Chidubem A V Okeke, Joseph Tran, Ixavion Wright, Ginette A Okoye, Cheryl M Burgess, Angel S Byrd
{"title":"Skin tone representation in dermatologic direct-to-consumer advertisements: a cross-sectional analysis and call to action.","authors":"Chidubem A V Okeke, Joseph Tran, Ixavion Wright, Ginette A Okoye, Cheryl M Burgess, Angel S Byrd","doi":"10.1097/JW9.0000000000000101","DOIUrl":"https://doi.org/10.1097/JW9.0000000000000101","url":null,"abstract":"<p><strong>Background: </strong>Direct-to-consumer advertisements (DTCAs) in medical marketing serve as a prominent modality to deliver information to an increasingly diverse audience of consumers and increase prescription sales. In dermatology, advertisements have the potential to shape the public's opinions, aid in the understanding of skin conditions, and raise awareness of available treatments.</p><p><strong>Objective: </strong>To investigate and characterize the representation of skin tones in DTCAs.</p><p><strong>Methods: </strong>Nielsen ratings were utilized to identify the networks most watched by Black viewers in 2022. Programming on NBCUniversal, ABC, CBS, and FOX that aired in the District of Columbia, suburban Maryland, and Northern Virginia from June 2022 to July 2022 was reviewed for DTCAs. DTCAs were then analyzed to determine the skin tones of models and skin conditions depicted on models with darkly pigmented skin.</p><p><strong>Results: </strong>Of the 106 DTCAs related to dermatologic conditions, there were 13 unique advertisements featuring 32 unique models. Four advertisements depicted the skin condition on darkly pigmented skin tones. Using the Monk Skin Tone (MST) scale to assess the 32 unique individuals, only 25% (<i>n</i> = 8) were rated at an MST 7 or above, and 6.25% (<i>n</i> = 2) were rated at an MST 10.</p><p><strong>Limitations: </strong>This study has the limitation of only sampling DTCAs from Washington, District of Columbia which does not fully represent all dermatology-related DTCAs in the United States.</p><p><strong>Conclusion: </strong>Results of this content analysis demonstrate that the number of persons of color within dermatologic DTCAs is 23%, whereas there are 13.6% Black individuals in the 2021 US census. This suggests that DTCAs are becoming more diverse since 2018. However, findings also show that the vast majority of DTCAs do not include models with darkly pigmented skin, and there remains a lack of advertisements depicting skin disease among people of color. Given the role of DTCAs in informing and aiding patients' requests for prescription drugs, representation of all skin tones is essential for this communication to be effective, especially in the field of dermatology.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e101"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684934","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}
Kelly M Kimball, Rachael A Cowan, Rachel Krevh, Adrianna Nicholson, Payas Shah, Shreya Gurumurthy, Jacqueline Graham
{"title":"Skincare from the inside out: a pilot project addressing social determinants of health through dermatology.","authors":"Kelly M Kimball, Rachael A Cowan, Rachel Krevh, Adrianna Nicholson, Payas Shah, Shreya Gurumurthy, Jacqueline Graham","doi":"10.1097/JW9.0000000000000094","DOIUrl":"10.1097/JW9.0000000000000094","url":null,"abstract":"<p><strong>Background: </strong>Many women's shelters across the nation have programs that emphasize and empower women through career workshops and skills training. However, what is not typically addressed is their dermatological and mental health needs, which are equally important.</p><p><strong>Objective: </strong>Through this pilot project, we aim to address the diverse interrelated issues concerning the whole woman and her body/mind systems including skin cancer awareness, skincare, healthy sun habits, self-esteem, mental health, and stress management. By addressing the woman holistically, we hope to positively impact the way she views and values herself.</p><p><strong>Methods: </strong>We partnered with a local women's shelter to host a seminar focused on dermatological and mental health education. Pre- and post-seminar surveys were collected from participants. Surveys were anonymous and aimed to evaluate the success and efficiency of the workshop to guide and improve future seminars. The seminar had three workshops: skin cancer and sun protection, skincare, and mental health and wellness. Upon completion of the seminar, the attendees were provided with the opportunity to receive free skin examinations by two board-certified dermatologists, and referrals were made to Northeast Ohio Medical University's Student-Run Free Clinic. Upon completion of the seminar, attendees were provided with items such as sunscreen, skincare, and mental health resources.</p><p><strong>Results: </strong>The \"Skincare from the Inside Out\" pilot project proved to be beneficial to residents of both Norma Herr Women's Shelter.