Burns open : an international open access journal for burn injuries最新文献

{"title":"Optimizing the user-experience (UX) and −interface (UI) of a mHealth application to aid recovery from burn injury (BurnCORE) through a user-centered design approach","authors":"Barclay T. Stewart ,&nbsp;Kyler Menge ,&nbsp;T.Varugis Kurien ,&nbsp;Caitlin Orton ,&nbsp;Rebecca Estrada ,&nbsp;Gretchen Carrougher ,&nbsp;Callie Thompson ,&nbsp;Gary Hsieh ,&nbsp;Tam N. Pham","doi":"10.1016/j.burnso.2025.100409","DOIUrl":"10.1016/j.burnso.2025.100409","url":null,"abstract":"<div><div>Anticipatory guidance delivered via a mobile application (app) can support people with burn injury during the early recovery period. We sought to create a prototype app (Burn Connect and Recover – BurnCORE) to complement care provided at burn centers and serve as a transition to the burn survivorship community. We employed a user-centered design (UCD) approach in collaboration with a diverse group of burn care and technology stakeholders (e.g., patients, carers, clinicians, software engineers) to determine key content, functions, and interface preferences. UCD is an iterative design process where a multi-disciplinary team of application designers receive feedback from future end-users to improve understanding of user requirements, optimal features of user experience (UX), and user-app interface considerations (UI). We performed UCD according to its phases: Phase I--community advisory for foundational inspiration; Phase II--cognitive interviews with patients, their carers, and clinicians to determine key content and features; and Phase III--iterative co-design with stakeholders using low-fidelity prototypes. Participants in Phase I suggested that we focus on key gaps in knowledge of the timeline and domains of burn recovery, strategies to promote self-agency and motivation, eliminating barriers to using burn-specific resources, and select issues that aimed to improve UX. Stakeholders recommended several major application features: understanding the initial burn experience, visualizing recovery, and habituation of daily/weekly tasks. Examples of iterative stakeholder feedback include addition of recovery performance tracking, monitored community chat functions, and better ways to visualize recovery over time. UCD allowed us to confirm important burn recovery domains, define valuable features, and elicit from stakeholders key UX/UI features to optimize app engagement.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100409"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502835","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":"Meningitis as a rare cause of delirium in burn patient: Case report","authors":"Sarah Sabur,&nbsp;Amine El harti,&nbsp;Chaymaa Benyamna,&nbsp;Sara Karti,&nbsp;Ahlam El Youssoufi,&nbsp;Marouane Habla,&nbsp;Mounia Diouri","doi":"10.1016/j.burnso.2025.100415","DOIUrl":"10.1016/j.burnso.2025.100415","url":null,"abstract":"<div><div>Delirium is an acutely disturbed state of mind or consciousness frequent in patients with extensive burns. The causes are multiple but CNS (central nervous system) infection is among the rare and severe causes of delirium with high fever in burn patients and with the lack of fast and correct diagnosis and adequate treatment, the prognosis is mostly severe. Even with the presence of other causes of delirium in burn patients, the CNS infection must be excluded first, especially when we have a massive bacteremia.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100415"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312590","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":"Fourth-degree frostbite complicated by necrotizing fasciitis in an indigenous Mexican patient: bilateral below-knee amputation and ethical challenges in tissue salvage a case report","authors":"Norman Alejandro Rendon Mejia ,&nbsp;Luisa Fernanda Cuervo Ollervides ,&nbsp;Laura Elizabeth Piñon Gaytan ,&nbsp;Jose Francisco De la Torre Ramos ,&nbsp;Alejandra Aguirre Aguilar ,&nbsp;Carlos Alan Benitez Membrila","doi":"10.1016/j.burnso.2025.100414","DOIUrl":"10.1016/j.burnso.2025.100414","url":null,"abstract":"<div><div>Frostbite, a debilitating injury caused by freezing temperatures, disproportionately affects marginalized populations, yet data from non-circumpolar regions remain critically underrepresented. We present the first documented case in Mexico of severe frostbite requiring bilateral below-knee amputation in a 26-year-old Indigenous man discovered unconscious with alcohol intoxication in subfreezing conditions. Clinical assessment revealed fourth-degree frostbite manifesting as dry necrosis, absent distal pulses, and purulent vesicles. Computed tomography angiography demonstrated popliteal artery occlusion and subfascial gas, confirming concurrent necrotizing fasciitis. Emergency bilateral amputation with fasciocutaneous flap reconstruction resulted in an uncomplicated recovery, enabling discharge on postoperative day 6 for multidisciplinary rehabilitation. This case underscores the ethical complexity of prioritizing limb salvage versus infection mitigation in resource-limited settings and advocates for context-specific, dynamic frostbite management guidelines. Furthermore, frostbite emerges as a sentinel of systemic inequity, reflecting social determinants such as inadequate access to cold-weather protection, alcohol misuse, and healthcare disparities. Culturally tailored prevention strategies—including multilingual community education and equitable healthcare infrastructure—are imperative. As climate change intensifies extreme weather events, frostbite management must evolve beyond acute interventions to address structural vulnerabilities, integrating public health and policy reforms.