AJPM focus最新文献

{"title":"Editorial Board and Journal Information","authors":"","doi":"10.1016/j.focus.2026.100491","DOIUrl":"10.1016/j.focus.2026.100491","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 2","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147649896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decreasing Prevalence of Chronic Kidney Disease Among U.S. Adults With Diabetes, 1999–2018","authors":"Jennifer L. Bragg-Gresham MS, PhD ,&nbsp;Yiting Li MS ,&nbsp;Julie Wright Nunes MD, MPH ,&nbsp;William H. Herman MD, MPH ,&nbsp;Neil R. Powe MD, MPH, MBA ,&nbsp;Tanushree Banerjee PhD ,&nbsp;Hal Morgenstern PhD ,&nbsp;Austin G. Stack MD, MS ,&nbsp;Tiffany C. Veinot MLS, PhD ,&nbsp;Rajiv Saran MD, MRCP, MS","doi":"10.1016/j.focus.2025.100453","DOIUrl":"10.1016/j.focus.2025.100453","url":null,"abstract":"<div><h3>Introduction</h3><div>The prevalence of chronic kidney disease among persons with diabetes in the U.S. appears to be decreasing. Understanding the reasons for this decrease is an important health policy issue.</div></div><div><h3>Methods</h3><div>Data on 7,320 adults with diabetes from National Health and Nutrition Examination Survey (1999–2018) were examined to estimate the prevalence of chronic kidney disease in 4-year cohorts. Chronic kidney disease was defined by an estimated glomerular filtration rate &lt;60 ml/min/1.73m² or urine albumin-to-creatinine ratio ≥30 mg/g. Diabetes and hypertension were defined by combination of self-report, medication, or laboratory detection. Weighted logistic regression models adjusting for demographics, comorbidities, angiotensin-converting enzyme inhibitor/angiotensin-2 receptor blocker medication, smoking, diet, and physical activity were used to assess change in chronic kidney disease prevalence over time.</div></div><div><h3>Results</h3><div>The prevalence of chronic kidney disease among individuals with diabetes decreased from 40.5% to 35.4% over 20 years (<em>p</em>=0.02) with a decline of ∼5% during each 4-year period (OR=0.95, 95% CI=0.90, 0.99) and ∼7% per 4-year period (OR=0.93, 95% CI=0.88, 0.98) for albuminuria. The reduction in chronic kidney disease prevalence was greater after adjusting for demographics (OR=0.92, 95% CI=0.88, 0.97). After adjusting for glucose; blood pressure; medication use; and health behaviors, including smoking, diet, and physical activity, the decreasing trend became nonstatistically significant (OR=0.95, 95% CI=0.90, 1.00), suggesting that these factors may have played a role in the lower chronic kidney disease prevalence over time. No decrease in chronic kidney disease was seen among individuals with hypertension.</div></div><div><h3>Conclusions</h3><div>The prevalence of chronic kidney disease among participants with diabetes has decreased steadily in the U.S. over the past 20 years, mostly from reductions in the prevalence of albuminuria. Improvements in medical management may explain part of the decrease. Individuals adopting healthy lifestyle behaviors may further explain the decrease.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 2","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Health Response to a Climate Emergency: A Teaching Exercise","authors":"Sheryl Bedno MD, DrPH ,&nbsp;John Russell MD, MPH ,&nbsp;Katharine Beardmore MPH ,&nbsp;Pauline Thomas MD","doi":"10.1016/j.focus.2025.100452","DOIUrl":"10.1016/j.focus.2025.100452","url":null,"abstract":"<div><div>Public health emergencies often involve weather-related issues, such as flooding, heatwaves, wildfires, storms, and vector-borne or water-borne diseases. Extreme weather is becoming more frequent and intense owing to climate change. Preventive medicine physicians and other public health professionals are uniquely qualified to serve in leadership or advisory roles during the actual emergencies or preparedness for the climate-related emergencies. Many residency programs are now integrating climate education into their curriculum, but few include simulated exercises. The authors present a climate-exacerbated scenario, discussion questions, and consideration for next steps in educating public health leaders and other collaborators.