Journal of rural medicine : JRM最新文献

{"title":"Artificial intelligence as a proficient tool in detecting pulmonary tuberculosis in massive population screening programs: a case study in Chennai, India.","authors":"Prabakaran Jayaraman, Sangeetha S, Saumit Paul, Richa Pant, Tanveer Gupte, Viraj Kulkarni, Amit Kharat","doi":"10.2185/jrm.2024-015","DOIUrl":"https://doi.org/10.2185/jrm.2024-015","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the performance of Genki, a computer-aided detection (CADe) software, in detecting tuberculosis (TB) using chest radiography in a mobile TB screening program in Chennai, India.</p><p><strong>Materials and methods: </strong>Genki, an AI-based CADe software, was employed in four mobile diagnostic units in remote areas of Chennai, India for screening TB. Patients from remote areas of Chennai who visited the vans and registered in the screening program underwent chest radiography, and the acquired X-ray scans were analyzed using Genki, which provided an assessment of each scan as either \"TB suggestive\" or \"TB not suggestive\". Subsequently, sputum or swab from the patients with \"TB suggestive\" results was collected to confirm the diagnosis.</p><p><strong>Results: </strong>In total, 25,598 patients were screened between January and December 2022. When the annotations from the expert radiologists were considered to be true, Genki demonstrated an aggregated sensitivity of 98%, specificity of 96.9%, and accuracy of 96.9% in detecting TB from chest X-ray scans of the screened population. Furthermore, it exhibited a sensitivity, specificity, and accuracy of >95%, >94%, and >94%, respectively, for both sexes (male and female) and all age groups (14-35, 36-60, and ≥61 years).</p><p><strong>Conclusion: </strong>Genki demonstrated excellent value as a TB screening tool in remote locations in Chennai, India. Employing a CADe-based approach for systematic TB screening is cost-effective and reduces workload in high-burden and low-resource settings.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"20 1","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959930","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":"Optimizing mass casualty: an incident report of centralizing patient transport and its impact on triage efficiency.","authors":"Hiroaki Taniguchi, Hiroki Nagasawa, Tatsuro Sakai, Hiromichi Ohsaka, Kazuhiko Omori, Youichi Yanagawa","doi":"10.2185/jrm.2024-029","DOIUrl":"https://doi.org/10.2185/jrm.2024-029","url":null,"abstract":"<p><p>In mass casualty incidents, effective triage, treatment, and transport are critical for efficient management but often deviate from practices and ethical standards. In terms of resource allocation, decentralized transport is the predominant transport method; however, it is not standardized. This report retrospectively analyzed the response to a mass casualty incident at a university emergency center. By centralizing patient transport from the scene, the time to patient transport could be shortened, the burden on the scene related to transport could be reduced, and undertriage at the scene could be avoided. No trauma-related deaths occurred. This case provides a valuable contribution to the understanding of situations in which critical patients may concentrate in emergency centers during future mass-casualty incidents.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"20 1","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959933","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":"Telemedicine for diseases between primary care physicians on remote islands and specialists in mainland in Japan: a questionnaire survey.","authors":"Miki Yamauchi, Akihisa Nakamura, Hiroyuki Teraura, Kazuhiko Kotani","doi":"10.2185/jrm.2024-020","DOIUrl":"https://doi.org/10.2185/jrm.2024-020","url":null,"abstract":"<p><strong>Objective: </strong>Primary care physicians on remote islands and specialists in mainland are expected to collaborate using telemedicine. This survey aimed to identify diseases for which primary care physicians on remote islands consider telemedicine necessary.</p><p><strong>Materials and methods: </strong>A mail survey was conducted at rural public clinics on remote islands. Participants were asked to select diseases for which telemedicine with mainland specialists was necessary.</p><p><strong>Results: </strong>A total of 23 physicians participated in this survey. The most common disease category for telemedicine was psychiatric/psychosomatic diseases, followed by neurological and endocrine/nutrition/metabolic diseases.</p><p><strong>Conclusion: </strong>These data may be useful for the future development of telemedicine involving primary care physicians on remote islands and mainland specialists.