中国疾病预防控制中心周报最新文献

{"title":"An Alarming Public Health Problem: Ticks and Tick-Borne Pathogens in Urban Recreational Parks.","authors":"Bo Yi, Mingqiu Fan, Jian Chen, Junyi Yao, Xin Chen, Hongxia Liu","doi":"10.46234/ccdcw2025.091","DOIUrl":"https://doi.org/10.46234/ccdcw2025.091","url":null,"abstract":"<p><p>Ticks function as critical vectors for a wide range of pathogens that pose significant risks to both human and animal health. In recent years, the number and diversity of tick-borne pathogens have increased at an unprecedented rate, elevating tick-borne diseases (TBDs) to a major public health concern on a global scale. TBDs present a dual challenge, not only affecting human populations but also causing substantial economic losses in livestock industries across the world. The geographic distribution of many TBDs is shifting, with emerging, re-emerging, and resurging cases influenced by environmental factors such as deforestation and climate change. In China, rapid urbanization and concurrent improvements in urban ecological conditions have contributed to the expansion of tick habitats and increased human exposure to tick populations. Recent research warns that ticks and their associated pathogens present significant risks in urban environments, particularly in locations such as parks, playgrounds, and zoos. Despite these threats, public awareness of tick-borne diseases remains critically low. This review consolidates current knowledge on tick species and tick-borne pathogens found in urban parks and proposes strategic control measures to inform effective tick management policies both in China and globally.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 16","pages":"553-560"},"PeriodicalIF":4.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082468","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":"Dengue Fever Screening Awareness and Capacity in Healthcare Facilities - Guangzhou City, Guangdong Province, China, 2024.","authors":"Haipeng Luo, Lei Luo, Wenhui Liu, Pengzhe Qin, Zhoubin Zhang","doi":"10.46234/ccdcw2025.087","DOIUrl":"https://doi.org/10.46234/ccdcw2025.087","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Dengue fever represents a significant public health challenge in tropical and subtropical regions globally, including China. The effective management of dengue cases depends critically on accurate and timely clinical and laboratory diagnosis, supported by well-coordinated healthcare services.</p><p><strong>What is added by this report?: </strong>This survey revealed that healthcare facilities still needed to enhance dengue case screening and public health education initiatives. Polymerase chain reaction testing capacity was severely insufficient and inconsistent reimbursement rates across health insurance types and institutional levels. Notably, significant variations in dengue diagnostic awareness existed across hospital levels, departments, ages, and professional titles (<i>P</i><0.05). Targeted training significantly enhanced diagnostic competence [odds ratio (<i>OR</i>)=13.78, 95% confidence interval (<i>CI</i>): 2.94-64.65].</p><p><strong>What are the implications for public health practice?: </strong>Healthcare facilities must maintain heightened vigilance during dengue fever outbreaks. Robust screening and diagnostic capabilities are essential for early case detection and management. Understanding and addressing identified deficiencies and their contributing factors can strengthen the response capabilities while offering valuable lessons for other regions.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 16","pages":"531-536"},"PeriodicalIF":4.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082469","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":"Variations in the Bacterial Ecosystems of Mosquito Populations - Haikou and Sanya Cities, Hainan Province, China, 2019.","authors":"Xun Kang, Yanhong Wang, Rui Zheng, Rajaofera Mamy Jayne Nelly, Lin Liu, Siping Li, Xiaomei Sun, Le Kang, Nan Zhang, Zhen Zou, Qianfeng Xia","doi":"10.46234/ccdcw2025.086","DOIUrl":"https://doi.org/10.46234/ccdcw2025.086","url":null,"abstract":"<p><strong>Introduction: </strong>This study explores the midgut microbiota of mosquitoes in Haikou and Sanya cities, regions critical for understanding vector-borne disease dynamics in Hainan Province, China. It provides baseline data on microbial composition and examines their potential role in influencing mosquito biology and vector competence, while highlighting the need for further research into their association with vector-borne viral infections.</p><p><strong>Methods: </strong>Adult mosquitoes were collected using light traps and human bait methods. Species identification was conducted through morphological examination and DNA barcoding using the cytochrome c oxidase subunit 1 gene (cox1). The V3-V4 hypervariable regions of the microbial 16S ribosomal RNA (rRNA) gene were sequenced using high-throughput methods to investigate the midgut microbiota. Statistical analyses, including Alpha and Beta diversity assessments of the sequencing results, were performed using SPSS 21.0 and R version 3.11.