{"title":"Modeling blood vessel dynamics: Effects of glucose variations on HUVECs in a hollow fiber bioreactor under laminar shear stress","authors":"","doi":"10.1016/j.bbe.2024.08.004","DOIUrl":"10.1016/j.bbe.2024.08.004","url":null,"abstract":"<div><p>This study aimed to establish a blood vessel model within a hollow fiber bioreactor to evaluate the impact of high and fluctuating glucose levels on human umbilical vein endothelial cells (HUVECs) under laminar shear stress (LSS). HUVECs were cultured for 48 h in normal (5 mM), high (20 mM), and variable (20 mM / 5 mM alternating every 24 h) glucose concentrations under LSS of 0.66 Pa. An automated medium replacement system was developed. The control cultures remained static. The analysis included cell viability via cytometric analysis, glucose consumption, lactate production via electroenzymatic methods, and the expression of 21 genes via qPCR. The percentage of apoptotic cells did not significantly differ across glucose concentrations under LSS. HUVECs favor glycolysis for energy regardless of LSS. Under LSS, the <em>IL1B</em>, <em>CCL2</em>, and <em>SELE</em> genes were upregulated under high-glucose conditions and downregulated under variable-glucose conditions. A few other genes related to inflammation, oxidative stress, cell adhesion and apoptosis were upregulated under high-glucose conditions. In conclusion, using the blood vessel model we effectively examined the impact of glucose profiles on HUVECs under LSS in a device replicating the cylindrical geometry of blood vessels. LSS and tubular cell arrangement might mitigate the adverse effects of variable glucose on endothelial cells.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000585/pdfft?md5=5c0c88b369931ecae917433fef387e38&pid=1-s2.0-S0208521624000585-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Detection of congestive heart failure based on Gramian angular field and two-dimensional symbolic phase permutation entropy","authors":"","doi":"10.1016/j.bbe.2024.06.005","DOIUrl":"10.1016/j.bbe.2024.06.005","url":null,"abstract":"<div><p><span>Congestive heart failure (CHF) is a serious threat to human health. Electrocardiogram (ECG) signals have been proven to be useful in the detection of CHF. However, the low amplitude and short duration of the ECG signals, as well as the superimposed noise during the real-time acquisition of the signal, seriously affect the CHF detection. To improve the detection rate of CHF, this paper proposes a congestive heart failure detection method based on Gramian angular field (GAF) and two-dimensional symbolic phase permutation entropy (SPPE2D). The significant advantage of this method is that it reduces the sensitivity to noise, and good performance can be obtained without denoising using raw ECG signals. We segment the original ECG signals into 2 s non-overlapping segments and convert them into images using the GAF method. Then, the SPPE2D algorithm is proposed to measure the complexity between </span>normal sinus rhythm<span> (NSR) and CHF, and analyze the anti-noise performance of the algorithm. Finally, the SPPE2D features of GAF images are computed and input into a support vector machine<span> (SVM) for CHF detection. Classification accuracy on the Massachusetts Institute of Technology − Beth Israel Hospital Normal Sinus Rhythm Database and Beth Israel Deaconess Medical Center Congestive Heart Failure Database is 99.59%, sensitivity is 99.42%, specificity is 99.80%, and F1-score is 99.62%. The accuracy of detecting CHF reach more than 97.75% in the other five CHF databases. The experimental results show that the method based on GAF and SPPE2D can effectively detect CHF by images of ECG signals and has good robustness. CHF can be detected using the 2 s sample lengths of ECG signals recording with high sensitivity, giving clinicians ample time to treat patients with CHF.</span></span></p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Static compression optical coherence elastography for the measurement of porcine corneal mechanical properties ex-vivo","authors":"","doi":"10.1016/j.bbe.2024.08.006","DOIUrl":"10.1016/j.bbe.2024.08.006","url":null,"abstract":"<div><h3>Significance</h3><p>The biomechanical properties of the cornea are important for vision and ocular health. Optical coherence elastography (OCE) has the potential to improve our capacity to measure these properties.</p></div><div><h3>Aim</h3><p>This study tested a static compression OCE method utilising a commercially available optical coherence tomography (OCT) device, to estimate the Young’s modulus of <em>ex-vivo</em> porcine corneal tissue.</p><p>Approach: OCT was used to image corneal tissue samples before and during loading by static compression. The compressive force was measured with a piezoresistive force sensor, and tissue deformation was quantified through automated image analysis. Ten <em>ex-vivo</em> porcine corneas were assessed and the corneal thickness was also measured to assess the impact of corneal swelling.