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"20 1","pages":"63-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959951","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":"Academic stress among students in Vietnam: a three-year longitudinal study on the impact of family, lifestyle, and academic factors.","authors":"Thao Vi Tran, Hoang Thuy Linh Nguyen, Xuan Minh Tri Tran, Yuri Tashiro, Kaoruko Seino, Thang Van Vo, Keiko Nakamura","doi":"10.2185/jrm.2024-012","DOIUrl":"10.2185/jrm.2024-012","url":null,"abstract":"<p><strong>Objective: </strong>Academic stress is associated with mental health disorders, notably depression and anxiety among students. Mitigating stress can decrease the incidence of mental health disorders and improve student well-being. This study explored factors influencing academic stress among secondary school students in Vietnam.</p><p><strong>Materials and methods: </strong>A three-year longitudinal study was conducted using a self-reported questionnaire with 611 students from four secondary schools in Hue City, Vietnam. Academic stress was evaluated using the Educational Stress Scale for Adolescents (ESSA). Family factors, including the number of siblings and parental educational levels; lifestyle factors, including physical activity and sleep; and academic factors, including grade point average and attending extra classes were evaluated. Linear regression models were used to analyze the associations between the ESSA scores at follow-up and family, lifestyle, and academic factors at baseline.</p><p><strong>Results: </strong>A total of 341 students completed both the baseline and follow-up surveys and answered the questions required for this analysis. The mean ESSA score of 341 students increased from 46.4 ± 7.6 (mean ± SD) to 53.5 ± 10.8, from 2018 to 2021. The multivariate model revealed that the number of siblings, higher father's educational attainment level, female gender, lower academic scores, and attending extra classes were associated with overall academic stress. In contrast, no associations were observed between the variables of lifestyle, parental concentration, and parental acceptance and overall academic stress.</p><p><strong>Conclusion: </strong>The findings highlight the impact of family factors and study workload on academic stress, emphasizing the need for proper care from family and school to reduce or prevent student academic stress and provide them with a comfortable and healthy learning environment.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"279-290"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360736","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":"Long-term treatment results of pembrolizumab monotherapy: reconsideration of immune checkpoint inhibitor monotherapy.","authors":"Takanobu Sasaki, Takafumi Sugawara, Toshiharu Tabata, Naoya Ishibashi, Hideki Mitomo, Yutaka Oshima, Ryo Nonomura","doi":"10.2185/jrm.2024-014","DOIUrl":"10.2185/jrm.2024-014","url":null,"abstract":"<p><strong>Objective: </strong>The extended outcomes of the KEYNOTE-024 study demonstrated a favorable 5-year overall survival (OS) rate of 31.9%. The present study investigated the outcomes of pembrolizumab monotherapy for advanced or recurrent non-small cell lung cancer (NSCLC) at our institution.</p><p><strong>Patient: </strong>The long-term outcomes of 102 patients with advanced or recurrent NSCLC treated with pembrolizumab monotherapy between March 2017 and December 2022 were retrospectively assessed.</p><p><strong>Results: </strong>This study included a total of 102 patients [mean age: 72 ± 9.6 years (range: 41-91 years), male/female=77/25; performance status (PS; 0, 1, 2, 3, 4)=49/38/15/0/0; smokers=91 (89%), non-squamous cell carcinoma/squamous cell carcinoma=66/36, PD-L1 tumor proportion score (TPS) ≥50%/1-49%=80/22, positive for <i>EGFR</i> mutation=5, advanced/postoperative recurrence=51/51, treatment line: first/second or later=81/21, treatment courses: median 8 (range: 1<b>-</b>39), objective response rate/disease control rate=44%/55%, immune-related adverse events (irAEs): 47, 5-year OS=34%]. On univariate analysis, PS, PD-L1 TPS, and irAEs were significant prognostic factors. On multivariate analysis, histology, PD-L1 TPS, and irAEs were significant prognostic factors.</p><p><strong>Conclusion: </strong>Pembrolizumab monotherapy demonstrated promising treatment outcomes for advanced or recurrent NSCLC, as evidenced by the significant association of PD-L1 TPS with irAEs and prognosis, suggesting its potential as a beneficial therapeutic option.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"273-278"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362527","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":"Original scoring system of safety reports for ensuring medical security-trajectory for 18 years at a single center.","authors":"Yoshitaka Maeda, Hiromi Inaba, Naganori Sato, Tomoko Suzuki, Mizuho Ohshima, Hiroyuki Tomimitsu","doi":"10.2185/jrm.2023-041","DOIUrl":"10.2185/jrm.2023-041","url":null,"abstract":"<p><strong>Objectives: </strong>Safety reports are core components of secure medical systems, but their significance have remained obscure, mostly owing to limited quantitative approaches other than the numbers of reports. In 2005, we developed \"management levels\" and their equally converted points (p) of scores, which indicated the grades of required correspondences of medical systems. Moreover, products of those scores multiplied by risk levels (equally converted scores), \"total scores\" were also proposed for weighting harmful events from biphasic aspects; severity of patient damage and the required levels of correspondence as medical systems. In this study, we assessed this scoring system using extensive longitudinal experience.