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 2","pages":"Article 100452"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Statewide Opioid Prescribing Limits and Prescription Drug Monitoring Program Mandates: Provider Compliance and Patient Outcomes","authors":"Jason Hoppe DO ,&nbsp;Heather Tolle PhD ,&nbsp;Katherine J. Sullivan PhD ,&nbsp;Katherine Ziegler MPH ,&nbsp;Zachary Giano PhD ,&nbsp;Barbara Gabella MSPH","doi":"10.1016/j.focus.2025.100460","DOIUrl":"10.1016/j.focus.2025.100460","url":null,"abstract":"<div><h3>Introduction</h3><div>In response to the opioid crisis, Colorado enacted Senate Bill 18-022, which limits initial opioid prescriptions to 7 days for opioid-naïve patients and mandates prescription drug monitoring program review before a second prescription. This study evaluates provider adherence to these mandates and associated patient outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted using linked electronic health record and prescription drug monitoring program data from a large academic-affiliated healthcare system in Colorado. Adult opioid-naïve patients (aged 18–89 years) who received an initial opioid prescription between May 2018 and May 2019 were included. Provider adherence to the 7-day prescribing limit for the first and second prescriptions and prescription drug monitoring program review mandate with the second opioid prescription were assessed. Patient outcomes included chronic opioid use, aberrant opioid use, and healthcare utilization within 6 months after the prescription.</div></div><div><h3>Results</h3><div>Among 35,461 opioid-naïve patients prescribed an opioid, 78.5% received an initial prescription consistent with the 7-day statutory limit. Of the 9,423 patients with a second opioid prescription, 58.4% received a 7-day supply or less, and 13.1% had a documented prescription drug monitoring program review. Prescriptions exceeding 7 days were significantly associated with increased chronic opioid use (31.9% vs 0.2%), aberrant use (4.0% vs 2.1%), and higher healthcare utilization (mean 5.44 vs 1.95 visits). Prescription drug monitoring program review was not associated with reduced chronic opioid use or healthcare visits and was more common among patients with worse outcomes, suggesting potential confounding by patient complexity.</div></div><div><h3>Conclusions</h3><div>Providers largely adhered to the 7-day opioid prescribing limit, which was associated with improved patient outcomes. However, mandated prescription drug monitoring program checks were infrequent and not associated with reduced risk, highlighting the need to reassess the effectiveness of prescription drug monitoring program–related policies.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 2","pages":"Article 100460"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Tobacco Use Patterns on Smoking Cessation Success in Adults Who Smoke Cigarettes in the U.S.","authors":"Ban A. Majeed PhD, MBChB ,&nbsp;Bekir Kaplan MD ,&nbsp;Thomas Eissenberg PhD ,&nbsp;Justin M. Ketchem BS ,&nbsp;Obed Koomson PhD ,&nbsp;Imran Parvez PhD ,&nbsp;J. Paul Seale MD","doi":"10.1016/j.focus.2025.100448","DOIUrl":"10.1016/j.focus.2025.100448","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to assess the association between tobacco use patterns and cigarette smoking cessation in a representative cohort of adults who smoked combustible cigarettes in the U.S.</div></div><div><h3>Methods</h3><div>Study included current cigarette smoking adults in Wave 4 of the Population Assessment of Health and Tobacco study (N=5,669). Patterns of use were exclusive cigarette smoking, dual cigar and cigarette smoking, dual ENDS use, and multiple product use (poly use). Abstinence status (cessation) was obtained from Population Assessment of Health and Tobacco study Wave 5 and defined as abstinent ≥3 months. Weighted multivariable logistic regression analyses were performed. Analyses were completed in June 2024.</div></div><div><h3>Results</h3><div>Exclusive cigarette smoking was 82.0%, and dual cigar smoking and dual ENDS use constituted 3.7% and 4.4%, respectively. Of adults who smoked cigarettes, 25.7% were abstinent ≥3 months at follow-up. Adults with dual cigar smoking (20.8%) were more likely to be abstinent ≥3 months than those who smoked cigarettes exclusively (10.0%). Adults reporting dual cigar smoking had higher odds of being 3-month abstinent than those reporting exclusive cigarette smoking (OR=2.60, 95% CI=1.60, 4.21).</div></div><div><h3>Conclusions</h3><div>Dual cigar smoking is positively associated with smoking abstinence in adults 1 year later. A deeper understanding of the dynamics and characteristics of dual cigar smoking that rendered cigarette smoking cessation more likely is needed. The data did not offer supporting evidence for dual ENDS use as a cessation aid. The majority of smoking cessation was achieved without the use of assistance.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 2","pages":"Article 100448"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Descriptive Analysis of Suicide Trends by Race/Ethnicity, Sex, and Age Categories in Santa Clara County, California From 2018 to 2023","authors":"Amy C. Watson-Grace OTD ,&nbsp;Gia E. Barboza-Salerno JD, PhD ,&nbsp;Karla J. Shockley McCarthy PhD ,&nbsp;Taylor R. Harrington MS ,&nbsp;Yujeong Chang MSW ,&nbsp;Charis J. Stanek MA ,&nbsp;Keith L. Warren PhD","doi":"10.1016/j.focus.2025.100447","DOIUrl":"10.1016/j.focus.2025.100447","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to measure suicide rate differences across race/ethnicity, age, and sex groups in Santa Clara County, California, from 2018 to 2023.