</p></div><div><h3>Results</h3><p>An average (standard deviation) Young’s modulus of 0.271 (+/- 0.091) MPa was determined across the 10 corneas assessed. There was a mean decrease of 1.78 % in corneal thickness at the end of the compression series. These results showed that there was a moderate association between corneal thickness and the Young’s modulus recording (R<sup>2</sup> = 0.274).</p></div><div><h3>Conclusions</h3><p>Optical coherence elastography utilising clinical instrumentation, can reliably characterise the mechanical properties of the cornea. These results support the further investigation of the technique for <em>in-vivo</em> measurement of the mechanical properties of the human cornea.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000597/pdfft?md5=96cdfa6e83dcdb05584641adfbe34ec8&pid=1-s2.0-S0208521624000597-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142087527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EO-CNN: Equilibrium Optimization-Based hyperparameter tuning for enhanced pneumonia and COVID-19 detection using AlexNet and DarkNet19","authors":"","doi":"10.1016/j.bbe.2024.06.006","DOIUrl":"10.1016/j.bbe.2024.06.006","url":null,"abstract":"<div><p>Convolutional neural networks<span><span> (CNN) have been increasingly popular in image categorization in recent years. Hyperparameter optimization is a critical stage in enhancing the effectiveness of CNNs and achieving better results. Properly tuning hyperparameters allows the model to exhibit improved performance and facilitates faster learning. Misconfigured hyperparameters can prolong the training time or lead to the model not learning at all. Manually tuning hyperparameters is a time-consuming and challenging process. Automatically adjusting hyperparameters helps save time and resources. This study aims to propose an approach that shows higher classification performance than unoptimized convolutional neural network models<span>, even at low epoch values, by automatically optimizing the hyperparameters of AlexNet and DarkNet19 with equilibrium optimization, the newest metaheuristic algorithm<span><span>. In this respect, the proposed approach optimizes the number and size of filters in the first five convolutional layers in AlexNet and DarkNet19 using an equilibrium </span>optimization algorithm. To evaluate the efficacy of the suggested method, experimental analyses were conducted on the pneumonia and COVID-19 datasets. An important advantage of this approach is its ability to accurately classify medical images. The testing process suggests that utilizing the proposed approach to optimize hyperparameters for AlexNet and DarkNet19 led to a 7% and 4.07% improvement, respectively, in </span></span></span>image classification<span> accuracy compared to non-optimized versions of the same networks. Furthermore, the approach displayed superior classification performance even in a few epochs compared to AlexNet, ShuffleNet, DarkNet19, GoogleNet, MobileNet-V2, VGG-16, VGG-19, ResNet18, and Inceptionv3. As a result, automatic tuning of the hyperparameters of AlexNet and DarkNet-19 with EO enabled the performance of these two models to increase significantly.</span></span></p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lead II electrocardiograph-derived entropy index for autonomic function assessment in type 2 diabetes mellitus","authors":"","doi":"10.1016/j.bbe.2024.08.002","DOIUrl":"10.1016/j.bbe.2024.08.002","url":null,"abstract":"<div><p>The aim of this study was to introduce and evaluate the baroreflex entropy index (BEI), a novel tool derived from standard lead II electrocardiograph (EKG) for autonomic function (AF) assessment in type 2 diabetes mellitus (T2DM). Researchers with distinct roles (analysis and data preparation) analyzed anonymized EKG data from healthy controls and two patient groups with T2DM (well controlled and poorly controlled). BEI was compared between groups, and correlations with glycemic markers (HbA1c, fasting glucose) were investigated. Logistic regression was used to assess the association between BEI and T2DM risk. BEI showed good repeatability and differentiation between groups. Notably, it required only single-lead EKG. BEI was inversely correlated with glycemic markers, suggesting improved baroreflex regulation with better glycemic control. BEI also outperformed small-scale multiscale entropy in group discrimination. Logistic regression identified BEI as a protective factor for T2DM. BEI represents a promising tool for monitoring AF, assessing glycemic control, and potentially stratifying T2DM risk. Further validation in larger longitudinal studies and an exploration of the applicability of BEI to other diseases are warranted.