Journal of pediatrics, perinatology and child health最新文献

{"title":"Retrograde Intramedullary Nailing for Bado Types Proximal Pediatric Ulna Fractures: Different Surgical Techniques","authors":"G. Thürig, I. Raabe, M. Maniglio, P. Vial, M. Tannast, E. Gautier","doi":"10.26502/jppch.74050111","DOIUrl":"https://doi.org/10.26502/jppch.74050111","url":null,"abstract":"Introduction: Monteggia fracture is defined as a fracture of the proximal third of the ulna with associated dislocation of the radial head. According to the Bado classification, 4 types are differentiated. These fracture types are rare in both adults and children, reaching an incidence of 1.5 - 3% of all pediatric forearm fractures. Anatomic reduction and retention of ulnar fracture and radial head dislocation is the primary aim. If surgery is indicated, various methods can be used. However, it is not known whether one is superior to the other. In very proximal ulnar fracture with radial head dislocation, it is not known whether retrograde nailing provides effective retention of the fracture. Our hypothesis is that closed retrograde nailing is a safe method in the treatment of proximal Bado type I-III in children. Materials and Methods: For this retrospective case series, all pediatric patients were included who suffered a proximal Bado fracture between November 2000 and August 2019. Demographics, injury patterns, details of surgical treatment, and radiographs were obtained from medical records. Results:","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350680","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":"Diarrhoeal Disease in Relation to Childhood Malnutrition and Its Impact on Socio-economic Condition in Emerging Countries Like Bangladesh","authors":"Reema Afroza Alia, Nayeema Sadia, Nazma Parvin Shammy, Ferdous Ara Tithy, R. Shelim, R. Parvin","doi":"10.26502/jppch.74050120","DOIUrl":"https://doi.org/10.26502/jppch.74050120","url":null,"abstract":"Despite a drop in the previous three decades, diarrhoeal illness remains a significant worldwide cause of young fatalities. Childhood rotavirus, diarrhoea, climatic variables, and malnutrition all have a significant link. Conversely, in the recent decade, a major nutritional transition (reduced undernutrition) was reported in under 5 children, particularly in developing countries such as Bangladesh, with a concurrent increasing trend of rotavirus infection. Given the pathophysiology of rotavirus, there might be a connection between this dietary change, climate, and other man-made variables in metropolitan places like Dhaka, Bangladesh, in increasing rotavirus infection. Despite great socioeconomic development and a decade of measures targeted at alleviating it, malnutrition among children under the age of five remains a serious issue in Bangladesh. Despite the fact that various studies have been undertaken to determine the key risk factors for malnutrition, none of them have examined the significance of low birth weight (LBW) 36%. In recent decades, Bangladesh has seen a significant decrease in the number of children dying from diarrhoea. Despite being a resource-constrained, highly populated nation, Bangladesh has been able to accomplish a considerable decrease in pediatric diarrhoea mortality over the last few decades. Improving hand hygiene habits, increasing zinc coverage for diarrhoea therapy, and sustaining nutritional improvement are some of the challenges that remain to further reduce the burden of disease and death caused by diarrhoea. Continuous engagement with NGOs and the commercial sector, as well as the adoption of pluralistic health system platforms for preventive and curative service delivery, are essential to extend intervention coverage and speed the end of children's diarrhoeal deaths in Bangladesh.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350735","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":"Assessing the Accessibility and Healthcare Quality of Maternal and Child Health Services in Health Facilities of Kasai Province in the Democratic Republic of the Congo: A Cross-Sectional Study","authors":"Britou Ndela, P. Ngwala, A. N’siala, A. Kalonji, Felix Minuku, Nancy Ntatukidi, Harmonie Bokole, Jean-Jacques Masumbuku, N. M. Kintaudi, B. Mandja","doi":"10.26502/jppch.74050121","DOIUrl":"https://doi.org/10.26502/jppch.74050121","url":null,"abstract":"Background: The Democratic Republic of the Congo (DRC) is among the five countries with the highest global maternal mortality ratio (MMR) and the highest under-five mortality rate (U5MR) worldwide. One of the 14 provinces in the DRC that have high U5MR and MMR is Kasai. Despite this overriding concern, assessment of the maternal and child situation in this province remains poorly reported. Objectives: this study aimed to assess the accessibility, availability, and quality of maternal and child health services in Kasai province. Methods: A total of 49 health facilities (HFs) in 18 health zones in Kasai province participated in our cross-sectional survey. To collect quantitative and qualitative data, we conducted documentary review, interviews, and direct