Journal of substance use and addiction treatment最新文献

{"title":"Exploring barriers and potential solutions before implementing a scale-up strategy to expand methadone coverage among people who inject drugs in Tajikistan","authors":"George L. O'Hara ,&nbsp;Lynn M. Madden ,&nbsp;Abror Burkhonov ,&nbsp;Arash Alaei ,&nbsp;Gafur Mohsinzoda ,&nbsp;Daniel J. Bromberg ,&nbsp;Jamoliddin Abdullozoda ,&nbsp;Salomudin J. Yusufi ,&nbsp;Frederick L. Altice","doi":"10.1016/j.josat.2025.209682","DOIUrl":"10.1016/j.josat.2025.209682","url":null,"abstract":"<div><h3>Introduction</h3><div>The Eastern European and Central Asian region has the most rapidly growing HIV epidemic worldwide, concentrated among people who inject drugs (PWID). Scaling up opioid agonist therapies (OAT) is a highly effective primary and secondary HIV prevention strategy, yet coverage remains low (2.7 %) among the 18,000 PWID injecting opioids in Tajikistan.</div></div><div><h3>Methods</h3><div>As part of a pre-implementation activity before using the blended NIATx implementation strategy, we focused on the first NIATx principle, to understand and involve the customer by exploring the barriers and facilitators to OAT scale-up (i.e. greater methadone program entry and retention resulting in more people on methadone). From October to December 2023, recipients (i.e., PWID) were assessed across all 14 OAT sites in 12 cities in 28 focus groups, stratified by those on (<em>N</em> = 120) and not on (<em>N</em> = 108) methadone. Nominal group technique (NGT) was selected as a rapid, inclusive and mixed methods strategy to identify and prioritize the most important barriers and facilitators. Barriers and solutions were categorized to guide implementation targeting individual (i.e., patients/providers), organizational (i.e., clinic) and policy (e.g., laws/regulations) factors.</div></div><div><h3>Results</h3><div>The three highest-ranking barriers nationally to scaling up methadone were similar for both groups: 1) <em>organizational</em> factors like logistical inconvenience and demands on patients (transport, schedule, daily dosing); 2) <em>policy</em> factors like requirements to be listed in the national OAT registry which can restrict access to a driver's license and employment; and 3) <em>individual</em> and <em>societal</em> factors like widespread disinformation about methadone. The three highest-ranking solutions included: 1) changing policies to allow take-home dosing (both groups); 2) expanding the number of sites where methadone could be dispensed (e.g., primary healthcare clinics and pharmacies); and 3) widely disseminating reliable information about methadone to PWID and other stakeholders like governmental organizations and police. For those not on methadone, site expansion was the second highest solution, while for those not on methadone, disseminating accurate information was second highest.</div></div><div><h3>Conclusion</h3><div>This pre-implementation study provides important insights into implementation strategies that might be considered to scale-up methadone that targets recipients (patients, providers, and family), organizations and policies.</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"172 ","pages":"Article 209682"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733431","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 longitudinal observational study with ecological momentary assessment and deep learning to predict non-prescribed opioid use, treatment retention, and medication nonadherence among persons receiving medication treatment for opioid use disorder","authors":"Michael V. Heinz ,&nbsp;George D. Price ,&nbsp;Avijit Singh ,&nbsp;Sukanya Bhattacharya ,&nbsp;Ching-Hua Chen ,&nbsp;Asma Asyyed ,&nbsp;Monique B. Does ,&nbsp;Saeed Hassanpour ,&nbsp;Emily Hichborn ,&nbsp;David Kotz ,&nbsp;Chantal A. Lambert-Harris ,&nbsp;Zhiguo Li ,&nbsp;Bethany McLeman ,&nbsp;Varun Mishra ,&nbsp;Catherine Stanger ,&nbsp;Geetha Subramaniam ,&nbsp;Weiyi Wu ,&nbsp;Cynthia I. Campbell ,&nbsp;Lisa A. Marsch ,&nbsp;Nicholas C. Jacobson","doi":"10.1016/j.josat.2025.209685","DOIUrl":"10.1016/j.josat.2025.209685","url":null,"abstract":"<div><h3>Background</h3><div>Despite effective treatments for opioid use disorder (OUD), relapse and treatment drop-out diminish their efficacy, increasing the risks of adverse outcomes, including death. Predicting important outcomes, including non-prescribed opioid use (NPOU) and treatment discontinuation among persons receiving medications for OUD (MOUD) can provide a proactive approach to these challenges. Our study uses ecological momentary assessment (EMA) and deep learning to predict momentary NPOU, medication nonadherence, and treatment retention in MOUD patients.</div></div><div><h3>Methods</h3><div>Study participants included adults receiving MOUD at a large outpatient treatment program. We predicted NPOU (EMA-based), medication nonadherence (Electronic Health Record [EHR]- and EMA-based), and treatment retention (EHR-based) using context-sensitive EMAs (e.g., stress, pain, social setting). We used recurrent deep learning models with 7-day sliding windows to predict the next-day outcomes, using Area Under the ROC Curve (AUC) for assessment. We employed SHapley additive ExPlanations (SHAP) to understand feature latency and importance.