Bulletin of the Hospital for Joint Disease (2013)最新文献

{"title":"A simplified algorithm to work up graft re-rupture following anterior cruciate ligament reconstruction.","authors":"Andrew S Bi, Mark A Pianka, Daniel J Kaplan, Eric J Strauss, Laith M Jazrawi, Michael J Alaia","doi":"10.1097/bh9.0000000000000012","DOIUrl":"10.1097/bh9.0000000000000012","url":null,"abstract":"<p><strong>Abstract: </strong>The need to perform revision anterior cruciate ligament reconstruction (ACLR) has several etiologies such as infection, arthrofibrosis, cyclops lesions, and graft failure, which should be distinguished before revision ACLR. Even the definition of graft failure varies within the literature. ACLR graft failure falls into modifiable, surgeon-controlled factors, such as tunnel position, graft choice, and alignment, and nonmodifiable factors, such as patient age, tissue quality, or secondary traumatic reruptures. In this review, we describe a facile framework for the workup of modifiable ACLR graft failure.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"63-72"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121168","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":"Hip arthroscopy for magnetic resonance imaging-verified subspine impingement syndrome: 3-year minimum outcomes study.","authors":"Berkcan Akpinar, Edward S Mojica, Ajay Kanakamedala, Mohammad Samim, Thomas Youm","doi":"10.1097/bh9.0000000000000026","DOIUrl":"10.1097/bh9.0000000000000026","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the clinical outcomes of hip arthroscopy for anterior inferior iliac spine subspine impingement (SSI).</p><p><strong>Level of evidence: </strong>Case Series; level IV.</p><p><strong>Methods: </strong>Patients who underwent unilateral, primary hip arthroscopy for SSI from February 2015 to December 2017 with minimum 3-year follow-up data were identified (SSI). Analysis of variance, Kaplan-Meier analysis, and regression modeling were used to analyze outcomes.</p><p><strong>Results: </strong>Of 23 eligible, 19 (83% inclusion) patients (mean [standard error of the mean]: age: 45.9 [3.1]; body mass index, 26.3 [0.9]; 79% female, 53% right side) had a minimum of 3-year follow-up (48.3 [2.2] months). The estimated mean survival time of index procedure across the whole cohort was 64.9 ± 3.1 months. One patient underwent total hip arthroplasty. Patients improved from baseline modified Harris Hip Score (62.7 [5.1]) to follow-up (75.1 [4.3]; P = .014). Twelve patients (63%) met minimal clinically importance difference criteria while 7 (37%) met patient acceptable symptomatic state criteria. Linear regression modeling demonstrated lower postoperative lateral center edge angle (beta = -2.1, 95% confidence interval: -0.5 to -2.9, P = .035) and presence of labral repairs (beta = 46.1, 95% confidence interval: 24.8-67.4, P = .003) were associated with higher follow-up modified Harris Hip Score.</p><p><strong>Conclusion: </strong>In conclusion, patients undergoing anterior inferior iliac spine decompression during hip arthroscopy for SSI in the setting of femoroacetabular impingement syndrome have acceptable, improved clinical outcomes at minimum 3-year follow-up. Labral repair and decreasing postoperative lateral center edge angle were predictive of improved patient-reported outcomes. Hip arthroscopy remains a viable successful treatment options in the treatment of concomitant SSI during femoroacetabular impingement syndrome surgery.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"150-155"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121179","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":"Needle arthroscopy for the management of foot and ankle pathology.","authors":"John F Dankert, James J Butler, Raymond Walls, John G Kennedy","doi":"10.1097/bh9.0000000000000013","DOIUrl":"10.1097/bh9.0000000000000013","url":null,"abstract":"<p><strong>Abstract: </strong>Needle arthroscopy is a minimally invasive technique available for the management of common foot and ankle pathologies. Owing to the limitations associated with first-generation needle arthroscopic models, specifically visualization and fluid management, needle arthroscopy has undergone revitalization over the past decade. Newer systems are now using chip on tip visualization capability as well as improved fluid pumps allowing for direct intervention under improved visualization. The smaller diameter of the needle arthroscope permits procedures to be conducted in both the operating room and office setting under wide-awake conditions. We present this review to detail the history of needle arthroscopy and highlight how needle arthroscopy has improved care for patients with foot and ankle disorders.