observation of HFs. Furthermore, the relationship between variables was analyzed by Pearson’s chi-squared test. Results: Nearly 54% of the population in surveyed HFs had geographical access to maternal and child health services, and most of the medical services were unaffordable. Only 11.8% and 7.6% of the HFs offered basic and comprehensive emergency obstetric care (EmOC), with no high-quality level of care. The low availability and quality of EmOC were caused by the insufficiency of necessary inputs and personnel for maternal and child health services in the majority of HFs. Conclusions: The situation of maternal and child health services is extremely precarious in Kasai province in the DRC. Rehabilitation of infrastructure, dotation of equipment, regular supply of medicines, and strengthening of human resource capacity are required to improve the EmOC coverage.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350288","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":"Neonatal Outcome in Pregnant Women with Confirmed COVID-19 Infection during the Last Two Weeks of a Viable Pregnancy: A Retrospective Data Analysis","authors":"Dr. Khalil Mohd Khalil Salameh, Dr. Rajesh Pattu Valappil, Dr. Anvar Paraparambil Vellamgot, Dr. Sarfrazul Abedin, Dr. Naser Abulgasim Elkabir, Dr. Esam Mohamed Elhadi Elhaji, Dr. Lina Hussain M Habboub, Dr. Samer Alhoyed","doi":"10.26502/jppch.74050136","DOIUrl":"https://doi.org/10.26502/jppch.74050136","url":null,"abstract":"Background: Pregnant women are typically vulnerable to infectious diseases due to exaggerated disease manifestations and detrimental effects on their obstetric and neonatal outcomes. Previous studies have demonstrated that pregnant women with COVID-19 had similar clinical manifestations as nonpregnant women. However, there is not enough knowledge about the outcomes of neonates born to infected women although it has been reported that maternal pneumonia results in unfavorable obstetrical outcomes, including the premature rupture of membranes (PROM), intrauterine fetal demise (IUFD), intrauterine growth restriction (IUGR), and neonatal death. This retrospective study analyzes the clinical characteristics of all women with confirmed COVID-19 infection who gave birth in AWH, Qatar, as well as the possible adverse neonatal outcomes associated with maternal COVID-19 infection. Objective: To identify adverse neonatal outcomes in mothers with confirmed COVID-19 infection during the last two weeks of a viable pregnancy. Methods: This retrospective study included newborn babies born to mothers diagnosed with COVID-19 infection between 1 April 2021 and 23 May 2021 at AWH, Hamad Medical Corporation. Data: Clinical characteristics, investigation results, and course of treatment were gathered from medical records for both mothers and babies. Results: Out of 108 babies born to COVID-19-infected mothers, 47 (43.5%) were identified with adverse neonatal outcomes. Prematurity (28.7%), low birth weight (26%), respiratory distress (33.3%), and neonatal depression (8.3%) were the most commonly associated outcomes. Eight out of 108 babies (7.4%) tested positive for COVID-19, with 4.6% incidence of vertical transmission and 2.8% transient viremia. Using logistic regression analysis, maternal pneumonia and CT values were found to be statistically significant factors for premature delivery but were not significantly associated with neonatal infection. However, maternal ferritin levels significantly predicted neonatal positive PCR results. Conclusion: Our data support the possibility of the intrauterine transmission of SARS-CoV-2 even in asymptomatic women. Studies with a larger number of subjects are recommended for identifying the biological mechanisms involved.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350439","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":"An Unusual Presentation of Joubert Syndrome in an Infant: A Case Study","authors":"Susheel kumar saini, A. Singla, Vayom Thapar, Ajay kumar saini, S. Kumari","doi":"10.26502/jppch.74050114","DOIUrl":"https://doi.org/10.26502/jppch.74050114","url":null,"abstract":"Joubert syndrome (JS) is a rare autosomal recessive disorder which show’s cerebellar vermis hypoplasia with a complex brainstem malformation. Joubert syndrome is characterized by episodes of abnormal respiratory pattern, oculomotor findings, hypotonia, ataxia, developmental retardation. Axial magnetic resonance images of brain show characteristic molar tooth sign. This syndrome is difficult to diagnose clinically because of its variable phenotype. The exact diagnosis is often not made for several years after birth. We report an unusual presentation of Joubert syndrome in a 5 month old boy who presented to the pediatric outpatient clinic with developmental delay, increase in tone of body and abnormal head size. MRI Brain showed molar tooth configuration of superior cerebellar peduncles, the fourth ventricle shaped like a bat wing and hypoplasia of the vermis which resulted in median approach of the two cerebellar hemispheres.