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innovative design addressing complex airway stenosis: Multidimensional performance assessment of a novel Y-shaped airway stent","authors":"","doi":"10.1016/j.bbe.2024.08.010","DOIUrl":"10.1016/j.bbe.2024.08.010","url":null,"abstract":"<div><p>“Y-shaped” airway stents have been widely used in the treatment of airway diseases, especially airway stenosis, due to their excellent flexibility. However, the current research on the flexibility of “Y-shaped” airway stents is still blank, limiting the possibility of improving the performance of stents in complex clinical disease. This study aimed to establish multi-dimensional evaluation of the flexibility of a novel segmented “Y-shaped” airway stent and two kinds of conventional stents. We evaluated the flexibility of the segmented stent, wholly knitted stent, and silicone stent by in vitro mechanical testing and finite element analysis methods. That is, the bending force and spring-back force of three kinds of stent were measured in left–right, anterior-posterior and longitudinal directions. The torque of the stents in torsion-recovery test of branches of stent was also executed. Finite element analysis was performed to evaluate the change of diameter. According to the detection, the bending force and spring-back force of the branch of the segmented stent during left–right and anterior-posterior compression, and the torque during torsion and recovery were lower than those of the other two stents. In finite element analysis, the diameter change of the segmented stent was minimal among the three stents. The flexibility of the segmented “Y-shaped” airway stent was better than that of the conventional “Y-shaped” airway stents, indicating that it has better adaptability and resistance to compression when implanted in the body.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Early diagnosis of Parkinson’s disease using a hybrid method of least squares support vector regression and fuzzy clustering","authors":"","doi":"10.1016/j.bbe.2024.08.009","DOIUrl":"10.1016/j.bbe.2024.08.009","url":null,"abstract":"<div><p>Parkinson’s disease (PD) is a neurodegenerative disorder that influence brain’s neurological, behavioral, and physiological functions and includes motor and nonmotor manifestations. Although there have been several PD diagnosis systems with supervised machine learning techniques, there are more efforts that need to enhance the accurate detection of PD in its early stage. The current paper developed a novel approach by integrating Least Squares Support Vector Regression (LS-SVR) and Fuzzy Clustering for Unified Parkinson’s Disease Rating Scale (UPDRS) diagnosis. This paper used feature selection and Principal Component Analysis (PCA) to overcome the multicollinearity issues in data. This paper used a large medical dataset including Motor- and Total-UPDRS to demonstrate how the proposed method can improve prediction performance via extensive evaluations and comparisons with existing methods. Compared to other prediction methods, the experimental results demonstrate that the proposed method provided the best accuracy for Total-UPDRS (Root Mean Squared Error = 0.7348; <em>R</em><sup>2</sup> = 0.9169) and Motor-UPDRS (Root Mean Squared Error = 0.8321; <em>R</em><sup>2</sup> = 0.8756) predictions.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000627/pdfft?md5=6bede8ae0475b722db289c4fec906252&pid=1-s2.0-S0208521624000627-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MultiTumor Analyzer (MTA-20–55): A network for efficient classification of detected brain tumors from MRI images","authors":"","doi":"10.1016/j.bbe.2024.06.003","DOIUrl":"10.1016/j.bbe.2024.06.003","url":null,"abstract":"<div><p><span><span>Brain cancer<span>, one of the leading causes of mortality worldwide, is caused by brain tumors. Early diagnosis of tumors and predicting their progression can help doctors to save lives. In this article, we have designed an automated approach for locating and classifying tumors from MRI images. The novelties of the research work include the following two stages: Developing an encoder-decoder type 20-Layered </span></span>deep neural network<span><span> (DNN) named MultiTumor Analyzer (MTA-20) with 15 down-sampling layers and 4 up-sampling layers, the segmentation is performed in the initial stage. Here, we have adhered a Leaky ReLU activation function<span> instead of ReLU which learn a parameter with negative values that may have valuable information which is essential specifically for </span></span>image segmentation. Further, a 55-layered DNN using </span></span>multistage<span> feature fusion is developed in the second stage of the work for the classification of localized tumors. The classification is performed using developed MultiTumor Analyzer (MTA-55) DNN with Softmax classifier. The efficacy of the designed network is validated using highly cited quantitative measures such as accuracy, sensitivity, specificity, dice similarity coefficient (DSC), precision, and F1-measure. It is observed that the proposed MTA-20 DNN attains the average accuracy, sensitivity, specificity, DSC, and precision of 99.2 %, 94.6 %, 99.3 %, 88 %, and 82.5 % respectively against seven state-of-the-art techniques. Also, it is found that, the proposed MTA-55 DNN provides the overall accuracy, recall, specificity, F1-measure, precision, and DSC of 99.8 %, 99.633 %, 99.844 %, 99.659 %, 99.689 %, and 99.656 % respectively as compared to thirteen state-of-the-art techniques. These results corroborate the superiority of the proposed technique.</span></p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142087528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chukwuebuka Joseph Ejiyi , Zhen Qin , Chiagoziem Ukwuoma , Victor Kwaku Agbesi , Ariyo Oluwasanmi , Mugahed A Al-antari , Olusola Bamisile
