Journal of Trauma and Injury最新文献

{"title":"Global trends influencing orthopedic surgeons' midshaft clavicle fracture management: a Bullet Health Analysis.","authors":"Arthur P Drouaud, Carolina Stocchi, Christoph Schroen, Kilian T Drouaud, Jan Szatkowski, Derek Moore","doi":"10.20408/jti.2025.0099","DOIUrl":"10.20408/jti.2025.0099","url":null,"abstract":"<p><strong>Purpose: </strong>The management of midshaft clavicle fractures varies depending on fracture characteristics, patient demographics, and surgeon preferences. However, global differences in practice patterns and surgical decision-making for this injury remain poorly characterized.</p><p><strong>Methods: </strong>An international survey was conducted through Orthobullets between March 2021 and September 2024, targeting practicing orthopedic surgeons. Standardized polls, created collaboratively using the best available evidence and a peer-reviewed, evidence-based item list, were designed to capture global treatment preferences. Analyses were then performed to evaluate variation across subspecialties and practice environments. Multivariable regression was applied to examine associations between subspecialty, practice type, the likelihood of selecting operative management, and the preferred surgical techniques.</p><p><strong>Results: </strong>The study included 2,364 surgeons from 76 countries. Overall, 46% (1,076 of 2,337 respondents) selected operative treatment, with notable regional differences. Surgeons from Asia (odds ratio [OR], 1.650), Africa (OR, 1.988), and Latin America (OR, 1.785) were more likely to choose surgery, whereas those from Oceania (OR, 0.464) were less likely. Trauma specialist were 1.45 times more likely to offer operative management. Regarding immobilization, 73.4% preferred a sling, while 23.4% chose a figure-of-eight brace. Among surgeons opting for surgery, 93% (1,479 of 1,590 respondents) selected open reduction and internal fixation with plates and screws.</p><p><strong>Conclusions: </strong>This study demonstrates a notable trend toward operative management of midshaft clavicle fractures, influenced by subspecialty and practice environment. These findings highlight the evolving landscape of fracture care and emphasize the need for standardized approaches and broader understanding across diverse healthcare systems.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"34-41"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The voice of injury: a case report of isolated trauma to the larynx.","authors":"Najeebuddin Mohammed, Ashima Sharma, Alekhya Machani, Sujata Patnaik","doi":"10.20408/jti.2025.0065","DOIUrl":"10.20408/jti.2025.0065","url":null,"abstract":"<p><p>Although uncommon, laryngotracheal injuries carry a significant risk of mortality. This rare case of isolated laryngeal injury underscores the importance of recognizing the various potential presentations of such injuries and highlights the evidence-based management strategies that every emergency physician should consider when treating potential airway trauma. A 45-year-old male motorcyclist was involved in a road traffic accident during the night and presented to the emergency department the following morning. The patient complained of breathlessness, neck pain, hoarseness of voice, and noisy breathing. Examination revealed stridor, swelling in zones 1 and 2 of the neck, tenderness over the thyroid, and subcutaneous emphysema over the neck and anterior chest. A definitive airway was secured, and computed tomography imaging revealed a fracture of the thyroid cartilage. The patient was managed conservatively, extubated after 1 week, and discharged after 2 days of observation. Classification of the type of injury and the use of an algorithmic approach, involving consensus among the emergency department, trauma surgeons, and the critical care team, can help streamline and standardize management of these cases. Furthermore, a thorough understanding of the dos and don'ts in securing the airway in patients with laryngotracheal injuries increases the robustness of the approach to managing this patient population.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"39 1","pages":"85-89"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of the Obstetric Early Warning Score in emergency triage for pregnant trauma patients: a retrospective cross-sectional study on a tool for early hospitalization decision-making.","authors":"Figen Topalak, Selen Acehan, Salim Satar, Muge Gulen, Sarper Sevdimbas, Kadir Nigiz, Mehmet Gorur, Ali İsa Aslan, Ihsan Dengiz","doi":"10.20408/jti.2025.0104","DOIUrl":"10.20408/jti.2025.0104","url":null,"abstract":"<p><strong>Purpose: </strong>Traumatic injuries during pregnancy present significant challenges for emergency providers, necessitating rapid assessment to ensure the safety of both mother and fetus. Scoring systems that can be applied immediately upon presentation may facilitate early triage and inform disposition decisions. This study evaluated the predictive performance of the Obstetric Early Warning Score (OEWS), Injury Severity Score (ISS), and Revised Trauma Score (RTS) in determining hospitalization needs among pregnant trauma patients admitted to the emergency department (ED).