</p><p><strong>Methods: </strong>Risk, management and total scores were retrospectively surveyed between 2012 and 2022 when a consistent reporting system had worked throughout the study period.</p><p><strong>Results: </strong>The aforementioned three scores inconsistently decreased along with a decrease in number of safety reports from 2,445 to 1,194 cases, or 2,069 to 1,052 cases/10⁵ admitted patients (c/pap) in eleven years. Of the scores, the most prominent decrease was found in the management scores from 2,164 to 1,070 points/pap (p/pap). The risk and total scores had decreased even more modestly: from 1,879 to 1,484 p/pap, and 5,470 to 4,007 p/pap, respectively. When compared with the proportion (%) of risk and management levels in 2012, risk level 0 decreased, and risk level 1 and 3a increased in 2022. However, the proportion of management levels did not change during this period.</p><p><strong>Conclusion: </strong>The proposed scoring system showed that the cumulative severity of patient damage did not worsen, or decrease in some years accompanied by decreasing correspondence levels of the medical system, although the numbers of reports also decreased. These findings show the appropriateness of the on-going safety activities of this hospital even when restricted to reported events. However, their effectiveness including unreported events, requires further study.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"305-309"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362528","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 the utilization of disaster medical assistance teams and multiple physician-staffed helicopters in mass casualty responses.","authors":"Youichi Yanagawa, Akio Kanda, Hiroki Nagasawa, Hiromichi Ohsaka, Kazuhiko Omori","doi":"10.2185/jrm.2024-021","DOIUrl":"10.2185/jrm.2024-021","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the differences between doctor helicopters (DHs) and disaster medical assistance teams (DMATs), based on past examples and the current situation in Shizuoka Prefecture.</p><p><strong>Materials and methods: </strong>First, we examined cases in Shizuoka Prefecture from 2014 to 2023, wherein incidents involving five or more injured individuals were managed using multiple DHs simultaneously. Next, we investigated the presence of DMATs in Shizuoka Prefecture and assessed their role in disaster responses within the prefecture.</p><p><strong>Results: </strong>Since 2014, there have been eight incidents in Shizuoka Prefecture wherein multiple DHs were deployed to respond to mass casualties. Shizuoka DMATs were placed on standby thrice during the same period, with one active deployment during a disaster caused by a landslide in Atami. The other two cases were managed solely by DHs and ambulance teams.</p><p><strong>Conclusion: </strong>Localized disasters in Shizuoka Prefecture have seen the effective use of multiple DHs for timely patient transportation, particularly when weather conditions were suitable. By contrast, DMATs are primarily deployed for extended medical activities lasting more than one day. This differentiation highlights the importance of choosing an appropriate medical response approach based on the nature and scope of a disaster.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"300-304"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360738","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":"Literature review: prevention of aspiration in the elderly overseas.","authors":"Yukie Furuzawa, Norio Watanabe, Shiho Yoshikawa","doi":"10.2185/jrm.2023-048","DOIUrl":"10.2185/jrm.2023-048","url":null,"abstract":"<p><strong>Objective: </strong>This review seeks to identify trends and issues in preventing aspiration for the elderly overseas in the hopes of gathering information regarding how a similar level of care may be provided in Japan.</p><p><strong>Materials and methods: </strong>The authors used the CHINAL Ultimate database to review academic publications from December 2012 to December 2022. Four terms, one from each of four sets of keywords, were combined as search criteria: (1) \"dysphagia\", \"aspiration\", \"choking\", \"airway obstruction asphyxia\", \"swallowing function\", or \"pneumonia\", (2) \"aged\" or \"elderly people\", (3) \"nursing\" or \"nursing care\", and (4) prevention. Papers that did not directly relate to the purpose of this review were excluded.</p><p><strong>Results: </strong>The authors identified fourteen publications regarding preventative care for aspiration in the elderly. According to the reports, preventative care mainly consisted of ensuring proper oral care, screening to assess swallowing function, and taking steps at meals to prevent aspiration.</p><p><strong>Conclusion: </strong>Our research showed that the primary ways of preventing aspiration in the elderly overseas included (1) screening for oral conditions and swallowing function to prevent pneumonia and (2) providing proper oral care coupled with support during meals.