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100414"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480410","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":"Epidemiology and characteristics of hand burns: a 12-year retrospective analysis at a University Hospital","authors":"Laurin Schöne ,&nbsp;Jolanta Klukowska-Rötzler ,&nbsp;Aristomenis K. Exadaktylos ,&nbsp;Radu Olariu ,&nbsp;Esther Vögelin ,&nbsp;Esin Rothenfluh","doi":"10.1016/j.burnso.2025.100413","DOIUrl":"10.1016/j.burnso.2025.100413","url":null,"abstract":"<div><div>The purpose of this study was to assess epidemiological features and injury characteristics of hand burn injuries based on a retrospective data collection from 2012 to 2023 at a maximum care University Hospital. 1809 burn injuries were registered in the Emergency Department of the Hospital, including 538 chemical burns to the eye. Deducting the latter of the total number, 24 % affected the hand as an isolated burn and 37 % as a combined burn injury. 43 % of all hand burns (combined and isolated) were female and 57 % were male. The age group from 20 to 29 years was significantly most affected. 21 % of hand burns happened at work, with 80 % of them being male. The most prevalent cause was contact (24 %), at home and at work. 84 % of all hand burns were treated non operatively and did not cause high costs. In general, there has been a decrease of burn injuries worldwide, but we did not recognize a declining trend of hand burns, some of them related to work. Most patients with hand burns present with mild degrees, but particularly work-related hand burns can be more severe with long term sequelae. The study highlights the importance of prevention programs and initiatives.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100413"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491257","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":"Burden and associated factors of unintentional household burn injuries in South Asia: A systematic review","authors":"Ahmer Adnan ,&nbsp;Salman Muhammad Soomar ,&nbsp;Asaad Nafees ,&nbsp;Wafa Aftab ,&nbsp;Zafar Fatmi","doi":"10.1016/j.burnso.2025.100411","DOIUrl":"10.1016/j.burnso.2025.100411","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries account for almost 0.3 million deaths annually worldwide. Household burn injury is one of the common causes of burn injuries. This issue in South Asia is concerning and is an important epidemiological problem that needs to be explored and reported. This study aimed to estimate the current burden, types, and severity of unintentional household burn injuries and identify the associated factors of unintentional household burn injuries.</div></div><div><h3>Methods</h3><div>We reviewed all available studies (qualitative or quantitative) on unintentional household injuries in South Asia. All studies on household burn injuries from 2000 to 2020, including all the relevant published information as described in the inclusion criteria.</div></div><div><h3>Results</h3><div>The findings of the study revealed that in South Asian regions the low socio-economic status, and poor prevention and treatment policies for the burden of burn injuries are the predominant factors and that the associated risk factors play a role in unintentional burn injury incidents with lack of education and awareness effecting mainly women and children to have accidents at households suffering from burn injuries, morbidity, and mortality. No data is available for the Maldives and Bhutan.</div></div><div><h3>Conclusion</h3><div>Unintentional burn injuries cause morbidity and mortality, primarily among women and children. With the lack of financial resources and inadequate policies for burn care, prevention, and treatment in South Asian countries, it is essential to reduce the burden.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480409","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":"Unmasking the silent threat: deep tissue impacts of chemical burns – a case report","authors":"Satbir S.G. ,&nbsp;Fatimah Mat Johar ,&nbsp;Ahmad Sukari Halim ,&nbsp;Wan Azman Wan Sulaiman","doi":"10.1016/j.burnso.2025.100412","DOIUrl":"10.1016/j.burnso.2025.100412","url":null,"abstract":"<div><div>Chemical burns, often caused by corrosive substances like sulfuric acid, can result in severe physical and psychological harm. These injuries are challenging to manage due to difficulties in assessing burn depth and ongoing tissue damage beneath the eschar. This case report details a 21-year-old female with 9 % total body surface area full-thickness chemical burns from a battery acid assault affecting her face, chest, limbs, and eyes. Initial treatment included irrigation and pH monitoring, followed by early tangential excision, hydrosurgery, and skin allograft application. While surface eschar pH normalized after irrigation, subeschar tissue remained acidic, indicating deeper damage. The patient developed hypertrophic scarring, reflecting ongoing tissue damage beyond the visible eschar. Persistent subeschar acidity suggests that current treatment protocols may not sufficiently address the penetration of corrosive substances, leading to prolonged inflammatory processes and unfavorable scarring outcomes. This underscores the need for improved strategies to prevent prolonged inflammation and unfavorable outcomes in chemical burn management.