</p><p><strong>Results: </strong>The predominant mosquito species identified were <i>Aedes albopictus</i>, <i>Armigeres subalbatus</i>, and <i>Culex pipiens</i>. Microbiota analysis of 281 midguts revealed that <i>Proteobacteria</i> dominated (85.28%), with significant fractions being <i>Alphaproteobacteria</i> (52.14%), <i>Gammaproteobacteria</i> (29.90%), and <i>Betaproteobacteria</i> (3.22%). Other notable phyla included <i>Firmicutes</i> (6.24%), <i>Actinobacteria</i> (3.81%), and lesser quantities of <i>Thermi</i>, <i>Cyanobacteria</i>, and <i>Bacteroidetes</i>. Significant geographic variation in bacterial communities was observed between Haikou and Sanya (<i>P</i><0.05), with unique taxa like <i>Thermi</i> and <i>Cyanobacteria</i> identified only in Haikou and <i>Chlamydiae</i> found solely in Sanya. The analysis revealed 204 overlapping species, with 473 unique to Haikou and 64 to Sanya.</p><p><strong>Conclusions: </strong>This study revealed significant geographic differences in the midgut microbiota of mosquitoes from Haikou and Sanya, providing foundational data for understanding their potential impact on mosquito biology and disease transmission. While the direct relationship between these microbial variations and vector-borne disease dynamics requires further investigation, these findings underscore the importance of mosquito microbiota research as part of broader strategies to mitigate vector-borne disease risks.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 16","pages":"523-530"},"PeriodicalIF":4.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082472","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":"A <i>Clostridium perfringens</i> Related Foodborne Diarrhea Outbreak in an Elderly Care Center - Beijing Municipality, China, May 2024.","authors":"Dongran Zhang, Xinhui Guo, Yunqi Zhang, Haibo Liu, Yuhang Gao, Wencui Zhang, Wenfeng Shi, Yao Zhao, Lijie Zhang, Aijun Li","doi":"10.46234/ccdcw2025.090","DOIUrl":"https://doi.org/10.46234/ccdcw2025.090","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong><i>Clostridium perfringens</i> is a gram-positive, anaerobic, spore-forming bacillus widely distributed in the environment. Enterotoxin-producing strains of <i>C. perfringens</i> can cause foodborne diarrheal outbreaks in humans, with incubation periods typically ranging from 2 to 36 hours.</p><p><strong>What is added by this report?: </strong>Investigation identified 98 cases aged 22-99 years. All patients experienced diarrhea. The epidemic curve suggested a point-source outbreak. Chinese hamburgers were identified as the suspected food vehicle [odds ratio (<i>OR</i>)=6.6, 95% confidence interval (<i>CI</i>): 1.7, 37.1]. A total of 23 patient samples and 1 Chinese hamburger sample tested positive for <i>C. perfringens</i>.</p><p><strong>What are the implications for public health practice?: </strong>The slow cooling process, a common procedure during the \"lu\" () braising technique in Chinese cuisine, could potentially allow <i>C. perfringens</i> to proliferate significantly and produce toxins. Rapid cooling through the critical temperature range of 15-55 ℃ may effectively mitigate this risk.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 16","pages":"549-552"},"PeriodicalIF":4.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082467","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":"Pathogenic Bacteria Detection in Parasitic Fleas - Jiangxi Province, China, 2023.","authors":"Lijuan He, Zhiyun Liu, Like Duan, Lin Zhang, Xuexia Hou, Jingwen Li, Qin Hao","doi":"10.46234/ccdcw2025.088","DOIUrl":"https://doi.org/10.46234/ccdcw2025.088","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Fleas are recognized as one of the most important vectors of various diseases in humans and animals. Studies have reported the distribution of fleas in different regions of China and the pathogens they carry. However, limited research exists on the detection and classification of flea-borne pathogens in Jiangxi Province. Additionally, we identified previously unreported pathogens in <i>Pulex irritans</i>.</p><p><strong>What is added by this report?: </strong>In this study, 3 <i>Ctenocephalides felis</i> and 118 <i>Pulex irritans</i> collected from domestic dogs were tested for six pathogens.The results revealed that <i>Pulex irritans</i> carried six pathogens: <i>Borrelia burgdorferi</i>, <i>Borrelia miyamotoi</i>, <i>Borrelia hermsii</i>, <i>Anaplasma phagocytophilum</i>, <i>Coxiella burnetii,</i> and <i>Rickettsia slovaca</i>. This is the first report of these six pathogens in <i>Pulex irritans.