, there are also limitations in its use, such as the collection of medical insurance payments, mandatory in-person visits for examinations or procedures, difficulty in developing a doctor-patient relationship, and uncertainty about how to give informed consent and maintain the patient's privacy. Additionally, there is the difficulty in controlling the patient's environment, with the risk of the consultation taking place somewhere inappropriate, and the fact that there are certain populations which would not benefit from the use of telepsychiatry and areas where its use is made difficult by a greater digital gap. Based on these advantages and disadvantages, recommendations can be made when considering telepsychiatry as a medical care option.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 555-561"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40355912","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":"La investigación sobre el tratamiento de depresión con base en registros de historia clínica: análisis de una experiencia en un hospital universitario","authors":"María I. Molina-Echeverry ,&nbsp;Roger A. Figueroa-Paz ,&nbsp;María M. Cardozo-Rengifo ,&nbsp;Valentina Galindo-Velasco ,&nbsp;Hernán G. Rincón-Hoyos","doi":"10.1016/j.rcp.2022.08.002","DOIUrl":"10.1016/j.rcp.2022.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>In Latin America, there are few publications on depression, especially those based on electronic health records (EHR), a useful resource for obtaining information on patient care in the context of health systems. The objective of the study was to characterize the population with depression, taking into account sociodemographic, clinical, and pharmacological management aspects, based on information provided by the EHRs in a high complexity hospital in Cali, Colombia.</div></div><div><h3>Methods</h3><div>Retrospective descriptive study, based on medical history records of patients with a diagnosis of unipolar depression treated for the first time. A sample of 31 patients with at least three follow-up visits was analysed; sociodemographic, clinical, and treatment variables were collected.</div></div><div><h3>Results</h3><div>The population was mostly women (67.7%), with a mean age of 49 years. One in every two patients had a job, an opportunity for direct access through their health plan and university education. Twenty patients had a history of mental illness. 84.3% had a moderate or severe depressive episode, 87.1% were exposed to psychosocial and 80.6% biological-medical stressors. Twenty-seven patients had started antidepressant management. Approximately 30% of cases were identified as treatment-resistant depression. Barriers to accessing mental health services and to accessing the information in the EHRs were evidenced.</div></div><div><h3>Conclusions</h3><div>EHRs are a useful tool for accessing information for research on depression, relationship with other comorbidities, care, and treatment. It is proposed that adjustments be made to the clinical registry platforms that allow access to quality information for research purposes.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 448-457"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49204048","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":"Structural Study of Anxiety and Mood-related Symptomatology in Psychiatric Outpatients","authors":"Johann M. Vega-Dienstmaier ,&nbsp;Frine Samalvides ,&nbsp;Renato D. Alarcón","doi":"10.1016/j.rcp.2022.10.003","DOIUrl":"10.1016/j.rcp.2022.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Knowledge of the symptomatological structure of mental disorders is relevant for their understanding and classification. In the absence of previous Latin American research on the simultaneous structural exploration of various types of psychiatric symptomatologies, the objective of this study is to examine the structure of anxious and mood-related symptoms, resulting syndromes, and their correlations.</div></div><div><h3>Method</h3><div>Several instruments for the evaluation of anxious, depressive, and manic symptoms were administered to 305 psychiatric outpatients. Using factor analysis and network graphs based on polychoric correlations between the symptoms, their clustering patterns (syndromes) were explored. Further, correlations between the scores of each resulting syndrome were performed.</div></div><div><h3>Results</h3><div>The symptom grouping process led to a total of fifteen generally overlapping syndromes: fear of evaluation, fear of people, agoraphobia, general anxiety, somatization, anergy, depressive core, lack of positive mood, cognitive difficulties, mania, post-traumatic stress/obsessions, fear of madness/loss of control, acrophobia, irritability, and sleep disturbances. General anxiety was at the center of the structure. Morning/matinal pole, hypersomnia, and increased appetite were relatively isolated symptoms.</div></div><div><h3>Conclusion</h3><div>Overlapping and/or highly correlated psychiatric syndromes were prominent findings, underlining the pertinence of a dimensional approach as a substantial strategy toward a more inclusive understanding of mental disorders.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 505-516"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55039707","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":"Fagofobia Como Síntoma Inicial de Demencia Frontotemporal: Reporte de Caso","authors":"Nilton Custodio ,&nbsp;Miguel A. Vences ,&nbsp;Fiorella Baca ,&nbsp;Rosa Montesinos ,&nbsp;Virgilio E. Failoc-Rojas ,&nbsp;José Cuenca ,&nbsp;David Lira","doi":"10.1016/j.rcp.2022.06.002","DOIUrl":"10.1016/j.rcp.2022.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Frontotemporal dementia is an important cause of dementia, and its diagnosis is complex due to the multiple neurocognitive manifestations that patients present. Eating disorders associated with this pathology have been reported, but phagophobia is an atypical manifestation.</div></div><div><h3>Case report</h3><div>We present the case of a 74-year-old adult patient with onset of phagophobia associated with a progressive and significant loss of executive functions, compromised spatial orientation, presenting in parallel a marked compromise in instrumental daily activities, psychotic symptoms, apathy, gait disturbance and sleep problems.</div></div><div><h3>Conclusions</h3><div>It is important that adult and older patients with eating disorders, particularly those who also present cognitive, behavioural and social dysfunction are evaluated to rule out the broad spectrum of frontotemporal dementia, since timely diagnosis and treatment can improve quality of life or slow its progression.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 580-583"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48947058","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":"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}