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350698","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":"Psychosocial Factors Affecting the Association between a Healthy Lifestyle Behavior Intervention and Depressive Symptoms in Low-Income Overweight or Obese Mothers with Young Children: A Mediational Analysis.","authors":"Lorraine B Robbins,&nbsp;Mei-Wei Chang,&nbsp;Jiying Ling,&nbsp;Roger Brown","doi":"10.26502/jppch.74050090","DOIUrl":"https://doi.org/10.26502/jppch.74050090","url":null,"abstract":"<p><strong>Background: </strong>Depressive symptoms are particularly prevalent among low-income overweight or obese mothers with young children, indicating the importance of understanding and addressing this serious health condition. Although lifestyle behavior interventions are promising for alleviating depressive symptoms in low-income overweight or obese mothers with young children, mechanisms underlying the association between these interventions and depressive symptoms in this priority population remain unknown.</p><p><strong>Objective: </strong>A secondary analysis of data from a randomized controlled trial that tested a 16-week community-based lifestyle behavior intervention for low-income overweight or obese mothers with young children was conducted to examine whether autonomous motivation, coping self-efficacy, and emotional coping mediated the association between the intervention and depressive symptoms.</p><p><strong>Methods: </strong>The analysis included 338 participants who completed data collection at baseline and immediately after the intervention. Participants responded to validated surveys measuring autonomous motivation, coping self-efficacy, emotional coping, and depressive symptoms. To test mediation effects, composite indicator structural equation modeling was performed adjusting for baseline measures. The proportion of maximum possible (POMP) scores in the outcome variable per unit change in the predictor variables was used to calculate effect size.</p><p><strong>Results: </strong>The intervention alleviated depressive symptoms (<i>B</i> = -2.42, <i>p</i> = 0.015, POMP = -4.31%), and coping self-efficacy negatively and fully mediated the association between the intervention and depressive symptoms (<i>B</i> = -1.42, <i>p</i> = 0.002, POMP = -2.53%). Autonomous motivation and emotional coping were not significant mediators.</p><p><strong>Conclusions: </strong>Interventions aimed to alleviate depressive symptoms in low-income overweight or obese mothers with young children should include strategies to improve coping self-efficacy. However, continued research is needed to identify other mechanisms that may be contributing to the effect of lifestyle behavior interventions on depressive symptoms in this at-risk group. This information can then be used to simplify and strengthen the interventions and potentially lead to effective dissemination and implementation.</p>","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"6 1","pages":"54-69"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8797166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39873884","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":"Infant Mortality among Twins from the Pelotas 2004 and 2015 Birth Cohorts","authors":"Iná S. Santos, Neiva Cristina J Valle, Mariangela F Silveira, A. Matijasevich, Andréa D Bertoldi, M. Domingues, Gabriel Santana, Ivete Maria Kreutz, Fernando CF Barros","doi":"10.26502/jppch.74050095","DOIUrl":"https://doi.org/10.26502/jppch.74050095","url":null,"abstract":"Objective: To describe the prevalence of multiple pregnancies and compare firstand second-born twins to each other and to singletons, in terms of infant mortality. Methods: The 2004 and 2015 Pelotas Birth Cohorts are population-based studies conducted in Pelotas, South Brazil. A monitoring system was assembled to detect all deaths of cohort participants in the first year of life. Infant Mortality Rate (IMR):1000 live births (LB) and its components (neonatal and post-neonatal mortality rates) were calculated. Results: Among 4,187 pregnancies in 2004 and 4,220 in 2015, respectively, 42 (1.0%) and 56 (1.3%) J Pediatr Perinatol Child Health 2022; 6 (1): 115-128 DOI: 10.26502/jppch.74050095 Journal of Pediatrics, Perinatology and Child Health 116 were multiple. Eighty-four twins were born alive in 2004 and 111 in 2015. The majority of twin pregnancies failed to reach 37 weeks (61.9% in 2004 and 82.2% in 2015). Prevalence of twin births < 34 weeks of gestation more than doubled from 2004 (19.0%) to 2015 (42.1%) (p=0.03). In the 2004 cohort, there were 79 infant deaths, three of which were twins, and in the 2015 cohort, among the 57 deaths, five were of twins. In the 2004 cohort there was no difference in IMR between twins and singletons. In the 2015 cohort, IMR in first-born twins was similar to that of singletons, whereas among second-born twins, the IMR was six times higher than in singletons (75.4:1,000 LB versus 12.5:1000 LB). Conclusion: While improvements in medical care may have led to improved survival among infants born at less than 34 weeks, these infants are still at increased risk of dying before reaching one year of age.