</div></div><div><h3>Results</h3><div>Participants comprised 62 adults with 14,322 observations. Model performance varied across EMA subtypes and outcomes with AUCs spanning 0.58–0.97. Recent substance use was the best performing predictor for EMA-based NPOU (AUC = 0.97). Life-contextual factors were best performers for EMA-based medication nonadherence (AUC = 0.68) and retention (AUC = 0.89), and substance use risk factors (e.g., nicotine and alcohol use) and self-reported MOUD adherence performed best for predicting EHR-based medication nonadherence (AUC = 0.79). SHAP revealed varying latencies between predictors and outcomes.</div></div><div><h3>Conclusions</h3><div>Findings support the effectiveness of EMA and deep learning for forecasting actionable outcomes in persons receiving MOUD. These insights will enable the development of personalized dynamic risk profiles and just-in-time adaptive interventions (JITAIs) to mitigate high-risk OUD outcomes.</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"173 ","pages":"Article 209685"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702523","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 safe place to use”: People who use drugs' perceptions and preferences prior to the implementation of Rhode Island's first overdose prevention center","authors":"Katherine Dunham ,&nbsp;E. Claire Macon ,&nbsp;Ashley Perry ,&nbsp;Michael Tan ,&nbsp;Brandon D.L. Marshall ,&nbsp;Alexandra B. Collins","doi":"10.1016/j.josat.2025.209679","DOIUrl":"10.1016/j.josat.2025.209679","url":null,"abstract":"<div><h3>Introduction</h3><div>In July 2021, Rhode Island became the first state in the United States (US) to legalize overdose prevention centers (OPCs). To inform the design and implementation of an OPC in Providence, Rhode Island's capital, we explored perceptions of OPCs and programmatic needs among people who use drugs.</div></div><div><h3>Methods</h3><div>The study conducted in-depth qualitative interviews from December 2023 to March 2024 with 25 people who use drugs. Thematic analysis explored OPC implementation considerations, with a focus on perceived social and structural barriers and facilitators for use. The study shared findings iteratively with the future OPC's operating organization.</div></div><div><h3>Results</h3><div>Overall, participants were aware of plans to open an OPC locally and were largely supportive. Participant narratives underscored social, spatial, and programmatic needs to facilitate OPC accessibility and uptake, including the site's hours of operation, environment, and ancillary services provided. Participants further underscored concerns and considerations that would affect their willingness to use the site, including police presence, preferred substances and use modalities, use routines, and housing status. These considerations and concerns were grounded in participants' own social locations and levels of structural vulnerability.</div></div><div><h3>Conclusion</h3><div>Our findings underscore the need for inclusive services that ensure the OPC's accessibility and uptake as a safer environment for a variety of key populations.</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"173 ","pages":"Article 209679"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694727","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":"Prenatal opioid use disorder and child protective service involvement: Does consistent treatment matter?","authors":"Yi Wang ,&nbsp;Deborah Ehrenthal ,&nbsp;Ai Bo ,&nbsp;Lawrence Berger","doi":"10.1016/j.josat.2025.209681","DOIUrl":"10.1016/j.josat.2025.209681","url":null,"abstract":"<div><h3>Background</h3><div>Infants born to individuals with opioid use disorder (OUD) often face greater scrutiny from child protective services (CPS), particularly in states like Wisconsin that mandate reporting for prenatal substance exposure. While consistent medication for opioid use disorder (MOUD) is recommended to stabilize the prenatal environment, such mandatory reporting policies may discourage seeking treatment.</div></div><div><h3>Methods</h3><div>This research used Wisconsin's linked administrative data to estimate associations between prenatal OUD diagnosis and CPS involvement, focusing on variation therein by MOUD treatment consistency.</div></div><div><h3>Results</h3><div>Of the 258,828 Medicaid-covered singleton births from 2010 to 2019, 6091 (2.4 %) were to individuals with OUD. Among these, 2349 (38.6 %) received high consistency treatment (defined as receiving MOUD for 5 or more consecutive months before the birth), 701 (11.5 %) had moderate consistency treatment (2–4 consecutive months), 660 (10.8 %) underwent intermittent treatment (&lt;2 consecutive months), and 2381 (39.1 %) were untreated. Logistic regressions show that OUD diagnosis was associated with elevated risk of CPS referrals and removals within 30 days post-birth. The presence of other co-occurring substance use and mental health disorders was associated with additional increases in these risks. Though individuals receiving MOUD treatment had higher referral risk compared to untreated, those who received moderately and highly consistent treatment faced lower removal risk relative to those with intermittent treatment. Notably, the high consistency treatment group exhibited the lowest referral and removal rates across all treatment groups.</div></div><div><h3>Conclusion</h3><div>These findings underscore the need to promote high consistency MOUD treatment among pregnant individuals with OUD by clarifying its benefits and mitigating concerns regarding CPS involvement.