</p><p><strong>Methods: </strong>This retrospective cross-sectional study included pregnant trauma patients aged 18 years or older who were admitted to a tertiary care ED between January 2019 and December 2022. Demographic, clinical, laboratory, and trauma-related data were collected. OEWS, ISS, and RTS were calculated at admission. The primary outcome was the requirement for hospitalization. Binary logistic regression and receiver operating characteristic (ROC) curve analyses were performed to assess predictive performance.</p><p><strong>Results: </strong>A total of 316 pregnant trauma patients were included. Hospitalization was required in 14.9% of cases. Higher OEWS (mean, 2.63 vs. 0.33; P=0.001) and ISS (mean, 18.02 vs. 5.04; P<0.001) were significantly associated with hospitalization. In multivariate analysis, OEWS (odds ratio [OR], 1.553; 95% confidence interval [CI], 1.087-2.219; P=0.016) and ISS (OR, 1.170; 95% CI, 1.083-1.264; P<0.001) were independent predictors of hospitalization. ROC analysis demonstrated that ISS had the highest predictive value (area under the curve, 0.783; 95% CI, 0.695-0.870; P<0.001).</p><p><strong>Conclusions: </strong>Both ISS and OEWS are effective tools for predicting hospitalization needs in pregnant trauma patients. Incorporating these scoring systems into ED triage protocols may enhance early identification of high-risk patients and improve outcomes for both mothers and fetuses.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"25-33"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penetrating orbital floor injury by an undetected foreign body: a case report.","authors":"Simon Chummar, Yamini Ghatikar, K Thoi Thoi Singha, Divya Ann Mathews","doi":"10.20408/jti.2025.0025","DOIUrl":"10.20408/jti.2025.0025","url":null,"abstract":"<p><p>Orbital trauma can result in significant complications, particularly when accompanied by foreign body entrapment. Wooden foreign bodies are rare but carry a high risk of infection and chronic inflammation. In these cases, immediate surgical intervention is critical for restoring orbital anatomy and preventing complications. A 16-year-old male patient presented with a 2-month history of persistent pus discharge from his right cheek following facial trauma sustained from a fall. Initial management involved drainage of the abscess; however, the condition persisted. On examination, the patient exhibited infraorbital nerve paresthesia and an orbital floor fracture, and his history was notable for prior foreign body retrieval involving wooden fragments. Computed tomography revealed retained foreign bodies and discontinuity of the orbital floor. Surgical management included foreign body retrieval, the Caldwell-Luc procedure, and orbital floor reconstruction with mesh and platelet-rich fibrin placement. The patient's symptoms progressively improved over 6 months, with a reduction in paresthesia and no ocular or intracranial complications despite the delayed presentation. This case highlights the challenges of diagnosing and managing penetrating wooden foreign bodies in orbital trauma. It underscores the importance of prompt surgical intervention and interdisciplinary care to prevent potentially critical complications.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"75-79"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Endoscopic transorbital approach for the removal of a frontal lobe foreign body: a case report\".","authors":"Myoung Soo Kim","doi":"10.20408/jti.2025.0131","DOIUrl":"10.20408/jti.2025.0131","url":null,"abstract":"","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"104-105"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foreign body retained in the sole of the foot for over 30 years: a case report.","authors":"Min Gyu Kyung","doi":"10.20408/jti.2025.0107","DOIUrl":"10.20408/jti.2025.0107","url":null,"abstract":"<p><p>A 41-year-old man presented with discomfort in the medial arch of his foot, which worsened with weight-bearing. The condition had initially been misdiagnosed as plantar fasciitis, and he had received conservative treatment without imaging, with no relief of symptoms. Plain radiography and computed tomography later revealed a 2.5-cm radiopaque, needle-like foreign body in the superficial midfoot. Further history-taking revealed that the patient had stepped on a sewing needle during childhood, approximately 35 years earlier. The foreign body was surgically removed through an extended incision, as it was encased in granulomatous tissue and was not easily accessible via a minimally invasive approach. Histopathological examination confirmed a fibrous reaction with granuloma formation surrounding the retained metallic object. The patient remained asymptomatic postoperatively and returned to normal activity. To the author's knowledge, this is the first reported case of a sewing needle retained in the foot for over 30 years without an allergic reaction or infection. Although many foreign bodies are detected shortly after injury, this case highlights the importance of thorough history-taking and appropriate imaging, especially when symptoms mimic common conditions such as plantar fasciitis. Additionally, in long-standing cases, complete encapsulation by reactive tissue may necessitate more extensive surgical exposure for successful removal.