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350203","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 Comparative Study of Pro & Anti-Inflammatory Cytokine Levels in Children with Febrile Seizure","authors":"Dr. Ajay KUMAR SAINI, Deepak K. Gupta, Dr Susheel kumar saini, D. Kumari, Dr Palak Hans","doi":"10.26502/jppch.74050126","DOIUrl":"https://doi.org/10.26502/jppch.74050126","url":null,"abstract":"Objective: To compare the levels of pro and anti-Inflammatory cytokines in children presenting with febrile seizures v/s only febrile illness in age group of 6 to 60 months. Study design: In this hospital based observational case-control study; conducted in Department of Pediatric Medicine, Sanjay Gandhi Memorial Hospital, New Delhi 50 children (of age 6 to 60 months were included. Patients undergo relevant investigation to find out abnormality in complete blood count, liver function tests and renal function tests. Pro and antiinflammatory cytokine levels including IL-1β, IL-6 IL-10 & TNF-α were assessed by ELISA by using TECAN INFINITE F50 absorbance microplate reader. Results: In febrile seizure cases; 72% children had simple febrile seizure, followed by complex febrile seizure in 28%. The median (25th-75th percentile) values of pro inflammatory cytokines (IL-1β, TNF-ɑ and IL-6) were significantly higher in febrile seizure cases as compared to control group. The median value of anti-inflammatory cytokine IL-10 showed no significant difference in cases v/s control group. Conclusions: A comparative analysis of different cytokines in febrile seizure can be useful as diagnostic marker. Role of cytokines in pathogenesis of different other diseases had studied previously and then pharmaceutical drugs were formulated against particular cytokine. On the contrary in febrile seizure there is still lack of sufficient studies, so the role of drugs against cytokines in febrile seizures still needs to be studied.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350313","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":"Neonatal Complications of Severe Pre-Eclampsia and Eclampsia in Rural Area in Sénégal","authors":"Diouf Fn, Gueye M, Boko Osf, T. L., Faye Pm","doi":"10.26502/jppch.74050112","DOIUrl":"https://doi.org/10.26502/jppch.74050112","url":null,"abstract":"Introduction: Pre-eclampsia and eclampsia are responsible for high maternal-fetal mortality. The aim of this study was to evaluate the prevalence, and to assess their early and late perinatal consequences. Material and Methods: This was a retrospective study in the paediatric ward of the CHRZ over a 12-month period. We included records of hospitalized newborns of mothers with severe pre-eclampsia or eclampsia. Sociodemographic, epidemiological and maternal-fetal parameters were analysed. Results: 125 newborns were included (11.7% of admissions). They were born to mothers with severe pre-eclampsia (78.4%) and eclampsia (21.6%). The average age of the mothers was 26.5 years, with 31.7% between 20 and 25 years. They came from a rural area (49.6%), were not professionally active (67%) and were not educated (33.3%). The average gestation and parity was 2.7 with 45.6% primigravida and 47.2% primipara. Monitoring was done by a midwife (83.2%) and 69.6% had undergone less than 4 antenal consultations. Delivery was by caesarean section (54.8%), the newborn was premature (49.6%), and antenatal corticosteroid therapy was administered in 17.6% of cases. Acute fetal distress was noted in 48.8% of whom 11.2% had not cried. The average weight was 2318 g. The neonatal complications were prematurity (49.6%), IUGR (28%) and perinatal asphyxia (25.6%). We noted 12% of deaths before the 7th day ème of which 80% were premature. Four other deaths were noted between 3 ème and 9 ème months. Conclusion: The neonatal repercussions are not negligible in our context, hence the need for better collaboration between the practitioners of the mother-child couple.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350689","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":"Nasal Carriage Rate of Staphylococcus Aureus and Risk Factors among Healthcare Workers and Attendants of Neonatal Intensive Care Unit in a Tertiary Care Centre in Bangladesh","authors":"Sadeka Choudhury Moni, Md. Nazmus Sihan, D. Saha, Shahanara Akter, M. Mannan, M. Shahidullah","doi":"10.26502/jppch.74050101","DOIUrl":"https://doi.org/10.26502/jppch.74050101","url":null,"abstract":"Nasal Carriage Rate of Staphylococcus Aureus and Risk Factors among Healthcare Workers and Attendants of Neonatal Intensive Care Unit in a Tertiary Care Centre in Bangladesh. Perinatology Abstract Introduction: Newborn acquires Staphylococcus aureus including methicillin resistant Staphylococcus aureus (MRSA) from adult sources. There are limited data on Staphylococcus aureus carriage rate among health care workers (HCWs) and other adult contacts in Bangladesh. Objective: The objective of the study was to factors for colonization of Staphylococcus aureus.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350280","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}