</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"172 ","pages":"Article 209681"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686705","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":"“It's more than just the act of not using. It's a feeling of finally completing something.”: Person-centered definitions of successful treatment outcomes from patients and staff at a methadone treatment program in Baltimore City","authors":"Valerie D. Bradley ,&nbsp;Mary B. Kleinman ,&nbsp;Morgan S. Anvari ,&nbsp;Tolulope M. Abidogun ,&nbsp;C.J. Seitz-Brown ,&nbsp;Annabelle M. Belcher ,&nbsp;Thomas O. Cole ,&nbsp;Aaron D. Greenblatt ,&nbsp;Jessica F. Magidson","doi":"10.1016/j.josat.2025.209683","DOIUrl":"10.1016/j.josat.2025.209683","url":null,"abstract":"<div><h3>Background</h3><div>Successful outcomes in substance use disorder (SUD) treatment are traditionally defined by retention in care, substance use cessation, and relapse prevention. However, these metrics may overlook important, person-centered aspects of success, especially for marginalized populations facing significant inequities in care. With overdose-related deaths disproportionately affecting racially minoritized groups, understanding a more inclusive definition of success in opioid use disorder (OUD) treatment is essential for improving clinical treatment, research, and policy. This study explores how patients and staff define successful treatment outcomes and how those definitions align or differ at an outpatient methadone treatment program in Baltimore City.</div></div><div><h3>Methods</h3><div>We conducted qualitative interviews and focus groups with 32 participants, including patients, clinical staff, and peer recovery specialists (PRSs) at a methadone treatment program serving primarily low-income, racially minoritized individuals with OUD. The sample was 59 % male, average age 48.7, and 66 % Black or African American. Semi-structured interview guides prompted patients (<em>n</em> <em>=</em> 20) and clinical staff/PRSs (<em>n</em> <em>=</em> 12) to describe successful treatment experiences. Data were analyzed using thematic analysis and contextualized within the Health Equity Implementation Framework to propose influences on equitable methadone treatment that optimize treatment outcomes.</div></div><div><h3>Results</h3><div>Five key themes emerged in defining person-centered successful treatment outcomes: (1) improvements in general health, (2) productivity and accomplishment, (3) social improvements, (4) substance use changes, and (5) treatment engagement. Patients and staff agreed on two-thirds of subthemes but showed notable differences. Patients emphasized experiential and social aspects of recovery, such as increased activities, supporting others, and resisting substance use influences. Staff focused on sustained behavioral change and long-term recovery milestones, including substance use behaviors, self-worth, community involvement, and treatment planning.</div></div><div><h3>Conclusion</h3><div>Person-centered definitions of success in methadone treatment encompass a range of psychosocial, behavioral, and health-related factors. While patients and staff agreed on overall themes, their perspectives diverged on several subthemes. Incorporating diverse patient perspectives in defining methadone treatment success, particularly from marginalized groups, is essential for improving research, policy, and clinical practices to enhance patient experiences and outcomes in methadone treatment.</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"173 ","pages":"Article 209683"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694733","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":"Drug-related charges and their association with social determinants of health","authors":"Molly Remch ,&nbsp;Bethany L. DiPrete ,&nbsp;Scott Proescholdbell ,&nbsp;Mary E. Cox ,&nbsp;Anna E. Austin","doi":"10.1016/j.josat.2025.209680","DOIUrl":"10.1016/j.josat.2025.209680","url":null,"abstract":"<div><h3>Objective</h3><div>Drug-related arrests persist at high levels despite the negative health consequences of incarceration, particularly for those with a substance use disorder. To understand community-level factors potentially contributing to high rates of drug-related arrests, we conducted an ecological study estimating associations between county-level social determinants of health and rates of drug-related charges in North Carolina from 2016 to 2019.</div></div><div><h3>Method</h3><div>Allowing a one-year lag between variables, we regressed the county-level rates of drug-related charges on each county-level social determinant of health variable. County-level rates of drug-related charges were the number of drug-related charges per 1000 residents. The county-level social determinant of health variables describe the percent of the population experiencing poverty, unemployment, evictions, food insecurity, or uninsured status. We accounted for spatial dependence of the social determinants of health variables and spatial correlation of the errors. We report direct effects, which measure the effect of a given social determinant of health in a given county on rates of drug-related charges in that same county.