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"73-76"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121232","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":"Radiation safety among female orthopaedic surgeons: A survey of current knowledge and practices.","authors":"Alexandra R Spath, Isabel Chalem, Isabel Wolfe, Erin F Alaia, Jaqueline Brady, Mary K Mulcahey, Michael J Alaia","doi":"10.1097/bh9.0000000000000019","DOIUrl":"10.1097/bh9.0000000000000019","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to survey a cross-section of US female orthopaedic surgeons evaluating their education and attitudes on radiation safety and adherence to safety recommendations.</p><p><strong>Methods: </strong>An online survey was distributed to female orthopaedic surgery faculty through the Forum, a society for women in orthopaedic surgery, and through internal institutional education networks (residency and fellowship programs). The first component of the survey gathered demographic information including practice setting, US state, and years in practice. The second component was a 10-question knowledge assessment. The third component captured personal experiences among respondents including satisfaction with radiation safety training, radiation safety practices, and level of concern regarding exposure risk. Responses from 66 participants from differing geographic locations were collected using Research Electronic Data Capture.</p><p><strong>Results: </strong>Sixty-six female orthopaedic surgeons from 21 states completed the survey. Regular dosimeter usage was reported by 24.2% of respondents, and 36.4% of respondents reported always having well-fitted radiation protective equipment provided. The majority (56.1%) stated that they worry about the risks of radiation to their health. Regarding their radiation safety training, 60.6% of respondents rated their training as unsatisfactory or extremely unsatisfactory, and 90.9% of respondents stated that they think training efforts for radiation safety can improve.</p><p><strong>Conclusions: </strong>Female orthopaedic surgeons demonstrated an inadequate knowledge of adherence to radiation safety protocols and the majority expressed concern with long-term radiation exposure, particularly regarding health and pregnancy risk. To enhance radiation safety awareness and adherence among female orthopaedic surgeons, strategies should be tailored to this demographic, fostering confidence in their knowledge of radiation exposure and bolstering safety measures.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"124-128"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121265","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":"Introduction to the 2025 \"Chief Resident Grand Rounds\" edition of the Bulletin of the Hospital for Joint Diseases.","authors":"Akram Habibi, Matthew Kingery","doi":"10.1097/bh9.0000000000000011","DOIUrl":"10.1097/bh9.0000000000000011","url":null,"abstract":"","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"1"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121235","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":"Implementation of a standardized pain management protocol reduces the variability in prescription patterns following pediatric supracondylar humerus fractures.","authors":"Yealeen Jeong, Amy Birnbaum, Joie Cooper, Pablo Castañeda, Mara Karamitopoulos","doi":"10.1097/bh9.0000000000000016","DOIUrl":"10.1097/bh9.0000000000000016","url":null,"abstract":"<p><strong>Background: </strong>Children and adolescents are vulnerable to the ongoing opioid overdose epidemic in the United States. To minimize pediatric patients' exposure to opioids, efforts are underway to reduce opioid prescriptions after closed reduction and percutaneous pinning (CRPP) for supracondylar humerus fractures. Standardized pain management protocols preferentially using opioid-free analgesics are reported to be effective in managing postoperative pain and limiting the utilization of opioids. This study compares retrospective data collected before and after the implementation of a standardized postoperative pain management protocol at a large academic children's hospital. The primary aim of this study was to compare opioid prescription patterns during the 2 periods. The secondary aim of the study was to determine the effect of the protocol on minimizing prescription errors.</p><p><strong>Methods: </strong>This Institutional Review Board-approved study was a retrospective review of pediatric patients who underwent CRPP for supracondylar humerus fractures between January 2019 and December 2021. A control cohort of patients treated before the implementation of a department-approved pain management protocol was compared with a cohort of patients treated after the implementation of a standardized postoperative pain management protocol. We compared the number of opioid prescriptions provided to patients before and after the implementation of the protocol. Descriptive statistics and chi-square analyses were used to evaluate prescribing patterns.