</div></div><div><h3>Methods</h3><div>The incidence rate and annual percentage change in 1,024 suicides among Asian, Black, Hispanic, and White individuals in Santa Clara County were calculated. Patterns in suicide methods and significant conditions across race/ethnicity, age, and sex groups were also analyzed.</div></div><div><h3>Results</h3><div>Suicide rates increased among Asian males aged 45–64 years (incidence rate ratio=1.26; 95% CI=1.05, 1.53) and White females aged ≥65 years (incidence rate ratio=1.28; 95% CI=1.02, 1.63) and decreased among White males aged 45–64 years (incidence rate ratio=0.87; 95% CI=0.79, 0.96) and Hispanic females aged 45–64 years (incidence rate ratio=0.54; 95% CI=0.26, 0.98). Males were significantly more likely to die by firearm suicide (Asian: 22.03% vs 5.41%; <em>p</em>=0.001; Black: 42.11% vs 0.00%, <em>p=</em>0.021; Hispanic: 20.26% vs 6.52%, <em>p</em>=0.029; White: 45.17% vs 8.80%, <em>p</em>&lt;0.001). Asian, Black, and White females were more likely to die by toxicity, overdose, or drug poisoning suicide (Asian: 22.97% vs 10.73%; <em>p</em>=0.011; Black: 33.33% vs 5.26%, <em>p</em>=0.047; White: 26.40% vs 8.45%, <em>p</em>&lt;0.001). Almost 25% died by suicide in open spaces (23.7%), and 17.9% had a major health condition at the time of death (17.9%).</div></div><div><h3>Conclusions</h3><div>From 2018 to 2023, Asian males and White females experienced significant suicide increases, whereas White males and Hispanic females experienced significant decreases. These findings highlight the need to examine regional trends in suicide by race, sex, and age group.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 2","pages":"Article 100447"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board and Journal Information","authors":"","doi":"10.1016/S2773-0654(26)00005-2","DOIUrl":"10.1016/S2773-0654(26)00005-2","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 1","pages":"Article 100479"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146172614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Trends in Social Media Food Marketing Expenditures: 2020–2021","authors":"Marie A. Bragg PhD ,&nbsp;Stephanie L. Albert PhD ,&nbsp;Omni L. Cassidy PhD ,&nbsp;Lisa M. Powell PhD ,&nbsp;Pasquale E. Rummo PhD","doi":"10.1016/j.focus.2025.100440","DOIUrl":"10.1016/j.focus.2025.100440","url":null,"abstract":"<div><h3>Introduction</h3><div>This study leverages advertising industry data to quantify social media advertising expenditures and advertising impressions of the food and beverage industry on Facebook, Twitter/X, and Instagram from January 2019 to August 2021.</div></div><div><h3>Methods</h3><div>This is a cross-sectional analysis of Pathmatics data for Facebook (<em>n</em>=33 months), Twitter/X (<em>n</em>=29 months), and Instagram (<em>n</em>=18 months). Primary outcomes were monthly trends expenditures of food/beverage advertising and the number of views and expenditures of food/beverage advertising by platform (e.g., TV, online, mobile, print). Primary outcomes was measured by monthly expenditures by (1) social media company, (2) brand, and (3) before COVID-19 versus the first year of the pandemic.</div></div><div><h3>Results</h3><div>Between April 1, 2020, and August 31, 2021, adult social media users viewed approximately 335 billion food/beverage advertising on social media, including 94.4 billion food advertising on Facebook, 50.6 billion on Twitter/X, and 190.6 billion on Instagram. The 10 most advertised food/beverage brands spent approximately $833 million, $259 million, and $1.7 billion promoting advertising on Facebook, Twitter/X, and Instagram. Total impressions increased by 105%, and expenditures increased by 182% across all 3 platforms during this time period. Comparing pre– with post–COVID-19 periods on Facebook indicated a significant difference in trends in the number of impressions (<em>p</em> for interaction&lt;0.001) and total expenditures (<em>p</em> for interaction&lt;0.001).</div></div><div><h3>Conclusions</h3><div>These data reveal that the food/beverage industry spends at least $2.8 billion on social media advertising, which generate billions of views for their products online. Determining adults’ exposure to social media food advertising is critical for understanding the upstream factors that shape the risk for diet-related diseases.