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"90-93"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of penetrating trauma in New York City before, during, and after the COVID-19 pandemic.","authors":"Elias Youssef, Bonny J Baron, Andrew Sweeny, Hossein Kalantari, Roshanak Benabbas, Valery Roudnitsky, Donald Doukas, Hope A Taitt, Nathanaens O Estervil, Shahriar Zehtabchi","doi":"10.20408/jti.2025.0196","DOIUrl":"10.20408/jti.2025.0196","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic profoundly impacted multiple sectors of society, including healthcare. Major cities such as New York City (NYC) saw shifts in injury numbers and patterns during this period, underscoring the need to track these fluctuations to optimize resource allocation, improve trauma protocols, and inform public health policy. We examined trends in penetrating trauma in NYC before, during, and after the COVID-19 pandemic.</p><p><strong>Methods: </strong>This retrospective cohort study used data from the NYC Health + Hospitals, which includes 11 acute care hospitals and trauma centers citywide. We analyzed electronic medical records from five level I trauma centers and one level II trauma center (pediatric level I) from August 1, 2019, to November 30, 2024. The study included patients with penetrating injuries and excluded minor-mechanism penetrating injuries or those incompatible with stab or gunshot mechanisms. Patients presenting for follow-up of prior injuries were excluded. The study timeframe was divided into three periods: pre-COVID-19 (August 1, 2019-February 29, 2020), COVID-19 (March 1, 2020-December 31, 2021), and post-COVID-19 (January 1, 2022-November 30, 2024). Descriptive statistics were used to summarize demographic and injury characteristics. Proportions are reported as percentages and continuous variables as medians with interquartile ranges (IQRs).</p><p><strong>Results: </strong>Data for 9,118 patients were analyzed. Most were male (87.5%), with a median age of 30 years (IQR, 23-39 years). The incidence of penetrating trauma increased significantly during the COVID-19 period (164 cases per month) compared with pre-COVID-19 (110 cases per month) and post-COVID-19 (136 cases per month). Stab wounds were the most common injury type across all periods (53.7%).</p><p><strong>Conclusions: </strong>Penetrating trauma cases increased notably during the COVID-19 pandemic in NYC, consistent with nationwide trends. Although not directly measured, socioeconomic stressors such as economic instability, social isolation, and substance abuse are plausible contributors to this increase.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"39 1","pages":"52-59"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of posttraumatic refractory paroxysmal sympathetic hyperactivity with bromocriptine: a case report.","authors":"Min-Seok Woo, Seong-Hyun Park, Jeong-Hyun Hwang, Chaejin Lee","doi":"10.20408/jti.2025.0016","DOIUrl":"10.20408/jti.2025.0016","url":null,"abstract":"<p><p>This case report describes a unique instance of refractory paroxysmal sympathetic hyperactivity (PSH) in a 19-year-old woman following a traumatic brain injury sustained in a motorcycle accident. The patient presented in a semicomatose state with a Glasgow Coma Scale score of 3 (E1, VT, M2), a significant left frontotemporal subdural hematoma, and a midline shift that necessitated emergency craniectomy and hematoma evacuation. Postoperatively, she developed recurrent episodes of hyperthermia, tachycardia, hypertension, tachypnea, diaphoresis, rigidity, and eyeball deviation triggered by non-noxious stimuli. These episodes proved resistant to conventional treatments, including opioids, sedatives, and β-blockers. Based on the clinical presentation and a Paroxysmal Sympathetic Hyperactivity-Assessment Measure score of 28 (out of 29), a diagnosis of PSH was established. Bromocriptine was initiated at 0.025 mg/kg every 12 hours and later increased to every 8 hours, leading to a significant reduction in both the frequency and severity of episodes within days. Complete resolution of PSH episodes was observed by the sixth day of bromocriptine treatment, with no recurrence during the remaining treatment period. Bromocriptine was administered for a total of 1 month before being discontinued, and the patient remained symptom-free over a 10-month follow-up period. This case highlights the efficacy of bromocriptine in managing refractory PSH and underscores the importance of early recognition and targeted intervention for this rare but debilitating condition. Bromocriptine may offer a valuable therapeutic option for similar cases, particularly when conventional therapies fail.