</p><p><strong>Results: </strong>After the implementation of the standardized pain medication control protocol, we observed a successful decrease in pediatric patients receiving postoperative opioids from 49.6% to 13.6% and in opioid prescribing errors from 38.6% to 12.5%. In addition, there was reduced variability in the type of narcotics prescribed. After the protocol's implementation, the most common combination of medication prescribed for postoperative pain control was acetaminophen and ibuprofen (69.5%). The chi-square test demonstrated no significant association between postoperative opioid prescription and fracture classification or length of stay.</p><p><strong>Conclusion: </strong>Opioid prescription patterns for postoperative pain management after CRPP for supracondylar humerus fractures were highly variable before the introduction of a standardized pain management protocol. The introduction of the standardized guideline effectively decreased the number of opioids prescribed at discharge, resulted in fewer opioid prescribing errors, and reduced variability in prescribing patterns among providers.</p><p><strong>Level of evidence: </strong>Level IV-retrospective case series.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"120-123"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121156","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":"Comparison of multimodal return-to-sport testing and force plate-based balance testing among anterior cruciate ligament reconstruction patients.","authors":"Dhruv S Shankar, Heather A Milton, Ciara Ostrander, Luilly Vargas, Kirk A Campbell, Guillem Gonzalez-Lomas","doi":"10.1097/bh9.0000000000000023","DOIUrl":"10.1097/bh9.0000000000000023","url":null,"abstract":"<p><strong>Background: </strong>The purpose of our study was to identify force plate-derived balance metrics that were predictive of multimodal return-to-sport test findings in a sample of anterior cruciate ligament reconstruction patients.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of anterior cruciate ligament reconstruction patients who were at least 6 months postoperative. Subjects completed our multimodal Institutional RTS testing battery which included testing of hip and knee range of motion (ROM), isokinetic quadriceps strength, and core trunk muscle strength (Bunkie test), as well as balance testing on a force plate. Balance metrics predictive of Institutional RTS test findings for the involved leg were identified using multivariable regression with stepwise selection. Model significance was assessed at α = 0.002.</p><p><strong>Results: </strong>Sixteen subjects (7M, 9F) were enrolled in our study with a median age of 29 years (range 20-47). Multivariate multiscale entropy (MMSExyz) of the involved leg was predictive of knee flexion active ROM (P = .02) and Bunkie stabilizing test score (P = .03), MMSExyz of the uninvolved leg was predictive of Bunkie lateral and medial test scores (P = .02 and P = .02), and interlimb symmetry of MMSExyz was predictive of triple jump test score (P = .007). Interlimb symmetry of the COPx shift balance metric was predictive of hip internal rotation active and passive ROM (P = .008 and P = .03) and step-down test score (P = .004).</p><p><strong>Conclusion: </strong>Force plate-based balance testing metrics are predictive of some return-to-sport test findings including knee flexion ROM and Bunkie test scores, but further analysis is needed to identify balance metrics predictive of quadriceps isokinetic testing and muscle flexibility testing results.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"139-145"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120927","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":"Correlation between self-reported outcomes of the hip, knee, and ankle in elite Nordic jumping athletes.","authors":"Kinjal Vasavada, Dhruv Shankar, Andrew L Chen, Lauren Borowski, Heather A Milton, Guillem Gonzalez-Lomas","doi":"10.1097/bh9.0000000000000028","DOIUrl":"10.1097/bh9.0000000000000028","url":null,"abstract":"<p><strong>Background: </strong>Nordic combined (NC) and ski jumping (SJ) athletes have a high prevalence of chronic hip pathology, which may lead to altered knee and ankle biomechanics.</p><p><strong>Purpose: </strong>The purpose of this study was to determine the relationship among athlete-reported lower extremity outcomes in a proximal-to-distal sequence.</p><p><strong>Study design/level of evidence: </strong>cross-sectional study, Level IV.</p><p><strong>Methods: </strong>Elite SJ and NC athletes who competed at the national and international levels were prospectively recruited to complete a survey eliciting information about their Hip Disability and Osteoarthritis Outcome Score (HOOS), International Knee Demographic Committee (IKDC) score, and Foot and Ankle Outcome Score (FAOS). Univariate linear regressions modeling IKDC scores and FAOS subscores were performed for each of the following independent variables: age, sex, body mass index, Nordic event (NC or SJ), HOOS subscore, and FAOS subscore or IKDC score, respectively.