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 1","pages":"Article 100440"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Examination of Storage Practices of Women Firearm Owners in New Jersey and Ohio to Inform Suicide Prevention","authors":"Christina Rose Bauder PhD, MPH ,&nbsp;Jarrod M. Hay BS ,&nbsp;Emma Unruh-Dawes MA ,&nbsp;Sarah Millisor Irvin MSc ,&nbsp;Samantha E. Daruwala PhD ,&nbsp;Keelin G. Rademacher BS ,&nbsp;Taylor Sabbagh ,&nbsp;Craig J. Bryan PsyD, ABPP ,&nbsp;Kathryn A. Fassih BS","doi":"10.1016/j.focus.2025.100438","DOIUrl":"10.1016/j.focus.2025.100438","url":null,"abstract":"<div><h3>Introduction</h3><div>Firearms account for more than half of U.S. suicide deaths and nearly two thirds of all firearm-related deaths; although men are more likely to use a firearm than other lethal means, firearms account for approximately a third of suicide deaths for women. Suicide deaths involving firearms tend to be higher in states with fewer state firearm restrictions, with fewer suicide deaths involving firearms in states with more restrictive firearm laws. Critically, firearm storage practices are associated with an increased risk of both intentional and unintentional injury. The purpose of this study was to explore the experiences, attitudes, and practices of women firearm owners in New Jersey and Ohio to inform firearm-specific suicide prevention recommendations.</div></div><div><h3>Methods</h3><div>The authors conducted semistructured qualitative interviews with 40-women firearm owners from New Jersey and Ohio between January and July of 2023. Transcripts were analyzed through thematic analysis using an inductive approach.</div></div><div><h3>Results</h3><div>Nearly half of all participants (47.5%) reported at least 1 loaded firearm, with 50% reporting at least 1 unlocked firearm, and 11 (27.5%) reported at least 1 firearm that was both loaded and unlocked. Slightly fewer women reported storing firearms securely in New Jersey than in Ohio. The authors identified 5 common motivators in the storage practices of women, which included safety, upbringing and education, household composition, accessibility versus security, personal experiences of violence and victimization.</div></div><div><h3>Conclusions</h3><div>Future research should explore unique opportunities to improve firearm risk communication and lethal means safety counseling among women and other underrepresented firearm owners to prevent intentional and unintentional firearm injury.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 1","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Vaccination-Differentiated Public Health and Social Measures on Vaccine Uptake Among the Vaccine Hesitant","authors":"En Jie Tan MD ,&nbsp;Cheryl Chong MD ,&nbsp;Alex Yap BS ,&nbsp;Calvin Chiew MD ,&nbsp;Sharon Tan BDS ,&nbsp;Yuhan Yang ,&nbsp;Kelvin Tan PhD ,&nbsp;David Lye FRCP ,&nbsp;Alex Cook PhD ,&nbsp;Vernon Lee PhD","doi":"10.1016/j.focus.2025.100419","DOIUrl":"10.1016/j.focus.2025.100419","url":null,"abstract":"<div><h3>Introduction</h3><div>Vaccine hesitancy poses a hurdle toward achieving high population-level immunity and reducing disease transmission. One policy response adopted during the COVID-19 vaccination campaign was the implementation of vaccination-differentiated public health and social measures. This paper aims to evaluate the impact of vaccination-differentiated public health and social measures on COVID-19 vaccination rates in Singapore, with a specific focus on vaccine-hesitant persons.</div></div><div><h3>Methods</h3><div>An interrupted time series design with segmented linear regression was utilized to assess the impact of the announcement of each vaccination-differentiated public health and social measure on vaccine uptake rates among the vaccine-naive population. Newey-West standard errors with a 7-day lag were applied to address potential autocorrelation in the data. Covariates adjusted for included day of the week, daily numbers of COVID-19–related cases, deaths, hospitalizations, and patients in the intensive care unit.</div></div><div><h3>Results</h3><div>The study found a significant and positive effect of vaccination-differentiated public health and social measure announcements on the daily vaccine uptake rate among the vaccine-naive population, specifically for dining out and patronizing shopping malls. When stratified by age group, the significant and positive effect of the announcement of mall access vaccination-differentiated public health and social measures persisted across all age groups, and it only persisted for individuals aged 13–17, 25–34, and 35–49 years for the announcement of dining vaccination-differentiated public health and social measures.</div></div><div><h3>Conclusions</h3><div>Overall, the findings support the effectiveness of vaccination-differentiated public health and social measures in increasing vaccine uptake rates among vaccine-hesitant persons. However, the compelling evidence for complementary policies should also be considered.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"5 1","pages":"Article 100419"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145365212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}