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362526","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":"Inequality in Afghanistan in the use of prenatal healthcare services according to the sex of newborns.","authors":"Kamila Dost, Keiko Nakamura, Sharifullah Alemi, Yuri Tashiro, Kaoruko Seino, Shafiqullah Hemat","doi":"10.2185/jrm.2024-017","DOIUrl":"10.2185/jrm.2024-017","url":null,"abstract":"<p><strong>Objective: </strong>The association between the sex of newborns and the utilization of prenatal healthcare services during pregnancy and childbirth has not been thoroughly studied. This study investigated the association between the sex of newborns and the extent to which women used prenatal healthcare services in Afghanistan.</p><p><strong>Materials and methods: </strong>This study used data obtained from a nationally representative demographic and health survey. The participants in this analysis were women who had given birth in the last five years (n=19,126). Four indicators related to prenatal healthcare utilization were used: (1) number of antenatal care (ANC) visits, (2) number of ANC services provided by skilled professionals, (3) quality of ANC services, and (4) institutional delivery. Multivariate linear and logistic regression models were employed to examine the association between the sex of newborns and the use of prenatal healthcare services after adjusting for sociodemographic and decision-making autonomy variables.</p><p><strong>Results: </strong>There was a significant association between the sex of newborns and use of prenatal healthcare services. Women with female newborns used ANC services fewer times (β =-0.10, 95% CI: -0.17, -0.03), used ANC services provided by skilled professionals fewer times (β=-0.11, 95% CI: -0.18, -0.04), were less likely to receive high-quality ANC (adjusted odds ratio (AOR)=0.78, 95% confidence interval (CI): 0.67, 0.90), and were less likely to deliver their babies at health institutions (AOR=0.83, 95% CI: 0.77, 0.91) than those with male newborns, after adjusting for other variables.</p><p><strong>Conclusion: </strong>The findings revealed a negative association between female newborns and the utilization of prenatal healthcare services among women of reproductive age in Afghanistan. It is important to pay attention to this issue and ensure that all women have equal access to healthcare services regardless of their newborn's sex.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"221-231"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362525","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":"Development and verification of community development index for improving functioning of aged people in rural districts (third report): data collection and analysis system on social mutual aid are desired for community development for elderly persons living in rural districts.","authors":"Hirohito Nanbu","doi":"10.2185/jrm.2022-057","DOIUrl":"10.2185/jrm.2022-057","url":null,"abstract":"<p><strong>Objective: </strong>The author conducted a survey on social mutual aid and the social stimulative effect of older adults living in a rural district, and compared young old and old-old persons to clarify the roles of public health nurses in promoting community development.</p><p><strong>Materials and methods: </strong>A cross-sectional study based on Andersen's Behavioral Model of Health Care Utilization was conducted with 2,500 residents aged 65 years or older of City A in Akita Prefecture. The study was conducted from April 8 to May 15, 2017. Participants were administered a questionnaire containing items on \"social mutual aid in the rural district\". Responses were recorded on a Likert scale.</p><p><strong>Results: </strong>As a result of factor analysis, the following four factors were extracted; [Blessing of a rural district and mutual help and assistance unique to a rural district], [Closeness of healthcare welfare service and family doctors in conjunction with their own health], [Decline of culture and community unique to rural districts accompanied by depopulation] and [Closeness of the town where they live]. Differences were observed in the closeness of social mutual aid and local societal stimulative effects, even between generations of old and old-old persons. In young-old persons, a negative correlation was observed between [Closeness of the town where they live] and other factors. In old-old persons, a negative correlation was found between [Decline of culture and community unique to rural districts accompanied by depopulation] and other factors.</p><p><strong>Conclusion: </strong>Since not only individual health indices but also local social mutual aid, which relates to individuals' influence on the construction of a Community-based Integrated Care System in a rural district, the author posits that a data collection and analysis system on social mutual aid would be beneficial for community development for older adults living in rural districts.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 4","pages":"232-240"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360740","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}