</i></p><p><strong>What are the implications for public health practice?: </strong>Both humans and animals in Suichuan County, Ji'an City, Jiangxi Province, may be at risk from flea-borne infectious agents. Therefore, there is an urgent need for public health alerts, active flea surveillance and effective screening for infections in humans and animals in Suichuan County.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 16","pages":"537-543"},"PeriodicalIF":4.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082471","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":"First Human Case of Diphyllobothriosis Due to <i>Dibothriocephalus Dendriticus</i> Infection - China, November 2023.","authors":"Jiahui Sun, Jiatian Guo, Yan Zhou, Shaohong Chen, Yan Lu","doi":"10.46234/ccdcw2025.089","DOIUrl":"https://doi.org/10.46234/ccdcw2025.089","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong><i>Dibothriocephalus dendriticus</i> (<i>D. dendriticus</i>) is a recognized causative agent of diphyllobothriosis, a worldwide fish-borne zoonosis affecting up to 20 million people. It is predominantly distributed in circumboreal regions, and no human infections have been previously reported in China.</p><p><strong>What is added by this report?: </strong>This is the first human case of diphyllobothriosis caused by <i>D. dendriticus</i> in China. We report the clinical and epidemiological findings, as well as the morphological and genetic characteristics of the parasite. Retrospective investigation suggests this was an autochthonous case acquired in China.</p><p><strong>What are the implications for public health practice?: </strong>The increasing demand for fish products and raw foods poses a growing risk of diphyllobothriosis and potential economic losses. Attention should be paid to preventing <i>D. dendriticus</i> from becoming an emerging disease in China due to the globalization of food trade and global integration.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 16","pages":"544-548"},"PeriodicalIF":4.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082470","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":"Epidemiological Analysis of the Decline of Myocarditis Burden - China, 1992-2021.","authors":"Shengnan Wang, Xiangfeng Zhu, Yanwu Nie, Zeyu Xiao, Mingzhu Huang, Zhimin Yao, Lei Wu","doi":"10.46234/ccdcw2025.085","DOIUrl":"https://doi.org/10.46234/ccdcw2025.085","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Myocarditis is a prevalent cardiovascular condition that can lead to severe complications. The number of patients with myocarditis, new cases, and deaths in China has been on an upward trend over the years, causing a certain disease burden.</p><p><strong>What is added by this report?: </strong>The overall burden of myocarditis in China is on a downward trend; however, the age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life years (DALYs) rate remain higher than the global average. The age-standardized incidence rate (ASIR), ASMR and age-standardized DALYs rate were higher in men than in women. Individuals younger than 5 years or older than 70 years, the period from 2002-2016, and birth cohort earlier than 1957 were identified as risk factors for myocarditis-related mortality.</p><p><strong>What are the implications for public health practices?: </strong>We should still prioritize the prevention and treatment of myocarditis. It is recommended that primary and secondary prevention efforts focus on individuals younger than 5 years, older than 70 years, and males, with an emphasis on proactive health education and management.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 15","pages":"508-513"},"PeriodicalIF":4.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082464","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 Cascade of Care for Diabetes and Risks of Functional Limitation - China, 2011-2020.","authors":"Yihao Zhao, Ziyang Ren, Panliang Zhong, Yugang Li, Ruitai Shao, Xiaoying Zheng, Enying Gong, Zhiqiang Song","doi":"10.46234/ccdcw2025.084","DOIUrl":"https://doi.org/10.46234/ccdcw2025.084","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Uncontrolled diabetes can result in severe clinical complications, significantly increasing the risk of functional limitations in instrumental activities of daily living (IADL) and activities of daily living (ADL).</p><p><strong>What is added by this report?: </strong>This study investigates the association between the Cascade of Care (CoC) for diabetes and functional limitations, providing evidence on the critical need for strengthening diabetes care to prevent functional limitations and improve quality of life.</p><p><strong>What are the implications for public health practice?: </strong>The findings provide critical insights to guide public health strategies and interventions aimed at enhancing diabetes management across all stages of the CoC, with the goal of reducing functional limitations and their associated burden, ultimately improving long-term health outcomes for individuals with diabetes.