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100412"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480411","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":"Severe burns from viral TikTok challenge involving candied sugar: A case series report","authors":"Kristen Storey ,&nbsp;Nicola Burns ,&nbsp;Rachel Kerr ,&nbsp;Maleea Holbert ,&nbsp;Roy Kimble ,&nbsp;Bronwyn Griffin","doi":"10.1016/j.burnso.2025.100410","DOIUrl":"10.1016/j.burnso.2025.100410","url":null,"abstract":"<div><div>Burn injuries rank among the top five most common non-fatal injuries within the paediatric population. Scald injuries continue to be the leading cause of burn in the children, closely followed by contact burns, particularly in the six to 16 age group. Recently, there have been increasing reports of children sustaining scald and contact burns, after attempting to replicate videos viewed on social media platforms such as TikTok and YouTube.</div><div>A recent trend of heating sugar and water in a plastic container within the microwave to make candied fruit is resulting in children and adolescents presenting with deep burns. The plastic container becomes so hot that it melts causing the hot sugar water and plastic to drip onto the child. There has been an increase in presentations to all burn centres throughout Australia resulting from this mechanism.</div></div><div><h3>Method</h3><div>A retrospective chart review was undertaken of six children presenting with toffee burns that attended the Pegg Leditschke Children’s Burns Centre at the Queensland Children’s Hospital over a period of four weeks.</div></div><div><h3>Result</h3><div>Six children presented with similar burns and were treated within the specialist burns centre. The lower limb was affected in four cases while two cases sustained burns on the hand. Skin grafts were required in two cases and four children continue to require long term scar management.</div></div><div><h3>Conclusion</h3><div>Social media plays an important role in our children’s lives however mimicking videos can result in increased risk of serious physical and psychological harm occurring. How to make candied sugar has gone viral causing numerous burns throughout Australia. While we do not want to restrict children from watching and participating with these videos, we require parents and moderators of these videos to ensure these videos are performed in a safe environment to decrease risks of injury occurring.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491259","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":"Characteristics of burn injuries in old and extremely old patients: A city-wide study","authors":"Takahiro Yamanaka,&nbsp;Ryo Yamamoto,&nbsp;Junichi Sasaki","doi":"10.1016/j.burnso.2025.100408","DOIUrl":"10.1016/j.burnso.2025.100408","url":null,"abstract":"<div><h3>Background</h3><div>The global population is aging rapidly. However, research on the characteristics of burn injuries in extremely old individuals remains limited. The current study aimed to identify the characteristics of burn injuries among elderly people by examining a city-wide burn database in Tokyo.</div></div><div><h3>Methods</h3><div>This observational study was conducted at 14 burn centers, and data from the Tokyo Burn Unit Association registry from 1999 to 2020 were used. Demographic characteristics, burn mechanisms and severity, and clinical outcomes were compared among three age groups: &gt;80 (very old), 65–79 (old), and 18–64 years.</div></div><div><h3>Results</h3><div>In total, 11,876 patients with burn, including 1,150 aged &gt; 80 years, 1,916 aged 65–79 years, and 8,810 aged 18–64 years, were analyzed. Older patients had a higher incidence of flame burns, burns in the closed space, and trunk, perineum, and lower extremity injuries. The older population had a greater injury severity, longer length of hospital stay, and higher in-hospital mortality rate. Similar trends were observed in the very old population.</div></div><div><h3>Conclusion</h3><div>This study elucidated the characteristics of burn injuries, which included injury mechanisms and anatomical burn sites, among elderly individuals.