</p><p><strong>Limitations: </strong>Limitations of this study were the small sample size (n = 15), due to participation limitations during the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>Ultimately, to reduce the morbidity and mortality of dermatologic conditions associated with homelessness, it is imperative to address upstream social determinants of health. Future development of this pilot project will aim toward educating medical professionals on the unique and complex dermatologic and mental health needs of women experiencing homelessness.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e094"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/7e/jw9-9-e094.PMC10424894.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015604","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":"Central centrifugal cicatricial alopecia and the impact of wig prosthesis on patient quality of life: a case report with medical insurance appeal letter.","authors":"Janelle Chan, Jennifer L Coias, Saranya P Wyles","doi":"10.1097/JW9.0000000000000102","DOIUrl":"10.1097/JW9.0000000000000102","url":null,"abstract":"","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e102"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/6f/jw9-9-e102.PMC10414690.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999208","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 dermatologists' case for the bidet.","authors":"Yoseph Dalia, Hebah Al Khateeb, Tejesh Patel","doi":"10.1097/JW9.0000000000000103","DOIUrl":"10.1097/JW9.0000000000000103","url":null,"abstract":"","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e103"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999210","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}
Ogechi Ezemma, Deega Omar, Jessica B Brown-Korsah, Jazmin Newton, Susan C Taylor
{"title":"Readability assessment of online patient education materials for central centrifugal cicatricial alopecia.","authors":"Ogechi Ezemma, Deega Omar, Jessica B Brown-Korsah, Jazmin Newton, Susan C Taylor","doi":"10.1097/JW9.0000000000000105","DOIUrl":"10.1097/JW9.0000000000000105","url":null,"abstract":"validated readability","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e105"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/91/jw9-9-e105.PMC10412427.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999207","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}
Bahia Chahine, Venise Hanna, Inasse Ghandour, Sahar Haydar, Lama Faddoul
{"title":"Knowledge and attitude of Lebanese women about cosmetics: a cross-sectional survey.","authors":"Bahia Chahine, Venise Hanna, Inasse Ghandour, Sahar Haydar, Lama Faddoul","doi":"10.1097/JW9.0000000000000091","DOIUrl":"10.1097/JW9.0000000000000091","url":null,"abstract":"<p><p>The Middle East and North Africa region, including Lebanon, is well known for its excessive cosmetics expenditure. While the use of beauty products is increasing, it is unclear if customers are aware of the products' safety and proper use.</p><p><strong>Objective: </strong>To explore Lebanese women's knowledge and attitudes toward cosmetics use.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from January to May 2021 among a sample of adult Lebanese women. Data were collected using an electronic questionnaire divided into 3 sections (sociodemographic characteristics, cosmetics knowledge, and attitude) and shared via social media platforms. Knowledge and attitude scores were then calculated. Descriptive and regression analysis was performed using Statistical Package for the Social Sciences. <i>P</i> value < .05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 1,051 females completed the survey, and the age range of the majority 744 (70.8%) was between 18 and 20 years. The mean score of participants' knowledge was 7.54 ± 2.7 (range 0-14) with 658 (62.6%) of the respondents being knowledgeable about cosmetics. The study sample exhibited an overall positive attitude toward cosmetics. A significant association was observed between the area of residency and monthly income of respondents and their knowledge toward cosmetic products (<i>P</i> < .001).</p><p><strong>Limitations: </strong>The self-administered questionnaire may have resulted in information bias and it targeted only those having internet access, and the age group 18 to 20 years was overrepresented.</p><p><strong>Conclusion: </strong>The study sample demonstrated a good level of knowledge as well as a positive attitude toward cosmetics. However, raising awareness on the acute and chronic side effects of cosmetics is warranted.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e091"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/94/jw9-9-e091.PMC10402977.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9950609","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}
Oleg Zolotarev, Aida Khakimova, Fakher Rahim, Engin Senel, Igor Zatsman, Dongxiao Gu