{"title":"A unified 2D medical image segmentation network (SegmentNet) through distance-awareness and local feature extraction","authors":"Chukwuebuka Joseph Ejiyi , Zhen Qin , Chiagoziem Ukwuoma , Victor Kwaku Agbesi , Ariyo Oluwasanmi , Mugahed A Al-antari , Olusola Bamisile","doi":"10.1016/j.bbe.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.bbe.2024.06.001","url":null,"abstract":"<div><p>In addressing the challenges of medical image segmentation, particularly the elusiveness of global context and limitations in leveraging both global and local context simultaneously, we present SegmentNet as a solution. Our approach involves a step-by-step implementation within the reconstructed UNet architecture, tailored to enhance segmentation performance across diverse medical imaging modalities. The first step involves the integration of multi-focus Distance-Aware Mechanisms (DaMs) within skip connections and between successive layers of the encoder in SegmentNet. This strategic placement focuses on extracting unrelated features, ensuring comprehensive consideration of global context. Following this, Local Feature Extractor Blocks (LFEBs) are introduced at the base of the network. Equipped with depthwise separable operations, standard convolutions, smoothed ReLU, and normalization transform, LFEBs target the capture of specific local image features ensuring that features overlooked by DaMs are appropriately considered. These extracted features are then passed on to the decoder portion of SegmentNet, facilitating enhanced prediction of masks thus, optimizing segmentation performance. Evaluated across diverse datasets, including Breast Ultrasound Images (BUSI), Chest X-ray images (CXRI), and Diabetic Retinal Fundus Images (DRFI), SegmentNet excels. The segmentation evaluation results in terms of accuracy, Jaccard, and specificity are respectively recorded for BUSI, CXRI, and DRFI to be (93.88 %, 98.96 %, and 99.17 %), (99.28 %, 99.58 %, and 99.83 %), and (95.77 %, 95.95 %, and 99.94 %). Thus, showing that the incorporation of DaMs and LFEBs in SegmentNet emerges as a robust solution demonstrating precise 2D medical image segmentation across various modalities. This advancement holds significant potential for diverse clinical applications, promising improved patient care.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":6.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swathi Prabhu , Keerthana Prasad , Thuong Hoang , Xuequan Lu , Sandhya I.
{"title":"Multi-organ squamous cell carcinoma classification using feature interpretation technique for explainability","authors":"Swathi Prabhu , Keerthana Prasad , Thuong Hoang , Xuequan Lu , Sandhya I.","doi":"10.1016/j.bbe.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.bbe.2024.03.001","url":null,"abstract":"<div><p>Squamous cell carcinoma is the most common type of cancer that occurs in many organs of the human body. To detect carcinoma, pathologists observe tissue samples at multiple magnifications, which is time-consuming and prone to inter- or intra-observer variability. The key challenge for automation of squamous cell carcinoma diagnosis is to extract the features at low (100x) magnification and explain the decision-making process to healthcare professionals. The existing literature used either machine learning or deep learning models to detect squamous cell carcinoma of specific organs. In this work, we report on the implementation of an explainable diagnostic aid system for squamous cell carcinoma of any organ and present a comparative analysis with state-of-the-art models. A classifier with an ensemble feature selection technique is developed to provide an automatic diagnostic aid for distinguishing between squamous cell carcinoma positive and negative cases based on histopathological images. Moreover, explainable AI techniques such as ELI5, LIME and SHAP are introduced to machine learning model which provides feature interpretability of prediction made by the classifier. The results show that the machine learning model achieved an accuracy of 93.43% and 96.66% on public and multi-centric private datasets, respectively. The proposed CatBoost classifier achieved remarkable performance in diagnosing multi-organ squamous cell carcinoma from low magnification histopathological images, even when various illumination variations were introduced.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":null,"pages":null},"PeriodicalIF":6.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S020852162400010X/pdfft?md5=ada93fcf16ee77c39d2ba32510130e5d&pid=1-s2.0-S020852162400010X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}