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100408"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084356","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":"Fusarium isolates in burn-injured patients: Clinical characteristics and susceptibility patterns","authors":"Robyn Stoianovici ,&nbsp;Sierra Young ,&nbsp;Jeremiah J. Duby ,&nbsp;Naomi Hauser ,&nbsp;Erin Louie","doi":"10.1016/j.burnso.2025.100407","DOIUrl":"10.1016/j.burnso.2025.100407","url":null,"abstract":"<div><h3>Introduction/Objective</h3><div><em>Fusarium</em> species are ubiquitous in the environment and can cause opportunistic infection in burn-injured patients. The purpose of this retrospective cohort observational study is to characterize <em>Fusarium</em> susceptibilities, antifungal and surgical management, and the effect on survival in this patient population.</div></div><div><h3>Methods</h3><div>All burn ICU patients with a positive <em>Fusarium</em> culture were retrospectively identified between November 2017 to June 2023 at a regional burn center. Demographic, clinical, and microbiologic susceptibility data was collected from the electronic medication record.</div></div><div><h3>Results</h3><div>Eighteen patients with positive <em>Fusarium</em> wound cultures were included. The median age was 35 (32–41) years and 28 % were female. The average %TBSA was 55 ± 23 % and r-Baux score of 93 ± 22. The most common mechanism of injury was thermal burn (17 patients, 94 %). This cohort experienced prolonged ICU [53 (46–95) days] and hospital [57 (48– 97) days] lengths of stay. The median time from burn injury to positive <em>Fusarium</em> cultures was 18 (14–24) days. Mechanical ventilation was common (94 %) and prolonged [42 (34–55) days]. Sixty percent of isolates resulted with a minimal inhibitory concentration (MIC) ≥ 16 mcg/ml for voriconazole and 93 % isolates resulted with an MIC &lt; 1 mcg/ml for amphotericin B. All patients underwent surgical debridement for source control. Ten of 18 patients (55 %) with <em>Fusarium-</em>positive infections survived to hospital discharge. Infection complicated by multisystem organ failure and sepsis was the most common attributable cause of death (88 %).</div></div><div><h3>Conclusion</h3><div>Patients infected with <em>Fusarium</em> were severely burned, critically ill, and exposed to prolonged mechanical ventilation and to central venous catheterization. The high mortality rate associated with <em>Fusarium</em> infection and prolonged time to antifungal susceptibility results emphasize the importance of appropriate empiric therapy.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100407"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891620","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":"Shifting dynamics of self-immolation in the capital of Iran? The rising trend among young, unmarried, less-educated men","authors":"MohammadAli Shokri ,&nbsp;SaeedehSadat Khalili ,&nbsp;Abdol-Hossein Vahabie ,&nbsp;Atefeh Ghanbari Jolfaei ,&nbsp;Amir-Abbas Keshavarz-Akhlaghi ,&nbsp;Mostafa Dehmardei ,&nbsp;Fatemeh Sadat Mirfazeli","doi":"10.1016/j.burnso.2025.100406","DOIUrl":"10.1016/j.burnso.2025.100406","url":null,"abstract":"<div><div>In our study, we aimed to explore the psychiatric disorders, risk factors, and predictors of self-immolation among individuals admitted to Shahid Motahari Hospital in Tehran from 2019 to 2020. This cross-sectional study examines 64 hospitalized patients who received psychiatric counseling following self-immolation incidents.</div><div>The rate of self-immolation varies significantly based on specific demographics. It is observed that in our population men had a higher rate of being unmarried (70.96 % vs 15.15 %), lower levels of education (70.96 % vs 63.63 % did not have a university degree), higher level of unemployment (54.83 % vs 30.30 %), younger age average with most men aging 15–24 (29.06 (SD = 9.33)) vs women 35–44 (35.27(SD = 10.27)) and higher prevalence of addiction (67.74 % vs 36.36 %) compared to women. On the other hand, women who attempted self-immolation mainly were married, involved in housekeeping, and tended to exhibit higher rates of depression (63.63 % vs 32.25 %) than men. Furthermore, these self-immolation incidents are often impulsive (64.1 %) and occur shortly (under an hour) after experiencing a stressor (39.1 %). Self-immolation accidents are frequently carried out using gasoline (50 %). Geographically, the majority of self-immolation cases of our study are concentrated in the central region of Iran (76.6 %), followed by the western region (15.6 %) this may be due to the proximity of these regions to our center while patients of other<!--> <!-->regions were hospitalized in their referral hospitals and were rarely transferred to the capital. To effectively address the issue of self-immolation and reduce its prevalence, it is essential to identify vulnerable populations and explore targeted preventive measures. Based on our findings, future pilot studies could investigate the feasibility of specific interventions, such as crisis hotlines to reduce impulsivity-related acts of self-immolation. Additionally, small-scale feasibility projects could explore the effectiveness of impulse control management or interpersonal skills training in high-risk populations, but further research is needed to assess their practicality and impact.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874874","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}