{"title":"Scientometric analysis of trends in global research on acne treatment.","authors":"Oleg Zolotarev, Aida Khakimova, Fakher Rahim, Engin Senel, Igor Zatsman, Dongxiao Gu","doi":"10.1097/JW9.0000000000000082","DOIUrl":"10.1097/JW9.0000000000000082","url":null,"abstract":"<p><p>Acne or acne vulgaris is the most common chronic inflammatory disease of the sebaceous follicles.</p><p><strong>Objectives: </strong>The present study aims to identify the main lines of research in the field of acne treatment using reproducible scientometric methods. In this article, we reviewed the following research trends: facial acne, different antibiotics, retinoids, anti-inflammatory drugs, epidermal growth factor receptor inhibitors therapy, and associated diseases.</p><p><strong>Methods: </strong>The analysis of publications from the PubMed collection was carried out from 1871 to 2022. All data were analyzed using Microsoft Excel. The evolution of the terminological portrait of the disease is shown.</p><p><strong>Results: </strong>Trends in the use of various groups of antibiotics, retinoids, anti-inflammatory drugs, and photodynamic therapy for acne treatment have been found. There is a growing interest in clindamycin and doxycycline (polynomial and exponential growth, respectively). The effects of isotretinoin are also being studied more frequently (active linear growth). The publication of studies on spironolactone is increasing (linear growth). There is also a steady interest in the use of epidermal growth factor receptor inhibitors in the recent years. There is active research on acne and polycystic ovary syndrome (exponential growth).</p><p><strong>Limitations: </strong>Only articles in English were selected. The most frequent terms were considered.</p><p><strong>Conclusions: </strong>The dynamics of publication activity in the field of acne was considered. The aim of the current scientometric study was to analyze the global trends in acne treatments. The trend analysis made it possible to identify the most explored areas of research, as well as indicate those areas in dermatology in which interest is declining.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e082"},"PeriodicalIF":0.0,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911001","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":"Consumer attitudes toward aging skin during the COVID-19 pandemic.","authors":"Lynna J Yang, Justin Knoll, Roopal V Kundu","doi":"10.1097/JW9.0000000000000095","DOIUrl":"10.1097/JW9.0000000000000095","url":null,"abstract":"<p><p>The impact of the novel coronavirus disease (COVID-19) pandemic on consumer attitudes toward their skin has not been well characterized.</p><p><strong>Objective: </strong>This study investigated how consumers' attitudes toward their skin changed during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using REDCap. A total of 1,434 participants were recruited and consented to participate online through ResearchMatch. The survey gathered demographic information and assessed participants' attitudes toward their skin using a Likert scale. An ordered logistic regression analysis was performed.</p><p><strong>Results: </strong>Nearly one-third of participants felt unhappy with their skin. Forty four percent feel less happy about their skin compared with 5 years earlier. The top skin concerns were eye puffiness (86.5%), loose skin (85.1%), uneven tone (84.9%), uneven texture (83.5%), and dry skin (81.4%). Video conferencing (31%), wearing masks (23%), and increased stress (21%) during the COVID-19 pandemic affected how participants felt about their skin. Compared with men, women were 1.6 to 1.8 times (<i>P</i> < .01) more likely to \"strongly agree\" that all 3 pandemic-related factors-video conferencing, wearing masks, and increased stress-affected how they felt about their skin. Younger age groups were 1.5 to 2.8 times (<i>P</i> < .01) more likely to answer in the top category for all 3 pandemic-related factors compared with the oldest age group.</p><p><strong>Limitations: </strong>Recruitment of participants was limited to English-speaking adults aged 18 years or older who were registered on ResearchMatch, which underrepresents minority populations. Further studies should be conducted to elucidate how the pandemic affected perceptions of skin.</p><p><strong>Conclusion: </strong>Skin aging is a significant concern among adults of all ages. The COVID-19 pandemic has exacerbated skin concerns. Women and young adults are more likely to be affected by the COVID-19 pandemic in their attitudes toward their skin.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e095"},"PeriodicalIF":0.0,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10348726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826437","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":"Colorism attitudes and use of skin lightening agents in the United States.","authors":"Karishma Daftary, Sneha Poondru, Nina Patel, Maxwell Shramuk, Lutfiyya Muhammad, Roopal V Kundu","doi":"10.1097/JW9.0000000000000092","DOIUrl":"10.1097/JW9.0000000000000092","url":null,"abstract":"<p><p>Skin lightening (SL) is a practice involving the use of chemicals to lighten the skin that is more common among skin of color (SOC) individuals, particularly women, and can lead to adverse health consequences.</p><p><strong>Objective: </strong>In this study, we examine SL habits, including both general lightening and lightening for the treatment of a skin condition, among SOC individuals in the United States and the role of colorism in motivating these behaviors.