</div></div><div><h3>Results</h3><div>Poverty, evictions, and food insecurity were not associated with county-level rates of drug-related charges. There was a positive association between both unemployment and drug-related charges and between lack of health insurance and drug-related charges. A one percentage point increase in county-level unemployment was associated with a 3.27 (95 % CI: 1.28, 5.26) percent increase in the rate of next year drug-related charges per 1000 adults. A one percentage point increase in county-level lack of health insurance was associated with a 110.50 (95 % CI: 52.81, 168.18) percent increase in drug-related charges per 1000 adults the following year.</div></div><div><h3>Conclusion</h3><div>In this descriptive analysis, we found that a higher percentage of the population unemployed and uninsured were associated with higher rates of drug-related charges in the subsequent year. Areas with high unemployment and a high percentage of the population uninsured may benefit from diversion programs for individuals with substance use disorders.</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"173 ","pages":"Article 209680"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694735","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":"Exploring perceived gender norms about cannabis among treatment-seeking adults in the era of cannabis legalization in Canada: A qualitative analysis","authors":"Justin Matheson ,&nbsp;Madison Wright ,&nbsp;Tara Marie Watson ,&nbsp;Beth Sproule ,&nbsp;Bernard Le Foll ,&nbsp;Bruna Brands","doi":"10.1016/j.josat.2025.209684","DOIUrl":"10.1016/j.josat.2025.209684","url":null,"abstract":"<div><h3>Introduction</h3><div>Prevalence of cannabis use has historically been higher among men than among women, yet the past few decades have seen a significant narrowing of this gender gap. The narrowing gender gap is likely attributable to multiple factors, including global and regional shifts in gender norms related to cannabis, which may be influenced by legalization of recreational cannabis use in many countries, including in Canada where the present study took place. The goal of this study was to explore perceived gender norms about cannabis use and how these norms might influence behavior.</div></div><div><h3>Methods</h3><div>We conducted in-depth, one-to-one interviews with a sample of 23 adults in Toronto, Ontario, Canada who had been in treatment for cannabis-related harms. We used the Braun &amp; Clarke method of reflexive thematic analysis and a theoretical framework grounded in Connell's masculinities science and more recent critical femininities scholarship to explore perceived gender norms about cannabis. In particular, we were interested in how perceived norms might influence behavior and how an understanding of changing norms can contribute to developing gender-responsive or gender-transformative interventions for cannabis use disorder (CUD).</div></div><div><h3>Results</h3><div>Our analysis generated three main themes. <em>Masculine Dominance of Cannabis Use</em> demonstrates the social construction of recreational cannabis use (especially smoking cannabis) as a dominant masculine behavior. <em>Cannabis Use as Deviation from Femininity</em> demonstrates how increased stigma and social harms experienced by women and gender-diverse people is accomplished by framing their cannabis use as inauthentic and deviant. Finally, <em>Rejecting and Reconfiguring Gender Norms about Cannabis</em> suggests challenges to masculine dominance of cannabis use and how cannabis legalization may have catalyzed this process (possibly by increasing visibility of women using cannabis).</div></div><div><h3>Conclusions</h3><div>Our results suggest that gender continues to play a meaningful role in determining social cannabis norms, though relationships between gender and cannabis norms are clearly changing, possibly in connection to legalization of non-medical cannabis use. We end by discussing implications for treatment (e.g., norm-based interventions to encourage treatment-seeking among men) and public health (e.g., normalizing women's and gender-diverse people's cannabis use may reduce sociocultural harms associated with cannabis use).</div></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"172 ","pages":"Article 209684"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686794","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":"TOC (update)","authors":"","doi":"10.1016/S2949-8759(25)00041-4","DOIUrl":"10.1016/S2949-8759(25)00041-4","url":null,"abstract":"","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"171 ","pages":"Article 209662"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611056","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":"JSAT Editorial Fellow Call 2025","authors":"","doi":"10.1016/S2949-8759(25)00053-0","DOIUrl":"10.1016/S2949-8759(25)00053-0","url":null,"abstract":"","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"171 ","pages":"Article 209674"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611057","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":"C2: editorial board","authors":"","doi":"10.1016/S2949-8759(25)00040-2","DOIUrl":"10.1016/S2949-8759(25)00040-2","url":null,"abstract":"","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":"171 ","pages":"Article 209661"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611055","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}