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 15","pages":"503-507"},"PeriodicalIF":4.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082466","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":"Temporal Trends and Sex Differences in the Incidence of Esophageal Squamous Cell Carcinoma and Adenocarcinoma from CI5 VIII-XII Data - Global, 1993-2017.","authors":"Jiayue Li, Kexin Sun, Qian Zhu, Xiaolan Wen, Xinmei Lin, Li Li, Ru Chen, Rongshou Zheng, Wenqiang Wei, Shaoming Wang","doi":"10.46234/ccdcw2025.082","DOIUrl":"https://doi.org/10.46234/ccdcw2025.082","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Esophageal cancer (EC) consists of two main histological subtypes: esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC), each with distinct epidemiological patterns. Historically, ESCC has been the dominant subtype worldwide, especially in Asian countries. However, in recent decades, the incidence of EAC has been rising rapidly, particularly in European and American countries, reflecting significant shifts in global EC epidemiology.</p><p><strong>What is added by this report?: </strong>This study presents a comprehensive analysis of 25 years of high-quality continuous data on ESCC and EAC incidence trends across 25 countries. It highlights declining ESCC rates in most regions, rising EAC rates in Western nations, pronounced sex differences, and narrowing ESCC-to-EAC ratios. These diverse trends reveal the need to investigate region-specific risk factors and their contributions to the shifting burden of EC globally.</p><p><strong>What are the implications for public health practice?: </strong>The distinct trends of ESCC and EAC call for tailored public health strategies based on regional and histological patterns. Countries experiencing a rising burden of EAC or ESCC can implement targeted risk factor prevention and control measures to address the increasing trends. In clinical practice, a stronger focus on EAC in high-income countries and ESCC in regions, where it remains dominant, can improve early detection and treatment outcomes. Understanding these evolving patterns will aid in designing evidence-based interventions and optimizing resource allocation to reduce the global esophageal cancer burden effectively.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 15","pages":"491-496"},"PeriodicalIF":4.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082465","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":"Burden of Musculoskeletal Disorders - Global and BRICS+ Nations, 1990-2021.","authors":"Bo Liang, Yue Wei, Heming Pei, Gong Chen, Lijun Pei","doi":"10.46234/ccdcw2025.081","DOIUrl":"https://doi.org/10.46234/ccdcw2025.081","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal (MSK) disorders are escalating in the BRICS+ nations. The BRICS+ countries include five primary members of Brazil, Russia, India, China, and South Africa, and five new members of Saudi Arabia, Egypt, the United Arab Emirates (UAE), Iran, and Ethiopia by January 1st, 2024.</p><p><strong>Methods: </strong>Utilizing the Global Burden of Disease (GBD) 2021 database, the study measured MSK disorders burden through incidence, prevalence, and disability-adjusted life years (DALYs), segmented by location, sex, and disease type. The average annual percentage change (AAPC) from 1990 to 2021 was evaluated to track the burden changes.</p><p><strong>Results: </strong>In 2021, among BRICS+ nations, Brazil (2,267) and China (1,616) presented the highest and lowest age-standardized DALYs of MSK disorders per 100,000, respectively. Females had higher DALYs than males. The largest decrease and increase in age-standardized DALYs from 1990 to 2021 occurred in China (-2.35%) and Saudi Arabia (10.74%), respectively. Among all MSK disorders in 2021, low back pain (LBP) was the leading cause of the DALYs, while gout was the least contributor in BRICS+ nations. For males, the DALYs due to LBP, rheumatoid arthritis (RA), osteoarthritis (OA), neck pain (NP), and other MSK disorders except gout were lower than those for females. From 1990 to 2021, age-standardized DALYs of MSK disorders exhibited a significant decreasing trend in China [AAPC=-0.34; 95% confidence interval (<i>CI</i>): -0.38, -0.30], no significant change in Brazil and South Africa, and a growth trend in other nations, with the largest increasing trend detected in Saudi Arabia (AAPC=0.33; 95% <i>CI</i>: 0.31, 0.34).</p><p><strong>Conclusions: </strong>MSK disorders imposed a substantial burden on BRICS+ countries, particularly in Brazil and Iran, with distinct patterns requiring tailored healthcare policies and resource distribution.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"7 15","pages":"514-522"},"PeriodicalIF":4.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082462","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}