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to SOC individuals through ResearchMatch, an online national health registry. Demographics, rates of SL, SL habits, and perceived colorism among SL users and nonusers were collected and analyzed with <i>χ<sup>2</sup></i>, Fisher's exact, Analysis of variance (ANOVA), Spearman correlation, and <i>t</i> tests.</p><p><strong>Results: </strong>A total of 455 participants completed the survey. Ninety-seven participants (21.3%) reported using SL agents: 73.2% (71/97) used SL agents for the treatment of a skin condition and 26.8% (26/97) used the products for general SL. Only 22.6% (22/97) of SL users consulted a medical provider before using the products. Forty-four participants (45.4%) were unaware of their SL product ingredients, and 35.1% (34/97) reported using hydroquinone-based products. Composite colorism scores were significantly higher in SL users than nonusers (20.03 vs 18.20; <i>P</i> < .001).</p><p><strong>Limitations: </strong>This study used self-reported racial/ethnic groups to characterize those with SOC rather than assessing actual skin tones of participants, which could have led to variability.</p><p><strong>Conclusion: </strong>SL among SOC individuals is prevalent in the U.S. and poses a health risk, as many SL users are unaware of product ingredients, do not consult a medical provider before use, and have access to potentially unsafe formulations. Dermatologists should address skin tone and pigmentary concerns with their SOC patients.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e092"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/26/jw9-9-e092.PMC10344531.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9828988","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":"Practical application of the facial fat compartments and the line of ligaments concept in achieving the lifting effect in the lower face region in female patients.","authors":"Lidia Majewska","doi":"10.1097/JW9.0000000000000080","DOIUrl":"https://doi.org/10.1097/JW9.0000000000000080","url":null,"abstract":"Dear Editors, The rhytidectomy has always been the gold standard in treating facial sagging and loss of facial contour, however recent years brought better understanding of the facial anatomy and facial aging processes, especially those affecting fat pads and ligaments. Understanding the fact that face is not a static structure but a 3D dynamic one allows for applying new injection techniques to achieve natural results. The concept of subcutaneous facial fat compartments1 suggests that the face does not age as a composite mass. The shearing forces between neighboring compartments may be the reason behind soft tissues malposition. This knowledge, together with the concept of the line of ligaments (Fig. 1A) and the preconditioning effect of the lateral injection2,3 allows to gain an aesthetic lifting effect in the lower face area. The technique reported here is based on the filling of the superficial lateral temporal cheek fat compartment (Fig. 1B). Specific targeting of this region with the moderate amount of hyaluronic acid (HA) can lift the position of soft tissues of the lower face and accentuate the jawline contour. Novelty of this technique is based on the fact that this region of the face is usually not a target area for the injection procedures using HA fillers. In recent years, however, there was a number of publications on non-surgical temporal lifting techniques proving their efficacy in the correction of facial shape.2–5 In author’s personal experience, combining temporal lifting with the presented here technique of the lateral non-surgical lifting is more beneficial toward improving facial contours. To assess the aesthetic improvement of the treated area, the Global Aesthetic Improvement Scale (GAIS) was used. The GAIS is a scale where 0 = worse, 1 = no change, 2 = improved, 3 = much improved, and 4 = very much improved. The patient was also asked to report her level of personal satisfaction with the treatment (very satisfied, satisfied, not satisfied) and whether she would recommend the treatment to her friends (yes or no). The patient presented here is a 56-year-old woman. She had no previous soft tissue filler treatments of the face, reported absence of previous thread treatment, and had no previous face or neck surgery. Medical history revealed an absence of allergies, contraindications, or chronic diseases that would exclude the application of soft tissue fillers in the face (Fig. 2). After topical skin disinfection (Skinsept Pur; Ecolab Deutschland GmbH, Düsseldorf, Germany), it was punctured 1.5 cm to the Porion with a 23 G needle and a 25 G 50 mm blunt cannula (TSK, Japan) was inserted in the downward direction. The entire length of the cannula was advanced in the superficial subdermal plane until reaching the mandibula angle. Using the fanning technique, a total volume of 0.7 mL of the product (TEOSYAL RHA 4; Teoxane, Geneva, Switzerland) was injected in a triangular shape starting from the mandibular angle all the way to the ","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 2","pages":"e080"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9288651","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}