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"68-74"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the characteristics of civilian patients admitted to a military hospital before and during the healthcare system crisis: a retrospective cohort study.","authors":"Changsin Lee, Sang Mok Lee, Kyungwon Lee","doi":"10.20408/jti.2025.0096","DOIUrl":"10.20408/jti.2025.0096","url":null,"abstract":"<p><strong>Purpose: </strong>In February 2024, a healthcare system crisis in Korea, triggered by the mass resignation of medical residents in protest of government medical policies, resulted in an increased influx of civilian trauma patients to a military trauma center. This study examines the scale, characteristics, and treatment outcomes of these patients before and during the crisis.</p><p><strong>Methods: </strong>A retrospective review was conducted, comparing civilian trauma patients who visited the center from March 2023 to February 2024 (before crisis) and from March 2024 to February 2025 (during the crisis). The variables analyzed included patient demographics, injury types, methods of transportation, length of emergency room (ER) stay, hospitalization outcomes, and final treatment results. Only civilian trauma patients who required hospitalization were included; mild cases discharged from the ER were excluded.</p><p><strong>Results: </strong>A total of 548 civilian patients visited the center during the study period, with a significant increase observed during the crisis (364 patients during the crisis vs. 81 patients before the crisis). Despite the surge, there were no significant differences in hospital arrival routes, methods of transportation, mechanisms of injury, or injury types. ER stay durations were shorter for both general and severe cases during the crisis (P=0.020 and P=0.033, respectively), although intensive care unit and overall hospital stay lengths remained unchanged. Civilian outpatient visits increased more than threefold in March 2024 compared to February 2024, and this elevated trend remained stable.</p><p><strong>Conclusions: </strong>These findings highlight the military trauma center's ability to maintain effective civilian trauma care despite significant healthcare system disruptions. The study underscores the resilience of the center and offers insights for optimizing trauma care operations in future crises.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"14-24"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and radiological outcomes of bimalleolar ankle fractures treated with open reduction and internal fixation: a prospective observational study.","authors":"Kumar Vsv, Velmurugan Srinivasan, Rajasekar S, Muthu Adaikkappan, Hemapriya A S","doi":"10.20408/jti.2025.0180","DOIUrl":"10.20408/jti.2025.0180","url":null,"abstract":"<p><strong>Purpose: </strong>Bimalleolar ankle fractures are common injuries that typically result from trauma such as falls or road traffic accidents. Open reduction and internal fixation (ORIF) is the standard treatment and aims to restore proper alignment, stability, and ankle function. Despite the overall effectiveness of ORIF, patient outcomes may vary depending on age, sex, fracture type, and the timing of surgery. This study evaluates the clinical, radiological, and functional outcomes of bimalleolar ankle fractures treated with ORIF and identifies factors influencing recovery and complications.</p><p><strong>Methods: </strong>A prospective observational study was conducted from January 2024 to January 2025. Forty patients over 18 years of age with bimalleolar ankle fractures who were medically fit for surgery were included. Patients with previous ankle fractures, significant comorbidities, or contraindications to surgery were excluded. All participants underwent ORIF and were assessed at 6, 12, and 24 weeks postoperatively for clinical, radiological, and functional outcomes. Functional results were evaluated using the Baird-Jackson scoring system.</p><p><strong>Results: </strong>The mean age of patients was 44.1 years and 18 (45.0%) were male. The right ankle was affected in 25 cases (62.5%). Most injuries resulted from slips and falls (57.5%), followed by road traffic accidents (42.5%). Supination-external rotation fractures (55.0%) were the most common pattern. The average time to radiological union was 14 weeks. At final follow-up, 28 patients demonstrated excellent functional outcomes, 10 had good outcomes, and 2 had fair results. The complication rate was low, with superficial wound infection and implant prominence each occurring in two patients (5.0%).</p><p><strong>Conclusions: </strong>ORIF provides favorable clinical and functional outcomes for bimalleolar ankle fractures, with most patients achieving good or excellent recovery. Timely surgery and stable fixation are essential to reducing complications. Sex had a slight influence on union time, whereas age, fracture type, and the affected side did not significantly impact outcomes.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"60-67"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}