</p><p><strong>Results: </strong>A total of 22 athletes were included in the study. HOOS symptoms subscores were significantly lower (worse) among SJ athletes compared with NC athletes (P = .002). HOOS quality of life subscores were lower for female athletes compared with male athletes (54 ± 21, 73 ± 4.0; P = .029) in the entire cohort. An increase in the HOOS pain subscore (0.54 ± 0.20, P = .016) and HOOS sports subscore (0.40 ± 0.17, P = .042) was associated with a significant increase in the IKDC score. An increase in the HOOS symptoms subscore (0.63 ± 0.21, P = .011) was associated with a significant increase in the FAOS symptoms subscore.</p><p><strong>Conclusion: </strong>Elite NC and SJ athletes are at high risk of hip pain, which increases their risk of developing knee and ankle pain as well. These findings strongly suggest that training targeted at hip strength and conditioning may optimize knee and ankle outcomes in elite NC and SJ athletes.</p><p><strong>Clinical relevance: </strong>The results of this study may help guide physicians, allied health personnel, and coaches to alter lower extremity training regimens to decrease the risk of injury.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"162-165"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120953","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":"Cervical disk arthroplasty: The new gold standard?","authors":"Stephane Owusu-Sarpong, Nathan Kim, Yong Kim","doi":"10.1097/bh9.0000000000000008","DOIUrl":"10.1097/bh9.0000000000000008","url":null,"abstract":"<p><strong>Abstract: </strong>Cervical spondylosis is a broad term that describes pathological degeneration of the cervical spine, leading to axial neck pain, cervical myelopathy, and radiculopathy. Surgical treatments have been developed to address cervical radiculopathy and myelopathy, with the gold standard being anterior cervical diskectomy and fusion (ACDF). However, cervical fusion is associated with many well-known complications, such as pseudarthrosis and adjacent segment disease (ASD). As a result, cervical disk arthroplasty (CDA) was developed as an alternative to fusion for addressing cervical pathology without the risk of pseudarthrosis while preserving mobility and theoretically decreasing the risk of ASD. CDA, however, is uniquely associated with heterotopic ossification formation. While ACDF remains the gold standard, newer studies with long-term follow-up extending up to 20 years have begun to demonstrate superiority of CDA over ACDF, with lower rates of ASD. While the success of CDA is leading to a change in practice patterns, there is still a role for fusion in the management of cervical disease.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"44-48"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120618","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":"Validation of imageless navigation in total knee arthroplasty using a postoperative radiographic approach.","authors":"Michelle A Zabat, Benjamin Fiedler, Jeffrey M Muir, Scott E Marwin, Morteza Meftah, Ran Schwarzkopf","doi":"10.1097/bh9.0000000000000027","DOIUrl":"10.1097/bh9.0000000000000027","url":null,"abstract":"<p><strong>Introduction: </strong>The integration of computer-assisted navigation systems (CASs) in total knee arthroplasty (TKA) procedures has gained popularity in recent years. However, additional validation of the accuracy of CAS feedback is necessary. We used short-length and full-length postoperative radiographs to quantify the differences between alignment parameters measured by a novel imageless CAS and alignment outcomes as evidenced on postoperative radiographs.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on prospectively collected data from a cohort of patients undergoing navigated primary TKA. Fifty-eight patients had met inclusion criteria, and intraoperative CAS measurements were obtained from device recordings. Alignment parameters were measured digitally and included femorotibial angle on short-length films and hip-knee-ankle axis, mechanical lateral distal femoral angle (mLDFA), and mechanical medial proximal tibial angle (mMPTA) on full-length films. These were compared between CAS and radiograph measurements using a 2-tailed t test.</p><p><strong>Results: </strong>The mean mLDFA measured by the CAS was 0.7° ± 1.1°, compared with 1.3° ± 1.4° as measured on full-body radiographs (P = .1). The mean mMPTA measured by the CAS was 0.2° ± 1.0°, compared with 0.9° ± 1.4° as measured on full-body radiographs (P = .06). On average, radiograph and CAS measurements differed by 0.5° ± 1.5° for mLDFA and 0.7° ± 1.5° for mMPTA. The average postoperative hip-knee-ankle axis was 177.6° ± 2.1°, and the average femorotibial angle was 176.0° ± 9.6° as measured on radiographs.</p><p><strong>Conclusion: </strong>No significant differences in either average or individual measured values for mLDFA or mMPTA were observed between the intraoperative CAS measurements and alignment outcomes postoperatively. Our data highlight the clinical utility of CASs to accurately achieve intended TKA alignment objectives.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":"83 1","pages":"156-161"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121518","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}